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SNEH – SMRUTI
(Love – Remembrance)
Hospice CareCenter for Adolescent
Cancer Patients and Their Families
Rajvi Rajeshkumar Patel
Chair: D.Kirk Hamilton
Committee: Michael O’Brien
Committee: Eric Bardenhagen
Masters in Architecture
Texas A&M University,
College Station.
ARCH 693 – Final Study
May'16
PROPOSITION
++
“When cure is no longer an option, care is!”
++PROPOSITION
“The span of time between diagnosis and death is a surreal waiting
game. Life goes on. For the dying and their family, there is much to
do, and also, nothing to be done.”
++PROPOSITION
+ In – Patient Hospice CareCenter
+ Out – Patient Social Aid
+ 24 Patient Units
+ Adolescent (10 – 24 years old)
+ Mothers
+ Round the clock care
+ Bedridden
+ Assistive mobility
+ Self mobility
+ Life Expectancy – 6 months or less
PROBLEMS
++
5 Stages of Grief
Kübler-Ross
Sensory design –
Compromised senses
Damage to cranial nerves leads to: dry mouth, odor sensitivity, hearing
loss, vision problems (blurred – double vision)
Damage to peripheral nerves leads to: pain, tingling, numbness,
clumsiness, sensation decrease.
++PROBLEMS
Hon, Jae HongHee H., Pinar Omur-Ozbek, and Brian Stanek. “Taste and Odor
Abnormalities in Cancer Patients”: The Journal of Supportive Oncology 7.2
(2009).Kübler-Ross model.
ARCHITECTURAL
SOLUTIONS
++
Healing Environment
Natural
Environment
Built Environment
Symbolic
Social
Environment
Prospect and Refuge
Peril
Enticement
Complex and Order
++ARCHITECTURAL SOLUTIONS
Designing for people
Gesler, Wilbert M.,Lanham, : “Healing Places”: Rowman and Littlefield (2003). Grant Hilderbrand: “Origins of Architectural Pleasures”: June 30 (1999).
CASE - STUDIES
++
++CASE - STUDIES
North London Hospice
+ Absence of a formal reception desk.
+ Windows – varying sizes.
+ Windows and slits allows light and connects the interior with the exterior.
+ Simple architecture : local materials; down to earth finishes.
+ Afford Hall Monaghan Morris www.archdaily.com
++CASE - STUDIES
Healthcare Center for Cancer Patients – A Place for Recovery
+ Irregular form taken by the courtyard – indulging and provides control over an individual’s choices.
+ Thin alleys – residentialism.
+ Combination of multiple houses combined to form a unified center.
+ Central location of the kitchen – loss of appetite ; involvement.
+ Proximity to hospital.
+ Nord Architects Copenhagen www.nordarchitects.dk/featured/healthcare-center
++CASE - STUDIES
Het Gielbos
+ Circulation path in the form of a loop.
+ Combination of multiple houses combined to form a unified center.
+ Houses facing at the huge center.
+ Loop in addition to the center, connects living spaces of the individual houses: lively communal space.
+ Huge central courtyard goes unused because of its size.
+ Dierendonck Blancke Architects www.divisare.com
++CASE - STUDIES
Karunashraya, Bengaluru, India.
+ Individual spaces that leads out to a Verandah overlooking the water : refuge v/s prospect.
+ Thin alleys – residentialism.
+ Vernacular material: stone walled corridors, residential and cultural.
+ Balance between the sizes and forms of courtyards: relation of the green spaces with the water.
+ Mulled Ink: Sanjay Mohe www.mulledink.blogspot.com/2012/03/karunashraya-hospice-with-soul.html
SITE
++
Bhat, Gujarat, India.
++SITE
Gandhinagar:
+ State Legislative Capital
+ Designed in grids adjacent to the Sabarmati river.
+ Government Aids
Ahmedabad:
+ State Economic Capital
+ Organic growth in rings around the Sabarmati river.
+ Healthcare facilities
+ Social workers
+ Midpoint of the two well developed cities.
+ Village - City setting
+ Social connections
++SITE
Broader Site Context:
+ Sardar Vallabhbhai Patel International Airport - 2.7miles
+ Civil Hospital - 4.5miles
+ Gujarat Technological University - 2.7miles
+ Singh Institute of Nursing - 1.8miles
+ Rajasthan Hospital - 4.5miles
Immediate Site Adjancencies:
+ Apollo Hospital - multispecialty hospital
+ S.S. Institute of Technology
+ Serenity Library - botanical garden and nature library.
+ Nature Club - Organization for protecting flora and fauna, youth
driven.
+ Grand Cinemas and Mall
++SITE
Climate:
+ Hot, semi-arid climate
+ Marginally less rain
+ Three seasons: summer, monsoon and winter
+ Extremely dry climate
+ Summer: max. 126F and Winter: min. 48F.
++SITE
Ahmedabad
+ Depicts deeply rooted caste and social structure
+ Point of entry for each Pol
+ Tightly packed conglomeration of houses articulated by a complex
system of open spaces.
+ Reflects the cultural and religious needs of the community.
