ALLI MC NA AD 1
TO INNOVATIVELY INFUSE EXCEPTIONAL PATIENT EXPERIENCE WITH INSPIRING ARTISTIC ENGAGEMENT.
2
Initial Partnership Meeting
Dec 22, 2009
Present:
Allina: Ken Paulus, Dr. Bruce McCarthy, Daryl Schroeder, Choy Leow
MCAD: Jay Coogan, Vince Leo, Jerry Allan
I. DRAFT Partnership Statement To innovatively infuse exceptional patient experience with inspiring artistic engagement. II. Partnership Intentions a. Provide MCAD students a “real world
Communication Care Experience f. Partnership framework to be teamoriented & able to evolve per needs in care setting. g. Initiate a “menu of needs” that includes:
situation” to combine “concept with
• Art Therapy
practicality”.
• Branding
b. Establish a “designer-in-residence”
• Messaging
at Allina to follow patient, staff, &
• Web Page Enhancement
process flow.
• Development & Maintenance
c. Create a “novel perspective” in training Allina staff & MCAD students in:
• Wayfinding • Human Factors i. Create a “patient portal” that
• Observing
provides access to apps that
• Reflecting
enhance care delivery
• Prototyping
j. Draft a partnership contractual
• Processing
agreement/memorandum of
• Experiencing
understanding for review
d. Bring a balance of business, science
k. Prepare a clear, crisp partnership
and visualization to healthcare & art
mission/vision statement for review,
education.
(see DRAFT above)
e. Develop teams of patient-client, student-staff, intern-extem with
III. Next Steps
measurable outcomes in:
a. Review “Menu of Needs”, Allina &
Project Tracking
MCAD mission & vision statements
Advertising
(see attached)
Marketing
b. Review possible engagement timeline per MCAD term schedule. c. Next Meeting: TBD (Proposed: Week of Jan 4, 2010)
3
INDEX FOR FOUR YEARS OF MCAD + ALLINA PARTNERSHIPS AND PROJECTS
4
2013
WHAT MAKES WELLNESS COMMUNITY / 7 WELLNESS TEAMS / 10
WALKER PLACE / 13 WALKER PLACE SURROUNDING LOGAN PARK / 29 BELWIN CONSERVANCY / 37
COMMUNITY / 23
BASIC RESARCH INTO WHAT IS WELLNESS / 46
2012 2011 2010
FIELD TRIP TO ALLINA / 47 STUDENT’S APPLICATIONS / 52 SAMPLE OF STUDENT’S DEMOGRAPHIC STUDY / 62
MY STORY / 83 WHAT IS THE PATIENTS STATION / 103 INFORMATION PERSONALIZATION+ OPTIMIZATION / 111 WOMEN WANT MORE OPTIONS / 117 BUILDING A CULTURE OF WELLNESS / 125 OPERATION VALIDATION / 129 TEAM AFTERCARE / 135 PUSH / PULL / 143
CLINIC OF THE FUTURE / 149 THE ENVIRONMENT / 155 PREVENTATIVE CARE / 161 ARCHITECTURE/INTERIOR / 165 MULTI-IDEA OF ALLINA CLINIC / 173 WELLNESS COMMUNITY / 177
5
2013 WHAT MAKES WELLNESS COMMUNITY 7
INTRODUCTION TO ALL WELLNESS PROJECTS SPRING 2013
MCAD’s Human Factors class of Spring 2013, led by Jerry Allan, had the opportunity to turn thread into fabric. After Allina Health Care prompted us with the question “What is wellness?”, our classroom became an open door to research and new ideas. We split into four groups that covered four regions within or near Minneapolis: • Walker Place community • Walker Place surrounding community • Logan Park neighborhood • Belwin Conservancy By using existing programs within each of these areas, we were able to see connections form, and realize that wellness in one area directly affects wellness in others. Using this knowledge, each team set out to their area and asked questions: • What already exists within this community? • What do you feel would improve general wellness in your community? • Big question: how can we do this? Over eight weeks of research and problem solving, each of the groups made extravagant improvements to their region while keeping clients’ needs and wants in mind. The teams took each thread and location to turn it into cloth: something with a deeper meaning of community wellness.
WELLNESS TEAMS WALKER PLACE
1. Wellness and assisted care for Walker Place Community
COMMUNITY
2. How can the surrounding community & Walker Place see each other as a resource?
WALKER PLACE
SURROUNDING COMMUNITY
LOGAN PARK
3. How can the Logan Park Neighborhood became a branded Wellness Community?
4. How can Belwin Conservancy bring environmental wellness to the other three projects?
10
NEIGHBORHOOD
BELWIN CONSERVANCY
Project Summary: Challenges & Opportunities Walker Place – Walker Community Context – Logan Park Neighborhood • Subscriptions to live video feeds from Belwin nesting eagles, what’s happening under the ice and snow, bison herd • Gardening with wildlife, birds, bees, and butterfly gardens. Belwin branded planting kits. • Edible landscapes, senior gardens – Belwin and Lyndale Gardens • Celebration gardens = for every success – a tree is planted, dedicated garden, etc. Tree planning and care – Belwin and Minneapolis Park Board. • Environmental Sustainability and the arts
Belwin Conservancy & Wellness For many years Belwin has aquired 1,500 acres as a nature, watershed, and wildlife preserve. It is now expanding its mission to share its knowledge and services to a broader community. Challenge: • How can nature and Belwin come to you? • Biophilia Allina’s focus is on wellness and community. The environment is our largest shared community. Belwin and the other three projects are a perfect bridge for LINKYOU.
Need
There are many LINKYOU possibilities. What is needed is a dedicated staff person in related institutions or paid internships.
11
12
1.WALKER PLACE COMMUNITY
Chris Massoglia | Ellen McDonough | Teresa Webber | Tsana Allen | Skylar Storkamp
13
RESULTS & OPPORTUNITIES BUILDING UPON ‘LINKYOU’ Needs
14
LINKYOU
Opportunities
• Communication with relatives, friends, and others. Family members often give laptops and iPads, but residents typically don’t know how to use.
• Middle and high school students can get social service credits by teaching – basic email to social networking
• Seniors have time & often seek purpose. Tie-in with Belwin and Lyndale gardens – gardens for birds, bees, and butterflies
• Students could easily check in with their senior partners by email, facebook, etc. to continue tutoring
• Tie-in with Belwin live wildlife video
• Joint partnerships with middle school science students’ projects Bird watching Butterfly experiment Photo studies Documentation
• Walker’s current learning center looks too isolated and academic
• U of M interior design class remodeling – think “The Starbucks Social Learning Environment”
• Seniors have life experiences and stories untold –– Beyond scrapbooking
• All-ages writing classes: personal biographies and visual journals
• Need person on staff and a paid internship
• Too coordinate all of linkyou’s possibilities
THE LITTLE BOY AND THE OLD MAN
Said the little boy, “Sometimes I drop my spoon.” Said the old man, “I do that too.” The little boy whispered, “I wet my pants.” “I do that too,” laughed the little old man. Said the little boy, “I often cry.” The old man nodded, “So do I.” “But worst of all,” said the boy, “it seems Grown-ups don’t pay attention to me.” And he felt the warmth of a wrinkled old hand. “I know what you mean.” said the little old man.
15
MEET DOROTHY ** Dorothy is a real resident of Walker Place, but respectfully did not want her photograph taken. Dorothy was a major contributor to our research, creating understanding for our students about life at Walker Methodist. She gave us this beautiful quote:
“Everybody needs something to do, something to look forward to, and someone to love.” –Dorothy
16
Purpose “Everybody needs something to do...” The elderly need a motivation to live.
Challenge “Something to look forward to...” The elderly need structured social stimulation.
Affection “...and someone to love.” The elderly need to sustain meaningful bonds.
17
CREATIVE BRIEF: THE TASK ASSIGNMENT
OBJECTIVE
To provide the residents of the Walker Place a health and wellness environment, incorporating them effectively into the community.
To engage the residents of Walker Place in a social media activity that not only allows them to learn about technology today, but also provides them the opportunity to connect with the younger generation. This will result in a 10% increase in social awareness and activity within the resident community, as well as in the surrounding neighborhoods, measured by the participation in the take away program.
TIMELINE 3.6 Meeting
at Allina with Ruth Olkon
3.27 Site
3.13 Meeting
visit at Walker Place Meeting with Jess
at Community Center Formation of team
18
Roberts
4.3 Spring
Break
4.17 Meeting
with residents Developed personals
4.10 Creative
Brief, Began research phase
4.24 Work
in progress presentation, Continued ideation
TARGET AUDIENCE
KEY CHALLENGES
PRIMARY The residents of Walker Place. They are men and women over the age of 65 that are slowly losing independence but still wanting interaction. SECONDARY The community surrounding the Walker Place.
5.1 Work
in progress presentation, Final studio day
9.4 Program
is implemented at Walker Place and in designated schools
5.8 Final
presentation with clients @ Allina
11.27
COMMUNITY MEMBERS RESIDENTS FALSE PERCEPTIONS LOW AWARENESS
1 year
The residents will talk to different students
Event meet up between Walker Place and the designated schools’ students
5 years
This program will have expanded to a variety of schools, groups, and assisted livings
19
PHASE ONE: RESEARCH Society today places an emphasis on staying young, which is difficult for many of the elderly to accept. Walker Methodist likes to see aging not as a setback, but as an opportunity. This is a time of countless loss for these individuals. It is crucial at this stage of life that the importance of health is incorporated into everyday activity and the social life of each person is stimulated.
RESIDENT INTERVIEWS Background story What is most important living here at Walker Place? What is most important to you? Are their any activities you enjoy doing here? If not, Are there any you would want to have here? What does being healthy mean to you? 13 residents
THE RESULTS
Most are happy living at Walker Place and are satisfied with the variety of programs. Many feel they are healthy, given their age. BUT 1. They want to be heard by management 2. They want to learn more about technology 3. They are interested in social networks 4. They are tired of being with “old people� all the time
20
PHASE TWO: IDEATION An effective social media campaign to connect younger generations with the surrounding, technology-interested community.
LINKYOU Senior to student to community.
Here’s Dorothy!
Meet Tyler Tyler is a junior at Holy Family High School. This coming fall, he is taking an English literature class.
Is this somewhere YOU would want to learn? MOCK-UP OF LINKYOU INTERFACE
21
22
2. WALKER PLACE SURROUNDING COMMUNITY
Aliyah Harmon | Blake Mullin | Christian Sundquist | Skylar Storkamp
23
CHALLENGES & RECOMMENDATIONS OF WALKER PLACE SURROUNDING COMMUNITY
CHALLENGES HOW CAN: ** Walker Place become a resource for the surrounding community? ** Surrounding community become a resource for Walker Place? … based upon Walker Place Team’s concept of LINKYOU
RECOMMENDATIONS ** Community Resources Inventory: Walker Place needs a creative map of the community, visualizing: parks, flower gardens, schools, libraries, galleries, bookstores, beauty and barber shops, coffee houses, etc. with phone numbers and web links. »» To be used at residents’ orientation »» To interview residents’ interests and visiting opportunities ** Resident’s Inventory: Interview residents for skills, experiences, interests resources they feel they could offer ** See community menu from business already expressing mutual benefits with Walker Place ** Need a person or paid internship to continue to build upon these connections and coordinate the new LINKYOU opportunities
24
WALKER PLACE // SURROUNDING COMMUNITY CONTACTS Jerry Allan / Project Coordinator jallan@mcad.edu Skylar Storkamp / Lead Project Manager - sstorkamp@mcad.edu Aliyah Harmon / Project Manager - aharmon@mcad.edu
Blake Mullin Christian Sundquist
-
bmullin@mcad.edu csundquist@mcad.edu
Project Background This project began development as a partnership between the Walker Place community and the Minneapolis College of Art and Design. Its purpose is to implement and expand the foundational idea that relationships and community building are key aspects to individual wellness. This project is being developed in tangent with another group that is focusing on wellness within Walker Place.
Project Description To develop a program that integrates the Walker Place and its surrounding neighborhoods, promoting wellness in residents of both Walker Place and the greater community.
Key Message Walker Place is an invaluable key to local community wellness.
25
Objective and Timeline This program will be founded with the goal of encouraging Walker Place residents to connect with and contribute to the community, and vice-versa. The final brief will be delivered 5.8.13 The objective moving forward is to establish the program with landmark achievements in implementation at the 1-year and 5-year marks. 5.8
1-YEAR
5-YEAR
BRIEF PROJECT DEVELOPMENT IMPLEMENTATION
Deliverables Create a wellness message detailing and encouraging the importance of community as a factor to wellness Deployment method for project strategy that encourages and facilitates continued community interaction Possible Social Media platforms for community use
26
1-YEAR
Relationship has been established between Twin Town, Walker Place, and Lyndale Gardens
5-YEAR
Program has expanded to the larger community.
PROJECT TIMELINE 5.1.13
Important Considerations Generational Gap - There is a strong potential for generational differences (i.e. variance in proliferation of social media and technology) between Walker Place and the younger median age of the community “Just Another Activity” - This program needs to circumvent the voiced opinions that residents don't want “too many choices” in their daily lives. Lack of Resources – The Walker place has voiced a lack of monetary ability to bring in musicians and speakers.
