ID461_Project4_Research
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Northern Arizona University *
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Course
461
Subject
Medicine
Date
Jan 9, 2024
Type
docx
Pages
21
Uploaded by MAKENZIEWESTBROOK
1)
Project Overview
a)
Description
i)
The "Janet Dalimore Nephrology Center" project in Rancho Mirage, California, seeks to establish a cutting-edge outpatient kidney nephrology and dialysis treatment
facility adjacent to the Eisenhower Medical Center. Operated by DaVita Inc., the center will provide state-of-the-art hemodialysis and peritoneal treatment with continuous physician and nursing services. The project emphasizes customization, delivering individualized treatment tailored to each patient's unique needs. Focused on creating an inviting atmosphere, the design aims to dispel common misconceptions about dialysis centers and healthcare interior design. Positioned in the vibrant medical corridor of Bob Hope Drive, the center contributes to the region's premier medical facility, meeting the evolving healthcare needs of the Rancho Mirage community.
b)
Location
i)
Rancho
Mirage,
California
-
near
Coachella
ii)
Second floor of new nephrology center
iii)
Adjacent to the Eisenhower Medical Center
complex.
c)
Demographic
i)
Rancho Mirage Population: Approximately 17,600 residents, with a significant demographic of individuals aged 45 to 64 (30%) and those over 65 (43%).
ii)
Regional Influence: Located in Coachella Valley, known for its popularity among retirees and home to the Betty Ford Center.
iii)
Economic Impact: Combined estimated annual income of Palm Springs and surrounding desert resort communities exceeds $1.3 billion, with the total income doubling when factoring in visitors, partial-year residents, and tourists ($2 billion).
d)
Patient Experience
i)
Customized Treatment: Tailored hemodialysis and peritoneal treatment plans to meet the unique needs of each patient.
ii)
Inviting Atmosphere: Design focused on creating a warm and welcoming environment to counter common misconceptions about healthcare facilities.
iii)
Individualized Comfort: Efforts to boost patient spirits and well-being through thoughtful interior design choices.
iv)
Stress Reduction: Aim to make the hemodialysis experience less threatening and more akin to a doctor's office visit than a hospital stay.
v)
Calming Elements: Use of familiar, non-institutional materials, cheerful colors, and varied textures to reduce stress and promote a sense of comfort.
vi)
Natural Light: Incorporation of natural light and color-corrected lighting to create a soothing atmosphere.
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vii)
Dignity and Privacy: Visual screening within dialysis pods and sound insulation to ensure patient privacy and dignity.
viii)
Patient Independence: Layout designed to encourage patient independence with clear signage, cues, and unobstructed routes.
ix)
Patient-Focused Design: Consideration of the patient's journey through the treatment process in both architectural and artistic elements.
2)
Client Overview
i.) Background
a.
Janet Dalimore, a dynamic entrepreneur overseeing three businesses in southern California, embarked on her professional journey by founding a graphics shop. Supporting herself through law school, she later managed the family date farm and ventured into real estate after the sale of family property.
ii.)
Personal Connection to Dialysis
a.
The Nephrology & Dialysis Center is rooted in Janet's personal experience, witnessing her grandfather's impersonal dialysis treatment. This emotional connection underscores the importance of a patient-centric approach in the design.
iii.)Philanthropic Contribution
a.
Janet's substantial $2 million donation to the Eisenhower Medical Center Foundation demonstrates her commitment to the project's success and aligns her vision with the broader healthcare goals of the facility.
iv.) Client's Vision for the Center
a.
Ms. Dalimore's directive to create a unique and inviting space, considering budget constraints and appealing to the target demographic of baby boomers,
outlines the key design principles critical for the success of the Nephrology & Dialysis 3)
Goals
a.)
Codes
i)
Will comply with minimum requirements of the Americans
with
Disabilities
Act
(ADA)
and the GSA's
ADA
Accessibility
Standards
as well as HIPPA
ii)
Indoor Air Quality
(1)
ASHRAE and OSHA Compliance
a.) - Adherence to codes set by ASHRAE
and OSHA
ensures indoor air quality aligns with stringent standards.
