Lakeside Wellness Center by Natalie Berg

lakeside wellness center manhattan,ks

natalie berg iapd 810,fall 2013 vibhavari jani & neal hubbell kansas state university interior architecture and product design

research Symptoms..........................................8-13 User Group.........................................14-15 Precedent Studies.............................16-27 Site Analysis........................................28-35

development Conceptual Design.........................40-43 Concept Statement.........................44-45 Programming....................................46-49 Mid-Critique Designs........................50-55

fiSitenal design Plan.............................................58-59 Site Sections......................................60-61 Exterior Renderings...........................62-71 Master Plans.....................................72-77 Structural Plans.................................80-83 Zoning & Diagramming...................84-87 Material Selection............................88 Furniture Plans & Selection..............89-93

table of contents

specialized areas Art Studio.....................................96-99 Reception.................................100-105 Meditation Room.....................106-109 Typical Restrooms......................110-111 Furniture Design........................116-117 Product Design.........................118-119 Company Branding..................120-121

conclusion

Conclusions..............................124-125 Bibliography...............................126-127

dedication & acknowledgements Dedicated to soldiers who ďŹ ght our enemies for our freedoms - may we show our appreciation and help them ďŹ ght their own enemies.

Thanks toVibha Jani & Neal Hubbell for guiding me through this project, and helping me stay inspired throughout the design process.I would even know where to begin without the help of the two of them.

project information IAPD’s 2013 Capstone Studio was dedication to designing a rehabilitation center for wounded warriors returning from combat.The project was to be located in the vicinity of Manhattan,KS and Fort Riley,KS in order to be easily accessible to soliders and their families. Each student was assigned the task of choosing three common injuries of wounded warriors,and used those injuries,their symptoms and treatments in order to design a successful healing environment. The goal of the project was to create a supportive space for those who need it.Each soldier suffers his/her individual injuries,whether visible or not,and it was the studio’s job to serve and ﬁx these injuries.The center will provide study and research opportunities for nearby Kansas State students,and space for civil and public events,public meetings and forums,and exhibitions. This outpatient facility will serve up to 35 people per day,and aims to house both patients and families. Community spaces are key to the success of the space, along with alternative therapy techniques and traditional medicine practice.

research

20% of the soldiers who’ve been deployed in the past 6 years have PTSD. That’s over 300,000.

Symptoms of PTSD (Post-Traumatic Stress Disorder) Upset by reminders of events Nightmares,ﬂashbacks Numb/losing interest Depression Thinking you’re in danger Feeling anxious,jittery,or irritated Feeling of panic Difﬁculty sleeping Can’t concentrate Hard time relating to people Avoidance of place

50% of those with PTSD do not seek treatment.

Treatment of PTSD Psychotherapy or“Talk”Therapy” - Helps people identify and deal with guilt, shame,etc.about the traumatic event - Focus on changing how people react to their PTSD symptoms,or triggers -Teaches about trauma and its effects - Use relaxation and anger control techniques - Helps people revisit reminders of trauma

Mind-Body MassageTherapy - Encourages sensory and emotional awareness- a foundation for self-regulation in the treatment of PTSD symptoms

Cognitive behavioral therapy (CBT) - Helps in understanding how you think about your trauma and its aftermath,learn to identify thoughts and replace negative feelings,how to deal with anger,guilt,and fear

Exposure therapy Eye movement desensitization & reprocessing Group therapy Brief psychodynamic psychotherapy Family therapy

post-traumatic stress 9

Treatment ofTBI Medication - Analgesics are used for paint relief and management - Anti-Anxiety agents lessen feeling of uncertainty,nervousness,and fear - Anti-Coagulants are used to prevent blood clots - Anti-Convulsants are used to prevent seizures - Anti-Psychotics are used to target psychotic symptoms such as combativeness,hostility, hallucinations,and sleep disorders - Sedative-Hypnotic agents are used to induce sleep or depress the central nervous system - Stimulants increase levels of alertness and attention

Counseling - Helps to learn new ways of thinking - Practices positive behaviors `

Cognitive Behavioral Therapy (CBT) - Focus on building useful skills

Medical Help - Physiatrist - physical medicine - Occupational therapist - everyday skills - Physical Therapist - aid in mobility - Speech pathologist - improve communication - Nurse specialist - helps to coordinate care

traumatic brain injury 10

1.7 million people sustain a traumatic brain injury every year.

