Special Use by Grace Kirby

Bouldin Creek

Grace Kirby

Special Use- ID4870

Spring 2012

Table of Contents Page Content Page Number

Page Content Page Number

INTRODUCTION

FOCUS AREAS

Client & Program 6 Site Analysis 7 Design Firm 8 About Austin, Texas 8 Concept 9

DESIGN DEVELOPMENT

First Floor Plan 12 Second Floor Plan 13 Site Plan 14-15 Wayfinding 16-21

Building Section 24-25 Research Based Design 26-27 Residential Apartment 28-31 Community Living Room 32-35 Dance Hall 36-39 Library & Tea Bar 40-43

APPENDIX

As Built Plans 46-47 Schematic Development 48-49 Programming 50-55 Green Guide Checklist 56 Sustainable Design in Austin, TX 57 Codes 58-59 Research 60-68 Bibliography 69

INTRODUCTION

Client & Program

Bouldin Creek is senior living home that specializes in memory care and assistant living for seniors. Anyone older than 50 and looking for an active and healthy lifestyle is welcome to join the active Bouldin Creek family. Residents see Bouldin Creek as their comforting home that welcomes their family and pets while still being an active member of the Austin community. Bouldin Creek is a dynamic and energetic home with lots of opportunities for residents to exercise their brains and bodies. Bouldin Creek is located on an active and engaging site that promotes many outdoor events and activities allowing for residents to chose how they spend their time. The home encourages and welcomes friends and families to join in on daily activities with their loved one; either by lounging at the walk in pool, spending time in the gardens, watching or dancing to a live music show, sippinâ&#x20AC;&#x2122; on some sweet ice tea or spending quality time in the residents large apartments. Residents are always being challenged to push their creativity and imagination through our large art studio, wood shop, raised garden beds, game rooms and dancing hall. Our location on the Austin Hike & Bike trail, that laps around the beautiful Lady Bird Lake, provides endless walking paths with always blooming native flowers and birds. Residents can relax and enjoy the day by sitting on our second floor screened in porch and watch the boaters and kyakers paddle by, watch the locals jump into the cold lake waters or the largest urban colony of bats fly out to hunt every night. We believe that incorporating holistic and biophillic design strategies into our home promotes natural healing and happiness. Images of the Texas hillcountry

Locals kayaking on Lady Bird Lake

Locals on Hike & Bike Trail

Distance to nearest hospital, 3 miles

Site

Site Analysis

Bouldin Creek is located in Austin, Texas on Lady Bird Lake. The nearest hospital is Seaton Medical Center and it is 3.2 miles away and takes 4 minutes to get to the site by using the highway, Mopac. Across the street from the site is the Lions Municipal Golf Course and provides for easy access to their facilities. The University of Texas Brackenridge Field Laboratory is a premier urban field research station for studies in biodiversity, ecosystem change and natural history and the neighbor to the assistant living home. The backyard for the Bouldin Creek is the beautiful Lady Bird Lake which is south of the home and captures the cool southern wind from the lake. Lady Bird Lake is home to the urban Austin Hike and Bike trail which goes along the homes property. The site and the hike and bike trail is home to many types of wildflowers that blossom throughout the year. Lady Bird Lake is always busy with kayaks and boaters enjoying the water and the trail is always used by runner, bicycles, walkers and families enjoying the day. Less than half a mile upstream from the site is the Lake Austin Dam that provides a soothing background noise. Downstream from the site is the famous Congress bridge which houses the largest population of urban bats which fly out every night to hunt and put on a beautiful memorizing hunting show. There is a direct connection to nature with this site which provides multiple outdoor activities.

About Austin, TX & Design Firm 8

Monthly Precipitation January 1 .89in. Feburary 1.99in. March 2.14in. April 2.51in. May 5.03in. June 3.81in. July 1.97in. August 2.31in. September 2.91in. October 3.97in. November 2.68in.

Average Temperatures Month Low High January 40F 60F Feburary 44F 65F March 51F 73F April 58F 79F May 65F 84F June 71F 90F July 73F 95F August 73F 96F September 69F 90F October 60F 81F November 50F 70F December 42F 62F

Demographics of Austin Population in 2011: 812,025 51.41% Male 48.59% Female 76% of the population younger than 45 years old. 24% of the population older than 45 years old.

Austin skyline

Austin is located in south central Texas, where the Colorado River crosses the Balcones Escarpment, separating the Texas Hill Country from the black-land prairies to the east. The Colorado River flows through the heart of the city, creating a series of sparkling lakes that stretch for more than 100 miles. Austin’s climate is subtropical with prevailing southerly winds and an average of 300 days of sunshine each year. Austin is the capital of the second largest state in America, the Lone Star State of Texas. Historically, Texas has had 6 flags flown over its beautiful country land. In 1839 Stephen F. Austin, one of the founding fathers of the Republic of Texas, was sent on a mission to find a nice spot for the capital of the Republic of Texas. After he came across the land of Waterloo, President Mirabeau B. Lamar fell in love with the crystal clear rivers that flowed through the city and decided to move the capital to Waterloo which he renamed Austin. Austin is know as the “Live Music Capital of the World” with hundreds of music venues, night clubs, and music festivals. The motto for the city is, “Keep Austin Weird” referring to the free and alternative lifestyles many of the locals have adaptive. The more weird and strange you are, fashion, type of store, restaurants, architecture, etc. the more likely you will succeed. College students find Austin to be an ideal city with the many options of a higher education degree, including the famous University of Texas Longhorns.

Band performing in Austin

Austin Postcard

512Designs specializes in sustainable interiors for commercial projects. Our primary area of focus is healthcare and senior living. We strive to meet all of our clients while considering the environment throughout the entire design process.

Dance Hall Interior

Creeks in Austin

Gruene Hall

Natural

Bright

Lively

Active

Serene

Sustainable

Concept

Lake Travis at sunset

DESIGN DEVELOPMENT

First Floor Furniture Plan

Second Floor Furniture Plan

Site Plan

Rendered Site Plan

Memory Care

Assistant Living

Wayfinding

Town Center

Administration & Clinic

Wayfinding

Image

Wayfinding 20

Name Fischer Hall = Assistant Living

Description Size 8" W x 12" H Blue background on wooden plack with black lettering on metal strip.

Location Entrance to assistant living wing, back elevator and the emergency exit foyage in assistant living wing.

