Master Thesis Project: VIVE Palliative Care Facility

VIVE PALLIATIVE CARE FACILITY

CAROLINA CARDONA | MASTER’S PROJECT 2021

CONTENTS PRE-DESIGN Research Typology Site & Building Analysis

DESIGN GUIDANCE Materiality & Mood Board Concept Purpose & Goals Design Guidance Diagrams

SCHEMATIC DESIGN Furniture Plan Reflective Ceiling Plan Lighting Goals, Concept & Luminaries Perspectives & Elevations Materials & FF&E

TYPOLOGY: HEALTHCARE Holistic medicine focused on wellness design Wellness includes: Fitness, nourishment, mental health, stress levels, emotional health, spiritual wellness, social well-being.

WHAT IS PALLIATIVE CARE? Specialized care that helps people with serious illnesses feel better. Focused on providing relief from symptoms, stress, or side effects of the disease & treatments.

Usually provided in hospices & hospitals Provides relief from pain & distressing systems May integrate psychological & physiological wellness strategies in the interior design Often used in conjunction with other therapies, such as chemotherapy, in order to improve & prolong life

RESEARCH OBJECTIVE Wellness strategies implemented in interior design & their effects on adult (45+) cancer patients’ & their caregivers’ emotional & mental needs & well-being.

Implementation of Wellness Strategies

influences

Interior design of Palliative Care Facility

affects

Emotional & Mental Needs & Well-being of Cancer Patients & Their Caregivers

WELLNESS STRATEGIES Positive Distractions

Perceptions of Control

Social Support

Happy & Caring Faces Instill trust, patience & understanding

Audible & Visual Privacy User control

Variety of Social Spaces Supportive environments to help cope with illness

Nature Elements Exterior views, natural sunlight, & biophilic design

Privacy Reduce patient anxiety & support spiritual expression & a sense of self-worth Ergonomic Considerations

Comfortable seating areas Clear floor/room Layouts

THE USER STAFF

ADULT CANCER PATIENTS

CAREGIVERS

Includes psychologists, therapists nurses, social workers & nutritionists.

Ages 45+. Includes males & females

Ages 18+. Includes family members &/or care providers

Activities: Help adult cancer patients & their caregivers by offering emotional support, group classes, & help with mental health.

Needs: Flexible & comfortable furniture Spa-like feeling Well-lit areas Acoustical & visual privacy Environmental control Focus on well-being Staff lounge used for relaxation

Activities: attend group classes, receive emotional support & help with their mental health through their treatments.

Needs: Clear way-finding Uplifting environments Private/public spaces Flexible & comfortable furniture Acoustical & visual privacy Focus on well-being Accessibility to spaces for wheelchairs

Activities: serve as support for adult cancer patients, and they also receive mental support from the palliative care facility staff.

Needs: Clear way-finding Uplifting environments Private/public spaces Flexible & comfortable furniture Acoustical & visual privacy Focus on well-being

ACCESSIBILITY Access via Overseas Highway Moderate to light traffic near Amara Cay

LOCATION

Poor public transit- closest stop 20 min drive (44 min walk) Bike friendly

Amara Cay Resort 80001 Overseas Highway Islamorada, FL 33036

--------

Car & bike access High traffic areas

WHY ISLAMORADA? Noise levels around the area are low & would not interfere with therapies.

Closest hospital to the resort is 20 min by car.

Islamorada is calm, offers clear waters, has colorful coral reefs, variety of shops and restaurants, & endless potential for outdoor fun Median age is 46 y/o. More relaxing, quiet & familiarized environment

11

Topography Topography TOPOGRAPHY Sea level Sea Level Sea Level

1-20’ ASL 1-20 feet

ASL 1-20 feet ASL

21-35 feet ASL 21-35 feet ASL 21-35’ ASL 36-45 feet ASL 36-45’ ASL 36-45 feet ASL

46-55’ ASL 46-55 feet ASL 46-55 feet ASL

Conclusion: Conclusion: The topography allows calming views the oc The topography allows calming views toto the ocea Allows for calming views to the ocean that, that, according to several studies, offering th that, according several studies, offering the according to to several studies, by offeringbyby the cancer patient and/or caregiver cancer patient and/or caregiver something l cancer patient and/or caregiver something toto loo something to look at & stimulate their senses, the stress andsenses, pain due to the and stimulate their senses, the stress and pa atat and stimulate their the stress and pain illness comes in second place. due the illness comes second place. due toto the illness comes inin second place.

