Architecture thesis

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