Health Care Design: Fitness + Rehabilitation Center

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BEYOND THE BOX

Fitness + Rehabilitation Center


CAROLINE MOZO + MARISSA PYLE INTERIOR DESIGN STUDIO IV

FALL 2018


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Precedent Studies Rehabilitation Centre Groot Klimmendaal - The Netherlands

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Vandhalla� Egmont Rehabilitation Centre - Odder, Denmark

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Stakeholder Summary

Concept + Goals Concept Statement Project Goals

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Programming Program Table

TABLE OF CONTENTS

Adjacency Matrix

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Location Summary

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Diagrams Bubble Flow Blocking

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Demographic Analysis

19

Space Plan Rendered Plan Axon View

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Problem Assessment

20

Drawings View of Atrium View of Open Therapy

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Code Analysis

View of Open Gym View of Track


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REHABILITATION CENTRE GROOT KLIMMENDAAL Designers: Architectenbureau Koen van Velsen BV Location: The Netherlands Size: 150,700 sf

PRECEDENT STUDIES

Year: 2011

Summary: The goal of this design was to seamlessly integrate the natural surrounding environment into the built environment of the rehabilitation center in order to elevate both patient and staff experience. This design is successful as full height glazing along the central space connnecting the various different internal elements of the building ensures an almost seamless continuity between interior and exterior. The meandering facade in the restaurant results in a building in between trees and invites the forest inside the building. The surrounding nature has a strong visual and tangible presence everywhere in the building. Rehabilitation Centre Groot Klimmendaal was awarded Building of the Year 2010 by the Dutch Association of Architects, winner of the first Hedy d’Anocona Award 2010 for excellent healthcare architecture, winner of the Arnhem Heuvelink Award 2010 and winner of the Dutch Design Award 2010 public award and category commercial interior.

View of Break Out Space featuring unobstructed views to the outdoors.

Design Implications: - The use of natural materials brings warmth into the space and helps eliminate the association of healthcare facilities as cold and sterile. - Views to the outdoors are not only aesthetically pleasing but also aid in patient healing. Integrate views to the outdoors in public spaces whenever possible. - Design of the facility should be accessible to not only patients, but their families and the surrounding community. View of Exterior featuring large windows that allow natural light and views inside.


REHABILITATION CENTRE GROOT KLIMMENDAAL

Detail of the hallway ceiling which features playful, energizing colors and ample natural lighting.

View of Exterior featuring structural columns that mimic forms of surrounding forest.

Site Plan of Rehabilitation Centre Groot Klimmendaal

References: “Rehabilitation Centre Groot Klimmendaal / Koen van Velsen� 08 Apr 2011. ArchDaily. Accessed 12 Nov 2018. <https:// www.archdaily.com/126290/rehabilitation-centre-groot-klimmendaal-koen-van-velsen/> ISSN 0719-8884 View of Corridor which features accessible views into different therapy spaces providing visual connection.


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VANDHALLA” EGMONT REHABILITATION CENTRE Designers: CUBO Arkitekter, Force4 Architects Location: Odder, Denmark Size: 43,055 sf

PRECEDENT STUDIES

Year: 2013

Summary: The Egmont High School holds a position as Denmark’s leading institution for people with physical disabilities. Multifaceted accessibility characterizes the schools entity, and everybody is dedicated to this responsibility. The new rehabilitation centre provides a statement, a landmark that exposes the functional needs of the school architecturally and thus provides a renewed identity to the school’s old buildings. An identity that will be visible towards the main thoroughfare of the small town of Hou. Vandhalla breaks with existing standards and help to develop state of the art within the disability field. It gives the school much needed and important facilities, with the opportunity to combine training of cognitive and social skills with physical training.

Facility Plan for Vandhalla" Egmont Rehabilitation Centre.