Symptoms of TBI (Traumatic Brain Injury) Loss of consciousness for a few seconds to a few minutes No loss of consciousness,but a state of being dazed/confused Memory or concentration problems Headache Dizziness or loss of balance Nausea or vomiting Sensory problems,such as blurred vision, ringing in the ears or a bad taste in the mouth Sensitivity to light or sound Mood changes or mood swings Feeling depressed or anxious Fatigue or drowsiness DifďŹ culty sleeping Sleeping more than usual

Depression is a condition that affects 1 in 10 Americans at one point or another.

Symptoms of Depression Feelings of worthlessness,guilt,or loss Concentration loss Decreased energy Loss of appetite Sleep problems Slowed thinking Diminished desire to participate Thoughts of suicide Symptoms of Anxiety Feelings of apprehension and dread Trouble concentrating Feeling tense and jumpy Anticipating the worst Irritability Restlessness Pounding heart Stomach upset Dizziness Tremors/twitches Headaches Fatigue

Treatment of Depression & Anxiety Medication - treats chemical imbalance within the brain

Psychotherapy - talk therapy to gain insight - helps to develop coping strategies

Interpersonal Therapy - short-term,limited-focus treatment - emphasizes a personâ&#x20AC;&#x2122;s relationships and social functioning

Cognitive BehavioralTherapy - teaches recognition of negative patterns of thought - promotes healthier ways of thinking

Acupuncture - has been proven to help lessen depression

ReďŹ&#x201A;exology - creates a relaxation effect - aids in pain reduction - uses pressure to relieve stress and anxiety

depression & anxiety 13

17% of combat troops are women; 71% of female military personnel develop PTSD due to sexual assault within the ranks.

7% of veterans have both post-traumatic stress disorder and traumatic brain injury.

More than one-third of people with recent traumatic brain injury become depressed, especially during the first year after injury.

6,776 deaths

51,700 wounded 320,000 TBIs 400,000 PTSD

The patients of Lakeside Healthcare need empowerment at this difďŹ cult time in their lives.Therefore,the experience must be tailored to meet the needs of each individual,while focusing on the symptoms and treatment ofTraumatic Brain Injury,PostTraumatic Stress Disorder,and depression. Of the active duty force,currently, 14.5% are women, and 85.5% are men.The facility will serve both men and women with both physical and mental injuries. In recent military conďŹ&#x201A;icts,over 48,000 servicemen and women have been physically injured. Along with these physical wounds,as many as 400,000 service members are currently living with mental problems such as stress,depression,and PTSD. It has also been estimated that approximately 320,000 more have experienced traumatic brain injury while on deployment.

user group

national intrepid center of excellence bethesda, maryland

treatment types All needs ofTBI patients are met with: Internal Medicine Physical Medicine Integrative Pain Management Neurology Neuro-imaging Neuropsychology Behavioral Health OccupationalTherapy PhysicalTherapy FamilyTherapy Speech Language Pathology Optometry Audiology Sleep Medicine Nutrition Spirituality AssistiveTechnology RecreationalTherapy Clinical Pharmacist Acupuncture Alternative Medicine Modalities Art,Music,and Creative WritingTherapies Warrior Canine Connection (WCC)

concept

Feeling of welcome,caring,and creativity,meant to evoke feelings of home and conﬁdence without the overlay of traditional bureaucracy that often accompany such facilities.

