MAKE ROOM
FOR QUALITY OF LIFE HOMLY ENVIRONMENTS
Inspiring interior design solutions that support residents, staff and relatives.
THE EXPERTS ON HEALTH-PROMOTING CARE ENVIRONMENTS: “Research on the impact of the physical environment must become available to all.” HELLE WIJK PAGE 12
“Even the placement of furniture affects how a room is perceived.” GUN AREMYR PAGE 8
“Don’t wait until the end of the process to start planning the interior design.” ANNIKA LÜCKNER PAGE 16
CONTENTS It is time to put the right demands on healthcare interiors........... 3 Sustainable and health-promoting care environments..................... 4 The entrance - A warm welcome ...................................................... 6 Gun Aremyr - We need to always focus on the person, not the illness...................................................................................... 8 The dining area - The heart of operations .................................... 10 Helle Wijk - Human quality of life in focus .................................... 12 The living room - A feeling of being home ..................................... 14 Annika Lßckner - Procurement focusing on soft values................ 16 Reference case - Djupängen retirement home............................... 18 The way to your next care environment ........................................ 24 Health economic effects................................................................. 26 10 tips for designing sustainable care environments.................... 28
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IT IS TIME TO PUT THE RIGHT DEMANDS ON HE ALTHCARE INTERIORS Research and studies clearly show that the physical environment has an impact on people's well-being and quality of life. But does this research reach planners of new residential care facilities? In modern care environments, the focus needs to be on the individual. Therefore, the interior design solution must be based on the unique needs and conditions of the facility. To create sustainable and health-promoting care environments, the knowledge and experience of many different stakeholders must be considered and the right demands must be put on the interior design. Not until then are health economic effects achieved.
Knowledge about how care environments are designed
and to be stimulated. Here, there are natural, inclusive
has come a long way in the last decades. Still, there is
areas for interaction, movement and rest. The furniture
much left to be desired in practical application. Not
is ergonomically correct, flexible and easily cared for,
much progress has been made in how interiors in care
while being designed with soft shapes and natural,
envionments are planned and procured. Rather than using
tactile materials that give a sense of warmth and of home.
the latest research on focusing on the individual and the
Such well-considered interior design, based
importance of the physical environment, what is often
on knowledge and identified needs, helps enable resi-
sought are norms that were established in the 1980s.
dents to live as well and as independently as possible.
Generally, interior design aspects are brought into the
It facilitates for staff, giving them more time and energy
process much too late. What is needed here is renewal and
to devote to nursing, and makes relatives feel welcome
a holistic view of interior design from the very beginning
and more involved. Essentially, these are environments
of the project, a physical environment that is based on
that help people thrive during sensitive phases of life.
solid knowledge, identified needs and the right demands. This will result in long-term, sustainable investments. The time for change is now. In the coming years, there
INSPIRING EXAMPLES We at Kinnarps work continuously with leading experts,
will be a rising need for care, especially for residential
researchers and staff within the healthcare sector.
care facilities. It is really high time to highlight the value
Coming up, you will find interviews with some of them
and priorities of the physical environment. It is becoming
on the importance of physical environments, focusing
increasingly apparent that these care environments need
on residential care facilities for the elderly. We will also
interiors designed to support the people who live in them
take a closer look at three specific care environments
and to facilitate so they can tackle any kind of challenge.
– an entrance, a dining area and a living room. Around
It is time to put the right demands on healthcare interiors!
them, we have created examples of what we see as health-promoting, sustainable interior design solutions.
HOW CARE ENVIRONMENTS OF THE FUTURE
We welcome you to read and be inspired by the
ARE CREATED
examples and the interviews - and to reflect on how your
Future-proof care environments not only take hard
physical environment supports your health care facility.
values, such as functionality, hygiene and ergonomics,
You can also read about Kinnarps Next Care®, our method
into consideration, but also soft values such as aesthetics,
of creating customised interior design solutions. Happy
fragrances and flavours.
reading!
In such environments, colour and contrast are used to make it easier to find one’s way around, to feel safe
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SUSTAINABLE AND HEALTHPROMOTING CARE ENVIRONMENTS The physical environment impacts how we feel and function as humans. In no other place is this as true as in care environments. Johan Franzén, Kinnarps Next Care® Concept Manager, strives to focus on the individual and to create sustainable, health-promoting interior design solutions that support residents, staff and relatives. WHAT IS THE DRIVING FORCE BEHIND YOUR AND
early on in the process. Having said that, there is a great deal
KINNARPS WORK WITH CARE ENVIRONMENTS?
of general knowledge out there that can be applied to all care
It is simply knowing how good things can turn out when they're
environments, such as determining what demands should
done right. We have a number of projects that we’ve come a long
be made, what things should be prioritised and what things
way in. I’m not talking in terms of economic resources, but in that
should be avoided.
these care environments have been designed based on solid, up-todate knowledge and on identified needs. Though it may be a reason to rejoice, it is also a source of frustration. We wish that everyone who needs an environment like this would be able to have it. We think we have found the key to creating sustainable,
In the end, it is all about people’s health, quality of life and well-being.
health-promoting care environments for the future, and naturally, we want to create more of them.
WHAT DEMANDS SHOULD WE MAKE
WHAT ARE THE GREATEST DIFFERENCES BETWEEN
Functionality is an absolute must. We integrate functionality
ON THE INTERIOR DESIGN? CARE ENVIRONMENTS THEN AND NOW?
directly into our furniture to avoid the feeling of being in an
In the 1980s and 90s, specific functions, dimensions
institution. For example, levers and buttons are integrated
and standards were established for furnishing care environ-
into the furniture, not on. It’s all in the details: armchairs that
ments. At the time, these were important steps. However,
are both stackable and can be hung, surfaces that withstand
many modern-day projects are still based on these outdated
disinfection, durable, easily removed fabrics that can be
requirements, which haven’t changed at pace with what we
washed in 60 degrees and furniture with sanitary gaps
have learned and how needs have changed.
between the seat and back to prevent dirt and bacteria being
In our experience, people often ask the wrong questions, which unfortunately leads to getting the wrong answers. Today, we need to meet the needs of the individual rather than strive
trapped. Height adjustable tables to suit the individual and tabletops with sound-absorption for good acoustics. It is also important to take a holistic view – uniformity
for large-scale standard solutions. The care environments of
in your interior design solution creates a sense of calm.
the future are solutions that are unique, sustainable, stand the
Colours, contrasts, sounds and fragrances make a world
test of time and factor in many parameters, where the value,
of difference in how people navigate an environment and
well-being and independence of the individual are at the core.
whether or not it feels safe and stimulating. Aesthetics, in the form of art, harmonious colour palettes, views from
WHAT FEATURES OF FUTURE CARE ENVIRONMENTS
windows, plants and furniture with soft rounded shapes and
STAND OUT MOST?
tactile materials can offer positive distraction.