PARKING & BIKE ACCESSIBILITY 2

Parking on site of Amara Cay 1: 86 regular parking spots and 4 accessibility spots 2: 50 regular parking spots and 6 accessibility spots Free bicycles are offered to guests by the hotel.

Bike lines available around the resort.

Hotel offers free storage on site for bicycles

1

Building in scope Carpool/hybrid designated areas Parking area Accessibility spots

HOTEL ROOMS

OCEAN VIEW FACADE

EXISTING CONDITIONS

AERIAL VIEW

HOTEL ENTRANCE

HOTEL LOBBY

POOL AREA

BUILDING USES Available for VIVE patients & caregivers

Rooms & Suites Private Beach & Resort Pool Resort Shuttle Transport guests to 4 sister properties & attractions within 4 mile radius Entertainment Kayaks, Paddle Boards, Bikes, Fire Pit & Lawn Games Weddings, Events & Meetings Dining Room & Tiki Bar

SCOPE OF WORK

EXISTING ELEVATIONS

NOT IN SCOPE

AREA 10,025 S.F

FLOOR 1 1

Leve l 1 6" = 1'- 0"

NOT IN SCOPE AREA 2,618 S.F

FLOOR 2 1

N

Leve l 2 6" = 1'- 0"

Total area square footage:12,643 S.F

Areas in scope

VIEWS

Parking lot

FLOOR 1 1

Leve l 1 6" = 1'- 0"

Ocean

FLOOR 2 1

Leve l 1 6" = 1'- 0"

1

Leve l 2 6" = 1'- 0"

Resort pool

N

EDGE CONDITIONS + DAYLIGHT

GRID PATTERNS

1

Leve l 1 6" = 1'- 0"

1

Leve l 1 6" = 1'- 0"

FLOOR 1

FLOOR 1

Columns spaced 18’ apart

Grid pattern Column 1

Leve l 2 6" = 1'- 0"

FLOOR 2

Solid wall Glass Most daylight Some daylight Little to no daylight

FLOOR 2

N

SUN PATH Summer Solstice

Winter Solstice

N Su

ns

et

N

8:1

am

5p

e

ris

n Su

m

W

3 6:3

W

E

E

Su

m

t5

se

n Su

nri

p :39

S

5pm

7:0

3a

m

S 12pm 12pm 8am

Southeast section

se

5pm

Southeast section

8am

INNER PEACE

RECONNECT

ESSENCE

BALANCE

CONCEPT VIVE is a new approach to palliative care that aims to provide a holistic experience to adult cancer patients & their caregivers through core wellness. The design will promote YOU by creating physical surroundings that are psychologically supportive and provide relief from emotional distress.

This wellness experience aims to help you reconnect with yourself and find the balance between physical, mental & emotional health. It is a personal journey from unease to inner peace with the self at its core.

DESIGN GUIDANCE BIOPHILIA Calming & peaceful environment that removes the negative feelings associated with palliative care facilities Use of earth-toned color palette & textures that bring a sense of calmness.

Use of organic forms to soften the edges

VARIETY OF AREAS Variety of comfortable seating areas to support & improve well-being Areas for respite that enhance the holistic treatments supporting & providing relief from emotional distress Adaptable & modifiable spaces to allow for an array of different uses UPLIFTING SPACES Holistic treatments that help reduce the severity of side effects related to cancer treatments Program that focuses on the mental, emotional & physical well-being of the patient, caregiver & staff Inspirational quotes throughout the facility VISUAL & ACOUSTIC PRIVACY Use of shades, curtains, & wood ceiling baffles to control, light & visual privacy Environment provides private & public spaces to accommodate extrovert & introvert personalities WAYFINDING Use of signage, lighting & racetrack circulation to support each holistic journey ENHANCE LOCATION Take advantage of the location, views & natural daylight to offer a balanced & welcoming space Circulation sequence that foster views of the ocean (hide & reveal)

PURPOSE

GOALS

The palliative care facility at Amara Cay will offer a distinctive experience for its users, offering a place of respite away from the stressful medical facilities where they receive treatment. Through the use of holistic treatments, such as sound therapy, patients will experience relief from the various side effects associated with chemotherapy.

