What rehabilitation facilities can teach us about advancing healing design to the next level. Identify multi-sensory design strategies. Discover benefits to facility way-finding. Find synergies in contradictory needs. Support patient mobility and independence.
The document summarizes a proposed hospice care center called Sneh - Smruti for adolescent cancer patients and their families in India. The center would provide both in-patient and out-patient care, including 24 patient units, accommodations for mothers, and round-the-clock support. It addresses the specific needs of this patient group through a focus on healing environments, addressing the 5 stages of grief, and responding to the local climate and culture of Gujarat. The proposed design incorporates public, semi-public, semi-private and private spaces organized around courtyards to promote social interaction and support for patients and their families.
Auditorium: A Case Study on Acoustic Design Reportjisunfoo
The document discusses various acoustical phenomena relevant to auditorium design including:
1. Reverberation, which is the collection of reflected sounds in an enclosed space like an auditorium. Reverberation time is used to characterize it.
2. Attenuation, which is the loss of sound energy through scattering and absorption as sound waves interact with surfaces.
3. Echoes and flutter echoes, which are distinct reflected sounds that can degrade audio quality if not properly controlled through design.
4. Sound intensity and sound pressure, which are measures of sound energy levels important for human perception of sound.
The document examines these phenomena to understand how acoustic design of spaces like auditoriums can optimize
International case study on massachusetts general hospitalTilahunGetachew3
The document provides details about a case study on the Massachusetts General Hospital (MGH) in Boston, MA. It discusses the hospital's history and services. The case study focuses on MGH's main campus located in downtown Boston at 125 Nashua Street. It examines MGH's efforts to promote patient-centered care through various strategies like creating a welcoming environment, educating patients, and ensuring socio-cultural competence.
We find urban renewal projects to be both fascinating and inspirational. They showcase amazing creativity and reviltalise neglected neighbourhoods, underused waterfronts or even entire cities. Here’s a list of 20, about half of which are just getting started.
This document presents a dissertation on healing architecture in hospital design. The aim is to explore how architecture can support healing by creating spaces that reduce stress, fear and tension for patients. It discusses what healing and healing architecture are, provides historical context, and outlines evidence-based design principles. The dissertation will study elements of social support spaces in hospitals, present design models to promote healing, and analyze case studies of two Indian hospitals to evaluate how architectural design supports patient health and well-being.
1) The document proposes a design for an Applied Arts Crafts and Design Campus inspired by the works of architect Charles Correa.
2) It will incorporate Correa's approach of blending modernism with traditional Indian architecture through stepped platforms, outdoor classrooms, and connecting indoor and outdoor spaces.
3) The design aims to make education feel sacred through its organization of academic blocks at the highest level, with recreational areas below, evoking traditional Indian concepts.
CEPT University, Ahmedabad - Net Zero Energy BuildingDanfoss India
CEPT (University focuses on understanding, designing, planning, constructing and managing human habitats. Centre for Advanced Research in Building Science and Energy (CARBSE) at CEPT University was established with the aim of providing impetus for research in energy efficiency in built environment and energy resource management at large. CEPT University was one of the top 10 shortlisted finalists for ACREX Hall of Fame powered by Danfoss.
Sustainable Practices
• Insulated wall, roof and floor to reduce heat gain
• Radiant panels and DOAS used for conditioning basement spaces
• Demand controlled fresh air supply based on CO2 sensor
• Combination of radiant panels and VRF for space conditioning for first and second floor
• LED fixtures for ambient and dimmable task lights
• Renewable (PV) Contribution – 34,461 kWh (for 10.5 months)
This document provides an analysis of a site for a proposed bus station in Sonepat, Haryana, India. It includes details on the location, topography, climate, vegetation, and surrounding transportation infrastructure. Dimension standards and capacity requirements for buses are also listed. Concept plans and 3D renderings of the proposed bus station design show features like bus bays at a 45 degree angle, fuel stations, workshops, waiting areas, and commercial spaces. The analysis considers factors like accessibility, traffic flow, and passenger safety and comfort in the design.
The document summarizes a proposed hospice care center called Sneh - Smruti for adolescent cancer patients and their families in India. The center would provide both in-patient and out-patient care, including 24 patient units, accommodations for mothers, and round-the-clock support. It addresses the specific needs of this patient group through a focus on healing environments, addressing the 5 stages of grief, and responding to the local climate and culture of Gujarat. The proposed design incorporates public, semi-public, semi-private and private spaces organized around courtyards to promote social interaction and support for patients and their families.
Auditorium: A Case Study on Acoustic Design Reportjisunfoo
The document discusses various acoustical phenomena relevant to auditorium design including:
1. Reverberation, which is the collection of reflected sounds in an enclosed space like an auditorium. Reverberation time is used to characterize it.
2. Attenuation, which is the loss of sound energy through scattering and absorption as sound waves interact with surfaces.
3. Echoes and flutter echoes, which are distinct reflected sounds that can degrade audio quality if not properly controlled through design.
4. Sound intensity and sound pressure, which are measures of sound energy levels important for human perception of sound.
The document examines these phenomena to understand how acoustic design of spaces like auditoriums can optimize
International case study on massachusetts general hospitalTilahunGetachew3
The document provides details about a case study on the Massachusetts General Hospital (MGH) in Boston, MA. It discusses the hospital's history and services. The case study focuses on MGH's main campus located in downtown Boston at 125 Nashua Street. It examines MGH's efforts to promote patient-centered care through various strategies like creating a welcoming environment, educating patients, and ensuring socio-cultural competence.
We find urban renewal projects to be both fascinating and inspirational. They showcase amazing creativity and reviltalise neglected neighbourhoods, underused waterfronts or even entire cities. Here’s a list of 20, about half of which are just getting started.
This document presents a dissertation on healing architecture in hospital design. The aim is to explore how architecture can support healing by creating spaces that reduce stress, fear and tension for patients. It discusses what healing and healing architecture are, provides historical context, and outlines evidence-based design principles. The dissertation will study elements of social support spaces in hospitals, present design models to promote healing, and analyze case studies of two Indian hospitals to evaluate how architectural design supports patient health and well-being.
1) The document proposes a design for an Applied Arts Crafts and Design Campus inspired by the works of architect Charles Correa.
2) It will incorporate Correa's approach of blending modernism with traditional Indian architecture through stepped platforms, outdoor classrooms, and connecting indoor and outdoor spaces.
3) The design aims to make education feel sacred through its organization of academic blocks at the highest level, with recreational areas below, evoking traditional Indian concepts.
CEPT University, Ahmedabad - Net Zero Energy BuildingDanfoss India
CEPT (University focuses on understanding, designing, planning, constructing and managing human habitats. Centre for Advanced Research in Building Science and Energy (CARBSE) at CEPT University was established with the aim of providing impetus for research in energy efficiency in built environment and energy resource management at large. CEPT University was one of the top 10 shortlisted finalists for ACREX Hall of Fame powered by Danfoss.