Continue development of core project goals Refine deployment plan and long-term goals Continue community research and building resource base
5.8.13 Begin relationship between Twin Town, Lyndale Gardens, and Walker Place Establish lesson programs and performance schedules Explore possible performance locations and events in the Lyndale Gardens
1-YEAR Begin expansion to other community outlets Adapt current lesson programs and performances to expanded spaces
5-YEAR
Program has expanded to the larger community
27
3.LOGAN PARK
NEIGHBORHOOD Bri Heu | Kallie Hone | Magdalena Cortes | Nolan Mao
29
CHALLENGES, RECOMMENDATIONS, & NEXT STEPS FOR LOGAN PARK CHALLENGES Walker Place is in the Lake Calhoun and Lake Harriet area, while Logan Park is a blue-collar neighborhood with its strength in wellestablished social networks and events. Their goal is to build upon these strengths to create a prototypical inner-city wellness community. • Logan Park is also coming off of a successful negotiation with the city, school Board, and a developer to reclaim a 407 district school building to convert into a new sustainable business center. This transformation was done with the assistance of MCAD interns.
PROJECT: The Logan Park Olympics is an event bringing the community together to celebrate its culturally diverse neighborhood and center on its wonderful park.
NEXT STEPS: Branding Logan Park as a sustainable wellness community. They plan to apply for an Allina “Neighborhood Health / Connection” grant. (www.neighborhoodhealthconnection.org) These competitive grants offer money and other resources to support activities that promote social connections and increase healthy eating and active living (see linkyou and Belwin).
NEED: A dedicated committee and a paid intern to continue focus on branding initiatives.
30
Every year Logan Park Neighborhood will host the Logan Olympics in which the whole neighborhood will participate in an array of sports competitions, cultural shows (such as dances native to different countries, theatre plays, etc.), and a neighborhood potluck.
Summer 2013
Each year the Logan Olympics will grow in number of participants and sponsors. It will increase participation in the neighborhood, which in turn will increase mutual bonds, build relationships and make Logan Park a safer neighborhood.
Summer 2015
Within 5 years, Logan Park will develop relationships with nearby local businesses that would help sustain the event that would encourage not only elderly people and isolated individuals but also everyone in the community to participate and connect.
Summer 2018
31
|
CREATIVE BRIEF
Magdalena Cortes | Bri Heu | Kallie Hone | Nolan Mao Human Factors | MCAD | Spring 2013
BACKGROUND
CONTEXT
DEMOGRAPHIC
DESCRIPTION
Logan Park Neighborhood Association (LPNA) offers many neighborhood activities such as Art-a-Whirl, Logan Park Film Series and Easter Egg Hunts. Logan Park itself is made up of diverse groups of all cultures and ages. Logan Park has a public housing building Holland High rise, 4 major arts buildings, and a block that has a church on every corner.
Logan Park has great activities and resources, but want to tap into the 65 and older population of the neighborhood togather their wisdom, energy and in turn, promote an array of opportunities for the broad stroke word wellness.
All ages and cultures, but specifically 65 and older. Also, looking at those who are isolated from the neighborhood.
Connecting the dots and creating/branding a wellness neighborhood.
THE PEOPLE POPULATION BY GENDER
“...So many different cultures...If we could tap into those it would be so really fun.” - Heidi Miller, Logan Park Director
POPULATION BY RACE White
50.8% 49.2% MALE FEMALE
Black or African American
American Indian and Alaska Native Asian or Pacific Islander
Two or more races Hispanic or Latino
32
POPULATION BY AGE
POPULATION BY PROPERTY
THE NEIGHBORHOOD LOCATION
LOGAN PARK REC CENTER Logan Park’s rec center is the central place of meeting and activities. It’s also located across the street from all four churches. The rec center offers organized sports like softball, soccer, etc. To kids. It also offers special events such as movie nights.
CURRENT OFFERINGS
FOUR CHURCHES, ONE BLOCK
OTHER BUSINESSES Logan Park is home to a diverse group of businesses including Diamonds Coffeeshop, Ideal Diner, Maya Mexican Restaurant and more. It also has the Northrup King building.
33
THE PROJECT THE PROBLEM
HOW
THE SOLUTION
To create/brand a wellness community in the Logan Park Neighborhood.
Logan Park already has many resources and activities offered to the community. The next step is connecting these dots and bringing the community together.
An annual 3-day event connecting local businesses and community members as well as connecting community members to each other.
LOGAN PARK OLYMPICS BEFORE: LOGO CONTEST
DAY 1: OPENING CEREMONY
DAY 2: OLYMPICS COMMENCE
DAY 3: FINALE & POTLUCK
Three months before the event, there would be a contest for children ages 5-12, to design a logo for the Logan Park Olympics. This logo would be used in the promotion, advertising and look of the Olympics. This design would change each year.
Sponsors have stands, selling their products and getting to know their community and clients on a more personal level.
• Brief speech by Logan Park Board member.
Final day. Potluck.
• Logan Park Board chair gives speech. • Performances by each cultural background in the community. Ex: traditional dance from Ecuador. • Sign up for the different sports to be played at the Olympics. • There will be a “History of Logan Park booth” with storytelling from old residents as well as photos.
34
• Olympics start, and the different sports have an assigned slot of time. SENIORS IN THE MIX “Seniors are a bank of knowledge with nowhere to deposit.” - Paula, Logan Park Board Member Seniors will be able to tell their history through storytelling and photos.
• Olympic sports and sponsor stands throughout the day.
• Olympics wrap up and distribution of medals. • Community potluck, featuring food from different cultures. Sponsors will also participate in the potluck. Final speech by Logan Park Board member and fireworks display.
“We would definitely want to participate. We are already involved with community projects in Logan Park and this seems like a very good idea...It would bring people together.” -Isela, Maya Cuisine “It seems like a great idea, we would love to be a part of it.” -Yoga On Central “We have a big age range and different cultures. We do a lot of activities and would definitely be interested.” -Pastor Matt McCoy, Elim Church
STARTING UP YEAR 1
YEAR 2
YEAR 5
Even though Logan Park might be able to execute the Olympics project on its own with the help of local businesses, we think LPNA should apply for the Healthy Activity Grant with Allina Neighborhood Health Connection. The Neighborhood Health Connection was created to spread wellness throughout Minnesota and western Wisconsin. The Healthy Activity Grant is available to Neighborhood groups for up to $250 and organizations for up to $2500. But besides the grant, there are also toolkits that will bring wellness into the community! Through this grant, Logan Park and Allina will create a connection and this grant will put Logan Park on the map, so in the future, Allina could come into the neighborhood somehow, whether it be a small clinic or screenings.
35
36
4.BELWIN CONSERVANCY Allie Crawford | Alex Linnell | Desiree Panek | Katherine Lombardo
37
PROJECT SUMMARY, CHALLENGES, OPPORTUNITIES OF BELWIN CONSERVANCY & WELLNESS
38
39
Belwin Background Belwin is a nonprofit nature conservancy located in Minnesota’s St. Croix River Valley. There, they work to preserve Oak Savannah along with many endangered plant and animal species. Run by six live-in staff, Belwin owns nearly 1,400 acres of land some of which is strictly safe-guarded for preservation of the habitat and some of which is open to the public. 225 acres are designated to the Belwin Outdoor Science program where nearly 10,000 first through fifth grade students visit annually to learn and do activities such as radio tracking, find hiding places, birding, and digital photography. The education building is nearly 5,000 square feet. In addition to the Education program, the Minnesota Astronomical Society has an observatory on the land: there are the Lucy Winton Bell athletic fields, and also the Stagecoach Prairies where all of the hiking trails are and a herd of Bison live. Belwin has 300 contributing members who receive special benefits like visitation rights to the observatory, special Bison Buggy rides, and other occasional events. The members receive a publication in the mail called the Meadowlark quarterly which fills them in on what’s happening at Belwin.
Wellness: Wellness means a successful life. What contributes to wellness are social connections, nature, and nutrition across all demographics. “Worry less, trust life, look forward to the future, accommodate adversity, embracing chance, self respect, try new things, wear your heart on your sleeves.” Wellness defined by the Wisconsinbased National Wellness Institute: “An active process of becoming aware of & making choices towards a more successful existence.”
Biophilia: Literal definition; “Love of life or living systems” “The biophilia hypothesis suggests that there is an instinctive bond between human beings and other living systems. Edward O. Wilson introduced and popularized the hypothesis in his book, Biophilia.” “Biophilia in design can be as simple as visual exposure to natural elements.” Source: Kay Young book and interview.
Ecotherapy: “The World Health Organization states that 5-10% of any population experiences depression.”
Bison The herd of Bison come from a farm in Wisconsin and are dearly loved by the surrounding communities. After the season, their organically grassfed bodies are used for meat. Buffalo meat is very lean and healthy, even healthier than chicken and turkey most certainly better for you than beef.
40
“International Journal of Aging and Human Development acknowledges the benefits of nearby nature for elderly apartment residents, stating: “Satisfaction levels were significantly higher among residents whose apartments overlooked natural settings”. “Journal of Attention Disorders conducted a study where children 7-12 years old, affected by ADHD participated in walks in natural environments. The study concluded that “doses of nature” can serve as a safe effective way to manage ADHD symptoms.” “Ecotherapies are natural, cheap and only have positive side effects.”
BRIEFLY
Why is Belwin worth your time, your money, and what does this have to do with your life?
Background: Belwin’s roots run deep, they have a rich history - touched on earlier in the ‘Background’ portion. Challenges: Belwin is tucked away by nature. It’s about forty minutes out of town and difficult to find. Belwin, as a result of the nature of conservation, has always been an inward-looking organization, when we’d like them to look outward to the community. Another challenge that we found was that Belwin Conservancy already has very strong branding, and a staff person who works full time working on communications so we needed to find what WE can bring to them that will be useful and effective. Project Description: Our job is to broaden Belwin’s presence into more surrounding communities. These communities being our other partners: Alina Health, Logan Park Neighborhood, and finally Walker Place and its surrounding
area. Our project should make all of these communities ‘more well’. We are asking ourselves the question ‘How can we bring Belwin to you?’ Objective: We decided objectively that we need to create a way for people to make emotional connections to land and nature. All while staying true to Belwin’s values of conservancy, education, and recreation. Strategy: How can we do this? We’ll place emphasis on how nature contributes to individual and community wellness. Also trying to incorporate kinesthetic experiences. Deliverables: Our deliverables are some purposeful garden kits with many options to be distributed within our partner communities, as well as translating the conservancy into a virtual experience with live streaming technologies.
41
PURPOSFUL GARDENS
Different gardens for different people can be put in place, each community with its own unique set of needs. Community gardens could be set in place at Logan Park and The Walker Community. Vegetables can be grown by the residents at Walker Place, as well as Logan Park which allows access to fresh produce for low income families. Dog gardens could be a nice meeting place for pet owners in both Logan Park and The Walker Community. Belwin could help with distributing seeds or plants for these garden projects. They could also lend their professional expertise in the construction of the gardens while encouraging participation.
A Garden kit like this one with biodegradable pots, certified organic seed packets, and recycled packaging has about a $30.00 market (resale) value. Since Belwin is a nonprofit, the potential profit of this item might not translate but there IS potential. This garden kit is entirely eco-friendly. With natural pots and saucers made from rice hulls (rice hull pots are compostable, but they will last from three to five years) compressed soil pucks, and also plant markers and instructions. Basiclly, everything someone would need to start their own purposeful garden. Garden kits would create a way for people to make emotional connections to Belwin and their land. This is how we’re choosing to emphasize how the natural environment contributes to human wellness.
42
VIRTUAL BELWIN Blog: Building a blog presence on the Belwin website would be valuable because it would give people a space where they can follow Belwin’s activities & interact with them on a more personal level. Live Video Feeds: On the blog we would have the ability to run live video feeds of different activities happening in nature, such as underwater fish cameras that could document what happens during both the winter and summer months. Another live feed could be of the roaming bison and their daily activities, live births, etc. These videos would serve as a great way to bring Belwin to the community and continue to build their new public presence/ brand. Live streaming would translate Belwin into a virtual experience and cause their vision to look outward into the community. This service would be available to everyone, this could bring Belwin to people of all demographics and broaden their presence into more communities. This solves the problem of Belwin being tucked away by nature and 40 minutes outside of the city. Through this technology, we can reveal some of the hidden landscapes and unseen systems. This service could also partner with the Belwin Outdoor Science Program and broadcast classes and activities there. This would be possible because such units all now have GPS, so grandparents might also be able to see – on a map and in realtime – where their grandkids are wandering on the conservancy grounds. Live Video Feeds (Kids Sports) Another big opportunity Belwin has to connect to the community would be live streaming video of all of the kid’s sports games held on their fields, to allow grandparents, parents, friends, etc. to watch and be a part of games they may have otherwise missed. The kids would be encouraged to spread the word to their family, friends, & relatives to tune in, thus continuing to bring traffic to Belwin’s website. Live streaming these games would be a crucial link to the community, bringing people happiness & wellness in the process.
