center for integrative medicine
TRANSCRIPT
-
8/19/2019 Center for Integrative Medicine
1/45
CHAPTER 3
REVIEW OF RELATED LITERATURE
This chapter presents the Related Literature, case studies which are
relevant to the present study. These materials gave the researcher valuable
information and deeper insights in the preparation conduct and formulation of
design solution of this study.
3.1 RELATED LITERATURE
3.1.1 FOREIGN LITERATURE
Health and Nature: The Inluen!e " Nature "n De#$%n
O the En&$r"n'ent " Care
Much of the recent research in the fields of therapeutic and environmental
design has to do with patient stress and health outcomes, which refer to an
indicator or measure of a patient’s condition or progress. Now, healthcare
designers are using this research to approach healthcare facility design with a
different focus than the traditional methods. According to lrich, health outcomes
research can potentially !indicate the degree to which gardens in healthcare
facilities are medically beneficial and cost"effective relative to such alternatives
as not having gardens# $lrich %&&&'. (n fact, research has documented that the
appropriate use of nature reduces stress, improves health outcomes, supports
pain management, and promotes a sense of overall well"being among patients,
visitors, and staff. )atients who are in direct or sensual contact with nature have
demonstrated higher thresholds of pain. And interaction with nature in chronic
and terminal patients yields higher levels of *uality of life. +hen way finding and
landmars are associated with nature and are clearly identified, visitor stress is
reduced.
-enefits of Nature
+ithin the environment of care, where life"challenging and life"threatening
events are amplified, the pronounced focus on individual situations at handnecessitates diversions or distractions to allow those within to manage stress.
)roviding access to nature within healthcare facilities supports these evidence"
based design concepts and offers opportunities for positive distractions.
-
8/19/2019 Center for Integrative Medicine
2/45
Therapeutic nvironments
+ithin the healthcare, there should be numerous opportunities for the
various user groups to encounter nature. Areas may be interior or e/terior and
encountered physically or by sensory perception. Any contact with nature, from
looing at a picture to lying in the grass, has a wide range of positive
psychological effects and subse*uent benefits. (nterior environments are
enhanced when views or elements of the outside world are brought into the
interior design. (ndoor plantings or pictures of nature should be incorporated into
the conte/t of the interior design. A*uariums and terrariums are also sources of
life that bring nature within reach. Light wells and sylights be incorporated into
the conte/t of the interior design. A*uariums and terrariums are also sources of
life that bring nature within reach. Light wells and sylights bring natural light into
an interior space that may not be ad0acent to an e/terior wall. Also, fountains and
water features provide natural movement and sound to an otherwise sterile
institutional environment. +herever possible, views of nature from patient rooms
and public spaces should be considered throughout the design process of
healthcare facilities. The interior design should also incorporate nature into the
environment through interior courtyards and atria. These spaces are often
landmar design elements and way finding *ueues in the public spaces. They
provide a year"round benefit to visitors by bringing natural daylight to the ma0or
gathering spaces of the facility. ven when building sites have limited views of
nature, designers are using interior spaces to create healing gardens and walls
of windows to connect inside and outside. /terior environmental factors provide
the setting for the healthcare campus and help to establish its character of
healing. )roviding landscape and green screening along the arrival se*uence
from the property boundaries, to the gateway, to the paring space, to the frontdoor will facilitate the therapeutic campus"design concepts.
-iophilic or sensory e/periences with nature involve enhancing or
stimulating one or more of the five senses1seeing, hearing, smelling, tasting,
and touching. The senses are the basic foundations for what individuals consider
their sense of self and what they now as familiar $+ilson, .2., %&345 6ellert 7
+ilson, %&&8'. /periencing events of nature offers a common familiarity to all
ages and bacgrounds, regardless of their current situation, and it becomes apositive distraction. The way a visitor e/periences nature can be both conscious
and subconscious, but the overall effect of the e/perience is deemed to be
beneficial.
-
8/19/2019 Center for Integrative Medicine
3/45
9ome e/amples of ways to incorporate design elements that address the senses
are the sight: gardens views or familiar sights of nature from pictures, such as a
view of the outdoor space or a painting. 9ound: nature noises, such as a running
stream or other soothing sounds. 9mell: aromatherapy, such as the scents of
flowers and herbs. Taste: herbal therapy, such as hot teas
The design goals of a therapeutic environment, simply stated, should
improve the health outcomes of its users and reduce their levels of stress.
stablishing these design parameters early in the design process will help the
integrated design team set up the framewor for specific design ob0ectives and
considerations. ;esign ob0ectives provide attainable metrics that the design team
can establish in the early visioning sessions of the conceptual design phase.
9ome of the design ob0ectives for therapeutic environments include, enhance the
wor setting. )rovide accessibility to nature, include comfort and user"
friendliness. (ncorporate visibility and visual interest intoonsiderations
9upportive design considerations are intuitive and functional to the
specific space and its user group. >onsiderations should also address the
mission of the institution and connection to community and should include
convenient way finding and circulation clarity, accessibility, access to privacy,
seating that facilitates social interaction, e/ercise opportunities, contact with
nature, support of the sense of community, enhancement of the institutional
image and improvement of the overall *uality of the space. $?ealth ;esign, @%@'
-
8/19/2019 Center for Integrative Medicine
4/45
9tress is one cause of having sic. Through the help of nature or good
environment, patients suffering from different ind of sicness can recover easily.
(ntegrating the concept of having a garden in a healthcare institution is one way
of providing a *uality service as a goal of the pro0ect. The literature above gives
bacground on designing functional facilities that can be adopted on the study.
De#$%n Re!"''endat$"n# and C"n#$derat$"n# "r Health!are Fa!$l$t$e#
-ased on the research and evidence"based design process on the
positive health outcomes that access to nature provides recent design guidelines
for hospitals and healthcare facilities have included language and metrics to
encourage the incorporation of these concepts into future building initiatives.
Biews to Nature
The outdoor areas should be visible from interior public spaces for
security, administrative, and medical purposes. Bisual access to nature from
within the facility should also be addressed from patient rooms and public spaces
alie. (ndoor places of respite should have direct line of sight to the outdoor
environment for & percent of the total aggregate net program area and C
percent of those *ualifying areas with direct views of nature.
Access to Nature
/terior spaces, courtyards, or gardens should be handicap accessible
and located ad0acent to public spaces, such as reception areas, corridors, waiting
rooms, and dining areas. (n addition, user"specific departments within the
environment of care should also have ad0acent e/terior spaces that may addressspecific needs of the user groups of that particular area.
;esignated /terior 9paces
The healthcare facility design should provide for designated e/terior
spaces for the purpose of nature"centered restoration, rehabilitation, and therapy
for the various user groups within the environment of care. 9uch areas should be
free of negative distractions, such as smoe and fumes, noise pollution, strong
sunlight, distracting views and activities, insecurity, crowding, and ambiguous
design features or art that may be interpreted in multiple ways. (ncluding shorter
patient stays, reduced staff turnover, and improved staff longevity. The defined
area designated as 2utdoor )laces of Respite should be C percent of the net
usable program area, specifically programmed and with direct connection to the
-
8/19/2019 Center for Integrative Medicine
5/45
natural environment and an additional @ percent of the net usable program area
as outdoor places of respite dedicated for staff. $?ealthcare Recommendation,
@%@'
Duidelines in designing a healthcare facility should also be incorporated
with a nature"centered design to facilitate the recovery and the good ambience of
the user. 9paces within the interior of the structure should have a view from the
outside. This literature gives idea to the proponents and must be incorporated on
the design solution.
H"#($tal Outd""r )(a!e# * Thera(eut$! +ene$t# and De#$%n C"n#$derat$"n#
Deneral ;esign >onsiderations in planning of hospital outdoor spaces that
would support, enhance and promote positive healthcare outcomes relies on the
design considerations set up to meet strictly defined norms, regulations and
criteria. They provide information and achievable measures which need to be
incorporated as early as in the conceptual phase in order to fully integrate the
use of outdoor space into a hospitalEs routine.
)otentials of the 9ite in hospitalEs site is certainly one of the most
significant generators of its form in many aspects. Numerous analyses and
investigations need to be undertaen by the design team with the aim of truly
understanding its advantages, disadvantages and potentials. (n an ideal case,
optimal distribution of the total site area of a hospital comple/ should be the
following: 8F for the buildings, %CF for internal communication routes and
paring, CF for vacant area $@C"8F in case of hospitals with a limited capacity
for future growth' out of which %F is reserved for recreational areas.
+hile planning suitable locations for different types of outdoor areas, there
are several issues that need to be taen into account, such as: environmental
factors $e.g., orientation, insulation, wind e/posure, views'5 distance from
distractions $e.g., urban noise, paring lots, mechanical systems'5 physical
configuration of the comple/5 internal traffic system and its access points5 specific
needs of different user groups5 etc. )roper acnowledgment and implementation
of these factors may generally enhance beneficial value of the outdoor space.