Support the physical & mental well-being of patients receiving cancer treatment.

Encourage caregivers to implement caring techniques which instills a feeling of being cared for in patients.

Create a safe space for cancer patients and caregivers that contradicts the institutional healthcare environment they experience during treatment at the hospital.

Remove the negative connotation given to palliative care which is usually offered at hospitals and hospice centers.

Implement wellness through the architecture, design, program & overall experience.

PROGRAM COMMON AREAS

WELLNESS AREAS

Reception Greet + informational desk

Fitness zone Yoga, physical training, movement

Seating areas + refreshment zones Rest + wait

STAFF AREAS core wellness

Physical health

Consultation rooms Advise + treatment identification

Nourishment Nutrition classes

Mental + physical health

Staff break room Relax + eat

Lockers + Restrooms Change + storage of belongings

Reflection area Moment of pause

Mental health

Staff restrooms Personal hygiene activities

Retail Cancer support merchandise

Sound therapy Sound healing, sound waves & vibrations

Spiritual wellness

Management Manage facility

Outdoor seating Threshold from exterior to interior

Multi-purpose rooms Seminars, lectures, classes, events

Social well-being

Meditation pods Meditate + relax

Emotional health

Quiet room Moment of silence

Emotional + mental health

Stress management Stress relief, focus on breathing

Stress levels + mental health

Relaxation lounge Relax + view the ocean

Emotional + mental health

ADJACENCY DIAGRAM

CONSULTATION ROOMS

Common areas Wellness areas Staff areas Primary Secondary Main entry

RETAIL RECEPTION

FITNESS LOCKERS + RESTROOMS

MULTIPURPOSE ROOMS

STAFF ROOMS

SEATING AREAS

NOURISHMENT

SOUND THERAPY MEDITATION LOUNGE

STRESS MANAGEMENT

D1 C1

C2

D2 FLOOR 1

D3 C3

ORGANIZATIONAL DIAGRAM DOMAINS D1 Common areas D2 Wellness areas D3 Staff Support CENTERS C1 Check-in C2 Therapy | Classrooms C3 Break room

D2 FLOOR 2

RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (PRIVATE)

SOUND THERAPY (GROUP)

FLOOR 1 STAFF RESTROOM

STAFF BREAK ROOM

STAFF RESTROOM

ELEVATOR LOBBY

RESORT POOL

FUNCTIONAL DIAGRAM

SEATING AREA OPEN TO BELOW

MANAGEMENT

DN

QUIET ROOM MEDITATION LOUNGE

Common areas Wellness areas Staff areas Main entry FLOOR 2

OCEAN

RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

LEVEL 1 PLAN N Main entry 9'-0" 9'-0"

SOUND THERAPY (PRIVATE)

O

LEVEL 1 RCP N

9'-0"

8'-8" 9'-0" 8'-8" 9'-0"

9'-0" 9'-0" 8'-8" 8'-8" 9'-0" 9'-0"

9'-0"

9'-0" 9'-0"

9'-0"

8'-8"

8'-8" 9'-0"

9'-0"

8'-10" 8'-8"

8'-5"

OCEAN

8'-10"

8'-8" 8'-5"

9'-0"

9'-0" 9'-0"

9'-0"

8'-10" 9'-0"

9'-0"

8'-8"

9'-0"

8'-8" 9'-0"

Custom wall sconce Pendant cluster Cove lighting Custom wall sconce LED recessed light Outdoor wall sconce Custom pendants Armstrong wood grille Emergency exits Emergency light

LEVEL 2 PLAN

STAFF RESTROOM

STAFF BREAK ROOM

N STAFF RESTROOM

ELEVATOR LOBBY

SEATING AREA

9'-0" 9'-0" OPEN TO BELOW

DN

MANAGEMENT

8'-8" 8'-8"

8'-8" 8'-8"

9'-0" 9'-0"

QUIET ROOM

9'-0" 9'-0"

9'-0" 9'-0"

MEDITATION LOUNGE

8'-8" 8'-8" 8'-8" 8'-8"

