Rejuvination. Fulton Hill’s Natural Health & Wellness Center Margarita Aleixo
1
Acknowledgments Thank you to the following that helped me develop my thesis from a spec of an idea, to a blooming 3-dimensional endeavour!
Kristin Carleton Ruth Deibler Sara Reed Lexy Holcombe Roberto Ventura Holly Bertone Leland Tillman Mom Dad IDES 2021 Colleagues
2
About the Student
Margarita Rosa Aleixo is from Alexandria, Virginia. She first enjoyed art as a kid and consistently took art classes in middle and high school. It wasn’t until she started landscape and architecture commissions when she realized her love for design. Now finishing her senior year at Virginia Commonwealth University, she found her passion in healthcare interior design. Healthcare design is both incredibly technical but continues to be open to innovative ideas and processes. In the future, she aspires to be a part of the Integrative Health & Wellbeing projects that are being designed around the globe.
3
Table of Contents Cover Page Acknowledgements About the Student Abstract 5 Program and Space Requirements 6 Site Context 11 Concept 20 Schematic Design 30 Design Development 41 Final Drawings + Models 56 Evolution of the Courtyard 73 Appendix 78 Sources 84 Reflection Notes 87
4
Abstract Motivation For my thesis topic, I am investigating the benefits of holistic wellness programs. toward a low-income community Historically, natural medicine in the west was considered “fraudulent medicine”, but today it has rebranded itself as a fundamental practice to live a healthy life. Natural Medicine can be as simple as following exercise habits or practicing acupuncture. As I age, I am more aware of what I eat, how much I exercise, and how often I allow my body to rest. Some people do not, nor feel they need to, which can lead to some common chronic diseases such as obesity, diabetes, etc. In low income neighborhoods it is difficult to find affordable and convenient holistic wellness programs. Modern hospitals are realizing that holistic programs can be a valuable tool which is why some of the top U.S. hospitals are recommending natural therapies to patients (Ross, 2017). Problem One of the biggest issues in Richmond is the risk of various chronic diseases especially in low-income communities. Bon Secours Hospital reports that “Chronic diseases and conditions—such as heart disease, stroke, cancer, type 2 diabetes, obesity, and arthritis—are among the most common, costly, and preventable of all health problems”, and that “Thirty percent (30%) of Virginians are obese (BMI >30).” (Secours, 2019) Richmond communities can benefit from a Natural Health and Wellness Center (NHWC) to prevent or control these diseases with the help of a holistic medical professional. Methods Preliminary findings include chronic disease statistics in Richmond and the benefits of yoga and acupuncture. Additional research includes an informational interview conducted with Andrs Wellness and Consulting in Glen Allen, Virginia. In order to understand the needs of the Fulton Hill community that my site resides in, 10000 Carlisle Ave, I will analyze amenities around the surrounding area. A survey on healthy habits and wellness was performed in Fall 2020 with 80 random participants.
Preliminary Results A “Healthy Habits” survey was conducted among 80 random participants by filling out a digital survey advertised through Facebook and Nextdoor.com. The priority was to have half participants ages 21-39 and other half 40-65. I asked participants their age, if they had any (preventable) chronic conditions, their healthy habit frequency (exercise, meditation, etc.), and if they use any wellness facilities. Of the 76 responses, 40% had at least one of the 5 listed chronic diseases (diabetes, obesity, arthritis, asthma, none had heart disease). 35% exercise 5+ days/ week and 30% exercise 1-2 days/week. 60% of participants have a lack of motivation to exercise, with a majority of these participants listing at least one chronic disease. In response I plan to determine what can motivate individuals (esp. those with chronic diseases) to use a NHWC. In my informational interview with Naturopathic Doctor (ND) Leland Tillman from Andrs Wellness and Consulting most of their visitors (typically women of ages 30-65) enjoy group activities most. The CDC notes that “Most Americans have chronic diseases that can be prevented or reversed by eating healthier or exercising 30 minutes a day 5 days a week” (CDC, 2018). Conclusion The proposed Natural Health and Wellness Center will include exam rooms for check-ups or physicals, a gym, and acupuncture/masage suites. This holistic model encapsulates the idea that healing the body can be done in many ways depending on the needs of the individual. The aim is to progress the Richmond community toward a convenient and healthy lifestyle that promotes communal activities, and an understanding of their own bodies, with a medical professional by their side. Integrating wellness in healthcare settings should be essential. This can be a stepping stone toward a brighter future for healthcare deign.