There is no one-size-fits-all solution that can be applied to
In other words, it is important to take hard values such as hy-
all operations. Before you can make a change to the physical
giene and ergonomics into consideration, but also to make room
environment, you need to reach consensus on the vision
for soft values such as aesthetics and sensory input. Flexible,
and goals, identify needs and involve the people who will be
safe, supportive interior design solutions to meet different needs.
impacted by the project.
Attractive shapes paired with natural, tactile materials such as
The end result is so much better when your view of interior design is a long-term and holistic one and when it is planned 4
wood, leather and beautiful, durable, textured fabrics. The purpose is to create an inclusive environment for interaction and integrity,
one that is tailored to the needs of the residents, staff and relatives. For example, a poorly planned dining area can feel unsafe, antisocial, noisy, exclusive and discriminating as well as be a drain on resources. Well-considered interiors and furnishings can change such a situation and result in an entirely different reality. WHAT SHOULD YOU CONSIDER BEFORE STARTING A PROJECT? To start, identify the current situation and envision how you want to work in the future. Do your research and involve different stakeholders. In the Kinnarps Next Care® concept, we have consolidated our
A poorly planned dining area can feel unsafe, anti-social, noisy, exclusive and discriminating as well as be a drain on resources. Well-considered interiors and furnishings can change such a situation and result in an entirely different reality.
long-term experience designing care environments into a method containing tools to help you take the steps necessary for changing your physical environment. It is based on our Manual for creating healing spaces, a guide that provides tangible requirements lists and advice for creating the most ideal care environment for your specific operations. During the process, we analyse and compile the insights gained into a report which also contains what we recommend for your physical environment before taking the next step. The report acts as a source of knowledge for drawing up and purchasing your interior design solution and helps ensure that you make the most appropriate investment for your facility. At this stage, it is fundamental to ask for functionality and solutions that live up to the values of your organisation, rather than specific products. This demands more of us as suppliers, but also leads to better results. In an ideal world, more parties would look more at the total economics, including effects on health economics, (the long-term value of the investment) rather than the short-term cost. WHAT DOES IT MEAN TO LOOK AT THE TOTAL ECONOMICS OF A CARE ENVIRONMENT? It is all about people’s health, quality of life and well-being, not only of the residents, but of staff and relatives, independently and in conjunction with each other. When you have the right interior design, people feel and function better. It can have tangible effects such as reducing the number of falling accidents and heavy lifting. It can also be about the subjective experience of the environment, which when good, can improve health and reduce pain and stress. Such positive health effects can also be financially advanta-
ABOUT JOHAN FRANZÉN Johan Franzén is Kinnarps Next Care® Concept Manager and Product Range Manager at NC.
geous in that interiors and furnishings better withstand the test
He has worked with interior design solutions and
of time and that they reduce the cost of elderly care and staff
furnishings for care environments for a number
sick leave. The theory that the cheapest price today will be the
of decades and has collaborated with healthcare
highest cost in the future is particularly true for priorities made in
experts in research and practical application
physical environments and how they are procured. I have difficulty
to gain a wealth of knowledge.
understanding how the quality levels of residential care facilities and other care environments can differ so greatly. They should be
Read more about Next Care ® on page 24.
equal over the board so that everyone can live a dignified life. 5
THE ENTRANCE A warm welcome Your first impression of a care environment comes from the entrance. Here, the interior design makes everyone feel welcome and included and portrays the vision of the organisation. Soft music and the fragrance of fresh owers or herbs can heighten the experience. The entrance is so much more than just a passageway; it is a waiting area, a place to meet, a place to work or a place to have a cup of coffee. It is a free-zone close to the ats. The environment has a warm colour palette, is easily comprehended and clearly shows how to get where you want to go. The furnishings are soft and welcoming, with space for privacy or for socialising.
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1. HUMLAN Furniture series including sofas and armchairs in soft, rounded shapes with tactile materials that create a sense of security and a feel of home. Possibility to combine fabric nuances for the right contrast, harmony and experience of colour. For the best hygiene, Humlan has rubber weave, removable and washable fabric on the seat and a sanitary gap between the seat and back to prevent dirt and bacteria from being trapped.
4. DU & JAG Children and adults meet on the same terms in the inclusive Du & Jag sofa, ergonomically designed to work for big and small alike. The design is playful, embracing and welcoming and can be experienced positively in sensitive environments.
2. BE A PART OF Flexible modular sofa whose design naturally invites those in wheelchairs to be included ‘on’ the sofa rather than beside it – or for making space for social distancing where needed. For the best hygiene, Be A Part Of has rubber weave, removable and washable fabric on the seat and a sanitary gap between the seat and back to prevent dirt and bacteria from being trapped.
5. MAJA A series of sofa tables at accessible heights, in varying sizes and shapes, making it easy to make choices based on needs. Creates a holistic feel of harmony in the interior design. The lower shelf offers a natural place for storing magazines and games.
3. STURE Furniture series containing sofa tables, easy chairs with a footrest and rocking chairs for a thoroughly harmonious interior design. The sofa tables are available in three different heights and sizes and can be combined according to your needs – during the course of the day or over time. The corners are softly rounded for smooth passage.
6. VIBE Flexible, multi-functional screen series in a number of designs and with accessories such as hooks, shelves, mirrors, magazine pockets etc. Quickly and easily partitions off a room when needed and provides a good acoustic environment thanks to its sound-absorbing properties.
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WE NEED TO ALWAYS FOCUS ON THE PERSON, NOT THE ILLNESS Gun Aremyr is particular with her words since what we say helps shape our reality. To create sustainable, health-promoting environments for people with dementia, we need to see and focus on the person, not the illness. “The individual’s entire life story needs to play a part in healthcare,” she says. GUN AREMYR, EXPERT IN THE FIELD OF DEMENTIA
It is all too easy to make assumptions about the world
with the opportunity to choose between listening to music
and other people based on our own experiences and needs.
or having a nice view of nature,” she says.
