2014 0217 the experience of light for health and wellbeing

The Experience of Light for Health and Wellbeing An evidence-based approach

Rosalyn Cama, FASID, EDAC

[email protected] camaincorporated.com

Driving the Patient Experience

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“...clues emitted by people and things tell a story to customers...”(Berry & Bendapudi, 2003)

Satisfied Customer Satisfaction = Expectation - Perception

RECOVERY

REPORT

PERCEPTION

ApplicationsBest Practice Examples Show Functions are Achievable

Science & ResearchNew Science is Showing Visual and Non-visual Impacts on Individual and Organizational Outcomes

New Normal New Functions for Inpatient Lighting Systems

• Independent controls• Intuitive controls• Varied nature-like experience• Non-visualbenefits

$$$Changing Economics

and Rewards

OutcomesHealthcare Systems Increasingly Focus on Outcomes Backed by Evidence

TechnologyRapid Improvement in Technologies From Healthcare and Other Domains

Allow New Solutions

Visual & Non-visual EffectsBetter Science Showing Visual and Non-Visual Impacts of Lighting on Individual and Organizational Outcomes

NON-vIsuaL eFFects

aLeRtNesscIRcaDIaN RhythmPaINsLeePmOODcOmFORtexPeRIeNce

vIsuaL acuIty aesthetIcs

vIsuaL eFFects

FuNctIONaL PeRFORmaNce

ImPROve PatIeNt OutcOmes

ImPROve PatIeNt exPeRIeNce aND satIsFactION

ReDuce cOst

INcRease saFety

OutcOmes

LIGht

Perception of Care“...when we’re considering a doctor or a medical facility, most of us unconsciously turn detective, looking for evidence of competence, caring, and integrity – processing what we can see and understand to decipher what we cannot.”

(Berry & Bendapudi, 2003)

Perception of Care“...patients perceived their overall quality of care as better in the more attractive physical environment.”

(Becker & Douglass, 2008)

4 March 2013

22. Would you recommend this hospital to your friends and family?1 Definitely no2 Probably no3 Probably yes4 Definitely yes

UNDERSTANDING YOUR CAREWHEN YOU LEFT THE HOSPITAL

23. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left.1 Strongly disagree2 Disagree3 Agree4 Strongly agree

24. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.1 Strongly disagree2 Disagree3 Agree4 Strongly agree

25. When I left the hospital, I clearly understood the purpose for taking each of my medications.1 Strongly disagree2 Disagree3 Agree4 Strongly agree5 I was not given any medication

when I left the hospital

ABOUT YOUThere are only a few remaining items left.26. During this hospital stay, were you

admitted to this hospital through the Emergency Room? 1 Yes2 No

27. In general, how would you rate your overall health? 1 Excellent2 Very good3 Good4 Fair5 Poor

28. In general, how would you rate your overall mental or emotional health?1 Excellent2 Very good3 Good4 Fair5 Poor

29. What is the highest grade or level of school that you have completed?1 8th grade or less2 Some high school, but did not

graduate3 High school graduate or GED4 Some college or 2-year degree5 4-year college graduate6 More than 4-year college degree

March 2013 1

HCAHPS Survey

SURVEY INSTRUCTIONS

♦ You should only fill out this survey if you were the patient during the hospital stay named in the cover letter. Do not fill out this survey if you were not the patient.

♦ Answer all the questions by checking the box to the left of your answer.♦ You are sometimes told to skip over some questions in this survey. When this happens

you will see an arrow with a note that tells you what question to answer next, like this: Yes No If No, Go to Question 1

You may notice a number on the survey. This number is used to let us know if you returned your survey so we don't have to send you reminders.Please note: Questions 1-25 in this survey are part of a national initiative to measure the quality of care in hospitals. OMB #0938-0981

Please answer the questions in this survey about your stay at the hospital named on the cover letter. Do not include any other hospital stays in your answers.

