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2014 10-22 garden build
- 1. GARDEN BUILD Existing GARDENS in Children’s Wards and Hospitals are Fairy Gardens In Adult Hospitals future Gardens are Happy Gardens To save confusion they are all referred to here as the GARDEN 2014-10-22 Garden Build 1
- 2. My Commitment I passionately desire to improve the patient experience while in Hospital. The GARDEN and the GARDEN Program introduced here will help to improve healing, speed up recovery, improve staff morale, lessen the stress on the family and enhance the positive memory Fairy Sparkle December 1996 of the Hospital experience for the patient 2014-10-22 Garden Build 2
- 3. Introduction In times gone by, Hospitals were built on beautiful grounds and were surrounded by exquisite gardens where patients could spend many hours in recovery. Today’s society has seen this philosophy change beyond recognition. Those Hospitals lucky enough to have any external garden are seen to be purely cosmetic and allocated minimal maintenance. The therapeutic value of nature to help the healing process has been lost. Our evidence shows that it’s time to value it again. GARDEN Build with its associated community volunteer program, can fill the void and needs expressed by so many patients today. It is doubtful that we can return to the exquisite gardens of yester-year but we can work within our existing structures to bring together a solution that meets the needs of today’s patients, their families, staff, the Hospital and the wider community. The following summary gives an overview and initial understanding of the requirements needed to build these very special GARDENS. 2014-10-22 Garden Build 3
- 4. The GARDEN Build Seeing a special GARDEN built to improve the patient experience in Hospital and a new Volunteer Program to support patients to and from the GARDEN seems like a very big and bold vision. And it is… but what a beautiful vision for the benefit of all. National/State Health The most time, resource and cost effective method of initially building the GARDEN is during the construction of new and refurbished Hospitals. New GARDEN construction within an existing Hospital is still possible at the local level. Local Hospital Once built, the GARDEN and the Program are solely 'owned' by the local Hospital and incorporated into an existing Hospital program, whether it be Allied Health, Play Therapy or the Hospital Volunteer Program or other internal department. It is not owned by any external charity or organisation. 2014-10-22 Garden Build 4
- 5. 7 Principles of the GARDEN These 7 Principles give the GARDEN structure and embrace the essence, energy and healing effects of the GARDEN The value of each Principle has been proven with 12 GARDENS, funded, established and maintained over 15 years and ensure a garden sanctuary. 1. Enclosed with fences, hedges and trees 2. Paths based loosely on an ‘infinity’ sign 3. Flat paths for wheelchairs & drips 4. Paths define rooms with preferred entrance through an Atrium 5. Can’t see the end from the beginning 6. Some tree canopy 7. Must be maintainable & sustainable 2014-10-22 Garden Build 5
- 6. 7 Functions of the GARDEN These 7 functions provide the framework for building the GARDEN at the local Hospital level and includes Health Infrastructure, Contractors, the local Hospital, local community and the general public. 1. Approvals 2. Design 3. Funding 4. Planning 5. Hard Landscaping 6. Soft Landscaping 7. Features/decorating/lighting 2014-10-22 Garden Build 6
- 7. 1. Enclosed with fences, hedges and trees • Enclosing the garden creates a ‘sanctuary’ feel • It provides a screening from the outside world • Helps to reduce outside street noise, especially noise from cars • Provides the framework for the rest of the garden • People passing by should not be able to see into the garden 2014-10-22 Garden Build 7
- 8. 2. Paths based loosely on an infinity sign • The infinity sign is based loosely on a figure of 8 and should encourage exploration of the garden • As space permits other smaller graded paths can connect to the infinity path • Allows patients to walk and walk and not reach the end encouraging exercise • If space permits lay the infinity path east/west 2014-10-22 Garden Build 8
- 9. 3. Flat paths for wheelchairs & drips • Flat main path reduces slip/trip hazards when patients may be unstable on their feet • Helps patients gain confidence walking • Allows patients confined to wheelchairs or using ‘drips’ to access the GARDEN • Allows patients to be pushed around the GARDEN easily • Allows for raised garden beds to provide interest, seating, and visual impact from a wheelchair • Children and those in wheelchairs can see into the garden beds 2014-10-22 Garden Build 9
- 10. 4. Paths define Rooms • A well constructed infinity path allows a minimum of 8 ‘rooms’ • The rooms are defined by the path • These rooms are not enclosed • Gentle plant screening allows the feeling of privacy yet still visible • Staff meetings and family meetings with staff are often held in the GARDEN • The inclusion of an entrance Atrium proves maximum use of the GARDEN in all weather 2014-10-22 Garden Build 10
- 11. 5. Can’t see the End from Beginning • Clever planting allows even the smallest GARDEN to appear large • The GARDEN allows exploration, investigation and little surprises at every turn • The imagination is heightened and curiosity increases, inspiring young and old alike • The GARDEN changes with the seasons • The GARDEN structure remains the same however, planting, ornamentals and decorating often changes 2014-10-22 Garden Build 11
- 12. 6. Some Tree Canopy • Trees provide a light canopy embracing everyone walking underneath (not a forest). This is a key element • Gardens with a tree canopy are degrees cooler in summer and degrees warmer in winter • Canopy helps patients feel they are not in a Hospital • Careful care of trees during their first few years is imperative to create the lasting desired effect • A caring and understanding arborist must be engaged who understands the long term vision for the garden 2014-10-22 Garden Build 12
