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NURSING HOME
by
Chi-wai Chau
A Thesis in Architecture
Submitted to the Architecture Faculty
of the College of Architecture
of Texas Tech University in
Partial Fulfillment for
the Degree of
BACHELOR OF ARCHITECTURE.
Accepted
Chi-wai Chau
To my parents who always support me.
I. ABSTRACT
Thesis Statement
Context Statement
Facility Type
Interaction A.I. 3
Thesis Statement
encourage the other. This thesis will explore the use of architecture to promote
Context Statement
environment of the site is very pleasant because of the lake and large amount of
vegetation. The site can provide a pleasant and comfortable Environment for the
The facility is a nursing home designed for thirty seniors and staff. The
Architectural Issues
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A.I. 2
Interaction
-Aristotle
By nature, the human is a social animal. Human lives that contribute both
By social interaction, human can gather information about current events. At the
same time, this kind of social interaction can attract people with the same moral values,
norms and interests. These people provide opportunity for them to build up their
relationship in order to share their experiences and opinions about particular subjects
that they are interested. These kinds of social gathering also encourage people to
In a nursing home, elderly patients need social interaction to stimulate their body
functions and to help them participate more activities in their daily lives. Through
A.I. 3
interaction, patients can establish friendships to others. This is very important because
patients usually stay away from their homes and families and for them, the closest
person they can talk to face to face maybe is someone who stays in the same place.
comfort others and to encourage other who feels hopeless and to help others who need
gerontology states that conversation can stimulate one's mental and physical
A.I. 4
Nursing Home
the past, the nursing home is called "rest home" or "old age home". Nursing home
may be defined as one of the categories under Long Term Care facility (LTC).
LTC can operate either independently or with a hospital and provides nursing
care and medical services under the general direction of persons licensed to
practice medicine or surgery. LTC generally does not have resident physicians
nutrition and education about how to maintain better health, there is an increased
growth of senior population. In the past, elderly persons care by their relatives
and friends. When relatives and friends begin to work in another city, many older
persons have found themselves miles away in need of supervision and personal
care. Therefore, the nursing home becomes a place for elders who cannot take
care by their relatives and friends to have nursing care and supervision.
A.I. 5
Architectural Issues
Mission Statement:
The purpose of this nursing home is to provide a place for elders to stay
comfortability and meaningfully.
Issues:
- Interaction
- Comfort
- Image
A.I. 6
Interaction
Goal:
The facility should be able to encourage sharing and interacting between users.
Performance Requirement #1
The facility should encourage and provide places for individual and group activities.
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Group activities Personal interaction Group interaction
A.I. 7
Performance Requirement #2
A.I. 8
Performance Requirement #3
A.I. 9
Comfort
Goal:
The facility shuold provide both physical and psychological comfort to the users.
Performance Requirement #1
-A.I. 10
Performance Requirement #2
The facility should provide sufficient personal space for each patient.
A.I. 11
Performance Requirement #3
A.l. 12'
Image
Goal:
The facility should clearly express the warm and friendly image.
Performance Requirement #1
Canopies in the entrance Landscape to create focal point Height of the structure
A.I. 13.
Performance Requirement #2
The facility should provide a warm and welcome feeling for patients and visitors.
Information center in the lobby A expressive entrance structure Spatial layout to accommodate special need
'A.I. 14-
Performance Requirement #3
Natural landscape Building materials Scale of the building with the surrounding
A.I. 15
Architectural Issues Case Study
Architect: NORR Partnership Limited, Health Care Design Group. 6 quiet room
7 uttiity
8 pat<«ni tub
A tytxcal quad
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C rypical double
Facility Information:
complex located in the suburban site of kitchener, Ontario. The concept of this
i I I i I
hospital is to break down the monolithic scale into a "townscape" of district
quad of patient room contains two two-bed rooms, a quiet room and a sun room.
COamVABD EIEVAIIOB
The layouts of the quad not only encourage interaction between patients to
patients but also provide privacy for each patient by a quiet room.
A.I. 16
Name: Lawrenceville Senior Center
Facility Information:
challenge the traditional notions of aging by create a dynamic building form. Two • DCCX
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with older and frail with the active, this senior center proposes a holistic, healthy
view of aging.
'A.l. 17-
Annotated Bibliography
Hiatt, Lorraine G." The environment as a participant in health care." Journal of Long-Term Care administration. Vol. 10
No. 1982, 1-17.
The function of the environment and the role of planning.