(2)
Ventilation System Standards
a.) Implementation of ventilation systems equipped with HEPA filters is mandated for effective removal
of airborne particles, pathogens, and chemical pollutants.
(3)
Patient and Staff Safety
a.) Stringent indoor air quality measures aim to create an environment that prioritizes the health and
safety of both patients and healthcare professionals.
(4)
Regular Monitoring and Maintenance
a.) Ongoing monitoring and maintenance of ventilation systems are imperative to sustain compliance with codes and uphold optimal indoor air quality standards.
(5)
Respiratory Risk Mitigation
a.) Rigorous indoor air quality management is crucial to mitigate the risk of potential respiratory complications for individuals undergoing hemodialysis treatments.
b.)
Elements of Design
i.) Line:
a.
Fluid Treatment Pod Layout: Incorporate curved and flowing lines in the design of treatment pods, avoiding sharp angles to create a fluid and calming environment for patients.
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b.
Strategic Spatial Dividers: Use subtle lines to separate different functional areas within the center, maintaining an open and interconnected layout while providing visual distinctions.
ii.)
Shape:
a.
Soft Contours in Furniture: Opt for furniture with soft contours and rounded shapes to create a welcoming and non-institutional feel within the treatment areas.
b.
Distinctive Reception Desk: Design the reception desk with a unique and memorable shape to serve as a focal point, enhancing the overall aesthetic of the entry space.
iii.)
Form:
a.
Organic Forms in Artwork: Integrate artwork with organic forms and shapes to add visual interest and break away from traditional medical aesthetics, contributing to a more uplifting atmosphere.
b.
Customized Treatment Stations: Develop treatment stations with ergonomic forms that prioritize patient comfort and contribute to the overall positive experience during dialysis.
iv.)
Space:
a.
Open and Inviting Reception Space: Ensure the reception area feels open and inviting, using spatial planning to create a sense of welcome as patients enter the facility.
b.
Efficient Space Utilization: Strategically allocate space to balance functionality and aesthetics, avoiding overcrowding while
maintaining a layout that supports the efficiency of medical operations.
v.
Texture
:
a.
Comfortable Fabric Selection: Choose soft and comfortable textures for furniture and seating, prioritizing materials that enhance the overall comfort of patients during extended treatment sessions.
b.
Variety in Surface Finishes: Integrate a variety of surface finishes, including smooth and textured elements, to create a visually engaging
environment while considering the tactile experience for patients and staff.
c.) Psychological Effects of Lighting on Mood Congruence
i.
Psychological Comfort
a.
Soft, warm lighting in the 2700K to 3000K color temperature range has been linked to psychological comfort. This range is akin to the warmth of natural sunlight during sunrise and sunset
.
ii.
Melatonin Regulation
a.
Exposure to soft, warm lighting has been associated with the regulation of melatonin production
. Melatonin, the sleep hormone, plays a crucial role in the sleep-wake cycle. The calming effect of warm lighting can contribute to a more relaxed state, potentially aiding in sleep quality.
iii.
Circadian Alignment
a.
Soft, warm lighting supports the alignment of circadian rhythms
. Mimicking the natural progression of sunlight, it signals to the body that it's transitioning toward the evening, helping individuals wind down and fostering a sense of tranquility.
iv.
Reduced Glare and Harsh Shadows
a.
Soft lighting minimizes harsh shadows and glare, creating a visually comfortable environment. This reduces eye strain and promotes a softer, more soothing ambiance.
v.
Emotional Associations
a.
Warm lighting is often associated with positive emotions, coziness, and a sense of security. This emotional connection can contribute to
an overall feeling of comfort and well-being.
vi.
Patient/Caregiver Wellbeing Focus
a.
Soft, warm lighting is deliberately chosen to prioritize the mental and emotional wellbeing of both patients and caregivers. The aim is
to create a comforting atmosphere that contributes to stress reduction, fosters emotional resilience, and enhances the overall holistic experience of dialysis treatments.