)ositive and negative distractions in current studies on design of hospital
outdoor spaces also suggest featuring of restorative and positive distractions that
-
8/19/2019 Center for Integrative Medicine
6/45
may effectively induce health restoration. mphasis on natural features as
grounding points, such as the use of plants, rocs, wood or water, can only be
beneficial to recovery. Diven that art, according to Ted ?ughes, represents Ga
psychological component of the auto"immune system that gives e/pression to
the healing processG, implementation of carefully chosen art pieces should also
be encouraged.
Accessibility, familiarity and security in all hospital outdoor spaces must be
designed to be physically secure and accessible to people of all ages and
abilities, thus contributing to their positive psychological perception. +hen feeling
stressed or depressed, many users search for environments that seem familiar
and safe. These applies to implementing visual amenities which are rooted in the
sub consciousness of the ma0ority of users and creating outdoor spaces that are
human scaled and evoe memories. Hurthermore, constant monitoring by the
nursing staff and provision of additional medical support $e.g. o/ygen outlets'
may allow their e/tended use and lead to a higher degree of comfort.
?ealing vs. therapeutic garden in the term healing garden applies to the
gardens that promote recuperation from illness. (n this conte/t, EhealingE does not
necessarily refer to curing, but to the overall improvement of well"being. +hile
these gardens are more focused on spiritual, psychological and physical aspects
of health restoration, therapeutic gardens as a new trend in hospital outdoor
spacesE design relate to specific curative therapies, such as the allopathic
method in which a disease is treated by producing effects or conditions different
from those caused by the disease itself. >onse*uently, gardens are also
becoming the location and means of treatment.
Dreen roofs
There are many e/amples of using flat roofs as additional outdoor places
of respite, especially in the hospitals within city *uarters with a high construction
density. Their use may influence and enhance the general *uality of healthcare
environment. ;epending on the hospitalEs physical configuration, one of the
options in case of limited site area is to create accessible or inaccessible roof
gardens visible from the upper floors of higher buildings in the vicinity. Not only
that green roofs accommodate places for contemplation and rela/ation, but they
also minimiIe energy consumption J they reduce heating loads by adding mass
and thermal resistance value and lower cooling loads through evaporation.
-
8/19/2019 Center for Integrative Medicine
7/45
Biew out
The outdoor hospital areas should be visible from patientsE rooms, interior
public spaces and corridors, for both security and medical purposes. Biew out is
also psychologically therapeutic, since it reduces feeling of isolation and
claustrophobia by providing a constant contact with the outside world. (t may also
add patientEs interest to the surrounding environment, leading either to immediate
use or a decision to visit it later. +hen building new or reconstructing an e/isting
hospital with budget restrictions or a limited site, one of the solutions is to
incorporate an indoor Eviewing gardenE J a small garden that cannot be entered,
but may be seen from the building interior. (f there is enough space, an
alternative is to apply Ea wal"in gardenE, which is accessible to a certain number
of people.
(ntegration and unity of hospital buildings and their surrounding outdoor
spaces contribute to creation of hospital as a Esmall city within a cityE, with its own
specific patterns of use. Heatures that are relevant for the *uality evaluation of
any public space may also apply to these spaces, since they should be
considered and e/perienced as a vital part of urban landscape. +hat maes
them different from other public spaces are their physical characteristics,
determined and preconditioned by specific contents, functional units and
communication lines that all need to be planned and designed according to strict
re*uirements of modern medical technology. The approach in design proposed in
this paper is structured upon the premise that the primary function of the hospital
outdoor space is creation of calming environment which represents an additional
healthcare amenity that provides therapeutic benefits and positive health
outcomes. The list of features that a hospital outdoor space may comprise was
also given as an illustration of various aspects that need to be taen into account
in order to generate a new and more positive image of a hospital as a non"
threatening place. (n relation to patientsE e/perience, the essence of presented
approach may be found in a possibility of creating a common and familiar
everyday environment within a space that a ma0ority perceives as psychologically
bounded. /periencing these spaces as islands isolated from everyday life
occurrences may, among others, lead to a loss of faith in curing or complete
recovery, thus the true worthiness of the outdoor spaces of modern hospitalfacilities is based on their appropriate and diverse program, social, psychological,
environmental and ambient characteristics, which can be valued upon daily
presence, positive e/periences and satisfaction of patients, as well as other user
groups. (n a long"term sense, the role of a design team is to integrate hospital
-
8/19/2019 Center for Integrative Medicine
8/45
outdoor space into a hospitalEs routine in a manner that would help compensate
e/tra costs by reducing the length and cost of therapies. This leads to
improvement of general effects of timely diagnostics and treatments and
contributes to healthcare promoting *ualities, but re*uires a more comple/
hospital infrastructure and poses additional considerations to the outdoor
planning process. $Therapeutic -enefits in ?ospital, @%@'
)lanning a healthcare institution should be in consideration with the
guidelines provided by the healthcare governing bodies. ach component
pertaining to the design should be utiliIed. The site, relationship of each building
and their functions should be analyIed.
The Ne,t Wa&e " Health!are De#$%n -ae# Ar!h$te!ture Part " the
Pre#!r$(t$"n
+hile it may seem self"evident that a patient’s e/perience should be the
central factor in the design of healthcare facilities, the average medical setting,
however, is hardly salubrious. The typical hospital encounter, notes Turan ;uda,
principal of ;udaarolina, involves waiting in a sterile
room with a television on and being seen in a clinical, often intimidating
environment
That sentiment has spread across the healthcare field, due in part to the
advent of evidence"based design, which considers the impact of hospital
environments on patient care. 9tudies have found, for e/ample, that spending
time in a garden offers therapeutic benefits1the more soothing the setting, themore *uicly patients are liely to recover. At the same time, patients today are
far more informed about hospital choices than earlier generations. 9tatistics on
readmission, infection rates, and procedures are widely available, maing
consumers ever choosier about facilities. This competitive maret approach to
healthcare means that hospitals and clinics need to mae spaces as appealing to
patients1read customers1as possible. $Architects Newspaper, @%@'
Hacilities and e*uipments in healthcare institutions is one of the bases of
some patients in choosing a health service provider. )resence of a good and
rela/ing environment contributes to the healing factor of a patient and each
space should have an appealing *uality to the user.
-
8/19/2019 Center for Integrative Medicine
9/45
H"/ t" De#$%n a Un$0ue and Pr"$tale )(a "r Wellne## Pr"(ert2
;esign for Massage
-
8/19/2019 Center for Integrative Medicine
10/45
;ry Treatment Rooms
6eep treatment areas as fle/ible as possible. Rooms to change when
program changes. )rovide for sins, locable storage cabinetry, counter space
with mirror above, clothing hoos on bac of door, clean 7 soiled linen storage,
electrical outlets on two side walls and above counter, floors of an easily
cleanable material $ie. vinyl tile'. All lighting should be indirect and on rheostats.
All treatment rooms should be as sound proof as possible. )rovide for separate
music system with individual controls. )rovide for clothing hoos. )rovide for G(n
seG signage on all treatment room doors. )rovide for locable storage in each
room. )rovide for numbers or letters on doors of each room for identification
balance of nature and man"made elements focus on healing environment. $?ow
to ;esign a ni*ue and )rofitable 9pa, @%@'
Minimum or standard siIes of each space provided by local codes should
be observed to have a good and functional design. To come up with a suitable
design solution, the application of this related literature can achieve the goal of
the pro0ect. 2ther spaces will be based on the number of users but should
always in accordance with the e/isting codes of designing.
3.1. LOCAL LITERATURE
General O#er&at$"n# "n )(a De#$%n
(nterior design should provide a residential not institutional feeling. A
simple yet effective Ione eying system should be installed. A proper GsignageG
system should be installed for easy traffic flow. All treatment areas should be as
sound proof as possible
Materials
Non"corrosive materials should be used in all high moisture areas $Bents,
ducts, drains, ceiling 7 wall cover'. asy to clean moisture resistant materialsshould be used in all high moisture areas. >onsider using local materials and
integrating cultural and artistic traditions.
Locer < >hanging < Banity Area
-
8/19/2019 Center for Integrative Medicine
11/45
)rovide appropriate number of half siIe locers $two per full siIe locer
bans' on each side. )rovide a separate alcove with third"siIe locers $two per
full siIe locer bans' for members on each side. tiliIe movable benches or
2ttomans on casters for seating by locers. )rovide wall mounted soap,
shampoo 7 conditioner dispensers in showers. )rovide mae"up lights around
vanity mirrors on womenEs side. )rovide wall mounted magnified shaving mirrors
at vanity on menEs side. )rovide wall mounted hair dryer units at vanities on both
sides. )rovide for electrical outlets above vanities. Hlooring in locer and
changing area should be carpeted, all other areas tiled
Locer Room +et Area
Accommodate 9auna, 9team, +hirlpool and >old )ool $if applicable'.