Design Implications: - Create spaces that are easily accessible to all users, regardless of physical ability to create a truly inclusive environment. - Design spaces that are flexible in use to accomodate both cardiac and physical therapy patients as well as gym members. - Design of the facility should encourage independance of all users through careful implementation of ADA standards, clear wayfinding, and total accessibility. View of Exterior featuring large windows that allow natural light and views inside.


VANDHALLA” EGMONT REHABILITATION CENTRE

View of Accessible Pool used for both recreational and theraputic purposes.

Axon View of Vandhalla” Egmont Rehabilitation Centre

Section View of Vandhalla” Egmont Rehabilitation Centre

References:

View of Accessible Water Slide that is utilized both recreationally and for theraputic practices.

“Vandhalla” Egmont Rehabilitation Centre / CUBO Arkitekter + Force4 Architects” 07 Feb 2014. ArchDaily. Accessed 13 Nov 2018. <https://www.archdaily.com/474130/vandhalla-egmont-rehabilitation-centre-cubo-arkitekter-force4-architects/> ISSN 0719-8884


STAKEHOLDER SUMMARY 6

PROJECT STAKEHOLDERS Physicians, Therapists, + Trainers Background: vary geographically, educated, high income, respected in community Age Range: late 20's - 65 State of Mind: calm, fatigued, stressed, energized Ability: high or able to compensate fine and gross motor skills

Patients Background: vary geographically, huge range in education + income Age Range: child - senior State of Mind: stressed, uncomfortable, ill Ability: huge range in physical abilities

Janitorial, Maintenance, + Delivery Background: vary geographically, no education requirement, low to midrange income Age Range: 18+ State of Mind: long + odd hours, solitary + independent workers Ability: able bodied

Families + Caregivers Background: vary geographically, huge range in education + income Age Range: children and adults State of Mind: stressed, concerned, helpful, sad, fatigued, tired, confused, distracted Ability: most likely in good health, huge range in physical abilities

Gym Members Background: vary geographically, huge range in education + income Age Range: 15+ State of Mind: energized, focussed Ability: most likely in good health, huge range in physical abilities

Receptionists, Office Managers, + Cafe Staff Background: vary geographically, varied education, midrange income Age Range: 18 - 65 State of Mind: calm, fatigued, stressed Ability: high or able to compensate fine and gross motor skills

Design Implications: - Providing for staff comfort leads to better performance and patient care. - Provide appropriate circulation to accommodate the activities of different stakeholders. Many of the stakeholders are constantly circulating throughout the space. - Calming lighting, cool colors, and easy wayfinding will minimize stress in all stakeholders. - Provide proper spaces to assist staff in developing and maintaining the center’s programs and business. - Provide visual access to all potentially dangerous, unstaffed spaces. - Create an interior design environment that supports the energy and activity of each of each of the potential stakeholders. - Appropriately separate gender-specific areas as well as private therapy rooms to ensure a sense of privacy for those in need. - Provide proper fitness equipment and flexibility in their arrangements for patron comfort and high functionality


LOCATION SUMMARY

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1625 APALACHEE PARKWAY TALLAHASSEE, FLORIDA

Exterior View of Site

Exterior View of Site

Site Map

Climate: Tallahassee has a humid subtropical climate, with long summers and short, mild winters, as well as drier springs and autumns.

Design Implications: Mall

Residential Neighborhood

- Create an interior environment that supports the energy and activity inherent in the facility. - Provide as much natural light as possible while considering glare for patrons.

Site

- Views to the outdoors have both calming and healing affects, prioritize windows for areas where stakeholders will spend large amounts of time.

Shopping Center

- The site is located nearby several retailers, provide a private entry for staff to access nearby amenities without interacting with patrons while on break. Residential Neighborhood

- Consider the seasonal shifts and their effects on the interior. During the summer, harsh sunlight through the windows can potentially damage sensitive materials and irritate users. Heavy rainfall can lead to wet floors, so incorporate slip/ water resistant flooring.