When it comes to people with dementia, this can easily
Interior design should also contribute to a sense of security,
go wrong, especially if you fall into the trap of seeing
for example, through inclusive furniture that is stable
them as a group rather than as individuals.
and upholstered in single-colour fabric as small patterns
“Even if a person’s needs and conditions for living a good life change as a cause of dementia, their unique life story
can be perceived as insects by people with dementia. “Even the placement of furniture affects how a room is
is always with them and needs to be reflected in the physical
perceived. Having furniture facing each other can be considered
environment they live in. We need to always focus
provocative so it can be better to place them a bit off centre from
on the person, not the illness,” says Gun Aremyr.
each other. It can feel safe to sit in a corner so sofas with armrests in the middle can be good. And naturally, furniture should not be
A physical environment that smells nice, is aesthetically pleasing and is welcoming signals that the person living in it is worthy of having nice surroundings. It can also contribute to lowering blood pressure and reducing the need for pain treatment.
obstructive.” THE IMPORTANCE OF THE SENSES When it comes to muscular and joint sensory input, she recommends robust furniture for sitting whose height makes it easy to get up and down. This helps give a sense of independence and the opportunity to manage without assistance. Also, by changing one’s sitting position, you activate your muscles and reduce pressure. Gun Aremyr adds two senses to the usual five senses of seeing, hearing, touch, smell and taste – muscular/joint sensory input and balance.
Gun has worked in the area of dementia since the end of
“When a person’s balance deteriorates, it is important to
the 1980s and has encountered a great number of people
have solid furniture that you can support yourself against.
and environments in her roles as work therapist, consultant
Easy chairs that rock stimulate your sense of balance and have
for relatives, lecturer and author. And she is sure of one thing:
a calming effect, so rocking chairs can be a positive addition,”
a well-planned physical environment makes life easier for people
says Gun Aremyr.
with cognitive impairment in a number of different ways. “For instance, people with dementia have a greater need of
Rooms that are visually calm and organised have a healing effect. For example, colours that differentiate wash room
rest and they need to recuperate several times a day for their
doors, toilet seats and light switches help a person navigate
brains to keep functioning. Easy chairs placed along a hallway
and increase their sense of freedom and independence.
can provide balance between rest and activity, preferably 8
“In contrast, closed doors can give a feel of confinement
and cause aggression, while glass doors can be difficult to see and can be easily walked into. A view of nature or paintings that depict nature are often positive additions,” says Gun Aremyr.
5 T I P S FO R CA R E E N V I RO N M E N T S FO R T H O S E W I T H D E M E N T I A
“When choosing colours, keep in mind that a person is more likely to want to sit in an easy chair or sofa upholstered in a warm colour. When using contrasting colours, it is better
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It is easier to find one’s way around in a room
to use deep colours than pastels,” says Gun Aremyr.
with contrasting colours on floors, walls, doors
She continues:
and furnishings. It creates a sense of security and
“Ageing eyes have a tendency to see colour less vibrantly
independence and reduces anxiety and frustration.
so if the wall and floor colours are too similar, the room can be difficult to navigate. Also, it is easier to differentiate red hues from yellow hues than it is to see the difference
2.
absorbers make for calming environments. Rippling
All of these factors are impacted by lighting. Good lighting
water and music can be both calming and stimulating
that help differentiate between night and day can increase a
to the senses, when a person is in a position to choose
person’s quality of life. A simple rule of thumb for improving
whether they want to hear them or not.
concentration and navigability is that 80 years = 80 watts Fragrances that smell of home, such as the smell
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assisting in navigation, creating a schedule
health and can even make food taste better. In contrast,
of day and night and creating focus at the dining
strong smells that can be associated with hospitals,
table. Remember that how a person perceives
such as detergents, have the opposite effect.
colour changes with age.
“A physical environment that smells nice, is aesthetically is worthy of having nice surroundings. It can also contribute
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to sit down in and get out of increase a person’s
treatment,” says Gun Aremyr.
independence. Honest, natural materials and
Touch can have the same effect. Rounded shapes made
rounded edges increase security. Upholstery that
of well-known materials such as wood, fabric and leather
is easily removed and can be washed makes the
feel safe and secure. Another means of making positive
environment a more forgiving one.
associations is through sounds of gentle waves or birdsong.
INTO ACTION? Gun Aremyr highlights the importance of involving knowledgeable, empathetic and fully present staff in designing the physical environment.
Appropriate furniture creates a safe and secure environment. Sofas and easy chairs that are easy
to lowering blood pressure and reducing the need for pain
HOW CAN WE PUT ALL THIS KNOWLEDGE
Keep in mind that vision changes with age. Lighting is important in preventing accidents,
of freshly baked buns, also stimulate the senses, promote
pleasing and is welcoming signals that the person living in it
Use calming sounds and quiet furnishings. Avoid furniture that makes scraping noises. Sound-
between some blues and greens.”
or 1200 lumens.
Use contrasting colours for easier navigation.
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A home should feel like home. The residential care facility is in fact home for the residents. When the environment is homely, residents feel at peace, included and safe. Remember too to use furnishings that make children and grandchildren feel welcome!
“For the people we are discussing, a health-promoting environment is one in which a person can live comfortably, even with cognitive impairment. To ensure sustainability, you need to invest in quality. The furniture needs to be aesthetically pleasing, but also flexible and easy to use, clean, renew and move.” Functionality that is well-considered can make a great difference. “It is easy to trigger anxiety in people with dementia. This increases the need of staff and medication, leads to a
A well-planned interior design solution that is customised to the individual and facility creates positive circles for all.
decline in health and quality of life and in poorer economics for the municipality. However, well-planned furnishings that are customised to the individual and operations create a positive trend for all.” 9
THE DINING AREA The heart of the facility During meals, all the senses can be stimulated. Here, aesthetics, smells, tactile materials and adapted acoustic levels come together to enhance meal-time tranquillity and avours. The feeling of being home in your own kitchen is strong and the dining area is the heart of the facility. Routines and furnishings are adapted to the individual and everyone can feel safe, respected and comfortable. Supportive interior design saves the staff time and energy, helps the residents maintain a feeling of independence and gets relatives involved. Here, there is always room, regardless of size and limited functionality.