atypical elements Laser Cut Hardwoods| hardwoods zig-zag through the space to establish a whimsical maze-like ﬂooring Pebble Paths| large pebbles are used as walking therapy in the open areas to promote natural circulation,as if the user were walking outdoors

exterior The repetitive expression of verticality gives this site an open façade which ﬂoods the space with natural light. In addition,this verticality provides the rhythmic form that uniﬁes the whole site.

layout

The building is anchored by a L-shaped bar,which accommodates multiple diagnostic,treatment,and support spaces.

site & orientation The building is metro accessible and is located on the Walter Reed National Military Medical Centerâ&#x20AC;&#x2122;s campus.The Center provides bus transportation around the campus,and there are various tree-covered pedestrian sidewalks.

technology The center holds a variety of technology which is vital to the success of the design.Technologies provided are:3 Tesla MRI;64-Slice PET/CT scanner; an Elekta Neuromag ME scanner, and a Computer Assisted Rehabilitation Environment.

intent

Support spaces provide emotional and spiritual support to others and include:a patient lounge/coffee bar, business center, family lounge and child play area,central, multi-purpose sky-lit space designed to accommodate theater performances; meditative activities; music programs; and recreational play for families, and art therapy rooms and acupuncture clinics.

Organic curves and double height ceilings carried the natural light all the way into the space,but gives the interior a soft and inviting appearance through natural form and material selection. On the interior, this verticality is still expressed,however no longer in such a rhythmic and repetitive way.

lessons learned

Circulation:Be sure to accommodate people who circulate with all types of disability,whether it be prosthetics,difficulty with balance,blindness,or wheelchair access.The goal is to make everyone feel like the facility has been designed specifically for their personalized treatment plan. Bring Nature In:Many studies have revealed that sunlight and natural textures/colors/scents have positive chemical effects on the human body and will raise morale.Consider these qualities when specifying materials/forms for the new space. Variable Departments:Every patient is different in their medical needs as well as their journey to recovery.Make a point to departmentalize the therapies in a way which makes sense based on common treatments used together to mitigate unnecessary circulation. Unique Design:Containing unique features,such as laser cut floors,puts the building on the cutting edge of rehabilitation centers,while taking a different approach to healing.Visual and tactile elements enrich the user’s experience and act as effective forms of therapy. Technology:Being on the cutting edge of technology is just as important as providing top-rate therapy.Integration of technology and its use as a therapeutic tool helps to understand many problems associated withTBI.

duke integrative medicine durham, north carolina

The Duke Integrative Medicine Facility in North Carolina treats a variety of health conditions,and stresses the use of evidence-based therapies. It boasts a“healing environment where tradition and innovation come together.“ The building itself is 27,000 square feet and in close proximity to Duke University. It is considered the ﬁrst facility designed for the combined practice of both alternative treatments and conventional medicine.

facilities

Library - meant for relaxation,reﬂection,and reading Inner Courtyard & Quiet Room Consultation &Treatment Rooms Meditation Rooms Labryinth Nutrition Center Workshops

material

The architects,Duda/Paine,sought to create a warm,nonthreatening environment dedicated to both physical and mental well being.This was achieved through interweaving both natural and manmade materials. Wood was used extensively throughout the entire space,due to the feeling of warmth it exudes.The wood structure and arches create a feeling of trees and foliage.

views

The space creates a permeable relationship between the facility interiors and the landscape surrounding the build-

lessons learned

The entire Duke Integrative facility is a lesson in itself.Being the ﬁrst of its kind to get LEED certiﬁcation,it utilizes many techniques that promote both physical and mental health while maintaining a natural atmosphere. Sustainable systems were used in all aspects,including the site design - rainwater is reused as a design feature throughout the facility for meditation and contemplation.All roof drains are drained into a central fountain that eventually returns the water back to the site. The facility is welcoming to all visitors by embracing both traditional and non-traditional medicine techniques. The nature focus and emphasis on landscape views create “positive distractions”to reduce stress through environmental design. By tailoring each space to the individual,each patient feels comforted and welcomed upon entering the building. By providing a variety of spaces throughout the entire program,the space is opened up to even more visitors.

