case study on hospital - fortis hospital, gurgaonSakshi Jain
this presentation is based on the architectural design on hospital, i.e, multi- specialist hospital. in this presentation we did the case study on the fortis hospital gurgaon. in which we'd cover all the aspects of case study.
case study on hospital - fortis hospital, gurgaonSakshi Jain
this presentation is based on the architectural design on hospital, i.e, multi- specialist hospital. in this presentation we did the case study on the fortis hospital gurgaon. in which we'd cover all the aspects of case study.
The site originally had a Neo Renaissance Style house which was destroyed during the bombing of 1945. The Czech Ex-President Vaclav Havel ordered the study for rebuilding of the demolished house. Architect Vlado Milunic first invited Jean Nouvel for the project but he rejected due to the small scale of the project.
He then invited Frank Gehry who took this challenging project. Since he had unlimited budget because the involvement of dutch bank ING, they wanted this to be an iconic project in Prague. Its construction started in 1994 and finished in 1996.
In 2005 the Czech National Bank issued a gold coin with the motif of the Dancing House, as the final coin of the series "10 Centuries of Architecture."
The Shard, Skyscraper - Architectural Case StudyDinesh Kumar
A small architectural study of the masterpiece Shard, London.
This study covers the topic such as Load analysis, structural overview, uses & construction of the core, structural facts, etc.,
case studies on various hospital designs, explaining their built form, design, and functionality. Case studies discussed include Midpark hospital Scotland and Pars hospital Iran.
Case Study of Hospitality, Having Good quality photos, best detail about hospital, every detail about hospital, best clarity, flow chart made, all plans available, about orientation, best presentation, scored full marks
hope everyone will love it.
For a Film Museum, marketing plays a vital role although cinema’s involvement makes it popular and famous
Film Museum’s in western countries are successful in celebrating their cinema and culture
For a country like India with even diverse and rich Cinema background, a successful Film museum is still a distant dream
Films are seen as a medium where a director ‘s vision is implied although a film museum , on the other hand , leaves a visitors free to interpret the objects
Museum Case Studies
http://en.wikipedia.org/wiki/Museum
A museum is an institution that cares for (conserves) a collection of artifacts and other objects of scientific, artistic, cultural, or historical importance and makes them available for public viewing through exhibits that may be permanent or temporary.[1] Most large museums are located in major cities throughout the world and more local ones exist in smaller cities, towns and even the countryside. Museums have varying aims, ranging from serving researchers and specialists to serving the general public. The continuing acceleration in the digitization of information, combined with the increasing capacity of digital information storage, is causing the traditional model of museums (i.e. as static "collections of collections" of three-dimensional specimens and artifacts) to expand to include virtual exhibits and high-resolution images of their collections for perusal, study, and exploration from any place with Internet.[citation needed] The city with the largest number of museums is Mexico City with over 128 museums. According to The World Museum Community, there are more than 55,000 museums in 202 countries.[2]
The Rolex Learning Center at EPFL: a new building for a new vision in collect...Thomas Guignard
The reunification of 10 faculty libraries inside the new Rolex Learning Center at EPFL was a perfect opportunity to rethink which collections should be put forward in an environment that is organized primarly around the working and living space of the users. "Collection development" has shifted from a simple selection of content added to collections to a selection of the best way of access to relevent content. Electronic books allow on-demand access in an even more cost and ressource-efficient way. We discuss how the EPFL Library is implementing its e-books collection to allow for on-demand rental or buying of titles.
Growing Stronger Research Fund Overview Jan 2012 For DonorsAmer Haider
Website: http://www.growingstroner.org.
Overview of http://www.GrowingStronger.org, a non-profit focused on improving the quality of life of little people through supporting medical research.
The site originally had a Neo Renaissance Style house which was destroyed during the bombing of 1945. The Czech Ex-President Vaclav Havel ordered the study for rebuilding of the demolished house. Architect Vlado Milunic first invited Jean Nouvel for the project but he rejected due to the small scale of the project.
He then invited Frank Gehry who took this challenging project. Since he had unlimited budget because the involvement of dutch bank ING, they wanted this to be an iconic project in Prague. Its construction started in 1994 and finished in 1996.
In 2005 the Czech National Bank issued a gold coin with the motif of the Dancing House, as the final coin of the series "10 Centuries of Architecture."