)rovide lounge with water proof seating near each wet area. )rovide clothing
hoos throughout area. Hlooring should be non"slip easily cleanable tile. )rovide
for non"corrosive ventilation ducts in this area. 2utflow of ?BA> should be
provided for @C air changes per hour. )rovide for oIone water purification system
for whirlpools. )rovide a self service beverage service station with sin, counter,
storage cabinet, mini"fridge 7 ice machine. )rovide for clean and soiled linen
storage. $Deneral 9pa ;esign @%@'
>hoosing suitable materials that were to be used in the design is
important factor to be considered. The character or the function of the building
should have a consideration to the patients need to provide a more comfortable
and rela/ing feeling for easily facilitation of healing of every patients in the center.
2bservation on various related structures is very important to the proponent to
have an idea pertaining to the design solutions that can be applied.
-a$n% 4"ur Cl$n$! +u$ld$n% W"r
?ealth facilities should be functional and economical to run and maintain.
+hether the clinic is large or small, the layout should be organiIed in such a way
that different functions are correctly placed in relationship to each other. The
layout should mae it easy for client and provide to enter, move through and
leave the facility. (t is important to plan ahead and space and organiIationre*uired to e/pand services, serve a greater number of client, and continue to
function efficiently under new service circumstances.
The facility planning process for health care clinic building is done at the
regional or central level rather than at the local level. No matter where planning is
-
8/19/2019 Center for Integrative Medicine
12/45
carried out, involving local community and staff member in the planning process
helps ensure that the facility more accurately reflects the health priorities of the
community.
The planning process is shortened by the use of type plans, which they
are standardiIed building plans for specific inds of health facilities such as
urban health care clinic or a rural health post. Type plans can serve the need of
different communities better if they are adapted the respond to the needs
e/pressed by local user both staff and community during the planning process.
(nvolving local users ensures that a type plan allocates sufficient spaces to meet
the community immediate and long"term health care priorities and taes local
condition into consideration. $Maing our >linic -uilding +or, @%@'
sing the clinic space to improve *uality of care, the physical environment
in which clinics provide health care activities has a direct influence on the *uality
and efficiency of the services. The above literature gives the proponents an idea
on how the center maybe becomes more functional to ensure the feasibility of the
proposed pro0ect.
3. CA)E )TUD4
3..1 FOREIGN CA)E )TUD4
Due Inte%rat$&e -ed$!$ne
-
8/19/2019 Center for Integrative Medicine
13/45
;ue (ntegrative Medicine located at North >arolina 9A is committed to
transforming the way healthcare, delivered in the @%st century. Their e/pert
provider integrates the best of +estern scientific medicine with proven
complementary therapies to address the whole person""body, mind, spirit, and
community. The center innovative model of care includes primary care,
physician consultations, health coaching, annual membership, and a broad array
of clinical services, classes, worshops, and trainings""are focused on healing
and provide personaliIed, comprehensive support across time.
The center goals and guide to their missions is to transform health care, to
develop, demonstrate, and implement effective integrative models for clinical
service. ducate a new generation of health care professionals about integrative
approaches to care for the benefit of their patients and in their own lives.
stablish, through rigorous academic research, the efficacy and cost"
effectiveness of integrative models of care and integrative models of education. A
leading voice in the national discourse shaping the future of healthcare, based on
their e/periences in new models of medicine, professional education, and
research.
Also ;ue (ntegrative Medicine, an ideal, state"of"the"art healing
environment where tradition and innovation come together to create a spirit of
health and healing. 9ituated ne/t to the woodlands and streams of ;ue Horest
on a serene campus, there is a @K, s*uare foot building in close pro/imity to
;ue niversityEs internationally renowned medical and educational facilities.
nvironmental stewardship is integral to their daily operations and is a
ma0or consideration in the buildingEs design. Their facility incorporates many
sustainable features and has been registered for L; $Leadership in nergy
and nvironmental ;esign' certification.
They offer warm and comfortable therapeutic treatment rooms, worshop
spaces, meditation spaces, fitness facilities and a state"of"the"art cafe designed
for healthy cooing demonstrations, guest meals and catered events.
;ue (ntegrative Medicine is a national model of innovative healthcare setin at state"of"the"art healing environment at one of the most prestigious academic
medical systems in the world. Their clinical service model is based on the very
best medicine available5 both conventional and complementary services are
offered in a system of care that is focused on patient"centered, whole"person
-
8/19/2019 Center for Integrative Medicine
14/45
medicine. )artnership, planning over time and prevention are among the core
principles of their treatment model. They complement the clinical care with a
robust research initiative, professional and medical education programs, and a
commitment to translating what they are doing and learning across settings and
systems..
Their custom"designed e/ecutive session offers team leaders from
medical practices or systems a one"on"one session with the e/ecutives of ;ue
(ntegrative Medicine to gain a better understanding of how to develop an
integrative medicine practice and
-
8/19/2019 Center for Integrative Medicine
15/45
(t includes spaces not usually found in conventional medical clinics or
academic institutions, such as: Droup rooms for yoga and tai chi instruction5 calm
areas for meditation and reflection5 treatment rooms for acupuncture, massage
therapy, biofeedbac, and mind"body awareness5 and the Taahashi Darden, a
apanese healing garden.
The design incorporates nature, natural light and fresh air, simply
organiIed spaces, water features, and pleasant colors and te/tures. 9paces are
intimate, friendly, and promote rela/ation and humanistic values. The building will
contribute to the general health of the occupants and aid the healing process of
the patients.
Hor patient care, the >9H 2sher >enter integrates modern medicine with
established practices from around the world. Their clinical programs focus on
prevention, patient empowerment, and whole person healing. nlie the rushed,
revolving"door feel of hospital medicine, their patients spend an average of
minutes with the doctor or practitioner during their first visit.
Their clinical practice offers a variety of integrative medicine services5
treatments and therapies. )ractitioners are trained in both conventional and
complementary therapies and offer a professionally guided, comprehensive
approach to patient’s health care.
The center realiIes that hospitals and clinics can seem overwhelming,
especially when someone’s ill. Their site includes many of the services and
facilities they offer as well as guidelines for re*uesting appointments, billing and
preparing for a hospital stay.
To ensure a smooth visit, the visitorare, Additional 9upport, ?ospital 9tay, -illing 7
Records, Maps 7 ;irections, including public transportation and shuttles, and
)aring.
They also have information for patients who live overseas and for those
who are visiting patients. Hor special needs the patient have any special needs,
some of their special services include: (nternet Access and Bideoconferencing.
The >9H Medical >enter has partnered with 9ype to connect hospital patientswith family and friends who are unable to visit in person. The 9ype video and
voice"calling program is available to patients during their stay in >9H hospitals.
sing designated laptop computers with 9ype software, patients can have
virtual visits on a secure networ. Laptops also are available to patients for
-
8/19/2019 Center for Integrative Medicine
16/45
(nternet access. Also the center is a smoe"free environment. $sher Medical
>enter, @%@'
(ntegrating research, education and patient care in a health care service is
important factor to consider. These three factors can provide a vast nowledge to
the users and can help in improving the facilities. nvironment can contributes to
the well"being of patients, practitioners and staff so it is necessary to always
incorporate nature in design.
INTEGRATIVE -EDICINE CENTER AT GRIFFIN HO)PITAL
Lower Naugatuc Balley Region nited 9tates
The >ancer >enter at Driffin ?ospital, the (M> offers individualiIed holistic
therapies for current patients undergoing conventional cancer therapy. They can
help minimiIe side effects with strategies for pain control, weight maintenance,
increasing energy, and optimiIing immune function. They can provide e/pert
dietary advice and recommendations for nutritional supplements with particular
emphasis on synergistic benefits and avoiding interactions with conventionaltherapies. 2ther aspects of treatment include stress reduction and wellness
promotion through acupuncture, meditation, imagery, and breathing techni*ues.
)reventive (nterventions, the (M> offers individualiIed recommendations
to reduce ris for cancer. These recommendations tae into account family
history, genetic factors, lifestyle practices, and environment. They wor with
people with no nown ris factors and aim to optimiIe health. Also they wor with
people with specific family history, including family members of current Driffin>ancer >enter patients, to minimiIe ris. Recommendations incorporate lifestyle,
diet, nutritional supplementation, and other preventive and complementary or
alternative techni*ues as needed.