kansas rehabilitation hospital topeka, ks

Located in Topeka,KS,the Kansas Rehabilitation Hospital consists of 85,000 square feet and have up to 44 outpatient visitors a day.The facility can also house up to 55 inpatients at any one time. Employees consist of 74 full time members and 30 part time.

facilities

Outdoor Recreational Area Basketball court Volleyball court Balance Course Indoor Recreation Sea Salt Pool (Tai Chi) Gymnasium Physical Therapy Support Services Drug and Alcohol Support Health Information Management Treatment Rooms Ofﬁces (neuropsychologist,psychologist,doctor)

material

Treatment rooms should be calm and tranquil,while still retaining a multi-use ﬂexibility. All hallways should have two heights of railings for walking/ moving,along with overhead tracking systems to hook into. Flooring should be durable,ﬂexible,and nice looking. Lighting needs to be consistent and not overwhelming - oftentimes,acts as a trigger. Above,all the spaces must be comfortable for the patients.

lessons learned

There were many lessons to be learned from this rehabilitation hospital.By speaking with employees and touring the facility,we were able to gather insight into both the success and failure of the space,along with what is absolutely necessary in rehabilitation services.The following are key points that were addressed as desires by the employees: Keep the wayďŹ nding and material simple - it directionally orients a person and causes less confusion overall. Security systems are extremely important,but should be more effective than a speaker system.Overhead speakers startle many patients. Both patients and staff need areas to be alone and get away - sometimes veterans have trouble interacting with others. There can never be enough storage and they could always use more for things like maintenance,dirty & clean linens,etc. Open ofďŹ ce systems are preferred to traditional closed ofďŹ ces. Windows should be oriented for good sightlines to inspire and motivate. Acoustics are incredibly important for Wounded Warriors and acoustically sound materials should always be used.

irwin army community hospital fort riley, ks

Located in Fort Riley,KS, the Irwin Army Community Hospital serves those on base in the areas and their families.The facility focuses on the overall health of soldiers.The current facility is 380,000 square feet,with a new hospital being built to replace it that will be 550,000 square feet.

specialties

Allergy Audiology/Speech Pathology Dermatology Dietetics Emergency Services Family Medicine OB/GYN Occupational Therapy Ophthalmology Optometry Orthopedics Otolaryngology (ENT) Pediatrics Physical Therapy Psychiatry Surgery Chiropractic Podiatry Psychology Social Work Substance Abuse Traumatic Brain Injury Immunizations

lessons learned

Since we were able to tour both old and new facilities,a comparison was able to be made between amenities available to patients.This comparison allowed us to determine what parts of the current model were successful, and what were not. Physical and occupational therapies are the most visited by amputees and the injured.Therefore,these two facilities should be easily accessible from the front entrance,and should have a direct proximity to each other. A typical patient goes to the physical therapy clinic to manage pain and regain a range of motion. Once a patient’s muscles are reeducated,the move onto occupational therapy for everyday skills. Spaces for one-on-one interaction are key - therapists have found this kind of interaction to be the most successful.Each technician can see anywhere from 18-23 people per day, and must have a ﬂexible space. It is important to recognize what areas are“on stage”and which are“off stage. ”These establish boundaries between patients and medical professionals,and allow for down time for staff. The goal of the facility is to help the wounded achieve the highest functional level possible - its interiors and amenities must encourage and support this goal. The rehabilitation center is aiding men and women in their transition from military to civilian life,so there must be space for socialization and interaction to encourage and help this transition. Administrative areas are not only important for building and medical support,but also double as privacy and grouping areas for staff meetings and breaks.

site analysis pottowatamie state lake #2 manhattan, ks

Funded by a donation by the Friedrichs in 1953,the Pottowatamie State Lake #2 consists of 247 acres in the heart of the Flint Hills.179 of those acres are holds a wildlife refuge, while the other 75 are the recreational lake for public use. Fish are regularly stocked in the lake March through September,and the park is open year round.