YOUR CARE FROM NURSES

1. During this hospital stay, how often did nurses treat you with courtesy and respect?1 Never2 Sometimes 3 Usually4 Always

2. During this hospital stay, how often did nurses listen carefully to you?1 Never2 Sometimes 3 Usually4 Always

3. During this hospital stay, how often did nurses explain things in a way you could understand?1 Never2 Sometimes 3 Usually4 Always

4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?1 Never2 Sometimes3 Usually4 Always9 I never pressed the call button

“Would you recommend this hospital to your friends and family?” Definitely no

Probably no

Probably yes

Definitely yes

Patient Satisfaction“Telephone interviews with 380 discharged inpatients have helped determine that environmentalsatisfactionwasasignificantpredictor of overall satisfaction.”

(Harris, et al., 2002)

Patient Satisfaction“There is strong evidence that design changes that make the environment more comfortable, aesthetically pleasing, and informative relieve patient stress and increase satisfaction with the quality of care.”

(Leather, et al., 2003)

Evidence-based Design

Places of Wellbeing

Places of Wellbeing How does light influence healing?

Are we armed with enough data to date to design for health not just healthcare?

What is evidence-based design?The process of basing decisions about the built environment on credible research to achieve the best possible outcomes.

Project WisdomProjectWisdom

ProjectVision

DesignIntelligence

InstitutionalIntelligence

ConstituencyIntelligence

ThoughtLeaders

Intelligence

ResearchIntelligence

PatIeNt ROOms

shORteR stayLess PaIN meDs

Better View or Better Light?

“...patients assigned to

rooms with windows looking

out on a natural scene had

shorter postoperative

hospital stays and took

fewer pain killers than

patients in similar rooms

with windows facing a brick

building wall.”

(Ulrich, 1984)

Design for Innovation

Roger’s Innovation Curve

Innovators2.5%

earlyadopters

13.5%

earlymajority

34%

Latemajority

34%

Laggards16%

Restorative Human-centered EfficientEffective

Safe

2

1

3

2

values (belief)

value $$$

lag - baselineinnovate

GET HERE

Determinants of Decision Making

Baseline KnowledgeLaunches Innovation

Improve patient/family experiencePatients in all rooms can get a morning lighting experience from natural and electric lighting regardless of windows, building orientation and geographic location.


Photon ShowerDelta introduces a device designed to alleviate jet lag via light therapy


Light TherapyBus stops in the northern Swedish town of Umeahavebeenfittedwithlighttherapypanelstohelpcommutersfightoffthewinterblues.


Sunlight exposure increases levels of serotonin, a neurotransmitter that inhibits pain pathways.


shaDeD suNNyvs

46% GReateR suNLIGht INteNsIty

Sunlight & PainEffect of sunlight on pain medication usage of patients recovering from spinal surgery.


shaDeD suNNyvs


21%ReDuctION

IN meD cOst


22%Less PaIN

meDs


Distraction TheoryPatients diverted by a pleasant distraction have less attention to direct to their pain.


Improve SleepThe need for sleep increases with illness, and patients are more susceptible to sleep disturbances.


Improve patient/family experience Staff wants to be able to remain aware of patients at night from outside the room without light from the hallway disturbing patient or family while they sleep.


NICU LightingInfants exposed to day/night lighting cycles experienced deeper sleep and a greater rate of weight gain.


cycled Lighting constant Light


Greater rate of weight gain Fed orally soonerFewer days on ventilatorEnhanced motor coordination



MoodShorter length of stay for patients at medical centers located in warmer and drier climates.


Italian HospitalBipolar Depression

East vs. West Rooms

East-facing Shorter Stay:

3.7 days

Canadian HospitalCardiac Intensive Care

Sunny vs. Shady Rooms

Sunny Rooms:Lower Mortality

Rates

Canadian hospital Severe depression


Sunny RoomsShorter Stay:

2.6 days



Light TreatmentAs effective as antidepressant drugs and faster acting.


Antidepressants effective onset:

4–6 weeks

Light treatment effective onset:

2 weeks



Cool MorningsSet the Light to Your Mood


LightboostDesigned to Improve Sleep Quality


Warm Afternoons


Improve patient/family experiencePatient wants to be able to read or use electronic devices in bed without glare, at any sitting angle.


