Portfolio Supplement 2016-17
HEALTH AND WELLNESS Melanie D’Souza
Contents A supplement that covers my deep engagement in the well-organised Health and Wellness Architecture program at the University of Kansas through various components of research and design as a final-year specialisation, and work in progress (2016-17) 609 COMPREHENSIVE HEALTH AND WELLNESS STUDIO
Spring 2016 p4-p9
807 HEALTHCARE DESIGN INTERNSHIP WITH HKS INC.
Summer + Fall 2016 YEAR 5
Melanie Philomena D’Souza M. Arch; Graduate Certificate in Health + Wellness | 2017 melanieedu@gmail.com meldsouza@ku.edu (Skype for Business) https://www.linkedin.com/pub/melanie-d-souza/b2/671/65 USA: + 1 (785).979.2079 OMAN: + (968).96736808
YEAR 4
700 HEALTHCARE DESIGN WORKSHOP AT GEORGIA TECH
700 HKS + KU SENIOR LIVING RESEARCH THESIS
Fall 2016 p10-p13
Fall 2016 + Spring 2017
808 KANSAS + KENYA RURAL HEALTHCARE STUDIO
Spring 2017
DESIGN RESEARCH 3
HINKSON CREEK HEALTH CENTER
Year 4, Spring 2016
Nestled within a housing development site in the heart of Columbia,MO, Hinkson Creek Health Center (HCHC) manifests itself as a comprehensive health model for the health professionals and residents of Missouri. This complex houses several services under one roof: from a freestanding emergency clinic, diagnostics department and medical oďŹƒce building to a wellness resource center, Ayurvedic therapy spa and yoga pavilion. Inspired by international wellness resorts and new-age ambulatory clinics, HCHC has a collegial and an easily adaptable feel that can be reproduced and expanded across various natural settings. Location : Columbia, MO Partner: Gianne Gonzales
Mentors : Professor Kent Spreckelmeyer Professor Frank Zilm Structures: Jason Hascall Developer: John Shreve HVAC: Jon Flann 5
FAMILY WAITING ROOM
EDUCATION/ WORKSHOP ROOM
DISCHARGE
RESULTS W.
SECURITY
DOWN
FINANCE
D. LINEN
C. LINEN
WORKSHOP
STORAGE HERBAL STORE AND GALLERY
RECORDS ST.
NON-ACUTE
NON-ACUTE
RECEPTION
ELECTRICAL
VESTIBULE
MEDITATION ROOM
ACUTE
MEDITATION ROOM
TRIAGE
CONSULTATION OFFICES
STORAGE
DN
ACUTE ACUTE PHARMACY N. OFFICE ACUTE
COMPOUNDER
OFFICE
ACUTE STORAGE
OBSERVATION
OPEN CAFE
MEDICINAL GARDEN
MASSAGE THERAPY ROOMS
DEMO KITCHEN
AMB. ENT.
DECONT.
OFFICE
MED PREP
STORAGE
EMERGENCY DEPARTMENT
ACUTE
Medicinal Garden
OFFICE
OFFICE
RECEPTION
TRAUMA ROOM
Wellness Kitchen
BLOOD DRAW
UP
RESOURCE CENTER
YOGA PAVILION
LN ESS CE
HEALTH RESORT
WINTER GARDEN
ELECTRICAL
DIAGNOSTIC SERVICES
DI
G
+
DEMO KITCHEN
IMAGING WAITING
CAL U B
Diagnostics Support
CONTROL ROOM
CT SCAN
W. ULTRA.
ME
W
EL
LAB
UNIT MANAGER
D. LINEN
STD RADIO
CAFE
PROCEDURE
G. ULTRA. RESOURCE CENTER
IL D
Staff Support
BREAK ROOM
KITCHENETTE
MAILROOM
ELECTRICAL
CL. LINEN
VIEWING/DIAG
UNIT MANAGER
OFFICE
OFFICE
OFFICE
UP
MEDICAL CLINIC
Rear Boardwalk +Business Offices +Resource Center + Atrial exit to pavilion
CORRIDOR EXTENSION (Future health resort)
GREEN ROOF
PAVILION LAYOUT (Future wellness modules) PAVILLION
CORRIDOR EXTENSION (Future medical services)
COMPREHENSIVE HEALTH AND WELLNESS PROGRAM
Outdoor Yoga Pavilion
High Priority areas Low Priority areas Expansion modules
6
Open Cafe
GOWNING GOWNING
IN
HOMEOPATHIC OFFICES
ER
AYURVEDIC PHARMACY
NT
HERBAL STORE
STORAGE STORAGE UTILITY CLOSET
Radiology Suite
HORIZONTAL EXPANSION SCHEME BY CORRIDOR EXTENSION AND PAVILION LAYOUT
HC HC Hinkson Creek
Health Center
WELLNESS FACILITY
2
1
1
3
MEDICAL BUILDING
1
2
On the other hand, the wellness center is home to a demonstration kitchen that is supported by an open cafĂŠ, meditation areas and a medicinal garden that is landscaped to foster outdoor circulation.