views

Sun pattern and path is shown below,and it is clear that site requires shade on the South side of the lake.After spending a signiďŹ cant amount of time at the site,it is apparent that due to the reďŹ&#x201A;ectivity of water,,shade is needed on every side of the site.

ecology Wildlife is very prevalent in this area,given that the majority of the acreage is a wildlife refuge. Species that currently inhabit the property include: deer, turkey,quail,coyote,duck,and beaver. Fish are regularly stocked for recreational fishing,and species within the lake include:channel catfish,black bass,bluegill,crappie,flat-head catfish,and walleye.The area surrounding the park consists of farmland and grazing areas.

tree cover

The tree type in this area is most commonly oak.The diagram below illustrates the varying levels of shading around the site,and the ideal areas for building placement with minimal damage to the current environment.

population Weather in the area is consistent with that of the Kansas climate.Average monthly temperatures range from 29 to 80 degrees Fahrenheit.Winds are prevalent in the area,giving a sense of cooling due to the siteâ&#x20AC;&#x2122;s proximity to water.

prevalent wind patterns

entry Entry into the existing recreational area is from State Lake Road,and from the entrance,visitors can circle around the lake to access varying points of entry into the lake for boats and canoes.Roads are bumpy and rough,covered in gravel, and need in improvement in order to improve accessibility.

site conditions Although the area is very quiet,there is quite a bit of ambient noise around the area from a variety of factors.On the west side of the lake,there is a recreational area consisting of campsites and docks.The south side of the lake has the most noticable amount of noise from nearby farmland.The diagram below illustrates the areas with the highest noise levels.Due to its rural conditions,no noise exists from any automobile trafďŹ c other than entry and exit to the area.

ecological noise

human noise 32

demographics

population=56,069 51% male 49% female

93% u.s. native english speaking; american born occupational status household income $42, 042 36% education, health, and social services 13% retail 12% arts, entertainment, recreation, and food

sun rose diagram

building location

development

conceptual design

“Between every two pine trees there is a door leading to a new way of life.” John Muir

concept statement

The purpose of the Wounded Warrior rehabilitation center is to aid and train soldiers that have experienced traumatic injuries in their adjustment back into society.The center focuses on mental wellness,including patients suffering from traumatic brain injury (TBI),post-traumatic stress disorder (PTSD),anxiety,and depression.Not only will the center help to treat side effects of these conditions,but they will also help the patients to develop techniques to cope with the changes that are now occurring in their everyday lives.The center focuses on the calming atmosphere that is created through immersion in nature,particularly in the presence of trees and water. Soldiers entering this clinic for help are broken and worn down;they’ve weathered the storm that is combat or deployment,and it’s their time to be ﬁxed.The center strives to maintain the belief that there is beauty in the broken,and in between the branches,there is light.Through interaction with the community and group educational classes,soldiers will gain a sense of appreciate and will gradually heal both externally and internally. When studying a tree,you start at the beginning of everything,the roots.From those roots,grows the core of the tree – the trunk – and from that trunk grows branches. Branches,what make up the mass of the tree,are also how a tree gets its nutrients. They are the source of food and energy,what grab the sunlight,and also what bloom,change,and look the most beautiful.The purpose of this center is to get back to basics and relearn the skills that soldiers may have their lost during or after their deployment.The spaces radiate from the core like roots,a tall,open atrium ﬁlled with light.Reinforcing the core are the basics of the center – education and community.Therefore,those spaces will be most easily accessible and open to the public.From there,the building branches out to various treatment sections.These are the nutrients to the patients and how they will begin to re-grow.When a plant is dead,you water it and put it in the sun – using this concept,the surrounding spaces will soak up light and have open views to the water,fanning out from among the trees of the site.