43
TIMELINE 2 WEEKS > GARDENS > LANDSCAPE ARCHITECTURE
44
6 MONTHS > BLOG LIVE FEED VIRTUAL TOUR
1 YEAR
2 YEARS
> BUILDING RENOVATIONS > NEW SIGNAGE INCREASED > ARTISIT RESIDENCIES MEMBERSHIP
5 YEARS > BRING BELWIN TO THE COMMUNITIES THROUGH ART, EVENTS, ETC.
FURTHER OPPORTUNITIES
Building Renovations & Artist Residencies: Belwin currently has 28 buildings on their property that are not kept up and are not fully utilized. We could bring the community together and restore some of these buildings to house local artists. Belwin could then work with these artists on bringing art and sculpture out to communities to showcase what they are all about. There would also be an opportunity to have these artists work with different communities on creative signage for Belwin’s properties, bringing the efforts full circle. Connecting Belwin with artists and the community will be crucial to their success as a new nonprofit and will be incredibly valuable in bringing wellness to the community.
45
BASIC RESARCH INTO WHAT IS WELLNESS
46
SOCIAL CONNECTEDNESS AND HEALTH FIELD TRIP TO ALLINA
A person’s number of close friends, frequency of interactions with family and friends, trust in neighbors, and level of participation in volunteer activities or community events all play a role in supporting well-being and can also influence health, both directly and indirectly. Together, these examples begin to describe social connectedness - the extent to which people interact with one another, either individually or through groups.
Presentation by Ruth Hampton Olkon
HOW DOES SOCIAL CONNECTEDNESS INFLUENCE HEALTH? Strong social ties can have a direct and positive impact on health. Research has shown that higher levels of perceived social connectedness are associated with lower blood pressure rates, better immune responses, and lower levels of stress hormones, all of which contribute to the prevention of chronic disease (Uchino et al., 1996). Studies have also shown that higher levels of trust between residents are associated with lower mortality rates (Lochner et al., 2003). Social connectedness can also promote health indirectly. Bonding and bridging relationships between individuals can create healthy social norms, help people connect with local services, provide emotional support, and increase knowledge about health - or “health literacy” - within social networks (Kim et al., 2008). Communities with high levels of bridging and linking social capital are also better positioned to influence policies that support health, particularly when there is socioeconomic and demographic diversity within social networks. In contrast, the lack of social connectedness - social isolation - is considered a risk factor for multiple chronic diseases, including obesity, high blood pressure, cancer, and diabetes (Cacioppo & Hawkley, 2003). Studies have shown that the greater the social isolation of individuals, the greater their symptoms of depression and the
more likely they are to report being in fair or poor health, when compared to individuals with larger social networks. The effect of isolation on health occurs regardless of socioeconomic status, age, gender, or race, but the negative impacts of social isolation appear most among disenfranchised communities, including the poor and the elderly. Lack of social connectedness can increase stress levels and lead to behavior that increases health risks, such as increased tobacco and alcohol use, or reduce healthy behaviors, such as eating well, exercising, and getting adequate sleep. Isolation can also mask symptoms and increase the delay in seeking care (Institute of Medicine, 2001). However, not all close social bonds support positive behavior. Exclusive social networks can have negative consequences. For example, high social connectedness among some residents in a geographic area can exacerbate social divisions based on race, class, and other social features. Social connectedness can also reinforce negative norms and unhealthy behaviors. Gangs are one example of highly bonded groups that exert strong negative influences. Tightly knit families may also have high levels of bonding social capital, yet experience greater stress because they feel greater responsibility for the well-being of other family members (Mitchell & LaGory, 2002).
47
WHAT DO WE KNOW ABOUT SOCIAL CONNECTEDNESS IN MINNESOTA? The emerging research on social connectedness and related concepts contains a variety of measures, from volunteerism to the number of friends/acquaintances in an individual’s social network to people’s own perceptions of connectedness or isolation. While limited, the available indicators show that many Minnesotans of all ages feel connected to their communities. However, there are disparities based on socioeconomic position.
48
49
50
HOW CAN COMMUNITIES PROMOTE GREATER LEVELS OF SOCIAL CONNECTEDNESS? To make change locally, people need to begin thinking, talking, and acting on ideas to create positive connections and reduce isolation. To begin this conversation, consider what encourages or discourages positive interactions between people in a specific community. For instance, you could ask: • What events, community gathering places, and programs are available to residents? Are they equally accessible, welcoming, and appealing to all residents? • Do crime or safety concerns deter residents from spending time outdoors, using parks, or participating in community programs? If so, how can these problems be addressed? • In our community, who tends to be isolated? What changes can be made to ensure all residents are welcome to participate in the community? Communities can help residents develop stronger relationships with one another and have greater influence on policy decisions that impact health. In 2009, the Minnesota Department of
Health convened an advisory group and conducted a series of key informant interviews to explore the concept of social connectedness (Minnesota Department of Health, 2010). As part of that effort, a number of strategies were identified to strengthen social connectedness by improving the physical conditions and safety of neighborhoods, involving residents in the development of health equitable policies, and creating or establishing programs that provide opportunities for interaction between residents of all ages, cultures, and socioeconomic classes (bridging social capital), including: • Use community planning and design elements that encourage active living, creating opportunities for greater interactions between residents. • Establish recreation programs for youth, as well as gathering opportunities for residents of all ages and cultures. • Support community efforts to address and encourage economic opportunity, supportive work environments, and integration and appreciation of the community’s diverse cultures.
51
STUDENT’S APPLICATIONS
Before the team wellness community projects started, the students were required to complete a creative listening topic based upon their point of view from the 16 demographic fundamental research.
Your company has brought in 16 experts on specific demographic studies. They want you to identify a problem & opportunity for each of the presentations as it pertains to the concept of Community Wellness within one of these 4 major Categories of interest.
1. The bus stop; 2. The dentist appointment; 3. Breakfast; 4. Fear-hope-purpose
52
ALIYAH HARMON
53
BRI HEU
54
55
CHRISTIAN SUNDQUIST
56
DESIREE PANEK
57
CHRISTOPHER MASSOGLIA
58
SKYLAR STORKAMP
59
TERESA WEBBER
60
61
SAMPLE OF STUDENT’S DEMOGRAPHIC STUDY
In order to prepare students for the broad topic of “wellness”, each student was given a specific demographic group to research for 15 weeks. Example: Female 2-5 or Male 13-17, Hmong Female 26-35,etc. To get their specific demographic point of view, each students had to research, document, and report on:
Physical Self
Biological Self
Psychological self Social self
Cultural self
Contemporary Cultural RESEARCHING HUMAN FACTORS ACROSS DEMOGRAPHICS These classes are core content, demographic research, & graphic skill development
62
Human Factors
Physical Self Age Group
Young Adults
Gender
Female
Culture Background
American
Observee
Lia Harmon
Observer
Keywords:
Interview
PHYSICAL, FEMALE, MEDIA
(For the interview, I inerviewed Annie, a close friend of mine )
Observe Judging by the amount of female-specified products on the market, it became apparent to me that the female body is under a lot of pressure to remain ‘appealing’ and ‘perfect.’ The idea of beauty and perfection aren’t as liquid as the audience they advertise to. In fact the caucasian female seems to be a reoccuring image of beauty. On the streets I realized that females were more over-accessorized that males and that there were far more cosmetic products for females ages 18-25.
Q: Has there ever been a point in your life when you were ashamed of your body? A: Most of Highschool; In fact I started to feel unfomfortable around Middle School and that whole akward puberty phase. Q: Middleschool? Have you any idea what triggered this insecurity? A: I guess . . . Around middleschool everyone began investing into the retail market--girls began wearing makeup and investing into clothes. I always felt like I could never compare to the other girls because they were more informed of what was “cool” and “fashionable.” Plus, those who went through puberty sooner than others were always “ahead” of us in some way.
Physical Self
Q: So.. Retail advertisements played a big role in your insecurities. How often or how much money do you invest in recreational/beauty products? A: When I was younger... emerging from middleschool and during highschool--and maybe even the beginning of college--I realized i spent more money on cosmetics than i did on food. sometimes i would cutdown on other necessities so that i may purchase more cosmetics. It was ridiculous! It felt like a fleeting dream. I was always trying to become that idealistic beauty that’s featured in cosmetic ads: The caucasian blonde (even brunette) with thin eyebrows, perfect skin, long eyelashes, big lips, tiny waist, large boobs... The list is endless. The more ads I saw the more I was told how unhappy I was. Q: How did you emerge from chasing this fleeting dream? How are you today compared to when you were younger? A: Perhaps it comes with age... But I learned to be more comfortable with who I am. For me, I had to think about it once I saw the amount of cosmetics I had... and how little money I had on me. The amount of pressure to be “perfect” is ridiculous. Ridiculous and detrimental.
Research http://www.huffingtonpost.com/2012/06/19/the-lipstick-effect-women-beauty-recessions_n_1606298.html 63
According to a Huffingtonpost article, during recessions there is a phenomena known as the ‘Lipstick Effect.’ Women tend to spend more money on cosmetic products during a recession. Since women already make 20% less of an income than men, it’s highly speculated that during a recession women tend to invest in products that would make them more attractive for job searching. Many other researches also speculate that during tough financial difficulties, women invest in more cosmetics to feel secure and good with themselves. Some researches also hypothesize that since men have more success in holding a career in a patriachal society (they get paid more), purchasing cosmetics reinforces women to attract men with stable, high-paying careers. Previous research has also proven that during a recession, consumers tend to purchase more luxury goods to generally feel better about their situation.
Application Knowing and realizing how ads have a longlasting psychological impact on young adults is going to be helpful for my research and for my client. An important factor that I will have to watch out for is trying to shove for a “idealistic stereotype” for females. Especially if im trying to market to EVERYONE.
64
Human Factors
Physical Self Age Group
Teenagers 13-17
Gender
MALE
Culture Background
American
Observee
Chris Massoglia
Observer
Observe
My Interpretation
This week, I observed two male teenagers who were 14 years old. I invited them over to my house to “hang out.” Little did they know I was observing thier physicality. I noticed they really liked doing things with thier hands, they were constantly checking thier phones! It was hard to hold a conversation with them, because litterally 65% of the time they were looking down at thier smartphones. One thing that was an “AHHA Moment” for me was when I observed both of the guys physicality of posture. Both Young men had bad posture, and I noticed a tendency they had to slouch.
1. Marketing Films online in Social Media will be ever more important, especially because how much time teenagers spend on thier phones, and social apps. Even thier physicality seems as though we are being brought closer and closer to seeing films distributed online. 2. As far as my “AHA Moment” of noticing slouching, I think maybe a more egonomical chair would be something awesome to design
Interview
Physical Self
I posted my interview on my video, but I was interviewing my little brother Mike, while we were eating at a chinese buffet.
Research The article I chose to pull my research information from was http://communities.washingtontimes.com/ neighborhood/loris-centiments/2012/jan/8/teenage-boys-sweet-sons-narcissistic-teens/#ixzz2JQvYgfS7
Application 65
Human Factors
Physical Self Age Group
2-5 year olds
Gender
Male
Culture Background
American
Observee
Observe The children I studied in particular are getting a good advance. Theatre and storytelling classes are very good for a child’s development of motor skills and social skills. The children who attend these classes seem to be confident and sure of themselves. The males almost always tell me their name when I ask them, a sign of confidence and self-appreciation.
Interview Parents I interviewed said they were fascinated by this stage of their son’s life. “He is always asking questions, discovering new things and we like to encourage him to do so. That’s why we bring him to this class. It’s also an advantage that the MIA is right next door, we often go there after class. He loves it!”
Research Children at this age are just developing their motor and perception skills. They develop themselves from clumsy toddlers to avid explorers ready to take on the world. Their physical evolution goes from stumbling, taking their first steps (some late bloomers may come to this) to growing into a much longer and leaner form. During this period children go through developmental challenges that include crawling, standing, walking, climbing, pushing and pulling. They are exploring the environment and activities such as drawing, writing, assembling puzzles, dancing, and music help them advance through the process in a graceful way. Physical activity also reduces chances of health and behavioral issues.
Application The research and findings I have for the phisical self of children could very much be applied to creating a new game or toy. Children at this age are very curious and interested in things that they can touch, feel and play with.
References: http://childdevelopmentinfo.com/child-development/devsequence. shtml (Child Development Institute Parenting Today)
66
Magdalena Cortes Observer
Human Factors
Biological Self Age Group
Teenagers 13-17
Gender
MALE
Culture Background
American
Observed Observe This week, I had an awesome interview and really learned a lot from talking and observing my demographic. The biggest thing I am going to take away from this week, is just how important the biological self is, especially to teenagers. Puberty so affects their everyday lives! Sometimes teenagers don’t realize it and then I think we easily dismiss it once when we grow up, but puberty and the biological changes that are happening to our human machine have a direct impact on us as
Chris Massoglia
Observer apply s to 13-17 year-olds! It all has to do with depth perception, because when you watch a 3D movie our eyes can’t handle the projected image, “according to results of a small study at the University of California, Berkeley. Normally, when we look at nearby objects our pupils converge; they diverge when we look into the distance. And all the while, the eyes have to focus.” http://www. drweil.com/drw/u/QAA400786/Can-3D-Movies-MakeYou-Sick.html
Application
humans. I think going forward this is one of the crucial things to realize, no matter what you are trying to look at, make for or sell to this demographic.
Interview
Biological Self
I posted my interview on my video, but I had an awesome video with a young guy named Jason!
