“vulnerable senior citizen housing provided by the state of chile, risk evaluation and improvement...
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“VULNERABLE SENIOR CITIZEN HOUSING PROVIDED BY THE STATE OF CHILE, RISK EVALUATION AND IMPROVEMENT THROUGH ARCHITECTURE AND DESIGN ”
Marcela Pizzi - John Chalmers - Viviana Fernández - Daniel Bunout - Paulina Osorio - Valentina Avendaño - Macarena Cusato - Karen Rivera
University of Chile
HypothesisSeniors autonomy in performing Basic Activities of Daily Living, (BADL) and risk is directly related with architectural and equipment design.
In these terms functionality depends not only on physiological aspects but is also is affected by the formal characteristics of the environment.
With an adequate diagnosis it is posible to develop guidelines for more aproppriate designs for this age group.
Objectives
Contrast dimensional characteristics of the built environment and performance of BADL in representative cases of housing provided by the State of Chile to autonomous seniors.
1990
1997
2007
2012
Special Attention Programs
SeniorCondominiums
for independent seniors (Condominiums)for dependent seniors (Long stay establishments)
sets aside 2% of social housing stock from government programs.Does not include special design conditions
1 level housing (25m2) with some adaptions
plus common spaces.
Senior Public Policies in ChileNeeds are acknowledged for the first time
LOCATION
2007 Supervized Housing
1990 Special Attention Program
1997 Condominiums for Seniors
1990 Special Attention Program
1. “El Refugio”, Puente Alto 8 cases
1997 Condominiums for Seniors“La Primavera” 8 cases
2007 Supervized Condominiums “Tuteladas San Ramón“ 8 cases
Based on the Katz Scale which considers self-care tasksPersonal Hygiene and groomingDressing and undressingSelf feedingFunctional transfers (getting into and out of bed or wheelchair, getting onto or off toilet, etc.)Bowel and bladder managementAmbulation (walking without use of an assistive device (walker, cane, or crutches) or using a wheelchair
Katz, S; Ford, A.B.; Moskowitz, A.W.; Jackson, B.A.; Jaffe, M.W; 1963
We identified de spaces and equipment directly related to the activitydescribing in detail the operations needed for each of them, and identify risk during performance.
Operations
Dressing and Undressing
Self feeding Functional Transfers
Use of ToiletPersonal Hygieneand grooming
Bathing
Hand Washing
Open Main DoorEnter houseClose Main DoorMove Between roomsEnter BedroomEnter BathroomEnter KitchenGo to patio
Sit on toiletRaise from toilet
Open closetsUnhang clothesOpen DrawersClose Drawers Heat Water
Enter or get out shower or tubOpen water tapsReach ShowerReach soapReach towels
Heat WaterOpen water tapsReach soapWash handsWash bodyWash hairReach towels
Reach CutleryReach pots and PansReach FoodWash Utensils
Requirements Imposed to the senior by the activityR
D
I
M
E
D
I
M
Disfunctions
Impacts
Morphology
Incoherencies between the housing design and senior’s functionality
Consequences on senior’s autonomy
Relation between housing design and Impacts on seniors
We developed data collection instruments
Identification
Valued Impact for activity performance
Fear
Discomfort
Difficulty
Pain
Chooses not to perform
1
1
1
1
5
Objective
Subjetive
Based on Documents
Professionals Based on Knowledge
Seniors Based on his/her life experiences
References Based on disciplinary knowledge and codes
Methodology
In a first level analysis of the data from the point of how many operations present problems in their preformance, we can tell the most conflictive actions
In a second level of analysis, looking for the presence of Requirements , we find out those most relevant related to Height – Equilibrium – Strength – Mobility and Clenching
In a third level of analysis, we search for the Impacts, (Consequences) such as Fear - Discomfort - Difficulty Pain and Inhibition (Chooses or cannot perform).
Major FindingsExterior SpacesNeed of Outdoor Spaces Related to the Unit
Exterior Spaces: Security
Height
Layout
Size
Size
Furniture and appliances
Furniture and appliances