Incorporating soft, warm lighting into the Janet Dalimore Nephrology Center aligns not only with the psychological aspects of comfort but also with physiological responses, creating an
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environment conducive to relaxation and emotional support for patients undergoing dialysis treatments. 4)
Design Statement
i)
The Janet Dalimore Nephrology Center is a transformative vision poised
to redefine the dialysis experience in Rancho Mirage. Rooted in the belief that healing extends beyond medical treatment, our concept revolves around creating a warm, personalized haven for patients. Inspired by the desert landscape, the center aims to harmonize cutting-
edge hemodialysis and peritoneal treatment with a soothing, patient-
centric environment. We envision a space where each patient feels not just cared for, but truly seen—dispelling the clinical atmosphere associated with dialysis. By infusing artful design, individualized comfort, and a welcoming ambiance, the Janet Dalimore Nephrology Center aspires to elevate the dialysis journey into a holistic and rejuvenating experience.
5)
Collecting and Analyzing Facts
a.)
Existing Conditions
i)
Air Quality
ii)
Curved exterior walls with windows
b.)
Treatment Summary
i)
Provide state-of-the-art hemodialysis and peritoneal treatment
ii)
Provide continuous physician and nursing services for each individual’s needs
iii) Support outside physicians working with end-stage renal disease. iv)
Boost patient’s physical and mental health
c.) Competitors
i)
Eisenhower
Medical
Center
d.)
Number of People to Accommodate
i)
10 dialysis stations
ii)
Overall facility occupancy with staff and patients to be determined according to commercial building occupancy codes.
e.) Adjacencies
i)
Interior Adjacencies
a.
Reception and Clerical Office/Patient Records adjacent to entry and waiting area
b.
Isolation Dialysis Room adjacent to Nurses Station, Central
Dialysate Preparation. Away from Reception, Waiting Area,
Children’s Day Room
c.
Peritoneal Dialysis Training Room adjacent to Dialysis Treatment Area
d.
Dialysis Treatment Area adjacent to Nurses Station, Central
Dialysate Preparation. Away from Reception, Waiting Area, Children’s
Day Room
e.
Central Dialysate Preparation & Final Water Treatment Area adjacent to Treatment area(s), Soiled utility
f.
Medical Storage near the entry and waiting area
g.
Clean Utility Room adjacent to Soiled Utility Room
h.
Soiled Utility room adjacent to Clean Utility Room, Dialysate Preparation Room
i.
Unisex Restroom adjacent to Treatment areas, Nurses Station, away from offices
j.
Children’s Day Room near the entry and waiting area
k.
Recovery Room near the waiting area
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ii)
Exterior Adjacencies
a.
Eisenhower Medical Center
6)
Determining Needs
a)
Budget
i)
Equivalent of $100,000 for comforting and uplifting artwork
ii)
No specified overall budget for the facility
b)
Timeline
i)
No given timeline; to be determined
c)
Requirements by Room
i)
Entry & Waiting Area a.
Sq. Footage: +/- 325 s.f. b.
Finishes: Carpet, wallcovering, paint, wood c.
FFE: Comfortable seating for 5 to 6 persons divided into small conversational units, tables, brochure display, lamp fixtures 1.
Reception
a.
Sq. Footage: +/- 200 s.f. b.
Finishes: Carpet, wallcovering, paint, wood c.
FFE: Not too large, Comfortable seating for 1 person, ADA accessible
d.
Signage: Main signage for suite off elevator entrance 2.
Clerical Office/Patient Records a.
Sq. Footage: +/- 250 s.f.
b.
Finishes: Carpet, wallcovering, paint, similar to adjacent offices and
work areas c.
FFE: 36”w 5-hi lateral files with locks, 50% medical file/ 50% open
shelving, desk with chair, copy machine d.
Signage: Main signage for suite iv.)
Physician Office e.
Sq. Footage: +/- 150 s.f. f.
Finishes: Carpet, wallcovering, paint, wood… An area where money should be spent if it is to make a good impression of quality and competence g.
FFE: U-shaped desk, side seating for 2, small table for informal conferencing h.
Signage: Main signage for suite i.
Nurses’ Station j.
Sq. Footage: +/- 180 s.f. k.
Finishes: Carpet, wallcovering, paint, quality countertop, An area where money should be spent if it is to make a good impression of quality and competence l.
FFE: Custom millwork with built-in sink, quality work surfaces, comfortable seating for two to work sitting or standing Refer to medical furnishings provider v.)