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1. JACKIE Furniture series of easy chairs, sofas and chairs with different function and size with tactile materials that give a varied, harmonious and holistic impression. An inclusive and quiet armchair, available in different widths and heights to accommodate everyone and to provide a calm environment. The practical handle on the seat back reduces the amount of heavy lifting the staff needs to do. The armchair is stackable and can be hung (also with castors) for good cleaning routines and space efficiency when needed. Rubber weave, removable and washable fabric, and a sanitary gap between the seat and back to prevent dirt and bacteria from being trapped.
4. GUSTAV 241 Series of tables in many different sizes and designs to suit many environments. Stable and height adjustable dining table. An extension leaf can be added for more exibility and to include all individuals.
2. RUTER A generous, easily manoeuvred serving trolley made of wood. The stylish design and quiet castors give a homely feeling and good acoustics.
6. JULIA Furniture series containing a shelf and serving trolley that give an overall airy impression in all kinds of environments. With its timeless design and rounded shapes, the shelf is easily placed and works both as storage and as an airy room divider.
3. SPACE Practical storage modules in a number of designs, colours and materials that can be combined based on needs and environment. An easy, practical way of creating a calm, organised environment, while having things close at hand.
7. KOMPIS Minimalistic, foldable and inclusive stool with a generous seat and height. Can be hung on the wall. Easy to carry by visitors without occupying anyone else's space.
5. GUSTAV 243 Series of tables in many different sizes and designs to suit many environments. Stable pillar table that can be supplemented with extension leaves when needed.
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HUMAN QUALITY OF LIFE AT THE CENTER Physical environments can either support or hinder good care and nursing. It doesn’t have to be put more complicated than that. For a long period of time, Helle Wijk has researched the importance of the physical environment on health and well-being. For her, it is a given that people’s quality of life needs to be in focus when planning, building and designing the interiors of care environments. Things have improved, but there is still a lot to do. That is the basic sentiment of professor Helle Wijk, Professor in nursing with
HELLE WIJK, Professor in nursing with a focus on care environment and care for the elderly
Healthcare Architecture at Chalmers University of Technology. “The collaboration between the Institute of Health and
a focus on care environment and care for the elderly at Gothen-
Care Sciences at the University of Gothenburg and Chalmers
burg University, regarding the situation in residential care facilities
University of Technology is a welcome one. It is a means of
in the Nordic countries.
developing the vital dialogue on nursing, architecture and design
She is seeing less and less of the institutions that were still common a couple of decades ago and more of person-centred, welcoming, homely environments. “Today, there is greater awareness that the physical
to reach decision makers,” she says. She continues: “The best quality care environment cannot be created by a single person or occupational group but instead requires
environment is part of the nursing process and that groups
collaboration supported by conscious leadership on all levels
need to work across professions to reach the joint goal of
to lay the foundation for development.”
creating the best solutions. The level of knowledge is good, but it needs to start having a bigger impact on reality,” she says.
Our basic question to Helle Wijk is how we can best go about creating sustainable, health-promoting environments for the elderly. It is a complex question containing many terms
To start with, the function and purpose of the environment should always be formulated. Health is subjectively experienced and means different things to different people. Understanding the target group, listening to the residents and involving and including all those who are impacted, are all a must.
that can be interpreted differently. A person-centric approach is Helle Wijk’s starting point: anyone can get sick, but you are never only your illness. We are all unique individuals who may fall victim to an illness or injury. This illness or injury is specific for each individual and each person is the expert of their own lives. From this point of view, many care environment factors that impact the well-being of residents, the staff's opportunities to do their work and the relatives’ perception of the home, become apparent. “To start with, the function and purpose of the environment should always be formulated. Health is subjectively experienced and means different things to different people. Understanding the target group, listening to the residents and involving and
THE RESEARCH NEEDS TO BECOME AVAILABLE TO ALL
including all those who are impacted, are all a must.”
Helle Wijk wrote in the early 2000s in her dissertation on how we perceive colour as we age. This sentiment is readily referenced
SUSTAINABLE CARE ENVIRONMENTS
when discussing the importance of the care environment for
There are a number of factors to consider when it comes
people’s health. She is also a visiting professor at the Centre for
to sustainability.
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5 TIPS FOR BETTER CARE ENVIRONMENTS “Not only do we have aspects such as making climate-smart choices, but sustainability is also about how the physical
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Involve more stakeholders in the planning. The residents, staff and relatives – in other words, the people who will spend time in these environments – must be involved early on in the planning and building process.
2.
Functionality and aesthetics need to go hand in hand. Furniture needs to be adapted to the residents and ergonomically correct while also being attractive and void of an institutional feel.
3.
Invest in quality. Don’t focus on the cost of quality but rather on what contribution it makes. It’s worth it in the long run.
4.
Create clarity with contrast and codes. A sense of security and dignity are achieved by using colour and design that facilitate navigation. It shouldn’t be difficult to do the right thing.
5.
Make person-centric care your point of departure. There needs to be freedom of choice, based on the uniqueness of each person, built into the care environment. Provide space for those who wish to socialise as well as for those who wish to be on their own for a while.
environment must sustain people, from the elderly residents of the home to the staff. Gains in an individual's health are also gains for society. Designing well-considered interiors is a good investment. It reduces the risk of falling accidents and the amount of heavy lifting and frees up staff time for their actual nursing tasks. With sustainable care environments, everyone comes out a winner,” says Helle Wijk. She maintains that there are clear connections between sustainable working environments and a sustainable economy in society. Residential care facilities whose staff find the physical environment functionally and aesthetically attractive not only have an easier time recruiting, but also of retaining qualified workers. “Sick leave and employee turnover can get very expensive, not only monetarily but also in terms of health. Without making any certain predictions, it is a perspective that has become all the more relevant in the throes of the corona pandemic. Having a lot of new, temporary and unaccustomed employees most likely makes it more difficult to prevent the spread of contagion.” THE RIGHT COLOURS AND CONTRASTS GIVE A SENSE OF SECURITY For a physical environment to be an active part of the nursing process, consideration needs to be taken to hard and soft values. Sensory experiences that give a feeling of security and that stimulate, combined with architecture, design and furniture that is practical and safe. Environments can, for example, be improved when there is an understanding for how the elderly experience colour,
coloured easy chair that sticks out from its surroundings is easier
light and contrast. This is an area that is close to Helle Wijk's
to see and will get more use. A dark-coloured mug against a
heart. It's about helping people navigate in their space, feel
dark tabletop can be difficult to see, leading to a greater risk of
safe and feel that they are met with respect and dignity.
