The power of Nature in Healthcare Environments

Transcription

1 The power of Nature in Healthcare Environments

2 Session Outline Introduction Research Evidence based design Post occupancy evaluations Design User group needs Garden program and details Case studies

3 We do more than parsley around the meatloaf

4 What is a Healing Garden? gardens that have a tendency to foster restoration from stress and have other positive influences on patients, visitors, and staff or caregivers. (Ulrich)

5 Nature is but another name for health... - Henry David Thoreau

6 What makes a garden Healing? Reduces Stress Elevates Immune System Better Response to Treatment Improved Medical Outcomes

7 Riverside Medical Center Kankakee, Illinois

8 Who benefits from a Healing Garden? Visitors Admin Staff Patients

9 Tabor Hills Naperville, Illinois

10 What are the economic benefits? Reduced cost of patient care Reduced cost of medical error Increased staff job satisfaction Less staff turnover Great marketing and public relation opportunities

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12 Wings of Hope Garden Naperville, Illinois

13 Session Outline Introduction Research Evidence based design Post occupancy evaluations Design User group needs Garden program and details Case study Butterfly Garden on a Roof

14 What research has been done? Roger Ulrich, Ph.D. Professor of Architecture Center for Healthcare Building Research at Chalmers University of Technology in Sweden He is the most cited researcher internationally in evidence based design Adjunct Professor of Architecture Aalborg University in Denmark B.A., University of Michigan (Human/Behavioral Geography) MA, University of Michigan (Human/Behavioral Geography) Ph.D., University of Michigan (Economics)

15 What research has been done? Clare Cooper Marcus Professor Emeritus in the Department of Architecture and Landscape Architecture University of California, Berkeley B.A., University of London (Cultural and Historical Geography)) MA, University of Nebraska Urban Geography) MA, University of California, Berkeley City and Regional planning

16 What make a garden Healing? 1. Provides restoration of physical, psychological and emotional well being 2. Provides spaces to foster social support 3. Contains prominent amount of real nature (Plants, water, wildlife, nature sound) 4. Can be experienced actively or passively 5. Includes positive distractions voluntary and involuntary 6. Provides choices and challenges 7. Helps improve medical outcome Dr. Roger Ulrich Texas A&M University

17 Marianjoy Labyrinth Garden Wheaton, Illinois

18 Theory of Supportive Design Social Support Control Movement & Exercise Natural Distraction s Stress Restoration and Buffering Improved Health Outcomes Dr. Roger S. Ulrich Effects of Gardens on Health Outcomes. In Marcus, C. Healing Garden

19 View Through a Window May Influence Recovery from Surgery patients with a nature window view had shorter postsurgical hospital stays, tended to have fewer minor postsurgical complications, and required far less injections of potent narcotic pain drugs. Research study: Gall bladder surgery patients recovery

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22 Evidence of negative patient responses to ambiguity acute emotional stress may make many patients vulnerable to detrimental, stressful reactions to certain abstract or ambiguous visual elements in art and design. Research study: Uppsala University Hospital in Sweden

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26 Recent Studies of Note: Dr. Joann Westphal: Limited access to a garden for Alzheimer's patients. Gardening as a Mental Health Intervention: A Review Jane Clatworthy, Joe Hinds, and Paul Camic. Mental Health Review Journal (2013) 18(4), The Benefits of Gardening for Older Adults: A Systematic Review of the Literature Donna Wang & Thalia Macmillan. Activities, Adaptation and Aging (2013) 37(2), Comparing responses to horticultural-based and traditional activities in dementia care programs Jarrott, S.E & Christina M. Gigliotti, C.M (2010). American Journal of Alzheimer's Disease and Other Dementias 25(8) Developing the therapeutic potential of embodied cognition and metaphors in nature-based therapy: Lessons from theory to practice Corazon, S.S., Schilhab, T.S.& Stigsdotter, U.K. Journal of Adventure Education and Outdoor Learning 11(2)