Comments Writing and design will be raised from plack to create texture to enhance the senses and trigger memory.

Fischer Hall = Assistant Living

10" W x 7" T Blue background on wooden plack with black lettering on metal strip.

Placed next to every Writing and design will be assistant living apartment raised from plack to create door on the exterior. texture to enhance the senses and trigger memory. For contrast to Assistant living sign this one is horizontal to trigger memory.

Bandera Hall = Memory Care

8" W x 12" H Yellow background on wooden plack with black lettering on metal strip.

Entrance to memory living wing, back elevator and the emergency exit foyage in memory care living wing.

Bandera Hall = Memory Care

10" W x 7" T Yellow background on wooden plack with black lettering on metal strip.

Placed next to every Writing and design will be memory care apartment raised from plack to create door on the exterior. texture to enhance the senses and trigger memory. The color yellow enhances memories. For contrast to memory care sign this one is horizontal to trigger memory.

Writing and design will be raised from plack to create texture to enhance the senses and trigger memory. The color yellow enhances memories.

Name Anhalt Hall= Administration and Clinic

Description Size Red background 8" W x 12" H on wooden plack with black lettering on metal strip.

Location Comments Entrance to memory care Writing and design will be and administration wing raised from plack to create texture to enhance the senses and on front of the and trigger memory. reception desk.

Gruene Hall= Town Center

8" W x 12" H Green background on wooden plack with black lettering on metal strip.

Entrance to walking track Writing and design will be on the back of stage wall, raised from plack to create texture to enhance the senses next to first storage closet in reception hall. and trigger memory.

Public Restrooms

8" W x 12" H Purple background on wooden plack with black lettering on metal strip.

Entrance to all men and Writing and design will be women public restrooms raised from plack to create texture to enhance the senses on the exterior. and trigger memory.

Stairs

8" W x 12" H Purple background on wooden plack with black lettering on metal strip.

Entrance to all stairs wells.

Elevator

8" W x 12" H Purple background on wooden plack with black lettering on metal strip.

Entrance to all elevators Writing and design will be raised from plack to create texture to enhance the senses and trigger memory.

Writing and design will be raised from plack to create texture to enhance the senses and trigger memory.

Wayfinding

Image

FOCUS AREAS

Building Section

Dance Hall

Building Section

Community Living Room & Apartment

Research Based Design

Research Based Design RESEARCH BASED DESIGN APARTMENT AXONOMETRIC NTS

Resident Apartment 28

*Memory Care apartment windows start at 4â&#x20AC;&#x2122;-0â&#x20AC;? f.f. ,do not have a stove or patio.

Resident Bedroom Perspective of apartment bedroom

Resident Kitchen Perspective of apartment kitchen

Refer to specification book for finish and furniture information.

Resident Living Room

Perspective of apartment livingroom

Community Living Room

Community Living Room Perspective of community living room

Refer to specification book for finish and furniture information.

Community Living Room

Perspective of community living room

Dance Hall

Dance Hall Perspective of bar in dance hall

Dance Hall Perspective of bar and walking track in dance hall

Refer to specification book for finish and furniture information.

Dance Hall

Perspective of dance hall

Library & Tea Bar

Perspective of library & tea bar

Tea Bar Perspective of tea bar

Refer to specification book for finish and furniture information.

Library

Perspective of library

APPENDIX

As Built - First Floor

As Built - Second Floor

Schematic Development

Blocking Diagram First Floor Blocking 50

Blocking Diagram

Second Floor Blocking

Relationship Diagrams Town Center

Assistant Living

Focus areas

Administration & Clinic

Relationship Diagrams

Memory Care

Sq. Foot.

Criteria Matrix

Clinic Reception Restrooms Doctors Office Nurse Station #1 Nurse Station #2 Exam Room #1 Exam Room #2 Laundry Circulation Total

300 150 200 30 30 200 200 75 150 1335

Sq. Foot. Assisted Living 12 Residents Rooms Community Living Room Comm. Kitchen Comm. Dining Room Bird Watching Room Visiting Family Suite Restrooms Storage Shabaz Station Circulation Total

550 350 200 250 150 500 150 20 50 200 8370 Sq. Foot.

Town Center Reception Lobby Restrooms Library Physical Therapy + Gym Janitors Closet Activity Room Multi Function Space Café Hair Salon Circulation Total

100 100 550 700 1000 50 400 800 800 200 400 14800

Adjacencies

23, 28, 32, 33 27, 32, 33 29, 32, 33 29, 32, 33 28, 30 28, 31

Adjacencies

38‐42 37, 42 37, 42 37, 42 37, 42 38‐41

Adjacencies

5, 6, 10 4, 6 4, 5

4, 6 6, 4 4, 6

Water Line

No Yes 20 Yes No No Yes Yes Yes

Water Line

Windows

Private

Public

Special Requirements

Yes No Yes No No Yes Yes No

Yes Yes Yes Yes Yes Yes Yes No

Yes Yes No No No No No No

Privacy Staff and Clients Traveling Doctors

Windows

Private

Public

Special Requirements

Yes Yes Yes Yes No Yes Yes No Yes

No Yes Yes Yes Yes No Yes No No

8 Singles, 4 Doubles Large enough to hold 12 residents plus guests Open Kitchen, Heart of the Home Large enough to hold families, parties, etc. Access to outdoors, rocking chairs, relaxing

Privacy

Windows

Private

Public

Special Requirements

Yes Yes No Yes Yes No Yes Yes Yes

Yes No Yes Yes Yes No No Yes No

Yes Yes Yes Yes Yes No Yes Yes Yes

Yes Yes No Yes Yes No No Yes Yes‐Water FeatuYes 37 Yes Yes Yes No 43 No Np 37 Yes Yes

Water Line

Yes No Yes 6 Ye 6 Yes 6 Yes Yes Yes Yes

Make existing restrooms ADA Gym, offices, equipment, maybe pool

Large enough for art classes, meetings, etc. Open to public

Memory Care 8 Resident Apartments 4 Couple Apartments Comm. Living Room Comm. Dining Room Comm. Kitchen Visiting Family Suite Passive Snoezelen Room Active Snoezelen Room Rummage Area Restroom Shabaz Station Bird Watching Storage Circulation Total