DEMOGRAPHIC ANALYSIS 8

TALLAHASSEE, FLORIDA Population of Leon County, FL

Demographic Highlights: - Leon County, FL, has a population of 287,822 people with a median age of 30.8 and a median household income of $51,107. Between 2015 and 2016 the population of Leon County, FL grew from 286,272 to 287,822, a 0.54% increase and its median household income grew from $46,002 to $51,107, a 11.1% increase. - Leon County, FL residents 6-17 years of age are the largest age group with Healthcare Coverage in Florida. The age groups most likely to have health care coverage are 6-17 and 6-17, for men and women respectively. - With disability, Under the age of 65: 7.5% P - Persons without health insurance, under age 65, percent: 11.7%


TALLAHASSEE, FLORIDA Obesity Prevelance in the Southern United States

Obesity Prevelance in the Tallahassee, FL Metro Area

Design Implications: - Provide proper impact flooring for each space for fall attenuation and appropriate cushioning for bone and joint health. - Designing for loss of mobility with inclusive and properly spaced equipment. - Limiting dark corners and dead end corridors for proper flow and providing alarms or call buttons in key remote spaces such the therapy rooms, group fitness areas, locker rooms and restrooms. - Ensure good indoor air quality, proper ventilation and plenty of natural light.


PROBLEM ASSESSMENT 10

PROBLEM STATEMENT The current location of the previous Toys R Us at 1625 Apalachee Parkway, Tallahassee Fl lacks a tenant, and therefore functionality and visual representation. We are proposing a Fitness and Rehabilitation space to fill this vacancy and revitalize this area of Tallahassee. The space needs to address the needs of the community, in that, there are no similar rehabilitation or fitness centers in the Tallahassee area that are purposefully inclusive for all ages and abilities. With no similar centers in the area, there is a definitive need for a space like this. Florida’s adult obesity rate is currently 28.4%, up from 18.4% in 2000 and from 11.4% in 1990, while the children’s obesity rate is at 16.9%. This center will aid in solving this issue by providing a place of health enhancement, one that reaches a higher level of accessibility for the community than the current centers in Tallahassee. It will be a center with unlimited access to programs and equipment, an inclusive community for all ages and abilities.


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FITNESS + REHABILITATION CENTER Total Square Footage: 42,682 Building Type:

CODE ANALYSIS

- Business Group B. (21,341 sq. ft.) Business Group B occupancy includes, among others, the use of a building or structure, or a portion thereof, for office, professional or service-type transactions, including storage of records and accounts. - Assembly Group A-2. (10,670,5 sq. ft.) Group A-2 occupancy includes assembly uses intended for food and/or drink consumption. - Assembly Group A-3. (10,670.5 sq. ft.) Group A-3 occupancy includes assembly uses intended for worship, recreation or amusement and other assembly uses not classified elsewhere in Group A

Required Egress Width: 639 total number of occupants x .2 = 127.8” minimum door width

Plumbing Fixture Requirements: - Business Group B. 21,341 sq. ft./100 = 213 number of occupants Water Closets: 1 per 25 for the first 50 and 1 per 50 for the remainder exceeding 50 = 6 Lavatories: 1 per 40 for the first 80 and 1 per 80 for the remainder exceeding 80 = 4 Drinking Fountains: 1 per 100 = 3 Service Sink: 1 - Assembly Group A-2. 10,670,5 sq. ft./50 = 213 number of occupants Water Closets: 1 per 75 = 3 Lavatories: 1 per 200 = 2 Drinking Fountains: 1 per 500 = 1 Service Sink: 1 - Assembly Group A-3. 10,670,5 sq. ft./50 = 213 number of occupants Water Closets: 1 per 65 female, 1 per 125 male = 2 female, 1 male Lavatories: 1 per 200 = 2 Drinking Fountains: 1 per 500 = 1 Service Sink: 1

Relevant Codes: [F]2702.1.2 Electrical., [F]2702.2.1 Emergency alarm systems., [F]2702.2.2 Elevators and platform lifts., [F]2702.2.3 Emergency responder radio coverage systems.,

[F]2702.2.4 Emergency voice/alarm communication systems., [F]2702.2.5 Exit signs., [F]2702.2.11 Means of egress illumination., [F]2702.2.15 Smoke control systems., [F]2702.4 Maintenance.. 808.1 Acoustical ceiling systems., 808.1.1.1 Suspended acoustical ceilings., 808.1.1.2 Fire-resistance-rated construction., 3001.5 Design, installation and alteration of elevators.