Santillo, William. "Freeport Hospital, Kitchener, Ontario," Canada Architecture. March 1990, 27-32.
A Hospital that create a townscape of distinct buildings to encourage human interaction at a neighborhood level.
Santrock, John W. Psychology The Science of Mind and Behavior. 2d ed. Iowa: Wm. C. Brown Publishers, 1988.
The introduction of psychology and human behavior.
Shaefer, Richard T. And Robert P. Lamm. Sociology. 4d ed. New York: McGraw-Hill, Inc. 1992.
The introduction of social activities and human interaction.
A.I. 18
Facility Program Issues
-F.P.I. 19'
Facility Background
These elders may need 24-hour care or just a few hours each day. The reason
these elders are stay in the nursing home instead of stay at home is because
they need medical care during the day and their families cannot provide that kind
of service for them. When elders stay in the nursing home, they can have
different social activities to stimulate their body and mind to make them feel
better.
The rooms and facilities most commonly provided for in a nursing home
1. Administrative office
2. Meeting rooms
3. Bedrooms
4. Nurses stations
-F.P.I. 20-
5. Outdoor courtyard
6. Kitchen/cafeteria
7. Lobby
8. Utility rooms
9. Gathering places
10. Bathrooms
30 patients and staff. This facility is not only a nursing care facility but also
-F.P.I. 21.
Activity Analysis
that occur within the facility and what measures must be made in the design
each activity. The purpose of this analysis is to present a different area of issues
'F.P.I. 22^
Scope of Activity: Sleeping/Private activity
Place: Bedrooms
Participants: Patients
Primary Activities: The primary activities in the bedroom are sleeping, and
resting.
F.P.I. 23
Primarv Activities: The primary activities of the administrative office are
home.
Place: Cafeteria
Primarv Activities: The primary activities of the cafeteria are eating and
drinking.
F.P.I. 24
Secondary Activities: The secondary activities of the cafeteria are reading and
talking.
interaction
Secondary Activity: The secondary activities of the gathering places are reading
and sitting.
F.P.I. 25'
Place: Nursing stations
Primary Activities: The primary activities of the nursing station are setting up
Secondary Activities: The secondary activities of the nursing home are breaking
and meeting.
Place: Lobby
Primary Activities: The primary activities of the lobby are waiting, Informing.
F.P.I. 26-
Secondary Activities: The secondary activities of the lobby are reading and
interacting.
.F.P.I. 27-
Space Analysis
Administrative Office:
F.P.I. 28'
have sufficient windows for viewing and indirect
Administrative Storage:
different functions.
FP.I. 29.
staff Restroom:
Staff Breakroom:
F.P.I. 30'
Functions: The function of the staff breakroom is to provide a
Spatial Requirements: The staff breakroom should be located near the staff
Lobby:
F.P.I. 3 t
Degree of Privacy: Public
Cafeteria:
F.P.I. 32-
cafeteria should handicap accessible. The location of the
Kitchen:
F.P.I. 33-
Bedrooms:
interaction.
F.P.I. 34-
Patient Bathrooms:
IVIeeting Rooms:
F.P.I. 35-
Functions: The meeting areas are the place for meeting or group
activities.
Restrooms:
F.P.I. 36-
Spatial Requirements: The Restrooms must be handicap accessible.
Nursing Stations:
F.P.I. 37-
Spatial Requirements: Nursing station should be located near the bedroom
Nurses Restrooms:
F.P.I. 38'
utility Rooms:
Spatial Requirements: The utility rooms should have different shelves and
lighting.
Madicai Storage Ri
F.P.I. 39-
Functions: The function of the medical storage room is the
F.P.I. 40-
Spatial Requirements: The storage area should be organized and located
sufficient lighting.
Soiled Workroom:
and ventilation.
F.P.I. 41'
Gathering Places:
with others.
Cafeteri
Degree of Privacy: Public
Mechanical Room:
'F.P.I. 42-
Functions: The mechanical room is a place for mechanical
equipment. \ \ I //
Degree of Privacy: Private Mech. Room
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Spatial Requirements: The mechanical room should isolate from the public. j/\l)%AfV*l!>t'''''^lu4j ^
Lobby
The mechanical room should have sufficient lighting and
Cafeteria
ventilation. The wall thickness for sound transmission must
1 1
be emphasized.
iF.P.I. 43-
Space Summary
'F.P.I. 44'
Facility Program Issues
Mission Statement:
The layout of the facility should not only reinforce the concept of
interaction but also create a safe and comfortable environment for the users.