550 600 350 250 200 500 75 125 200 150 50 150 20 200 8970

Adjacencies

Water Line

50‐54, 60 48, 51‐54, 60 52‐53 53, 54 52, 54 48‐53 56, 58 55, 58 49, 50 51‐53, 55‐56 49, 50, 55, 56 49, 50, 58 58, 59

Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes No Yes No No Yes Yes No No Yes Yes‐Water FeatuYes No No

Sq. Foot. Adminstration Executive Director's Office Assistant's Shared Office (2) Social Workers Office Social Assistant Office Wellness Director Break Room Restrooms Conference Room Copy Room Storage Circulation Total

Adjacencies

250 150 200 150 200 400 150 400 50 30 200 2180

4, 16, 22, 23 15, 22, 23 4, 14, 18, 23 17, 23 4, 15, 23 21, 23 20, 22 15, 17, 19

Windows

Water Line

No No No No No Yes Yes No 23 No 24 No

Private

Public

Special Requirements

Yes Yes No No No Yes Yes Yes No Yes Yes No Yes

No No Yes Yes Yes No No No Yes No No Yes No

Twin Beds Queen Beds Large enough to hold 12 residents plus guests Large enough to hold parties Open kitchen, Heart of home

Incorporate into community rooms

Windows

Private

Public

Special Requirements

Yes Yes Yes Yes Yes Yes No Yes No No

Yes Yes Yes Yes Yes Yes Yes Yes No No

No No No No No No Yes No Yes Yes

Meeting area

Sharing with Clinic Staff only Hold up to 10 people Sharing with Clinic Office Supplies

Criteria Matrix

Sq. Foot.

Construction

Project Checklist Energy & Atmosphere

Green Guide Checklist 56

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Prereq 1 Prereq 2 Prereq 3

? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

N N N N N N N N N N N N N N N N N N N N N

NA Credit 1.1 NA Credit 1.2 NA Credit 1.3 NA Credit 1.4 NA Credit 1.5 NA Credit 1.6 NA Credit 1.7 NA Credit 1.8 NA Credit 1.9 NA Credit 1.10 NA Credit 2.1 NA Credit 2.2 NA Credit 2.3 NA Credit 3 NA Credit 4 NA Credit 5 NA Credit 6.1 NA Credit 6.2 NA Credit 6.3 NA Credit 6.4 NA Credit 7

21 Points

Fundamental Commissioning of the Building Energy Systems Minimum Energy Performance Fundamental Refrigerant Management Optimize Energy Performance: 3.5%/10.5% Optimize Energy Performance: 7%/14% Optimize Energy Performance: 10.5%/17.5% Optimize Energy Performance: 14%/21% Optimize Energy Performance: 17.5%/24.5% Optimize Energy Performance: 21%/28% Optimize Energy Performance: 24.5%/31.5% Optimize Energy Performance: 28%/35% Optimize Energy Performance: 31.5%/38.5% Optimize Energy Performance: 35%/42% On-Site Renewable Energy: 0.05 watts of renewable generating capacity / sf of building area On-Site Renewable Energy: 0.10 watts of renewable generating capacity / sf of building area On-Site Renewable Energy: 0.15 watts of renewable generating capacity / sf of building area Enhanced Commissioning Enhanced Refrigerant Management Measurement & Verification Green Power: 20% Green Power: 50% Green Power: 80% Green Power: 100% Equipment Efficiency

Materials & Resources Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Prereq 1 Prereq 2

? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

N N N N N N N N N N N N N N N N N N N N N

NA Credit 1.1 NA Credit 1.2 NA Credit 1.3 NA Credit 2.1 NA Credit 2.2 NA Credit 2.3 NA Credit 2.4 NA Credit 3.1 NA Credit 3.2 NA Credit 3.3 NA Credit 3.4 NA Credit 3.5 NA Credit 4.1 NA Credit 4.2 NA Credit 4.3 NA Credit 5.1 NA Credit 5.2 NA Credit 5.3 NA Credit 6 NA Credit 7.1 NA Credit 7.2

Required Required Required 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Storage & Collection of Recyclables Mercury Elimination

Points Required Required

Building Reuse: Maintain 40% of Existing Walls, Floors & Roof Building Reuse: Maintain 80% of Existing Walls, Floors & Roof Building Reuse: Maintain 50% of Interior Non-Structural Elements Construction Waste Management: Divert 50% from Disposal Construction Waste Management: Divert 75% from Disposal Construction Practices: Site & Materials Management Construction Practices: Utility & Emissions Control Sustainably Sourced Materials: 10% Sustainably Sourced Materials: 20% Sustainably Sourced Materials: 30% Sustainably Sourced Materials: 40% Sustainably Sourced Materials: 50% PBT Elimination: Dioxins PBT Elimination: Mercury PBT Elimination: Lead & Cadmium Furniture & Medical Furnishings: Resource Reuse Furniture & Medical Furnishings: Materials Furniture & Medical Furnishings: Manufacturing, Transportation & Recycling Copper Reduction Resource Use: Design for Flexibility Resource Use: Design for Durability

2-2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Version 2.2 ÂŠ 2007

Construction

Project Checklist

Construction Y - (yes) you are moderately confident that you can attain the credit. ? - (maybe) it will be challending for this project andyou are uncertain of your ability to attain it but you wil try. N - (no) while technically possible, you currently don't expect to try to achieve this credit in this project due to cost or other tradeoffs with project goals. NA - (not applicable) it is inherently physically unattainable for this particular project regardless of effort due to physical conditions or project scope. Note: an Excel spreadsheet of this checklist is available for download at www.gghc.org

Integrated Design Prereq 1 Prereq 2

Integrated Design Process Health Mission Statement & Program

Required Required

Sustainable Sites Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Prereq 1

? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

N N N N N N N N N N N N N N N N N N N N N

NA Credit 1 NA Credit 2 NA Credit 3.1 NA Credit 3.2 NA Credit 3.3 NA Credit 4.1 NA Credit 4.2 NA Credit 4.3 NA Credit 4.4 NA Credit 5.1 NA Credit 5.2 NA Credit 5.3 NA Credit 6.1 NA Credit 6.2 NA Credit 7.1 NA Credit 7.2 NA Credit 8 NA Credit 9.1 NA Credit 9.2 NA Credit 10.1 NA Credit 10.2

21 Points Construction Activity Pollution Prevention

Required

Site Selection Development Density & Community Connectivity Brownfield Redevelopment: Basic Remediation Level Brownfield Redevelopment: Residential Remediation Level Brownfield Redevelopment: Minimizing Future Hazards Alternative Transportation: Public Transportation Access Alternative Transportation: Bicycle Storage & Changing Rooms Alternative Transportation: Low-Emitting & Fuel Efficient Vehicles Alternative Transportation: Parking Capacity Site Development: Protect or Restore Open Space or Habitat Site Development: Reduce Development Footprint Site Development: Structured Parking Stormwater Design: Quantity Control Stormwater Design: Quality Control Heat Island Effect: Non-Roof Heat Island Effect: Roof Light Pollution Reduction Connection to the Natural World: Outdoor Places of Respite Connection to the Natural World: Exterior Access for Patients Community Contaminant Prevention: Airborne Releases Community Contaminant Prevention: Leaks & Spills

Water Efficiency Y Y Y Y Y Y Y

Prereq 1

? ? ? ? ? ?