CONCEPT + GOALS

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CONCEPT STATEMENT In nature, the forest canopy serves as the protective layer above the diverse plant community below. The canopy filters sunlight and rainfall, provides protection from storms and strong winds, and promotes the diversity and growth of the lower layers. The design of the new Wellness Center is inspired by the idea of the surrounding Tallahassee forest canopies with the goal of promoting connections between visitors and staff as well as their overall health and wellbeing. Clear wayfinding, accessible equipment, biophilic elements, open space planning, a nature inspired color palette, and flexible spaces will accommodate these goals. Users of the space will find comfort, encouragement, assurance, and hope while within the space.



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PROJECT GOALS - To design a space in which patients, gym members, staff, family members, caretakers, and all other visitors feel welcome, comfortable, assured, uplifted, and at home even beyond their visit.

CONCEPT + GOALS

- To design a space that is accessible for all users through clear wayfinding, sensible circulation paths, and the careful implementation of ADA standards. - To design a space that improves staff performance and satisfaction by space planning for efficiency and selecting materials, finishes, and furniture that will enhance their comfort. - To design a space that will stand the test of time and serve its community for years to come by selecting high quality materials and finishes. - To design a space that ensures the health and safety of all of its users by selecting materials and finishes that are antimicrobial, nonabsorbant, and easy to clean to minimize the spread of infection.


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PROGRAM TABLE Room Name

QTY. 1

Entry/Check in Physicians Offices

2

Therapy Rooms

5

Wellness Cafe

1

Restrooms

8

Locker RoomS

4

PROGRAMMING

1 Atrium Pool

1

1 Open Gym 1 Open Therapy Group Fitness Room 2

Sq. Ft.

Electrical Requirements

Computer work

Desk-sit to stand, storage, task chair, guest chairs Outlets for personal devices, computer and office equipment

Even, bright light Recessed, task lighitng

2,030

Patient consults/ private therapy

Exam Table, two chairs, sink and cabinet storage, GFI Outlets medical equipment

Even, bright light. Recessed/ Task

1,240

Refresh, relaxation, overall health enhancement

Tables, chairs, sink, refrigeration, cooking equipment

Above counter outlets for small kitchen appliances

Pendant. Under counter lighting, recessed.

Grab bars, emergency call button, Toilet, sink

GFI outlets

Even, bright light

Even, bright light

600

680

Outlets

Lighting Requirements

Comfortable seating, side tables, reception desk, swipe in equipment

Even, bright light Recessed

3,498

Place for refresh, privact, changing Grab bars, emergency call button, showers, & Showering lockers

GFI outlets

3,400

Connect to nature, walking path, rejuvinating space to designate areas

GFI outlets

3,484

Inclusive area for hydrotherapy/ Ramp to enter pool, misc. items for pool use recreational pool activities/physical wellness

GFI Outlets

Even, bright light

Physical wellness

Exercise equipment

GFI Outlets

Even, bright light Fluorescent

Inclusive for all abilities/physical therapy/physical wellness/rehabilition

Inclusive exercise equip.

GFI Outlets

Even, bright light Fluorescent.

Group fitness activities

Bikes, grab bars, mirrors, free weights, yoga mats GFI Outlets

Even, bright light Fluorescent.

