Ebd Journal Sample

7232019 Ebd Journal Sample

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Journal 1Aged Care

evidence-based strategiesfor the design of aged careenvironments

EBDEvidenceBasedDesign

Image copy iStockGetty





Article 1Designing for Dementia vanHoof J and OrsquoBrien D

Case Study 2The Dementia Competence

Centre in Nuremberg ndashA Review of the Spatial DesignMarquardt G

Article 2ldquoSmart HomesrdquoDigitally Augmented

Residential Settings toSupport AgingDemiris G

1

36

53

5

46

Design Principles

Contents

Case Study 1

Home and the FamiliarLessons from Montemurlo

OrsquoBrien D



DesignPrinciple 01

FacilitateOrientation

The importance of appropriatewayfinding strategies designed tosuit the needs of residents cannot beoverstatedsup1

For mobile people with dementia wayfindingdecisions are based on environmental informationthat is readily accessible moment-by-moment asthey move along a path Plan configuration cantherefore support or impede orientation havinga significant impact not only on quality of life forresidents but also staff workload and operationalcosts Disorientation can create stress leading toagitated and aggressive behavioural responsesResidents who cannot identify paths to desiredlocations have exhibited anxiety confusionmutism and even panic It is apparent that uniqueenvironments are preferable to repetitive oneshowever excessive complexity can also lead todisorientationsup2

I m a g e

copy

i S t o c k

G e t t y

EBD Journal 1 6Design Principle 01 Facilitate Orientation

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Clustered Layouts

Create a simple network of

differentiated but visuallyconnected spaces Smaller openplan lsquoclusterrsquo layouts are bestsuited to dementia care unitsThey provide mobile residentswith a direct line of sight fromtheir bedroom door to adjoiningdestinations such as dining livingand outdoor spaces The sharedsocial space may not have tobe fully contained and can beintegrated with access to walkingpaths private nodes and outdoorareas

The tendency to

become lost is

shared by almost

all patients with

Alzheimers Disease

(93) however this

is not just related to

memory impairment

it reflects an inability

to consciously link

recognized scenes

with locations in the

environmentsup3

Smaller open plan

ldquoclusterrdquo layouts can

produce higher levels

of orientation and

reduced behavioural

disturbances than

larger ldquoCommunalrdquo

facilities983092

Design Strategy ALayout

A

Corrine Dolan Center Ohio 1991 Nuremberg Germany 2006

Direct line of sight

between private

and social areas

Virranranta Finland 1992

Line-of-sight Legend

Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits

To promote a sense of openness

and autonomy primary social

areas have direct view and access

to a secure garden space

Neighbourhood model 12ndash15 beds arranged aroundsocial and staff areas Suited to mobile residentswith dementia A sheltered large external deck isrecommended for upper levels that are more suitedto less mobile residents who require supervisedaccess to social areas and garden spaces

Prototype Plan

Dementia Care Unit G

Legend

Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits

Managed Open Access

Resident

Short corridors with direct

line-of-sight to activity

areas with no dead-ends

to be negotiated


Corrine Dolan Center Ohio 1991

Back to Contents



Home and theFamiliar Lessonsfrom Montemurlo

Case Study OnemdashDr Darragh OrsquoBrien

MontemurloAged Care FacilityOverview

Credits

Architects

ipostudio architetti

Client

Azienda Sanitaria Locale

4 Prato

Program

Health Centre and

houses for elderly people

Photography

Pietro Savorelli

Jacopo Carli

Ipostudio Archieve

Consultants

Structural Engineer

Niccolograve De Robertis

ndash aei progetti srl

Environmental systems

Paolo Pietro Bresci e

Leopoldo DrsquoInzeo

ndash Consilium srl

Contractor

Restructura soc coop arl

ndash S Arsenio (SA) Staccone

spa Costruzioni Generali

ndash Roma

Construction supervisor

Nicola Freddi - STS spa

ndash edificio al grezzo

assisted by Elisabetta

Zanasi Gabrielli

ndash ipostudio architetti

In the dry hills of Montemurlo above themedieval town of Prato Italy IpostudiorsquosResidential Aged Care Facility growscomfortably from an historic agriculturallandscape characterized by the traditionaldry stone terraces of the region

C1

Image Pietro Savorelli

Case Study 1 36 EBD Journal Montemurlo Aged Care Facility

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This difference between anopen and closed environment isperhaps nowhere more criticalthan in residential aged care

A protected group of ancient trees existing ruralbuildings and a unique landscape became theconceptual generators for this project For thearchitects the site is intrinsically connected tothe history of place ldquoa survivor of new farmingtechniques that elsewhere have reshaped thesoil profilerdquo

The architecture is reminiscent of the farmyardsand walled villages we associate with the Tuscan

landscape Appearing to support an elevated yardpopulated by independent structures a singlepunctuated stone wall presents itself to the valleyand the city beyond its curved profile resonatingwith the contours of the land

The idea of context is crucial here not only to thequality of the architecture but also to the purposefor which it exists Montemurlo is offered as casestudy for two significant issues that are criticalto the design of any residential aged care facilityanywhere in the world The first being the conceptof Care Facility as Home and second the manner inwhich residents are connected with each other and

the world beyond This difference between an openand closed environment is perhaps nowhere morecritical than in residential aged care

