ebd journal sample
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7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 17
Journal 1Aged Care
evidence-based strategiesfor the design of aged careenvironments
EBDEvidenceBasedDesign
Image copy iStockGetty
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 27
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 37
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 47
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 57
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
EBD Journal 1 7Design Principle 01 Facilitate Orientation
Corrine Dolan Center Ohio 1991
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 27
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 37
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 47
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 57
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
EBD Journal 1 7Design Principle 01 Facilitate Orientation
Corrine Dolan Center Ohio 1991
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 37
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 47
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 57
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
EBD Journal 1 7Design Principle 01 Facilitate Orientation
Corrine Dolan Center Ohio 1991
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 47
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 57
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
EBD Journal 1 7Design Principle 01 Facilitate Orientation
Corrine Dolan Center Ohio 1991
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 57
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
EBD Journal 1 7Design Principle 01 Facilitate Orientation
Corrine Dolan Center Ohio 1991
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 67
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
Back to Contents
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
7232019 Ebd Journal Sample
httpslidepdfcomreaderfullebd-journal-sample 77
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
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