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Environments for Aging Session D03 - Insights for Configuration and the Business CAse for Design Improvements

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Published by EUA Marketing, 2017-02-10 16:05:37

EFA D03 - Insights for Configuration

Environments for Aging Session D03 - Insights for Configuration and the Business CAse for Design Improvements

D-­‐03
 

INSIGHTS
 FOR
 CONFIGURATION
 AND
 
THE
 BUSINESS
 CASE
 FOR
 DESIGN
 
IMPROVEMENTS

Jeffrey
 Anderzhon,
 FAIA Lorraine
 G.
 Hiatt,
 Ph.D.

Senior
 Planner
 /
 Design
 Architect Environmental
 Psychologist
 /
 Gerontologist

Andrew
 Alden,
 M.Arch

Senior
 Planner
 /
 Designer

Continuing  Education  Credits

Architects  -­ 22  Credit  Hours  available
• Have  your  conference  badge  scanned  by  the  room  monitor  at  the  start  of  each  session  you  attend.    
• Complete  the  AIA  verification  form  (be  sure  to  check  off  the  sessions  you  attend)  and  retain  it  for  your  

records.    
• CE  credits  will  be  uploaded  to  the  AIA  transcript  system  within  4-­6  weeks  of  the  close  of  the  conference  

and  you  will  receive  a  certificate  of  completion  via  email.

Interior  Designers  -­ 22  Credit  Hours  available
• Have  your  IDCEC  verification  form  STAMPED  by  the  room  monitor  at  the  start  of  each  session  you  

attend.
• This  is  the  ONLY  proof  of  attendance  that  will  be  accepted.    
• You  will  self-­submit  your  credits  to  the  IDCEC  system  at  the  conclusion  of  the  conference.  
• If  you  have  questions  about  reporting  your  credits,  contact  the  interior  design  association  that  is  

responsible  for  monitoring  mandatory  continuing  education  to  fulfill  membership  requirements.

EDAC  -­ 10  Credit  Hours  available
• EDAC  Approved  Sessions:  T01,  D01,  D02,  D03,  E01,  E03,  E09,  E10,  E12,  E13,  E15,  E16,  E18,  E21,  

E22,  E23,  E24,  E25,  E27,  E30,  E34,  E35,  E36,  E38,  E39,  E40,  E41,  E42,  E43,  E44,  E47,  E49
• Complete  the  EDAC  verification  form  and  retain  it  for  your  records
• You  will  self-­submit  your  CE  credits  to  Castle  Worldwide  at  the  time  of  your  EDAC  renewal.    Renewal  

notices  with  login  instructions  will  be  sent  from  Castle  Worldwide  six  months  and  three  months  prior  to  
the  candidate’s  renewal  date.
• The  verification  form  is  your  proof  of  attendance  in  case  of  an  audit.        

EFA  Mobile  App  and  Session  Evaluations

Mobile  App  -­
If  you  have  not  done  so  already  download  the  mobile  app  through  your  device  
app  store.  If  you  have  any  questions  or  need  assistance  please  visit  the  mobile  
help  desk    

Session  Evaluations  -­ Rate  Sessions  Through  the  Mobile  App
Instructions  :
1. Open  and  load  mobile  app
2. On  the  top  navigation  bar,  select  the  screen  icon
3. Locate  and  select  the  session  you  are  attending  – they  are  listed  by  day,  

track  or  type
4. After  clicking  on  the  individual  session  a  navigation  bar  will  appear  on  the  

left.  Click  the  clipboard  icon  and  evaluation/survey  will  begin.  

LEARNING
 OBJECTIVES

• Understand
 how
 the
 physical
 environment
 impacts
 
direct
 caregiving,
 staffing,
 food
 service,
 and
 social
 
interaction;

• Learn
 about
 trends
 that
 are
 helping
 to
 shape
 the
 physical
 
environment,
 care
 program
 and
 operations;

• Discuss
 and
 appraise
 contemporary
 architectural
 designs
 
created
 for
 older
 adult
 care
 environments
 and
 the
 
operational
 methodology
 assumed
 for
 those
 layouts;

• Gain
 knowledge
 through
 interactive
 discussion
 focusing
 
on
 participant
 experiences
 with
 their
 own
 operational
 
and
 environmental
 designs.