Basic programmatic requirements were established upon the initiation of the project,and were analyzed for proximity and adjacencies.Beyond typical medical facility spaces,we were asked to select three symptoms of wounded soldiers and provide specific treatment areas for those symptoms.Basic programmatic requirements included: Reception Area 2-6 Doctors’Offices 6 examination rooms 2 counseling rooms 1 large physical therapy area Workstations for 3-6 physical therapists 1 peace room Exhibit Space Small Theater (20 people) Reflection-Meditation Area (6-8 people) Small Research Library (6-8 bookshelves) Small Book/Gift Store Cafe Director’s Office 1 intimate,serene,peaceful,and relaxing conference room (12-15 people)

Symptom-speciﬁc programmatic additions included: Balance Garden Outdoor Recreational Area GroupTherapy Rooms “Talk”Rooms AcupunctureTreatment ReﬂexologyTreatment Art Studios Music Studio Dance Studio Touchdown Spaces

facility programming 46

Department

outdoor reception

Outdoor

Reception

therapy

Therapy

extras

Extra

support

Support

Space Balance Garden Recreation Area Patio Administrative Reception Desk Waiting Room Cashier Doctor Office Director Office Secretary Filing Workstation "Talk" Room Gymnasium Group Therapy Rooms Mental Exam Room Exam Room Counseling Room Mental Treatment Room Treatment Room OT Area PT Area Spa Spa Storage Spa Treatment Acupuncture Reflexology Classrooms Theater Large Conference Room Small Conference Room Reflection/Meditation Area Gift Shop Research Library Exhibition Space Art Studio Dance Studio Music Studio CafĂŠ Locker Rooms Information Management Janitor Closet Restrooms Food Storage Storage Supply Equipment Storage Mechanical Kitchenette Touchdown Space

Description of Function Outdoor area for patients, visitors, and staff For Visitors and Patients - exhibition reception Check-in point Visitor and Patient Waiting, Welcoming Meeting and work area Meeting and work area Secretary workstation Waiting Area Work area For families, patients, groups, etc. Holds equipment Meeting Area and space to teach new skills Accommodate for patient, visitor, and doctor Accommodate for patient, visitor, and doctor Private space to consult patients Private space for treatment Private space for treatment Open, and natural light for therapies Reception area Storage Treatment Rooms Includes 2 treatment rooms Includes 2 treatment rooms Each accommodates up to 20 people For up to 30 people For deliberation and meeting between doctors For deliberation and meeting between doctors Allowance for meditation lessons Small gift shop Soothing and relaxing for doctors to get away For visitors and guests to showcase and view art For creative therapies For creative therapies For creative therapies

Size e 500 1000 3000 200 200 1014 200 120 225 200 200 150 200 1600 300 120 120 120 180 180 650 4800 300 140 150 200 200 500 600 378 250 500 400 400 1500 500 500 500 500 400 400 40 200 100 150 100 300 200 200

Size

Proxemics

Equiment/Furnishing Meditation Labrinyth, Outdoor Gyum

Connected to outdoor track and patio Extension of exhibit space

Directly visible from entrance Adjacent to Exam and Counseling Rooms Adjacent to doctor offices Outside of Director's Office Outside of Director's Office Adjacent to PT Area

Reception desk, rolling chair, storage Flexible seating Countertop, rolling chairs Working desk, work chair, 2 side chairs, filing cabinet Working desk, work chair, 2 side chairs, filing cabinet

Chairs, work counter, storage

Desk, exam table, side chair, rolling chair, sink, privacy curtain, rolling cart Doctor's stool, exam table, work surface, sink Chair, couch/reclining chair, side tables Desk, rolling stool, rolling cart, sink, side chair, emergency cart, arm light Treatment table, stool, desk, privacy curtain, sink, arm light, hamper 8 PT beds, physical equipment

Sink, linen cabinet, massage table (72" x 30")