9'-0" 9'-0"

9'-0" 9'-0"

9'-0" 9'-0"

9'-0" 9'-0" 8'-8" 8'-8"

9'-0" 9'-0"

8'-8" 8'-8" 9'-0" 9'-0"

9'-0" 9'-0"

8'-10" 8'-10" 8'-8" 8'-8"

8'-5" 8'-5" 8'-10" 8'-10"

8'-8" 8'-8" 8'-5" 8'-5"

9'-0" 9'-0" 9'-0" 9'-0"

9'-0" 9'-0"

9'-0" 9'-0"

9'-0" 9'-0"

8'-8" 8'-8"

9'-0" 9'-0"

LEVEL 2 RCP

18'-8" 19'-0"

19'-0"

N

18'-8"

Custom wall sconce Pendant cluster Cove lighting LED recessed light Armstrong wood grille Emergency exits Emergency light Pendants

19'-0"

18'-8"

18'-8" 19'-0" 19'-0"

19'-0"

19'-0"

18'-8"

18'-8" 19'-0"

9'-0" 9'-0" 9'-0" 9'-0"

9'-0" 9'-0" 9'-0" 9'-0"

9'-0" 9'-0" 9'-0" 8'-10" 9'-0" 8'-10" 8'-10" 8'-10" 9'-0" 9'-0"

RECEPTION & SEATING AREA Ambient + natural daylight Luminance: 30 fc 80 CRI Temperature: 4,000K Goals: Allow natural light to come in the space, intrigue & motivate the patient for their holistic experience, & offer staff enough lighting for their tasks SEATING & REFRESHMENT ZONES

LIGHTING GOALS & CONCEPT Lighting throughout VIVE enhances the holistic journey the patients and caregivers at the facility will experience.

It will serve as way-finding, enhance materials, set the mood depending on the program of the space as well as relax & support the user throughout.

Ambient + task Luminance: 30 fc 80 CRI Temperature: 4,000K Goals: Denote resting area, illuminate area for user to grab a drink & rest CIRCULATION & THRESHOLDS Ambient Luminance: 30 fc 80 CRI Temperature: 4,000K Goals: Prepare & intrigue the user for what is next in their holistic journey STAFF AREAS Ambient + task + natural daylight Luminance: 40 fc 80 CRI Temperature: 4,000K Goals: Create a relaxing environment for the staff members to take a break and eat, allow for natural light to come in

WELLNESS AREAS Ambient + task Luminance: 30 fc 80 CRI Temperature: 4,000K Goals: Create areas for respite that enhance the holistic treatments supporting & providing relief from emotional distress. Provide task lighting for the staff to be able to perform treatments on patients

LUMINARIES

WALL SCONCE

WALL SCONCE

PENDANTS

CLUSTER PENDANTS

OUTDOOR WALL SCONCE

Type: Accent Use: Ambient

Type: Accent Use: Ambient

Type: Downlight Use: Task

Type: Suspended Use: Ambient

Type: Accent Use: Ambient

DOUBLE LED RECESSED LIGHT

EMERGENCY EXIT SIGN

EMERGENCY EXIT LIGHT

Type: LED Use: Task

Type: LED Use: Emergency lighting

Type: LED Use: Emergency lighting

ENTRY RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY

VIVE

=

MEANS TO LIVE IN SPANISH

LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

RESORT POOL

DESIGN GUIDELINES Enhance location: View to ocean as building is approached Visual privacy: Rotating wood louvers allows for user control of privacy & lighting

SOUND THERAPY (PRIVATE)

RECEPTION RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT

BRAVE & STRONG

CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

FITNESS NOURISHMENT

Water drop

REFLECTION AREA

STORAGE

Logo = wellness SOUND THERAPY (GROUP)

RESORT POOL

DESIGN GUIDELINES Uplifting spaces: Use of arch to prepare & intrigue the user for what is next in their holistic journey Biophilia: Use of earth tones to integrate biophilia & complement the exterior views of the ocean & palm trees Organic forms to soften the edges & offer a more relaxed environment

RELAXATION LOUNGE

SOUND THERAPY (PRIVATE)

SEATING AREA RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

OCEAN

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

SOUND THERAPY (PRIVATE)