Jeffrey
 Anderzhon,
 FAIA Andrew
 Alden,
 M.Arch Lorraine
 G.
 Hiatt,
 Ph.D.
Senior
 Planner
 /
 Designer Psychologist
 /
 Environmental
 Gerontologist
Senior
 Planner
 /
 Design
 Architect

@JeffA_EUA @AndrewA_EUA /lorraine-­‐g-­‐hiatt-­‐ph-­‐d-­‐83569627
/jeffreyanderzhon/j /andrewalden1 [email protected]
[email protected] [email protected]

THE
 AGENDA
• Recap
 from
 Households
 V1.0
• History
• Architecture
• Lessons
 Learned

THE
 EVOLUTION
 OF
 
SEANIBORRIE
 LFIVHINISGT
O  CARRYEOF
CONGREGATE SENIOR

CARE HOUSEHOLDS

Household
 Layout
 Comparison Hybrid
 
Short
 Corridor
  Household

Household

Hearth
  Renovation
 
Household Household
Eppstein
 Uhen
 Architects,
 2016

THE
 EVOLUTION
 OF
 
SENAIORRC
 LHIVIITNEGC
 TCUARREE-

LESSONS LEARNED

Physical
 Environment
 Comparisons
 Between
 Models
 of
 Care

TRADITIONAL
  CONTEMPORARY
 HOUSEHOLD
LONG
 TERM
 CARE
 MODEL RESIDENT
 CENTERED
 CARE
 MODEL
Large
 Centralized
 Activity
 Space Small
 Decentralized
 Activity
 Spaces

Large
 Centralized
 Dining
 Space Small
 Decentralized
 Dining
 Spaces

Centralized
 Staff
 Space
 (Nursing
 Station) Small
 Decentralized
 Staffing
 Spaces

Centralized
 Care
 &
 Service
 Spaces
  Decentralized
 Care
 &
 Service
 Spaces

Institutional
 Style
 Finishes
 &
 Furnishings Residential
 Interior
 Finishes
 &
 Furnishings

Lack
 of
 Natural
 Light
 &
 Exterior
 Views Natural
 Light
 &
 Options
 for
 Exterior
 Views

Majority
 of
 Multiple Occupant
 Rooms
 
  Private
 Rooms
 with
 Private
 3
 Piece
 Bathrooms.
 
(2,
 3,
 or
 4
 people)
 Shared
 2
 Piece
 Bathrooms.
  Limited
 Number
 of
 Companion
 Rooms,
 “Smart
 
Doubles”
Limited
 Private
 Rooms
 
Variety
 of
 Interior
 Colors
 &
Monochromatic
 Interior
 Colors
 & Mixture
 of
 Textures
Lack
 of
 Textures
Outdoor
 Access
 with
 a
 Variety
 of
 Spaces
Limited
 Outdoor
 Access
 and
 Garden

Operational
 Comparisons
 Between
 Models
 of
 Care

TRADITIONAL
  CONTEMPORARY
 
LONG
 TERM
 CARE
 MODEL RESIDENT
 CENTERED
 CARE
 MODEL

Ailment/Disability
 
 Focus Resident
 as
 Individual
 Focus

Staff
 Control
 of
 Daily
 Routines Resident
 Choice
 and
 Control
 of
 Daily
 Routines

Maximization
 of
 Staff
 Efficiency Optimize
 Resident
 Quality
 of
 Life
 &
 Independence

Rotated
 Staff
 Assignments Permanent
 Staff
 Assignments

Specialized
 Job
 Tasks
 (Hierarchical) Wide
 Range
 of
 Tasks
 (Team
 Oriented)

Quality
 of
 Care
 Emphasis Quality
 of
 Care
 &
 Quality
 of
 Life
 Emphasis

Majority
 of
 Food
 Preparation
 & Majority
 of
 Food
 Preparation
 &
 Serving
 of
 Food
 at
 
Plating
 of
 Food
 Behind
 Closed
 Door Decentralized
 Dining
 Spaces
 In
 View
 of
 Residents

THE
 EVOLUTION
 OF
 
SENPIORRO
 LGIVRINAGM
 CAARNED

DESIGN

THE
 EVOLUTION
 OF
 
SOEPNEIORRA
 TLIIOVINNGS
 ACANRDE THE
BUILT ENVIRONMENT

RESIDENT
 ROOM

THE
 EVOLUTION
 OF
 
SENIOR
 LIVING
 CARE

CONCLUSIONS

Key
 Take-­‐Aways

• Text

Contact
 Information

[email protected] Andrew
 Alden,
 M.Arch.
Mobile:
 917.297.8239 [email protected]
@AndrewA_EUA
Jeffrey
 Anderzhon,
 FAIA Mobile:
 414.687.7403
[email protected]
@JeffA_EUA
Mobile:
 402.598.3167

Sensory Built
Properties Environment

Attributes Spatial
of Properties

Groups Place
Organization Experience

Individuals

Socio-cultural Context
Courtesy of Gerald Weisman, PhD

Individual Attributes of Place Experience

Sensory Stimulation Accessibility

Activity Sociality

Crowdedness Meaning

Privacy Safety & Security

Control Mystery

Adaptability Inclusivity

Legibility

Comfort (anthropometric fit)

? Sensory ?Built
Properties
Environment

? Groups Control ?Spatial

Properties

? Organization ?Individuals

Socio-cultural Context
Courtesy of Gerald Weisman, PhD

? Sensory ?Built
Properties
Environment

? Groups ?Spatial

SSaecfeutryit&y Properties

? Organization ?Individuals

Socio-cultural Context
Courtesy of Gerald Weisman, PhD

A small group of residents living within a physically-defined
environment that "feels like home" and that has a kitchen (with a
wide variety of food accessible to residents around the clock,
including breakfast-to-order and on demand), a dining room and a
living room.