5
Program and Space Requirements Reception/Information Center/ Waiting Room
Exam Rooms
Staff Break Room
Visitors get a physical or any standard exam. Existing patients come for followups. Special equipment includes exam tables, equipment for examinations/ immunizations, and a sterilization station.
Where the staff take time to eat, relax, or socialize. A place of detox for them and enjoy privacy.
Acupuncture/Massage Suites
Gym
A healing experience, meant to be private and relaxing. Users can include those with chronic pain to control it or those with other physical or mental disturbances.
A fitness area where visitors can use machines, weights, or collaborate with a local exercise coach.
Staff Private Consult
Changing Rooms
Yoga and Meditation Studio
Where Naturopathic Doctors (ND’s) can privately discuss a patient’s state and whether the services are improving their problems or not. Do they need further specialized care or are these services helping? Acoustic systems necessary.
A space for lockers, showers, and changing rooms. Can benefit both gym and yoga/meditation users. Acupuncture/ masage suites will have their own rooms for users to change.
Multipurpose space where group yoga/ meditation takes place as well as a separate section for private sessions. Yoga mat rentals also included (free of charge).
The first impression. To book an appointment with a Naturopathic Doctor (ND) or find more information on other services.
Naturopathic Doctor (ND) Group Offices The primary office space for ND’s when they are not consulting with patients. Would have to be a space with less noise from adjacent spaces.
Courtyard One of the primary impressions of the space. Where biophilic design will take place the most. Also where a multi-sensory experience will be implemented with flowing water features. 6
Adjacency Matrix Sufficient Adjacency
ing
. Plu
ec
ial
mb
Eq
y
900
Y
Y
N
N
N
2. Exam Rooms
830
830
Y
Y
Y
Y
N
3. Staff Break Room
600
600
N
Y
Y
N
Y
Color psychology, warm tones and comfortable furniture.
4. ND Private Consult
250
250
N
N
Y
N
N
Acoustics needed for max privacy.
5. ND Group Offices
280
280
N
Y
Y
N
N
6. Acupuncture/Massage 820 Suites 7. Changing Rooms 1000 ea. 8. Gym 2000
820
Y
N
Y
Y
Y
Sterilization station for staff. Own reception area.
1000 ea.
Y
Y/N
Y
Y
Y
Female changing room with more daylight.
2000
Y
Y
N
Y
N
9. Yoga/Meditation Studio 2000
2000
Y
Y
N
N
N
Users able to rent yoga mats (free).
10. Courtyard
2200
Y
Y
N
N
Y
Water features, flooring and ceiling install. Shrubs.
2200
7
Sp
1. Reception, Info Center, 900 Waiting
SF
Da y
Pri
lig
va c
ht/
uip
w Vie
es cc
Other Considerations
Pu
bli
cA
en jac Ad
Re
qu
ire
The Space
cie
me
Insufficient Adjacency
s
nts .
Considerable Adjacency
Bubble Diagrams
Information/ Reception/ Waiting
Healthcare
Changing Rooms Wellness
Exams
Acupuncture & Massage Rooms
Courtyard Gym
8
Yoga and Meditation Studio
Precedent Studies The Integration of The Exterior
Project: Piedmont Wellness Center Size: 57000sf Firm: Perkins + Will Completion Date: 2019 Location: Fayetteville, Georgia, United States At Piedmont Wellness, the large facility is a majority glass so the rural environment is exposed to the interior. Perkins + Will does an exquisite job to bring in a maximum amount of daylight using floor to ceiling windows. One of the fitness space flexes into an outdoor space, eliminating the indoor/ outdoor boundary. Lately we see the use of flex spaces in contemporary buildings to offer multiple functions or exchange from private to public uses. Fitness room at Piedmont Wellness Center, users are exposed to the forest outside (PW, 2019).
Diagram of the concept “integrative”, inspired by the spaces from Piedmont Wellness Center. 9
Exterior render of the Piedmont Wellness Center (PW, 2019).
Precedent Studies In Isolation
Looking forward, the forest is the sole view. (Kengo Kuma, 2018).
Depth of the wood showing on the exterior (Kengo Kuma, 2018)
Project: Wood/Pile Size: 1500sf Firm: Kengo Kuma & Associates Completion Date: 2018 Location: Krun, Germany At Wood/Pile, an isolated meditation cabin in Germany, the boundary is broken by a space that has 3 walls of windows. The wooden ceiling system looks like twigs and leads your eye directly outdoors creating no interruptions. Below is a diagram of how the wood ceiling system is laid out, notice that there are two layers, creating additional depth in the space. One material used in one space can make the environment incredibly harmonious as Kengo & Associates does in this precedent.