Issues:
- Interaction
- Comfort
- Security
- Circulation
- Territory
F.P.I. 45-
Circulation
Goal:
The facility should provide a simple and direct circulation system for patients,
Staff and visitors.
Performance Requirement #1
The facility should have maximum information flow between different areas.
=>F.P.I. 46 I zz:
Performance Requirement #2
'F.P.I. 47
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Performance Requirement #3
Gathering places near the circulation paths. Wider paths for circulation.
F.P.I. 48-
Comfort
Goal:
The facility should provide both physical and psychological comforts to the users.
Performance Requirement #1
The facility should provide sufficient natural light and view to create pleasant
environment.
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Natural lighting should Larger windows for viewing Outdoor courtyard and balcony.
be introduced into the building.
F.P.I. 49-
Performance Requirement #2
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Each area should divide Pedestrians should be
to perform different functions. able to see through public spaces.
Each room should be clearly identified. Restrooms should be located near the public spaces.
^^F.P.I. 50-
Performance Requirement #3
F.P.I. 51
Interaction
Goal:
The facility should promote social interaction between patients, staff and
visitors.
Performance Requirement #1
A place for good viewing. A center of different spaces. A place has comfortable
seats and tables.
F.P.I. 52 ' — I
Performance Requirement #2
Place to sit near circulation paths. Displace areas near work areas.
-F.P.I. 53'
Performance Requirement #3
F.P.I. 54
Territory
Goal:
The facility should be divided into different territories for different uses.
Performance Requirement #1
F.P.I. 55 • — '
Performance Requirement #2
F.P.I. 56-
Performance Requirement #3
Different level of related activities should be occurd within one bigger space.
F.P.I. 57 ' —•
Security
Goal:
The facility should provide a safe and secure environment for patients, staff
and visitors.
Performance Requirement #1
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F.P.I. 58 I —I
Performance Requirement #2
F.P.I. 59-
Facility Case Study
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Architect: Atelier 5
Facility Information:
entire facility is organized around the basic units of the 24-30 two-bedroom units. The
distinctive Y-shaped configuration of the floor plan ensures that each bed has some
F.P.I. 60-
Name: Nana! home for senior citizens
Facility Information:
Nanai home for senior citizen is located in Mashiko, one of the most
attractive natural settings of its kind in Japan. Residents in the nursing home live in a
spacious individual room with private toilet and lavatory where they can live as richly as
possible. In order to minimize the floor area, a cushion space was created to separate
between private rooms and corridor; a lavatory station separated from the corridor by
means of a translucent screen. Nnai home also provide a large meeting area for the I I m •••• • • tr^ • • • • ' •fc^ta—C ^ * m-^^^ UiJ ^
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local citizen to have different activities for the elders and local residents.
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F.P.I. 61'
Facility Program Issues Bibliography
Hiatt, Lorraine G. "Effective Trends In Interior Design." Provider. April 1986. 28-30.
Hiatt, Lorraine G. Nursing Home Renovation Design for Reform. Boston: Butterworth
Architecture, 1991.
Hiatt, Lorraine G. "Moving outdoors." Nursing Homes. Vol. 29 No. 2 1980, 33-39.
Hiatt, Lorraine G. "The importance of the physical environment." Nursing Homes. Vol. 31
Hiatt, Lorraine G. "Effective design for informal conversation." American Health Care
Hiatt, Lorraine G." Understanding the physical environment." Pride Institute Journal of
Tominaga, Yuzuru. "Kofuen Nursing Home + Day Service Center." Japan Architecture.
Aug. 1988.59-63.
• F.P.I. 62
Wilkers, Joseph A., ed. Encyclopedia of Architecture. Design. Engineering &
F.P.I. 63
Contextual Issues
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C.I. 64
Historical Context:
which is the upper tributary of the Double Mountain Fork of the Brazos River. As early
as 1540s, Spanish explorers began to cross this canyon. Jumano, Apache, Comanche
Indians camped here to take advantage of the canyon's protective walls, fresh water
spring and trees. The name of Ransom Canyon is from the Spanish name "Canon de
Rescate" which means "Canyon of Ransom." The name is given because in this canyon
the Spanish and Anglo traders paid for the return of hostages kidnapped by the
Comanche Indians.