RESORT POOL

RE •SIL •IENT ADJECTIVE | 1 : SHOWING COURAGE & STRENGTH THROUGH ALL OF LIFE’S UPS & DOWNS 2 : RISING UP AFTER EVERY FALL

DESIGN GUIDELINES Biophilia: Calming & peaceful environment that removes the negative feelings associated with palliative care facilities Uplifting spaces: Inspirational quotes to help the user feel inspired & motivated Enhance location: Outdoor seating serves as a transition from the exterior to the interior Variety of areas: Ergonomic furniture & comfortable seating area

REFRESHMENT + SEATING AREA RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

RESORT POOL

DON’T STOP UNTIL YOU’RE PROUD

DESIGN GUIDELINES Uplifting spaces: Inspirational quotes to help the user feel inspired & motivated Enhance location: Framed view to the ocean Way-finding: Coved lighting used for circulation & guidance Variety of seating areas: Area for respite that enhance the holistic treatments supporting & providing relief from emotional distress

SOUND THERAPY (PRIVATE)

NOURISHMENT RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

OCEAN

A HEALTHY OUTSIDE STARTS FROM THE INSIDE

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

SOUND THERAPY (PRIVATE)

RESORT POOL

DESIGN GUIDELINES Uplifting spaces: Communal table which encourages social support Enhance location: Direct view to ocean Visual privacy: Shade allows for user control of light & visual privacy Variety of areas: Nourishment room for patients to learn about nutrition. Wellness from within that supports mental & physical well-being. Herb wall serves as accent wall with sinks to wash

FITNESS RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY

YOU DIDN’T COME THIS FAR TO COME THIS FAR

LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

OCEAN

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

SOUND THERAPY (PRIVATE)

RESORT POOL

DESIGN GUIDELINES Biophilia: Use of earth-toned color palette & textures that bring a sense of calmness.

Shape of mirrors come from the logo, which represents core wellness Enhance location: Direct view to ocean. Windows allow natural light to come in the space, intriguing & motivating the patient for their holistic experience Visual privacy: Shade allows for user control of light & visual privacy Variety of areas: Adaptable & modifiable spaces to allow for an array of different uses (yoga & chair yoga)

SOUND THERAPY RETAIL

SEATING AREA

RECEPTION

MULTI-PURPOSE RM 2

ELEVATOR LOBBY

MEDITATE, HEAL & CONNECT THROUGH LISTENING

LOCKERS + RESTOOMS CONSULT RM 1 STRESS MANAGEMENT CONSULT RM 2

MULTI-PURPOSE RM 1

LOCKERS + RESTOOMS UP

OPEN TO ABOVE

REFRESHMENTS/SEATING

RELAXATION LOUNGE

OCEAN

FITNESS NOURISHMENT

REFLECTION AREA

STORAGE

SOUND THERAPY (GROUP)

SOUND THERAPY (PRIVATE)

RESORT POOL

DESIGN GUIDELINES Biophilia: Use of organic forms to soften the edges Enhance location: Direct view to ocean. Floor to ceiling windows to allow light to come in Visual & acoustic privacy: Wood slats around private sound therapy & accent wall in group sound therapy help diffuse the sound. Curtains allow for user control of light & visual privacy Variety of areas: Group sound therapy encourages a communal experience & social support, while private sound therapy allows for a more private experience (user control) Uplifting spaces: Sound therapy as a holistic treatment that uses sound bowls & gongs for acoustic bioresonaunce, which studies show that it helps clear thoughts, relieve stress, & help the body become one with sound, supports spiritual well-being

STAFF RESTROOM

STAFF LOUNGE

STAFF BREAK ROOM

STAFF RESTROOM

ELEVATOR LOBBY

SEATING AREA OPEN TO BELOW

MANAGEMENT

DN

QUIET ROOM MEDITATION LOUNGE

DESIGN GUIDELINES Biophilia: Use of earth-toned color palette & textures that bring a sense of calmness Enhance location: Direct view to ocean. Floor to ceiling windows to allow natural light to come in Visual & acoustic privacy: Shades allow for user control of light & visual privacy Variety of areas: Staff kitchen, lounge, dining & storage which provides them an area for respite Uplifting spaces: Relaxing environment for the staff members to take a break & eat

THANK YOU