advancing healing design to the next level

Advancing Healing Design to the Next Level

What Rehabilitation Facilities Teach Us

INTRODUCTION

Natale WardThe Design Partnership

Chris DowneyArchitecture for the Blind

Inpatient Wing

Entry and Garden

Outpatient Wing

INTRODUCTION

VA Palo Alto Campus

Help patients navigate clinical environments & Support patient mobility and independenceWithout reinforcing a reliance on environmental crutches

Multi-sensory design strategies along with the inclusion of all modalities during the design process will enable us to do this

project goals & hypothesis

INTRODUCTION

INTRODUCTION

Benefits to facility way-findingWhen specific disabilities are taken into account

Synergies in contradictory needsWhen treatment modalities are addressed in tandem

Treatment philosophy informs the designThe design process can help to support training and treatments while helping to identify & correct obsolete protocols

discoveries

INTRODUCTION

a moment as a vision-impaired person

Early-stage glaucoma

INTRODUCTION

Noticethe different world-view of someone with a disability

Empathizeby putting yourself in that person’s shoes

Adaptthrough simple behavioral solutions

Enjoyan environment that’s now better for you too

a moment as a vision-impaired person

INTRODUCTION

combat injuries

Korean War: 2.8 injuries/deathVietnam War: 2.6 injuries/deathIraq/Afghan:16 injuries/death

age-related disabilities/impairments

INTRODUCTION

National Intrepid Center of Excellence

BENCHMARKING

Casa Colina

BENCHMARKING

BENCHMARKING

VA Western Blind Rehabilitation Center

BENCHMARKING

Multi-sensory navigation:A still-untapped resource

Way-finding with disabilities:Landmarks within facility, or compensating with signage

Synergies within contradiction:Finding strategies to combine multiple disabilities

Mobility without “crutches”:Good intentions conflict with life in the real world

cognitive issues

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INNOVATIONS AND DISCOVERIES

Building shape = F

Multiple pacing loops for mobility practice and orientation

acoustical considerations

INNOVATIONS AND DISCOVERIES

Cane taps produce radar-like

echo along vaulted forms

Existing walkways on VA Palo Alto campus

lighting environment: natural

INNOVATIONS AND DISCOVERIES

Light patterns on floor cause confusion for some patients

Transitioning from artificial to natural lighting for patients with photo-sensitivity

color theory

INNOVATIONS AND DISCOVERIES

way-finding

INNOVATIONS AND DISCOVERIES Early stair design

Going up: how do vision

impaired find the foot of the stair?

Going down: how do they find

the exit?

way-finding

INNOVATIONS AND DISCOVERIES

logistics, mechanics and adjustment

INNOVATIONS AND DISCOVERIES

logistics, mechanics and adjustment

INNOVATIONS AND DISCOVERIES

multi-sensory design

INNOVATIONS AND DISCOVERIES

INNOVATIONS AND DISCOVERIES

Multi-sensory navigation:Everyone benefits when other senses are engaged

Way-finding with disabilities:Impairments highlight failures of plan/design clarity

Synergies within contradiction:Design process helps correct obsolete protocols

Mobility without “crutches”:Discernment grows when team includes disabled users

INSTITUTIONAL PROCESS

institutional history

INSTITUTIONAL PROCESS

reducing reliance

INSTITUTIONAL PROCESS

synergies between acuitiesSecurity

Traumatic Brain Injury (TBI)

Sensory Impairment

Amputation

Organ Damage

Post-Traumatic Stress Disorder (PTSD)

Lighting levels

Privacy

INSTITUTIONAL PROCESS

toward the future

Multi-sensory navigation:Reinforce therapy and training with design features

Way-finding with disabilities:Utilize the training philosophy to inform the design

Synergies within contradiction:Involve all modalities in the design process

Mobility without “crutches”:Balance mobility with real-world design

INSTITUTIONAL PROCESS

navigation between facilities

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

Transition from acute dependence to natural independence

Clinical core

Native creek bed

landscape as healing metaphor

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

landscape as healing metaphor

Backs of benches used for

“shore-lining”

Pavement color/texture reinforces directionality

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

Places for celebration, introspection, privacy

landscape as healing metaphor

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

landscape as healing metaphor

Variety of planting heights

Kitchen

Textured areasFountain

Place-making

Greenhouse

level 1

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

navigating multi-story spaces

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

Reinforcing landmarks

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

Contrast andpersonalization

Depth perception

level 2

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

acoustically directional forms

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

level 3

SENSORY WALK-THROUGH:

Polytrauma / Blind Rehab

recovering one’s life

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