The Shard, Skyscraper - Architectural Case StudyDinesh Kumar
A small architectural study of the masterpiece Shard, London.
This study covers the topic such as Load analysis, structural overview, uses & construction of the core, structural facts, etc.,
case studies on various hospital designs, explaining their built form, design, and functionality. Case studies discussed include Midpark hospital Scotland and Pars hospital Iran.
Case Study of Hospitality, Having Good quality photos, best detail about hospital, every detail about hospital, best clarity, flow chart made, all plans available, about orientation, best presentation, scored full marks
hope everyone will love it.
For a Film Museum, marketing plays a vital role although cinema’s involvement makes it popular and famous
Film Museum’s in western countries are successful in celebrating their cinema and culture
For a country like India with even diverse and rich Cinema background, a successful Film museum is still a distant dream
Films are seen as a medium where a director ‘s vision is implied although a film museum , on the other hand , leaves a visitors free to interpret the objects
Museum Case Studies
http://en.wikipedia.org/wiki/Museum
A museum is an institution that cares for (conserves) a collection of artifacts and other objects of scientific, artistic, cultural, or historical importance and makes them available for public viewing through exhibits that may be permanent or temporary.[1] Most large museums are located in major cities throughout the world and more local ones exist in smaller cities, towns and even the countryside. Museums have varying aims, ranging from serving researchers and specialists to serving the general public. The continuing acceleration in the digitization of information, combined with the increasing capacity of digital information storage, is causing the traditional model of museums (i.e. as static "collections of collections" of three-dimensional specimens and artifacts) to expand to include virtual exhibits and high-resolution images of their collections for perusal, study, and exploration from any place with Internet.[citation needed] The city with the largest number of museums is Mexico City with over 128 museums. According to The World Museum Community, there are more than 55,000 museums in 202 countries.[2]
The Rolex Learning Center at EPFL: a new building for a new vision in collect...Thomas Guignard
The reunification of 10 faculty libraries inside the new Rolex Learning Center at EPFL was a perfect opportunity to rethink which collections should be put forward in an environment that is organized primarly around the working and living space of the users. "Collection development" has shifted from a simple selection of content added to collections to a selection of the best way of access to relevent content. Electronic books allow on-demand access in an even more cost and ressource-efficient way. We discuss how the EPFL Library is implementing its e-books collection to allow for on-demand rental or buying of titles.
Growing Stronger Research Fund Overview Jan 2012 For DonorsAmer Haider
Website: http://www.growingstroner.org.
Overview of http://www.GrowingStronger.org, a non-profit focused on improving the quality of life of little people through supporting medical research.
5th Tumor Models Boston July 2017 BrochureDiane McKenna
Tumor Models Boston 2017 will address the preclinical & clinical developments of the most promising therapies including targeted therapies, check-point inhibitors & CAR-T therapies and how these findings can be utilized to bridge the gap between preclinical and clinical studies.
“The phrase ‘Never Events’ now evokes strong feelings in both medical and consumer circles. The Picker Institute has seized the concept and stood it on its head to come up with the notion of ‘Always Events.’ Picker is looking to identify those elements of the health care experience that should always happen from a humanistic perspective.”
Dr. James is medical director of Humana’s National Network Operations and practices Pediatrics/Internal Medicine at Normton Community Medical Associates-Audubon West.
This presentation is from an AORN webinar that helps guide perioperative team members through the evidence appraisal and rating process using the AORN appraisal tools and evidence-rating model. The webinar replay is available for free at http://bit.ly/1i9r4En. Get the 2014 edition of Perioperative Standards and Recommended Practices at http://bit.ly/1bJmXAT.
Similar to Design Research of Cancer Infusion Treatment Environments (20)
SXSW: Embracing Transformative Design to Redefine Cancer CareCannonDesign
This deck is in support of a 2024 SXSW proposal focused on Embracing Transformative Design to Redefine Cancer Care.
The session features leaders from CannonDesign, Memorial Sloan Kettering, University of Chicago Medicine and Fred Hutch Cancer Center.
CannonDesign’s Cost Estimating team offers clients an in-depth understanding of initial construction cost, life cycle cost, schedule and construction delivery strategies to complement the firm’s design talent.
Mentoring is an important aspect of developing the individual and our firm. It benefits the mentee and the mentor. At CannonDesign we value and encourage mentorship throughout the firm. Featured here are some employees and their thoughts on mentorship.