2
ATRIAL CONNECTOR
OUTDOOR PAVILION
Thus, by allowing for corridor architecture through a winter garden that stresses on heavy interaction with green and outdoor spaces, while housing a true wellness-oriented and flexible building program, Hinkson Creek Health Center appeals to the well-being of its patients, staff and community members alike.
3 The imaging department shares a wellness resource center for the community with a green roof above that is connected to the general medical office.
It also features an outdoor boardwalk that is accessible by the atrium, overlooks the green belt of the Hinkson Creek and is designed to encourage a social atmosphere.
7
UPPER LEVEL P.O.
P.O. P.O.
P.O.
DOWN
CONSULTATION OFFICES
CONSULTATION OFFICES C. LINEN
MEETING ROOM
STORAGE
D. LINEN
CONSULTATION OFFICE
VITALS
DOWN
RECEPTION
RECEPTION
STORAGE
VITALS
Its centralized atrium features a winter garden as a green corridor that unites its emergency department with its wellness center and culminates as a nature footpath to its rentable pavilion overlooking an organic waterchannel.
BREAK ROOM
Procedure Room
DOWN P.O.
P.O.
SHARED OFFICE P.O.
CHANGING ROOMS
P.O.
ELECTRICAL
DOWN
EDUCATION ROOM
RESOURCE CENTER
GREEN ROOF PATIO
DN
GROUND LEVEL
FAMILY WAITING ROOM
DISCHARGE
RESULTS W.
SECURITY
DOWN
C. LINEN
FINANCE
D. LINEN
WORKSHOP
STORAGE HERBAL STORE AND GALLERY
RECORDS ST.
NON-ACUTE
NON-ACUTE
RECEPTION
ELECTRICAL
VESTIBULE
MEDITATION ROOM
ACUTE TRIAGE
STORAGE
DN
ACUTE ACUTE PHARMACY N. OFFICE ACUTE
COMPOUNDER
OFFICE
ACUTE STORAGE
OBSERVATION
AMB. ENT.
DECONT.
OFFICE
MED PREP
STORAGE
ACUTE OFFICE
OFFICE
RECEPTION
TRAUMA ROOM
BLOOD DRAW
UP
STORAGE STORAGE
LAB
UNIT MANAGER
DEMO KITCHEN
UTILITY CLOSET ELECTRICAL D. LINEN
IMAGING WAITING
CONTROL ROOM
CT SCAN
W. ULTRA.
STD RADIO
CAFE
PROCEDURE
GOWNING GOWNING
G. ULTRA. RESOURCE CENTER
BREAK ROOM
KITCHENETTE
MAILROOM
ELECTRICAL
CL. LINEN
VIEWING/DIAG
UNIT MANAGER
OFFICE
OFFICE
OFFICE
UP
PAVILLION
8
This also encourages medical retail by looping around thepharmacy and herbal store and waiting areas, successfully alleviating patient stress and providing meaningful distractions.
1” painted steel mullion
10” DUCT
Radiant cooling from the ceiling (return vents)
T-shaped purlin glulam connection Double curvature insulated glazing
2’-6” DUCT
1’-6” DUCT
8” DUCT
Mechanical Rooms: Wellness Center : 1013 SF Atrium : 1215 SF Climate-controlled boundary
Roof drain Stone roofing ballast 60 mil EPDM roofing membrane Rigid insulation 6 mil vapour barrier
Metal cap Metal flashing Glulam beam Metal bearing plate
8” DUCT 2’-6” DUCT Mechanical Room: ER and Diagnostics Center : 1914 SF
Heating from the floor (supply diffusers)
1’-6” DUCT
11’
Radiant heating slab: Underfloor hydronic tubing systems embedded in the concrete foundation heat the floor of the central atrial corridor, thus providing an energy-efficient solution to the winter garden
WINTER GARDEN ATRIUM
Recessed can lighting 18” diameter stainless steel ducts Light cove
WELLNESS DEPT. SECOND FLOOR
2’-6” DUCT
ELEMENTARY ENGINEERING RESOLUTIONS
2 1/2”Runner 3/4” Suspended ceiling grid Pendant lighting Steel column Glazing
11’-6”
Cantilevered beam bridge between parts of the complex
Glulam arch Steel shoe with drain slot
WELLNESS DEPT. FIRST FLOOR Fibreglass batt insulation Floor Finish
Medical Office Building Girders at 25’-0” o.c. Joists at 6’-0” o.c. LEVEL TWO
Concrete anchor 1” diameter radiant tubing 3/4” plywood subflooring
3” Concrete slab on 3” metal decking Steel beam and joists assembly
Wellness center W n (2 levels): G 0 o.c. Girders at 20’-0” JJoists at 6’-0”” o.c.