12,729 7,236 2,560

1

72

General Storage

1

918

1

Furniture Requirements

User check in/area to swipe in and out w/ access cards. small waiting area

1,680

Electrical Room

Manager Office

Uses

952

Server Room

1

72

Track

1

6300

Sit to stand desks, cabinetry, shelving Location of copier

Electrical room

Even, bright light Fluorescent.

Storage for misc. items

Cabinetry, shelving

Outlets

Computer work/ flexible use

Desk-sit to stand, storage, task chair, guest chairs Outlets for personal devices, computer and office equipment

Server room

Indoor physical activity/walking and running

Even, bright light Fluorescent. Even, bright light Recessed, task lighitng Even, bright light fluorescent

Shock resistant flooring

GFI outlets

Even, bright light fluorescent

Other


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ADJACENCY MATRIX ENTRY/CHECK IN PHYS. OFFICES

HIGH PRIORITY

THERAPY ROOMS

MODERATE PRIORITY

WELLNESS CAFE RESTROOMS LOCKER ROOMS ATRIUM POOL

PROGRAMMING

KEY

OPEN GYM OPEN THERAPY GROUP FITNESS ROOMS TRACK STORAGE OUTDOOR SEAT. LOCKERS

CHILDREN’S AREA ELECTRICAL ROOM MANAGER OFFICE SERVER ROOM

SEPERATE NEUTRAL


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BUBBLE FLOW LEVEL 1

DIAGRAMS

PRIVATE OFFICES/ THERAPY ROOMS

RR + LOCKER

OPEN THERAPY

EGRESS STAIRS

LEVEL 2

POOL/SAUNA/STEAM ROOM/JACUZZI

RR + LOCKER

STAIRS

WELLNESS CAFE

ATRIUM/ WALKING PATH

OPEN GYM OUTDOOR SEATING

CHECK IN

EGRESS STAIRS

LOCKERS ENTRY

LOCKERS

KEY HIGH TRAFFIC

MODERATE TRAFFIC

SLOW TRAFFIC

WALKING/RUNNING TRACK


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BLOCKING DIAGRAM RR + LOCKER

POOL/SAUNA/STEAM ROOM/JACUZZI

PRIVATE OFFICES/ THERAPY ROOMS

DIAGRAMS

EGRESS STAIRS LOCKERS

LEVEL 1

OPEN GYM

OUTDOOR SEATING

ATRIUM/WALKING PATH

OPEN THERAPY

WELLNESS CAFE

STAIRS

RR + LOCKER

EGRESS STAIRS CHECK IN ENTRY

WALKING/RUNNING TRACK

LOCKERS

LEVEL 2


SPACE PLAN

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FLOOR PLAN Key: 1. Check In 2. Waiting Area 3. Open Therapy 4. Open Gym 5. Atrium 6. Wellness Cafe 7. Stairs 8. Overhead Track 9. Outdoor Workout 10. Locker Rooms 11. Sauna 12. Pool 13. Storage 14. Group Fitness 15. Server/Electric 16. Closed Therapy 17. Management + Operations 18. Staff Restroom

13. 16.

14.

14.

17.

15.

14.

10. 8.

13.

4.

18. 11.

7. 6.

11.

13.

10.

3.

9. 4.

5.

12. 2.

1.


SPACE PLAN

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FINISH SELECTIONS

Interface

Carpet Tile AE311

DRAWINGS

104668 Mist

Armstrong Ceilings

Woodworks Linear Veneered Planks Natural Variations Walnut

ECore Commercial Infinity Rx Smoke 9909

ECore Commercial

ECore Commercial

Final Cut 1216

Colorado 4243

Ecofit

Polysafe Hydo Evolve


VIEW OF ATRIUM


VIEW OF ATRIUM


VIEW OF OPEN THERAPY


VIEW OF OPEN GYM


DRAWINGS

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VIEW OF TRACK


CAROLINE MOZO + MARISSA PYLE INTERIOR DESIGN STUDIO IV

FALL 2018


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