Child friendly Children’s Healthcare Complex Architectural Thesis South Chittuur , Kerala
Amit Joseph Kurien
00. Child friendly Children’s Healthcare Complex,South Chittuur , Kerala Thesis | 10th Semester | Studio Co-Ordinator : Prof. Aruna Ramani Grover
Thesis Flow chart
Thesis proposition: Introduction
Search
Need Proposition
Hypothesis
Research
1o Research 2o Research 3o Research
Case Studies
Site Investigation
Reading of site Reading of program
Design Translation Design
Children need special care and treatment in terms of healthcare. Children are not like little adults. The need for a specialized hospital for pediatric care is imperative. The children’s hospital must have a different approach to hospital architecture than any normal hospital. In this case, its quite important to marry the visual perception to the complex functionalities of the hospital program. Architecture affects children. The quantity and quality of space both affect the behavior of the child. The children’ hospital should also provide mental for mental comfort not just for the patients but also for the parents as well.The children’s hospital must cater to providing comfortable environment for parents as well. The children’s hospital not just provides curative treatment but also looks into palliative care. During these fragile times, it is important to encourage the parents and tighten the family bondage. The construction should be kept sustainable to keep its impact on the environment.
Case Studies: Hypothesis :
Kalawati Saran
Robin House
Suzhou
Sondergard
Bayt Al Abdullah
Happy Feet Home
To create environments for curative treatment and palliative cure for the children by not just addressing the various healthcare functionalities but also comfortable environments for both children and parents.
Hospital + Hospice
Research:
Hospice Hospital
The first part of the research deals with understanding the functionality of a hospital and a hospice.
The Secondary research deals with creating a healing for the children and a comfortable environment for their parent
The tertiary research looks into green and sutainable methods of construction.
City Level
Concept
Stage Models
70o
airport Metro
site Centre for Medical tourism
The best orientation for the building is 70 degrees from North.
Internal courtyard typology can be addressed.
Quick access to the airport, Metro stations and the National Highway
Precinct Level
The idea of making the hospital look and feel like a home is very important for the healing process of children.The above image is a clear representaion of the feeling of the hospital that is to be achieved.
K o t h a d
Chittuur Cheranallor Road
Site
Site
DhyanaKendra Junction
Building Typology
Kollariki Road Temple Road
There is no place more comforting like home
Millenium road
N Bus Route Edapally city road Most preferred route to
Land use pattern
site
Access to site
Figure Ground
Reverse Figure Ground
Neighbourhood Level
Site Plan
Location Hotel Pe r
iy ar
Aster Medicity
General Hospital
Ba
ck
W at
er
Housing
Administration Site
N
S
Site Level
N
The Aster Medicity is Services Administration located at the northern tip of the South Chittoor island. The Medicity is O.P.D surrounded by the backwaters to the north and Accident and East. Placed strategicalEmergency ly away from the denser populated areas of the The location of the departisland across the Kothad ments have been determined Bridge road. based on location basis.
W
Large space for Poor access site development Lack of surLocation within rounding housMedicity ing No obstruction Difficulty in of light/wind transportation Medicinal trees for construction like Eanth within and disposal the site
O
To explore nature as a healing element Explore cliamte sensitive architecture To treat the water edge through landscaping
This is probably the oldest typology yet still in common use. The pavilions would often have clinical spaces on lower levels with wards above. Popular examples of this typology are the Woolwich Hospital and St. Thomas’s hospital, London ; Hotel Dieu, Paris. 5
5
3
4 2
1
T
Destruction of the surrounding biosystem Waste disposal into river Flooding of site Tampering with the community conditions
Legend
1. Children’s Hospital 2. Children’s Hospice 3. Hospital 4. Administration 5. Housing
Children’s Healthcare Complex
Site Plan
3 Amit Joseph Kurien
S.P.A New Delhi
Concept-Hospital
Concept-Hospice
Stage 1
N.S.
Understanding the scale of children
The bed and the ward
Nursing needs
The design of the hospital starts wih the smallest unit.Here in this case was that of the bed and the wards. Different age groups amongst children are considered
The nursing care for different age groups of children is different.Hence the position of these beds could be understood
Children have various needs.They are not little adults.Different age groups need different spaces for a wholistic curing
Treated children
22,000 Children
Stage 2 Site Layout
Other Needs
Service Visitor
The total set of sick children visitng the hospital
Visitor
Children diagnosed with terminally ill diesease
Indian Council for Medical Research
The Journey to death is often traumatic and sad for the family
Service
Clarity of movement
Differentiating service from pa- Mat building Concept tient movement From the study of the venice
Hospitals being big can be very confusing places for patients. Hence effort has been made to concentrate the visitor movement into a particular corridor
Medical instruments, equipments and any other thing that can create fear must be hidden. Hence a central street with different streets for services is kept mind while designing.
hospital, a mat building program would be best suited for the design scheme.This would ensure that a courtyard is included within the masses.