Sustainable Practices
• Insulated wall, roof and floor to reduce heat gain
• Radiant panels and DOAS used for conditioning basement spaces
• Demand controlled fresh air supply based on CO2 sensor
• Combination of radiant panels and VRF for space conditioning for first and second floor
• LED fixtures for ambient and dimmable task lights
• Renewable (PV) Contribution – 34,461 kWh (for 10.5 months)
This document provides an analysis of a site for a proposed bus station in Sonepat, Haryana, India. It includes details on the location, topography, climate, vegetation, and surrounding transportation infrastructure. Dimension standards and capacity requirements for buses are also listed. Concept plans and 3D renderings of the proposed bus station design show features like bus bays at a 45 degree angle, fuel stations, workshops, waiting areas, and commercial spaces. The analysis considers factors like accessibility, traffic flow, and passenger safety and comfort in the design.
Kohinoor Hospital in Mumbai is Asia's first LEED Platinum certified hospital built in 2013. The 5-story structure with double basement was designed by SSA Architects to be highly energy efficient and reduce greenhouse gas emissions to improve patient care. A range of sustainable design features were implemented, including natural lighting, recycled and regional building materials, water-efficient landscaping, and wastewater recycling.
The Vancouver Convention Center (VECC) in Vancouver, British Columbia, Canada is owned by the British Columbia Pavilion Corporation. It was designed by LMN Architects, MCM Architects, and DA Architects and Planners, and opened in April 2009 on a 111,500 square meter site. The VECC features a living roof with over 40,000 plants, uses seawater and an on-site water treatment system to reduce water usage by 60-70%, and incorporates the local ecology, culture and environment into its design.
Buildings bye laws (AIRPORTS, HOSPITALS, PUBLIC-SEMI PUBLIC BUILDINGS)Abhi Vallabhaneni
This document outlines civil aviation requirements and bye-laws for construction near aerodromes and public buildings. It defines key terms like aerodrome reference point and transitional area. It specifies prohibited construction areas and height restrictions near runways based on distance. It provides requirements for approach funnels, water and sanitation facilities at airports. It also outlines land area, parking, exit and sanitation requirements for public buildings like hospitals, offices and educational institutions.
hospital design studies - architecture Dina Mohamed
Fortis Hospital in Gurgaon is a multi-specialty hospital with 430 beds. It has departments for various medical specialties and services. The hospital aims to create a non-institutional environment for patients. It is located near the HUDA City Metro station for easy access. Key features include an auditorium, food court, and preventative healthcare programs. Various floors are designated for services like OPD, ICU, labor & delivery, and patient rooms. The basement contains parking and engineering systems while upper floors house surgical suites and patient beds.
This document provides guidelines for designing hospital facilities, including general organization, specialized services, and safety standards. It discusses key aspects such as the appropriate area and layout, orientation of treatment zones, number of beds, and relationships between services. Specialized sections cover requirements for surgical units, postoperative care, intensive treatment, radiology, and other services. Circulation and accessibility for patients and staff are also addressed. The document aims to help planners design hospitals that meet operational and regulatory needs.
The deaf, hard-to-hearing and the hearing impaired persons inhibit a rich sensory world where vision and touch are the primary means of spatial awareness and orientation. They, therefore, require a special design concept that has already been established as Deafspace. Deafspace is guided by five guidelines referred to as The Deafspace Design guidelines. They are Light and colour, Sensory reach, Space and proximity, Mobility and proximity and Acoustics. (Architect Hansel Bauman, hbhm architects, 2005).
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Thesis -International Cruise Terminal in GoaSanah Patel
This document provides an overview of a thesis on designing an international passenger cruise terminal in Mormugao, Goa. It includes an introduction to cruise tourism, the need for studying this topic, the aims and objectives of the thesis, its scope and limitations, and the methodology. The introduction defines cruise tourism as traveling for leisure to various destinations on a ship. It notes that India's main international cruise destinations currently are Mumbai, Goa and Cochin, but that the existing terminal buildings do not meet international standards. The thesis aims to design a new terminal in Goa that can serve as an intermediate port for international cruises and a destination for domestic cruises.
Architects for Health presentation for Alder Hey Childrens HospitalArchitects for Health
The presentation summarized the design concepts for a new children's hospital, including an iconic "Hill in the Park" design concept with rooms having park views. It described the landscape design with gardens like a dry canyon and wet ravine, as well as a bereavement garden. Clinical layouts for floors were shown. The design aimed to merge the building into the landscape. Manufacturing details like panel types and prefabrication were also covered, along with interior design concepts and wayfinding strategies to make the hospital engaging for children.
Hospital healing gardens provide health benefits for patients, staff, and family members. Research shows that patients who can view or experience nature during their hospital stay tend to recover more quickly than those who cannot. Healing gardens offer soothing distractions, opportunities for light exercise, social support, a sense of control, and a feeling of being at home - all of which can help improve the healing process and overall quality of care. Designing healing gardens for medical campuses can be an important complement to modern medical treatments.
Indraprastha Apollo Hospital in New Delhi, India is the largest corporate hospital in India and fourth largest in the world. Completed in 1996, it covers an area of 675,000 square feet and contains departments for general services, emergency, surgery, medicine, dentistry, eye care, pediatrics and more. The hospital design features a grand atrium for the general waiting area with three levels of inpatient rooms above, each with cross ventilation and views of the outside. There are 632 beds total including 138 ICU beds and 14 operating theaters. The multi-level design connects buildings and reduces circulation while allowing flexibility to convert wards and rooms in the future.
This document provides information on the design of a convention center, including:
- A brief history of early convention centers dating back to the 15th century.
- Details on the typical spaces found in convention centers like meeting rooms, ballrooms, and exhibit halls.
- Considerations for the design such as zoning, circulation, accessibility, services, and parking.
- Standards for areas per person, hall capacities, and dimensions of spaces.
- The need to incorporate sustainability features like renewable energy use, green spaces, and waste management.
Green Hospital outlines the green initiatives at Khoo Teck Puat Hospital in Singapore. It began with early experimentation at Alexandra Hospital, including waste segregation and composting. For Khoo Teck Puat Hospital, a focus was placed on stakeholder engagement and designing the hospital to be integrated with the local community. This included making space for public use and connecting to nearby parks. The hospital implemented various green building features for energy and water conservation. Through initiatives like recycling programs and using safer chemicals, the hospital achieved reductions in waste and resource usage over time. Leadership and continued messaging have helped make sustainability part of the hospital's operations and culture.
FINAL B.ARCH THESIS PRESENTATION IIT ROORKEE:
City Centre ,Rohini ,Delhi ,Thesis project (2013)
A Mixed use development project comprises of diverse activities and functions located at the
sprawling District centre in Rohini with site area of 16 acres.With a AIM to explore the symbiotic
character of COMMERCE and CULTURE and to evolve a contemporary model of conventional
Indian market.