Audiovisual aids, computer, tack board

6-8 bookshelves, 2 computers, chairs/couches, 1-2 desks

Close to gymnasium and physical therapy Adjacent to offices

Adjacent to cafĂŠ

Central location Close to office spaces

Countertop, storage, chairs, table

Quantity 1 1 1 1 1 1 1 6 1 1 1 4 2 1 2 3 3 6 3 3 1 1 1 2 3 2 2 2 1 1 1 1 1 1 1 2 1 1 1 2 1 2 6 1 2 2 1 1 2

Total 500 1000 3000 200 200 1014 120 720 225 200 200 600 400 1600 600 360 360 720 540 540 650 4800 300 280 450 400 400 1000 600 378 250 500 400 400 1500 1000 500 500 500 800 400 80 1200 100 300 200 300 200 400

design a 50

design b 52

design c 54

Treatment Room

Treatment Room 173 SF

191 SF

Exam Room 123 SF

Treatment Room

Exam Room

175 SF

119 SF

Workstation 152 SF

Touchdown

Workstation

225 SF

Small Conference

152 SF

256 SF

Room 175 SF

Exam Room 136 SF

Room 170 SF

Restroom

Waiting Room

201 SF

210 SF

342 SF

Physical Therapy Dirty Linen

2403 SF

89 SF

Cashier 122 SF

Clean Linen Vestibule

103 SF

210 SF

Patio 1241 SF

Food Storage 96 SF

Mechanical

Waiting Room

519 SF

611 SF

Cafe 600 SF

Exhibit Space 2328 SF

Theater 563 SF

final design

site plan

site sections

balance garden 62

balance garden

side entrance 66

back patio & exhibit 68

front entrance 70

plan key: a: exam rooms b: treatment rooms c: menâ&#x20AC;&#x2122;s restroom d: womenâ&#x20AC;&#x2122;s restroom e: conference room f: physical therapy g: mechanical h: storage j: theater k: reception/waiting room m: cashier n: exhibition space o:cafe p:storage 72

o n

f j b b b

d a

master plan

a a

:level one

plan key: a: exam rooms b: treatment rooms c: men’s restroom d: women’s restroom e: group therapy f: counseling room g:“talk”room h: meditation room j: physical therapy k: women’s locker room m: men’s locker room n: gymnasium o:spa reception p:occupational therapy r: spa treatment s: storage 74

j m

b b

a f

g d h

e g f f f

master plan

:level two

plan key: a: dance studio/storage b: music lab/storage c: art studio/storage d: classrooms e: men’s restroom f: women’s restroom g: research library h: conference room j: patio k: storage m: spa treatment n: spa reception o:acupuncture p:reflexology r: doctors offices s: kitchenette t: storage v: director’s office w: director’s secretary 76

b c

r r r

b t

m f d

master plan

:level three

building section

structural axonometric

structural plan

:level one

level two:

structural plan

:level three

level one

level two

level one

level two

zoning 84

mental vs.physical therapies mental therapy counseling treatment exam talk room group therapy

meditation art studio music studio dance studio classrooms

physical therapy level three

exam acupuncture treatment reďŹ&#x201A;exology physical therapy gymnasium spa

daylighting light entrance

level three

spatial extension extensions

diagramming 86

entry points

physical therapy

mental therapy

spatial zoning 87

material selection wall treatment

flooring

upholstery 88

furniture plan

:level one 89

level two: 90

furniture plan

:level three 91

furniture selection 92

specialized areas

art studio

art studio 99

100

reception

101

reception

103

104

reception

106

meditation room

107

meditation room

109

110

typical restroom

111

physical therapy

physical therapy 113

touchdown lounge

115

116

custom reception desk

Typical countertop height (37”)

Task height (42”)

ADA height countertop (31”)

Solid Surface

Wood

Glass

117

recessed led uplight in every few slats

series of wood wall systems custom built in place

wood slats in varying colors

privacy screen - meditation room 118

outdoor shading ďŹ xture

signage

product design

119

mission statement:

to provide the best support system to our countryâ&#x20AC;&#x2122;s soldiers by serving the whole person - both mind and body. to create a seamless integration of traditional and alternative therapies that allow for the ultimate flexibility of the patient. to educate about healthy living and create a community of support and understanding. we aim to help you fight your enemies as you fought ours.