WayfindingWayfindingproblemscannotbetackled piecemeal...hospitals should provide integrated systems that include coordinated elements.


WayfindingIndividuals create cognitive maps based on relationships between cues in the environment. Older individuals are often impaired inwayfinding,especiallyin environments that lack distinctive features.


Accentuate key landmarks to help peoplefindtheirwayindependently.

Lighting the Path


$220,000 / yr

Hidden cost of direction-giving by people other than information staff at a major regional 604-bed tertiary care hospital.


Lighting the Path


Reduce FallsDisoriented patient needs to findbathroomsafelyatnight.


Satisfaction & Biophilia

Adequate lighting affects overall satisfaction with a hospital stay.


“Beauty is our word for perfection of those qualities of environment that have contributed most to human survival.”~ e.O. WILsON, 2011

ameRIcaNssPeND abOut

OR mORe OF theIR tIme INDOORs.


Perception of CareInterior design greatly influences patients’ perceptions of quality.


Where does the Lighting Field have to Go?

Third Photoreceptor - ipRGc

ImaGe-FORmING ceNteRs OF the bRaIN

NON-ImaGe-FORmING ceNteRs OF the bRaIN

i

pRGc

GaNGLION

This research opens up a whole new field in terms of light applications, both for use therapeutically and for the general population.

AIA Guidelines Require Natural LightIs this enough?

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Discussion

Consider the innovative evidence-based possibilities for controls, lamps, fixtures that improve health outcomes

For a copy of this presentation please visit http://camaincorporated.com/posts/

Thank you.

satIsFIeD custOmeRBerry, L., & Bendapudi, N. (2003). Clueing in customers. Harvard Business Review, 81(2), 100-106.

Satisfaction = Expectation - PerceptionUpali Nanda, Healthcare Design Conference 2013, Orlando, FL

the NeW NORmaLDubose, J. & Zimring, C. (2013). The New Normal: New Functions for Inpatient Lighting Systems, Healthcare Design Conference, Orlando, FL.

vIsuaL & NON-vIsuaL eFFectsDubose, J. & Zimring, C. (2013). The New Normal: New Functions for Inpatient Lighting Systems, Healthcare Design Conference, Orlando, FL.

PeRcePtION OF caReBerry, L., & Bendapudi, N. (2003). Clueing in customers. Harvard Business Review, 81(2), 100-106.

PeRcePtION OF caReBecker, F. & Douglass, S.J. (2008). The ecology of the patient visit: Physical attractiveness, waiting times, and perceived quality of care. Journal of Ambulatory Care Management, 31(2), 140.

PatIeNt satIsFactIONHarris, P. B., McBride, G., Ross, C., & Curtis, L. (2002). A place to heal: Environmental sources of satisfaction among hospital patients. Journal of Applied Social Psychology, 32(6), 1276–1299.

PatIeNt satIsFactIONLeather, P., Beale, D., Santos, A., Watts, J., & Lee, L. (2003). Outcomes of environmental appraisal of different hospital waiting areas. Environment & Behavior, 35(6), 842–869.

ebD DeFINItIONhttp://edac.healthdesign.org/

Artwork by Kevin Conklin, Afternoon Walk, 2008

PROJect WIsDOmCama, R. (2009). Evidence-Based Healthcare Design, John Wiley & Sons.

betteR vIeW OR betteR LIGht?Ulrich,R.S.(1984).Viewthroughawindowmayinfluencerecovery from surgery. Science, 224, 42–421.

“...clues emitted by people and things tell a story to customers...”(Berry & Bendapudi, 2003)

Satisfied Customer Satisfaction = Expectation - Perception

RECOVERY

REPORT

PERCEPTION

ApplicationsBest Practice Examples Show Functions are Achievable

Science & ResearchNew Science is Showing Visual and Non-visual Impacts on Individual and Organizational Outcomes