Research I found a ton of research on puberty and the biological changes going on in teenagers, but I had something I specifically wanted to research. I had heard about people getting dizzy from 3D movies, and I was wondering if there was any biological implications. During my research I found that two thirds of my demographic is actually turned off by 3D films! http://www.huffingtonpost. co.uk/2011/09/06/3d-film-a-turn-off-for-te_n_949909. html This made me really interested in why, and if the reason was biological. When I talked to some young teen guys a big reasons that they were more likely to see 2D films, was simply because of the price and as young guys they were trying to save some money. However, I did find a biological reason for people getting dizzy, and it also
My Interpretation 1. Take what I learned and bring that into every-other week of study that I do with this Demographic 2. Stay away from 3D films! OR try and work on the technology
67
Human Factors
Biological Self Age Group
Elementary School
Gender
Male
Culture Background
American/Asian
Observee
Observe I was invited to spend the afternoon with Fue Yang and had the opportunity to observe him as he babysat his siblings. The kids started off by inviting Fue to play Mario Kart with them immediately. The game continues to go on match after match, and eventually, Jin (4 years old) get upset and frustrated and refuses to play anymore. The whole time as Jin and Fue are playing Mario Kart, Paj (2 years old) plays along with an unplugged controller not realizing that she isn’t actually playing. During lunch the 2 years old insists on feeding herself with a spoon and in the process, gets rice grains all over the table. Jin attempts to eat more than his mouth allows, while the oldest Kaylee (7 years old) takes command and rushes everyone in an effort to speed up the process so they could continue to play Mario Kart. After lunch, the kids return to playing Mario Kart.
Interview Fue Yang Qu: What are some experiences you had with children? An: They are very energetic; they always want your attention. I babysat siblings (4 and 7 years old), they would always be getting into little quarrels about toy ownership. To resolves the fights, you have to compromise. Usually I side with the younger sibling and tell the older one that she can be the boss when they grow up. Other times it’s great seeing them experience new things everyday. Qu: When kids enter supermarkets, what
68
Nolan Mao Observer
do you notice captures their attention the most? An: Bold colors. As soon as the kids enter the supermarket, they are drawn to the carts and want to ride them. Other than that, they love cartoons. Being the typical, conditioned, little girl, my niece loves anything with Disney Princesses. Qu: What are some complications and difficulties that your kids have at home? An: Generally, the younger ones have quicker tempers and if they’re under two, they hit and bite and scratch. They also have very short attention spans. Qu: What are some obstacles around the house that they face? An: At just two years old, whenever the youngest one walks downstairs I hold my breath. There are also just common sharp objects and things on high counters. Qu: What inventions do you think would be helpful to have as a safety precaution in your home? An: I don’t know, maybe a function to make the stairs softer or a mattress at the bottom. Qu: What are some strategies you use to discipline your siblings? An: Time outs usually work pretty well or I’ll threaten them. I don’t believe in corporal punishment, but I was raised on corporal punishment, so it’s not automatically a wrong method of disciplining. Qu: Do you think education plays a big role in their education?
An: Yes. There are so many ways technology can interact with children in a way that’s more visual and direct and fun. Either ways, this is their future. They are not going to be escaping technology so it’s just a better idea to introduce them to technology earlier on.
Research
Around the age of seven to eleven is when children learn to be competent and productive or feel inferior and unable to do anything well. Children spend less time under the supervision of their parents and come increasingly under the influence of teachers and activity leaders. http://www.princeton.edu/futureofchildren/publications/docs/09_02_02.pdf
Biological Self
Application
In the development of schools, there are many aspects that play into role when building for elementary students, the rooftop is lower and desks are put into place. When making clothes for children I think its important research beforehand. Clothes for children should be stretchable to give the wearer freedom to move around.
69
Human Factors
Biological Self Age Group
2-5 year olds
Gender
Male
Culture Background
American
Observee
Magdalena Cortes
Observer
Observe
Application
The children I observed at the Children’s theatre show different growing spurts. I see children from K-12, and although I cannot initially tell what their age may be, I am beginning to get better. Of children ages 2-5, the ones that come to classes are 3, 4 and 5 year olds, however a lot have little brothers that come in with them as well. The bigger kids are developing their language skills, they can talk, say their name, etc. (some are very shy about it) The kids ages 2-3 are more pudgy and less avid walkers as they are developing their cognitive skills.
The research and findings I have for the biological self of male children ages 2-5 can be applied to an educational toy or game. As children are developing and growing, so is their brain. An educational toy will help them in the process to make memory, connect things and develop important skills of comprehension and retention of information.
References: http://www.livestrong.com/article/498368-biological-development-toddlers/ (Livestrong.com)
Interview “He has grown so much in the past 2 years! We always measure him on his birthday, he has his own wall and everything. He has also gained weight. We always try and feed him the healthiest foods, but he gets his dose of ice-cream in. He is always wanting to learn new things, touch things, every day has a new set of questions for me to answer.”
Research A child’s physical motor development during early childhood is marked by large growth spurts. As a child leaves infancy his biological development progresses rapidly. Both body and brain change during toddlerhood. The main biological changes that children in this group undergo are: Muscle development,Height,Weight,Cognitive development,Physical control,Brain growth A big change in this stage is height, and weight also changes rapidly during the first year’s of a child’s development. As they grow children are able to think and understand in new ways. Toddler years include a variety of cognitive developments like the ability to imitate other people’s speech, pointing to certain body parts when named, recognizing colors and simple commands. The average weight of a 2-year-old is about 27 to 28 pounds and the average height is about 34 inches. The brain, these years of development, undergoes tremendous changes and allows the child to develop motor, language, social and cognitive skills. New neuronal connections are made and unnecessary ones thrown away.
70
Human Factors
Psychological Self Age Group
Young Adult
Female
Culture Background
American
Observee
Lia Harmon
Observer
Keywords: VISUALIZE, TECHNOLOGY, RAISON D’ETRE
Observe
Research http://psychcentral.com/blog/archives/2012/09/22/whydo-women-get-depressed-more-than-men/
As we discussed in class there are many factors that drive us humans psychologically. One of the strongest I believe would be “human hungers”-- what we crave for. Within my age group i believe the stronger is sex, attention, and recognition. At these times of our years, we young adults are finally leaving the nest and developing ourselves as individuals. We strive for which we could not opening hunger for as children and yet we strive to become successful adults. And for some, we strive for reason--a passion. Something to keep us going for the rest of our years.
Depression is twice as common as it is in men. In fact, 1 in 4 women will experience depression between the ages of 18-23. Yet, for most of these women, this illness goes unrecognized. Many have recognized this as being stress women undergo from results of their gender in society and hormonal changes. “From a psychological standpoint, this is a time when she is faced with many life-changing and potentially stressful transforming events; during this span of years a woman pursues her education, career, marriage, childbearing, and child rearing. These changes provide the emotional context within which depression may take hold.”
Interview Q: Do you feel different from now, than you did during highschool?
Psychological Self
A: Yeah. i hated highschool. i couldnt really explain it but... it felt like everyone was trying to hard to fit in. Like you would see people jump from clique to clique and from problem to problem. it was ridiculous. Q: Why do you think people kept changing paradigms? A: They probably felt lost as a person. They didnt know where to belong or what they should do. infact it’s people like that who feel like that out of highschool. its scary being thrown into the world not knowing what to do or what you’re good at. Q: Moving on, do you believe in love at first site? Why? A: nope. its just infatuation. like seriously it’s even been proven by scientists or whatever. Some people are just more co-dependent that others and are more willing to trust others. I think it may have to do something with their family/social history. Like maybe they never received enough affection growing up so now they must receive it from anybody. Q: What do you think strives each human in their lifespand? A: That’s a difficult thing to answer. It depends on the person. For some people it’s fame, success, love, ect... 71
Human Factors
Phychological Self Age Group
13-17 Year Old
Gender
Male
Culture Background
American
Observee
Chris Massoglia
Observer
Keywords: WORD01, WORD02, WORD 03
Observe As I was observing my demographic this week, I realized what I was observing wasn’t necessarily exactly what was going on psychologically. With my demographic, everything on the outside is fine. They don’t need any help, they can figure things out on their own and they want to prove themselves. Especially in big group settings a lot of their interactions are trying to prove themselves. They even have this saying “respect the dominant male.” They say it as a joke, but really they all are trying to prove themselves. The biggest psychological issue within my demographic is identity. They all act like they know who they are, what their purpose is, and what they have to look forward to, but they are really just searching to find who they are. If you take time the actually spend quality one on one time with teenagers I found that they open up and be super real about their struggles, problems and questions. They really are just looking to find who they are.
One quote I found that really intrigued me was from a young 15 year old boy who asked “I would like to ask a prisoner why he/she joined a gang besides respect or love. I was wondering if there are other reasons why people today are joining. I was thinking about joining because I feel like a misfit in my family. I am the only one in my family that makes bad grades, does drugs, drinks etc. No one else in my family has done them.” This spurred my curiosity and I began to research statistics on gang activity in my demographic. I was blown away! According to the FBI 92% of gang members are male with 90% of gang member having a juvenile delinquent background. Also, 90% of males in a correctional facility have gang affiliation. According to the U.S. Attorney’s office, district of MN, 450 Gangs call MN home, representing 10,887 suspected and 2,744 confirmed or convicted gang members. I find it really interesting the correlation between the search for identity, and the adolescent involvement in gangs, especially in my demographic.
Interview I interviewed my younger brother Matt who is 17. I asked him what his Concept of time was, what he saw as his purpose, how he gives/receives affection, what his challenges are, and a few other questions. Matt gave me some great answers, and I posted them on my video.
Application Research The main thing I was researching was this issue of identity. How do teenagers shape their identity? Most of the articles I found say that peer groups have the most influence in shaping who male teenagers are. Some websites I went to: http://articles.familylobby.com/355-teenagersand-the-struggle-for-identity.htm http://www.focusonthefamily.com/parenting/teens/ your_teen_needs_you/build_your_teens_identity.aspx http://www.justice.gov/usao/MN/downloads/eagle. fall.08.pdf
72
Based on my thoughts and research in relationship to Identity in young men and gang activity, I actually came up with a movie idea. I wrote down the basic concept on my “Idea Sheet” and I am in the process of up a treatment. I really think this issue of identity is something that should be explored more. I feel like a could write a paper about all this!
Human Factors
Psychological Self Age Group
2-5 year olds
Gender
Male
Culture Background
American
Observee
Magdalena Cortes
Observer
Observe
Application
The observations that I have made at the Children’s Theatre are that the children are at very different stages in their psychological self. Some children show signs of confidence like saying their name out loud, some even spelling it; asking questions and interacting with the people around them. Some others show signs of what seems indifference to what is going on, and just follow in their parent’s footsteps. Some of the children are very shy, and hide behind their parents, don’t want to say their name or have a hard time saying it, sometimes in a very soft voice. I do not see much interaction between themselves, unless the parents know each other. Most kids make friends in the classroom, but their friendship is put off by the time their class ends, to when the next class starts.
Children are all very different. This is the stage where they start to develop their personalities, start to socialize and make friends. The key is to make every kid feel good about themselves. Whether they are shy, outgoing, quiet what have you. This toy or educational game must make all children feel like they can do it, like they are allowed and will feel like they have “conquered” some sort of conquest.
Interview
References: http://psychology.emory.edu/cognition/rochat/Five%20levels%20.pdf (NC State University: Self Esteem in Children) http://psychology.emory.edu/cognition/rochat/Five%20levels%20.pdf (Science Direct. Five levels of self-awareness as they unfold early in life)
Psychological Self
“Benjamin is a very outgoing kid. He talks with everyone and makes friends instantly. I mean you can even notice it when he comes in and always spells out his name for you. P-L-E-S-S-EL. Mrs. Plessel explained that her husband is very outgoing and thinks Benjamin got his attitude fomr his father. “I was never very out-going, I mean I wasn’t shy either just never, let’s say conversational, like Ben is.”
Research The development of self-awareness expands from perception of the body in action to the evaluative sense of self as perceived by others. Infants from birth show propensity to imitate facial expressions and basic emotions such as happiness of sadness. However they do differentiate their own actions from that of the person whom they are imitating. The conception of “self” appears more vibrantly when the toddler begins to talk, and at about the same time they start to recognize themselves in the mirror. However, up to their 4th birthday, children have trouble recognizing themselves in the mirror, they sometimes may think it’s them, and others not. By 4–5 years, children begin to be capable of holding multiple representations and perspectives on objects and people. By this age children can start to develop a sort of fear, being what they think and how they view themselves and how others view and think of them. By showing embarrassment, children demonstrate a propensity toward an evaluation of the self in relation to the social world. (Rochat)
73
Human Factors
Social Self Elementary School
Gender
Female
Culture Background
American
Observee Keywords: GLOBALIZATION, NETOWORK, INTERNET
Observe
Ever since the advent of the internet, we humans as a species are becoming more and more interconnected. A disastaer across the globe may affect someone/something as close as home in this era. Our Economy/markets are forever interconnected but even people’s social lifes. For example, it is now more easier to search someone fitting a certain criteria through the internet and connect with them. In a way, our social lifes have became a search engine on the internet. However, with the growing use of cellphones, facebook, internet, ect.. we are gradually becoming more and more social. We are able to touch the hearts of others across the globe.
Lia Harmon
Observer A: Well yeah. Now days it was impossible to keep up with anyone socially. Like all my friends would have one and contact using group messaging, sharing images, creating groups and events... Sometimes it can be really useful to use for school Q: What do you think are the downsides, if any? A: Cyberbullying. It’s terrifying. It could be anyone and you wouldn’t know who if they’re anonymous. That or someone could post an image of you online that you don’t want. Plus ive seen it create drama in relationships depending on what people put as their status. But all around . . . I think it has a really good purpose. Q: How many social networking sites have you used? A: Not too many . . its hard to keep up with them. But some of my friends have actually made some great friends--better friends than they have met at school through social networking. Plus it’s easier to networking if you’re an artist.