The document discusses key aspects of convention centers, including their role in stimulating local economies and improving quality of life. Convention centers are facilities designed to host various events like meetings, rallies, seminars, trade shows, and other social gatherings. They provide spaces for public, semi-public, and private functions and require services like HVAC, electrical, security, restrooms, plumbing, and more to accommodate large numbers of attendees. Successful convention centers consider factors like location, transportation access, and adequate spaces to meet the needs of different events.
The document discusses the history and development of performing arts in India. It outlines some major classical dance forms like Kathakali and Mohini Attam that originated in India and are based on Hindu texts like the Natya Shastra. It also mentions that performing arts were an important part of temple culture in ancient India and were practiced by devadasis who were dedicated to deities and temples.
A science museum is an institution which assembles, studies and conserves the objects, in order to set them before public for communication & knowledge.
Follow us at - www.archistudent.net
This document discusses the Maharana Pratap Inter-State Bus Terminus, commonly known as Kashmere Gate ISBT, located in Delhi, India. Some key points:
- Kashmere Gate ISBT opened in 1976 and serves as a medium-sized bus terminal handling around 2,000 buses per day traveling between Delhi and eight other states.
- It underwent renovation from 2011-2012 and was re-inaugurated in 2013. It has arrival and departure blocks and facilities like escalators, elevators, and parking.
- Kashmere Gate ISBT is well connected to Delhi's metro and road network and is an important transportation hub for the region.
The document is titled "Healing by Design" by Gutierrez, Morris, Newsome, Puente and Sahiwala from September 28, 2013. It discusses health and the built environment at different scales - from small personal spaces to the global scale. At a small scale, health is affected by what we eat, wear and encounter daily. At the medium scale of buildings and neighborhoods, design can promote health and well-being. At the large urban scale, the public realm should catalyze equality and wellness. Globally, issues include pollution, food allergies, e-waste, space debris and the need for sustainable solutions.
Cannon Design Environments for HealingCannonDesign
The document summarizes several healthcare interior design projects focused on improving the patient experience. It discusses a project to redefine a community hospital through design that connects patients to nature and community. Another project created a calming space in a busy emergency department. A third project prioritized privacy and comfort for vulnerable outpatients by designing a light-filled clinic with varying ceiling heights and sound masking features.
Kohinoor Hospital in Mumbai is Asia's first LEED Platinum certified hospital built in 2013. The 5-story structure with double basement was designed by SSA Architects to be highly energy efficient and reduce greenhouse gas emissions to improve patient care. A range of sustainable design features were implemented, including natural lighting, recycled and regional building materials, water-efficient landscaping, and wastewater recycling.
The Vancouver Convention Center (VECC) in Vancouver, British Columbia, Canada is owned by the British Columbia Pavilion Corporation. It was designed by LMN Architects, MCM Architects, and DA Architects and Planners, and opened in April 2009 on a 111,500 square meter site. The VECC features a living roof with over 40,000 plants, uses seawater and an on-site water treatment system to reduce water usage by 60-70%, and incorporates the local ecology, culture and environment into its design.
Buildings bye laws (AIRPORTS, HOSPITALS, PUBLIC-SEMI PUBLIC BUILDINGS)Abhi Vallabhaneni
This document outlines civil aviation requirements and bye-laws for construction near aerodromes and public buildings. It defines key terms like aerodrome reference point and transitional area. It specifies prohibited construction areas and height restrictions near runways based on distance. It provides requirements for approach funnels, water and sanitation facilities at airports. It also outlines land area, parking, exit and sanitation requirements for public buildings like hospitals, offices and educational institutions.
hospital design studies - architecture Dina Mohamed
Fortis Hospital in Gurgaon is a multi-specialty hospital with 430 beds. It has departments for various medical specialties and services. The hospital aims to create a non-institutional environment for patients. It is located near the HUDA City Metro station for easy access. Key features include an auditorium, food court, and preventative healthcare programs. Various floors are designated for services like OPD, ICU, labor & delivery, and patient rooms. The basement contains parking and engineering systems while upper floors house surgical suites and patient beds.
This document provides guidelines for designing hospital facilities, including general organization, specialized services, and safety standards. It discusses key aspects such as the appropriate area and layout, orientation of treatment zones, number of beds, and relationships between services. Specialized sections cover requirements for surgical units, postoperative care, intensive treatment, radiology, and other services. Circulation and accessibility for patients and staff are also addressed. The document aims to help planners design hospitals that meet operational and regulatory needs.
The deaf, hard-to-hearing and the hearing impaired persons inhibit a rich sensory world where vision and touch are the primary means of spatial awareness and orientation. They, therefore, require a special design concept that has already been established as Deafspace. Deafspace is guided by five guidelines referred to as The Deafspace Design guidelines. They are Light and colour, Sensory reach, Space and proximity, Mobility and proximity and Acoustics. (Architect Hansel Bauman, hbhm architects, 2005).
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Thesis -International Cruise Terminal in GoaSanah Patel
This document provides an overview of a thesis on designing an international passenger cruise terminal in Mormugao, Goa. It includes an introduction to cruise tourism, the need for studying this topic, the aims and objectives of the thesis, its scope and limitations, and the methodology. The introduction defines cruise tourism as traveling for leisure to various destinations on a ship. It notes that India's main international cruise destinations currently are Mumbai, Goa and Cochin, but that the existing terminal buildings do not meet international standards. The thesis aims to design a new terminal in Goa that can serve as an intermediate port for international cruises and a destination for domestic cruises.
Architects for Health presentation for Alder Hey Childrens HospitalArchitects for Health
The presentation summarized the design concepts for a new children's hospital, including an iconic "Hill in the Park" design concept with rooms having park views. It described the landscape design with gardens like a dry canyon and wet ravine, as well as a bereavement garden. Clinical layouts for floors were shown. The design aimed to merge the building into the landscape. Manufacturing details like panel types and prefabrication were also covered, along with interior design concepts and wayfinding strategies to make the hospital engaging for children.
Hospital healing gardens provide health benefits for patients, staff, and family members. Research shows that patients who can view or experience nature during their hospital stay tend to recover more quickly than those who cannot. Healing gardens offer soothing distractions, opportunities for light exercise, social support, a sense of control, and a feeling of being at home - all of which can help improve the healing process and overall quality of care. Designing healing gardens for medical campuses can be an important complement to modern medical treatments.
Indraprastha Apollo Hospital in New Delhi, India is the largest corporate hospital in India and fourth largest in the world. Completed in 1996, it covers an area of 675,000 square feet and contains departments for general services, emergency, surgery, medicine, dentistry, eye care, pediatrics and more. The hospital design features a grand atrium for the general waiting area with three levels of inpatient rooms above, each with cross ventilation and views of the outside. There are 632 beds total including 138 ICU beds and 14 operating theaters. The multi-level design connects buildings and reduces circulation while allowing flexibility to convert wards and rooms in the future.