New Normal New Functions for Inpatient Lighting Systems

• Independent controls• Intuitive controls• Varied nature-like experience• Non-visualbenefits

$$$Changing Economics

and Rewards

OutcomesHealthcare Systems Increasingly Focus on Outcomes Backed by Evidence

TechnologyRapid Improvement in Technologies From Healthcare and Other Domains

Allow New Solutions

Visual & Non-visual EffectsBetter Science Showing Visual and Non-Visual Impacts of Lighting on Individual and Organizational Outcomes

NON-vIsuaL eFFects

aLeRtNesscIRcaDIaN RhythmPaINsLeePmOODcOmFORtexPeRIeNce

vIsuaL acuIty aesthetIcs

vIsuaL eFFects

FuNctIONaL PeRFORmaNce

ImPROve PatIeNt OutcOmes

ImPROve PatIeNt exPeRIeNce aND satIsFactION

ReDuce cOst

INcRease saFety

OutcOmes

LIGht

Perception of Care“...when we’re considering a doctor or a medical facility, most of us unconsciously turn detective, looking for evidence of competence, caring, and integrity – processing what we can see and understand to decipher what we cannot.”

(Berry & Bendapudi, 2003)

Perception of Care“...patients perceived their overall quality of care as better in the more attractive physical environment.”

(Becker & Douglass, 2008)

4 March 2013

22. Would you recommend this hospital to your friends and family?1 Definitely no2 Probably no3 Probably yes4 Definitely yes

UNDERSTANDING YOUR CAREWHEN YOU LEFT THE HOSPITAL

23. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left.1 Strongly disagree2 Disagree3 Agree4 Strongly agree

24. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.1 Strongly disagree2 Disagree3 Agree4 Strongly agree

25. When I left the hospital, I clearly understood the purpose for taking each of my medications.1 Strongly disagree2 Disagree3 Agree4 Strongly agree5 I was not given any medication

when I left the hospital

ABOUT YOUThere are only a few remaining items left.26. During this hospital stay, were you

admitted to this hospital through the Emergency Room? 1 Yes2 No

27. In general, how would you rate your overall health? 1 Excellent2 Very good3 Good4 Fair5 Poor

28. In general, how would you rate your overall mental or emotional health?1 Excellent2 Very good3 Good4 Fair5 Poor

29. What is the highest grade or level of school that you have completed?1 8th grade or less2 Some high school, but did not

graduate3 High school graduate or GED4 Some college or 2-year degree5 4-year college graduate6 More than 4-year college degree

March 2013 1

HCAHPS Survey

SURVEY INSTRUCTIONS

♦ You should only fill out this survey if you were the patient during the hospital stay named in the cover letter. Do not fill out this survey if you were not the patient.

♦ Answer all the questions by checking the box to the left of your answer.♦ You are sometimes told to skip over some questions in this survey. When this happens

you will see an arrow with a note that tells you what question to answer next, like this: Yes No If No, Go to Question 1

You may notice a number on the survey. This number is used to let us know if you returned your survey so we don't have to send you reminders.Please note: Questions 1-25 in this survey are part of a national initiative to measure the quality of care in hospitals. OMB #0938-0981

Please answer the questions in this survey about your stay at the hospital named on the cover letter. Do not include any other hospital stays in your answers.

YOUR CARE FROM NURSES

1. During this hospital stay, how often did nurses treat you with courtesy and respect?1 Never2 Sometimes 3 Usually4 Always

2. During this hospital stay, how often did nurses listen carefully to you?1 Never2 Sometimes 3 Usually4 Always

3. During this hospital stay, how often did nurses explain things in a way you could understand?1 Never2 Sometimes 3 Usually4 Always

4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?1 Never2 Sometimes3 Usually4 Always9 I never pressed the call button

“Would you recommend this hospital to your friends and family?” Definitely no

Probably no

Probably yes

Definitely yes

Patient Satisfaction“Telephone interviews with 380 discharged inpatients have helped determine that environmentalsatisfactionwasasignificantpredictor of overall satisfaction.”

(Harris, et al., 2002)

Patient Satisfaction“There is strong evidence that design changes that make the environment more comfortable, aesthetically pleasing, and informative relieve patient stress and increase satisfaction with the quality of care.”

(Leather, et al., 2003)

What is evidence-based design?The process of basing decisions about the built environment on credible research to achieve the best possible outcomes.