-
8/19/2019 Center for Integrative Medicine
17/45
Driffin ?ospital is a %"bed acute care community hospital serving more
than %, residents of the Lower Naugatuc Balley Region. Driffin ?ospital
also serves as the flagship hospital for )lanetree, an international leader in
patient"centered care and has received national recognition for creating a facility
and approach to patient care that is responsive to the needs of patients. Many
healthcare facilities around the world send visitors to Driffin ?ospital and
incorporate its concepts into their healthcare models.
Driffin ?ospital has more than @3 active and courtesy physicians who
have admitting privileges. Driffin ?ospital is recogniIed for having industry"
leading patient satisfaction ratings and has received numerous *uality and
clinical e/cellence awards.
)lanetree )rograms 7 9ervices an innovative model of healthcare that
puts patientsE needs first. Driffin ?ospital is the flagship of the )lanetree networ
of hundreds of hospitals in the nited 9tates, >anada, 9outh America, apan and
the Netherlands. very aspect of care at Driffin ?ospital is shaped by )lanetree
principles " from their welcoming, comfortable interiors, to their emphasis on
patient and family education and involvement, to their e/ceptional healthcare. As
a result, Driffin ?ospital receives consistently high patient satisfaction scores.
The components of the )lanetree model are designed to empower patients, to
foster their independence, to honor their humanity, and to enhance the healing
environment at a time when they often feel vulnerable and an/ious
The primary focus of )lanetree is to deliver healthcare in a manner that
wors best for patients. (n a patient"centered approach to healthcare, providers
partner with patients and their family members to identify and satisfy the full
range of patient needs and preferences. )atient"centered care is the core of ahigh"*uality health care system and a necessary foundation for safe, effective,
efficient, timely, and e*uitable care.
)lanetree >omponents are ?uman (nteraction, Hamily, Hriends, 7 9ocial
9upport contribute to the *uality of the hospital e/perience by promoting caring
connections between the patients and their support systems, (nformation 7
ducation, Nutritional 7 Nurturing Aspects of Hood, Architecture 7 (nterior
;esign: The )lanetree design considers the patients’ wellbeing. The hospital iswelcoming and accessible, providing clearly mared signs for direction,
comfortable and familiar rooms, and designs that engage the senses and brea
down barriers, Arts 7 ntertainment, 9pirituality and ?uman Touch.
-
8/19/2019 Center for Integrative Medicine
18/45
>omplementary Therapies e/pand the choices offered to patients.
Aromatherapy, therapy dog visitation, acupuncture, and Reii are offered in
addition to clinical modalities of care.
Architecture 7 ;esign, Driffin ?ospitalEs adoption of the )lanetree model
of patient"centered care over twenty years ago prompted us to design a distinctly
warm, nurturing and healing environment, their hospital"wide implementation of
the )lanetree model of patient"centered care has set the stage for Driffin ?ospital
to better respond to the needs and e/pectations of our patients and community.
The center features a healing environment inspired by nature and created
for comfort, with *uiet, calming interior spaces infused with natural beauty and
light, designed for comfort and serenity.
The Driffin (maging 7 ;iagnostics >enter in 9helton, combines diagnostic
confidence and patient comfort in one of the most advanced imaging facilities in
the 9tate. As a )lanetree facility, the Driffin (maging 7 ;iagnostics >enter is
designed entirely around the patient e/perience, with the sensitivity of Driffin
?ospitalEs renowned model of personaliIed care: >omfortable furnishings, +iHi
(nternet with )> access ?igh"definition TB, 9altwater a*uarium, (nteractive
childrenEs waiting area and Refreshment station. $Driffin ?ospital, @%@'
)lanetree as a concept adopted by Driffin ?ospital is a innovative
principles that puts patients needs first. The )lanetree design considers the
patients’ wellbeing which is welcoming and accessible, providing clearly mared
signs for direction, comfortable and familiar rooms, and designs that engage the
senses and brea down barriers, arts 7 entertainment, spirituality and human
touch structure and this concept can be adapted to the proposed pro0ect.
TAO GARDEN HEALTH )PA
Located in the ?imalayasE green foothills, Tao Darden holistic ?ealth 9pa
7 Resort is an oasis of healing. Their 8@"acre lush garden that loos lie an
enchanted forest offers a perfect environment to rela/, re0uvenate and find your
-
8/19/2019 Center for Integrative Medicine
19/45
inner peace. Tao Darden was founded by the Taoist 7 Oigong Master Manta
>hia, utiliIing his e/perience with Thai and >hinese medicine, (ndian and
+estern holistic medicines, along with different inds of treatments and healing
practices.
At Tao Darden, ancient astern health systems are combined with the
latest developments in the +estern medicine. Together they create a singular
health system based on the theory of cleanest blood, cleanest cells, good >hi,
and good health as a result. Taoism, Ayurveda, Acupuncture, traditional Thai
massages,>hi Nei Tsang and 6arsai Nei Tsang massages, body organs
cleansing, deto/ and weight loss programmes are 0ust a few modalities that can
be e/perienced at Tao Darden’s )aua >linic and Anyamanee 9pa.
>hemical free salt"water swimming and salt hydrotherapy pool, steam
room, a fully appointed gym, and organically grown food served buffet style add
to the pleasurable e/perience. 9troll among lush fifty acres of Heng 9hui
designed gardens and paths with mature trees, bonsai trees, and >hinese
Bases, en0oy lusciously scented blossoms surrounded with various species of
birds 7 butterflies. Hind yourself blaneted with an abundant sense of well"being
at the -est ;estination 9pa in Thailand. Allow yourself to set out upon your path
of inner e/ploration and peace, and partae in a healing adventure that is at once
both dynamic and a most tran*uil respite.
Leading ?ealth 9pa 7 Resort, >hiang Mai, Thailand
>reated by world renowned Oi Dong and Taoist (nner Alchemy Master
Manta >hia in the lush environment of northern Thailand, Tao Darden is anoasis for the body, mind and spirit where the senses are soothed and the heart
encouraged to open.
Large sun drenched swimming pool, shaded lounging chairs with a
complimentary chilled coconut drin, herbal steam bath, e/ercise room, tennis
courts, basetball court and other amenities.
All the treatments are given in their beautiful new Anyamanee 9pa, which
also includes a fully e*uipped hydrotherapy pool.
The )aua >linic, a ?olistic Medical Hacility, has few rivals for the breadth
and diversity of medical treatments and diagnosis. ach guest receives a
comprehensive analysis of their state of health guided by a licensed allopathic
-
8/19/2019 Center for Integrative Medicine
20/45
physician with data garnered by sophisticated laboratory analysis. All their
physicians are also trained in Naturopathic and astern ?ealing Arts such as
acupuncture, meditation and Oi Dong.
At Tao Darden they use Adobe -ric for the accommodation’s
construction. Adobe brics are a fireproof, durable yet biodegradable, non"to/ic
building material which provide sufficient thermal mass to buildings to ensure
e/cellent thermal performance. 2ther benefits include low sound transmission
levels through walls and a general feeling of solidity and security. ;ue to the
production process and the nature of clay, Adobe brics have good water
resistance. Nevertheless it is very important to provide ade*uate weather
protection of the earth walls, especially in e/posed situations. This is normally
done with the provision of ade*uate eaves. Moreover, the process of maing
Adobe bric is environment safety which has no burn, 0ust wait until it dries in the
sun, also it can avoid using wood for fuel and no smoe as well.
;irt suitable for adobe bric should have a high enough clay content to
help the bric resist moisture and provide strength to the bric. The problem is
that dirt with too much clay in it will crac upon drying. (f dirt has too much clay,
one must add sand to it or dried grass5 sand is the better additive. ;irt with too
little clay will mean that the dried bric will be too brittle to use. /perience has
shown that cement added to a standard adobe mi/ture can all produce a strong
bric. Hor Tao Darden, their compositions are clay KF, sand %CF and cement
%CF. $Tao Darden ?ealth 9pa, @%@'
At Tao Darden, ancient astern health systems are combined with the
latest developments in the +estern medicine. This method can be adapted to the
pro0ect. The materials that were used to Tao Darden was adobe bric, and thistype of construction materials is good on weather adaptation but re*uires more
time in maintaining the cleanliness, so brics is not advisable to the pro0ect.
3.. LOCAL CA)E )TUD4
The Far' at )an +en$t"
-arangay Tipaan, Lipa >ity, -atangas
-
8/19/2019 Center for Integrative Medicine
21/45
Located in an e/ceptional healing environment, The Harm at 9an -enito,
rests on %%& acres in the foothills of Mount Malarayat, %,@C feet above sea level.
Duests en0oy year round tropical weather and the comforts of a world"class
resort while discovering paths to a healthier and happier lifestyle. )rograms are
supervised on"site (ntegrated Medical )hysicians 7 Licensed Therapists,
Movement >onsultants, Living Hood >hefs while e/periencing the miraculous
healing hands and caring hearts that Hilipinos are nown for. >onsistently
recogniIed as one of the few truly integrated medical and wellness resorts in the
world by leading publications and sophisticated travelers, this award"winning
resort in -atangas, )hilippines offers a complete immersion into healthy and
mindful living.