This document provides information on the design of a convention center, including:
- A brief history of early convention centers dating back to the 15th century.
- Details on the typical spaces found in convention centers like meeting rooms, ballrooms, and exhibit halls.
- Considerations for the design such as zoning, circulation, accessibility, services, and parking.
- Standards for areas per person, hall capacities, and dimensions of spaces.
- The need to incorporate sustainability features like renewable energy use, green spaces, and waste management.
Green Hospital outlines the green initiatives at Khoo Teck Puat Hospital in Singapore. It began with early experimentation at Alexandra Hospital, including waste segregation and composting. For Khoo Teck Puat Hospital, a focus was placed on stakeholder engagement and designing the hospital to be integrated with the local community. This included making space for public use and connecting to nearby parks. The hospital implemented various green building features for energy and water conservation. Through initiatives like recycling programs and using safer chemicals, the hospital achieved reductions in waste and resource usage over time. Leadership and continued messaging have helped make sustainability part of the hospital's operations and culture.
FINAL B.ARCH THESIS PRESENTATION IIT ROORKEE:
City Centre ,Rohini ,Delhi ,Thesis project (2013)
A Mixed use development project comprises of diverse activities and functions located at the
sprawling District centre in Rohini with site area of 16 acres.With a AIM to explore the symbiotic
character of COMMERCE and CULTURE and to evolve a contemporary model of conventional
Indian market.
The document discusses key aspects of convention centers, including their role in stimulating local economies and improving quality of life. Convention centers are facilities designed to host various events like meetings, rallies, seminars, trade shows, and other social gatherings. They provide spaces for public, semi-public, and private functions and require services like HVAC, electrical, security, restrooms, plumbing, and more to accommodate large numbers of attendees. Successful convention centers consider factors like location, transportation access, and adequate spaces to meet the needs of different events.
The document discusses the history and development of performing arts in India. It outlines some major classical dance forms like Kathakali and Mohini Attam that originated in India and are based on Hindu texts like the Natya Shastra. It also mentions that performing arts were an important part of temple culture in ancient India and were practiced by devadasis who were dedicated to deities and temples.
A science museum is an institution which assembles, studies and conserves the objects, in order to set them before public for communication & knowledge.
Follow us at - www.archistudent.net
This document discusses the Maharana Pratap Inter-State Bus Terminus, commonly known as Kashmere Gate ISBT, located in Delhi, India. Some key points:
- Kashmere Gate ISBT opened in 1976 and serves as a medium-sized bus terminal handling around 2,000 buses per day traveling between Delhi and eight other states.
- It underwent renovation from 2011-2012 and was re-inaugurated in 2013. It has arrival and departure blocks and facilities like escalators, elevators, and parking.
- Kashmere Gate ISBT is well connected to Delhi's metro and road network and is an important transportation hub for the region.
The document is titled "Healing by Design" by Gutierrez, Morris, Newsome, Puente and Sahiwala from September 28, 2013. It discusses health and the built environment at different scales - from small personal spaces to the global scale. At a small scale, health is affected by what we eat, wear and encounter daily. At the medium scale of buildings and neighborhoods, design can promote health and well-being. At the large urban scale, the public realm should catalyze equality and wellness. Globally, issues include pollution, food allergies, e-waste, space debris and the need for sustainable solutions.
Cannon Design Environments for HealingCannonDesign
The document summarizes several healthcare interior design projects focused on improving the patient experience. It discusses a project to redefine a community hospital through design that connects patients to nature and community. Another project created a calming space in a busy emergency department. A third project prioritized privacy and comfort for vulnerable outpatients by designing a light-filled clinic with varying ceiling heights and sound masking features.
The document discusses several topics related to contemporary hospital projects and global health issues. It addresses how health relates to well-being and economic progress. It also discusses different types of legislation, education systems, and approaches to healing illnesses like homeopathy, allopathy, and ayurveda. Additionally, it outlines some current problems in health systems and provides key facts on global health situations, obesity, universal health coverage, and food safety.
Healthcare Design - Therapeutic Healing GardenJake Hamilton
As a cofounder and leader of our six member masters project team, SIBHS, I helped lead client interviews, held monthly and bi-monthly team and client meetings, researched and created a custom therapeutic healing garden and helped write our LEED Initiatives product with the goal of earning LEED accreditation for Beaumont.
Healing Gardens in Hospitals ~ The Architecture of Hospitals
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children =
http://scribd.com/doc/239851214 ~
`
Double Food Production from your School Garden with Organic Tech =
http://scribd.com/doc/239851079 ~
`
Free School Gardening Art Posters =
http://scribd.com/doc/239851159 ~
`
Increase Food Production with Companion Planting in your School Garden =
http://scribd.com/doc/239851159 ~
`
Healthy Foods Dramatically Improves Student Academic Success =
http://scribd.com/doc/239851348 ~
`
City Chickens for your Organic School Garden =
http://scribd.com/doc/239850440 ~
`
Simple Square Foot Gardening for Schools - Teacher Guide =
http://scribd.com/doc/239851110 ~
Enhancing the Healing Environment with Geothermal Energy - Sherman HospitalIllinois ASHRAE
Sherman Hospital built a new 650,000 square foot replacement facility with a focus on sustainability and a healing environment. They installed a geothermal system using a 15 acre lake as a thermal source for heating and cooling the building through 175 heat exchangers and 750 water-to-air heat pumps. This system significantly reduced the hospital's energy costs compared to the existing facility, achieving energy savings of over 30% and water usage reductions of nearly 80%. The geothermal lake also provides storm water retention and creates a therapeutic environment for patients.
The document discusses the elements and benefits of healing gardens. It notes that research has shown positive correlations between being in natural environments like gardens and improvements in mental, physical, and emotional well-being. Specifically, it mentions that exposure to green spaces can help reduce stress and aid recovery from surgery or medical issues. The document then outlines how horticultural therapy can provide therapeutic benefits through structured activities in gardens, giving examples for helping those with brain injuries, disabilities, mental illnesses, and other conditions. Finally, it emphasizes that all gardening can provide therapeutic effects and encourages thinking about how to help others achieve well-being through nature.
This document summarizes research conducted on the use patterns of a healing garden at Randall Children's Hospital. Observations and surveys were done over three visits to assess who uses the garden, for how long, and activities. The majority of users were visitors who mostly sat and talked, followed by providers who used their cell phones. Children's most common activity was play. Weather was also tracked against usage, with fewer users on colder days. Next steps discussed continuing this independent study and exploring other hospital user experience assessment tools.
