e decho fishman thesis 2008
TRANSCRIPT
assisted living facilityAlzheimer’s
Thesis Project | Elaine Decho-FishmanHarrington College of Design, 2008
bridge
loneliness kills
1. Half of those over age 85 suffer from Alzheimer’s Disease or some other form of dementia.
2. Americans over age 85 are the fastest growing segment of the population (19 million predicted by 2050).
3. Dementia sufferers who spend long periods doing nothingexperience depression, anxiety and paranoia.
4. Alzheimer’s patients like to wander.
5. People need to have a sense of control over their lives.
6. Sunshine is a mood enhancer.
7. Loneliness kills: social connectedness is one of the greatest predictors of health and independence in later years.
the facts
dementia and aging
bridgeto connect
aging people depend more on their environment to compensate for frailty and sensory loss
independence, dignity and privacy social interaction mental and physical stimulation individual control, choice and autonomy minimize confusion safety, security and accessibility abundant natural light homelike, residential quality family - friendly, inviting reach out to local community —
social center, location for senior services
the project goals
assisted living facility
goal: homelike, residential quality
independence | dignity | privacy
the residential scale of the Sunrise atFairfax is reinforced through the use ofdormer windows, wrap around porch,and other residential detailing
spacious apartment at McKennaCrossing at Shepherd’s Path, Prior Lake,MN (top) and accessible private bathat NorthPointe Terrace, Roscoe, IL
a fireplace and residential-style furnishingscreate a cozy gathering place atCentral Baptist Village, Norridge, IL
goal: mental and physical stimulation
social connectedness | meaningful activities
the potting shed atCuthbertson Village providesa place to pursue gardeninginterests even in the winter
the chapel at Mary Queen ofAngels Assisted Living Community,Nashville, provides a convenientplace for residents to embracetheir spirituality
this light-filled two-story atrium at Degneparken service house,Denmark, features billiards and other activities
goal: minimize confusion
previewing | wayfinding | safety | autonomy
half walls at Gosnell Memorial Hospicecreate openness, promote social interaction and facilitate wayfinding
memory boxes outside each dwellingunit at Garvey Manor, Hollidaysburg, PA,are filled with interesting items that tellthe story of each resident, stimulatingconversation while helping to providelandmarks for wayfinding
the activity rooms at Kvarteret Karl XIservice house (above) are completely transparent so residents can previewactivities before entering
goal: maximize natural light
enhance mood | conserve energy | support plant life
natural light fills the corridors at Geer Village,Canaan, Connecticut (top) and at the Dr. Dreesproject, the Hague, Netherlands (bottom)
Exposure to daylight may help to regulate circadian rhythms and lessen the severity and frequency of “sundowning” episodes(increased confusion or agitation that can typically occur near the end of the day).
a light shelf infuses daylight into the room whilecontrolling glare
a resident enjoys the view
senior citizens, most over 70 yrs old
may have dementia or Alzheimer’s (varying stages)
mostly ambulatory, with varying degrees of cognitive and physical disabilities
may need assistance with daily living tasks but do not require full-time skilled nursing care
mostly single occupants (estimate10% may have live-in companion/caregiver or spouse)
more women than men
probably from local area (or have family in town)
the client
seniors | residents and neighbors
maintaining connections to family and the community are important goals
family members (typicallygrown children, ages 40–65)
spouse self – proactive, planning ahead social workers physicians neighborhood seniors
goal: inspire confidence and reassure family that loved ones will be safe, happy, active and well-cared for; provide social center forarea seniors and central location for services
the client
family | decision-makers and visitors
a dedicated and caring staff are vital to success
nurses, physicians, psychiatrists social workers and aides maintenance, cooks, housekeeping administrative, office help volunteers village board, planning archdiocese
goal: design an efficient workplace that nurtures residents, inspires staff and promotes caring and wellness; considercatholic church as potential partner?
the client
staff | management | investors
studio apartment with kitchenette at The Cumberland at Green Hills, Nashville. double hung windows and dutch doors allowresidents of the Captain Eldridge CongregateHouse to control the openness of their unit
dwelling units for 25–40 residents views to outside (min.), access to outdoors (preferred) private full bathrooms, ADA accessible kitchenettes in unit one-bedroom (90%) and two-bedroom units (10%) ability to personalize unit flexible plans, adaptable to changing needs clusters of 8-10 residents away from public circulation staff monitoring stations nearby but unobtrusive facilitate family visits (and overnight guests?)
the program
private | assisted living spaces
large and small groups (crafts, games, lectures...) physical therapy (fitness, yoga, massage, swimming) library, reading room chapel, worship music, singing, dancing community kitchens television, movie viewing laundry facility open feel, maximize previewing opportunities landmarks and finishes that facilitate wayfinding
the program
communal | activity spaces
library at Geer Village (top) senior living community and regional community center, Canaan, CT
french doors in this restaurant (top) at Caleb Hitchcock Health Center, Bloomfield, CT, open to the courtyard. ramps and an inconspicous lift ensure easy access to thepools at Evergreen Retirement Community, Oshkosh, WI.