Research http://www.searchenginejournal.com/wp-content/uploads/2011/09/social-media-black.jpeg (VERY important infograph!!)
Interview (interviewed a friend, Sienna, who didnt have a Facebook until late last year) Q: What made you hesitant to get a Facebook? A: I disliked how much information was being shared online. Often times on the news you would hear something about internet companies selling personal information, or having legal rights to any image you upload onto their site. Q: And yet I see you caved and got a Facebook anyways?
74
Human Factors
Social Self Age Group
Teenagers 13-17
Gender
MALE
Culture Background
American
Observee Observe This week I observed my demographic in regards to society and how they interacted socially with friends and family. I came up with four main observations: 1. Male teens are socially driven by trying to find identity. They are trying to fit in, find who they are and what their role is in society. While their physical bodies are changing causing them to search for identity, they tend to interact with groups of individuals around them to figure out who they are. 2. Their social interactions determine their role in society, whereas when you get older your “role” or “position” in society greatly affects how you interact socially with others. 3. How they are received, affirmed and accepted is the climax of social interaction. As they enter into adulthood they are searching for that respect from society. 4. One of the big differences between young men and young women, males tend to get together in large groups where as women tend to pair up.
Chris Massoglia
Observer social way.
Research I wanted to research the rest of my demographic to find out if, like my two cousins, social media was used more for entertainment purposes rather than social interaction. According to and analysis report by ignitesocialmedia.com young teenagers under 18 don’t even make up 10% of daily facebook usage. The only group that uses facebook less than teenagers is the senior citizens. Only until later teen years does social media become a major player in social interaction. I found an interesting article by Danah Boyd a senior researcher for Microsoft who wrote about “How teens need social Media” http://www.microsoft.eu/innovation-in-society/futures/ why-teens-really-do-need-social-network-sites.aspx. I think I would disagree with her, at least in regards to my demographic. Another big topic that I researched is how social interactions formulate identity in teens, especially males. I found many articles about this, especially in regards to peer pressure and the influence peers have on one another. http://www.articlesbase.com/teenagers-articles/americas-culture-and-influence-among-teenagers-1451481.html http://www.ianrpubs.unl.edu/epublic/pages/publicationD.jsp?publicationId=837 http://psychcentral.com/news/2012/02/21/alcohol-in-movies-influences-youth-drinking/35095.html
Social Self
http://www.thestar.com/life/health_wellness/2012/07/11/smoking_in_films_can_influence_ teens_to_pick_up_habit_study_shows.html
Interview I interviewed two of my cousins this week, I posted the video on my blog cmassoglia-mcad.blogspot.com. I asked some pretty sophisticated questions, but I got some good answers! One thing I found interesting was both of them were very active on social media, but they both said they didn’t use social media for the purpose of connecting with society or having social interaction, it was more for personal entertainment. I found this to be very interesting. The majority of both of my cousins social interactions were not Online but in big group settings wither at school, church or on the sports teams. I was surprised at this, because in a way they were still using social media to connect with society, but not in a
Application Last week was a big “aha” moment for me with my demographic, and I think the main thing to take away from this week is that during this age teens are desperately looking for identity (especially males) and if it’s not found in the family they tend to migrate towards their peers to tell them who they are and how they should act, which happens far to often. Personally, I was also intrigued at the use of social media for entertainment purposes rather than social interaction. I think I can apply this to my thoughts on the future of film/the entertainment industry.
75
Human Factors
Cultural Self Age Group
Young Adults
Gender
Female
Culture Background
Japanese
Lia Harmon
Observee
Observer
Keywords:
er necessities so that i may purchase more cosmetics. It was ridiculous! It felt like a fleeting dream. I was always trying to become that idealistic beauty that’s featured in cosmetic ads: The caucasian blonde (even brunette) with thin eyebrows, perfect skin, long eyelashes, big lips, tiny waist, large boobs... The list is endless. The more ads I saw the more I was told how unhappy I was.
SECLUSION, CUTE, ACCEPTANCE
Interview (For the interview, I interviewed Annie, a close friend of mine ) Q: Has there ever been a point in your life when you were ashamed of your body? A: Most of Highschool; In fact I started to feel uncomfortable around Middle School and that whole awkward puberty phase.
Q: How did you emerge from chasing this fleeting dream? How are you today compared to when you were younger? A: Perhaps it comes with age... But I learned to be more comfortable with who I am. For me, I had to think about it once I saw the amount of cosmetics I had... and how little money I had on me. The amount of pressure to be “perfect” is ridiculous. Ridiculous and detrimental.
Research http://www.nytimes.com/2006/01/15/magazine/15japanese.html?pagewanted=all&_r=0 http://www.youtube.com/watch?v=50Y7R5zP0wc
An example of the “Hikikomori epidemic”
Q: Middleschool? Have you any idea what triggered this insecurity? A: I guess . . . Around middleschool everyone began investing into the retail market--girls began wearing makeup and investing into clothes. I always felt like I could never compare to the other girls because they were more informed of what was “cool” and “fashionable.” Plus, those who went through puberty sooner than others were always “ahead” of us in some way. Q: So.. Retail advertisements played a big role in your insecurities. How often or how much money do you invest in recreational/beauty products? A: When I was younger... emerging from middleschool and during highschool--and maybe even the beginning of college--I realized i spent more money on cosmetics than i did on food. Sometimes i would cut-down on oth76
“One morning when he was 15, Takeshi shut the door to his bedroom, and for the next four years he did not come out. He didn’t go to school. He didn’t have a job. He didn’t have friends. Month after month, he spent 23 hours a day in a room no bigger than a king-size mattress, where he ate dumplings, rice and other leftovers that his mother had cooked, watched TV game shows and listened to Radiohead and Nirvana. “Anything,” he said, “that was dark and sounded desperate.”- excited from a New York times article, By MAGGIE JONES Published: January 15, 2006 Japanese young adults face many pressures as they face adulthood. In fact, Japanese teenagers must apply and test their way into Highschool just as how Westerners are accustomed to doing for college.
Application Knowing and realizing how ads have a long-lasting psychological impact on young adults is going to be helpful for my research and for my client.
77
Cultural Self
Human Factors
Cultural Self Age Group
2-5 year olds
Gender
Male
Culture Background
American
Observee Observe American culture as I have observed it is very liberal, individualistic and progressive. Americans have many ways of raising their kids, many theories on which way is best or worst. The children I have been observing look like they are being bought up in a very progressive and liberal way as American culture is. The parents let their children express themselves whichever way they want, let them dress, act and be whatever they feel like.
Interview I interviewed Walter’s mother on her son’s cultural self. “He loves dressing up in dresses and weird hats, he is a very creative young man.” Walter often comes in in girls attire, which I find fascinaiting. “I think that it is important for children to grow up without prejudices and just let them express themselves however they want.”
Research
Magdalena Cortes
Observer Application of cultural competence for children yields many benefits for young children. They experience less cross-cultural miscommunication, assess their behavior more accurately and ultimately effective services and interventions.
Application The research and observation applied to this aspect of cultural self, should be used for the educational toy in a way that it helps children break free of their culture, experience others, but keeping theirs present and something they can come back to and reference when need be.
References: http://www.ncset.org/publications/essentialtools/diversity/partIII. asp (NCEST is the National Center on Secondary Education and Transition) http://cecp.air.org/cultural/Q_integrated.htm (Cultural competency was written and accredited by researchers, practitioners, family members and policy makers)
Culture refers to the patterns of values and learned behaviors that are shared and transmitted from generation to generation by the members of a social group
For most social-service personnel educated in the western hemisphere, the family or society in general might be viewed as an obstacle to individual choice and self-determination (Ewalt & Mokuau, 1995). This results in the ideology that contributing to a group or to the family has no personal gain or self-determination. Yet people who grow up in a collectivistic culture are likely to give very high priority to their social relationships and to have strong feelings of affiliation with, concern for, and obligation to members of their group. These feelings lead to goals that are more grouporiented than self-oriented. There is also a thing called cultural competency. Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations (Cross et al., 1989; Isaacs & Benjamin, 1991).
78
Cultural Self
Some cultures may take the individualistic role as a priority, while some take the collectivistic role or working as a group as a priority. However, both of these cultures may take into consideration the other part, making it also important, but not the main focus.
Contemporary Culture
Age Group Assisted Care (Elderly)
Observation
Gender Female
Cultural Background Not Specified
Tsana Allen Human Factors
Our society has an obsession with being young and looking youthful. Any sign of becoming old is beyond awful and we do everything we can do to prevent that. The media sets an image we are forced to abide by, whether we like it or not. This is hard for the elderly to grasp. With these expectations set and the reality of their withering apperance, the elderly do not feel beautiful and become very scared.
Contemporary Cultural
As sad as this is, it is nothing but the truth.
79
PROJECT SUMMARY CHALLENGES & OPPORTUNITIES Belwin Conservancy & Wellness
For many years Belwin has aquired 1,500 acres as a nature, watershed, and wildlife preserve. It is now expanding its mission to share its knowledge and services to a broader community. Challenge: How can nature and Belwin come to you? Allina’s focus is on wellness and community. The environment is our largest shared community. Belwin and the other 3 projects are a perfect bridge for LINKYOU.
Walker Place – Walker Place Surrounding Community – Logan Park Neighborhood • Subscriptions to live video feeds from Belwin nesting eagles, what’s happening under the ice and snow, bison herd • Gardening with wildlife, birds, bees, and butterfly gardens. Belwin branded planting kits. • Edible landscapes, senior gardens – Belwin and Lyndale Gardens • Celebration gardens = for every success – a tree is planted, dedicated garden, etc. Tree planning and care – Belwin and Minneapolis Park Board. • Environmental Sustainability and the arts
Need
There are many LINKYOU possibilities. What is needed is a dedicated staff person in related institutions or paid internships.
INTRODUCTION TO NEXT STEPS
The MyStory project 2012 was requested by Doctor Greg P from the Penny George Alternative Medicine Center.
Challenge: • How can a doctor gather a patient’s personal story in 90 minutes? • The clinic already has their metric information. What Dr. P and others are looking for is how patients, highs, lows, personal patterns (when integrated with their medical history) can give the doctors a much better context for treatment and long-term wellness.
Team One: • Work to improve the current required forms by interviewing patients, staff, and doctors, and then enhance to graphics and legibility. • Results: the patients typically resisted these forms period. • Comments: We have done these many times before Long and tedious What happened to the ones we’ve done before
Team Two: • MyStory was a highly graphic booklet combining a personal history plus some sample diagrams for basic metric information • Final pages for future health goals and working with the doctor to create a long-term wellness program
Current Status: Booklet format is being used and tested by Dr. Greg P
Next Steps: Needs to take the results and feedback to be refined for broader use. • Paper format – see sample • Electronic format – “i-Chart” • MyStory gallery – it would be useful to see others (without names), for patients, doctors, receptionists, etc.
2012 MY STORY
Where you have been Where you are now Where you would like to be
Journey to Health & Healing 84
Introduction of Welcome to the Penny George Institute for Health and Healing. MyStory is unlike a typical clinic form. MyStory is your story. At the Penny George Institute we believe the better you know your own story, the better you will be able to write your next chapter. This clinic’s sincere intent is to serve you as a whole personmind, body, & spirit. To serve you best, we truly wish to understand you- where you have been, where you are now, and where you would like to be. We at the Penny George Institute for Health and Healing look forward to working with you as a partner. Thank you for taking the time to thoughtfully share your story.
Index Where You Have Been
1. Key Life Events The most meaningful events in your life 2. Key Health Events The most meaningful health events in your life 3. Timeline The impact of your key life events & key medical events
Where You Are Now
Where You Would Like to Be
4. Body Diagram Bodily symptoms you have had, or are currently experiencing 5. Strengths Resources & Barriers Your current assets and challenges 6. Goals Goals you have to live well
Sample
This example shows how to fill out the next page. This section captures snapshots of your personal story. We believe the better we know your story, the better we can understand where you have been. These are your most meaningful life events.
3 Positive Key Life Events
Traveling has been very important to me. I try to take a couple trips a year.
Sample Sample Sample Starting a family AGE
32
AGE
24
Becoming a homeowner AGE
38
3 Challenging Key Life Events
Moved a lot when I was young, changing schools was difficult.
Sample Sample Sample Friends and family passing away.
AGE
88
55
AGE
11
Stress from bills.
AGE
39
1
Key Life Events
Please describe up to 3 positive and 3 challenging key life events in order of importance to you. Please describe the impact of each key life event in the boxes, and your age at the time. Write a description, draw, use color or any other type of representation Key life events are those experiences that have been most meaningful to you. Where You Have Been
3 Positive Key Life Events
AGE
AGE
AGE
3 Challenging Key Life Events
AGE
AGE
AGE
89
Sample
This example shows how to fill out the next page. This section captures snapshots of your health story. We believe the better we know your story, the better we can understand where you have been. These are your most meaningful health events.
3 Positive Key Health Events
Eating better and regular exercise, keeps me balanced.
Lasic eye surgery, I can see without glasses for first time.