CannonDesign's Facility Optimization Solutions team helps organizations manage their facilities more efficiently, effectively and sustainable. This brochure features case studies from our work with the City of Buffalo, University of Illinois-Chicago, Chicago Public Schools, Massachusetts General Hospital and a number of other organizations.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
- 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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. Design Research
of Cancer Infusion Treatment Environments
EDRA 42 | Chicago, Illinois | May 26, 2011
Zhe Wang, Ph.D., RA, EDAC, LEED AP BD+C
Michael Pukszta, AIA
Natalie R. Petzoldt, AIA, EDAC, LEED AP BD+C
Jennifer Hendrich Cayton, LEED AP BD+C
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
3. Overview of presentation
1. Introduction
2. Cannon Design Research
3. Post Occupancy Evaluation of the Simon Cancer Center
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
4. Americans and Cancer- 2010 Facts and Figures
Cancer | “Group of diseases characterized by uncontrolled growth and spread of
abnormal cells;” genetic or environmental
Treatment | Surgery, Radiation, Chemotherapy, Hormone, Biological, Targeted Therapies
2010 Death Rate | 569,490 expected cancer deaths alone, more than 1,500 a day
2010 Diagnoses | 1,529,560 expected new diagnoses
1. American Cancer Society, “2010 Cancer Facts and Figures.”
http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-facts-and-figures-2010 Accessed 05.16.2011
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
5. Improving the patient outcomes
Americans have made measurable success in battling cancer and increased the relative
5-year survival rate from 50% in 1970s to 66% in 2009.
1. American Cancer Society, “2010 Cancer Facts and Figures.”
http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-facts-and-figures-2010 Accessed 05.16.2011
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
6. The typical healthcare patient
event
Diagnosis
Health Treatment
Infusion treatment:
50+% cancer patients undergo
chemotherapy1
Time
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
7. The oncology patient
event
Diagnosis
Health Treatment
Potential 100 Trips
in the first year after diagnosis
Time
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
8. Evidence-Based Design and Research
Evidence Based Design: Evidence-based design is the process of
basing decisions about the built environment on credible research to
achieve the best possible outcomes. For healthcare, the goal is to
achieve the best possible outcomes for patients/residents, families, and
staff while improving the process of delivery. 1
1. Center for Health Design. Access 5/16/2011 . http://www.healthdesign.org/chd/research
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
10. Evidence Based Research and Design- Oncology
Most research in the field of design and health focuses on
inpatient environments.
However, typical cancer treatment regimen is ambulatory-based.
1. Chemotherapy.com Access 05/19/11. http://www.chemotherapy.com/treating_with_chemo/treating_with_chemo.html
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
12. Cannon Design
Offices | 16
People | 1000
Healthcare | Top Ranking in Healthcare Design
Quick Facts | Ph.D. lead health and science research; award winning practice
Vancouver Calgary
Victoria
Toronto
Boston
Buffalo
NYC
Chicago Baltimore
San Francisco Arlington
St. Louis
Los Angeles Phoenix
Shanghai
Mumbai
Houston
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
13. Humble Beginnings- The Pre-design Research
“If we knew what we were doing, it would not be called research, would it?”