;edicated to the promotion of overall health and well"being, The Harm
specialiIes in G+ellness ?olidaysG or G?ealing RetreatsG. A specialty retreat is the
)erformance nhancement program, a powerful, weelong e/perience designed
to help one mae positive lasting lifestyle changes through integrative wellness
methods. The HarmEs team of professionals creates a personaliIed plan to
improve oneEs physical"emotional health, spiritual vitality, fitness 7 movement,
nutrition, and stress management. 2ther e/pertise includes treatment of lifestyle
related diseases such as digestive disorders, weight loss, diabetes, infertility,
arthritis, hypertension, and other chronic degenerative diseases. ach program is
designed to be specific to the individual to achieve optimal health 7 recovery.
Additional on"site amenities include three swimming pools, a bouti*ue,
library, meeting hall, woring organic gardens, open air yoga amphitheater, and
gym. +ith 0ust @4 rooms, privacy and personaliIed service is guaranteed in this
pictures*ue setting.
-
8/19/2019 Center for Integrative Medicine
22/45
The Harm at 9an -enito is a world"renowned holistic health and wellness
retreat. Nestled amidst a lush tropical forest with the impressive Mount Malarayat
as its bacdrop. Also an ideal for sanctuary for soul searchers and those in need
of a literal physical or spiritual healing get away spot for a romantic and rela/ing
retreat for health enthusiasts or those looing for full immersion in a lifestyle
leading to a hale and hearty mind and body.
Their facilities are Accessible to Mount Malarayat Dolf 7 >ountry >lub and
9ummit )oint Dolf and >ountry >lub, both of which offer stunning scenery and
year"round golf activities. uropean"inspired holistic wellness services
supervised by on"site medical doctors.%F natural and organic spa treatments
made fresh daily, health and fitness center offering a variety of high and low
impact activities.
(ndoor and outdoor private area designed for *uiet moments and
communing with nature a swimming pool, wide gardens, and stone walways.
The Harm -outi*ue, which has a range of products for sale, transportation
services and business center, laundry facilities, and room service. $The Harm at
9an -enito -atangas, @%@'
The Harm at 9an -enito has a good and rela/ing ambience. >onsideration
to nature is very important to this type of structure and this study gives an idea to
the proponent on choosing and proper designing the site vicinity to achieve the
goal of having a rela/ing and comfortable environment which is very important to
on health maintenance of every person.
A'e5!ua Wellne## Centre
6atipunan Avenue +hite )lains, OueIon >ity
AmeIcua +ellness >entre is an oasis for serenity and re0uvenation with
its combination of integrative diagnostic and screening facilities, spa treatments,
wellness therapies, and fitness activities designed to guide one towards a healthy
-
8/19/2019 Center for Integrative Medicine
23/45
lifestyle. The first modern urban medispa in the )hilippines, boasting a team of
well"trained, licensed professionals who care for, and pamper clients with C"star
service throughout their visit. All of AmeIcua’s services are based on the concept
that true health comes with the balance of body, mind, and spirit. As such, it
offers a comprehensive approach to health care with traditional, alternative
therapies and treatments that complement modern methods. No other
establishment has been able to e*ual its standards in terms of having e/actly the
same ind of service offerings in a highly"comfortable, e/clusive environment J
so much so that it was nominated !-est Medi9pa# in the -accarat Asia 9pa
Awards @K.
AmeIcua is differ from hospital because it offers a holistic approach to
restoring the balance of the body, mind, and spirit, and thus bring bac *uality to
life amidst the fast pace of modern living. AmeIcua advocates the use of
preventive medicine to detect weanesses in the system before the symptoms of
disease manifest in the body. ?ospitals use synthetic drugs to alleviate the
problem as it e/ists in its current state5 AmeIcua uses complementary methods
that tacle the source of the problem, aiming to prevent disease by strengthening
the body’s immune system. (f damage has occurred to the system, the >entre
helps in managing the illness or disease by alleviating pain or similar discomfort,
to mae it easier for the individual to deal with the condition .AmeIcua also
espouses the use of homeopathy J natural, organic"based medicine that has a
therapeutic effect on almost any health condition. (ts benefits are numerous1no
chemical components, safe, non"to/ic, no ris of overdose, no side effects, and
most of all effective.
AmeIcua’s state"of"the"art medical facilities and service offer the most
comprehensive in Asia, boasting some of the world’s most modern e*uipment
and facilities which are rarely, if a tall, used by other medical establishments
.Meridian 9tress Assessment$M9A' is a high"technology method that measures
electrical energy throughout the body as it passes through acupoints and
meridians. M9A shows normal, wea, and stressed areas, and indicates possible
remedies. 2nly AmeIcua has this high"technology machine in the )hilippines. (t
is recommended for those who have suffered stroes, nerve problems, and
psychological and emotional problems.
A spa helps maintain one’s physical, mental, and emotional well"being by
providing an environment for serenity and re0uvenation5 while addressing various
body needs such as stimulation of the system, improving circulation, relieving
aches and pains, and reducing tension and an/iety. 9ervices include body
-
8/19/2019 Center for Integrative Medicine
24/45
massage, scrubs and wraps, basic facial, and hand and foot treatments that use
only the finest infused herbs, essential oils, minerals, and sea"plant e/tracts to
cleanse, firm and tone the sin, slim down the body, and boost the immune
system and energy levels. $Medical 9pa, @%@'
AmeIcua is a wellness center that is totally different from other e/isting
health institution. Their principles, practices and methods used in treatment are
adoptable to the proposed pro0ect. Many similar therapy and treatments are also
being offered in the proposed pro0ect and this study can give the proponents an
idea on the design solution.
Ananda -ar%a Wellne## Center
Natural ?ealing in the )hilippines)agsabungan, Mandaue, >ebu, )hilippines
9ituated in a *uiet neighborhood of >ebu, the Ananda Marga +ellness
>enter is the countryEs first affordable stay"in alternative healing center. (t
practices a holistic approach to health through various natural therapies, the
practice of yoga, meditation and vegetarian diet. They do not only assist their
students in their healing, but they also teach them the path to life"long health.
They empowers people to overcome problems caused by e/cess fat, stress and
disease, to cure themselves through a system of natural therapy without
depending on medicines, to become physically fit, mentally rela/ed and fully
conscious and to learn new healthy systems of eating, e/ercise, drining water
and harmonious thought. They offer a complete systematic, in"patient natural
therapy program. ;aily activities are not only therapeutic but also entertaining
and educative.
Located on the tropical island of >ebu, )hilippines, AM +ellness is a
deto/ health center $also called a natural health farm or natural health resort'
using holistic healing and natural therapy to overcome disease and achieve total
health and well"being. They also teach their students the eys to life"long health
through the practice of yoga, meditation and vegetarian diet.
Rather than use the word !patient#, they prefer to call the people who
come to their center !students# because the student
-
8/19/2019 Center for Integrative Medicine
25/45
herbal colonic cleansing, mudenter is in a
village with mostly dirt roads. ven though it is only a few minutes away from the
city, the air is clean and fresh and there is a small number of goats and cows
graIing in the empty lots across the street and nearby. The houses are a mi/ of
well"to"do and wooden huts.
Their facilities include student’s bedrooms available for sharing or private
use. The innermost room called !the cave#, designed by renowned artist
ayarisna, is where they often do meditation, yoga, art worshops and classes.
Their hall upstairs is also for yoga classes and group meditation. The open
itchen is where cooing classes are held to teach students vegetarian cooing.
The garden and lawn is a good place to have sunbathed and other treatments. (t
is also ideal for fun activities and games. Though their property is small it is rich
in foliage and vegetation. $Natural ?ealing )hilippines, @%@'
The practices and approach of Amanda Marga +ellness >enter is
adoptable to the proposed pro0ect. Their facilities can be used as basis for
maing a design solution to the proposed pro0ect.
THE -EDICAL CIT4 6Wellne## Center7
2rtigas Avenue, )asig >ity
The facility is located on a %.C"hectare property along 2rtigas Avenue in
the business district of )asig >ity, Metro Manila. (t is composed of %%C,
s*uare meters of floor space and includes two Nursing Towers, which can be
fitted for up to 3 beds, 0oined by a )odium, bridgeways, and a Medical Arts
Tower. The %3 floors of the Medical Arts Tower house @3 doctorsE clinics and
select commercial spaces. Located within the si/"floor )odium are diagnostic and
intervention facilities, as well as support and administrative offices. The three"
level basement paring accommodates over a thousand vehicles. The comple/ is
also e*uipped with a broad range of state"of"the"art security features, an
advanced building management system, and biosafety features incorporated into
sensitive patient areas.