The document discusses the collaborative architecture design of the VA Palo Alto Campus rehabilitation center for vision impaired patients. Key aspects included multi-sensory design elements like acoustic wayfinding, tactile landmarks and maps, and a central courtyard to aid navigation. The building layout features looping paths for mobility practice, numbered rooms and Braille signage for orientation. The landscape acts as a healing metaphor to reinforce independence through its native plants and creek bed.
This document discusses how contemporary society has become overly focused on visual imagery due to technological influences like television and the internet. This has led architecture to prioritize aesthetics over engaging other senses. The document presents the work of architects Descosterd & Rahm as a case study in designing for the "invisible" dimensions of smell, sound, and climate. It argues that controlling vision with technology could provoke architectural experiences that combine the visible with the invisible senses in new ways.
This document discusses several cultural practices observed in Turkey, including loitering, shopping at local markets (bazaars), and using public transportation (dolmuş). It analyzes these practices through examining inputs, acts, and outputs. For loitering, it argues that the practice is caused by a lack of urban space for socializing and a need for existence in social spaces. For local markets, it explores reasons for their continued use despite supermarkets. For dolmuş transportation, it describes the cramped and intimate nature of sharing space with strangers. The document proposes several design installations to further understand and encourage these cultural practices.
The Cone of Experience is a model that arranges different types of educational experiences from most concrete to most abstract. Experiences closer to the bottom are more hands-on, like direct experiences, while those near the top rely more on symbols, like verbal descriptions. The model is intended to show how experiences can vary in their level of abstraction or realness, not difficulty. It includes categories from direct experiences to verbal symbols, with each one building on the previous types of experiences moving up the cone.
This document outlines a course on building 3D displays. It will cover the physiology of human depth perception, including monocular cues like perspective and binocular cues like retinal disparity. It will discuss the history of 3D displays from Wheatstone's stereoscope to modern technologies. Students will learn about glasses-bound stereoscopic and unencumbered automultiscopic displays. The goals are to understand how the visual system perceives depth, light field representation, and do experiments to create 3D display devices. The course will examine limitations of conventional displays and conflicting depth cues.
Lecture 2 in the COMP 4010 class on AR/VR. This lecture provides an overview of various VR technologies. It was taught by Gun Lee on July 31st, 2018, at the University of South Australia.
SCIENCE AND TECHNOLOGY FOR SPECIALLY ABLED PERSONS-E.HARSHITHAHarshitha Ediga
In today’s world everybody seems to be so much preoccupied that there is no time to think about other people.
We forget about the differently abled people, the difficult task that they face in doing day to day activities.
This is all because today’s world doesn’t care about them. Nothing here is designed for them. So thinking of those people here is a technology that will help them and us also to understand them better.
SCIENCE AND TECHNOLOGY FOR SPECIALLY ABLED PEOPLE(DISABILITY)-E.HARSHITHAVenkatesu E
In today’s world everybody seems to be so much preoccupied that there is no time to think about other people.
We forget about the differently abled people, the difficult task that they face in doing day to day activities.
This is all because today’s world doesn’t care about them. Nothing here is designed for them. So thinking of those people here is a technology that will help them and us also to understand them better.
Here are the key differences between specific and diffuse cultures:
Specific cultures tend to focus more on tasks and have easier initial contact between people. Relationships tend to be more segmented and compartmentalized.
Diffuse cultures place more emphasis on personal involvement and commitment in relationships. Contact tends to develop more slowly as maintaining distance is important initially. Relationships span both personal and professional spheres.
Both have positives and negatives. Specific cultures can come across as more superficial while diffuse cultures may seem less efficient in getting things done. Understanding these differences is important for effective cross-cultural communication and collaboration.
The document discusses the traditional approach to architectural visualization. It focuses on sketching and serial vision as primary design tools. Serial vision involves sketching a site as the illustrator moves through it, revealing elements gradually. This allows the viewer to experience the space as a series of discoveries and emotional responses. Sketching a site using serial vision helps the visualist and clients understand how proposed projects fit into their surroundings and create a sense of place.
Visitor evaluation and research, also known as audience research or visitor studies, involves systematically collecting information from actual and potential museum visitors. This process is used to better understand who visits and to improve activities, exhibits, and programs based on visitor feedback, opinions, and needs. Evaluation can involve methods like surveys, interviews, and observations. The goals are to assess what visitors learn and experience, how the museum makes an impact or difference, and determine indicators of success to inform future planning and decision making.
Way-finding challenges of a blind person in a shopping mallMerja Saarela
Presentation at Nordic Network on Disability Research Conference 6.-8.5.2015, Bergen Norway.
Mobility and orientation are very challenging for the blind and visually impaired people. The presentation will show, how these way-finding challenges occur in a shopping mall, and how blind or visually impaired people used audio, tactile and olfactory landmarks.
Pictures are global and transcend words. They carry metaphors, symbols and meaning beyond the written word. Capturing ideas with images takes less time than reading text or verbalizing ideas, and making drawings helps you tell stories more effectively.
Visual thinking can help you make sense of complexity, help find patterns and surface critical issues, help make faster, better decisions, and help you take action and do ‘good’ for your business.
In order to get comfortable with the skill of visual thinking, we need to build confidence in drawing ability for those with no experience, help people develop a personal toolbox of sketching shortcuts, promote and encourage visual thinking as a useful tool at the desk and in the conference room.
The goal is to move from “let’s THINK out loud” to “let’s VISUALLY THINK out loud” as a way to brainstorm, collaborate and innovate together in the workplace.
This document summarizes a project exploring cultural differences in practices through observations of everyday life in public spaces. It focuses on the practice of "loitering" or spending idle time socializing. Key points discussed include:
- Loitering provides a way to socialize, relax and spend free time through activities like eating, drinking, smoking and playing games.
- Urban spaces have become common places for loitering with modernization, though it originally occurred in more intimate settings like homes and stores.
- The document proposes design concepts like creating dedicated loitering areas, ways to make existing spaces feel more intimate for small groups, and utilizing objects commonly associated with loitering.
The overall aim
This document provides an overview of pediatric cortical visual impairment (PCVI). It begins with definitions of PCVI and discusses its history. Key aspects of vision function are then reviewed, including clarity of vision, oculomotor ability, accommodation, binocularity, and eye health. Functional vision anomalies that can overlay PCVI are also described. The presentation concludes with discussing diagnostic approaches and treatment strategies for PCVI, including using vision therapy principles of neuroplasticity.
Museum next stephen feber ltd april 20 2015 web versionMuseumNext
This document discusses trends for museums in the internet century and how humans will continue to engage with museums. Some key points:
- Humans will remain curious creatures that learn through experiences, reflection, thinking and taking action in a discovery cycle when visiting museums.
- Museums can measure visitors' physical and sensory engagement through advanced biometric devices to better understand the experience.
- The physical design of museums should facilitate movement between different needs and ways of thinking based on Maslow's hierarchy of needs and Gardner's theory of multiple intelligences.
