advancing healing design to the next level
DESCRIPTION
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.TRANSCRIPT
Advancing Healing Design to the Next Level
What Rehabilitation Facilities Teach Us
INTRODUCTION
Natale WardThe Design Partnership
Chris DowneyArchitecture for the Blind
Inpatient Wing
Entry and Garden
Outpatient Wing
INTRODUCTION
VA Palo Alto Campus
Help patients navigate clinical environments & Support patient mobility and independenceWithout 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
project goals & hypothesis
INTRODUCTION
INTRODUCTION
Benefits to facility way-findingWhen specific disabilities are taken into account
Synergies in contradictory needsWhen treatment modalities are addressed in tandem
Treatment philosophy informs the designThe design process can help to support training and treatments while helping to identify & correct obsolete protocols
discoveries
INTRODUCTION
a moment as a vision-impaired person
Early-stage glaucoma
INTRODUCTION
Noticethe different world-view of someone with a disability
Empathizeby putting yourself in that person’s shoes
Adaptthrough simple behavioral solutions
Enjoyan environment that’s now better for you too
a moment as a vision-impaired person
INTRODUCTION
combat injuries
Korean War: 2.8 injuries/deathVietnam War: 2.6 injuries/deathIraq/Afghan:16 injuries/death
age-related disabilities/impairments
INTRODUCTION
National Intrepid Center of Excellence
BENCHMARKING
Casa Colina
BENCHMARKING
BENCHMARKING
VA Western Blind Rehabilitation Center
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
cognitive issues
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INNOVATIONS AND DISCOVERIES
Building shape = F
Multiple pacing loops for mobility practice and orientation
acoustical considerations
INNOVATIONS AND DISCOVERIES
Cane taps produce radar-like
echo along vaulted forms
Existing walkways on VA Palo Alto campus
lighting environment: natural
INNOVATIONS AND DISCOVERIES
Light patterns on floor cause confusion for some patients
Transitioning from artificial to natural lighting for patients with photo-sensitivity
color theory
INNOVATIONS AND DISCOVERIES
way-finding
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
INNOVATIONS AND DISCOVERIES
logistics, mechanics and adjustment
INNOVATIONS AND DISCOVERIES
logistics, mechanics and adjustment
INNOVATIONS AND DISCOVERIES
multi-sensory design
INNOVATIONS AND DISCOVERIES
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
INSTITUTIONAL PROCESS
institutional history
INSTITUTIONAL PROCESS
reducing reliance
INSTITUTIONAL PROCESS
synergies between acuitiesSecurity
Traumatic Brain Injury (TBI)
Sensory Impairment
Amputation
Organ Damage
Post-Traumatic Stress Disorder (PTSD)
Lighting levels
Privacy
INSTITUTIONAL PROCESS
toward the future
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
INSTITUTIONAL PROCESS
navigation between facilities
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
Transition from acute dependence to natural independence
Clinical core
Native creek bed
landscape as healing metaphor
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
landscape as healing metaphor
Backs of benches used for
“shore-lining”
Pavement color/texture reinforces directionality
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
Places for celebration, introspection, privacy
landscape as healing metaphor
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
landscape as healing metaphor
Variety of planting heights
Kitchen
Textured areasFountain
Place-making
Greenhouse
level 1
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
navigating multi-story spaces
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
Reinforcing landmarks
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
Contrast andpersonalization
Depth perception
level 2
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
acoustically directional forms
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
level 3
SENSORY WALK-THROUGH:
Polytrauma / Blind Rehab
recovering one’s life
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