Counseling, Social Work, and Dietician Office a.
Sq. Footage: +/- 400 s.f.
b.
Finishes: Carpet, base, paint, lay-in grid ceiling c.
FFE: Small conference table for three or four people with small mobile A/V cart, two computers, desktop copier/printer. Small kitchen with refrigerator and microwave.
vi.)
Isolation Dialysis Room a.
Sq. Footage: +/- 200 s.f. b.
Finishes: Linoleum, 6” tall base, wall protection 48” AFF, lay-in grid ceiling. An area where money may be spent if it will affect patient well-being c.
FFE: Two Dialysis treatment chairs with dialysis machines, ceiling or wall mounted, TV/DVD unit with remote. Refer to medical furnishings provider vii.)
Peritoneal Dialysis Training Room a.
Sq. Footage: +/- 240 s.f. b.
Finishes: Linoleum, base, paint, lay-in grid ceiling c.
FFE: Refer to medical furnishings provider viii.)
Dialysis Treatment Area (Pod of 10) a.
Sq. Footage: +/- 800 s.f. total, 80 s.f. per reclining treatment chair min. b.
Finishes: Linoleum, 6” tall base, wall protection 48” AFF, lay-in grid ceiling. An area where money may be spent if it will affect patient well-being c.
FFE: Refer to medical furnishings provider
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ix.)
Central Dialysate Preparation & Final Water Treatment Area a.
Sq. Footage: +/- 400 s.f. b.
Finishes: Linoleum, base, paint, lay-in grid ceiling c.
FFE: Casework and counters, shelving, lavatory, reverse osmosis water filter. x.)
Medical Storage a.
Sq. Footage: +/- 350 s.f. b.
Finishes: Carpet, base, paint, lay-in grid ceiling c.
FFE: Intensive Shelving. Refer to medical furnishings provider xi.)
Clean Utility Room a.
Sq. Footage: 80 s.f. b.
Finishes: Mosaic tile flooring, coved tile base, ceramic tile wainscot below, paint above c.
FFE: Casework and countertops, shelving, lavatory xii.)
Soiled Utility room (including Bio-Hazardous Management) a.
Sq. Footage: 80 s.f. b.
Finishes: Mosaic tile flooring, coved tile base, ceramic tile wainscot below, paint above, painted gypsum board ceiling c.
FFE: Casework and countertops, shelving, lavatory xiii.)
Unisex Restroom a.
Sq. Footage: +/- 60 s.f. b.
Finishes: Ceramic tile flooring, ceramic wall tile 48”A.F.F. min., painted gypsum board ceiling
c.
FFE: Wall-hung lavatory with paddle faucet set, ADA toilet. Soap and paper towel dispenser by others d.
Other: Wheelchair accessible, “occupied” locking door hardware
xiv.)
Children’s Day Room a.
Sq. Footage: +/- 250 s.f. b.
Finishes: Carpet, base, wallcovering, paint, lay-in grid ceiling
c.
Lighting: Fluorescent ambient lighting d.
FFE: Children’s table with 4 chairs, shelving and countertop, 2 guest chairs,
xv.)
Recovery Room a.
Sq. Footage: +/- 340 s.f. b.
Finishes: Carpet, wallcovering, paint, wood… An area where money should be spent if it is to make a good impression of quality and competence c.
FFE: Comfortable seating for 6 to 8 persons divided into small conversational units, side tables, lamp fixtures
Works Cited
“Accessible Medical Diagnostic Equipment.” ADA National Network
, 16 Nov. 2023, adata.org/factsheet/accessible-medical-diagnostic-equipment.
“Ada Standards for Accessible Design.” ADA.Gov
, www.ada.gov/law-and-regs/design-
standards/. Accessed 7 Nov. 2023.
“Cleanable, Disinfectable Ceiling Tiles.” Armstrong Ceiling Solutions – Commercial
, www.armstrongceilings.com/commercial/en/performance/cleanable-disinfectable-ceiling -
tiles.html. Accessed 7 Nov. 2023.
“Demographic Information.” City of Rancho Mirage
, 10 Aug. 2022, ranchomirageca.gov/our-city/about-rancho-mirage/demographic-information/.