Diagram of the wood ceiling system laid out in the space. One layer is sprawled while the other is a bit more organized. Great examples of xpressing depth in the space.
10
Site Context
Fulton Artisan Hill 1000 Carlisle Avenue, Richmond VA Fulton Artisan Hill, located in Fulton Hill neighborhood, was my final selection for its prime location, population demographics, and users. The neighborhood is home to 2 Fulton neighborhoods and an apartment complex adjacent to the site. There are 2 parks in close proximity to the area but remains to be a semi-isolated community with the occasional event at Gillies Creek park. It is a very diverse community compared to its adjacent neighborhoods but most residents face low-income. There is also a need for a convenient and communal wellness center of which can benefit the neighborhoods. Regarding the building, the first floor (16k SF) is a large amount of SF that can suffice for my program. It is also a Nationally Preserved Historic Site. There is a large parking lot in front of the building and locals can access the site from all 4 sides. Recent renovations added a ramp to the main entrance from the parking lot.
11
Site Location
r ve
Go
Fulton Hill Neighborhood
Mt Erin Dr.
Montrose Heights
Gillies Creek Park
Carlisle Ave.
Chimborazo Park
James River
Rocketts Landing
Fulton Hill Neighborhood
d.
tR
en
nm
Union St.
Williamsburg Rd
Artisan Hill Apartments
Fulton Hill Area highlighted in red. The star is Fulton Hill site.
l
lis
r Ca 12
. ve A e
Existing Site Plan (not to scale)
Main Entrance 1 l
=
�������������
j
II
8-□
'E5
F,lL========:
l
□
□ □-
□
';:::=J ===.I
D□
□D 1r
u □
II
D
□ □
====-1' �
Side Entrance
I
11 11
lLJI
I I
f9Rl
� 11
□□
1
rr
□□ rv7
lUUJ
□
�� �---------,------,
D�=====::l.....=:::::::E:33::;����:::::::::,
����������������
11
Back Entrance 13
lUUJ
I
IU
r
fFil I
Side Entrance
Existing West Section 1” = 20’-0”
Back Entry
0'
Main Entry
8'
16'
32'
64'
14
Existing North Section 1” = 20’-0”
Side Entry
Side Entry
0'
0'
8'
8'
16'
16'
32'
32'
64'
64'
15
Site Photos
Main door from inside
West corridor
Cafe toward the south
Cafe interior
Back entrance facade
Main entry from parking lot
East entry
16
West Entry
South lawn looking at apartments
Building Analysis The biggest challenge has been deciding what parts of the existing interior should remain and what does not need to. As a historic building, it was important to survey the materials and indicate if they could be refurbished or not. For instance, the concrete used throughout the whole building is an old technique that performs well but is very outdated. The following were demoed: • Concrete • Light fixtures • Auditorium chairs • Interior Doors
Photo taken in the 1960s-1970s
Original classroom doors
The following were saved for refurbishing: • Some of the original wood, mainly toward the front entry • Exterior doors • Support beams and large concrete supports
Original concrete
Original wood, hemlock-looking
Auditorium chairs from the original design 17
Original orb-shaped light fixtures
Wheelchair Accessibility Wheelchair Circulation Elevator
This diagram shows the circulation pattern for wheelchairs. The only accessible entrance is the north side, all rooms can be accessed by wheelchair by automatic doors and wide hallways. The elevator allows the handicap user to go up and down between floors. 18
Daylight Observation
Evening
Morning
This diagram shows a 12-hour observation of daylight in the building. The most frequent amount of daylight is located on the south side of the building. 19
Concept
When investigating concepts, I narrowed my concept down to the word rejuvenation. “The action or proces of giving new energy or vigor to something.” When I look at Italian Renessaince architect Andrea Palladio’s work, I find his work rejuvenating, as it implements symmetry, proportion, calmness, and serenity.
How could I implement these qualities in a space so the user felt a sense of rejuvenation...with a modern twist?
20
3 Concepts:
Static vs. Kinetic
Rejuvenation Sketches Mountain vs. River
21
25
Models
22
10+
Evolution Models from 2 Concepts
23
Geometric Sketches - Rejuvenation Concept
45/45 Angles.
45/45 Angles.
24
30/60 Angles.