N N N N N N

NA Credit 1 NA Credit 2.1 NA Credit 2.2 NA Credit 2.3 NA Credit 2.4 NA Credit 2.5

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

6 Points Potable Water Use for Medical Equipment Cooling Water Efficient Landscaping: No Potable Water Use or No Irrigation Potable Water Use Reduction: Measurement & Verification Potable Water Use Reduction: Domestic Water Potable Water Use Reduction: Domestic Water Potable Water Use Reduction: Process Water & Building System Equipment Potable Water Use Reduction: Process Water & Building System Equipment

2-1

Required 1 1 1 1 1 1

Green Guide Checklist

Y Y

Version 2.2 ÂŠ 2007

Construction

Project Checklist

Environmental Quality

Green Guide Checklist 58

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Prereq 1 Prereq 2 Prereq 3

? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

N N N N N N N N N N N N N N N N N N N N N N N N

NA Credit 1 NA Credit 2 NA Credit 3.1 NA Credit 3.2 NA Credit 4.1 NA Credit 4.2 NA Credit 4.3 NA Credit 4.4 NA Credit 4.5 NA Credit 4.6 NA Credit 5.1 NA Credit 5.2 NA Credit 6.1 NA Credit 6.2 NA Credit 7 NA Credit 8.1a NA Credit 8.1b NA Credit 8.1c NA Credit 8.1d NA Credit 8.1e NA Credit 8.2 NA Credit 8.3 NA Credit 9.1 NA Credit 9.2

Minimum IAQ Performance Environmental Tobacco Smoke Control (ETS) Hazardous Material Removal or Encapsulation

Y Y Y Y

? ? ? ?

N N N N

Credit 1.1 Credit 1.2 Credit 1.3 Credit 2

Required Required Required

Outdoor Air Delivery Monitoring Natural Ventilation Construction EQ Management Plan: During Construction Construction EQ Management Plan: Before Occupancy Low-Emitting Materials: Interior Adhesives & Sealants Low-Emitting Materials: Wall & Ceiling Finishes Low-Emitting Materials: Flooring Systems Low-Emitting Materials: Composite Wood & Insulation Low-Emitting Materials: Furniture & Medical Furnishings Low-Emitting Materials: Exterior Applied Products Chemical & Pollutant Source Control: Outdoor Chemical & Pollutant Source Control: Indoor Controllability of Systems: Lighting Controllability of Systems: Thermal Comfort Thermal Comfort Daylight & Views: Daylight for Occupied Spaces: 6% above ‘square-root base’ daylit area Daylight & Views: Daylight for Occupied Spaces: 12% above ‘square-root base’ daylit area Daylight & Views: Daylight for Occupied Spaces: 18% above ‘square-root base’ daylit area Daylight & Views: Daylight for Occupied Spaces: 75% of regularly occupied spaces Daylight & Views: Daylight for Occupied Spaces: 90% of regularly occupied spaces Daylight & Views: Connection to the Natural World: Indoor Places of Respite Daylight & Views: Lighting & Circadian Rhythm Acoustic Environment: Exterior Noise, Acoustical Finishes, & Room Noise Levels Acoustic Environment: Sound Isolation, Paging & Call System, & Building Vibration

Innovation & Design Process

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Innovation in Design: Innovation in Design Innovation in Design Documenting Health, Quality of Care & Productivity Performance Impacts: Research Initiatives

Construction Project Total

Points 1 1 1 1

2-3

Points

Passive Solar Water Heating Passive Solar Energy Cooling: • Bright shiny white roof to reflect summer solar radiation • Green Roof with Xeriscaping • Natural Shade, etc. • Large south facing operable windows to capture cool breeze from lake No attic: • Attics are a solar heat tank, usually up to150F degrees in the summer. Faux Stone: • Looks like a natural stone and keeps the interiors cool in summer while warm in the winter • Controls humidity • Provides fresh ventilation Overhangs and window shelves: • Block the high summer sun while the low winter sun seeps through windows and warms the interior Clear story windows Water collecting systems: • Rain barrel collecting systems, etc. • Bioswales

Day lighting strategies • South facing windows • Light shelves • Light tubes Energy Conservation • Solar Panels • Use radiant barriers-high fictive low emissivisty walls & roof, blocks 97% of solar heat Natural materials • Bastrop pine, juniper/cedar and other sustainably-harvested/salvaged materials from trees and bushes, • Mexican travertine (Materials Marketing of Austin, TX supplier) • Travertine can be used for flooring, counter top, wainscoting and shower surrounds in bathroom and kitchen. • Texas Limestone for stonework, (limestone can be gathered from the site, limestone has natural weathered finish) • http://www.craftsmanhomesofaustin.com/media/stone_world.htm Local Furniture Craftsmen • -hillhauswoodworks.com/ • -http://www.custommade.com/subscriber-site/1775/official • -www.marklovefurniture.com/ • -http://www.custommade.com/subscriber-site/4648/official

Sustainability in Austin

Sustainable Strategies for Austin, Texas Architecture

Codes

Project Description: Building Square Footage =48,212SF _60__% Building Efficiency = 28,927 _40__% Building Inefficiency = 19,285

Floor 1 & 2:

II.

= =

Program Usable 19,534 s.f.

= =

Entry/ Reception Town Center

Administration

Qty

Clinic

s.f. (assignable) s.f. ( 10,607 s.f. circulation + 8,678 s.f. misc.)