- 13. 7. Must be Maintainable and Sustainable • Maintenance has been the biggest challenge • A written maintenance plan and budget is essential • A qualified horticulturalist must be engaged to ensure healthy, flourishing plants • Volunteers and ‘green thumbs’ can be encouraged to provide week to week care • A volunteer program can be introduced to support patients to and from their beds maximising the use of the GARDEN 2014-10-22 Garden Build 13
- 14. Tangible Elements of the GARDEN •Handmade mementos •Hanging Baskets •Hedge – private areas •Herbs •Lanterns • Lattice • Lighting, including Fairy Lights • Lillies •Maze •Natural Music • Natives • Notice boards at entry - with Sponsor acknowledgements, the story, kids letters and drawings • Patterns in paths •Pergola •Ponds/Pool •Rocking Chair •Rocks •Rooms with nooks and crannies •Seating •Security Camera •Shade • Soil •Sounds •Stars for ‘Starry Tree’ •Statues •Lucky Stones •Sun Dial •Security Phone •Thresholds •Trees •Fallen Timber Logs •Quotes and Sayings •Water •Water barrel with pump (runs electrically and can be hand pumped) •Watering cans •Wheelbarrows with annuals •Wheelchair and drip stand accessible •Wind Mobile •Wishing Well •Wind Chime •No advertising in garden (at entrance) •No memorial stones •Wall murals should not replace trees and plantings There are many ideas, here are a few ideas that have worked... •Archways •Bamboo •Bells •Benches •Birds not caged, Bird Feeder •Blossom, Bulbs (annuals) •Bridge •Butterflies •Characters – Animations •Grotto •Circular – no square angles •Colour •Creepers •Crystals •Flower Fairy Mailbox •Flowers •Fountain •Garden Furniture •Garden House / Gazebo •Garlands (clothes) •Gate •Grassy area 2014-10-22 Garden Build 14
- 15. GARDEN Essence The GARDEN provides an exploration awakening the senses. Whatever you were feeling before ebbs away as the GARDEN embraces you with its canopy. The Hospital from where you have come is almost hidden away Nature is helping you to heal, privately, quietly asking nothing in return. The GARDEN allows families to find a quality of life taken for granted by healthy families, an escape to … …feel the sunshine, warmth and the breeze on your skin …a place to watch the rain fall from a protected gazebo …smell the scent on the ground after a shower of rain …see the effect on the garden after a storm …see the flowers blooming …know the seasons still happen …and yes, a place to laugh freely with your children This is not understood by most people until it’s taken away! 2014-10-22 Garden Build 15
- 16. A snapshot of the existing 12 GARDENS 2014-10-22 Garden Build 16
- 17. Existing Hospitals GARDENS There is a GARDEN at 1. Sydney Children’s Hospital, Randwick - Ground Level 2. Sydney Children’s Hospital, Randwick - Balcony Level 3. Bundaberg Base Hospital 4. Orange Base Hospital 5. Royal North Shore Hospital 6. John Hunter Children’s Hospital 7. Mt Druitt Hospital Children’s Ward 8. Orange Hospital – New 9. Sydney Children’s Revamp, Randwick – Renewed Ground Level 10.Royal North Shore – Level 7 New 11.Mt Druitt Hospital Palliative Care Ward 12. Sydney Children’s Hospital, Randwick – New Balcony 2014-10-22 Garden Build 17
- 18. New GARDENS New GARDENS are under development at: • Wagga Base Hospital • Bega Base Hospital Both the new and existing GARDENS have been a labour of love. They have provided an essential understanding of the needs of patients, families and staff in the most difficult of situations - being in a Hospital. From this understanding the GARDEN Program will now inspire a GARDEN in all Hospitals. 2014-10-22 Garden Build 18
- 19. Sydney Children’s Hospital, Randwick Opened 1999 From this… To this… Thanks to David Cochrane, Radio 2UE and the community 2014-10-22 Garden Build 19
- 20. Sydney Children’s Hospital, Randwick First Balcony, opened 2001 To this… From this… Thanks to Civic Trees and the community 2014-10-22 Garden Build 20
- 21. Bundaberg Base Hospital, Qld Opened 2002 From this… To this… Thanks to Shawn & Chris Hall and the community 2014-10-22 Garden Build 21
- 22. Orange Base Hospital Opened 2002 From this… To this… Thanks to Fiona Rossiter and the community 2014-10-22 Garden Build 22
- 23. Royal North Shore, Children’s Ward 5th floor Balcony, Opened 2006 From this… To this… Thanks to Ben Hargreaves, Humpty Dumpty Foundation and Variety The Childrens Charity 2014-10-22 Garden Build 23
- 24. John Hunter Children’s Hospital Newcastle, Opened 2007 From this… To this… Thanks to Variety The Childrens Charity and the Gastronimic Lunch 2014-10-22 Garden Build 24
- 25. Mt Druitt Hospital Opened 2007 From this… To this… Thanks to Humpty Dumpty Foundation and Variety The Childrens Charity 2014-10-22 Garden Build 25
- 26. Orange Hospital – New Opened 2011 To this… From this… Thanks to Kerry Campbell and the community 2014-10-22 Garden Build 26
- 27. Sydney Children’s Revamp, Randwick Reopened Ground Level, October 2014 From this… To this… Thanks to Secret Gardens, Sydney and suppliers 2014-10-22 Garden Build 27
- 28. Royal North Shore – Level 7 New From this… Opening December 2014 Thanks to Health Infrastructure NSW, Brookfield Multiplex, Better Homes & Gardens and Humpty Dumpty Foundation 2014-10-22 Garden Build 28
- 29. Mt Druitt Hospital Palliative Care Ward From this… Thanks to Pinegrove Memorial Park and suppliers Opening December 2014 2014-10-22 Garden Build 29
- 30. Sydney Children’s Hospital, Randwick New Balcony From this… Waiting for the magic… 2014-10-22 Garden Build 30
- 31. In its simplest form the very nature of the GARDEN draws patients out of their beds and families out of the Ward Fairy Sparkle December 1996 2014-10-22 Garden Build 31