Concept Shell Fit 01
25
Concept Shell Fit 02
26
Concept Shell Fit 03
27
Concept Shell Fit 04
28
Milestone 01 Reflection
Feedback: Overall presentation was good. Some context about thesis concept could have been explained further. Graphic presentation needs to be more consistent and readable for viewers. Concept related, concept 2, 3, and 4 were most successful. Concept 2 was an intriguing rendition involving form, void, rhythm, and light. The classical architectural columns on the exterior are mirrored using voids to create modern-style arcades in the interior. Based on the scale of the void, the light manpulates differently, indicating private program versus public program. Concept 3 emphasized sheltering and creating “moments” in the space. The use of one large focal space was percieved positively. Concept 4 held attributes that made the concept seem more realistic. An open “canopy” was made possible by using multiple tetrahedrons, there is potential to do so in the actual space. Also the experience felt enhanced because of the slight transperancy of the origami sitting in the site. How can the entry sequence be enhanced in this concept? Or, how can it hold a softer persona? Reflection: • Mimicing colonial columns in a modern way is the most intriguing point I recieved. My hopes are to move forward with this concept and experiment the transparency of arcades or singlular columns. • Concept 5 felt underdeveloped so I plan to do a new concept that will either stem from the column idea or a sketch done from a geometry study sketch (shown in concept 5 slide). • My concepts seem to rely most on transparency, materiality, and rhythm. These will certainly be the qualities that enhance the symmetrical floor plan that will be created in the schematic design phase.
29
Schematic Design Phase
30
Conceptual Floor Plans
Using trees as columns-where can biophilic design live in the space?
Locations where most daylight is existing.
Ideal areas for daylight to be more accessible. 31
Conceptual Sections
North section-using rhythmic light in the corridor to brighten the space.
West Setion-rhythmic light in the main corridor.
Concept model of a rhythmic lighting effect.
It creates a canopy, possible area for sitting or a meditative space. 32
North section - continuing where trees can act as columns.
North exterior section, conceptual window idea.
North Section-deciding whether to change the windows on south exterior or not. 33
Bubble Diagrams Information/ Reception/ Waiting
Healthcare
Changing Rooms Wellness
Exams
Acupuncture & Massage Rooms
Courtyard Gym
Final Program Adjacencies Arrangement of types of spaces are based on healing services, physical exercise services, healthcare exam rooms, and spaces for staff.
Information/ Reception/ Waiting
(Right) Response to bubble diagrams.
Exams
Break Room Offices Changing Rooms Stor.
Acupuncture & Massage Rooms
Courtyard Fitness Area
Detox Space
34
Yoga and Meditation Studio
Developed Floor Plan DN DN
Information/ Reception/ Waiting
Exam Rms
Staff Break Rm RR Changing Rm (M)
Office/ Collab Space
STOR.
Changing Rm (F)
Res. Private Entrance DN
Acupuncture & Massage Rms
UP
DOWN
DOWN
RR
RR
Courtyard Exercise Area
STOR.
Meditation Area
DN
35
DN
Material Considerations Priorities include: • Masonry (pays homage to building exterior) • Non or less-toxic vinyl • Natural-looking elements • Acoustic systems to reduce noise • Rubber flooring & tiling, No slip. Reception/Waiting
Primary Materials
Exercise/Acupuncture & Massage/Meditation Area
Exam Rooms/Open Offices
Reasons for Considered Material: 1.) Low VOC Emissions, Recycled Post-Industrial Content. MRc4 - Recycled Content (100% recycled, post-industrial content); MRc6 - Rapidly Renewable Materials; IEQc4.4 - Low Emitting Materials 2.) Contains non-phthalate vinyl. Product is low emitting. 100% recyclable. 3.) STC value for 1” thickness = 39STC Value (ability to fairly fog adjacent room noise) 4.) 100% Post-Consumer Recycled Tire Rubber. Slip resistant. Low emitting. 36
Floor Plan with Materials
37
Experiencing the Space
1. Information/Waiting/ Reception
5. Massage or Acupuncture Flex Spaces
2. Courtyard
3. Exams
6. Meditation, yoga, or exercise 38
4. Changing Rooms
7. Private Resident Entrance
Front Entrance, facing courtyard. Exams on left, Reception on right.
Fitness Area, facing the back entrance, courtyard, and Detox Area.