Assignable + 28927 s.f. + Assignable 28,9927 sf

_22_% Circulation Factor + _18_% Misc

+ +

Description

Reception - 250 Nurse’s Station – 150 Dr.’s Office - 200 Patient Room - 100 Laundry Room - 50 Break Room -1000 Open Space - 300

250 175 200 200 50 1000 300

195 100 144 156 39 780 234

55 50 44 44 11 220 66

2 2 2 2 2 12 2

Entry Area - 350 Shabaz Dining Space - 500 Kitchen - 200 Laundry - 100 Wii Room - 150 Resident Room - 550 Guest Room - 350 Open Space - 3000

350 100 1000 300 200 150 6600 700 3000

273 80 800 234 156 100 5148 546 2500

77 20 564 66 44 40 1452 154 660

Shabaz/ Library Station - 650 Dining Space - 300 Kitchen - 150 Laundry - 100 Private Room - 100 Rummage Area - 400 Snoezelen Room - 100 Resident Room - 550 Open Space - 3000

650 300 150 100 100 400 100 6600 3000

507 234 117 77 77 312 77 5148 2500

143 66 33 22 22 88 100 1452 660

31,045

8,834

Circulation 10,607 s.f. Assisted Living

Circulation 10,607

Programming A. Programming Analysis Floor 1 & 2 Circulation factor = 22% (using gross SF to find net SF) Circulation Multiplier = 28% (using net SF to find gross) Area

Program Usable 39,534 s.f.

(_60_% Building Efficiency)

Memory Care

Usable S.F.

Assignable S.F.

Circulation

Reception Desk - 200 Open Area- 1000 Cafe - 1000 Gym- 1300 Art Room - 550 Library - 250 Tea Bar - 700 Private Activity Room - 750 Market -- 500 Open Space - 850 Dance Hall – 2000

200 1000 1000 1300 550 250 700 750 900 850 2000

156 780 780 1014 429 195 546 585 702 663 1480

44 220 220 286 121 55 154 165 198 187 500

CEO Asst. - 150 CEO - 250 CEO – Asst - 150 Wellness Director - 150 Activity Director - 150 Social Worker - 150 Social Worker Asst. - 150 Workroom - 150 Private Meeting Room/Conference – 450

150 250 150 150 150 150 150 150 450

117 195 117 117 117 117 117 117 351

33 55 33 33 33 33 33 33 99

12 Sub Total Program Misc . Un-assignable s.f.

Total Program

39,900 Circulation for Misc. Unassigned Areas Mechanical, Structure/Walls, Public Toilets, Janitor Closets, Unassigned Stg. 48,212

8312

2 Floor Public Memory Care

Residential Residential

3 1 15

2 1 13

1 1 11

Note: Assume 50% male and 50% female unless specific demographics for gender are available or as indicated by codes officials

Preliminary Codes Analysis A. Occupancy Classification (Occupancy Classifications Handout)

Toilets/Urinals: Lavatories:

15 11

Total Facility Plumbing: Female

Toilets Lavatories:

13 11

B. Egress (Maximum Floor Area Allowances: IBC Table 1004.1.2; Egress Width: table 1005.1; Half Diagonal Rule) Floor

Total Facility Fountains Total Facility Other fixtures

1&2 Area

Occupancy Classification

Useable S.F. Net or Gross

Occupancy Load Factor

Occupant Load

Welcome Area Restaurant Administration Clinic Assisted Living Memory Care Fitness Center Salon Tea Bar/ Library Art Room Private Activity Dance Hall

I-1

1700 750 2450 950 13,900 12,000 1300 550 700 550 700 850

100g 15n 100g 100g 200g 200g 50g 35n 15n 7n 50n 100g

17 50 25 10 70 60 26 16 47 108 18 9

Floor 1 & 2Total Occupancy Floor 1& 2 Total Means of Egress Notes:

408 21

Means of Egress per area 2

Total Facility Occupancy Total Facility Means of Egress

Egress Data Min. width Max. distance 44â&#x20AC;? 250â&#x20AC;&#x2122;

408 21

C. Plumbing (Minimum Number of Plumbing Facilities: Table 2902.1 Area

Occ. Class.

Town Center Fitness Center Administration Clinic 1 Floor Public Assisted Living

Mixed Use Exercise Room Business Business Residential Residential

Water Closets Male Female 3 2 1 1 1 1 1 1 3 2 2 2

Lavatories Male Female 2 2 1 1 1 1 1 1 2 2 2 2

Fountains

Other Fixtures

Codes

III.

Total Facility Plumbing: Male

Safety & Well-Being Research

Lighting Quality

• People with dementia often feel threaten by shadows and reflections. Provide even lighting through out the spaces. Include indirect and direct ceiling light fixtures to reduce shadows and reflections. • Research shows that residents with dementia have difficulties with spatiotemporal orientation which can lead to depression, confusion and inactivity. Specify lighting control system that mimic the natural lighting effects from sun rise to sun down by reducing the color temperature and brightness through out the day. This will help reduce confusion and helps residents circadian rhythm get back to normal.

Security

• To accommodate wandering residents, avoid dead ends and design self-cooping paths and circulation. Providing seating areas in circulation and wandering paths with views often encourages the resident to turn back to a secure area. • Specify locks for residential apartment to promote privacy and security. Staff and family will be able to access the apartments.

Productivity & Performance Staff

• Locate a secure and relaxing break room that is away from the residents to enjoy a moment of peace and quiet while on break. • Design a space plan with accessible circulation paths for staff to easily and quickly get from one end of the facility to the other when needed. • Design functional and relaxing shabaze station that are not typically seen in senior living facilities. Specify comfortable seating and shelving units for the shabazes to make their work areas ideal.

Residents Daily Activity

• Plan for residential apartment bathrooms to be large and efficient so residents can be assisted if needed while in the bathroom. • Space plan multiple activity rooms that are flexible and functional. In the morning the space can be an art class and at night a game room.

Ease of Use ADA

Wayfinding Strategies

Universal Design

Anthropocentric

• Specify cabinets with pull out shelves and various counter top heights for various postures for residents and their guest to feel comfortable and confident while using their kitchen or bathroom. • For all doors in the facility specify lever handles instead of knobs for guest and residents to easily open and close doors. • Specify products with non-slip finishes in areas that are prone to water use such as in the bathroom or public rest rooms.