Albert Einstein
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
14. Humble Beginnings- Pre-design Research
Location Summary
Clarian IU Simon Cancer Center (Now IU Health)
Indianapolis, Indiana
8 States
Todd Caner Center
Los Angles, California
410+ Patients
Siteman Caner Center
St. Louis, Missouri
Karmanos Cancer Institute
Detroit, Michigan
Cancer Care of Maine
Bangor, Maine
MD Anderson Banner Health
Phoenix, Arizona
UH Case Medical Center
Cleveland, Ohio
Northwestern Phase 1
Chicago, Illinois
Phase 2
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
15. 10- Year Research Project Cycle
2008
Northwestern University
2003-2005 Chicago, IL
2004 2007
Clarian/IU Patient Questionnaires
Todd Cancer Center Karmanos Cancer Center
Simon Cancer Center
Long Beach, CA Detroit, MI
Indianapolis, IN UH Case Medical Center
Focus Groups Focus Groups
Focus Groups Cleveland, OH
Patient Interviews Patient Interviews & Surveys
Patient Interviews Patient Questionnaires
1999-2000 2005 Focus Group
2007
Siteman Cancer Center Cancer Center of Maine 2010
Research
Banner Health
St. Louis, MO Bangor, ME IU Health
Phoenix, AZ
Focus Groups Focus Groups Simon Cancer Center
Patient Questionnaires
Patient Interviews Patient Interviews Indianapolis, IN
Focus Group
& Surveys Post Occupancy Evaluation
2000 2004 2008 2010
Projects
Karmanos Cancer Institute BJC / Washington University IU Health Seidman King Abdullah MD Anderson
Weisburg Cancer Center Siteman Cancer Center Simon Cancer Center Cancer Hospital Saudi Arabia Banner Cancer Center
25,000 Sq Ft 750,000 Sq Ft 450,000 Sq Ft 450,000 Sq Ft 1,500,000 Sq Ft 225,000 Sq Ft
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
16. From Pre-design Study to Post Occupancy Evaluations
TARGET 2012 Construction of Phase 2 projects is
Banner Health completing or near complete in 2011
Phoenix, AZ
Post Occupancy Evaluation
Research
Seidman Cancer Center Target Post Occupancy Evaluations for
Cleveland, OH 2012
Post Occupancy Evaluation
2010 2012 Potential comparative study of three
complete projects
Projects
Seidman MD Anderson
Cancer Hospital Banner Cancer Center
450,000 Sq Ft 225,000 Sq Ft
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
17. Research Road Map
PHASE 1 PILOT STUDY VERIFICATION
WE ARE
HERE
PRE-DESIGN STUDY
PHASE 2 VERIFICATION
PHASE 2
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
18. Summary of Pre-design Research Findings
Infusion patient needs can be classified into three categories:
1) Choice and control
2) Privacy and social support
3) Positive distractions
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
19. Summary of Findings: Choice and Control
“A sense of control is important because cancer takes
away your control.”
- Patient from Todd Cancer Institute
“What control would an infusion patient want most?”
Temperature Control
Typology of treatment stations: Private or Open
Potential Design Solutions:
-Multiple HVAC zones
-Multiple types of treatment station
1. Image Digital Thermostat. Accessed 5/17/2011 http://digitalthermostat.org/
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
20. Summary of Findings: Privacy and Social Support
Private treatment rooms preferred by
50% if survey participants, remaining
split 28% always choose shared and
22% flexible depending on treatment
day. Sometimes
28%
Private
50%
Gender and geographic changes in preferences
affect the balance of private and shared treatment Share
22%
spaces.
Potential Design Solutions: n = 161
- Multiple types of treatment spaces
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
21. Summary of Findings: Positive Distractions
“What amenity would you prefer?” Guest Chair
90% of participants cited a guest chair as their preferred amenity.
“It felt really good about helping a patient sitting next to me. She didn’t
speak English , but holding hands with another patients means the
same thing in any language.”
-Todd Cancer Institute Patient
Potential Design Solutions:
-Plan for a guest chair at each treatment station
-Family lounge space for guests and social interactions
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
22. Summary of Pre-design Research and Design
Ranking Design Strategies
Patient Needs
1 Patient Control and Choice 1 Treatment Station Typology
2 Window View
2 Privacy and Social Support
3 Family Lounge
4 Way-finding
3 Positive Distractions
5 Access to patient toilets
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
23. Design of Simon Cancer Center
Development of design strategies
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
24. Simon Cancer Center | Indianapolis, Indiana
1. Brian Drumm photo courtesy of IUPUI Communications and Marketing
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
25. Simon Cancer Center | Indianapolis, Indiana
28,500 Square Foot Infusion Center
60 Patient treatment stations
Treats most types of caner with exception of Bone
Marrow
N
Located Downtown
Indianapolis, Indiana
1. Google Maps. Accessed 5/18/2011. www.maps.google.com
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
26. Simon Cancer Center | the Infusion Center
Roof top garden
Nurse work station
Fireplace lounge area
Open Bays for patient
and guest interaction
Private Rooms
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
27. Simon Cancer Center: Choice on Privacy or Open
Most cancer centers use fabric curtains to separate open bays, Simon the team
designed movable screens between patient bays