39
Midterm Reflection
The midterm checkpoint had some progress but graphically a lot of downfalls. For the jurors it did not feel very put together--What is the central approach? How do the sketches translate to the concept? It seems like the floor plan does not directly correlate to any pat concept iterations. The floor plan in DD will have a better relationship with my concept and “rejuvenation”. Unfortunately the jurors were a bit confusd at times, this was most likely because my slides did not tell the story very clearly. I have to work on graphics! From a logical standpoint, most of the jurors found no reason to potrude the existing windows. Realistically, this would be impossible on a preserved historical site and for the most part the designs were not completely necessary. From this point on I was challenged to maximize the existing amount of daylight I was given. Later on I realized that a LOT of daylight comes from the south windows, I simply had to find a way to let it stretch to the main corridors by using glass.
40
Design Development Phase
41
Editing the Floor Plan Concept #1
Specific shape inspired by original concept sketches on rejuvenation. 42
Editing the Floor Plan Concept #2
Based on oiginal geometric sketches using 45 degree angles. 43
Revised Floor Plan MAIN ENTRANCE
44
Revised RCP
45
Circulation Plan MAIN ENTRANCE
46
Experiencing the Space
Rendering of the main reception/waiting room/info center
The Naturopathic Doctor’s (ND) private consult room.
47
Experiencing the Space
Rendering of the courtyard. The most serene part of the space with multi-sensory elements including water and biophilic design.
48
Experiencing the Space
Rendering of the massage/acupuncture suite reception area.
Rendering of the yoga and meditation studio. A look at the group spce.
49
Revised Materials
50
FF&E
51
West and North Section
West Section
North Section
52
Void Study
Primary voids shown in blue 53
Light Study
West Section
Light study showing the south maximizing light in the corridor. Revisions include adding the sun path and what season it is. 54
Design Development Reflection
I found my feedback helpful now that my design is being finalized. Based on the comments I know that I need to focus on tiny details and make sure my graphics/writing is simple. This is great because I can have trouble with graphic layout/making sure the images are simple and direct. There were a few comments I was confused about, first were Guy’s and Dan’s comments about the renders, I thought they were developed well but they thought they were underdeveloped. Would like further clarification. Another comment was the RCP and how the fixtures could be represented better. I also thought they were well represented and would like further clarification. Other than that, I am working on simplifying the diagrams (light study and void diagram). Simplifying my concept page and aiming for consistency (especially in layout). Also need to diagram the flooring and ceiling materials as well. Courtyard--for this project the courtyard serves as a detoxing environment for staff and users. This type of multi-sensory space is meant to bring natural elements (including light) indoors from the outside (refers to my research study where participants want more natural elements in their space)
55
Final Drawing + Model (photos)
56
Final Floor Plan
57
Final RCP
58
West Section
59
North Section
60
West Section in Staff Area
Colors inspired by research grant survey conducted by myself and Ruth Deibler, “Healthcare Interior Design and the Provider Experience”. A majority of the participants said that they would prefer warmer colors and earthy tones in their workspaces or break rooms.
61
Hemlock
Etched Glass
Bold Sage
Experiencing the Space
1. Main Entrance into the reception, info center, and waiting room.
62
Hemlock
Terracotta
5. Staff Private Room for detoxing or privacy.
2. Main Corridor, leading to the courtyard, exams on the left and staff offices to the right. 63
Hemlock Wood
FRP
Oak Wood
Glazed Glass
3. Group Yoga and Meditation Area.
3. The Courtyard, a multi-sensory and serene experience with seating and constantly flowing water from the columns to the floor.
64
Etched Glass
Copper Mullions
Soft Sage
Granite
4. Exam Hallway, fogged glass is implemented so more daylight is accessible to all rooms.
65
Soft Sage
Oak Engineered
Granite
5.. Exam Rooms, strategically planned so that 2 exam rooms are handicap accesible. 66
Arabica Wood Ceiling
Wallcovering
Sand
Limestone Tile
6. Staff Break Room, which incudes storage for belongings and clothes, a seating area, kithen and bathroom. 67
Limestone Tile
Oak Engineered
7. Massage Room, includes storage for acupuncture supplies, massage oils, and sink. 68
Rubber Tile Wall
Mirror
Oak Engineered
8. Yoga and Meditation Studio, this view shows the group area. Opposing side is for private one on one sessions. 69
Final Materials Info Center & Waiting Area
Staff Break Room
Massage & Acupuncture
Hemlock
Limestone Tile
Limestone Tile
Terracotta Upholstery
Wallcovering
Staff Offices
Exam Rooms
Oak Engineered
Courtyard
Sand
Etched Glass
Granite
Modular Carpet
Frosted Glass
Oak Engineered Soft Sage
Bold Sage
Mirror
Oak
Hemlock
Fitness Zone
Rubber Floor
FRP
Oak Engineered
Yoga & Meditation Zone
Changing Rooms
Rubber Tile Wall
Porcelain TIle
Mirror 70
Oak Engineered
Granite
FF&E Info Center & Waiting Area
Custom Seating & Plant Bed
Reception Desk
Herman Miller Casework
Fitness Zone
Weight Equip.