Stage 3 Introducing Play
The parents face a The child feels depressed herculean task of coping due to condition with pain
The child dissassociates himself from others and feel isolated
The child can cope this by engaging himself through various activities of his interest
Counselling Room Activity Room Abhishek and Mansi
Introducing play
Hospice
At every 18 m courtyards are introduced that let in light and also provide oportunities for play and interaction
Happy Feet Home
Therapy Room
India’s First Hospice
Plan of hospice
Feb 2014
The main entrance The main entrance is designed around an existing tree , Eanth tree which had medicinal properties.The entrance is entertained with play areas , canteen and a radio station to relax the patients.
1.
Stage 4
Concept
Site Layout
Hospital = Home The most important healing environment for any child is his home.This is where he or she feels relieved during any stress or pain.The child must be able to connect with the build ing and feel relieved.
Visual
The most common imagery of the home is used here.
Repatative units The roof also resembles the one at the entrance of the KrishnaSawmy South Chittur , which is one of the famous landmarks of the place
Contextual The hospital resembles multiple houses stacked alon each other.
The main idea for the hospice to design activities that involcve both the parens and the children
Activity Room
++
N w
N
E
w
E
s 70o
Response to Periyar river
Promoting Healthcare within the community
Considering physical and psychologocial needs
s
ww
NN s s
E Ew
N E s
+
70o
Creating inner greens that act as focus points
Including colours in Healing therapy
Non- Instituional Look
+ Adaptive to change
Home like atmosphere
Rain in generating life into the building
70o
70o
+ N
N w
w
E
s
s Activities +prayer
E
Internal courtyards
scale of children
Orientation of departments climatologically
N w
E s Retaining the existing trees.
+ Increased role Family
of
N w
E s Internal Courtyard o o 7070
Softer child friendly materials
E s
70o
N w
Strategies :
Clarity of movement
Using local materials
Ground Floor
First Floor
+1200 lvl
+4800 lvl
Movement Visitor Services
Movement
Emergency
Visitor
Core
Services
Visitor
Emergency
Service
Core
Departments
Visitor Service
Speciality Departments
Departments
Scale : NTS
Outpatient Department
In patient ward
Diagnosis Department
I.C.U.
Accident and Emergency Blood Bank
N.I.C.U.and P.I.C.U.
N Scale : NTS
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
N
Family Welfare Unit
Labor and Birthing unit
Second Floor +8400 lvl
Basement -4500 lvl
Movement Visitor Services
Departments
Emergency
Workshop
Core
Laundry
Visitor
Kitchen
Service
Labs
Departments
Manifold System
Children’s Activity centre N Scale : NTS
In-Patient Ward Operation theater
Mortuary N Scale : NTS
C.S.S.D Administration
Vertical Stacking
Sections
Second Floor
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
+8400 lvl
First Floor
+4800 lvl
Ground Floor
+1200 lvl
Basement
-4500 lvl
N Scale : NTS
Detail:
Detail: In-Patient ward Understanding child - parent relationship in ward Height
Child and parent bed need
2000
Opeartion Theater
1500 1000 500 0
Parent relevance
Infant
children
toddler
Teenager
Bed organisation
Stage 1 The first step deals with understanding the various stages of child growth .Children can be divided into four age groups ; infants(0-1 yrs) toddlers (1-2 yrs), children (2-12 yrs) and teenagers (1318 yrs).The relevance of the parent in the children’s ward is analyzed here
Stage 2 The second stage looks into the requirements of bed for both the parent and the child.It further explores the bed- bed interaction and thus their organization.
Stage 3 The third stage looks into other requirements for children that help in healing. Visual Music Pet Play Friends Nature T.V.
Movement Patient Visitor Staff
Laundry
I.C.U.
Final Layout
Mortuary
Toddler Children
Teenager Private
Design Model Scale 1:500
3
4
7
1
5
8
2
1.Top view of Model 2.View from the periyar Backwater 3.Response to the context 4.Internal courtyard of hospice 5.Boat jetty 6.Hospital Roof 7.Front view 8.Design of corridor roof 6
Design Detail Model Scale 1:500
Jury Photos
Jury Comments
+
-
The jury found the concept of keeping a home like feeling for the The jury wished that the orientation of the fingers to hospital very interesting. face the backwaters They appreciated the author’s effort of taking inferences from Though the idea of introducing the hospice was apcase studies and developing ideas based on research. preciated, lack of detail on the hospice was regretted Ar. Sameer Mathur noted the author’s effort on retaining the exisiting Eanth tree and designing the hospital around it.
by the jury.
Author’s Statement
They enjoyed the process by which the author approached the issue and tried to design according to the needs of the client , in The thesis project was a self realization on the author’s take on architecture and the process of dethis case the children.
sign.The author is happy about his intent of design-
The eminent jury aprreciated the author’s eye for organization ing hospitals like homes for quick healing.The author within the children’s ward. regrets that with the scale of the project being big,
The jury found the imagery of a home found in childrens drawing the effort on achieving drawings showing details was s very amusing and very keen on questioning whether this imag- limited.Though many ideas were in place, the author falied to completely finish the project to satisfaction. ery was absolutely true.
The author agrees with the jury on the lack of detail
The jury also commented the author’s effort on the panel and the in hospice which by itself is a very important architecthesis book which was earlier submitted along with the synopsis.
tural project.The author finally realizes that an architect needs constant dedication, interest and hardwork to Finally, the jury commented on the author’s effort to turn a boring pursue one’s dream and achieve it completely. institutional building into a place for true healing for children