-
8/19/2019 Center for Integrative Medicine
26/45
TM> also serves as the hub for a networ of satellite clinics and hospitals,
delivering a full range of diagnostic and therapeutic services to patients in Manila
and select provinces. TM>Es aggressive national e/pansion strategy
demonstrates a commitment to bringing its uni*ue, world"class brand of health
care straight to the communities of its patients.
The >enter for +ellness and Aesthetics is a flagship program of The
Medical >ity, dedicated as a one"stop shop for preventive, promotive, proactive,
diagnostic, therapeutic and rehabilitative interventions, and employs methods
and methodologies guided by the principles of evidence"based medicine. The
>enter helps people adopt a healthier lifestyle and facilitates positive health
behavior changes through a combination of efforts to enhance awareness,
change behavior and create environments that support good health practices. (t
offers organiIed, comprehensive services appropriate to various segments J
from the young to the young at heart.
The ;epartment of )hysical Medicine and Rehabilitation focuses on
prevention, rehabilitation, and the clinical management of problems associated
with disability, and facilitate one’s return to his previous lifestyle after a condition
that re*uires prolonged healing, or in spite of the presence of irreversible
pathological deficits. +ith the comple/ity of a situation involving various
disabilities, the specialty is based on a holistic approach to medical care utiliIing
the interdisciplinary team approach. Rehabilitation is an integral part of total
medical care. (t is best achieved through the coordinated wor of various health
disciplines headed by a physiatrist. The interdisciplinary team is composed of
physical therapists, occupational therapists, speech therapists, nurses,
vocational and social worers, and other medical specialists. All patients referred
to us are considered individual persons, and not 0ust patients with disease.
They cater to patients suffering from a wide range of conditions such as,
but not restricted to: pain syndrome: low bac pain, nec pain, arthritis. )ediatric
conditions: cerebral palsy, spina bifida, developmental delay, 9MA, muscular
dystrophy. Neuromuscular conditions: multiple sclerosis, )arinson’s disease ,
myasthenia gravic , guillain barre syndrome, poliomyelitis. 9ports"related
conditionsardiac conditions: myocardial
infarction, angioplasty, cabg. Neurologic conditions: stroe, traumatic brain in0ury,
-
8/19/2019 Center for Integrative Medicine
27/45
peripheral nerve in0ury, spinal cord in0ury. 2ther medical conditions: diabetes
mellitus, obesity5 metabolic disorders, Renal ;iseases.
The 2ut"patient >hemotherapy nit is specially designed for patients who
only wish to be provided chemotherapeutic medications without having to be
confined in the hospital. $The Medical >ity, @%@'
Medical >ity is a high rise structure and offers a high *uality of security
management. This type of building is not applicable on the proposed pro0ect but
the security management can be adopted for patient security. 2ther services of
Medical >ity is not applicable in the center but it can also gives an idea to the
proponents.
Oa/""d Wellne## Center
>orinthian )laIa 9uite %@, %@% )aseo de Ro/as
Legaspi Billage, Maati >ity, )hilippines
The 2awood +ellness >enter, a totally new concept of natural medicine
clinic, is practicing Advanced Alternative Medicine. The uni*ueness of this clinic
is providing Alternative ?ealing combined with both +estern and 2riental
Medicine. (t is a private Natural Medicine >linic that provides *uality patient care.
Their physicians are both 6oreans and Hilipinos, who were all well" trained to
their chosen specialiIation. They are providing e/cellent services with high
regards to the welfare of each individual who has specific health problem.
They provide *uality time to every client with accommodating attitude and
in approachable manner, offering solutions and remedy to each individual. The
registered nurses, nutritionist and psychologist are all highly competent to their
area of specialties. They also undergone in depth trainings and orientation about
2riental Medicine.
The facilities and e*uipments are highly moderniIed, and accessible to
the general public. The clinic offers the highest degree of *uality care in the field
of Acupuncture, Aromatherapy, -M9( $-ody, Mind, 9pirit, and (ntegration'
therapy, >helation therapy, Bitamin > Mega"dose therapy, ;eto/ification Therapy,
Lights and 9ound therapy $-rain +ave therapy', Meditation and Mind Therapy,
2/ygen Therapy, Thermotherapy, and specially designed physical e/ercises. (n
addition, the clinic offers wellness products lie slimming in0ectable medication,
food enIyme supplements, and herbal medicine that are proven, highly effective,
-
8/19/2019 Center for Integrative Medicine
28/45
and safe for use because it is made from plantEs seeds, berries, roots, leaves,
bar, or flowers for medicinal purposes which are non to/ic and natural.
2awood +ellness >enter was registered in 9ecurity and /change
>ommission on the %Kth of 9eptember @&.
+ellness comes from within5 diseases originate from our mind. At the
present time, +estern Medicine is focused in treating the physical aspect.
Therefore, -ody, Mind, 9pirit and (ntegration $-M9(' therapy is their basic
philosophy is selflessly dedicated to their patients. The patient’s total health
indeed is their primary concern. They aid in disease prevention and ensure that
their physical energy, emotional health, mental state, and spirit are all into the
patient’s optimum level. Their aim is to be an ideal (ntegrated Natural Medical
>linic recogniIed nationally and internationally. To deliver e/cellent healthcare
through caring and highly *ualified physicians and nurses to utiliIe a world class
diagnostic program and or therapeutic system. To build a fresh and reliable
image of new paradigm of alternative medicine to the people of the )hilippines.
To endeavor and lead a tas to con*uer (ncurable and ?ard"to"cure"diseases .To
e/pand the realm of curing diseases by using !Bital Hood or nIyme Hood#
Their service is lifestyle related diseases $>ancer, ?ypertension, ;iabetes,
etc.' deto/ification, anti"aging, sports in0ury clinic, stress clinic, pediatric clinic,
geriatric diseases and gynecology obesity.
Acupuncture originated in china over five thousand years ago. (t is based
on the belief that health is determined by a balanced flow of *i $also referred to
as chi', the vital life energy present in all living organisms. According to
acupuncture theory, *i circulates in the body along twelve ma0or energy
pathways, called meridians, each lined to specific internal organs and organsystems. There are over one thousand acupoints within the meridian acupoints
within the meridian system that can be stimulated to enhance the flow of *i.
+hen special needles are inserted into these acupoints $0ust under the sin',
they help correct and rebalance the flow of energy and conse*uently relieve pain
and
-
8/19/2019 Center for Integrative Medicine
29/45
properties and their small molecular siIe, maing them one of the therapeutic
agents to easily penetrate bodily tissues.
oga is among the oldest nown systems of health practiced in the whole
world today, and research into yoga practices has had a strong impact on the
fields of stress reduction, mind
-
8/19/2019 Center for Integrative Medicine
30/45
The word chelation is derived from the Dree word chele that means claw
$lie that of a scorpion or crab'. The concept of chelation is based on the
observation that when a certain amino acid comple/ called ;TA $ethylene"
diamine"tetra"acetic acid' comes in contact with certain positively charged metals
and other substances such as lead, iron, copper, calcium, magnesium, Iinc,
plutonium and manganese, it grabs them $hence the chele or claw', and removes
them. >helation therapy is the process of removing from the body the
undesirable ionic material by the infusion, or taing orally, of an organic
compound which has suitable chelating properties.
Light therapy or phototherapy consists of e/posure to daylight or to
specific wavelengths of light using lasers, light"emitting, fluoresence, dichroic
lamps or very bright, full"spectrumlight, for a prescribed amount of time and, in
some cases, at a specific time of day. Light therapy directed at the sin is used to
treat acne vulgaris and neonatal 0aundice, Light therapy which stries the retina
of the eyes is used to treat circadian rhythm disorders such as delayed sleep
phase syndrome. -right light to the eyes treats seasonal affective disorders with
some support for its use also with non"seasonal psychiatric disorders.
2/ygen may be classified as an element, a gas, and a drug. 2/ygen
therapy is the administration of o/ygen at concentrations greater than that in
room air to treat or prevent hypo/emia $not enough o/ygen in the blood'. 2/ygen
delivery systems are classified as stationary, portable, or ambulatory. 2/ygen
can be administered by nasal cannula, mas, and tent.
?erbal medicine is the most ancient form of health care nown to
humanind. ?erbs have been used in all cultures throughout history.
?erbs have always been integral to the practice of medicine. The word
drug comes from the 2ld ;utch word drogge meaning !to dry#, as pharmacists,
physicians, and ancient healers often dried plants for use as medicines. Today
appro/imately @C percent of all prescription drugs are still derived from trees,
shrubs, or herbs. 9ome are made from plant e/tracts5 others are synthesiIed to
mimic a natural plant compound.