Lounge Chairs
Wallcovering
Staff Offices
Exam Rooms
Exam Table
Massage & Acupuncture
Staff Break Room
Herman Miller Casework
Courtyard
Dual Desk Syst.
Office Chair
Yoga Mats
Movable Partition
71
FRP Curved System
Custom Benches
Changing Rooms
Yoga & Meditation Zone
Stationary Bike
Massage Table
Salsbury Lockers
Laundry Collector/Stor.
Lighting model-which is the most emphasized element in the final courtyard design
Test fit model. This helped me understand the voids of the space that needed to remain. Also, how would the courtyard take shape if the walls are curved?
Most Influential Models Concept model of rejuvination. A reminder to remain symmetric. The model also has a depth to it. 72
Evolution of the Courtyard
73
Sketches during DD. I spent a majority of this time figuring out a floor plan for the space. Why I did not use this iteration? Circulation made difficult.
One of the first technical plan sketches, ideally the curved structure would meet in the middle but logically I could not figure it out. Also the lighting effect would have been too overwhelming from floor to ceiling.
Sketches during design development. Similar to the first technical sketch, making the curves end further from ceiling’s center. Could have worked but no idea how to make this shape in revit.
Sketches
Sketch during design development. Progression from the original plan. Why I didn’t use it? Too utopian. 74
Sketch during DD. Conceptually a great idea but had to find a way for the curved walls to properly transition into the water funnel.
Sketch during DD. Having the center piece be hollow for users to look up and see light from the ceiling. Realized this interfered with the concept of an open courtyard
Sketch during DD. Finalizing the idea that the water elements can come from the existing columns (with glass included)
Perspectives
Sketch during DD. Once again, figuring out if light can reach the ceiling toward the center. 75
To-scale model during DD. Center is the DNA shape with beams reaching from the outermost end of the courtyard.
Models Model of lighting being included with the model shown to the right. How can the connection from floor to ceiling work best?
76
To-scale model during DD. The last iteration felt too overwhelming (considering the lighting effect also). Meeting point also made stronger with a base at the top of the ceiling.
To-scale model during DD. Showing the model with additional curved walls. This was implemented in the final design (beams are able to attach to the curved ends. Curved walls cut to 10’, rest of the process done in Revit.
Models 77
Appendix
78
Final Materials Info Center & Waiting Area
Staff Break Room
Massage & Acupuncture
Hemlock
Limestone Tile
Limestone Tile
•
The wood elements implemented are all laminate accept for the oak in the courtyard. This way a majority of materials are durable and can handle humidity.
•
In order to create a sense of “serenity” I relied on wood to fill a majority of each space.
•
Colors are inspired by research conducted with Ruth Diebler, where a majority of clinicians are sick of beige and grey colors. I admired the idea of some earth tones but wanted to saturate a few for less “tranquil” spaces.
•
FRP is a special consideration for the courtyard. In order for lighting to produce the rhythmic pattern, a material similar to vellum translucency is required. FRP is also bendable.
Terracotta Upholstery
Wallcovering
Staff Offices
Exam Rooms
Oak Engineered
Courtyard
Sand
Etched Glass
Granite
Modular Carpet
Frosted Glass
FRP
Oak Engineered Soft Sage
Bold Sage
Hemlock
Fitness Zone
Rubber Floor
Mirror
Oak
Oak Engineered
Yoga & Meditation Zone
Changing Rooms
Rubber Tile Wall
Porcelain TIle
Oak Engineered
Mirror
79
Granite
Lighting
Recessed
Spotlight
Wall Washing
Organic Pendant 01
Drum Light
Organic Pendant 02
LED Linear Light
Track Light 80
Indirect Cove
Wood Pendant
FF&E Info Center & Waiting Area
Custom Seating & Plant Bed
Reception Desk
Herman Miller Casework
Fitness Zone
Weight Equip.
• •
Lounge Chairs
Wallcovering
Staff Offices
Exam Rooms
Exam Table
Massage & Acupuncture
Staff Break Room
Herman Miller Casework
Courtyard
Dual Desk Syst.