Montemurlo is home to forty elderly residentswho share the facility with approximately 10 daycare visitors Equal numbers of high and low careresidents are accommodated separately across twolevelsmdashbelow the entry ldquoyardrdquo with its free-standingpavilionsmdashin the volume formed between the walland the slope of the hill The whole complex isarranged in a radial grid overlooking the valley

IPO Studio drew their inspiration from a

combination of archetypes the Convent andthe Farmyard both being relevant not only inthe context of the Tuscan hills but also becausethey contain highly specific communities thatare by necessity Heterotopiansup1mdashplaces that aresimultaneously open and closedmdashand thereforehighly relevant to the unique circumstances ofa residential aged care facility The merging ofthese references became critical not only to thearchitectural aesthetic but also to the organisationof functional areas The farmyard (ldquoaiardquo)characteristic of Tuscan farmhouses inspired theidea for a sort of rural ldquopiazzardquo that provides accessto the facilities that are open to external guests

the day care centre places of collective life(offices kitchens and the place for worship)and the main entrance

Villa Medici di Belcanto

Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects

For the Design of Residential Care Facilities themonastic analogy becomes extremely interestingand useful The convent is constituted as a cityblock identified as an articulated and complexstructure of spaces where the placement ofprivate space is inversely proportional to thedegree of accessibility In the monastic structureit is also possible to identify three spatial systemsthat are useful when considering the organisationof a Residenza Sanitaria Assistenziale (RSA)public space represented by the Church and thecloister of catechumens collective but private

space constituted by the refectory the aulamagna and General Services structures theprivate space of the cells

However there is another fascinating aspect ofmonastic typologies that might be interestingfor the purposes of analogy the wealth andthe articulation of the outdoor spaces that aredistinguished depending on their location in thestructure and their relationship with the interiorspaces All this can be a valid interpretation ofa clearly expressed general concept which saysthat taken together the solutions must configurea living organism of residence-scale where inaddition to domestic spaces there are areasdedicated to social relations

Extract From

Arbizzani E and Di Giulio R (eds) Health Assistance Residences-design and realizationMaggioli editore Rimini

ImageJacopo Carli

EBD Journal 1 37Case Study 1 Montemurlo Aged Care Facility

Back to Contents










1

36

53

5

46

Design Principles

Contents

Case Study 1


OrsquoBrien D



DesignPrinciple 01




I m a g e

copy

i S t o c k

G e t t y


Back to Contents



Clustered Layouts



The tendency to

become lost is

shared by almost

all patients with

Alzheimers Disease

(93) however this


memory impairment


to consciously link

recognized scenes


environmentsup3

Smaller open plan



of orientation and

reduced behavioural

disturbances than


facilities983092


A



between private

and social areas



Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits






Prototype Plan


Legend

Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits

Managed Open Access

Resident




to be negotiated



Back to Contents






Credits

Architects


Client


4 Prato

Program

Health Centre and


Photography

Pietro Savorelli

Jacopo Carli

Ipostudio Archieve

Consultants

Structural Engineer






ndash Consilium srl

Contractor




ndash Roma





Zanasi Gabrielli



C1



Back to Contents














Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects




Extract From


ImageJacopo Carli


Back to Contents



DesignPrinciple 01




I m a g e

copy

i S t o c k

G e t t y


Back to Contents



Clustered Layouts



The tendency to

become lost is

shared by almost

all patients with

Alzheimers Disease

(93) however this


memory impairment


to consciously link

recognized scenes


environmentsup3

Smaller open plan



of orientation and

reduced behavioural

disturbances than


facilities983092


A



between private

and social areas



Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits






Prototype Plan


Legend

Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits

Managed Open Access

Resident




to be negotiated



Back to Contents






Credits

Architects


Client


4 Prato

Program

Health Centre and


Photography

Pietro Savorelli

Jacopo Carli

Ipostudio Archieve

Consultants

Structural Engineer






ndash Consilium srl

Contractor




ndash Roma





Zanasi Gabrielli



C1



Back to Contents














Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects




Extract From


ImageJacopo Carli


Back to Contents



Clustered Layouts



The tendency to

become lost is

shared by almost

all patients with

Alzheimers Disease

(93) however this


memory impairment


to consciously link

recognized scenes


environmentsup3

Smaller open plan



of orientation and

reduced behavioural

disturbances than


facilities983092


A



between private

and social areas



Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits






Prototype Plan


Legend

Bedrooms

Soc ial Spaces

Staff Facilities

OutdoorGarden

Controlled Exits

Managed Open Access

Resident




to be negotiated



Back to Contents






Credits

Architects


Client


4 Prato

Program

Health Centre and


Photography

Pietro Savorelli

Jacopo Carli

Ipostudio Archieve

Consultants

Structural Engineer






ndash Consilium srl

Contractor




ndash Roma





Zanasi Gabrielli



C1



Back to Contents














Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects




Extract From


ImageJacopo Carli


Back to Contents






Credits

Architects


Client


4 Prato

Program

Health Centre and


Photography

Pietro Savorelli

Jacopo Carli

Ipostudio Archieve

Consultants

Structural Engineer






ndash Consilium srl

Contractor




ndash Roma





Zanasi Gabrielli



C1



Back to Contents














Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects




Extract From


ImageJacopo Carli


Back to Contents














Image Ipostudio

R u r a l

H o u s e

i n T

u s c a n y

I m a g e

I p o s t u d i o

From The Architects




Extract From


ImageJacopo Carli


Back to Contents

Ebd Journal Sample

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Transcript of Ebd Journal Sample