Sample Sample Sample AGE
32
AGE
36
Quitting smoking.
AGE
50
3 Challenging Key Health Events
I have severe ulcers. It can be serious, and a problem when sleeping.
I don’t like taking pain medication, but I have to for my back after my car accident.
Allergies-require meds that give me headaches.
Sample Sample Sample
AGE
90
40
AGE
35
AGE
14
2
Key Health Events
Please describe up to 3 positive and 3 challenging key health events in order of importance to you. Please describe the impact of each key health event in the boxes, and your age at the time. Write a description, draw, use color or any other type of representation Examples of key health events are health challenges, recoveries, strengths, and weaknesses. Where You Have Been
3 Positive Key Health Events
AGE
AGE
AGE
3 Challenging Key Health Events
AGE
AGE
AGE
91
Sample
This example shows how to fill out the next page.
Positive
Starting a Family Marriage
Travel
Personal Impact on your life
Graduation
Birth
Current Age
Bills
Changed Schools
Lost Job
Losing loved ones
Negative
Personal Timeline: This shows the relationship between your Personal Story and your Health Story.
Positive
Quit Smoking Birth
Allergies
Broken arm Started smoking Negative
92
Eating healthy
Health Impact on your Health
Eye surgery Stomach infection Knee Surgery Ulcers
Current Age
Back pain
Health Timeline: This shows the relationship between your Health Story and your Personal Story.
3
Timeline
Where You Have Been
Positive
Personal Impact on your life
Current Age
Personal Timeline: Please mark and describe positive and challenging Key Life Events on the timeline by placing a mark that represents the impact of each event on your life. Connect the events with a line.
Negative
Positive
Health Impact on your Health
Current Age
Negative
Health Timeline: Please mark and describe positive and challenging Key Medical Events on the timeline by placing a mark that represents the impact of each event on your health. Connect the events with a line.
93
Sample
This example shows how to fill out the next page. This body diagram is a visual aid to better understand where you are now. These are your most meaningful concerns and may include mental, emotional, or physical symptoms.
1 anxiety
4 shoulder pain
2 ulcers
5 back pain
3 knee surgery
Lever of Concern No.
4
2
5
3
94
Least Most
1
4
Body Diagram
Please mark the model to show any significant symptoms you are experiencing or have experienced. Number each symptom. Please list your symptom numbers and fill in the circle corresponding to your level of concern
Where You Are Now
Lever of Concern No.
Least Most
No.
Least Most
No.
Least Most
95
Sample
This example shows how to fill out the next page. These are your strengths, resources, and barriers to your current health and wellness.
Faith in myself Survivor of tough times
The love and support of my family, they are very helpful. Supportive friends.
Feeling overwhelmed Difficulty sleeping Time Pressure
Faith Community. Family Issues
Strengths
96
Resources
Potential Barriers
5
Strengths Resources Barriers
Please describe your current strengths, your resources, and your potential barriers to your health and wellness. Please write a description, draw, or use color or any other type of representation in the boxes below.
Where You Are Now
Strengths
Resources
Potential Barriers
97
Sample
This example shows how to fill out the next page. These are your 3 Health or Personal goals that would mean the most to you.
I would like to spend more time with my family, and be able to focus on work less as I grow older. Goal 1
98
I would love to spend more time outdoors.
Goal 2
I’d like to sleep better, maintain healthy eating habits, and improve my stamina.
Goal 3
6
Future Goals
Please describe up to 3 health or life goals in order of importance. What destinations on your Journey to Health & Healing would mean the most to you? Please write a description, draw, or use color or any other type of representation in the boxes below.
Where You Would Like to Be
Goal 1
Goal 2
Goal 3
99
Notes
To be human is to have a story to share. We live a shared story... together.
2011 WHAT IS THE PATIENT STATION
Jordan Wyss | Stephanie Polus
103
104
2011 PATIENT STATION
Stemming from Allina’s mission, “Patient First,” the Patient Station was generated for Allina by the BSV/ADV Human Factors students and instructors. The Patient Station is part service, part technology, and part place. Comprised of mobile and fixed features, the station is a self-service system that helps patients and families understand and represent their needs from day-to-day wellness to focused medical support. The students organized themselves into five research teams: Team Intake and Short Stay Team Mon(Prenatal, Delivery, Postnatal) Team Long-Stay Experience Team After Care The teams conducted interviews, site visits, and critical reviews as part of their research.
105
106
Allina’s Mission Statement Our Mission We serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care.
Our Vision We will: • put the patent first; • make a difference In people’s lives by providing exceptional care and service; • create a healing environment where passionate people thrive and excel; and • lead collaborative efforts that solve our community’s health care challenges.
Our Values
INTEGRITY
We match our actions with our words.
RESPECT
We treat everyone with honor, dignity, and courtesy.
TRUST
We act in the best interests of our patients, physicians, communities, and one another.
COMPASSION
We create a caring environment for our patients and one another.
STEWARDSHIP
We use our resources wisely.
107
TEAM WORK
108
INFORMATION PERSONALIZATION+ OPTIMIZATION WOMEN WANT MORE OPTIONS BUILDING A CULTURE OF WELLNESS OPERATION VALIDATION PUSH / PULL 109
110
INFORMATION PERSONALIZATION+ OPTIMIZATION Jordan Wyss | Stephanie Polus
111
ALLINA’S MISSION
PROJECT PURPOSE STATEMENT
CREATIVE BRIEF
112
F O R T H E PAT I E N T S TAT I O N
RESEARCH
113
114
CARE BOARD
S I M P L E , I N T E G R AT E D , G E N U I N E
115
116
WOMEN WANT MORE OPTIONS Heatherlee Nguyen
117
WOMEN WANT MORE OPTIONS A New Model for Women’s Care
More than four million babies are born in the US each year, and the details of how, when, and where they arrive are always shifting. -BahyCenter.tom, 2009
Maternity Care in the US Many expectant parents switch providers mid-pregnancy... but WHY?
What’s Important to Women?
SERVICE, SURROUDINGS, SUPPORT
PERSONAL RELATIONSHIPS
ENVIRONMENTAL COMFORT
PERSONAL RELATIONSHIPS *SERVICE*
SELF-EFFICACY
118
SUPPORT
Two Separate Models of Care MIDWIFERY OR “HUMANISTIC“
TECHNO-MEDICAL
Midwife means “with woman” According to this model, the emotions of a woman have a very real impact on the well-being of the baby. The importance of companionship and encouragement is emphasized.
“Only with trust, faith, and support can the woman allow the birth experience to enlighten and empower her.” - Claudia Lowe
Self-Efficacy Self-efficacy is directly related to health behavior. Self-efficacy pertains to a sense of control over one’s environment and behavior. According to Social Cognitive Theory (SCT; Bandura, 1997), a personal sense of control facilitates a change of health behavior.
DIY ( Do It Yourself) Weigh Stations Urine Samples Belly Measure
Birth is not only about making babies. Birth is about making mothers - strong, competent, capable mothers who trust themselves and know their inner strength. - Barbara Katz Rothman
* SAVES TIME * MORE PERSONAL ATTENTION * GIVES WOMAN CONTROL OVER HER BODY
119
GIVE WOMEN/FAMILIES MORE OPTIONS - INFORM THEM AND THEN ALLOW THEM TO CHOOSE
Environmental comfort *Laber/Delivery Rooms*
EACH WOMAN HAS THEIR OWN DEFINITION OF COMFORT
Comfort plays a central role in our lives. The midwifery model of care is female-centered. Within it, birth is something that women do - not something that happens to them. The birthing woman is the central agent. The essential oneness of mind and body and the power of women is recognized. The techno-medical model of care is a product of the industrial revolution. By the 1920’s the US and Canada had become the first societies to do away with midwifery, only to find out some decades later that women still wanted midwives and to learn about the options available for them through their labor and birth.
120
EDUCATE PATENTS AND ENABLE HOME ACCESS
FAMILY B
FAMILY C
Home Birth enthusiasts
Birth Center enthusiasts
Hospital Birth enthusiasts
Laura and Paul have had two home water births. They feel birth is a natural process, not a medical emergency. They feel most comfortable in a home-like setting. After moving to a different stote they found out their insurance would not caver home births and that they would have to deliver in a hospital setting. What would their room look like?
Gia and Christopher birthed their previous children in a free standing birth center. They enjoy a relaxing, soothing environment and feel most comfortable with multiple options in which to give birth. Their preferred midwife has since transferred to o hospital. What would their room look like?
Megan and Jameson prefer hospital settings. They feel they are more clean and capable of handling tough situations. They want to be neor surgeons because of two previous sections. What would their room look like?
121
SUPPORT CHANGE AND CHOKE IN BIRTHING POSITION “If we wish to obtain an idea of the natural position we must look to the woman who is governed by instinct, not by prudery; and it is only among the savage races that we shall find her at the present day. In this purely animal function instinct will guide the woman more correctly than the varying customs of the times.” -George Engelmonn, Labor Among Primitive Peoples
122
Moving Forward... Your mission at Allina Hospitals and Clinics is to remain innovative and to continue being a leader in collaborative efforts of health care.
Now is the time to join in the conversation about reinventing women’s care.
In June of 2011, I will give birth to my first child. I will have chosen who will attend my birth and where and how to do it. I want to share my story and contribute to your efforts as you pioneer this monumental shift in maternity and women’s care. My passion comes from being a woman and a mother in a time of notable change.
123
124
BUILDING A CULTURE OF WELLNESS Ivona Sandru | McKenzie Erickson
125
ALLINA’S MISSION
126
RESEARCH RESEARCH IN THE COMUNITY
POSITIVE FIRST IMPRESSIONS PEOPLE TEND TO LABEL OTHERS AND OBJECTS BASED ON INITIAL ASSESSMENTS. THEY OFTEN HAVE AN INABILITY TO RECONSIDER THOSE JUDGMENTS LATER ON. P E R S O N A L C R E AT I N G O W N E R S H I P OWNERSHIP OF AN ITEM, BELIEF, OR GROUP CAN INCREASE THE VALUE PEOPLE ATTRIBUTE TO THAT ITEM. PEOPLE WILL GO OUT OF THEIR WAY TO AVOID A POTENTIAL LOSS OF AN ITEM. H E A LT H B E N E F I T S IF PEOPLE TAKE OWNEERSHIP OF THEIR HEALTH AND HAVE POSITIVE EXPERIENCES AT ALLINA, THEN THEY WILL BE ABLE TO HEAL FASTER!
MY HOSPITAL “I’M GOING TO STOP BY MY HOSPITAL ON THE WAY TO WORK.“ “I HAD THE BEST GREEN TEA AT MY HOSPITAL THE OTHER DAY.“ “I MET THE NICEST GUY IN MY ALLINA YOGA CLASS.“
127
128
OPERATION VALIDATION Christina Chen | Joy Markunas | Marisa Meyer-Klubben
129
MISSION STATEMENT Entertaining the patients and incorporating play into their hospital stay mill aid them in gaining an optimistic outlook that will reflect positive on their recovery, the hospital, and the lives of both parties (hospital staff and patients
GOALS
HOW WOULD YOU DEFINE FUN?
Operation Validation wants to incorporate fun as stress release and distraction in positive a light.
PUTTING THE PLAN INTO MOTION AIL of our age groups would enjoy to have an iPad in their room. These devices meet the need to have portable devices that can be easily disinfected. Kids can use them for games. Teens can use them to social network. Adults can learn to social network on them, download books. The elderly can be introduced to social networking, books online, etc.
130
CASE STUDIES AMANDA TROUNG
WALTER MARKUNAS
WALTER MARKUNAS
Amanda Troung is fighting breast cancer, and has been since 2002. In more recent years, she has been diagnosed with kidney failure, has suffered lung problems and has cancer in the bones. She’s been to the hospital numerous times for different check ups and surgeries. She says that it’s almost her second home, but not in a good way. As she put it, “I have been to Hell and back.” The number one thing she dislikes the most about hospital is the smell, followed by the food, and being cooped up in her room.
Walter Markunas has a number of health problems. He has been struggling with diabetes and cirrhosis of the liver for several years. Moreover, he was recently diagnosed with Hepatocellular carcinoma, also known as liver cancer. He has undergone his first round of chemotherapy, which appears to have been successful, and as of now he is cancer free. This is not to say he is completely well. After his hospital stay he dramatically lost weight - at least 30 pounds; has trouble climbing the stairs; and is almost always tired. In addition to this, he takes 1A different types of pills daily.
My friend, Aaron is 21 years old. He shattered his femur in a random long boarding accident, lost a lot of blood, and could have died. Luckily, he happened to have his cell phone in his pocket and dialed 911 himself. He had to have an emergency surgery and had a rod placed in his leg. Aaron spent a week in the hospital. During his weeklong hospital stay, he had his mom, dad, girlfriend, younger brother and sister visit him. He was grateful to have them there, but did not want them to see him so bummed out about being out of commission.
It’s aggregating and uncomfortable for her. If there was one thing she could change about the her visits to the hospital, it would be the food. Amanda wished the hospital would serve Vietnamese food. When her family comes visits, she normally sends them out to buy Vietnamese for her, but nobody is around, she’s stuck with hospital food. Amanda then on, went to explain how she when she knows she will be spending a few days at the hospital and attempts to bring everything from home with her. She means everything from her own pillows, blankets, toilet paper, mugs, dishware and movies.