Office Chair
Yoga Mats
FRP Curved System
Custom Benches
Changing Rooms
Yoga & Meditation Zone
Stationary Bike
Massage Table
Movable Partition
Salsbury Lockers
Laundry Collector/Stor.
All furniture is cleanable, durable, while a majority of it is easily replaceable. Custom woodwork includes the millwork in the info and waiting area, the courtyard benches, exams, and the millwork in the changing rooms. Note the changing rooms or exam rooms can use real wood but needs protecter from moisture/water. 81
Sustainability Wood, being one of the most sustainable materials, is a majority of the materials in my space besides glass. In order to maintain a safe and eco-friendly environment a majority of the wood I implemented in the design is free of dangerous pesticides. I also prioritized materials that are a majority recycled, an example being the granite selected as well.
82
Code Summary
PROGRAM AND CODE
PART A: OVERALL BUILDING CONSTRUCTION TYPE TOTAL GROSS AREA (FLOOR 1) EFFICIENCY RATIO NET AREA (BASED ON EFFICIENCY) OCCUPANT LOAD TOTAL NUMBER OF OCCUPANTS TOTAL NUMBER OF OCCUPANTS (GENDER) STAIRS REQUIRED EGRESS STAIRS REQUIRED PLUMBING REQUIRED RESTROOM FIXTURES REQUIRED (GENDER) ACCESSIBLE RESTROOM FIXTURES REQUIRED (GENDER) WATER FOUNTAINS REQUIRED PART B: INDIVIDUAL PROGRAM AREAS OCCUPANCY CLASSIFICATION PER PROGRAM AREA IDEAL NUMBER OF OCCUPANTS PER PROGRAM AREA NUMBER OF EXITS REQUIRED FOR EA SPACE NET AREA FOR EA PROGRAM AREA** TOTAL NET AREA OF ALL PROGRAM SPACES
NCHC - ONE FLOOR TOTAL TYPE II 20,800SF 12,480SF (GEN) 7,488SF (GEN)
B (SECTION 304)
A-3 (SECTION 303.4)
16,640SF (EFFCNT) 9,984SF (EFFCNT)
100 OCCUPANTS 60 - 40 (F-M) 2 4TLT, 4SNK, 4SHWR (PER GENDER) 2TLT, 1SNK (PER GENDER) 6 WAITING/LOBBY A
EXAM ROOM BUSINESS GRP B
CHANGING RMS A
20 2 300SF 9,370SF
12 (2 OCC FOR 6 RMS) 1 EACH 600SF
20 (PER CHANGING RM) 16 (2 OCC FOR 8 RMS) 2 EACH 1 EACH 2,400SF (1,200SF ea.) 1,120SF
83
ACUPUNCT/MASSAGE BUSINESS GRP B
INDOOR PARK A-3
MEDITATIVE SPACE A-3
STAFF LOUNGE A
30 2 2,200SF
30 2 1,800SF
15 1 950SF
Sources
84
Annotated Bibliography Ross, C. (2017, March 10). Top US hospitals aggressively promoting alternative medicine offerings. Retrieved November 12, 2020, from https://www.statnews.com/2017/03/07/alternative-medicine-hospitals-promote/ Secours, B (2019). Dbon Secours Richmond Health System: FY2020 - FY2022 Implementation Plan. Bon Secours Richmond. Retrieved September 02, 2020, from https://www.bonsecours.com/-/media/bon-secours/about-us/richmond/chna/bon-secours-richmond-healthsystemimplementation-planfye-83119final.ashx?la=en Collective, C. R. (2016). City of Richmond Prescription Drug/Heroin 2016 Needs Assessment. Capital Region Collective. Retrieved August 28, 2020, from https://www.vdh.virginia.gov/content/uploads/sites/119/2017/09/RCHD-CHA-Aug-2017.pdf Boersma P, Black LI, Ward BW. Prevalence of Multiple Chronic Conditions Among US Adults, 2018. (2020, September 17). Retrieved September 18, 2020, from https://www.cdc.gov/pcd/issues/2020/20_0130.htm Naturopathic Medical Center, S. (2020, August 30). Sac Doctors: Natural Medicine. Retrieved September 20, 2020, from https://sac-nd. com/ Wellness, A. (n.d.). RESOURCES. Retrieved September 18, 2020, from https://www.andrswellnessconsulting.com/resources Apex. Wellness Care. (n.d.). Retrieved September 18, 2020, from https://apex-md.com/holistic-wellness/ 165 REHAB BASEL. (n.d.). Retrieved September 07, 2020, from https://www.herzogdemeuron.com/index/projects/complete-works/151175/165-rehab-centre-for-spinal-cord-and-brain-injuries.html Guenther, R., Vittori, G. (2013). Sustainable Healthcare Architecture. United States: Wiley. Ryan, C. O., Browning, W. D., Clancy, J. O., Andrews, S. L., & Kallianpurkar, N. B. (2014). BIOPHILIC DESIGN PATTERNS: Emerging naturebased parameters for health and well-being in the built environment. ArchNet-IJAR : International Journal of Architectural Research, 8(2), 62-75. Retrieved from http://proxy.library.vcu.edu/login?url=https://www.proquest.com/docview/1550724648?accountid=14780
85