1884 the Western Land and Livestock Company bought most of the land in the famous
lOA Ranch. In 1901, Ransom Canyon became the site of 06 Ranch after the failure of
the lOA Ranch. From 1915 to 1961, Ransom Canyon was part of the ranch owned by
C.I. 65
In 1961, investors purchased the canyon area and in 1965 become Lake Ransom
Psychological Context:
Lake Ransom Canyon is a physically remote area from the city of Lubbock. The
natural surrounding of the Lake Ransom Canyon provide a pleasant environment for the
facility. Patients can take advantage of the natural beauty to enjoy a relaxing living in the
facility.
Natural Context:
Lake Ransom Canyon contains a beautiful lake, thick vegetation and many
Cottonwood trees. The elevation of the canyon changed radically from 2940 ft. to 3116
C.I. 66
ft. above sea level. The climate of Lake Ransom Canyon and the region of West Texas
August.
Built Context:
The site of the facility is located in the recently developed part of the Lake
Ransom Canyon. The future facility will be located in the northwest corner of the canyon
C.I. 67
Contextual Issues
Mission Statement:
The facility should take advantage of the existing context to create a
relax and pleasant environment for the users.
Issues:
- Interaction
- Comfort
- Security
C.I. 68
interaction
Goal:
The facility should provide spaces for patients to interact with the nature.
Performance Requirement #1
C.I. 69
Performance Requirement #2
The users should be able to interact with the surrounding environment by the facility.
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'C.I. 70^
Performance Requirement #3
C.I. 71
Comfort
Goal:
The facility should be able to take advantage of the natural surrounding by create
a comfortable living environment.
Performance Requirement #1
The facility should provide outdoor courtyard and gathering place for social
activities and interaction.
Tree for shading Water feature for visual pleasure Appropriate outdoor furniture
C.I. 72
Performance Requirement #2
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C.I. 73
Performance Requirement #3
C.I. 74 I Z=3
Security
Goal:
The facility should provide both physical and psychological protection for the
users.
Performance Requirement #1
C.I. 75 I zn
Performance Requirement #2
C.I. 76 -
Performance Requirement #3
The facility should provide a safe and handicap accessible outdoor area to the users.
C.I. 77
MAP OF TEXAS
SHOWING LOCATION OF
CORPUS CHRISTI
BROWNSVILLE
C.I. 7 8 - = -
Climate Data
(Temp.)
Rain (in.) Wind (Mph) Degree Days Ave Max. Min.
Jan. 0.5-1 13 600 42 55 25
Feb. 0.5-1 15 400 45 60 25
Mar. 0.5-1 17 400 53 70 30
April 1-2 16 100 57 75 40
May 2-4 15 0 67 80 50
June 2-4 25 0 78 95 60
July 2-4 12 0 82 95 65
Aug. 1-4 11 0 77 95 60
Sept. 2-4 12 50 75 90 55
Oct. 1-4 12 50 75 90 55
Nov. 0.5-1 13 100 64 80 45
Dec. 0.5-1 14 600 45 60 25
C.I. 80
Contextual Issues Case Study
Facility Information:
The design concept of the Canyon View Elementary School is to focus students'
attention on its dramatic desert site in the foothills of Arizona's Catalina Mountains by
1 SITE ENTRY
providing large viewing windows in different area within the facility. The school's three 2
3
BUS ENTRY
UBBARY
< SPECIAL EDUCATION
I ART
groups of buildings are situated along the edges of the arroyo, where summer rainfall 6 CLASSROOMS
7 MULTIPURPOSE
a KINDERGARTEN
spawns a verdant collection of desert plants. The construction materials of the facility 9 MUSIC
10 ADMINISTRATION
11 COMPUTER
C.I. 81 ^
Name: National Wildflower Research Center
Facility Information:
on a 42 acres of reclaimed ranch land. The mission statements of this project are "total
resource conservation" and "the primacy of native landscape and its intrinsic beauty".
The design approach of this research center is use a village of smaller structures
that could provide more flexibility than a single building. The construction materials of
the research center are mainly wood and stone because it is the common building
materials of the South Texas. It also creates a sense of wild and nature by the texture of
C.I. 82
Context Issues Bibliography
C.I. 83
This thesis project was to design a nursing home located at Ransom
Canyon and the ultimate goal for this project is to create an environment that
From the beginning of the semester, i straggle with the idea of how to
create places for interaction and arrange all the patient rooms without look like a
motel. By the time I get over with the struggle, I find out that I spend too much
time designing the floor plan. After I finalize my floor plan, I already ran out of
time to design other things like shading device and landscape. Therefore, I think
my thesis project can be a better project because it still has a lot of room to
improve.
During this semester, I have a lot of fun and a lot of difficulty doing this
project. I learn a lot in the process of design and I think this is a good
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