healthcare (nursing, psych, records, exam room) dining (restaurant, cafe, coffee shop, bar?) beauty salon, barber convenience store reception visitors lounge, waiting area manager’s office public restrooms swimming pool (shared w/community?)
the program
public | town center
providing office space for a local senior service provider is one way to connect with the community
office space for community outreach program staff lounge (locker room? separate entrance?) maintenance, housekeeping storage commercial kitchen receiving parking (guest and staff) security office? guard station? small conference, meeting room (in mgrs. office?) mechanical, HVAC circulation, safe travel
the program
semi-public | adminstrative spaces
a successful garden must have areasof sun and shade, with space foractivities as well as quiet retreat
a place for secure wandering physical activity, exercise large and small group activities quiet retreat, rest areas interaction with animals opportunity for nurturing outdoor dining sunlit and shaded areas handrails, secure footing indoor winter garden
the program
public | healing garden
the healing garden
explore | escape | enhance
incorporating animals, plants and children in the culture creates a nurturing environment and helps giveelders a sense of purpose
garden spaces enrich the overall quality of life for elders providing mental stimulation…
…physical activity, opportunities for socializing and quiet retreats
located at 2210 52nd St., Kenosha, Wisconsin
original structure built in 1906 (135’x 68’)
north wing addition1913(70’x 64’)
gymnasium addition 1953 (70’x 77’)
non-period gymnasium structure to be demolished
the building
bain elementary school
southeast view
northwest view
gymnasium
masonry and wood construction
two full stories plus lower level, partially below grade
approx.13,500 sf per floor
approx. 43,000 sf total, not including gymnasium
ceiling heights 12’-6” typ. (10’-6” net ht.)
lower floor level is 4’-6” below grade
developable attic space(above north wing addition only)
the building
bain elementary school
south facade dormer
east view
west view
the building
interior conditions
much of the original maple flooring andwood millwork remains (top); many ofthe plaster walls have radiused corners
window sill heights in first floor (top)and basement (bottom) classrooms; ceilings are dropped 12–18”
one of four existing stairwells witha combination of original newell postsand mid-century railing renovations
the building
attic space
original heavy timber roof joists andsouth-facing dormer window over the1906 structure; this area of the attichas no usable floor space (storage?);could possibly add skylights and openfloor to atrium below.
Potential development ideas for atticinclude: additional units, ballroom,caretaker’s apartment or guest “hotel”
usable attic space over the north wing(top) has ceiling heights up to 16 ft.,existing staircase provides roof access
this space originally served as theschool’s auditorium
the neighborhood
52nd Street and 22nd Avenue
homes on 23rd (top) and 22nd Avenuesto the west and east of the building
to the south (top), on 52nd St., is theItalian American Club and a bakery, tothe north (bottom) is St. Anthony’s school
St. Anthony’s Catholic Church, 2223 51st St., just north of the building
24 sq miles on southwestern shore of Lake Michigan 32 miles south of Milwaukee, 50 miles north of Chicago races: 79% white, 10% latino, 8% african amer., 5% other population: 90,352 (2000 census); 96,240 (2006 est.)
age 60–64 years . . . . . . . . . .2886 (3%)age 65–74 years . . . . . . . . . .5358 (6%)age 75–84 years . . . . . . . . . .4132 (5%)age 85 years and over . . . . . . .1516 (2%)
781 people in nursing homes
(figures according to 2000 census as reported on www.city-data.com)
the neighborhood: facts
Kenosha, Wisconsin
the neighborhood: facts
Kenosha, Wisconsin
source: http://www.city-data.com/city/Kenosha-Wisconsin.html
geography: 42°34’56”N, 87°50’44”W
(left) typical neighborhood homes, 53rd St. and 8th Ave., about two miles east of our building. (right) west side of Kenosha, about 1 mile south of our building, looking north along 22nd Ave. towards the old section of town
suburban “bedroom community” ranked on many “Best Places to Live” lists low crime rates, below national average incorporated 1850 ancestry: German (32%), Italian, Irish, Polish median household income: $46,888 (2005)
median household value: $149,500 (2005)
new construction aver. $175,500 (2006 bldg permits)
median gross rent: $704 (2005)
was manufacturing center, now white collar; largest employer: education system and Abbott Labs
the neighborhood: character
Kenosha, Wisconsin
Harborpark mixes residential use withopen space, a museum and marina
Kenosha Public Museum andKenosha History Center
Lake Michigan: boating, fishing, beaches, walking, 18 mi. of shoreline
two historic lighthouses w/museum museums: Kenosha Public Museum,
History Center, Civil War Museum,Dinosaur Discovery, historic districts
74 public parks and gardens greyhound racing, Indian casinos theater and arts centers, symphony shopping, Prime Outlets several championship golf courses public library
the neighborhood: attractions
Kenosha, Wisconsin
design developmentideation
Bainbridge | Memory Care CenterKenosha, Wisconsin
inspiration: palette
autumn in the midwest
inspiration: sunlight
fact: sunshine is a mood enhancer
sunny solarium walkway,St. James Place, Baton Rouge, LA
sunlit corridor creates feelings ofwarmth and fosters positive mood
clerestory windows flood lobby at Geer Village, CT with warm sunlight
inspiration: porches
residential | social | connection to outdoors
charming interior porches enhanceresidential quality at Oaklawn HealthCare Center, Mankato, MN
porches support social interaction and can be lovely places to dine, Francis E. Parker Memorial Home,Piscataway, NJ
a private place for morning coffee,Life Enrichment Adult Day Care Center,Kings Mountain, NC
inspiration: atriums
bring nature indoors and extend the growing season
the atrium at the Jan van derPloeg project, Netherlands, isa popular place for residentsto meet
atrium garden at RosenborgCentret, Copenhagen, day-lights the interior spaces whilecreating an attractive place toenjoy morning coffee.