Staff is consistently assigned so they can develop meaningful
relationships with the residents, work in self-led teams and
perform a variety of tasks.

Courtesy of : www.pioneernetwork.net

Connect: Attributes & Resident Centered

Sensory Stimulation Accessibility
Activity Sociality
Crowdedness Meaning
Privacy Safety & Security
Control Mystery
Adaptability Inclusivity
Legibility
Comfort (anthropometric fit)

A Sense Of ……

THE EVOLUTION OF
SENIOURnLbIVaIlNaGncCAeRdE

PLACES

Unbalanced

PLACES

• Resident Experience
• Family Experience
• Caregiver Experience
• Marketing Impact
• Financial Impact

Sensory Built
Properties Environment

Attributes Spatial
of Properties

Groups Place
Organization Experience

Individuals

Socio-cultural Context
Courtesy of Gerald Weisman, PhD

Unbalanced
PLACES

• Resident Experience

Unbalanced
PLACES

• Family Experience

Unbalanced
PLACES

• Caregiver Experience

Unbalanced
PLACES

• Marketing Impact

Unbalanced
PLACES

• Financial Impact

THE EVOLUTION OF
SENIOR LTIyVpINicGaClARE

Layouts & Impacts

Physical Environment Comparisons Between Models of Care

TRADITIONAL CONTEMPORARY HOUSEHOLD
LONG TERM CARE MODEL RESIDENT CENTERED CARE MODEL

Large Centralized Activity Space Small Decentralized Activity Spaces

Large Centralized Dining Space Small Decentralized Dining Spaces

Centralized Staff Space (Nursing Station) Small Decentralized Staffing Spaces

Centralized Care & Service Spaces Decentralized Care & Service Spaces

Institutional Style Finishes & Furnishings Residential Interior Finishes & Furnishings

Lack of Natural Light & Exterior Views Natural Light & Options for Exterior Views

Majority of Multiple Occupant Rooms Private Rooms with Private 3 Piece Bathrooms.
(2, 3, or 4 people) Shared 2 Piece Bathrooms. Limited Number of Companion Rooms, “Smart
Doubles”
Limited Private Rooms
Variety of Interior Colors &
Monochromatic Interior Colors & Mixture of Textures
Lack of Textures
Outdoor Access with a Variety of Spaces
Limited Outdoor Access and Garden

Operational Comparisons Between Models of Care

TRADITIONAL CONTEMPORARY
LONG TERM CARE MODEL RESIDENT CENTERED CARE MODEL

Ailment/Disability Focus Resident as Individual Focus

Staff Control of Daily Routines Resident Choice and Control of Daily Routines

Maximization of Staff Efficiency Optimize Resident Quality of Life & Independence

Rotated Staff Assignments Permanent Staff Assignments
Specialized Job Tasks (Hierarchical) Wide Range of Tasks (Team Oriented)

Quality of Care Emphasis Quality of Care & Quality of Life Emphasis

Majority of Food Preparation & Majority of Food Preparation & Serving of Food at
Plating of Food Behind Closed Door Decentralized Dining Spaces In View of Residents

Household Layout Types

1 Short Corridor public to private gradient
Household

2 Hearth small house model
Household

3 Hybrid unique configurations
Household

4 Renovation changing traditional model
Household

Eppstein Uhen Architects, 2016

Household Layout Comparison Resident Room
Activity
Functional
Description Staff / Service
Circulation

Household Layout Comparison Hybrid
Household
Short Corridor
Household

Hearth Renovation
Household Household

Eppstein Uhen Architects, 2016

Household Layout - Discussion
Short Corridor

Household

Eppstein Uhen Architects, 2016

Household Layout - Discussion
Hearth

Household

Eppstein Uhen Architects, 2016

Household Layout - Discussion
Hybrid

Household

Eppstein Uhen Architects, 2016

Household Layout - Discussion

Renovation
Household

Eppstein Uhen Architects, 2016

Household Layout Comparison Hybrid
Household
Short Corridor
Household

Hearth Renovation
Household Household

Eppstein Uhen Architects, 2016

THE EVOLUTION OF
SENIOR LBIVRINEAGKCARE

(15 Minutes)

THE EVOLUTION OF
SEInNtIeOrRacLItVivINeGECxAeRrcE ise

THE EVOLUTION OF
SENIOGR rLoIVuIpNGInCpAuRtE

THE EVOLUTION OF
SENIOCRoLnIVcINluGsiCoAnRsE

Contact Information

[email protected] Andrew Alden, M.Arch.
Mobile: 917.297.8239 [email protected]
@AndrewA_EUA
Jeffrey Anderzhon, FAIA Mobile: 414.687.7403
[email protected]
@JeffA_EUA
Mobile: 402.598.3167


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