• Research indicates that elders tend to watch the floor as they walk. Specify subtle changes in colors and patterns of flooring materials to different parts of the facility will help residents not get lost. • Keeping a floorplan that is simple with memorable adjacencies will reduce the chances. • Incorporate recognizable cues such as; artwork, furniture, certain rooms, colors or textures. These cues can lead residents back to familiar areas which can reduce disorientation.

• Sharp contrast in color or light can cause elders to perceive nonexistent steps or a change in depth. To reduce confusion, specify a flooring that has light and avoids extreme contrast. • Reinforcing the visual connection between the circulation path and the room encourages residents to join in on activities in the room. Therefore the design will incorporate open spaces with accordion doors or large entry ways.

Research

• For residents to comfortably and safely travel while being able to take their time a design strategy is to provide passageways at least 60” wide in heavy circulation areas. • Soft loose surfaces can cause difficulty in walking and maintain balance and tends to cause people to trip or fall. Specify stable and regular surface such as a solid tight looped carpet can help residents keep their balance and provides a solid surface for wheelchair access.

Research

Comfort & Sense of Choice and Control Privacy • Research shows that not enough

resources are provided for residents to have contact with family and friends outside of their community. Specify and integrate large televisions with virtual connecting technology such as Skype, to give residents additional options to stay connected with their loved ones. • Residents often feel that they have no control over who enters their apartment. Specify door bells, mailboxes and lockable doors for every apartment to increase privacy and a sense of control for their apartment comfort.

Assisted Living • Providing flexibility between the

apartment and the common living can allow the resident to open their apartment up or keep it closed and personal. Specifying Dutch doors allows a resident to fully open , half open or close their door and creates a sense of control and comfort for their specific needs and wants. • Residents often feel disconnected with their family and friends once they move into an assistant living facility. Designing a large and inviting cafe or public space to accommodate residence and their guests to comfortably visit.

Memory Care

• Exploring a residents history and providing accommodating activities can often create a calming and refreshing memory. Incorporating rooms that allows for residents to play dress up, wood shop, nursery, music making, art and various other activities that will spark memories. • Besides room numbers on door, photos or memory boxes of the resident on the exterior of their apartment help residents identify their room (marking) and can reduce wandering residents from going into the wrong room.

Aesthetics • Research shows that day lighting also stimulates your energy, increases blood flow to your brain and improves memory while sharpening your thinking ability. Incorporating as many day lighting strategies in the facility will reduce energy use and improve residents health. • Provide as much light as possible to adapt to the seniors eyes. Specify accent lighting, task lighting, direct and indirect lighting.

Contrast

Color

• Flooring with high contrast is often • When residents move from their homes to mistaken for an object on the floor a senior living facility they have trouble and residents will try to pick up the adjusting to the new style and aesthetics. contrasting color. To reduce the conFor residents to feel comfortable in their fusion of contrast between color and new living arrangement specify contempatterns a strategy is to use a solid porary and traditional furniture to help resicolor floor with little to no pattern. dents become comfortable in their new • Using a contrasting color on the end home. of each step on stairs in a stair well • Instead of using traditional nursing home will help elders differentiate between colors of whites and beige, specify finishes each step to reduce the chances of that promote a positive quality of life. Usfalls. ing natural and energizing colors remind people of nature, blues remind people of the sky, green reminds people of the grass and increase appetites.

Research

Lighting Quality

Resident Quality of Life- Exercise

Research

Research shows.... • Exercise is a chance for older people to show they are still physically vital and promotes a independent lifestyle. • A growing number of older adults are heading to the gyms and dance halls and participating in rigourous activity. • Seniors who went through a 6 month physical therapy program had less functional decline, compared with a control group that did not receive the physical therapy program • Walking increases circulation which boosts your metabolism and reduces the desire and need for afternoon naps • People are joining walking clubs which promotes a healthy daily routine that keeps them active, healthy and alert. • Fitness delays the onset of many symptoms of aging, people who remain active physically in their later years tend to slow the observable traits we associate with aging. • Group exercise can help combat a phenomena called “disengagement”, older people feel disenfranchised and withdraw from the outside world which accelerates aging. • Group exercise is a conduit for making friends and protects against depression, isolation and loss of identity. • Seniors who went through a 6 month physical therapy program had less functional decline, compared with a control group that didnot receive the physical therapy program.

Resident Quality of Life- Pets, Plants and Visitors

Research shows.... • The philosophical approach to keeping their residents from feeling lonely, helpless and bored has been achieved by bringing in pets, plants and animals into facilities. • The three conditions seek to eliminate the plagues of long-term care institutions that effect residents who are confined to a wheelchair or bed, or those who do not have families or have lost their loved ones. • The concept for their approach is that long-term facilities should be habitats for human beings rather than institutions for the frail and elderly and that nature has a lot to share about the creation of vibrant, vigorous habitats. • By bringing in children, pets and plants the facility can create a lush, loving, human living habitat rather then the traditional stark and hospital-like setting. • Creating a familiar atmosphere in the facilities allows for a connection and comforting space that the residents can interact with and feel a sense of belonging. • Filling the void of boredom with games and movies was not satisfying enough for the residents at Parkside and they wanted something they could interact with and interact with them. • Studies show that providing children, animals and plants help to decrease depression and dependence on medication with increasing appetite and an overall happy quotient. • Plants are everywhere through out the rooms and open spaces in the Parkside center. Children from the next door nursery are frequent visitors and help with crafts, games and entertaining the elders. • Animals are caged and kept safe, clean and healthy while not being interacted with to keep the facility up to state regulations on cleanliness and to provide a break for the animals and residents.

Therefore, design strategies include..... • • • • • • •

Provide walking paths wide enough to allow 2 residents to walk by each others side, Include interactive indoor gardens, ponds, and plants. Design large open spaces for guests and the community to join in on activities. Design a small and private activity room fit for group dance classes, karate classes, yoga and other exercise classes. Design a large and open dance hall for residents to gain exercise through interactive dancnig. Incorporate a swimming pool with walking paths on the exterier. Design interior walking tracks with gathering areas near by for groups to organize exercise schedules.

Case Study Ordained Meadows is a retirement home in Kopingebro and welcomes anyone to stay with them on their community. The sustainable community provides assistant living homes to over 32 elders. The community oriented design encourages social interaction and opportunities for daily activities. Residents get to decide how they want to live their lives. The community provides the security, the food, the activities, and the freedom. The residents are provided with the lifestyle that encourages them to take their time and do everything at their own pace.