- Visitors will continue to learn in idiosyncratic ways using different intelligences and moving between physical, intellectual, and spiritual engagement.
Similar to Advancing Healing Design to the Next Level (18)
The document discusses how building information modeling (BIM) can reduce risks and costs for facility managers on projects. It presents results from three identical cath lab projects that used different levels of BIM: one with CAD only had the highest costs and longest schedule, while one with full BIM integration had the lowest costs, shortest schedule, and virtually no change orders. The document recommends facility managers use the existing BIM model from construction with free software for navigation and linking systems information with QR codes to help operations and maintenance.
The document summarizes the presentations of 6 finalists for an expansion of the Shenzhen Nanshan Hospital. The finalists presented models, boards, and DVDs of their proposals. The jury selected proposals from China Huaxi Engineering Design Construction Co., China IPPR International Engineering Corp + HKS Inc, and AXS SATOW Inc + Shenzhen General Institute of Architectural Design and Research Co. Ltd. as the first, second, and third prize winners respectively.
The document discusses renovating an existing 60-year-old hospital to install a new state-of-the-art robotic operating room suite. It outlines the goals of creating a new model OR while working within the constraints of the existing infrastructure. The renovation required raising ceilings, seismic upgrades, and carefully coordinating new and existing mechanical systems. The project team used BIM modeling, extensive planning, and 187 carefully coordinated shutdowns to complete the renovation on time and under budget while minimizing disruptions to the active hospital.
This document provides an overview of using Navisworks to perform clash detection on building models. It discusses exporting models from Revit and CAD, setting up clash tests, reviewing clashes in meetings, and following up on resolving clashes. Tips are also provided such as using sectioning, grids, and animations for additional model review capabilities in Navisworks beyond basic clash detection.
Presentation to Labs 21 about documenting LEED credits with BIM and how BIM should be an innovation in design credit for substational waste reduction when paired with direct digital fabrication.
The document discusses set-based concurrent design and its relationship to lean project delivery. It describes set-based design as dividing the design into interchangeable chunks and evaluating multiple simultaneous designs for each chunk. Choosing by advantages is discussed as identifying the attributes of options and determining the advantages based on attribute differences. Relationship to lean is about broadly evaluating options, making decisions slowly while engaging stakeholders, and fixing problems before moving forward to build consensus and allow rapid implementation.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
2. Natale Ward
The Design Partnership
Chris Downey
Architecture for the Blind
INTRODUCTION
3. VA Palo Alto Campus
Outpatient Wing Inpatient Wing
Entry and Garden
INTRODUCTION
4. project goals & hypothesis
Help patients navigate clinical environments
& Support patient mobility and independence
Without reinforcing a reliance on environmental crutches
Multi-sensory design strategies along with
the inclusion of all modalities during the
design process will enable us to do this
INTRODUCTION
5. discoveries
Benefits to facility way-finding
When specific disabilities are taken into account
Synergies in contradictory needs
When treatment modalities are addressed in tandem
Treatment philosophy informs the design
The design process can help to support training and
treatments while helping to identify & correct obsolete
protocols
INTRODUCTION
6. a moment as a vision-impaired person
Early-stage glaucoma
INTRODUCTION
7. a moment as a vision-impaired person
Notice
the different world-view of someone with a disability
Empathize
by putting yourself in that person’s shoes
Adapt
through simple behavioral solutions
Enjoy
an environment that’s now better for you too
INTRODUCTION
13. BENCHMARKING
Multi-sensory navigation:
A still-untapped resource
Way-finding with disabilities:
Landmarks within facility, or compensating with signage
Synergies within contradiction:
Finding strategies to combine multiple disabilities
Mobility without “crutches”:
Good intentions conflict with life in the real world
14. INNOVATIONS AND DISCOVERIES
Building shape = F
> <
^
Multiple pacing loops for mobility
practice and orientation
cognitive issues
15. INNOVATIONS AND DISCOVERIES
Cane taps
produce radar-like
echo along
vaulted forms
Existing walkways on
VA Palo Alto campus
acoustical considerations
16. INNOVATIONS AND DISCOVERIES
Transitioning from artificial to natural
lighting for patients with photo-sensitivity
Light patterns on
floor cause
confusion for
some patients
lighting environment: natural
18. INNOVATIONS AND DISCOVERIES
Early stair design
Going up:
how do vision
impaired find the
foot of the stair?
Going down:
how do they find
the exit?
way-finding
23. INNOVATIONS AND DISCOVERIES
Multi-sensory navigation:
Everyone benefits when other senses are engaged
Way-finding with disabilities:
Impairments highlight failures of plan/design clarity
Synergies within contradiction:
Design process helps correct obsolete protocols
Mobility without “crutches”:
Discernment grows when team includes disabled users
28. INSTITUTIONAL PROCESS
Multi-sensory navigation:
Reinforce therapy and training with design features
Way-finding with disabilities:
Utilize the training philosophy to inform the design
Synergies within contradiction:
Involve all modalities in the design process
Mobility without “crutches”:
Balance mobility with real-world design
30. landscape as healing metaphor
Native creek bed
Transition from
acute dependence
to natural
independence
Clinical core
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
31. landscape as healing metaphor
Pavement color/texture
reinforces directionality
Backs of
benches used for
“shore-lining”
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
32. landscape as healing metaphor
Places for celebration,
introspection, privacy
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
33. landscape as healing metaphor
Place-making
Textured areas Variety of
Fountain planting heights
Greenhouse
Kitchen
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
41. recovering one’s life
Visit our booth in the exhibition hall
Find the slides from this presentation on SlideShare.
Search for us by name: TheDesignPartnership
Or by our public profile: http://www.slideshare.net/TheDesignPartnership
Editor's Notes
Welcome to Advancing Healing Design to the Next level: what rehabilitation facilities can teach us. Because of the high incidence of traumatic injuries sustained by today’s armed services, the VA and DOD are at the vanguard of caring for and rehabilitating patients with multiple traumas and disabilities. But the lessons of designing environments for concurrent and diverse acuities apply to the entire spectrum of healthcare delivery.This presentation will highlight the discoveries and methodologies learned in the design of Polytrauma and rehabilitation facilities across the country, including advances in: Lighting, Acoustics, Way-finding and Safety; All tailored to patients dealing with a wide range of physical, sensory and psychological injuries. The key lesson is to balance the provision of customized sensory assistance against the mission of teaching patients how to navigate the real, non-clinical world. What is needed to make rehabilitation a truly life-changing experience is a design process that partners with the sensory and mobility needs of the patient.
I’d like to introduce our team. I’m Natale Ward, I am the planning lead, BIM lead, Job Captain, etc…for the VA Palo Alto Polytrauma & Blind Rehabilitation Center project. Joining me today is Chris Downey, who was a design consultant for this project for about a year and a half. Chris has opened our eyes, so to speak, about some of the building issues facing blind users. As a trained architect with 20+ years of experience, Chris lost his sight about three and a half years ago. He has been working hard ever since to remain in this field. We found a unique synergy between his experiences and our design effort for the new rehab center.Today, with Chris’ help we will be focusing a bit more on the blind issues as they relate to our project.
