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Design from Within Deb Fournier RN-BC, MSB, NHA Maureen Carland RN, BSN, NHA Evan Carroll AIA, LEED, BD+C, Principle.

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Presentation on theme: "Design from Within Deb Fournier RN-BC, MSB, NHA Maureen Carland RN, BSN, NHA Evan Carroll AIA, LEED, BD+C, Principle."— Presentation transcript:

1 Design from Within Deb Fournier RN-BC, MSB, NHA Maureen Carland RN, BSN, NHA Evan Carroll AIA, LEED, BD+C, Principle

2 Our Objectives Identify principles of person directed design Describe the resident architect's experiences and the application of these experiences to the community Examine the formation and role of advisory counsels for guiding project development

3 Decision making by owner or architect Even small decisions made away from the user Management makes decisions What Typically & Historically has Happened

4 How and Why this Needs to Change Baby Boomers are Coming! The next generations wants more choices

5 Outline 1.An administrators perspective: Why and how an architect came to MVH 2. An architects perspectives: Evans experiences 3. Lessons learned from Evans visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Marys

6 What happened at Maine Veterans Home Evan Carroll Architect, Graduate of Roger Williams University Raised in Maine Passionate for designing for aging population

7 Living Through Learning program at UNE Marilyn Gugliucci, Director of Geriatrics

8 How we prepared Previous Med students Faux medical conditions Positive results

9 The best laid plans… Uneasiness Unprepared staff

10 Communication Rationale and learning goals Concerns and anxieties Careful planning Discussion

11 Outline 1.An administrators perspective: Why and how an architect came to MVH 2. An architects perspectives: Evans experiences 3. Lessons learned from Evans visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Marys

12 Living in a Veterans Home Why have this experience?Why have this experience? How did I prepare?How did I prepare? What was it like?What was it like? What did I learn?What did I learn?

13 Why have this experience? PeoplePeople Paradigms are shiftingParadigms are shifting EmpathyEmpathy New solutionsNew solutions

14 How did I prepare? JournalJournal PackingPacking Self coachingSelf coaching

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16 HOME safe comfortable familiar secure

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19 Arrival Having a roommate Having a roommate Dependence Dependence Shift Changes Shift Changes Smiles Smiles

20 Settling In Staff Staff Socializing Socializing Visitors Visitors Becoming a household Becoming a household

21 What was it like? Two Stories: The LuauRose

22 What was it like? A rewarding experience: The relationships Growing old is a part of life Love can overflow Designers, residents, families and staff must work together

23 What did I Learn? Kinds of Care My two different roommates My two different roommates Memory/Long Term Care Rehabilitation Build friendshipsvs.Protect self Settle-Invs.Wait to leave Homevs.Hotel Dependencevs.Hope for Independence

24 What did I Learn? Senses Sounds of home Sounds of home Smells of home Smells of home Sights of home Sights of home Textures of home Textures of home

25 What did I learn? Spaces in a Home Space - to be alone

26 What did I learn? Spaces in a Home Space - to chat

27 What did I learn? Spaces in a Home Space - to walk

28 What did I learn? Spaces in a Home Space - for a group

29 What did I learn? Spaces for things Identity Identity Ownership Ownership

30 What did I learn? Spaces for things Ledges & Shelves

31 What did I learn? Spaces for things Frame Rail

32 What did I learn? Spaces for things Window Dressings

33 What did I learn? Spaces for things Bedding and Rugs

34 What did I learn? Spaces for things Shadow Box

35 What did I learn? Views and Safety

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37 Outline 1.An administrators perspective: Why and how an architect came to MVH 2. An architects perspectives: Evans experiences 3. Lessons learned from Evans visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Marys

38 Now that we Know Small Projects Cafe Cafe MVH Multi-Purpose Room Remodel MVH Multi-Purpose Room Remodel MVH Room Remodel MVH Room Remodel

39 Now that we know Jakes Cafe Jakes Cafe

40 Now that we Know New Menu

41 Now that we know

42 Now that we Know

43 Outline 1. An administrators perspective: Why and how an architect came to MVH 2. An architects perspectives: Evans experiences 3. Lessons learned from Evans visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Marys

44 An Administrators Journey

45 Preparing the Culture

46 Principles of Patient, Resident, & Family Centered Care Dignity and Respect Information Sharing ParticipationCollaboration Reprinted with permission from the Institute for Patient- and Family- Centered Care:

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48 Patient, Resident, & Family Advisory Councils

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50 Renovation Learnings Use of mock rooms Use of mock rooms Getting around the bed Getting around the bed Swing versus pocket doors Swing versus pocket doors Width of bariatric bathroom entrance Width of bariatric bathroom entrance Location of head of bed Location of head of bed Put a picture here? Put a picture here?

51 Renovation Learnings Finishes Finishes Use different yet complementary finishes to enhance way finding and deinstitutionalizing environment Use different yet complementary finishes to enhance way finding and deinstitutionalizing environment Consider color, lighting, and noise reduction Consider color, lighting, and noise reduction Consider use of different flooring products Consider use of different flooring products Intentional use of language Intentional use of language Suites instead of rooms Suites instead of rooms No names outside the suite entrance No names outside the suite entrance

52 Program Learnings

53 Advisory Councils

54 Results Photos are used with permission from St. Mary's Health System

55 Results Photos are used with permission from St. Mary's Health System

56 Results Photos are used with permission from St. Mary's Health System

57 Now that we know Future building plans Future renovation plans- big or small

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59 Contact Information Bild Architecture PO Box 8235 Portland, Maine

60 Contact Information


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