Project WisdomProjectWisdom

ProjectVision

DesignIntelligence

InstitutionalIntelligence

ConstituencyIntelligence

ThoughtLeaders

Intelligence

ResearchIntelligence

PatIeNt ROOms

shORteR stayLess PaIN meDs

Better View or Better Light?

“...patients assigned to

rooms with windows looking

out on a natural scene had

shorter postoperative

hospital stays and took

fewer pain killers than

patients in similar rooms

with windows facing a brick

building wall.”

(Ulrich, 1984)

DesIGN FOR INNOvatIONKumar, V. (2013). 101 Design Methods: A Structured Approach for Driving Innovation in Your Organization,Hoboken, NJ; John Wiley & Sons.

INNOvatION cuRveRogers, E.M (1995). Diffusion of Innovations, New York, NY; Simon & Schuster Inc.

aLeRtNess & LIGhtING cONtROLsHue by Philipshttp://www.meethue.com/en-US

LIGhtING that ImPROves the exPeRIeNceThe New Normal Worksheet

aLeRtNess & GestuRaL cONtROLsLumen Being by OLED Lighting Design CenterAcuity Brandswww.acuitybrandsoled.com/creations/lumen-being/

cIRcaDIaN Rhythm & ambIeNt LIGhtINGAirbus ambient lighting schemeshttp://www.airbus.com/aircraftfamilies/comfort/lighting/

cIRcaDIaN Rhythm & Jet LaG Photon Shower by Deltahttp://www.wk.com/campaign/delta_photon_shower

cIRcaDIaN Rhythm & ILLumINateD suRFacesSwedish Bus Stophttp://www.news.com.au/lifestyle/health/feeling-down-look-into-the-bus-stop-light/story-fneuzlbd-1226525544042

DayLIGht & PaINUlrich, R.S., Zimring, C., Zhu, X., DuBose, J., Seo, H., Choi, Y., Quan, X., Joseph, A. (2008). A Review of the Research Literature on Evidence-Based Healthcare Design. HERD 1(3), 82.

DayLIGht & PaINWalch, J. M., Rabin, B. S., Day, R., Williams, J. N., Choi, K., & Kang, J. D. (2005). The effect of sunlight on post-operative analgesic medication usage: A prospective study of patients undergoing spinal surgery. Psychosomatic Medicine, 67, 156–163.

Design for Innovation

Roger’s Innovation Curve

Innovators2.5%

earlyadopters13.5%

earlymajority34%

Latemajority34%

Laggards16%

Restorative Human-centered EfficientEffective

Safe

AlertnessControl - Lamp - Fixture

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCeaLeRtNess

Improve patient/family experiencePatients in all rooms can get a morning lighting experience from natural and electric lighting regardless of windows, building orientation and geographic location.



Circadian Rhythm

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCecIRcaDIaN Rhythm

Photon ShowerDelta introduces a device designed to alleviate jet lag via light therapy


Light TherapyBus stops in the northern Swedish town of Umeahavebeenfittedwithlighttherapypanelstohelpcommutersfightoffthewinterblues.


Pain ManagementExposure to natural light reduces pain and the use of pain medications.

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCePaIN

shaDeD suNNyvs


21%ReDuctION

IN meD cOst


22%Less PaIN

meDs


DIstRactION theORyMcCaul, K. D. and Malott, J. M. (1984). Distraction and coping with pain. Psychological Bulletin, 95(3), 516–533.

Malenbaum, S., Keefe, F. J., Williams, A. C., Ulrich, R., and Somers, T. J. (2008). Pain in its environmental context: Implications for designing environments to enhance pain control. Pain, 134: 241–244.

LIGht & sLeePTaylor, J.B. (2009). My Stroke of Insight: A Brain Scientist’s Personal Journey, New York, NY; Penguin Group.