Desert Shapes - Desert Botanical Garden
, dbg.org/wp-content/uploads/2020/08/DBG_FLN_DesertShapes.pdf. Accessed 7 Nov. 2023.
“Dialysis Centers - What to Expect: Medlineplus Medical Encyclopedia.” MedlinePlus
, U.S. National Library of Medicine, 2022, medlineplus.gov/ency/patientinstructions/000706.htm.
“Eisenhower Health Main Campus.” Eisenhower Health
, eisenhowerhealth.org/locations/?&action=detail&dataRef=15. Accessed 7 Nov. 2023.
Your preview ends here
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Franco, José Tomás. “The Importance of Antibacterial Surfaces in Healthcare Architecture.” ArchDaily
, ArchDaily, 30 Apr. 2020, www.archdaily.com/938260/the-
importance-of-antibacterial-surfaces-in-healthcare-archit ecture.
“Furniture Standards for Healthcare Facilities.” Research - Herman Miller
, www.hermanmiller.com/research/categories/white-papers/furniture-standards-for-health care-
facilities/. Accessed 7 Nov. 2023.
“Health and Safety for the Healthcare Sector.” Silentia
, 26 Sept. 2023, silentiascreen.com/us/infection-control/.
“Health Care and the Americans with Disabilities Act.” ADA National Network
, 16 Nov. 2023, adata.org/factsheet/health-care-and-ada.
“Hospital Floor and Wall Finishes.” Sika USA - Protecting the Past. Building the Present.
Innovating for the Future.,
usa.sika.com/en/construction/floor-wall/resource-center/guides/floor-guides/hospital-fini shes.html. Accessed 7 Nov. 2023.
Lambert, Ken. “5 Masonry and Tile Healthcare Trends to Watch.” 5 Masonry and Tile Healthcare Trends to Watch
, info.imiweb.org/blog/5-masonry-and-tile-healthcare-trends-to-
watch. Accessed 7 Nov. 2023.
“LED Lighting.” Energy.Gov
, www.energy.gov/energysaver/led-lighting. Accessed 7 Nov. 2023.
“Meaning II I719V.” Patcraft
, www.patcraft.com/product/detail/meaning-ii-I719V/00105?installation-method=brick&cat egory=Default&room-scene=1165. Accessed 7 Nov. 2023.
National Accessibility Program
, GSA, www.gsa.gov/system/files/National_Accessibility_Program_Standards_Policies_and_Pr ocedures_2-1.pdf. Accessed 7 Nov. 2023.
PlumbingSupply.com®. “High-Quality Plumbing for Medical & Healthcare Facilities.” The Premier Online Plumbing Supplier Since 1995
, www.plumbingsupply.com/medical-
healthcare-products.html. Accessed 7 Nov. 2023.
Proteksystem, and Dennis Chalas. “Protek Common Types of Wall Protection Used in Healthcare Facilities.” ProtekSystem
, www.proteksystem.com/blogs/common-types-of-wall-
protection-used-in-healthcare-facili ties-165#:~:text=Like%20PVC%20wall%20panels%2C
%20rubber,choice%20for%20hig h%2Dtraffic%20areas. Accessed 7 Nov. 2023.
Submissions, Rene. “A Sustainable Future for Hospitality Design: The Bette Intelligence Series.” ArchDaily
, ArchDaily, 22 Sept. 2022, www.archdaily.com/989299/a-sustainable-future-
for-hospitality-design-the-bette-intellige nce-series.
Toilet Rooms - U.S. Access Board - Home
, www.access-board.gov/files/ada/guides/toilet-
rooms.pdf. Accessed 7 Nov. 2023.
“Top 10 Reasons Stainless Steel Is Right for Healthcare Design.” Tech Briefs
, SAE Media Group, 20 Oct. 2020,
www.medicaldesignbriefs.com/component/content/article/mdb/pub/features/technology-l eaders/36925.
What Is Antimicrobial Paint and Is It Safe for Your Home?
,
www.fivestarpainting.com/blog/2022/june/what-is-antimicrobial-paint-and-is-it-safe-for-y/ . Accessed 8 Nov. 2023.
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