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
28. Simon Cancer Center: Fireplace Lounge Area
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
29. Post Occupancy Evaluation of Simon Cancer Center
Investigate the significance of design strategies
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
30. Simon Cancer Center | Indianapolis, Indiana
2010 | Post Occupancy Evaluation
Observation (2 days on site)
Questionnaires
- 165 Patients
-138 Family members
- 15 Staff
Patient responses:
Response rates 20% - 45% depending
on the day
Average age range was 51-60 years old
70% were female
85% were Caucasian
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
31. Simon Cancer Center: Research Timeline
2009 2010 2011
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
32. Simon Cancer Center: On-site Observation
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
33. Simon Cancer Center: Questionnaire Survey
Participants answered surveys while in the space
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
34. Simon Cancer Center: Findings
Typology of Access to
treatment Patient Window Way-
stations Toilets View finding Distances
Privacy
Un-Stress
Comfort
Satisfaction
Hope
Significantly related, p<0.02
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
35. Simon Cancer Center: Typology of Treatment Stations
Private treatment rooms
Semi-open treatment Open treatment
1. The Telegraph. Access 5/19/2011 http://www.telegraph.co.uk/health/healthnews/7520628/Thousands-of-NHS-patients-dying-needlessly-expert.html
2. Integrative Focus, Inc. Accessed 5/19/2011 http://intergrativefocus.com/services/small_bytes
3. Mass General Cancer Hospital Accessed 5/19/2011 http://www.massgeneral.org/cancer/about/newsarticle.aspx?id=2487
4. With Friendship.com Accessed 05/22/2011. http://withfriendship.com/user/boss/chemotherapy.php
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
36. Simon Cancer Center: Typology of Treatment Stations
During observation, patients consistently
choose seats at end of semi-open treatment
space first
Then, they choose the seats in the middle. If
the patients were receiving chemotherapy for
the first time, nurses directed them here as
well.
The last seats chosen were always in between
other patients.
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
37. Simon Cancer Center: Access to Patient Toilets
Patients indicated increased levels Privacy,
Stress, Satisfaction, Comfort, and Hope with
regard to access to patient toilets (p<0.01)
Infusion patients may use toilets more
frequently given long treatment sessions and
administration of fluid medications.
Design Implication: Plan appropriately
distributed patient toilets, consider
additional beyond code required.
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
38. Simon Cancer Center: Access to Patient Toilets
Semi-open treatment stations and shared
patient toilets
Private treatment rooms and shared patient
toilets
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
39. Simon Cancer Center: Window View
Patients with window views reported
higher levels of Privacy, Comfort,
Satisfaction, Hope and lower levels
of Stress than those without window
view
Other EBD research reports lower
use of medications and increase
healing in patient with window views
Design Implication: Site, building
orientation and department
placement with access to daylight
and view are important. Consider
planning window views for private
treatment stations
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
40. Simon Cancer Center: Way-finding and travel distances
Good way-finding was associated with
Comfort, Satisfaction, Hope and lower levels of
Stress
Previous EBD studies note stressful way-
finding can be addressed by adjusting spatial
references
Design Implication: Distribute toilet rooms,
nourishment, and reduce travel distance
from treatment areas and waiting rooms.
EXPERTISE IMAGINATION PARTNERSHIP PERFORMANCE
41. Simon Cancer Center: Lounge Space and Guest Chairs
Surprisingly, 93 of 160 survey participants said
they would not like to sit in the lounge area.
During observation it was noted the staff would
not let the patients select a chair in the lounge
area. Staff often directed first time patients
towards the middle chairs for visibility during
first treatment
Lounge space was utilized by guests for
napping and additional seating.
Design Implication: Additional places for
respite for patient companions should be
considered in planning.
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42. Summary of Findings: Significant Design Strategies
Design strategies Ranking by significance in POE
1 Treatment station typology 1 Treatment station typology
2 Window View 2 Access to patient toilets
3 Family lounge 3 Window View
4 Way-finding 4 Way-finding
5 Access to patient toilets 5 Family lounge
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43. Conclusions
• Significant environmental features in Cancer infusion treatment
environments are similar but different from that in inpatient
environments.
• The validity and reliability of suggested design strategies need to be
examined, with respect to the unique characteristics of target patient
population.
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44. Questions?
Zhe Wang, Ph.D., RA, EDAC, LEED AP BD+C
Cannon Design
1100 Clark Avenue
St. Louis, Missouri 63102
Email: zwang@cannondesign.com
www.cannondesign.com
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