LIGht POLLutION & NeeD FOR sLeePSouthwell, M. T., & Wistow, G. (1995). Sleep in hospitals at night— Are patients’ needs being met? Journal of Advanced Nursing, 21(6), 1101–1109.

cycLeD LIGhtING & NIcu DeveLOPmeNtMiller, C.L., White, R., Whitman, T.L., O’Callaghan, M.F., & Maxwell, S.E. (1995). The effects of cycled versus noncycled lighting on growth and development in preterm infants. Infant Behavior and Development, 18(1), 87-95.

cLImate, LeNGth OF stay, & mORtaLItyFederman, E. J., Drebing, C. E., Boisvert, C., & Penk, W. (2000). Relationship between climate and psychiatric inpatient length of stay in veterans health administration hospitals. The American Journal of Psychiatry, 157(10), 1669.

cLImate, LeNGth OF stay, & mORtaLItyFederman, E. J., Drebing, C. E., Boisvert, C., & Penk, W. (2000). Relationship between climate and psychiatric inpatient length of stay in veterans health administration hospitals. The American Journal of Psychiatry, 157(10), 1669.

Beauchemin, K. M., and Hays, P. (1996). Sunny hospital rooms expedite recovery from severe and refractory depressions. Journal of Affective Disorders, 40(1–2), 49–51.

Benedetti, F., Colombo, C., Barbini, B., Campori, E., & Smeraldi, E. (2001). Morning sunlight reduces length of hospitalization in bipolar depression. Journal of Affective Disorders, 62(3), 221–223.

Beauchemin, K. M., & Hays, P. (1998). Dying in the dark: Sunshine, gender and outcomes in myocardial infarction. Journal of the Royal Society of Medicine, 91, 352–354.

LIGht tReatmeNt vs aNtIDePRessaNtsGolden, R. N., Gaynes, B. N., Ekstrom, R. D., Hamer, R. M., Jacobsen,f.m.,suppes,etal.(2005).Theefficacyoflighttherapy in the treatment of mood disorders: A review and meta-analysis of the evidence. American Journal of Psychiatry, 162(4), 656–662.

mOOD & vaRIabLe LIGhtING schemesHealWell by Phillipshttp://www.lighting.philips.com/gb_en/application_areas/healthcare/healwell.wpd

ILLumINateD suRFacesJason Bruges Studio - Great Ormond Street Hospitalhttp://www.jasonbruges.com/projects/uk-projects/nature-trail

Distraction TheoryPatients diverted by a pleasant distraction have less attention to direct to their pain.


Light & Sleep“When I was asleep, I could block out the steady stream of energy that bombarded my senses.”

(Taylor, 2009)

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCesLeeP

Improve SleepThe need for sleep increases with illness, and patients are more susceptible to sleep disturbances.


Greater rate of weight gain Fed orally soonerFewer days on ventilatorEnhanced motor coordination



MoodColder climates have the longest lengths of stay in winter and fall.

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCemOOD



Italian HospitalBipolar Depression

East vs. West Rooms

East-facing Shorter Stay:

3.7 days

Canadian HospitalCardiac Intensive Care


Sunny Rooms:Lower Mortality

Rates

Canadian hospital Severe depression


Sunny RoomsShorter Stay:

2.6 days



Antidepressants effective onset:

4–6 weeks

Light treatment effective onset:

2 weeks



Cool MorningsSet the Light to Your Mood


Improve patient/family experiencePatients and families want varied lighting to provide outdoor-like experience.

Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCeexPeRIeNce

Improve patient/family experiencePatient wants to be able to read or use electronic devices in bed without glare, at any sitting angle.


Alertness | CirCAdiAn rhythm | PAin | sleeP | mood | Comfort | exPerienCeExpEriEncE

WayfindingWayfinding problems cannot be tackled piecemeal...hospitals should provide integrated systems that include coordinated elements.

WayfindingIndividuals create cognitive maps based on relationships between cues in the environment. Older individuals are often impaired in wayfinding, especially in environments that lack distinctive features.


Lighting the Path


Reduce FallsDisoriented patient needs to findbathroomsafelyatnight.


Satisfaction & Biophilia

Adequate lighting affects overall satisfaction with a hospital stay.


“Beauty is our word for perfection of those qualities of environment that have contributed most to human survival.”~ e.O. WILsON, 2011

ameRIcaNssPeND abOut

OR mORe OF theIR tIme INDOORs.