Annotated Bibliography Cont’d Indelible Roots: Historic Fulton and Urban Renewal (July 21, 2016). Retrieved from https://vpm.org/news/articles/2402/indelible-rootshistoric-fulton-and-urban-renewal DUDA PAINE. (2006). Duke Integrative Medicine - Duda: Paine Architects. Retrieved October 16, 2020, from http://www.dudapaine.com/ portfolio_page/duke-integrative-medicine/ Ott, C. (2019, April 19). Wood/Pile / Kengo Kuma & Associates. Retrieved October 16, 2020, from https://www.archdaily.com/915445/ wood-pile-kengo-kuma-and-associates NYP. (2019). Integrative Health and Wellbeing program at the NewYork-Presbyterian David H. Koch Center opens: July 2018 - Advances Issues: NewYork-Presbyterian. Retrieved October 05, 2020, from https://www.nyp.org/patients-and-visitors/advances-consumers/issues/ integrative-health-and-wellbeing-program HOK. (2019, November 13). NewYork-Presbyterian Integrative Health and Wellbeing Wins IIDA Healthcare Award. Retrieved October 05, 2020, from https://www.hok.com/news/2019-10/newyork-presbyterian-integrative-health-and-wellness-wins-iida-healthcare-award/
86
Reflection
87
Pre-Design Thinking When reviewing my pre-design work, the precedent analysis, the individual survey I conducted in the fall, and this semester’s spring research survey influenced my design decisions the greatest. The precedent analysis of Kengo Kuma’s Wood/Pile project showed me what depth could look like in a space. Also I kept having to remind myself to keep my materials simple and limited, much like the Wood/Pile structure. I admire buildings that can stick with one material but there were so many other programs in my space, there needed to be some sorts of variety. The “Healthy Habit” survey was the second most influential in deciding my program needs. I found it shocking that most people will not go to a gym because they are “not motivated” nor “have time”. Although this is myself at times, I thought I was one in a small population of those not motivated. When I thought about what does make me motivated to exercise or look after myself, I think of cross country in high school. Its easier to run in a pack than it is alone, which is why I emphasize community so much in my thesis topic. There are triumphs and failures when it comes to your self-growth, but it is easier to stand back up with others holding on to you for support. Although this was during the design process, I will say the research survey, “Healthcare Interior Design and Provider Experience” helped tremendously. My color palette was drab at first because it was hard to decide without a true client. For my final color palette, my clients were the survey takers, clinicians from all around the country. Their answers were rather obvious, but it was relieving to see so many comment on the beige and grey colors as well as carpets on the walls (why??). Some clinicians do not have the chance to eat at a separate space other than their desk. Having a room for detox is the most valuable space a clinician needs, even according to research (clinicians will perform better if they are given breaks/daylight/quietness). That’s a conversation for another book.
88
Pre-Design Thinking When reviewing my pre-design work, I wish we focused more on our research surveys. Unfortunately I felt like not a lot of my colleagues got the ideal number of participants they needed (less than 10 some of them). In my opinion, proper research should be advertised to said audience for 3 weeks at least and then analysed for at least 2 weeks. The downfall of the pre-design seminar class was that we had 2 weeks to both advertise our survey and then come up with conclusions/infographics. An insufficient amount of time. Having done research for both semesters, yes. Research SHOULD inform design decisions. Take Karen Freeman, a practice leader for Healthcare in HOK’s Atlanta office, for example. She exclaims the complexities of designing positive environments for pediatric facilities and says, “By leveraging trends realized through big data, another avenue is opened to communicate with patients and effectively plan for their care. Big data can also leverage experiences across multiple health systems for the benefit of the patient.” (Freeman) Although Big Data is another story, grounded theory research or, qualitative data, is what interior designers need most to understand what is it exactly that makes a space better than its precedent.
Infographics from Fall semester 89
Thank you.
90