spilling. Using different hues of colour on opposite walls can aid
“Physical environments that are not designed to meet
a person’s depth perception, whereas sharp contrasts between
the needs of the elderly generally result in residents ending
thresholds and flooring can be interpreted as obstacles or even
up in a position of dependency or feeling anxious, totally
as height differences and holes,” says Helle Wijk.
unnecessarily. It’s a matter of designing an environment that is easy to navigate so it is easy to find and recognise things
PROUD TO WORK WITH THE ELDERLY
and to be independent. By painting the toilet door a colour
To a great degree it's about how we view humanity – seeing
that is in clear contrast to its surroundings, it makes it easier
and approaching people with dignity and respect, regardless
to find the toilet before it's too late. In this case, the colour
of age. As we get older, our needs may change brought on
selection is a vital part of care and of being independent!”
by age, but we are generally the same person as we were
Naturally, the colours chosen in a care environment must meet the facility’s particular needs, but the principle of clearly contrasting colours is important.
throughout our lives. “Working with the elderly should bring a sense of pride and it should be a positive thing when a relative moves
“Dark furniture against dark carpeting can cause confusion. A
into a retirement home as the new environment will offer bet-
person with visual impairment can have difficulty understanding
ter conditions than a home that no longer meets their needs.
where the seat is, leading to a greater risk of falling. An attractively
And more than anything, it should bring joy to the resident!” 13
LIVING ROOM A feeling of home There are great opportunities for making the living room feel like home. This is a place for collaboration, social interaction and a good quality of life. The interior design solution is exible and can be changed during the day or over time. Here, there is a TV corner and a table at dining height with easy chairs for games and conversations. The wheelchair-bound are also easily included. Naturally, there is an opportunity to participate passively on one's own terms in individual zones that have embracing easy chairs and airy shelves to partition parts off. Variety is of the essence in order for everyone to feel included and to bring out the feeling of belonging. Nonetheless, there is a uniformity in the furnishings and colours to prevent the room from feeling cluttered and muddled. Large windows let in daylight and offer lovely views. All the senses are stimulated.
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1. STURE Furniture series containing sofa tables, easy chairs with a footrest and rocking chairs for a thoroughly harmonious interior design. The stable back-and-forth movement of the rocking chair stimulates balance and has a calming effect.
4. KNOP Series of tables in many different sizes and shapes to suit many environments. Choose a sound dampening tabletop for good acoustics.
2. KURBITS Furniture series including easy chairs, chairs, sofas, footstools and coffee tables that enable a varied, though uniform, impression. The easy chair, with its generous, highly stable, embracing design offers seating that is dignified and secure for the person sitting in it. Possibility to combine fabric nuances for the right contrast, harmony and experience of colour. Rubber weave, removable and washable fabric for good hygiene. Back and neck cushions are always included. Choose to add a seat cushion for the best comfort!
5. DAHLIA Soft and comfortable series of easy chairs and sofas that give a truly homely feeling. Dahlia is easy to sit down in and get up out of to include all individuals. It has all the necessary functions for maintaining good hygiene: rubber weave, removable and washable fabric, and a sanitary gap between the seat and back to prevent dirt and bacteria from being trapped. Different fabric hues can be combined for the right contrast, harmony and experience of colour.
3. JOHN The John functional easy chair was developed to give all individuals, regardless of their individual terms and conditions, dignity, respect, comfort and a feeling of autonomy. The discreet, easily accessed, built-in functions make for an elegant design. All for good ergonomics, safety and security. With its many accessories, such as a trolley with footplate, table on castors, adjustable lumbar support and footstool, John is a future-proof concept that can be tailored to the individual's needs.
6. JACKIE Furniture series of easy chairs, sofas and chairs of varying function and size with tactile materials that give a varied, harmonious and holistic impression. The sofa is exible and inclusive as it can take on a number of constellations to meet individual needs. For instance, it can be high backed or low backed or partitioned off with mid-sofa armrests to clearly demarcate seats. It can also be left as is to give room to stretch out. Rubber weave, removable and washable fabric, and a sanitary gap between the seat and back to prevent dirt and bacteria from being trapped.
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PROCUREMENT FOCUSING ON SOFT VALUES Cross-profession collaboration, a focus on soft values and a procurement process that seeks the best solution rather than the lowest price. That is the key to creating care environments that are healthpromoting and sustainable over time according to Annika Lückner, project manager of the new Djupängen retirement home in Hammarö municipality. ANNIKA LÜCKNER, PROJECT MANAGER, HAMMARÖ MUNICIPALITY
Annika Lückner likes to make things difficult for herself and for others, at least when it comes to as important and substantial
administrations have worked in close collaboration. “They built and were responsible for the hard values while
an investment as a new residential care facility with 120 flats
we took responsibility for the content and soft values. “It is un-
in a municipality with just over 16,000 inhabitants.
reasonable that the perspective of nursing, which is the core
“We chose a work method that would demand more of us and of our project partners. But we had to if we were to get the best possible outcome for the elderly residents,” she says.
of what we want to achieve, doesn’t come into the picture until the very end. It's just unacceptable,” says Annika Lückner. This way of working made it possible for their vision of how the care environment would be perceived to lead the
It can’t be the case that the perspective of nursing, which is the core of what we want to create, comes into the picture until the very end, then it will not be good.
way. This was only further strengthened by the fact that Hammarö collaborated with an architect that not only understood, but was interested in the nursing perspective. “We had a work group consisting of people from various professions, including those who were to staff the Djupängen facility, to get as many perspectives and as much expertise as we could. The purpose was to gain a holistic picture of the demands, opportunities and needs. We also carried out discussions with stakeholder organisations such as PRO
Annika Lückner is referring to how the procurement of furnishings for the Djupängen facility was formulated.
(the Swedish national organisation of pensioners).” When it comes to furnishings, Annika Lückner is of the
The municipality wanted to get away from a one-sided focus
opinion that furniture companies need to be allowed into
on price. Instead, they chose an approach where it became
the process early on, both to get an understanding of the
possible to request a functional solution based on the vision
procurer's vision and needs, and to have the opportunity to
of a warm and welcoming care environment.
contribute their expertise.
