VEINS OF HEALING
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Veins of Healing by Rachel Sanders Project Presented to the Faculty of the Department of Architecture College of Architecture and the Built Environment Philadelphia University In partial fulfillment of the requirements for the degree of BACHELOR OF ARCHITECTURE Design 0: Research and Design Faculty Chris Harnish and Kim Couglas Philadelphia, Pennsylvania December 2016
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Abstract The design of the Malamulo medical complex uses a major artery of circulation which branches off to smaller veins of circulation to promote movement of patients and visitors to improve healing.
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Table of Contents I.
Veins of Healing.........................................................................2
II. Abstract......................................................................................3 III.
Table of Contents......................................................................4
IV.
Thesis Statement........................................................................5
V.
Investigative Methods..........................................................6 - 7
VI.
Research Objectives.................................................................8
VII.
Design Objectives and Design Brief........................................9
VIII.
Site Analysis...............................................................................10
IX.
Program Study..........................................................................11
X.
Process Documentation..................................................12 - 13
XI.
Final Design Documentation...........................................14 - 21
XII.
Project Analysis/Critique.........................................................22
XIII.
Works Cited..............................................................................23
XIV. Bibliography.............................................................................24
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Thesis In Malawian culture, most time is spent outdoors so the design of the Malamulo health center has a large focus on outdoor healing spaces. Movement also plays a decisive role in the design because movement improves circulation in people which improves the immune system and speeds the healing process. Outdoor healing spaces act as nodes that connect the circulation paths.
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Investigative Methods: Studying Maggie’s Cancer Care Centers led to the discovery that hospitals are not always the best place for a person to heal, and finding a place where people feel safe and comfortable with spaces for reflection can often improve healing more than a traditional hospital. 6
Investigative Methods
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Research Objectives How does the health center heal? How does the health complex work within the land environment? How does the health complex work with the local culture and context? How does circulation become a source of healing? Circulation of People How does physical movement in a natural setting improve the immune system and speed the healing process? Circulation of Airflow How are the buildings positioned for maximum airflow/ventilation? Circulation of Water How is stormwater managed to decrease the impact of flooding and erosion and filter the water back into the earth?
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Objectives and Design Brief The circulatory system of the human body allows blood to circulate to and from the heart, transporting necessary nutrients to cells throughout the body. I connected that idea of healthy circulation with the idea for organization of the Malamulo Medical Clinic located in Limbe, Malawi, about 20 miles north of the Malamulo Hospital. Circulation around the site is used for healing, like the circulatory system, bringing oxygen and nutrients to the body. The major circulation paths act as main arteries in the site guiding visitors to several outdoor spaces like the healing gardens, the labyrinth reflection garden, and the food garden, in addition to transporting visitors to the different buildings on the site. Another circulation system sits below the surface of the site, like veins beneath the surface of skin. This storm water management system uses a combination of techniques to recirculate the excess water from rainwater and runoff that would normally overflow the river and increase flooding during the rain seasons. One technique uses the earth’s natural ability to filter water through the soil to clean runoff that comes onto the site and then goes back into water table. The other technique used is a water catchment system that takes the excess rainwater and runoff that the soil isn’t able to absorb and stores in tanks underground where it can be redistributed and, for example, used for irrigation of the gardens during the dryer seasons.
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Limbe scale Site model
Site scale
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Site Analysis
Program Study: Studying the programmatic organization of the Butaro Hospital by MASS design group influenced the organization of the maternity and outpatient wards of the Malamulo Health Complex. 11
Process Work
Midcrit Board 12
Process Work
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No.
Pro
Project Number Date Drawn By Checked By
Scale
14 Site section A
A
Entry Section C
C
B
A
Roof Plan
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Conference Staff Housing
Meditation Garden Cafe
Surgery
Courtyard Vision/Dental
Maternity
Food Garden
Outpatient
Site/Floor Plan
16 Site section B
Healing Garden
Admin
Entry
Entry Elevation
Public/Private
Circulation Artery/Healing nodes
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18 Rendering: looking south, down to patient courtyard and maternity/outpatient building
Rendering: looking north through main entry artery
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20 Rendering: main public courtyard looking northeast
Rendering: private patient courtyard looking northwest
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Conclusions Underdeveloped “The project is never finished” is very relevant for this project. The site and floor plans were constantly changing up until the last few days of this project which prohibited the movement forward of the rest of the design. Because of that the project suffered. Decisions should have been made earlier on even if they were not perfect because the project would have benefitted from any action. The project is extremely underdeveloped and has lots of room for improvement. Much of the original design was changed to something completely different when it could have been developed further and probably improved more than it was by the end. How could it be further developed? The main retaining wall creates a barrier between the northern and southern parts of the site and the outdoor space between the retaining wall and the buildings close to it create a confined space that might not be the most comfortable place to be. To remedy this space, the retaining wall could be stepped back every couple feet to lessen the imposing feeling of the wall and creating more healing spaces. The roof of the outpatient ward has many different levels that do not align and would not work with real structure. Taking the “breaks” in the program and opening them up as outdoor spaces would remove the problem of the awkward lower roof pieces. However, if these spaces are opened to the outdoors, the circulation through the outpatient ward would be open to weather. A covered walkway could be the solution to that problem. Clerestories above the brick masonry walls could create a light space inside without direct sunlight and simplify the structure of the walls that are built of both brick and curtain-wall glazing systems, creating a unified material system to connect to the roof.