To keep himself busy during the week in the hospital, he says he watched every YouTube ever, Facebooked constantly, and talked with his family and friends. These were all perfect distractions to keep him from getting lonely and down on himself. He vented to the nursing staff, which he found beneficial, but he felt that having access to the Internet was what really saved him from feeling miserable. A lot of friends wrote to him on Facebooked and told him how much they cared and hoped he had a speedy recovery.
131
RESEARCH
Social play, with its shared amusement, excitement, and smiles, builds long lasting social bonds and attachments, which can become the center of subsequent social
support. There are three main points to achieve health and well-being according to positive psychology theories. 1 Attending: Pay attention to the genuinely good things that happen to you Don’t just filter it out. 2. Interpreting: Don’t always view experiences in a negative light. See the positive wherever you can. 3. Memorizing: Remember positive events and paint
positive mental pictures of your experiences. Positive psychology can be used in many different ways to increase productivity: + Offering a variety of activities: Patients need some stimulation and variety to keep them motivated, fresh and engaged in what they’re doing. + Generating patient confidence: Negative thinking breads a lack of motivation. Positive thinking strategies encourage greater self-reliance and self-confidence. + Focusing on strengths: focusing on and developing a patients strengths is key to creating a full recovered and happy patient. Individuals are encouraged to make full use of their particular strengths, showing they’re good at id hat they’re doing + Flow: (when applied to nursing staff) Flow is the state of feeling fully engaged in what you’re doing. Enlightened organizations now give employees the type of the feedback that is likely to keep staff motivated and, where possible, empower employees helping them to take more control over their day-to-day activities.
132
SOLUTIONS Check-in
W H AT H A P P E N S D U R I N G T H E M I D D L E O F T H E I R S TAY / V I S I T ?
Check-out
Long term patients: one week to month stay in the hospital
Parent/Child + Ipad for games + Create forum for parents to connect and share their own experiences
Teens + Connect with friends (life outside of the hospital, social network) + Up-to-date with the latest trends
Adults + 411 of socialnetworking: Facebook, Twitter, & etc. + Skype + World of Apps
+ Make technology accessible
The Elderly + Staying in touch with loved ones (Skype) + Function of Facebook and why people are so caught up in it + Blowing
OVERVIEW + Incorporate “fun” as a stress reliever and distraction in a positive light + Positive psychology can help improve overall health People rarely succeed at anything unless they are having fun doing it. Laughter leads to joyfulness, greater creativity, increased productivity, and collaboration. “Motion of our lives is to seek happiness” Dalli Lama
133
134
TEAM AFTERCARE Emily Keenan | Jamie Otto | Mike Borrell
135
PROJECT PURPOSE STATEMENT • To explore the information provided to patients before starting athome recovery. • In order to empower the patient, connect them to caregivers, and make them more independent and goal-driven in their aftercare. • So that Allina can facilitate and encourage their patients’ aftercare habits and increase their quality service ratings.
CURRENT PRACTICES Allina currently has doctors sit down with the patient and explain their aftercare instructions. They give their patients an extensive booklet with their aftercare instructions, containing everything from contact information to dietary restrictions. They also offer check-in phone calls after surgery and a care guide for specialized patients with certain conditions.
136
CASE STUDIES ANNE
Anne’s in-hospital experience... Felt her in-hospital experience was very good. Not a single complaint. Upon discharge Anne was given a packet that explained to her what she could and could not do during aftercare and how to take care of herself while recovering. Anne’s initial aftercare experience...
Gender: Female Age: mid 50^
Anne felt that the instructions she had received and the information she was provided with prior to leaving the hospital was very sufficient in aiding her aftercare and that it was all very easy to understand and apply. She was also provided with some tangible items and tools that aided her in her at home recovery (i.e.: arm extension to prevent bending over).
Connection: Back surgery patient at Abbott Northwestern
Anne’s biggest obstacle in aftercare...
BUDD
What worked in the past?
Anne explained that she had a lot of prescriptions and a lot of information to deal with during her aftercare. It sometimes go to be a bit overwhelming. She was very dependent on others during the first few days. She also was
Before hearing loss, Budd’s aftercare was more straightforward. Most of the time, it works well when someone actually sits down and makes carefully sure that he and his support network fully understand the aftercare instructions.
Gender: Male Age: early 80s Connection: procedures at multiple hospitals, from heart surgery to cancer treatments. He is also hard of hearing. (Questions answered by his wife and daughter)
expected to return to the hospital multiple times for check ups. However, because of her surgery and medication she was unable to drive herself to the hospital and relied on others to do this for her. She wonders what she would have done had she not had a spouse or family member to help her Anne’s thoughts on sharing information with family members... Because of her dependence on others during certain stages of aftercare, Anne felt that sharing information with her family and allowing them to go through the steps wit her made it much easier. Anne’s biggest concern... After going through her own aftercare experience, she feels that there must be many obstacles for people who have to go through this procedure alone. She feels it must be very overwhelming for people in this situation to deal with the amount of information, the commutes back and forth from the hospital and chance that they may have to make phone calls to the doctor and be put on hold.
How was the communication with the care team? It has been hard, especially with the hearing difficulties. Before hearing loss, it was easier to understand exactly what the doctors were saying-now, it is just frustrating, especially .
What would Budd like to see in aftercare?
What were some obstacles in aftercare Budd has experienced?
There needs to be a place where people can go with their questions and confusions that will work patiently with both the patient and their support network so that everyone is on the same page.
The hearing loss has been a huge obstacle to overcome. It has been hard to consistently make sure that Budd knows everything without having him get confused, frustrated, then ornery about everything.
What would Budd like to see inside of the hospital?
How much access should family or support networks be given?
It would be great if there was a place where all of the information specifically could be stored, especially information about medications and which interfere with each other, or what the side effects might be.
In the case of the elderly or those patients that cannot properly take care of themselves,their support networks should be the focus of the aftercare instruction. Either that, or the family and loved ones should specifically have a place to go with their questions.
137
CALEB
Caleb’s in-hospital experience... Felt his in-hospital recovery went as well as it could have. Before leaving the nurses/doctors provided him with packets full of valuable information to take home with him and also taught him the processes of his aftercare at home. Caleb’s initial struggle with aftercare...
Gender: Male Age: 21 Connection: Suffered leg injuries in a motorcycle accident. Spent a month in the hospital (HCMC) and well over a year in aftercare. Caleb’s biggest concern... The communication between separate establishments (i.e.: separate doctors, hospitals, physical therapists, etc.).
DAWN
Caleb felt that, “if someone is not pushing you to do your physical therapy, it’s impossible to do.” Without the motivation of another human behind you Caleb did not feel he could succeed in his aftercare. But because his hospital was against the outsourcing of physical therapy, Caleb had to find a physical therapy center on his own. He explained that this was very hard to do and the only really way to find high-quality physical therapy centers was by word of mouth. Caleb’s biggest obstacle in aftercare... Caleb was treated by 6 different therapists and doctors during his aftercare. Every time Caleb visited a new doctor or therapist he would have to explain to them his medical history.
also watched videos with her husband, but they were just okay, not helpful. What would Dawn like to see in aftercare? The hands-on stuff is good, but having it on the computer, too would be good as well. Maybe even an iPad app. However, they can never eliminate the actual person, information on who to call, whatever is changed needs to be well thought out. What would Dawn like to see inside of the hospital?
Gender: Female Age: late 50s Connection: heart surgery recipient at Abbott Northwestern Heart Hospital What worked in the past? The doctor gives a folder or booklet and go through it carefully with the patient, especially if it is one you can interact with as opposed to just read (charting numbers, take notes, use as a tool) She 138
Not only did it waste time and money, but it was very difficult. “There’s things we don’t understand as patients, but doctors need to know,” said Caleb. He felt that he desperately needed some sort of documentation that could be shared amongst any establishment at any moment. He was able to get his hands on some of this information, but it would often take him up to 2 weeks to receive and it only pertained specifically to the treatment he had received from the doctor he requested the information from. Caleb’s thoughts on sharing information with family members... Caleb explained that in his condition he was 100% dependent on his family. “I was like a little dog who couldn’t be left alone at the house for more than a short period of time,” said Caleb. He felt that at the time, being only 18 it was very important that his family knew everything, but in being older he might want less family involvement. Someone was always with him when he went to the doctor but he said it was very hard for them
with them, and make sure that they are actually doing what is healthy for their own body. What were some obstacles in aftercare Dawn has experienced? At Fairview, when someone is elderly, it has to be communicated very well playing close attention to the fact that they may not hear very well. Her father got extremely confused about where to go after his last surgery. People should be very sensitive in that area.
A list of snacks you can ask for so you actually know, to connect to the internet via the tv monitor, extra seating for family in the room, and more color in the room. She would also like to be able to close the curtain without having to get out of bed.
How much access should family or support networks be given?
How was the communication with the care team?
If someone is elderly and they are going to send them to a rehab experience, that needs to be carefully communicated and not rushed at the last minute.
Good, but they are counting on the people to be independent. It wouldn’t hurt to have someone devoted to that to call people, go through the checklists
As much as the patient is willing to share. It is good for them to know what will happen, up against, impacts everybody. Other Comments:
DEB
made the procedure very clear. What would Deb like to see in aftercare? More consistency and more availability of our initial team for questions, especially as a parent with a teenager having major surgery. What would Deb like to see inside of the hospital?
Gender: Female Daughter’s Age: 14 at surgery Connection: Mother whose daughter went through jaw reconstruction surgery (Questions answered about daughter’s surgery) What worked in the past? The initial consults with the surgeons and anesthesiologist were really great. They
JUDY
Consistency with the nursing staff, and more time to talk to the surgeon post surgery. I felt like every time a nurse came in it was someone different, and one nurse in particular was really rude and dismissive. I also felt like a lot of my questions didn’t get answered until I brought them up after the post-surgery consultation. It was a lot to remember and I felt the information wasn’t broken down well enough. How was the communication with the care team?
wellbeing of her daughter. She and her daughter used MyChart to show the multiple doctors they were in contact with what medications the other practitioners had her daughter on and keep everything in one place.
The family should be included if they will have a large part in the patient’s care, and patients who aren’t frequent hospital visitors should know what questions to ask.
Age: late 50s Connection: Mother to a child who had a heart transplant and has been a patient herself
What were some obstacles in aftercare Deb has experienced? Diet was a very large concern of mine. My daughter was unable to eat solid food for 6 weeks, and I did not feel we were very well advised on how to make sure she was getting enough calories to heal. It would have been nice to have a nutritionist to consult with, or a directory of things that she could and couldn’t eat. How much access should family or support networks be given? As much as possible, especially if it’s a child. I feel that there should always be a designated family member or friend to help deal with the information, especially after a surgery. They should be let in to all of the aftercare procedures and information.
I remember if being okay, but wishing that I could get questions answered
What would Judy like to see in aftercare?
Gender: Female
more quickly, and that there were less people that I had to go through to get to that information.
What would Judy like to see inside of the hospital? There should be room for family to go and visitors to stay inside of the rooms. There should also be information about how to take charge of your own care.
What worked in the past?
How was the communication with the care team?
The personal connection between doctors, extended stay patient, and nurses has been great for her. It became a real community dedicated to the
Fantastic, because she took the initiative and learned how to ask the right questions. After spending so much time in medical facilities, she has learned how
they function and how to navigate them. It was a stressful situation during release and hard to actually remember what the doctor had said later. What were some obstacles in aftercare Judy has experienced? Sometimes, working with a hospice nurse is necessary and other times it is not. She has experienced both good and bad ones. Also, there needs to be support for people getting out of surgery since, while she and her daughter did, some people do not have that. How much access should family or support networks be given? If it is a child, the parents or guardian should have total access. Otherwise, the patient should be able to hand pick what information people are given. Other Comments: She believes that a patient needs to advocate for themselves and learning how to do that is really how someone successfully takes charge of their own care.
139
CURRENT PROPOSAL THE AFTERCARE COUNSELOR
the aftercare counselor changes to online care
• Medical Professional/Counselor/Friend • Bridge between home and hospital • From pre-release to end of aftercare • Answers questions to avoid the revolving door hospital • Keeps patients accountable for their health • Position can be filled by medical students, psychology students, social work students, and retired doctors and nurses.
CHANGES TO ONLINE CARE
Goal driven: When you break up a big process into small parts, people feel better about what they are doing.
FUTURE PROPOSAL ADVANCED TECHNOLOGICAL CARE
The Aftercare Community
• Wireless heart monitors and pedometers, connected to online database • Ability to track progress on your smartphone or personal computer • Retain phone services For those without Internet access
140
STRUCTURE AND SERVICES • Home consultations, with your aftercare counselor, dietitians, and necessary therapists. • Group meetings with other recovering locals • Advanced technological care, including wireless monitors, pedometers, and a Google-map integrated service. • Personalized support connected to your own existing community, support network, and home caregivers
141
142
PUSH / PULL With the interest of applying “Effective Design Thinking” to their corporate environment, Allina Center for Healthcare Innovation asked MCAD students to do a daily observational count of the push/pull mistakes people made entering Allina’s front entry doors. Then results of the observational study would lead to an assessment and recommendation for change, modification, or to simply leave the doors as is. The research and results are shown on the following pages.