“We invited interior design companies and tried to
“Furnishings are absolutely vital for how the facility is
describe the feeling we wanted to accomplish rather than
perceived; they give the environment it’s feeling. I view
ask for suggestions for products. It was an open-ended
furniture companies more as partners than suppliers, people
question leaving the companies to interpret our meaning
you can talk to and exchange knowledge and ideas with.
and come with ideas. This puts greater demands on suppliers,
Kinnarps have really lived up to our expectations in this de-
but the result is better for everyone – the residents, staff,
partment and made a big contribution with their Next Care©
relatives and municipality,” she says.
concept, which goes to show that they understand the special needs of care environments.”
The other key to success was collaboration. From the time that the project started in earnest in 2017, the social and service 16
Too good to be true? When asked whether everyone has pulled in the same direction from day one, Annika Lückner
5 T I P S F O R M U N I C I PA L I T I E S IN FURNISHING RESIDENTIAL CA R E FAC I L I T I E S
claims that there really haven’t been any problems along the way, though she does mention that it is a challenge to build an elderly care facility for SEK 300 million.
1. Invest in collaboration from the very start. Work
“We started discussing this as far back as in 2013. Reno-
across professions, create engagement and bring in
vating an existing residential care facility was one proposal,
different perspectives, not least those of the nursing
but demographic calculations showed that the building in
staff, to avoid missing out on important knowledge.
question wouldn’t be enough. This gave us the incentive to build from scratch rather than fix and patch what we had.”
2. Think about furnishings early on. Don’t wait until
Annika Lückner continues:
the end of the process to start planning your interior
“Still, it’s a challenge to explain how this is an investment for the future, both in terms of life quality and economy. Our elders get a better home, our staff a more functional workplace
design. Invite interior design companies early on in the process to discuss your vision. Evaluate and allow yourself to be aided by their expertise.
and the municipality strengthens their employer brand.”
3. Procure the best solution. Formulate the procurement to focus on your vision. Don’t ask for
Furnishings are absolutely vital for how the facility is perceived; they give the environment its feel. I view furniture companies more as partners than suppliers, people you can talk to and exchange knowledge and ideas with.
the cheapest furniture but rather the most functional solution. Describe the feeling you want to bring about. 4. Think long-term, for everyone’s sake. Building a new residential care facility is a big investment, not least for small municipalities. It is important to get everyone to understand that quality is an investment that pays off on all levels. 5. Create a cosy feeling. Residential care facilities are places where people live. It’s their home. “Warm, homely and welcoming” are important keywords for creating sustainable, health-promoting care environments.
Lounge for socialising at the Djupängen facility. See more on the following pages.
REFERENCE CASE:
DJUPÄNGEN RETIREMENT HOME The existing retirement home was too small, so Hammarö municipality decided to build a new one. The Djupängen planning phase gave an opportunity to think about functionality and aesthetics, from scratch. With the help of the Kinnarps Next Care® concept, Djupängen now has a physical environment that improves the quality of life of the elderly residents, frees up time for staff to dedicate to nursing and gives the municipality a reason to feel proud of their investment.
Hammarö municipality has been discussing the need for
“Getting there has been a long-term journey in-house. The
a new elderly care facility since 2013. The first plan was to
municipality was excellent at getting all involved to understand
renovate an existing residential care home, but when inves-
why we were building and furnishing the way we were for the
tigated, it proved to be a much too short-term solution as
sake of the elderly and those with dementia,” she says.
the elderly population was growing and it would not provide enough space. “Actually, I think everyone was aware that renovation wouldn't be the optimal solution. We would not have been able to achieve the feel we were after – a warm, welcoming care environment that radiates respect, empathy and dignity,” says the municipality's project manager Annika Lückner. For Kinnarps Karlstad, it all started with a meeting with the working group for Djupängen. At the meeting, the group described their vision for the facility and were clear that they wanted suggestions for solutions, not a list of products. This suited Kinnarps as they are always eager to share knowledge in their projects. With the Next Care® concept, Kinnarps has developed a method of mapping and analysing care environments before the interior design solution is drawn up. It was natural to use parts of this method in the Djupängen project. Based on the
There were days I spent training builders and interior designers on our thought process and our vision for what we wanted to achieve. We were also very particular about listening to the Djupängen staff’s thoughts and opinions so as not to miss any important details. K ARIN BOSTRÖM, SILVIA NURSE IN HAMMARÖ MUNICIPALIT Y
customer's wishes, Kinnarps Karlstad tailored a process that included a workshop for collecting stakeholder expertise and
She continues: “There were days I spent training builders
for engaging everyone involved in the project.
and interior designers on our thought process and our vision
Karin Boström, Silvia Nurse in Hammarö municipality and
for what we wanted to achieve. We were also very partic-
specially trained in the area of dementia at Sophiahemmet in
ular about listening to the Djupängen staff’s thoughts and
Stockholm, emphasises how important it was to base every
opinions so as not to miss any important details.” Karin
detail of the Djupängen project on knowledge.
Boström expresses that Kinnarps listened very carefully and
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During the planning of Djupängen, the fact that the previous elderly care home was lacking a roof over the drop-off and pick-up area came up. This was taken into consideration when drawing up the new building.
truly understood the needs. “It was obvious that they have a great deal of expertise and that they genuinely take this area seriously. They didn’t provide a lot of proposals, but what they did give us was always well thought out and designed to meet our needs. And, of course, the fact that they have the right products – functional and aesthetically appealing in their design and materials – was a determining factor.” A WARM AND UNDERSTANDABLE HOME ENVIRONMENT Elin Larsson at Tengbom architects tells of how the involvement of the staff in everything from the functionality of the building to details in the interior design was a central part of designing Djupängen. The modernised facility needs to reflect life outside it, under one and the same roof. With the meadow and forest on one side and the town on the other, you can feel safe. Your flat is your private space. In your section, you can choose to participate passively or actively in social activities with your closest neighbours. The walkway outside your section is your nearest street and the lounge for socialising with its café and courtyard is your nearest town square. You can go to the hairdresser, dance and sing, have a cup of coffee at the café, stack wood in the yard, read a book in the library, invite your family over for a birthday party or just sit and enjoy your indoor and outdoor environment. The furnishings and choice of products promote a good environment for residents and staff, aid navigation and are
Serving trolley Ruter and rocking chair Sture.
tailored to the needs of their target group.
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There is a separate room with sliding door panels near the lounge that residents can rent for private events with family.