The +orld ?ealth 2rganiIation notes that of %%& plant"derived
pharmaceutical medicines, about K4 percent are used in modern medicine in
ways that correlated directly with their traditional uses as plant medicines by
native cultures.
-
8/19/2019 Center for Integrative Medicine
31/45
;eto/ification Therapy involves the removal of to/ic substances. 2ur body
naturally eliminates or neutraliIes to/ins. -ut due to industrial revolution the
accumulation of to/ins $food additives, industrial chemicals, anesthetics and
residue of pharma drugs, pesticides, paint, gasoline, and heavy metals'
surpasses its elimination.
Many alternative medicine practitioners fear an epidemic that they call
bioaccumulation, or a buildup and trapping of to/ic substances in the body that
weaens the organs of elimination as well as the immune system and gradually
erodes health. They also claim that to/ic accumulation alters the bodyEs
metabolism and causes enIyme dysfunction, nutritional deficiencies, hormonal
imbalances, and damaged immune systems, all of which contribute to
physiological and psychological decline.
9ound and music can have a very powerful effect on one’s health. 9ound
Therapy is simple, effective and effortless. -y listening to the specially recorded
music tapes while you go about your daily routine, you can create the changes
needed to enhance your *uality of life. (t is used in hospitals, schools, corporate
offices, and psychological treatment programs.
Recent research has demonstrated that diet alone may not be ade*uate to
supply the nutrients essential for overall good health. +hile most e/perts agree
that nutritional supplements are vital for a variety of illnesses, in0uries, and age"
related problems, vitamin and mineral supplements can also help to maintain
optimal physical and psychological health, and promote longevity and chronic
disease prevention.
nIyme therapy is a plan of dietary supplements of plant and animal
enIymes used to facilitate the digestive process and improve the bodyEs ability to
maintain balanced metabolism.
>hiropractic is a health care discipline which emphasiIes the inherent
recuperative power of the body to heal itself without the use of drugs and
surgery. The practice of chiropractic focuses on the relationship between
structure $primarily the spine' and function $as coordinated by the nervous
system' and how that relationship affects the preservation and restoration of
health.
Bitamin > Megadose Therapy is the consumption of vitamin > $ascorbate'
in doses well beyond the current ;ietary Reference (ntae. (t is given via
intravenous route for faster absorption. Bitamin > is one of the most widely used
-
8/19/2019 Center for Integrative Medicine
32/45
and highly valued vitamins in the world. (t is a recogniIed antio/idant, which has
led to its endorsement by some researchers as a complementary therapy for
improving *uality of life. $2awood +ellness >enter, @%@'
2awood +ellness >enter is very similar to the proposed pro0ect. The
services, facilities and treatments they offered is adoptable and it is useful to the
proponents as bases for the design solution. Lie any other wellness center,
2awood introduced new types of medicine the natural medicine and this is also
one of the goal of the proposed pro0ect, to introduce the natural medicine.
HEALTHCARE WA)TE -ANAGE-ENT
CAPITOL -EDICAL CENTER INC
DNRAL -A>6DR2N;
>apitol Medical >enter (nc. $>M>' is a tertiary hospital located at OueIon
Avenue corner Magbanua 9t., OueIon >ity along a ma0or thoroughfare of Metro
Manila in a middle income area and is very accessible to the nearby low income
areas including some slum and s*uatter settlements.
The >apitol Medical >enter is a modern medical center and has four $4'
ma0or departments namely, Medicine, 9urgery, )ediatrics and 2bstetrics
Available facilities in the hospital include Radiology, Laboratory, 9pine >enter
$specialty', >T scan, ltrasound, ?omography and Mammography. The
institutionEs progress over the years can be clearly seen from its rapid e/pansion.Hrom an initial 3"storey building hospital with a %C"patient bed capacity, the
>M> (( $anne/' building was constructed in %&KC after barely C years of operation
to increase their capacity to @ beds and additional doctorsE clinics and offices.
)atient admission also grew from an average of C, at the beginning of its
-
8/19/2019 Center for Integrative Medicine
33/45
operations to %, patients a year at the end of the first decade. A third
building, the >M> (((, was constructed, which presently houses the
>omprehensive 2ut")atient >enter of the hospital. -ed capacity was increased
to @C beds in %&3& with the construction of additional private rooms and
installation of hospital e*uipment. A fourth building started last November %&&
and it will add another % private rooms, new medical e*uipment and a three
floor paring space. This building will e/pand the medical facilities such as
cancer treatment facilities lie cobalt and linear accelerator, and a
comprehensive physical and medical rehabilitation center. (n addition, the
hospital has ac*uired a 8,CKC s*.m neighboring paring lot for future e/pansion.
-ed occupancy rates all along this time averaged 3"3C percent, reaching as
high as &CF during pea periods. )ea periods are those months where the
average patientsE admissions reached more than one hundred seventy $%K'
patients. ;uring the period from uly %&&C to une %&& the average occupancy
rate was KC.4F. As of 9eptember %&& there are 4K8 regular employees of
>apitol Medical >enter. anitorial service is being contracted to the -uilding >are
>orporation while the 9afeguard 9ecurity Agency is rendering security service.
9olid waste management is the responsibility of the houseeeping section under
the administrative department There are a total of C personnel being providedby these two contractors to the >M>.
+A9T MANADMNT )RA>T(>
The houseeeping section under the administrative department is
responsible for the implementation of the hospital policy on waste management.
The 0anitors of the -uilding >are >orporation, the contractor for 0anitorial
services, are under the supervision and control of the houseeeping section. The
maintenance section that is responsible for the maintenance of the infrastructure
for solid waste management is under the engineering department. >lose
coordination with the houseeeping section is being undertaen to eep the
hospital premises clean.
9egregation
There are two 0anitors assigned to each floor. sually, one $%' hour before
the end of each shift the assigned 0anitors collect the waste from each room.
These are brought to the electrical room $3"% s*.m' in each floor that also
serves as the storage and segregation area for hospital waste. After the 0anitors
for each floor collect the blac, yellow, and green plastic bags, they segregate the
-
8/19/2019 Center for Integrative Medicine
34/45
recyclable $paper and cartons' from the blac plastic bags. The supervisor of
0anitors maes the rounds on every shift to ensure that all wastes are collected
properly. The collected wastes are then placed temporarily in a room to await for
the scheduled time for them to use the elevator so that they could place the
garbage in the central storage room. This storage room $3 s*.m' has a two"day
capacity and is located at the bac of the main building. A laboratory aide is
collecting infectious waste for the whole hospital. (nfectious wastes are supposed
to be placed inside the incinerator room, but the incinerator operator instructs the
0anitors to place the yellow plastic bags outside the incinerator room. ;uring data
gathering, yellow plastic bags were observed aligned along those that are going
to the incinerator room. 9yringes are collected and placed in a big plastic
container $hard plastic' at the nurseEs station, these syringes are incinerated.
)reviously, they use to separate the needles from the syringe body $plastic' but
because of the ris and labor involved5 they 0ust incinerate the syringes and the
needles together. The blades of scalpels are included in the sharps container for
disposal while the scalpel handles are autoclave and re"used again. 9eparating
the blades from the handles, forceps are utiliIed to minimiIe possible
contamination or infection. Tools used for segregating waste includes gloves,
liners and carts. 9ome gloves $thic rubber gloves' that are used for non"infectious waste segregation are being autoclaved and reused again. The
laboratory aide usually collects infectious waste around C:8":8 in the
afternoon. (ncineration taes place every night around 3: )M. ?owever, if the
*uantity of infectious waste is minimal, the hospital incinerates them every other
day. ?ospital linen of patients with contagious diseases are segregated from the
rest of the linen and properly tagged. These are soa with a chemical disinfectant
before undergoing the usual laundry procedures. This cleaned linen is then
issued to patients with similar diseases. 2rdinary linen are used up to si/ months
while linen issued to patients occupying hospital suites are used up to three
months. These condemned linen together with other linen are then cleaned and
donated to the Dolden Acres, a home for the aged as rags.