CLIMATE
RESPONSIVE
ARCHITECTURE
++
++CLIMATE RESPONSIVE ARCHITECTURE
+ Zigzagging alleys help in establishing
shaded spaces throughout the day
providing a cool and comfortable
microclimate.
+ The larger elevation of the building
should face north and south.
+ Compact settlements with vegetation to
improve the micro-climate.
+ Grid in east-west direction for
movement of air.
+ Maximum shading
+ Ventilation
+ Courtyard as a cooling system.
CULTURE
RESPONSIVE
ARCHITECTURE
++
++CULTURE RESPONSIVE ARCHITECTURE
Public - semi-public – semi-private - private
+ Public + Semi - Public + Semi - Private + Private
++CULTURE RESPONSIVE ARCHITECTURE
Otlo (Raised Plinth)
+ The entrance space
+ Transitional zone
+ Deals with architectural solution of the problem of
connecting dwelling to the street.
+ Social aspect – symbolizing welcoming the guests and
auspiciousness.
+ Acts as an in-between realm
+ Informal Gatherings
Right : B.V. Doshi’s vision for Aranya housing.
++CULTURE RESPONSIVE ARCHITECTURE
Courtyard
+ Met the requirements of joint family system.
+ Protects from extreme weather.
+ Sense of enclosure and privacy
+ Religious and symbolical importance.
Bottom Right : CEPT. “Lost identity of Amdavad ni Pol.”
GOALS
++
+ Connection to the city + Intimacy with the nature
+ Medical + Financial + Social Support
+ Physical + Cultural Comfort
+ Ventilation + Built v/s Open Ratio
+ Public to Private Hierarchy
+ Otla + Courtyard + Verandah as social elements
CONCEPT
++
++CONCEPT
+ Plain landscape + Activating landscape
with circulation
+ Programme as a part
of the circulation
+ Creating active nodes
for interaction
++CONCEPT
++CONCEPT
++CONCEPT
++CONCEPT
+ Natural
Environment
++CONCEPT
+ Built
Environment
+ Symbolic + Social
Environment
Healing Environment Designing for people 5 Stages of Grief
+ Denial
+ Anger
+ Bargaining
+ Depression
+ Acceptance
+ Prospect
& Refuge
+ Complex
& Order
+ Peril
+ Enticement
CONCEPT DEVELOPMENT
++
Public
Semi – Public
Semi – Private
Private
Entry
Meeting Room
Administration
Social Service Offices
Bereavement Rooms
Courtyards
Cafeteria
Physiotherapy Room
Arjo Bath
Hydro Therapy
Sensory Immersion
Courtyards
Computer Room
Activity Room
Library
Physician Offices
Kitchen
Laundry
Residential Units
Family Dorms
Prayer Rooms
++CONCEPT DEVELOPMENT
++CONCEPT DEVELOPMENT
Public
Semi – Public
Semi – Private
Private
DESIGN
++
++DESIGN
Public – Private
Hierarchy
++
++DESIGN
Public – Private Hierarchy
Public
Semi – Public
Semi – Private
Private
++DESIGN
Public – Private Hierarchy
Public
Semi – Public
Semi – Private
Private
Welcome, Foyer
++
++DESIGN
Entrance
++DESIGN
Entrance
Approach, Foyer
++
++DESIGN
Way to the foyer
++DESIGN
Family/Visitors Sitting
Rest and
Independence
++
++DESIGN
Personal Patient Units
++DESIGN
Personal Patient Units
Public
Semi – Public
Semi – Private
Private
Escape
++
++DESIGN
Escape
++DESIGN
Escape
++DESIGN
Escape
++DESIGN
Escape
++DESIGN
Escape
Retreat and
Necessity
++
++DESIGN
Retreat and Necessity
Togetherness
++
++DESIGN
Social Elements
Courtyard
Otla
Verandas
Strength
++
++DESIGN
Strength
Tranquility
++
++DESIGN
Sensory Immersion
Kota Stone
++DESIGN
Sensory Immersion
Venetian Lime
Plaster
Kota Stone
Brick
++DESIGN
Sensory Immersion
++DESIGN
Sensory Immersion
Venetian Lime
Plaster
Kota Stone
White Marble
Floor Tile
++DESIGN
Sensory Immersion
++DESIGN
Sensory Immersion
Venetian Lime
Plaster
Brick
Pebbles
++DESIGN
Sensory Immersion
++DESIGN
Sensory Immersion
Venetian Lime
Plaster
Teak Cladding
++DESIGN
Sensory Immersion
++DESIGN
Sensory Immersion
Venetian Lime
Plaster
Refuge,
Inner Sanctum
++
++DESIGN
Refuge, Inner Sanctum
Tribulation,
Bereavement Room
++
++DESIGN
Tribulation, Bereavement Room
MATERIALS
++
Lime Plaster Brick Teak
++MATERIALS
Cement and
Concrete Blocks
Slate
Thank you for your time!
“Sneh Smruti is not a place for dying people. It
is a place to celebrate life and fill happiness
in the lives of these young ones.”

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