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Works Cited Lily Jencks, Maggie’s Centre’s Christie, Janet. “Lily Jencks on Success of Maggie’s Centres 20 Years on.” The Scotsman. August 28, 2016. Accessed September 16, 2016. http://www.scotsman.com/lifestyle/lily-jencks-on-success-of-maggie-scentres-20-years-on-1-4214926. Maggie’s Centre’s websites “Maggie’s.” Maggie’s Centres. Accessed September 16, 2016. https://www.maggiescentres.org/. Maggie’s Center Aberdeen archdaily “Maggies Cancer Caring Center / Snøhetta.” ArchDaily. October 14, 2013. Accessed September 16, 2016. http://www. archdaily.com/437008/maggies-cancer-caring-center-snohetta. Maggies center arc space http://www.arcspace.com/features/gehry-partners-llp/maggies-centre-ninewells-nhs-hospital/ Newcastle, Cullinan “Maggie’s Newcastle | Cullinan Studio.” Cullinan Studio. Accessed September 18, 2016. http://cullinanstudio.com/project/ maggies-newcastle. Newcastle archdaily “Maggie’s Newcastle / Cullinan Studio.” ArchDaily. August 14, 2013. Accessed September 18, 2016. http://www.archdaily. com/415127/maggie-s-newcastle-cullinan-studio. Gehry plan http://www.bdonline.co.uk/the-gehry-effect/1030379.article Back elevation photo http://www.archdaily.com/547453/design-with-empathy-an-exhibit-honoring-maggie-s-architecture-of-cancer-care
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Biblography “Butaro Hospital / MASS Design Group.” ArchDaily. September 05, 2011. Accessed September 17, 2016. http://www.archdaily. com/165892/butaro-hospital-mass-design-group. “Butaro Hospital - SOSHL Studio.” Butaro Hospital - SOSHL Studio. Accessed September 17, 2016. http://www.soshl.com/Butaro-Hospital. Butler, Chris. Henri Lefebvre: Spatial Politics, Everyday Life and the Right to the City. Milton Park, Abingdon, Oxon: New York, 2012. Christie, Janet. “Lily Jencks on Success of Maggie’s Centres 20 Years on.” The Scotsman. August 28, 2016. Accessed September 16, 2016. http://www.scotsman.com/lifestyle/lily-jencks-on-success-of-maggie-s-centres-20-years-on-1-4214926. Gandolf, Stewart. “Maslow’s Hierarchy and Five Touch Points That Improve Patient Experience.” PatientExperiencecom. June 11, 2012. Accessed September 12, 2016. http://patientexperience.com/maslow/. Interview with Chitsanzo Lambe-Isaac “Maggies Cancer Caring Center / Snøhetta.” ArchDaily. October 14, 2013. Accessed September 16, 2016. http://www.archdaily. com/437008/maggies-cancer-caring-center-snohetta. “Maggie’s Newcastle / Cullinan Studio.” ArchDaily. August 14, 2013. Accessed September 18, 2016. http://www.archdaily.com/415127/ maggie-s-newcastle-cullinan-studio. “Maggie’s Newcastle | Cullinan Studio.” Cullinan Studio. Accessed September 18, 2016. http://cullinanstudio.com/project/maggiesnewcastle. “Maggie’s Centre Ninewells NHS Hospital - Gehry Partners, LLP.” Arcspace.com. September 22, 2003. Accessed September 21, 2016. http://www.arcspace.com/features/gehry-partners-llp/maggies-centre-ninewells-nhs-hospital/. “Maggie’s.” Maggie’s Centres. Accessed September 16, 2016. https://www.maggiescentres.org/. “Maternity Waiting Village.” Home. 2016. Accessed September 17, 2016. https://massdesigngroup.org/work/design/maternity-waitingvillage. Marcus, Clare Cooper., and Naomi A. Sachs. Therapeutic Landscapes: An Evidence-based Approach to Designing Healing Gardens and Restorative Outdoor Spaces. Hoboken, NJ: Wiley, 2014. McLeod, Saul. “Maslow’s Hierarchy of Needs.” Simply Psychology. 2014. Accessed September 12, 2016. http://www.simplypsychology. org/maslow.html. “The Butaro District Hospital.” Home. Accessed September 17, 2016. https://massdesigngroup.org/work/design/butaro-district-hospital.
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