Perception of CareInterior design greatly influences patients’ perceptions of quality.

Third Photoreceptor - ipRGc

ImaGe-FORmING ceNteRs OF the bRaIN

NON-ImaGe-FORmING ceNteRs OF the bRaIN

i

pRGc

GaNGLION

This research opens up a whole new field in terms of light applications, both for use therapeutically and for the general population.

ImPROveD PatIeNt/FamILy exPeRIeNceLumen Being by OLED Lighting Design CenterAcuity Brandswww.acuitybrandsoled.com/creations/lumen-being/

WayFINDINGCarpman, J. R., & Grant, M. A. (1993). Design that cares: Planning health facilities for patients and visitors (2nd ed.). Chicago: American Hospital Publishing, Inc.

WayFINDINGDavis, R., Therrien, B., West, T. (2009). Working Memory, Cues,andWayfindinginOlderWomen.Journal of Applied Gerontology, 28, 743.

cOst OF FLaWeD WayFINDINGZimring, C, (1990). The cost of confusion: Non-monetary and monetary cost of the Emory University hospital wayfinding system. Atlanta: Georgia Institute of Technology.

ReDuce FaLLsUniversity Medical Center of Princeton at Plainsboro. Lighted handrail concept by HOK.

satIsFactIONUlrich, R.S., Zimring, C., Zhu, X., DuBose, J., Seo, H., Choi, Y., Quan, X., Joseph, A. (2008). A Review of the Research Literature on Evidence-Based Healthcare Design. HERD 1(3), 109.

bIOPhILIaWilson, E.O. in Kellert, S.R. and Finnegan, B. (Producers). (2011). Biophilic Design: The Architecture of Life [Motion picture]. United States: Tamarack Media.

PeRcePtION OF caReBecker, F., Sweeney, B., Parsons, Kelley. (2008). Ambulatory Facility Design and Patients’ Perception of Healthcare Quality. HERD 1(4), 35-54.

Berry, L., & Bendapudi, N. (2003). Clueing in customers. Harvard Business Review, 81(2), 100-106.

thIRD PhOtORecePtORDubose, J. & Zimring, C. (2013). The New Normal: New Functions for Inpatient Lighting Systems, Healthcare Design Conference, Orlando, FL.

Lok, C. (2011). Vision science: Seeing without seeing: There is more to the eye than rods and cones — the discovery of a third photoreceptor is rewriting the visual rulebook. http://www.nature.com/news/2011/110119/full/469284a.html

a WhOLe NeW FIeLDSteven Lockley, a neuroscientist at Brigham and Women’s Hospital quoted in Vision science: Seeing without seeing: There is more to the eye than rods and cones — the discovery of a third photoreceptor is rewriting the visual rulebook. http://www.nature.com/news/2011/110119/full/469284a.html

meaN Day OveRaLL

meaN Day sPRING

meaN Day sum

meR

meaN Day FaLL

meaN Day W

INteR

FOR cIRcaDIaN

eNtRaINmeNt

Lux

OF

LIG

ht

400

800

1200

1600

0


Consider the innovative evidence-based possibilities for controls, lamps, fixtures that improve health outcomes

GuIDeLINes FOR NatuRaL LIGhtBernhofer, E. I., et al. (2013). Hospital lighting and its association with sleep, mood and pain in medical inpatients. Journal of Advanced Nursing

aeRaAera LED luminaire system designed by Acuity Brands and offered by Winonahttp://news.acuitybrands.com/US/acuity-brands-reveals-new-led-lighting-system-concept-at-lightfair/s/2978ac77-9003-4b69-9298-df16278371a3

ReveLRevel by OLED Lighting Design CenterAcuity Brandshttp://www.acuitybrandsoled.com/creations/revel/

2014 0217 the experience of light for health and wellbeing

Design

northern swedish town

unconsciously turn detective

photon showerdelta introduces

lack distinctive features

antidepressants effective onset

accentuate key landmarks

ventilatorenhanced motor coordination

improve patient family experiencepatient