• English translation is Ordained Meadows • Residents rent apartments as needed and must furnish their apartment. There are 32 apartments that are designed as small terrace houses and open onto the courtyards. The individual apartments provide for a personal space that creates a sense of belonging and allows the residents to personalize their space to make them feel at home. • Two large courtyards with multiple accessible walking trails provide residents to explore the area and visit with their neighbors while getting exercise and fresh air. • Daily activities stimulate social interaction and activities are based around residents interest. • On site spa provides holistic healing opportunities. • Water aerobics and swimming are daily activities with their indoor pool. • The restaurant provides every meal for the residents and also feed the local community. The community is welcome to come and dine with the residents and encourage social relationships. • Common area furniture choices are based on comfort, beauty, function, and types that are as typical as possible to keep a home like environment. • On site gardens provide beauty and food and residents are encouraged to help tend the plants. • The entire community of Ordained Meadows is handicap accessible. • The philosophy is that the staff encourages the residents to be as independent as possible and take things at their own rate. Staff will step in and provide the needs and help that the residents are not capable of doing. Resident on patio • Pets are welcome and can be taken care of by the staff. • The architecture is the base and provides the opportunities for participation and the freedom for the desired quality of life the resident desires. • http://www.vigsangar.se/arkitektur.html

Exterior of apartment

Facade of facility

Resident utilizing art room

Dining Hall

Research

Ordained Meadows is a beautiful and healthy environment that provides residents with opportunities to stay independent, healthy and the connection with nature. The hands on activities keep residents young at heart while allowing for a second chance at life.

Facility Pet

Healing Garden

Nurses Station/ Staff Support Areas

Research

Research shows.... • In room nurses stations need to be well designed to prevent reducing the patients line of sight. The organization needs to well done to prevent clutter and reduce the personalization of the patients room. • Lots of interaction takes place at on-ground nursing stations. It is a meeting point for nurses, doctors, patients and visitors. Often called the fortress. • Average age of nurses are 42 and will soon be 50. New technologies are harder to adapt and work into existing traditions. • Successful work stations integrate the work environment with the relationships between people, processes, objects and spaces. • Current staff stations are enclosed and suggest that organized work happens there, but in reality its a chaos, overcrowded, and stress full place. • Stations need to be designed for a quick meeting with a table and computer access for a stop and go resource area. By eliminating the tradition sit down area and making a standing height area it allows nurses to get their job done quickly. • Patients feel that because many nurses are seen at the nurses station that they would rather be gossiping than at their patients bedside. • Communication barriers were related to poor design, lack of space, frequent interruptions and a lack of privacy; the name ‘nurses’ station’ denotes the space as the primary domain of nurses rather than a workspace for the healthcare team. • Stations are for nurses and nurses only and should not be able to be accessed to patients, etc.

Nurse Stations

Therefore, design strategies include..... • • • •

Incoporate schabez stations into community gathering areas. Provide privacy and areas for employees to lock up their personal belongings. Design a large and private staff break room away from the residents. Design the administration and clinic in a private area for the facility to not feel like an office building.

Case Study • • • • •

Nursing Stations with waiting room

Community Hospital of the Monterey Peninsula, Monterey California http://www.chomp.org/ Healthcare, Hospital Long-term patient care, emergency patient care, and caregiver work environment Similar to Senior Living facilities, hospitals also needs to satisfy their workers, Nurses and Doctors. The furniture and office furniture for this hospital purchased four decades ago and today the furniture is functional and promotes a satisfying work environment. The flexible furniture meets all staffs needs and can be re-arranged as desired. • I chose this hospital because of the smart design they chose four decades ago. They made a sustainable chose that benefits the employees happiness and work quality.

Snoezelen Rooms & Rummage Areas

Shnoezelen Room with resident

Shnoezelen Room

Therefore, design strategies include.....

• Incorporate the snoezelen room into the Town Center so it is away from the clinic which will reduce the anxiety for residents as they approach the snoezelen room. • Provide an open space for the room to reduce the anxiety for being in a small enclosed space.

Case Study • • • •

Christian Care Center located in Mequite, Texas http://www.christiancarecenters.org/mesquite_lifestyle/photos.html Retirement living, Assisted living, Alzheimers assisted living, skilled nursing, home health and hospice care all together on one campus. The various services offered by CCC range from a snoezelen room, arts and craft, music therapy, animal therapy, on site beauty shop, Wii gaming systems, various doctors offices, and many of activities and services that provide a safe and comfortable environment for the residents. • I chose CCC because its not only in Texas, the best state ever, but because of the beautiful campus they built. The campus offers so many services that the residents are pretty much forced to interact and not get bored. They have multiple types of holistic therapies offered to the residents, which I believe is the healthiest way to get better.

Research

Research shows.... • Helps stimulate patients with dementia regain movement toimprove their balance to prevent future falls. • Snoezelen rooms expose the user to effects of touch, lights and colors, sounds, smells, and tastes to stimulate and sooth. • The multi sensory room have the potential to improve sensory system integration and have an influence to improve balance. • Providing a safe, sensory environment with swings, movement, enough space and various other balancing enhancements regains residents balance perspective. • Elder patients are less interested in the Snoezelen Room because of the modern technology and the lack of interest. • Alzheimer patients are 3 times likely to injure themselves than those living in other units, they are more unknowingly to put Bubble Machine themselves in harms way. • Can be used in a group setting or individual use and for therapeutic help or leisurely. • The snoezelen room promotes the resident to participate in activities that relate to their experience in the snoezelen room. • Daily monitoring of snoezelen room activity is highly recommended to track blood pressure, pulses and heart rate. • Family members and staff should be encouraged to use the room to find relaxation, happiness, and a peaceful surrounding. • Space planning needs to be considered for spinning color wheels, hammocks, bubble tubes, projectors, seating, room to pace, and fiber optic lights. • People dealing with the middle stages of dementia tend to search through their belongings to either find a specific belonging that will bring comfort to them. • Hoarding and rummaging are common side effects to satisfy the paranoia and suspicion cause by dementia. • Rummage is a way to interact with the environments after speech and comprehension skills have decline. • Tempting to limit or discourage pacing, rummaging and repetition leads to an increase in agitation and the desire to continue with their continuous behavior. • It is best to control the rummage environment versus controlling the behavior. • Providing a safe place to rummage, either a box or drawer, and fill it with everyday objects and personal meaningful objects. • Provide everyday objects like a comb to find and provide a mirror to let the person remember that you look in a mirror to comb your hair. • By providing an area to rummage and objects that promote remembering what the object is can lead to the person gaining an ah-ha moment and they will fill satisfied with their memory and finding.

