HEALING ENVIRONMENT

AND

USE OF LANDSCAPING IN

HEALTH CARE

LANDSCAPING IN HOSPITAL

"The gardens and green spaces of a hospital should be regarded as a counterbalance to the hospital itself"

Submitted to :Nausheen Fatima Submitted from :

Shifa mohammad ziauddin

What is it ?

The green areas inside and outside of the hospitals designed to overcome stress, improving mood, and increasing healthcare satisfaction .Plants makes us feel good. Studies described that even a few minutes of visual

exposure to nature can significantly reduce patients stress.Patients gain benefits from this kind of passive ways in the hospital surrounding .

(MSK) Regional Ambulatory Cancer Center

Since the earliest times, humans have needed to be sensitive to their surroundings to survive, which means that we have an innate awareness of our environment and seek out environments with certain qualities.

History

•This concept roots back from ancient Greek . •Temples such as the sanctuary at Epidaurus were built for the god Asclepius, where ill people went in the hope of having dreams where he would reveal the cures for ailments .• Since the Middle Ages, hospitals within monasteries used the monastery gardens as areas for therapy and healing .•The patient’s rooms had a view of the hospital gardens, which could provide the patient with exposure to sunshine, a small lake, seasonal flowers, rest areas or footpaths.• Saragossa hospital in Spain, which was built in 1409, is one such example that was used as inspiration from the landscape designers of that era, particularly with regards to the way patients could interact with one another.• This became known in the nineteenth century as ‘Ethical Therapy’.

Necessity ?

• reduces stress and irritation•5-7 minutes in nature or viewing natural scene can-reduce physiological indicators of stress-improve mood

-aid in healing• tie together a variety of buildings — by function, style, or age —into a campus-like setting.•Create comfortable spaces for both staff and patients .

What makes landscape healing?

•

•Keep it green

•Keep it real

•Keep it interesting

•Engage multiple senses

•Mind the walkways

•Water with care

•Make entry easy

Healing gardens

In general healing is a process that promotes overall well-being .In particular, it is a process that the body restores or recovers both physically or/and mentally.Moreover, it is a multidimensional process which includes physical, mental, spiritual,

emotional and social aspects.+

In general healing is a process that promotes overall well-being (Cooper Marcus & Barnes 1999). In particular, it is a process that the body restores or recovers both physically or/and mentally. Moreover, it is a multidimensional process which includes physical, mental, spiritual, emotional and social aspects.

The combination of these two terms, healing and garden is a healing garden.Referred to different garden features that have the ability to foster restoration from stress and also have other positive effects on patients, staffs and visitors .The features should contain salient amount of real nature components such as green vegetation, water and flowers.

Research theories

1. Ulrich’s stress recovery theory-predict that natural scenes tend to reduce stress, whereas settings in built environment tend to hinder recovery from stress. He approaches relating to health effects of landscape is known as “Healing garden”.

2. Hartig and Staats-researchers within environmental psychology have evaluated whether the restorative effect of natural landscape is one of the reason why people prefer natural landscape over urban ones.

3. Kaplan and Kaplan4. Williams and Gesler- in another approach to study health effects of landscape

relate to concept of “Therapeutic landscape”5. Cooper- Marcus and Barnes- They are used to describe either one or mixture of

three following processa. Relief from physical symptoms illness or trauma.b. Stress reduction and increase level of comforts for individual dealing emotionally

or physically tiring experiences.c. Improvement in the overall sense of well being.

Uses of it

Land scape element

Vegetation which will consist of trees ,shrubs ,ground cover ,annual perennials ,vines ,and turf .Serving the below given functions .•Visual enhancement •Wind control•Erosion control•Noise reduction •Maintaining micro climate •Buffer zone ( dust , noise , visual )•Energy conservation.Types of scapes

•Land scapes ( greenery)•Water scapes•Pavement / Hard scapes•Site amenities

The garden includes elements such as different walking surfaces for those learning to walk again after a stroke with the aid of a walker or cane.Differing planter edge heights so that patients learning fine motor control can sit or lean while doing simple gardening tasks.Labels that speech pathologists use in their work with patients regarding speech

after a stroke.Similar outdoor facilities at other hospitals include slopes, steps, bridges, a range of

walking surfaces and parallel bars to aid in physiotherapy.

What are design principles of a healing garden?

Not all gardens have healing effects (Stigsdotter & Grahn 2002), they should have special characteristics in order to be called a healing garden.They must have few characters:•Feeling of security - By being fenced off and safe, they could offer psychological peace and space for relaxation .•Understanding user groups and their needs -Healing gardens should be restorative and helpful to participants for improving their well-being. In designing healing gardens it is extremely decisive to understand the user groups and intention of the garden.•Offering different types of activities -In healing gardens, paying attention to the need of different types of communication is crucial. One type can relates to demanding environment.•Different rooms- “Healing garden must be able to communicate with the visitors on many levels through sight, smell, hearing etc.•Surrounding and views- The geographical context of the garden has influence on the garden and the experience of the garden. It is important to know what surrounds the garden.

benefits

•Stress reducing effects of viewing plants:Simply nature dominated structures , dominated by water , greenery , plants , hard scapes help patients to recover bit sooner .•Benefits for staff •Physiological effect•Positive effect of nature on all the peoples ( students, staff, patients ) •When land scaping is done it increase the aesthetic value , gives connectivity between to blocks in campus.

Case study

SOUKYA ,Dr Mathai's International Holistic Health Centre, Bangalore, India.• deals in ayurvedic and punchakarma ,homeopathy ,naturopathy ,yoga,,siddha , unani,acupuncture, reflexology treatment.•Its origin is the ancient Greek word "holos," meaning "whole".•SOUKYA is located on thirty acres of beautifully cultivated land in the countryside east of Bangalore, about 50 minutes from the airport. •Nine major structures are built around an oval, the centre of which is filled with lawns, flowers, trees and a symbolic Open Portal that encourages an open heart, mind and soul.• These nine buildings – the medical centre, the administrative centre, the yoga hall, the therapy centre, the dining hall, and the four residential clusters are all built in the South Indian traditional style, making use of as many local and handmade materials as possible. •All buildings are ground-level structures, helping the body to connect at all times with the magnetic force of the earth.

Case study

At entrance , the straight tree-lined drive helps to focus the mind and bring clarity of thought and intention. The ascending lamps along the drive help to elevate the person to a higher level. The three fountains at the end of the drive symbolize the mind, body and spirit.The lighting of lamps removes negative energy and the resonance of the handcrafted bell

also helps to clarify energies.a)SWAGATH & SAMPOORNA . b)SHANTHI .

Case study

C)SHALA b)SADYA

Case study

The entire grounds are planted with flowers, flowering shrubs, and trees and attract many colorful varieties of butterflies and birds.

Signs provide those who use the trail with the names of the various shrubs and trees that can be seen along the way.

Organic vegetable gardens and fruit orchards enhance the beauty of the grounds and provide the kitchens with much of the food prepared for meals.

A 2.2-kilometer walking and jogging trail encircles the whole property and runs along the inside perimeter of the surrounding fences.

Case study