This early design sketch for the Polytrauma & Blind Rehabilitation Center shows the concept of the two wings early on, connected by a glass lobby and entry in the middle. This was a way to break up the building façade create a transparency through the center of the building into the courtyard beyond. Some of the programs included in the building are inpatient, transitional & outpatient Polytrauma, orientation & mobility, ADL, manuals skills, computer access training, assistive technology, gait training, speech therapy and more.
Though a project as complex as this one has many facets, we'll focus today on two of the most important goals we set out with. First, we wanted to help patients navigate the clinical environment by making the way-finding clear and the spaces comfortable. Second, we wanted to support patient mobility and independence without reinforcing a reliance on environmental crutches. This balance between supportive design and over-design was a consistent and pervasive planning and design exercise. Given the rehabilitation patient population, we hypothesized that using multi-sensory design strategies along with the inclusion of all modalities during the design process would enable us to achieve these goals.
More than most projects, at least for me, this was an incredible learning process. While we were focused on low-vision and blind navigation, or on Polytrauma patient navigation in the space, we found that there were way-finding benefits to all users and visitors of the building. We also found some surprising synergies between multiple needs of the different patient populations, the staff and function of the building. For example, the use of automatic shading devices on the windows in public spaces and corridors helps to control lighting levels for both the low vision and photosensitive TBI patients, as well as reduce the heat gain without requiring staff to spend time controlling the shades. We also found, that working closely with staff made an important impact on design decisions, while also having an impact on treatment and training philosophies. For example, the current training program at the blind center relies heavily on the shape of the current building, which happens to be an identifiable alphabetical letter. The new design was just too large to follow suit, so the training staff and designers held sessions to discuss how the design and training program could support each other in different ways.
One of the first strategies employed, was to try and put ourselves in the place of the patient populations we were designing for. The range of vision loss from slight to nearly total is substantial and well-populated. Very few people are 100% blind. What this slide is showing are some examples of the more common types of vision loss.
The four key steps involved: Notice the different world-view of someone with a disability. Empathize by putting yourself in that person’s shoes. Adapt through simple behavioral solutions. Enjoy an environment that is now better for you too.
As battle field medicine continues to improve, soldiers are now surviving injuries they would not have in past conflicts. As a result, the Veterans Hospitals are seeing more severe physical and brain injuries. A Polytrauma patients suffer from Traumatic Brain Injury, or TBI in combination with any number of other physical injuries including limb amputation, and sometimes multiple amputations. The Polytrauma unit in Palo Alto sees soldiers often only days after they’ve left the battlefield and have processed through Walter Reed.
The typical blind center student is of retirement age, many have age-related, chronic illness related, or medication related sight loss. The service history tend to vary greatly among this population, and my experience so far has been that there are more female veterans in this program that in the Polytrauma program.
We looked at a handful of centers across the country to explore how other facilities are organizing their rehab programs. What programs they have included and how they are dealing with way-finding & accessibility.1st is the Intrepid Center of Excellence in Bethesda. There were many parallels between the programs for Physical & Occupational Therapy. The most significant being the treatment gym, gait lab, vehicle simulator & family areas. By studying the modalities & equipment provided in the gym at the Intrepid, the project planners and VA therapy staff could ask important questions about services provided & possible new equipment that they may not have considered otherwise
The next facility was Casa Colina. The value added to a project by making time to bring the user group on field trips is enormous. Some of the key comments made about this facility followed us throughout the design. For example, the VA staff had felt that the facility being so large and spread out made for very difficult way-finding. However, the large open therapy rooms with lots of nearby storage & natural light were favored, especially as compared to the current outpatient physical therapy gym at Palo Alto that is located in the basement.
Finally, an important benchmark for us has been the current blind center at the VA Palo Alto. We will continue to discuss this facility throughout the presentation, but here I would just like to note the overall shape of the building as seen in plan. As mentioned previously, the building is shaped like an alphabetic letter, an “F”. This helps students understand the building as a whole. To further reinforce this understanding, each arm of the "F" has an alphabetic prefix to the room numbers and have a different recognizable wall color.
We found that facilities use multi-sensory navigation techniques to varying degrees. However, most facilities rely heavily on traditional static signage, so we’ve found that multi-sensory design strategies are a still untapped resourceWe find that signage, though necessary and often very helpful in way-finding, carries with it some limitations when you begin to take certain disabilities into account. Landmarks such as nurse stations & courtyards can be extremely effective way-finding tools.Finding ways to incorporate strategies for multiple populations sharing the same facility is challenging. I believe it’s something that we struggle with in all healthcare facilities as the patient demographic shifts over time.While searching for strategies for us to implement we found that it was easy to start to over-design and create a space that no longer balances environmental aids with what the patient will find in the real world. Sometimes good intentions can conflict with life outside of the clinical world.
Early on we realized that each floor of the new building would be nearly twice the size of the current blind center, so we could not repeat the “F” shape without creating outrageously long corridors. So, we started to look at how else the building could be organized. The increase in complexity and number of corridors was inevitable, so we determined that using significant landmarks around which we could organize the program would be the most effective way. Using landmarks is effective because they are consistently present & identifiable.
One of the most important spaces in the building was the lobby because this was the most significantly shared space for each of the different patient populations, staff, family & other visitors. Photo-sensitivity was of specific interest because this is something that is shared by TBI patients as well as low vision patients who comprise 94% of the blind center’s demographic. We did extensive day-lighting analysis to understand what impact our building orientation & glazing would have. We found that a high level of lighting, although desired for transition between the bright exterior and darker interior corridors, needed to be even and without contrast glare. We decided to outfit our windows with automated interior shades controlled by daylight sensors. This strategy was then employed throughout to provide greater patient & staff control of lighting levels, as well as an automated building response to direct sunlight, avoiding harsh shadows & bright spots in major circulation areas.
This is my favorite image. As you heard from the audio description, there is a lot going on here. This is an intersection of two corridors at the elevator in the current blind center. This image is a great tool for talking about what is, and what is not, appropriate use of color for assisting in way-finding. In some ways the blind center is very successful in their use of color & contrast. The pattern in the floor occurs only at intersections and the contrast of color is enough to be very visible, but not so much as to appear as a step or hole. We discussed in detail with the staff which types of adaptations worked best for them and why. It was agreed that using excessive cues in the flooring was in direct opposition to their training philosophies. Students are trained to maintain good posture and look ahead since it is so easy to pick up the bad habit of looking down to find your way as you begin to lose your vision. So many of the students have been cultivating this bad habit for years before coming to the blind center for training.