Sustainabilty in Senior Living Environments

Research

Research shows..... • Besides the health and environment benefits of sustainable design it also reduces long term costs of the facility. • The better the quality of the space the better the quality of life for residents, guests and staff, which increases residents life, encourages guest to visit more often and reduces the turn over rate for staff. • By providing land and outdoor space along with a sustainable building expands the opportunities residents have to experience the outdoors and reconnect with nature. • Improving the air quality and utilizing day light provides a comfortable setting which increases productivity and reduces isolation. • Efficient space planning to create a sustainable place requires a flexible plan that will be functional and efficient for years to come which will guarantee that renovations and remodeling will not need to happen. • Using local materials connects the facility back to its natural surroundings and connects residents back to the community of their hometown. • Water features provide a relaxing and meditating accent to any interior and helps residents find comfort in their new home through serine water noises and motions. • Providing outdoor space allows for opportunities of healthy and active therapeutic activities. • Gardens can provide organic foods for the residents and can provide opportunities for connecting to the community through farmers markets and local fair shows. • Evidence shows that day lighting and better air quality have beneficial effects on the health of residents and staff. • Reduce water waste and energy waste, promote clean air, use recycled and local materials will all contribute to a healthy indoor environmental quality.

Therefore, design strategies include.....

Exterior of Elite Care

Dining Hall with natural furniture

Interior garden room

Green House

• Use passisive solar design strategies to incoporate as much natural day lighitng into all areas of the facility. • Use biophilic stratigies to incorporate the exteriors with the interiors to encourage residents to explore the exterior. • Specify all natural sustainable finishes for all furniture and wall coverings. • Specify operable windows for natural ventilations.

Case Study • • • • •

Elite Care at Fanno Creek in Tigard, Oregon http://www.elitecare.com/fanno_creek?p=welcome Assistant Living for anyone over the age of 55. The residents range from to 56 to 104, many are active and moblie but some do require full assistants. They welcome couples and single residents. The Elite Care facility has an on ground therapeutic garden. The residents pertisipate in helping out with the garden and donate fresh produce to the local food bank. The vegitables from the garden are entered in local county fairs every year and always take home the top ribbon. They provide residents with the possiblity to live their life to the fulliest. by incorporating outdoor activities, sustainable practices, and a sustainably design facilitiy, the residents are sure to live a prospering and healthy life. • The facility is LEED Platinum, energy efficient, has a rain water collecting system and benifits from the use of grey water, a green solarium, patios, and gardening available through out the year.

• Medical Lighting, Good Lighting Enriches Senior Living, http://www.waldmann.com/derungs/file/katalogbestellung/seniorenpflege_en.pdf • Baker, B. (2011, March 4). Treating alzheimer’s. CQ Researcher, 21, 193-216. Retrieved from http://library.cqpress.com/cqresearcher/ • Hoban, Sandra, Being with a circle...relearning simple pleasures brings joy to resdents with dementia. Long-Term Living (Aug. 2011) 48 • http://galenet.galegroup.com.ezproxy.denverlibrary.org:2048/servlet/BCRC?vrsn=unknown&locID=denver&srchtp=adv&c=1&ste=31&tbst=tsVS&tab=2&RNN=A26597 8490&docNum=A265978490&bConts=2 • Perkins, Bradford. Engaging Wanders, Architecture Week (Dec. 2004) • http://www.architectureweek.com/2004/1215/design_3-1.html • http://trace.wisc.edu/docs/compliance_with_the_ada_for_itm/comply_comp1.html#4.5 • “EXERCISE SCIENCE STUDENTS HELP THE ELDERLY GET IN SHAPE ‘EXERCISE AND AGING’ COURSE HELPS PLAN SENIOR OLYMPICS; STUDENTS VISIT ASSISTED LIVING CENTERS.” States News Service 28 Sept. 2010. General Reference Center GOLD. Web. 16 Jan. 2012. • “Pets, Plants Help Make Senior Facility A Home”, Robin Seaton Jefferson. St. Louis Post-Disptach, pg. 10. Nov. 1, 1999 • http://infoweb.newsbank.com.ezproxy.denverlibrary.org:2048/iw-search/we/InfoWeb?p_action=doc&p_topdoc=1&p_docnum=1&p_sort=YMD_ date:D&p_product=NewsBank&p_text_direct-0=document_id=(%200EB051CFA49A9B77%20)&p_docid=0EB051CFA49A9B77&p_theme=newsbank&p_ queryname=0EB051CFA49A9B77&f_openurl=yes&p_nbid=B5FP50NOMTMyNjc1MTU4OS4zNjk0MTY6MTo2OmRlbnZlcg&&p_multi=SLDB

• Schwarz Benyamin. Effect of Design Interventions on a Dementia Care Setting. American Journal of Alzheimer;s Disease and Other Dementias. (2004) 171-176 • Daniel Allen, Redesign the wards and stop staff ‘roosting’ at the nurses’ station. Nursing Standards. Vol. 22 No. 45 (2008) 26-27 • Del Ponte, Patrick. “Green design for better senior living.” Design Matters LT Magazine, (March 2011) 16-20 • Moldow, Leslie. “Building Green Pays Off.” Buyers Guide, Nursing Homes Magazine (July 2003)26-33 • Bissonnette, Viveca. ‘Healing Environments.” Interiors & Sources 27 (March 2011) 72-73 • Paul, Sue. “The Role of Rummaging in Middle Stages Alzheimer’s” Senior Living. 2010. http://www.seniorlivingfrederickcounty.com/news/detail.htm?id=181 (accessed January 23, 2012) • Debbie Spohn. “An Adventure into Snoezelen Therapy.” Nursing Homes Magazine (October 2005) 64-74

Bibliography

• Community Hospital of the Monterey Peninsula, Herman Miller, Healthcare Case Study, 2009

• Klages, Kelsey. “Potential of Snoezelen room multisensory stimulation to improve balance in individuals with dementia: a feasibility randomized controlled trial.” Clinical Rehabilitation (Novemeber 2010) 607-616