9torage
The storage phase is largely influenced by the siIe of their central storage
room located at the bac of the hospital. (t can only store around two"day
e*uivalent of solid waste generated by the hospital. The unreliability of the
garbage collector assigned to collect from the OueIon >ity government has
adversely influenced the storing of waste by >M>. sually, the garbage collector
collects the waste only one or twice a wee. (n these cases, the waste, plastic
-
8/19/2019 Center for Integrative Medicine
35/45
bags that cannot be accommodated in the storage room are placed near the
incinerator. Traditional recyclable materials such as cullets, cartons and paper
are stored in a bodega inside the hospital. +hen sufficient *uantity has
accumulated the personnel in charge of selling these materials call the cullet
traders andommercial, a business entity that buys placentas from hospitals in Metro
Manila. (n cases where the mothers re*uest to eep the placentas, the hospital
gives the placentas to the mothers. There are some parents who bury the
placentas in their yards in the belief that these will help their lives to financially
prosper while others bury them together with ballpens or pencils in the belief that
the children will become talented. 9ome parents plant trees on the spots where
they bury the placentas in the belief that the newly born child will have long lives
lie the trees planted. )resently, )rime >ommercial has stopped buying the
placentas. >M> disposes them together with other biodegradable to produce
compost that will be used in the hospital premises and for the residence of the
head of the hospital. The hospital is presently looing for other buyers of
placentas. (n the meantime, these placentas are buried in a pit inside the hospitalgrounds near the paring lot. The hospital management has given instructions to
the security force to prevent unauthoriIed
persons from entering the storage area and collecting recyclable materials. This
was a response to previous incidences wherein scavengers were retrieving
recyclable and in the process scattering the waste ven stray dogs are not
allowed to go near the storage room to rummage or scavenge -ased on
interviews with some ey informants in the hospital, it is estimated that around
3F"&F compliance on waste segregation is being achieved by >M>. Hre*uent
violators are visitors of patients who are ignorant or apathetic to the ongoing
segregation of the hospital
>ollection
The collection of solid waste from the hospital is the responsibility of the
local government unit. (n the case of >M>, the OueIon >ity government is
responsible for the collection, transport and disposal of solid waste. ?ospital
waste is collected together with other municipal waste within their 0urisdiction The
OueIon >ity government utiliIes contractors for the collection of solid waste RN
Transport one of the solid waste collectors of OueIon >ity covers the area of
>M>. An open garbage truc $%@"%C cubic meter capacity' is assigned by the
-
8/19/2019 Center for Integrative Medicine
36/45
contractor to collect all the hospital waste in OueIon >ity. RN Transport collects
the bul of the hospital waste generated by >M>. The garbage collector
servicing ma0ority of the hospitals in OueIon >ity is >arlito Manuel, who is an
employee of RN Transport. ?e drives the garbage truc that collects hospital
waste in OueIon >ity. sually, he has four helpers with him in collecting garbage
from the hospitals 2ne helper is tased to segregate the recyclable on top of the
truc $palero' while the three helpers collect the waste. ?is assigned truc
figured in a vehicular accident recently and he is borrowing a truc from his fellow
drivers to collect the waste from the hospitals. The lac of transport adversely
affects the collection of waste in his assigned route. >M> generates
appro/imately C bags $around .@ cubic meter per bag' a day. (n addition, the
contractor also collects the ashes that are produced in incineration. These are
stored in plastic bags or sacs and placed in cartons $@4G / %CG / 3G' including
burned needles and blades. The hospital produces an average of 8"4 cartons of
ashes a month. Hor each load of waste being delivered in the dumpsite, the
operator of the )ayatas ;umpsite is charging a dumpsite fee of )@ . This is
partially defrayed by the incentives being paid by some private hospitals as in the
case of >M> where it is giving )K. a wee to the garbage collector.
(ncinerator
>M> uses a commercial type of incinerator that was bought around %&&.
Through the years, the incinerator was periodically rehabilitated and remodeled
to its present form. )resently, the incinerator uses L)D gas fuel and can
incinerate around C g per loading. The firing time of the incinerator is at
nighttime. There are plans to replace the incinerator by anuary %&&K The
proposed incinerator can accommodate even the general waste of the hospital if
the garbage collector fails to collect their waste. The bigger incinerator can also
accommodate the to/ic and haIardous waste of other hospitals for incineration.
Reuse and Recycling
The driver of the garbage truc assigned to collect the hospital waste
deliver the recyclable to >laritaEs un 9hop at )ayatas, OueIon >ity, a 0unshop
owned by his mother who specialiIes on hospital waste The recyclable that are
normally retrieved are paper, empty bottles, plastic, and cartons. The infectious
materials such as blades and syringes are not usually retrieved by the paleros of
the garbage truc. mpty de/trose bottles are segregated and crashed to
-
8/19/2019 Center for Integrative Medicine
37/45
produce cullets in the hospital. This is also done to reduce the volume of waste in
the hospital. The cullets are then sold to two 0unshop specialists namely,
>hrisma nterprise and Mallari Trading for a total of around )@, to )8, a
month ncontaminated paper and cartons are also segregated in the hospital.
>onfidential papers are shredded before these are sold to the buyers through
oral bidding. These are then sold to interested buyers who pic up these
recyclable. These buyers are usually itinerant buyers of recyclable who own or
rent a vehicle to pic up the materials from the hospital. The buying prices of
recyclable vary depending on the prevailing buying prices in Metro Manila. The
purchasing department is negotiating the selling prices of these recyclable with
the buyers The proceeds of the sales go directly to the Treasury of >apitol
Medical >enter )reviously, scavengers enter the hospital premises and separate
paper and other recyclable from the blac plastic bags ?owever, when
management found out the practice and the mess that this created, it instructed
the 0anitors to automatically separate papers and cartons to centraliIed the
retrieval of materials and prevent the unhygienic conditions that this practice has
created. -iodegradable waste from the itchen and canteen are stored and
collected every day by a businessperson for hog"feed -esides food waste, she
also collects used cooing oil. >ollection time is usually at around 4: in themorning when there are minimal activities in the hospital.
HER+AL -EDICINE FOR ALTERNATIVE HEALTH CARE
Heral$#' And The D$erent T2(e# O Heral -ed$!$ne
?erbalism is a reputable profession and has been for many thousand
years, it actually laid the groundwor base for modern medicine, botany,
pharmacy, aromatherapy and chemistry, unfortunately the attraction with
technology and other reasons, and it was relegated to an e/perimental and
partially wonderful art. ?erbalism is both an art and a science, which has always
varied well with other treatments. Thriving today using whole plants to treat whole
people and it is as significant now as in the secluded past, and perhaps will be
more applicable in the future now that has been re"discovered.
$http:
-
8/19/2019 Center for Integrative Medicine
38/45
>hinese ?erbalism is one of the main components of traditional >hinese
medicine $T>M' or 2riental medicine $2M'. (n traditional >hinese medicine,
herbs are use in alternative with other techni*ue lie acupuncture or massage.
>hinese medicine is a holistic medical system, which it loos at treating a patient
as a whole person, looing at the mental and spiritual health, as well as the
physical health of the individual. (llness is seen as a disharmony or imbalance
among aspects of the individual.
Ayurveda was derived from the two 9ansrit words " Ayus, or !life# and
Beda, or !nowledge#. Ayurveda has been translated as !the nowledge of life#
and as !the science of life#. (t has been suggested but one modern writer that a
more appropriate translation would be !the nowledge of life span#. According to
Ayurvedic philosophy, !?ealth is dependent upon one’s ability to live in harmony
with one’s self and with the e/ternal universe. Traditionally, as much attention
was given to illnesses of the mind as to the illnesses of the body.# According to
Ayurveda, !Life is a combination of the senses, mind, body and soul.# This
system believes that human beings and nature should be in perfect
synchroniIation and that diseases occur when there is an imbalance between
body’s three humors, the vata or nerve energy5 pitta or catabolic fire energy5 and
apha or anabolic nutritive energy. Restoration of this primary balance with the
help of innate products is the main goal of this medicinal branch.
+estern herbalism is a form of the healing arts that draws from herbal
traditions of urope and the Americas and that emphasiIes the study and use of
uropean and Native Americans herbs in the management and prevention of
illness. +estern herbalism is based on physicians and herbalists clinical
e/perience and traditional nowledge of medicinal plants remedies preserved by
oral tradition and in written records over thousands of years. +estern herbalism
lie much older system of traditional >hinese medicine relies the synergistic and
restorative properties of the plant to treat symptoms and disease and maintain
health. This type has evolved along with western civiliIation. (t is conse*uently
describe here in terms of the communal cultural history form Drees to the
present day. ?ippocrates categoriIed all foods and herbs by the *ualities of hot,
cold, dry or damp and this related to the four elements water, earth, fire and air.
Heral -ed$!$ne# A((r"&ed +2 The De(art'ent O Health
This is the list of the ten medicinal plants that ;2? through its Traditional
?ealth )rogram have endorsed. All of these ten herbs have been thoroughly
-
8/19/2019 Center for Integrative Medicine
39/45
tested and have been clinically proven to have medicinal value in the relief and
treatment of various ailments.
1. Aa(ul" $Cassia alata' " also nown as !bayabas"bayabasan# and !ringworm
bush# in nglish, this herbal medicine is used to treat ringworms and sin fungal
infections
. A'(ala2a $Momordica charantia' " nown as !bitter gourd# or !bitter melon# in
nglish, it is most nown as a treatment of diabetes and for non"insulin
dependent patients
3. +a/an% $ Allium sativum' " popularly nown as !garlic#, it mainly reduces
cholesterol in the bl