SPACES Designing for an Increasingly Aged Population
Argentum Senior Living Executive Conference San Diego, California May 16, 2018 Victor Regnier FAIA Professor of Architecture and Gerontology University of Southern California Los Angeles, California
Lecture Issues 1. Introduction to Aging Demographics 2. Social Exchange and Exercise are Important Design Drivers
3. Dutch Apartment/Condo for Life Model 4. Small Group Clusters
5. Plant Materials and Outdoor Space 6. Programs that Help Older People Stay in their Own Home New Book September, 2018
Oldest-Old Are the Fastest Growing Cohorts in the US 65+ Doubles every 40 years 75+ Doubles every 30 years 85+ Triples every 40 years
2010-2050 Under 65 growth = 32% 65+ growth = 2.2X or 120%
100+ Five to Seven Times in 40 years
Amazingly Longevity is like an escalator Since 1880 we have increased lifespan at birth by 3 months for every year we live.
2084
The major increase in the older population is due to Two Trends1. Greater Life Expectancy 2. Lower Fertility Rates
LIFE EXPECTANCY--USA Males Females 76.3 yrs 81.3 yrs @ birth Women outlive men by 5 yrs 83.0 yrs 85.6 yrs @ age 65 Women outlive men by 2.6 yrs MEN marry their caregivers! (their wives) ANOTHER AMAZING PROJECTION! Children born today have a 35% chance of living to 100!
Theoretically, we could live to 122 —Jeanne Calment did that in 1997.
What factors had the greatest impact on Longevity and Happiness
EXERCISE + SOCIAL INTERACTION + NUTRITION
#1 THE PRIMARY PATHWAY: Front door (A) to elevator (B) Howell’s “friendly” relationship between the primary path + social spaces Entry Stem creates EIGHT view corridors into common spaces 1. 2. 3. 4. 5. 6. 7. 8.
3 season porch Library Fireplace Concierge Bistro bar Bistro Dining room Covered porch
21a. 1
#2 THE 100% CORNER NINE views from the Country Kitchen Table
>
Plan 1. 2. 3. 4. 5. 6. 7. 8. 9.
Parking Lot Activity Room Kitchen/Food Mailboxes Fireplace Concierge Dining Room Covered Porch Entry Path
#3 PREVIEWING:
Seeing into a room before you make a commitment to enter
Stair landing overlooking shared dining room
Window from corridor to adjacent community room
#4 VICARIOUS + UNOBTRUSIVE OBSERVATION Sitting areas overlooking an North sea view in an atrium Front porch that overlooks the neighborhood + an entry space
#5 FRIENDLY CORRIDORS
+ ADJACENT ENTRIES
#6 FRIENDLY STAFF OFFICES: that provide accessibility and privacy
Open and Closed Office
Dutch Doors + Low-sill Windows
#7 OPPORTUNITIES FOR EXERCISE: in planned and unplanned ways
Site Plan
Circular walking path Tornhuset Goteborg, Sweden
Pathways that encourage walking for exercise
Corridor Benches
Seat on stair landing
Encourage Walking Inside
Low-riser height stairs
Blurring the Line Between Exercise and Physical Therapy
DUTCH APARTMENT FOR LIFE
Axon Perspective
Humanitas Bergweg Rotterdam, NE 195 units
ATRIUM is open to everyone for activities meals and snacks
4-12 stories
Humanitas Bergweg One Bedroom Unit 750 Sq Ft.
Grandchildren are welcome
25% Couples
Humanitas “One-Liner”—Use it or Lose It
Adult Day Care
Home-care based care giver
Meals on Wheels in the neighborhood
Dutch Service Response Center
Rundgraafpark Veldhoven, NE
Front 5s rental + 7s Condo 113 Apartments and 68 condos
Waalre Telemedicine Technology
Pre-school for 100 children
Atrium– naturally ventilated + used for common activities
Kitchen
Dementia Living Room
Three 6-person Dementia clusters
Exercise games in the atrium
La Valence Dementia and Service House 132 residents, Maastricht, NE
Central Atrium
24-Apt for Life Units Physical Therapy
18 Lean-to housing
Patio
18 Lean-to Housing Units La Valance
Restaurant
SMALL GROUP CLUSTERS
Mount San Antonio Gardens Lodge-style “Greenhouse” Pomona, CA
V
Two 10-unit “Green House” Clusters, 7,000 GSF Single-occupancy
Aertebjerghaven Care Center, Odense, DK
ABJ View from PL/Birdseye Entry Elevation
“Osmond� Sociopetal Plan
Five Neighborhood Clusters 9 units each = 45 residents
Dining Table Atrium Kitchen Activity Space
Atrium Dining Room Table
Leve Bo Lifestyle
Lift Technology Unit Plan—370 SF Single occupied
European Bathroom
Living Room
Outdoor Patio
Hogeweyk Dementia Village Weesp, NE
Small Group Clusters of 6 to 7 residents “The Indisch” from Indonesia
Entry Courtyard
V
Entry
Seven Landscaped Courtyards Hogeweyk Site Plan
Boulevard Grocery Store— In covered arcade
Entry Courtyard + Het Grote Plein
Het Grote Plein (2-story courtyard)
The Passage (Covered Arcade)
Resident + Caregiver on the way to do the day’s food shopping
Food Market
A “Typical” Wednesday Schedule with 10 Clubs scheduled throughout the day 22 Clubs are Scheduled each week Activity Room
Leonard Florence “Urban” Greenhouse
Library/Entry
Chelsea, MA
6 Floors x 2 clusters x 10 residents/units = 100 residents Dining Room/Kitchen
Outdoor PlanTerrace Outdoor Terrace
THE THERAPEUTIC VALUE OF PLANTS AND OUTDOOR SPACES Images of a German forest in the Lufthansa Senator Lounge, Frankfurt, Germany
Activity Center Gyngemosegard, DK
Small Interior Courtyard Rosenborg Centret, DK
Central Atrium Kuuselan Palvelukoti, FI
Patios and Balconies. Wintergardens + Erkers
Shared Wintergarden
Walking Pathways and Overlooks
Water Features
Opportunities for Exercise Outdoor Physical Therapy Equipment In Denmark Walking on a rope bridge to maintain balance control
Walking on stones, sand and pebbles to exercise small muscles
Dementia Gardens that Reduce Stress + Promote Exercise
1. Danish Home Care Worker Using Internet Monitoring
2. PACE: Program of All-inclusive Care Home Care and Day Care Combination Van Ride 2/3 x week Participant’s house
Brandman Center + Entry
Physical Therapy and Exercise Program exercises And fellowship
Brandman PACE Cntr Los Angeles, CA
Individual projects Dental hygiene
Thanks!
regnier@usc.edu University of Southern California Los Angeles, CA