27 Recent Studies of Note: Horticultural therapy for patients with chronic musculoskeletal pain: Results of a pilot study Rra, M.L.,; Angst, F., Beck, T., Lehmann, S. Brioschi,R. Schneiter, R. & Aeschlimann, A. (2012). Alternative Therapies in Health & Medicine 18(2) Nature-assisted therapy: Systematic review of controlled and observational studies Annerstedt, M. & Wahrborg, P. (2011). Scandinavian Journal of Public Health 39, Primary-care based participatory rehabilitation: Users' views of a horticultural and arts project Barley, E.A., Robinson, S. & Sikorski, J. (2012). British Journal of General Practice 62(595) The psychological benefits of indoor plants: A critical review of the experimental literature Bringslimark, T., Hartig, T. & Patil, G.G. (2009). Journal of Environmental Psychology 29(4) Therapeutic gardens and horticultural therapy: Growing roles in health care Horowitz, S.(2012). Alternative & Complementary Therapies 18(2) 78-83

28 Session Outline Introduction Research Evidence based design Post occupancy evaluations Design User group needs Garden program and details Case study Butterfly Garden on a Roof

29 Serenity Garden Restorative Garden Sensory Garden Spiritual Garden Memorial Garden Respite Garden Contemplation Garden Therapeutic Garden Enabling Garden Veteran Garden Meditation Garden Healing Garden Hospice Garden Universal Design Rehabilitation Garden Memory Support Garden Cancer Garden Labyrinth Garden Wander Garden Types of Healing Gardens

30 Applications User Groups Hospitals Outpatient Centers Senior Living Communities Others? Patients* Visitors Staff... * There is a wide range of patient types, each with specific needs

31 Micro Vs Macro Sherman Hospital Replacement Facility

32 Friendship Village Schaumburg, Illinois

33 Incorporating Universal Design in Healing Gardens

34 Incorporating Universal Design in Healing Gardens

35 Edward Heart Hospital Naperville, Illinois

36 Theory of Supportive Design Social Support Control Movement & Exercise Natural Distraction s Stress Restoration and Buffering Improved Health Outcomes Dr. Roger S. Ulrich Effects of Gardens on Health Outcomes. In Marcus, C. Healing Garden

37 Social Support

38 Social Support

39 Control

40 Control

41 Movement & Exercise

42 Natural Distractions

43 Natural Distractions

44 Natural Distractions Positive or negative?

45 Infection control in Healthcare Environments

46 Healing Garden Characteristics Flexible spaces * Programmed activities Improved accessibility Well defined perimeters Recognizable place making Choices and challenges Positive distractions Public and private areas Lush plantings Seasonal interest * Recognizable/familiar features Generous walkways Tinted pavement * Sense of mystery and discovery Unambiguous design elements Protection from elements Moveable furniture Elements that engage the senses * Landmarks and destinations Distinguishable wayfinding Indoor and outdoor relationships Transition from indoors * * Examples shown on next slide

47 Flexible space Seasonal interest Engaging the senses Tinted pavement Transition from indoors Moveable furniture

48 Hope Children s Hospital Oak Lawn, Illinois

49 Things to Avoid Poisonous plants Busy paving patterns Rigid, rectilinear forms No access to shade Ambiguous art Busy shadow patterns

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54 Original dropoff layout Revised dropoff layout Hope Children s Hospital Oak Lawn, Illinois

55 Hope Children s Hospital Oak Lawn, Illinois

56 Hope Children s Hospital Oak Lawn, Illinois

57 Session Outline Introduction Research Evidence based design Post occupancy evaluations Design User group needs Garden program and details Case study Butterfly Garden on a Roof

58 Butterfly Garden on a Roof

59 Before

60 After

61 St. Patrick s Residence

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73 OSF Milestone Building Design by CANNONDESIGN

74 Existing Conditions Notice window reflection on EDPM liner

75 Existing Conditions Life flight issues

76 THE PLAN Buffers, accessible area limited to 100 from the exit, avoid life flight path

77 THE PLAN

78 Light Weight Materials Craned and hoisted into position, set on shims to level

79 Finished work Notice gravel strip next to building

80 Finished work Ipe decking, GFRC walls, metal shade trellis

81 Finished work Integrated light and bench

82 Finished work Dedication

83 Design Central Baptist Village

84 Perspective rendering

85 Finished work

86 Finished work

87 Design

88 (almost) Finished work

89 Thank You!