bumpouts on the single-loadedcorridor balconies accommo-date a small table and chairsand invite residents to previewthe activity below
sun-filled atrium garden atKunselan Pairelkalott surroundedby balcony corridor, projectionsaccommodate sitting areas
challenge
add atrium and wandering garden, maximize sunlight
…replacing demolished south facade with glass wall
…adding small conservatory on north facade.
early studies exploring large skylights in roof… and wandering garden in place of old gymnasium
challenge
add atrium and wandering garden, maximize sunlight
studies of conservatory and private balconies (porches)
solution: 2-story conservatory to replace gymnasium on south facade. South portion of site to beexcavated down to first floor level (4’-6” below grade). New entry doors provide walk-out access toa grand “sunken” garden. Exterior stairs and wheelchair ramp provide access to street level.
result: conservatory serves to create atrium-like interior without adding skylights, maximizes sunlight,creates transition space from outdoor garden to indoor garden. Victorian styling will be far more inkeeping with historical architecture of original structure.
solution
conservatory | atrium
PLAN | SCALE: 1/16” = 1’-0”
ELEVATION: NTS
perspective: southeast view
inspiration: town square
bring “main street” to the residents
preserve a sense of normalcy and purpose by providing homebound residents withfamiliar and convenient “destinations” such as dining, shopping, worship, healthcare,beauty salon, library, fitness and entertainment.
clockwise from bottom left: “main street” at Towne Care Center, Avon Lake, OH; town square of Cuthbertson Village at Aldersgate, Charlotte, NC; The Village of Waveny Care Center, New Canann, CT; main street at Boutwell’s Landing, Stillwater, MN
design development
main street concept | atrium
parti, adjacencies, early plans
design development
public spaces, on both floors, are centered around the garden more private spaces are located farther back
lower level blocking plan first floor blocking plan(town square) (residences)
blocking plan
SCALE: 1/16” = 1’-0”N
lower level(town square)
floor plan & furnishings
pool house | terrace
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
healing garden | wandering path
SCALE: 1/32” = 1’-0”N
floor plan & furnishings
atrium | visitor lounge
SCALE: 1/8” = 1’-0”N
floor plan & elevations
convenience store | salon | coffee bar
marble: bathroom walls, coffee bar vinyl flooring: salon, coffee bar wood flooring: convenience store SCALE: 1/8” = 1’-0”
west elevation: office | coffee bar | general store SCALE: 1/4” = 1’-0”
N
floor plan & furnishings
cafe | restaurant
SCALE: 1/8” = 1’-0”N
top: wall treatment | horizontal surfacesmiddle: furniture wood finish | upholsterybottom: hard flooring | carpet
perspective
library | reading roomview from atrium
SCALE: 1/8” = 1’-0”
floor plan & furnishings
activity | craft room
N
fountain
floor plan & furnishings
library | reading room
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
chapel | auditorium
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
fitness center | health clinic
SCALE: 1/8” = 1’-0”N
floor plans
apartments | two bedroom
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
apartments | one bedroom
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
community kitchen | dining area
SCALE: 1/8” = 1’-0”N
perspective
community kitchen | dining area
perspective
community kitchen | dining area
perspective
corridor | residence floors
perspective
community game room | lounge
floor plan & furnishings
community game room | lounge
SCALE: 1/8” = 1’-0”N
floor plan & furnishings
community living room | loungeSCALE: 1/8” = 1’-0”N
living room group
lounge chairs & cocktail table
hall table
game table & chair
living room carpetliving room woodliving room sofaliving room chair game chairs, pillowslounge chairslounge wood lounge carpet
perspective
community living room | lounge