The contrast between the flooring and furniture make
In formulating the Djupängen procurement, Hammarö
the room and its functions clear and understandable.
municipality harnessed both hard and soft values and saw
The furniture in the residents’ common areas are uniform
the value of a good combination of function and design.
in shape and section-specific colours. There are six different
“Much of it has been collaboration where we shared
colour schemes with two sections of the home connected
knowledge, ideas and visions with each other. In the end, it was
to each. Each of the twelve sections has its own symbol –
all about Kinnarps understanding our needs and wants, and
one of the flowers found in the meadow.
having the products and expertise to be able to deliver a holistic
The environment and interior design give a homely feel. All common spaces can be used for socialising,
solution,” says Annika Lückner. She continues: “We want Djupängen to feel as homely as possible while
are stimulating and offer restful places to sit in privacy.
having respect for the special needs that can come with age.
The furnishings encourage both active and passive
Not only should the interior design be attractive, it should also
participation. For example, furniture can be positioned
be functional. That's what gives it a cosy feeling!”
facing a window or into the room for socialising. THE WAY TO SUSTAINABLE CARE ENVIRONMENTS In many healthcare projects, there are two clear challenges to procuring interiors. One is that you often focus on the lowest price, instead of focusing on quality, which is a long-term good and sustainable investment. The other is making the right demands on the combination of function and design. Interior design that is based on hard and soft values feels secure, stimulates and shows respect, all of which promote wellbeing. “Creating one without the other is simple, it is the combination that distinguishes Kinnarps. Having such products is key to the major success of this project,” Kinnarps Karlstad tells us. You are greeted by the Du & Jag sofa in the entrance. 20
In the collaboration between Kinnarps and Elin Larsson at Tengbom, a desire emerged for a more homely sofa that’s adapted to care environments. The Dahlia series was developed in the process.
The lovely courtyard is easily accessed and carefully planned to stimulate many senses.
FACTS
There are natural places to take breaks in the hallways, which are decorated with photo wallpaper of well-known places in HammarĂś. The motifs are intended to create a sense of recognition.
Architect:
Tengbom
Number of residents:
120
Number of workplaces:
45
Completed:
2020
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The living rooms at Djupängen look out over the lovely courtyard and the nature outside. On display here are Kurbits easy chairs and armchairs, Dahlia sofa sets and Maja coffee tables.
With the greatest focus on residents, a good working environment and thought out products and materials, the project group has throughout the process laid the foundation for a warm, understandable home environment that can be kept clean and feel clean over time. ELIN L ARSSON, CONSTRUCTION ENGINEER/ The large windows throughout the building provide a closeness with nature.
INTERIOR DESIGNER/PARTNER, TENGBOM
Various designs of the Curt chair provide variation
Hidden storage gives a calm, harmonious impression. Shown here, Space with sliding door panels. Next to it are Kurbits
while maintaining uniformity in expression.
easy chairs with their generous seat and soft seat and back cushions for the best possible comfort.
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To include and accommodate for all needs, the dining area has been furnished with the height adjustable NivĂĽ table and the Jackie armchair with castors. The armchair is also available in extra wide to accommodate all, regardless of body shape. Furniture from the same series gives a uniform, harmonious impression.
All the senses should be stimulated. Djupängen puts great effort into soft values such as sight and smell.
To facilitate cleaning, the Jackie armchair can be easily hung on the table and the Ruter serving trolley can be moved.
Tactile, natural materials encourage touch. Structured fabric, wood and leather details. 23
ANALYSIS
INTERIOR DESIGN SOLUTION
IMPLEMENTATION
FOLLOW UP
THE WAY TO YOUR NEXT CARE ENVIRONMENT How do you create an attractive, functional care environment in which residents, staff and relatives can be healthy and happy? Kinnarps will always tailor a process to meet your particular needs. With our experience, we see four clear phases that involve all stakeholders in the project, always based on the specific operations and with the individual at the centre. In the first phase, we recommend our analysis Next Care ÂŽ in which your vision, goals, challenges, opportunities and current and future needs are identified. The results will be compiled and analysed before being converted to tangible suggestions for an interior design solution tailored to your needs. Implementation takes place in the form of delivery, installation and review of products and the new environment with your staff to ensure that everyone is aware of the possibilities the new environment offers and how these can be harnessed. In the last phase, we will conduct a follow up to evaluate, analyse and, if needed, adjust the environment to work best for all individuals.
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HOW THE KINNARPS CARE ENVIRONMENT ANALYSIS WORKS
Our analysis Next Care® looks at what needs to be done to create the ideal care environment for you. It lays the foundation for a supportive care environment and provides a good point of departure for drawing up your suggested interior design. An important part of the analysis is to train decision-makers in making the right demands on interior design. Another is to involve, include and prepare all individuals who will be spending time in the environment. In simple terms, it's about understanding and analysing in order to improve. How our method works:
+ VISION AND GOALS
= NEEDS MAPPING
RESULTS AND
First, we will work with manage-
AND INVOLVEMENT
RECOMMENDATIONS
ment or the project group to
In the next step, we will involve
We will compile everything that
create a joint vision for the project.
staff and other project stakehold-
comes out of the meetings,
We will give a lecture on care
ers to get as many perspectives
discussions and workshops into
environments of the future based
as possible. We will provide
a report. Together, we will review
on research and experience and
training in demands on interior
the report and its conclusions.
conduct a workshop to identify
design and in identifying current
Based on your vision and goals,
challenges and opportunities.
and future needs. Through a
we will make recommendations
Together, the group will formulate
battery of workshops, we will
for the physical environment and
the values, vision, goals
test out new ideas and ways
for what can be good to consider
and strategy. It is vital that
of thinking, review the different
for the next step – drawing up the
management has a clear,
rooms and spaces and the activ-
design and procuring furnishings.
common definition of the
ities that take place in them and
With this report and knowledge as
operation’s goals and values.
discuss hard and soft values.
the basis, the conditions are laid for designing a care environment tailored to your operations.
FROM ANALYSIS TO NEW CARE ENVIRONMENT
your interior and give you an introduction to your
We will make the care environment tangible by
new care environment. Together with your staff,
drawing an interior design solution based on the
we will review the functions and opportunities,
results of the analysis. We will design a physical
illustrate how to use the environments in an
environment that brings the vision of your operations
ergonomically correct way and how they should
to life with furniture in carefully selected materials
function based on the guidelines developed for
and colours. Kinnarps’ staff will deliver and install
your specific facility.