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company branding

conclusion

conclusions Overall,I feel as though this project was a very successful one.Having no previous experience with healthcare design,I found it very beneďŹ cial to gain some of that experience in this ďŹ nal Capstone studio,especially since a rapidly growing market. I learned much more than I inititally anticipated I would,and I found the process for this project to be much different than previous projects. Researching the various treatment types and what they require in a facility was extremely interesting and helped guide me in my process.

For future designers,I would recommend to really dig deep into the issues of these injured soldiers. After final reviews,it was clear that the range of study into symptomatic treatment had a great effect on the overall outcome of the project.Those who really took the soldier’s needs into consideration had a very successful model,while others had more of an aesthetically pleasing model rather than a functional one. If given more time,I would like to be able to develop further several points of my project.Firstly,I think going more in depth in the study of light and its health benefits for the sick,especially the wounded warriors that we addressed in this project.Studying the effects of light on a space’s materials,and being able to develop a stronger daylighting strategy would be very beneficial for the success of my project.Second,I think an interesting study to conduct would be the benefits of various textures, materials,and patterns on health.Interplaying these materials with light woiuld add depth to a project of this sort,and could greatly incraese the sense of comfort within the rehabilitation center.

research bibliography "AIA Honors Duda/Paine for Duke Integrative Medicine." Interior Design RSS.N.p.,n.d.Web.30 Sept.2013.<http://legacy. interiordesign.net/article/528488-AIA_Honors_Duda_Paine_ for_Duke_Integrative_Medicine.php/>. "BrainLine Homepage."Traumatic Brain Injury.N.p.,n.d.Web.5 Sept.2013.<http://www.brainline.org/>. "DepressionTreatment." Therapy, : Medication,and Lifestyle Changes.N.p.,n.d.Web.5 Sept.2013.<http://www.helpguide. org/mental/treatment_strategies_depression.htm>. "Duda/Paine Architects - Duke Integrative Medicine (DIM), Duke University,Durham,NC." Duda/Paine Architects - Duke Integrative Medicine (DIM),Duke University,Durham,NC.N.p., n.d.Web.30 Sept.2013.<http://www.archinnovations.com/featured-projects/health-care-facilities/dudapaine-architectsduke-integrative-medicine-duke-university/>. "Duke Integrative Medicine." Duke Integrative Medicine.N.p., n.d.Web.9 Sept.2013.<http://www.healthcaredesignmagazine.com/article/duke-integrative-medicine?page=2>. "Living With Brain Injury." Living with Brain Injury.N.p.,n.d.Web. 5 Sept.2013.<http://www.biausa.org/living-with-brain-injury. htm>.

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"MakeThe Connection." Make the Connection.N.p.,n.d.Web. 5 Sept.2013.<http://maketheconnection.net/>. "Military Health System (MHS):DoD Space Planning Criteria for Health Facilities." Whole Building Design Guide.National Institute of Building Sciences,n.d.Web.26 Sept.2013.<http:// www.wbdg.org/ccb/browse_cat.php?c=261>. "PTSD:National Center for PTSD." U.S.Department ofVeteran's Affairs.N.p.,n.d.Web.5 Sept.2013.<http://www.ptsd.va.gov/>. "Reflexology For Anxiety Disorders." Mental Health Daily RSS.N.p.,n.d.Web.1 Dec.2013.<http://mentalhealthdaily. com/2013/04/24/reflexology-for-anxiety-disorders/>. "Taking Charge of Your Health & Wellbeing."Taking Charge of Your Health & Wellbeing.N.p.,n.d.Web.10 Dec.2013.<http:// www.takingcharge.csh.umn.edu/explore-healing-practices/ reflexology/what-does-research-say-about-refloxology>.

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