143
PROJECT SUMMARY BACKGROUND Allina’s Center for Healthcare Innovation (in partnership with Allina Design & Construction) seeks opportunities (beginning with their corporate environment) for improvement through the application of ‘effective design thinking’ and the production of simple, intuitive design solutions. SITUATION The current Allina Commons Lobby Doors (2 sets/4 doors) (shown in the photograph on the left) are designed with vertical handles on both leafs, front and back.
INITIAL ASSESSMENT The entrance handles are appropriate for pulling. However, the same handles on the exiting side are confusing and lead to mistaken pulling. RECOMMENDATION Replace bars on the inside with a ‘push plate’ of similar material & finish as the current door hardware. New plates may incorporate appropriate messaging to make door opening direction more apparent.
Photos provided by Allina’s Center for Healthcare Innovation
144
OUR APPROACH RESEARCH TASK & METHOD Students of Minneapolis College of Art & Design’s course on Human Factors & Usability Course were asked to conduct observational research at the Allina Commons’ Lobby Doors using the following method: 1. Draw the environment, 2. Count the number of pushes and pulls, noting any error with this action, 3. and observe any qualitative data that might be relevant for the study, and finally visualize the results and provide design recommendations.
DATE & TIME Students worked primarily in teams of 2 and conducted their research over periods of 2-3 hours. Data was collected on Tuesday, March 29th from 9-1 and Thursday, March 31st from 1-6. ANALYSIS The student’s observational research was then analyzed and compiled into this report to hand off to Allina’s Center for Healthcare
145
People who seemed to use the door most: 1) People familiar with the place/space. 2) People with badges. Employees, Staff, Security 3) People with suitcases 4) Only one “wanderer” during the two-hour period. Various “Styles” of push/pull: Pushing the door itself (frame or window part) instead of the handle. Pushing with arm or entire body instead of hand. Pulling top or middle of handle (at or above hip height). Reaching across isn’t as common as reaching straight ahead. I did not record any patrons pushing the door before pulling and walking into Allina. But it is possible that this behavior did occur and I was unable to see it from my location in the lobby.”
Most of the people that use these doors are employees of the building and have learned that the doors must be pushed from the inside, rather than pulled. However, the error rate amongst those who have not learned this behavior is fairly high, about 3.25%. The Sculpture Blocks the view of doors 2A and 2B to people who are exiting. Can be awkward to navigate around it or wait near it (waiting to meet people, for example). Mood • It says to me, “I will cut you.” • Clashes with wood details of furniture and pastels. • Should be on moving platform, because it’s actually springy and fun when you go up to it and touch it! • Distractions tend to cause push/pull mistakes • People used pillars to lean against- to adjust shoe, for example • Busiest and noisiest times seem to be at the top of each hour.
146
• More people attempted to incorrectly pull the door when leaving. • Handicapped button used multiple times by people who were capable of opening the door themselves. • People, especially women noticed the sculpture after entering the lobby area. • Most Allina employees have no trouble getting through the doors. Eight individuals were pushing/pulling the wrong way. • The majority of women came through the doors in groups. Women stuck with other women. • Seven people pushed the “handicapped” button to get through. Out of them, only one person was truly handicapped. • It appears that people who are employees of Allina are familiar with the doors. • Most of the incorrect actions happened on the inside of the doors (pull instead of the correct push) • People were more likely to be correct if the door was already in motion.
Recommendations visualized by Emity Keenan
1. Adding the word “PUSH” boldly and clearly to the door above the handle. 2. Replacing the handles on the doors with plates. 3. Replacing the handles on the doors with a horizontal bar that pushes in as it is acted upon.
• People messing up often revert to pushing the button or using the other door. • The door usually doesn’t have the time after being opened to fully close before a new person uses it. So typically they witness the correct way to use it and understand before interacting. • A lot more people exit than enter, about 8x as many. • There is a much greater number of people exiting from the inside of the hospital area than people coming in. • Generally people who mess up on one set of doors give up on that set, and try another set of doors. • Sometimes perfectly healthy people who can’t figure out the door press the handicap button. • For the most part there are few mess-ups. Even with the doors being slightly confusing (because it looks identical on both sides). It seems like the amount of mess-ups would be regular for any door.
RECOMMENDATIONS • Through our research, we determined that the percentage of error did not merit an expensive door redesign. However, an inexpensive update would entail simply adding PUSH & PULL stickers to the surface about the handles. • I would suggest relabeling them from the inside, or simply changing the handles to flat panels to suggest that the doors need to be pushed. Another possibility is changing them to sliding doors that can remain open during business hours and can close and lock after hours. I think it would compliment the space much better to simply have an environment that was open and easy to move through. I feel that the doors are unnecessary and uninviting. • Push/Pull Stickers above the door handle. • Move the button to the right side of door 2, so that people don’t go to the button right away if they’re confused. • It does not seem as though there is a major problem with the door. The heavy traffic allows users to feed off each other and are rarely left alone to interact with the door. However, I do believe the small percentage of “mess-ups” 2%, could be avoided by simply adding a metal push plate or push/ pull stickers.
147
148
2010 CLINIC OF THE FUTURE 149
int er io ra
rc
e ur ct te hi
C EN CI
T
SOC IAL
a
E
AR
ip s
Y
rsh
SC IE
HN
TEC
co
mm un ity
p
en vir o
ion at uc
G LO
ne rt
n
d /e gy
m
CE N
ch no lo
te ite
t/s en
O
S
CLINIC OF THE FUTURE In order to facilitate and participate in fostering the wellness comunity, the clinic was to play a key roll of outreach for preventative medicine. The students of the BSV/ADV Human Factors class, consisting of 18-25 year old social media savvy students, were asked to look back on their childhood experiences and project forward to their future as working adults with families to consider what the clinic of the future could be. The Human Factors class was broken up into four teams: The Environment Preventative Care Architecture/Interior Muti-idea of Allina Clinic Wellness Community Some of their solutions: “I hurt dolls�, projecting art on the clinic walls, electronic health games iPhone applications, virtual health assessment projection Clinic kiosk at local events/fitness centers for Q & A. Q & A van to travel to local schools, nutritional centers, events, etc. The students reflected their needs for convenience, real information and direct control of their choices and consequences.
TEAM WORK
152
THE ENVIORNMENT PREVENTATIVE CARE
ARCHITECTURE / INTERIOR MULTI-IDEA OF ALLINA CLINIC WELLNESS COMMUNITY
153
154
THE ENVIRONMENT Joseph Maher | Niels Van Der Vlugt | Patrick Kispert | Racquel Banaszak
155
156
DESIGN
157
PATIENT EXPERIENCE
158
DOCTOR EXPERIENCE
159
160
PREVENTATIVE CARE Alison Welwood | Cody Haavik | Josh Ritenour | Sean Kladek
161
THREE COMPONENTS OF HEALTHCARE FOCUS: PREVENTATIVE CARE
WELLNESS CENTER Separate from Allina Clinic
Offers activities and education focused on physical and mental wellbeing Two components: 1. Wellness Facilities 2. Outreach Office
WELLNESS CENTER + CLINIC The Allina Relationship
Shorf Term: Shiffs concenfrafion of l�he clinic fo acufe and chronic care by offering an ouNef for prevenfafive care. Long Term: Seeks fo reduce fhe need for chronic care in fhe fufure. Allina Clinic of fhe Fufure I Parfnership
162
163
164
ARCHITECTURE/ INTERIOR Andrew Vomhof | Candace Graves | Lottie Anderson | Madeleine Pitsch
165
166
167
168
169
170
171
172
MULTI-IDEA OF ALLINA CLINIC Andrew Sherrard | Anita Su | Dylan Adams | Lairen Baller
173
POWERING THE CLINIC
Wind Turbine
Bloom Box
Solar Windows
VISUAL RECORDS
174
HEALTHY BUDDY
Patient History
IPAD CHECK-IN
Talk to a Nutritionist
Health Game
Go to the store
175
176
WELLNESS COMMUNITY Alexander Kanwischer | Josh Ritenour | Joe Maher Using Allina’s Mercy Hospital in Fridley, MN as an example hub and central resource for their research, the BSV/ADV Aesthetics of Sustainability class built on Choy Leow’s concept of on-site healing gardens for both patient and staff. The students visited and mapped the facilities, not only identifying location, but also the services available and their contribution to the wellness of the community. Like a tourist map, the student’s map highlighted services that contribute to community wellness, for example: • Natural food markets, nutrition centers and cooking classes • Community gardens, parks, fitness and recreational centers • Planned Parenthood and Head Start • Social services, physical and mental health centers • Green design and wild life habitats
177
PROJECT SUMMARY Over the course of the semester our team (Joseph Maher, Josh Ritenour, Alex Kanwischer) has been working to develop ideas that will improve Allina’s Unity Hospital in Fridley, MN. initially, we were striving to formulate ideas that would improve Unity’s physical grounds. These initial ideas dealt with the remodeling of Unity’s healing garden, walking paths, and current parking lots. As we moved forward, we eventually came to the conclusion that our ideas regarding physical renovation might be too cumbersome and expensive to undertake and implement in one semester. Because of these roadblocks, we began to re focus our ideas on building a wellness community, in order to help Allina develop this community, we devised a three phase plan that would establish wellness partnerships within the community and eventually integrate these partnerships into Allina’s actual grounds in the distant future. The first thing we did to establish phase one of the plan was scan the local communities for potential wellness partners. We ended up finding everything from herbal medicine clinics to skate parks within a fifteen minute drive from the clinic. We documented each of these establishments and took down their contact information. This information will be made available to Allina so that they can establish a partnership with each establishment, in phase two of the plan, Allina and their newfound partners will begin to market their partnerships and integrate coexisting programs. Phase three of the plan will hopefully manifest itself as a physical integration of the partners into a new Allina community. This means that each of the partners will actually have a space built onto a campus that is owned and operated by Allina.
AUDIENCE PROFILE Initially, our primary audience will be the patients at the unity hospital in fridley. These patients will range from infants to senior citizens so our delivered materials must be appealing to a broad range of people. Our secondary audiences will include friends and families of patients, employees, and the general public surrounding the facility. Hopefully, as our three phase plan is implemented, the entire community of Fridley will slowly become part of the primary audience.
178
IMPROVING THE GROUNDS One of our main objectives in this project was to come up with ways to improve the Unity grounds. After doing a bit of research we discovered a great resource at healinglandscapes.org. This website provides great guidelines and a wealth of information on anything related to theraputic landscapes. In the end we concluded that the grounds would benefit much from a removal of some parking space. This would make the grounds much more open and allow for more of a campus feel that would be more inviting to the community. We also came to the conclusion that the current Allina grounds could be greatly improved with the addition of some colorful landscaping and some tasteful accent lighting. The color would add a bit of character and joy to the campus and the lighting would make the campus feel more inviting at night. Both of these additions could be easily and affordably implemented.
WAYPOINT MARKERS During our initial meeting with Choy, he explained that he wanted some waypoint markers designed to accent and add information to the walking path that is being constructed around the grounds. We designed a prototype to illustrate what one of these markers might look like. The design we chose aligns with the possible wellness partnership map detailed on the next page.
POTENTIAL PARTNERSHIPS After thinking for quite some time about how to improve the physical grounds at the Unity hospital, we eventually moved on to thinking about how to create a true wellness community. And so we developed a three phase plan to begin implementing wellness facilities around the Fridley area into the Unity hospital. The first step of this plan involved finding as many different types of local wellness facilites as possible and plotting out their information on a map (next page).
179
180
181
Garden for the Elderly This simple garden, relying on raised planting containers, has a wide aisle for easy movement of traffic. Fruits and vegetables are complemented with colorful flowers good for cutting. Fruit trees frame the garden and the grape arbor is a peaceful place to sit in shade. Steps are provided throughout to make gardening and harvesting easy. This garden can be created in a 25-foot lot.
182
183
Children’s Secret Garden This garden of sunflowers and gourds, pumpkins and peanuts will be a joy for kids. There is a teepee hideaway in the center and a bark path makes maintenance easy. The design is simple-an octagon with a walkway around it-and it can be planned in a small or large area.
184
185
Fragrant Garden This garden, which can be built on a deck or patio or in the backyard, is resplendent with fragrant plants. To avoid monotony, plantings are in 12 inch concrete terraces at three levels. Plants have been selected for height as well as fragrance.
186
187
188
ALLINA CONTACTS
Ken Paulus President and CEO of Allina Health System Chow Leow Director of Design for Allina Design and Construction Gail Manning RA. Senior Project Manager for Allina Design and Construction Tracy Clark Director of Patient Care Excellence Carol Anderson
Mary Bania Executive Assistant to the President and CEO of Allina Health System
Lisa Barkley Project Manager for the “Clinic of the Future”
April Bowen Allina Medical Clinic District Director for Ramsey Clinic
Carolyn Cairn Interior Designer Bill Dunham Director of Construction for Allina Design and Construction
Anne Marie Fuentes
Sue Hermann
Gordon McArther
Heidi Menard
Deanna Neumann Conference Room Coordinator for Allina Vicky Rogers Administrative Assistant for Allina Design and Construction Daryl Schroder
MCAD FACULTY/STAFF CONTACTS
Jay Coogan President of MCAD Vince Leo (previous) Vice President of Academic Affairs Karen Wirth Vice President of Academic Affairs Jerry Allan Bachelor of Science and Advertising Chair Howard Quednau Acting Chair/Associate Professor of Fine Arts
189
2010 | 2011 | 2012 | 2013