8” diameter Supply duct with VAV box 1/2” Gypsum board
Depth: 18” steel girder 12” steel joist 24” Glulam beam WELLNESS DEPT. MECH. ROOM Concrete floor slab 6 mil vapour barrier 2” Rigid insulation board 1/2” Protection Board
Emergency Room and Diagnostic Services Girders at 25’-0” o.c. Joists at 6’-0” o.c. LEVEL ONE
Glulam roof structure for atrial corridor and outdoor pavilion
3” Drainage mat Compacted gravel layer 4” diameter Drainage pipe Concrete footing
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Communicable Disease
BIOCONTAINMENT STORYBOARD
Assembly of PortAll
Donning Outside the Room
PortAll: Providing continued teamwork through the use of a temporary ante room Normal Operations in Sealed Barrier for Biocontainment
Premier sense of location
Simplicity of mechanism
Observed Doffing Procedure
Transparency of process
PortALL GUIDING PRINCIPLES
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Targeted Cleaning with Bleach
Preparedness quotient
‘PortAll’ PORTABLE ANTEROOM
Year 5, Fall 2016 Health Systems Institute, Georgia Tech Institute of Technology As part of my Health and Wellness internship component, I ventured taking a multidisciplinary workshop class at the esteemed Georgia Tech, “Healthcare Design of the Future” which fostered research and development of tangible prototypes to solve a specific issue: Preparedness of a healthcare facility towards a biocontainment emergency such as an Ebola outbreak. Each team employed a healthy combination of designers, engineers, programmers and medical talent alike. My team’s assigned dimension and end-result aimed at improving team preparedness and efficiency between medical professionals in the event of a biocontainment emergency by creating a temporary anteroom that can be quickly assembled- the PortAll.
INITIAL PATIENT MAPPING ANALYSIS
Location : Prototype for Hospital Serious Communicable Diseases Unit Partners : Jack Bordoni, Julie McCallum, Lauren Zuccarello
Mentors + Experts : Professor David Cowan Dr. Craig Zimring Emory Healthcare Piedmont Atlanta Hospital HKS Architects Steelcase Health
11
Portable Kit Contents:
Installation Kit Bag
Structural Poles
Mounting Bracket
Structural Connections
Heavy Duty Tape
Constructing the Exploded Prototype: PortAll Ante Room:
Structural Disposable tarp Door zipper
7’-6”
Ante Room Tape seal 5’-0”
5’-6”
PortAll is a collapsible anteroom structure, mounted to the top of the patient room door, that can be easily pulled out and assembled for a rapid response situation. Nurses can quickly open the kit box, snap in the support bars, and secure the clear tarp walls. Staff can use this space to effectively don and doff personal protective equipment (PPE) while providing a clear, unobstructed view for verbal and visual communication. This addresses the problem of the lack of and sparsity of biocontainment rooms within healthcare facilities and allows for any patient room to be easily converted. By utilizing a small footprint of the patient room, medical staff can continue to use the patient corridor without significant disruption in work flow.
12
Left: Kit of Parts Right: Accompanying manual
Clear Plastic Sheathing
Our contemporary world is plagued with the dangerous possibility of serious communicable diseases outbreaks at any moment- however, current healthcare facilities are generally lacking in the ability to effectively treat patients in a mass biocontainment emergency. Currently, about 10 hospitals around the U.S. have specific units designed for such conditions but possess limited bed capacity. These rooms are highly isolated and require a large amount of dedicated space for staff to effectively work. The wall between the patient room and anteroom of the existing biocontainment units presents a physical obstacle to both communication and teamwork among hospital staff. Given this context, our goal is to provide immediate conversion of a typical patient room into a biocontainment unit. This means allowing as much collaboration and coordination as possible, including exchange of information and statistics, as well as materials. Such a strategy can be explored through a solution of physical space- the PortAll.
Preparation for Biocontainment
Biocontainment
Modification: Rubber outline to PortAll with gasket mechanism, self-adhering tape and rubber braces
Current: Steel pipe with elbow connections that glue to surfaces
Modification: Spring-loaded poles that can telescope on ball swivels attached to the floor and ceiling, and can have light/ materials snapped on
Modification: Fast-cap Trademark magnetic dust barrier doors that seal with magnetic tape
Current: Plastic sheathing taped to surfaces
Current: Plastic zipper with adhesive mechanism
Current: Orthogonal shape renders unused corners
Modification: Skewed walls slanted away from the walls not allows for more electrical and physical
Current
PHYSICAL SUPPORT
SEALING ACCESS FUTURE DESIGN IMPLICATIONS BASED ON EXPERT FEEDBACK
SHAPE DESIGN
Modification
13