What we discovered as we progressed was that with balance in the design the extra measures to ensure that vision wasn’t our only reliance for way-finding led to a better design for all. Chris is absolutely right. As sighted architects we cannot really place ourselves in the shoes of a blind individual. We don’t understand the training required, the hardships and the disorienting effect sight loss can have on someone. With Chris’ help we were able to more successfully understand, and worked harder with our consultants to find solutions for removing obstacles.The multi-disciplinary design process helped both the VA staff, and the design staff to begin to re-organize our own processes. Building consumer group input into the process was key. The programming, planning, and design meetings provided a forum for all of the treatment modalities to be in one room discussing what is needed for all of them to provide the best patient care.By including different viewpoints, especially those with disabilities, their families and the staff, we can run our designs through rigorous testing and determine which features will really work and which will not.
it is very challenging to strike the right balance between nurturing someone with a disability, especially if the disability is new to them, and preparing them to be able to function in the real world. We are always on the watch to make sure that we are not overly enabling the patient or student. We don’t want them to rely on special environmental “crutches” that do not exist outside the walls of the rehab center.
What you have on the right of this slide is a sample list of the types of injuries that a Polytrauma patient can be suffering from. It could be any combination of these, or all of them. Lighting levels are just as important for Polytrauma patients as low vision patients. The need for patient privacy is universal, though an especially sensitive issue for the Polytrauma population. Security is another very important issue for these units. Although this is not a completely secure unit, there are significant elopement risks for some patients. This is why we’ve provided private courtyards within the bed units so that elopement risk patients can have secure access to the outdoors. We also have private enclosed outdoor areas off of the day & dining rooms on the unit. These types of outdoor spaces are also useful for the blind center, as there are some patients no ready to venture outside of the unit, but should have equal access to outdoor spaces.
As we start to build this library of multi-sensory design techniques, we try to implement them across the projects in our office. We are also thinking about what’s next. A lot of what we do as architects is attempt to see into the future. We try to anticipate what will or may happen in our buildings. To do this we need the help of the clinicians, doctors and nurses at all levels to help us understand what may be in the future for them and their patients as well.
By learning the process, either for treatment or training, we were able to help reinforce these processes with the architecture.The philosophy behind the training techniques is as important as the training itself. By utilizing this knowledge, we can design to best support the current and future patients & staff.Again, including all modalities, of which both centers have many, we can create spaces that work for all users. The model for care can provide us with insight into how we can work together to balance mobility with real-world design.
This is an image of the Polytrauma and Blind rehab center as seen from the drop-off area. Using a combination of path lighting, lighted bollards and canopy structure, we reinforced the way-finding related to nearby parking and adjacent buildings.
We wanted the landscape design for the building to be a metaphor for healing. To the north west of the center is a creek bed with a more natural landscape, while to the interior of the campus is primarily clinical space. We wanted the landscape through the central courtyard to provide a fairly seamless transition from clinical and manicured, to natural and wild.
What we have here is on the clinical side of the building. This is a plaza in front of the building south of the drop-off. As you can see we created pockets of seating using benches that are solid for easy “shore-lining” for those with canes in the main circulation areas. Also provided are trees for shade, a therapeutic labyrinth and a vegetable garden.
Here we have a view of the main courtyard. Some of the more formal areas exist towards the lobby side and as you move toward the back of the building it’s broken up into walking paths and small seating areas. On the left you see a stage area with a fountain wall backdrop, to be used for special occasions and ceremonies. To the right we have the enclosed dining area for the Polytrauma inpatient unit which satisfies the need for security and privacy, but provides access to natural light and fresh air as well.
The second level courtyard provides unique places to sit alone and reflect, or sit in small groups and visit. A walking path is provided with the seating areas separate to provide for easier navigation with a cane. Shade trees and a fountain create additional privacy and separation for the seating areas. Also located with access onto this space is the greenhouse, and a training kitchen. By allowing direct access the students can experience the outdoors as part of their everyday training before they learn the necessary skills to travel downstairs and venture out into the campus.
Here we have the floor plan for level 1. This level is comprised of the Polytrauma inpatient beds with immediate staff support spaces. Also on this floor are the outpatient PM&R programs including exam rooms, a gait training lab, vehicle training, PT/OT Outpatient gym & hand clinic. The 24 bed unit is laid out as two adjacent 12-bed units with shared courtyards and a main street circulation where the social space occur, the day room, dining room and staff meeting spaces. The organization of this floor laid the groundwork so to speak for the whole building. The required space for a Polytrauma unit is larger than the typical acute care setting with bedrooms at 300 SF, but by organizing the north wing of the building as a 24 hour wing and moving all daytime only services to the south wing, we were able to reduce patient & staff travel distances, also creating easier evening & weekend supervision for nursing staff. This organization was also set up a framework for overall building energy savings.
This next slide shows an interior view of the lobby space as seen upon entering the building. As touched on earlier, navigating this two level space was an important concern for us during design. A number of the considerations we discussed earlier were incorporated into the design and are shown here in the rendering. First, the blind center needed to have a presence in the lobby from the first level. The stair serves as their front door. The base of the stair is now located adjacent to the reception desk, which is directly across from the entry doors. The circulation path through from north to south into the celebration room, is reinforced in a few ways. First, the path is flanked on either side by waiting areas with a contrasting flooring (both in color and material). Second, the plinth at the base of the stairs provides a straight edge to aid in directing cane users towards the celebration room. The celebration room doors are of obvious contrast to the surrounding area. And finally, the area below the bridge has been acoustically treated so that it is clear when you are underneath it. This also serves to quiet the lobby space for the reception staff and TBI or psychologically compromised patients.
The next space we have is the nurse station. The client had wanted to be consistent floor to floor, so we were again designing this to work for all units. It needed to be a clear landmark, in a multi-sensory way. It needed to provide privacy & supervision of the unit for the nurses & do this while evoking a sense of hospitality not institution. Some of the design features utilized to start tackling these criteria include; an extended drop ceiling into the corridor for increased visibility of the nurse station from the patient corridors. We matched the outline of the dropped ceiling with a change in floor color as well. We provided a combination of indirect up-lighting at the soffit and drop task lighting for the nurses. We incorporated the wood paneling on the wall & the ceiling for aesthetics & acoustics.
The corridor design should provide an ease in perceiving depth by using contrast and variation in the plane. Between each two rooms there is a sub-charting / equipment alcove that is lit differently and painted an accent color. Personalization is also important, especially for patient populations that may have memory issues or difficulty finding their way back to their room. We have provided a signage type at the patient rooms that includes panel that can be personalized. This way a patient can verify that the room they’ve found is their own before entering.
This is a plan for level 2, the Western Blind Rehabilitation Center. This level is organized essentially in the same way as level 1. The north wing is the residential wing, with adjacent orientation & mobility services as well as 24 hour accessible computer training. The south wing has the day treatment spaces including optometry, manual skills & living skills, as well as the level 2 courtyard.