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HEALTH ECONOMIC EFFECTS
The effect you get from a care environment analysis is a sustainable and health-promoting care environment that creates room for quality of life. It is environments that are designed according to identified needs and that invite to meals, company, meetings, activities and rest - individually or together. They also take hard and soft values into consideration, support residents, staff and relatives over time and create health economic effects based on three parameters: SUSTAINABLE PEOPLE
SUSTAINABLE ECONOMICS
•
•
Efficient use of space, taking advantage of all space in
•
Health economic benefits in that all environments
• • •
Including and involving all stakeholders in the project from the very beginning to create engagement and to strengthen the culture. An environment that inspires, stimulates and enlivens residents, staff and relatives. A homely, safe environment that supports the individual in their day-to-day activities. Improved well-being for everyone, because everyone benefits from the variation of moving between different kinds of sensory experiences and ergonomically
•
correct environments. A feeling of belonging and pride in the care environment
• • •
the care environment. are well thought out and support daily life. The right interior design solution from the start – a future-proof and sustainable investment based on identified needs. An environment that strengthens, distinguishes and highlights the facility’s vision and brand and makes it easier to recruit both residents and staff. Reduced risk of accidents and sick leave.
(whether as your home, workplace or a place to meet).
SUSTAINABLE ENVIRONMENTS
• • • • •
The right interior design solutions in the right places, providing environments that effectively support actual activities. A variety of flexible, multi-functional environments that can be adapted to the care situation. Future-proof environments in terms of quality, timeless design and the ability to adapt them over time. An environment that is inclusive and that can be adapted to the many needs of the individual. An environment that is secure and easy to understand and find your way around.
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10 TIPS FOR DESIGNING SUSTAINABLE CARE ENVIRONMENTS Here are a few tips of important things to keep in mind when designing a care environment. When procuring and purchasing the furniture that is intended to create your sustainable, health-promoting and future-proof care environment, be sure to make these demands. You will find a complete guide in the Manual for creating healing spaces.
1 2 3 4 5 28
Select durable and easily removed fabrics that can be washed in 60 degrees.
Furniture with a sanitary gap between the seat and back contribute to good hygiene as it prevents dirt and bacteria from being trapped.
Keep in mind that armchairs that can be hung and stacked (and that have castors) make cleaning easier and can be stowed away when needed.
Choose furnishings with soft rounded shapes for smooth passage and tactile, natural materials that encourage touch to stimulate the senses and create a sense of calm. Remember to integrate sound-absorbing functions such as sound absorbers under the seat, sound dampening table tops and castors or felt pads under the legs for a good sound environment. Wallmounted sound absorbers can also be decorative.
Before changing a care environment, project stakeholders should ask themselves these 5 questions: 1. How do our operations work today when it comes to participation, interaction, security, etc.? 2. Does the physical environment support the needs of the residents, staff and relatives? 3. How are the acoustics, ventilation and colours in the current environment?
kin na rp s.c om
6 7 8 9 10
4. Does our care environment support the health and well-being of residents, staff and relatives? /c ar e/ m an ua
l
5. Is our care environment adapted to our current and future needs and methods of working?
Use adjustable furniture with built-in functions for comfort, varied sitting positions and pressure relief.
Choose height adjustable dining tables to adapt to individual needs or varying activities. Use warm colours and clear contrasts between your furnishings and the surroundings to facilitate navigation. Use solid fabrics rather than small patterns as these patterns can cause anxiety in people with dementia.
Keep in mind that furniture often serves as a room divider and that the back of a sofa or shelf sometimes becomes the front. Therefore, choose furniture that is aesthetically pleasing from all angles.
Use various armchair sizes, but from the same series. This creates inclusiveness and the possibility to adapt to individual needs while giving your interior a uniform, harmonious expression throughout.
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WE LOOK FORWARD TO HEAR FROM YOU! Do you want to know more about Kinnarps Next CareÂŽ and how our care environment analysis can develop your facility? Or are you perhaps interested in specific parts of our method? We customise everything to your needs and to where you are in the process. An inspiring lecture? Training in the demands on interiors for care environments before buying? Consultation on products? Workshops to create a shared vision among the staff? A current situation analysis or a complete care environment analysis? Get in touch, and we'll tailor a solution.
K I N N A R P S .C O M
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READ MORE ON HOW THE PHYSICAL ENVIRONMENT CAN IMPACT QUALITY OF LIFE. • Aremyr, Gun & Wijk, Helle. Environmental adaptations that contribute to increased participation. Sundbyberg: The Swedish Agency for Participation, 2015. • Aremyr, Gun & Wijk, Helle. Checklist - Environmental adaptations that contribute to increased participation. Sundbyberg: The Swedish Agency for Participation, 2015. • Falk, Hanna. There is no escape from getting old – Older persons’ experiences of environmental change in residential care. Gothenburg: Gothenburg University, 2010. • The Swedish HPH Network. Promote health. Theme: Health-promoting culture and care environments. (In Swedish) Ed. 2, 2010. • Greasley-Adams, Corinne; Bowes, Alison; Dawson, Alison & McCabe, Louise. Good practice in the design of homes and living spaces for people with dementia and sight loss. Stirling: University of Stirling, 2014. • Kinnarps. Manual for creating healing spaces. 2018. • Nordin, Susanna; Elf, Marie; McKee, Kevin & Wijk, Helle. Assessing the physical environment of older people’s residential care facilities: Development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S‐SCEAM). BMC Geriatrics. Vol. 15, No. 3, Art. 3. • Reifeldt, Kicki (red); Aremyr, Gun; Thunborg, Charlotta; Wijk, Helle & Wångblad, Christina. Quality of life with dementia – Movement, treatment, activity in a person-centred environment. (In Swedish) Gothenburg: Kickihemmet/HMC Sweden, 2020. • Ulrich, Roger. Evidence base for care architecture 1.0. Research as support for the design of the physical health environment. Gothenburg: Chalmers University of Technology, 2014. • Wijk, Helle. Good environments and activities for the elderly. (In Swedish) Lund: Studentlitteratur, 2004. • Wijk, Helle. Importance of the care environment. (In Swedish) Lund: Studentlitteratur, 2014.
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CARE ENVIRONMENT ANALYSIS We can help you plan the interior design of your future care environment!
KINNARPS GLOBAL MARKETING & COMMUNICATIONS / 8610899006 / 2020-09 / ALL INFORMATION IS SUBJECT TO CHANGE
NEXT CARE ®
