an assignment presentation in health care architecture

1. HEALING ENVIRONMENT
AND
USE OF LANDSCAPING IN
HEALTH CARE

2. LANDSCAPING IN HOSPITAL
"The gardens and green spaces of a hospital should be
regarded as a counterbalance to the hospital itself"
Submitted to :
Nausheen Fatima Submitted from :
Shifa mohammad ziauddin

3. What is it ?
The green areas inside and outside of the hospitals designed
to overcome stress, improving mood, and increasing healthcare satisfaction .
Plants makes us feel good. Studies described that even a few minutes of visual
exposure to nature can significantly reduce patients stress.
Patients gain benefits from this kind of passive ways in the hospital surrounding .
(MSK) Regional Ambulatory Cancer Center
Since the earliest times, humans have needed to be sensitive to their surroundings
to survive, which means that we have an innate awareness of our environment and
seek out environments with certain qualities.

4. History
•This concept roots back from ancient Greek .
•Temples such as the sanctuary at Epidaurus were built for the god
Asclepius, where ill people went in the hope of having dreams where
he would reveal the cures for ailments .
• Since the Middle Ages, hospitals within monasteries used the
monastery gardens as areas for therapy and healing .
•The patient’s rooms had a view of the hospital gardens, which could
provide the patient with exposure to sunshine, a small lake, seasonal
flowers, rest areas or footpaths.
• Saragossa hospital in Spain, which was built in 1409, is one such
example that was used as inspiration from the landscape designers of
that era, particularly with regards to the way patients could interact
with one another.
• This became known in the nineteenth century as ‘Ethical Therapy’.

5. Necessity ?
• reduces stress and irritation
•5-7 minutes in nature or viewing natural scene can
-reduce physiological indicators of stress
-improve mood
-aid in healing
• tie together a variety of buildings — by function, style, or age —
into a campus-like setting.
•Create comfortable spaces for both staff and patients .

6. What makes landscape healing?
•
•Keep it green
•Keep it real
•Keep it interesting
•Engage multiple senses
•Mind the walkways
•Water with care
•Make entry easy

7. Healing gardens
In general healing is a process that promotes overall well-being .
In particular, it is a process that the body restores or recovers both physically or/and
mentally.
Moreover, it is a multidimensional process which includes physical, mental, spiritual,
emotional and social aspects.
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In general healing is a process that promotes overall well-being (Cooper Marcus & Barnes
1999). In particular, it is a process that the body restores or recovers both physically
or/and mentally. Moreover, it is a multidimensional process which includes physical,
mental, spiritual, emotional and social aspects.
The combination of these two terms, healing and garden is a healing garden.
Referred to different garden features that have the ability to foster restoration from stress
and also have other positive effects on patients, staffs and visitors .The features should
contain salient amount of real nature components such as green vegetation, water and
flowers.

8. Research theories
1. Ulrich’s stress recovery theory-predict that natural scenes tend to reduce stress,
whereas settings in built environment tend to hinder recovery from stress. He
approaches relating to health effects of landscape is known as “Healing garden”.
2. Hartig and Staats-researchers within environmental psychology have evaluated
whether the restorative effect of natural landscape is one of the reason why
people prefer natural landscape over urban ones.
3. Kaplan and Kaplan
4. Williams and Gesler- in another approach to study health effects of landscape
relate to concept of “Therapeutic landscape”
5. Cooper- Marcus and Barnes- They are used to describe either one or mixture of
three following process
a. Relief from physical symptoms illness or trauma.
b. Stress reduction and increase level of comforts for individual dealing emotionally
or physically tiring experiences.
c. Improvement in the overall sense of well being.

9. Uses of it

10. Land scape element
Vegetation which will consist of trees ,shrubs
,ground cover ,annual perennials ,vines ,and turf .
Serving the below given functions .
•Visual enhancement
•Wind control
•Erosion control
•Noise reduction
•Maintaining micro climate
•Buffer zone ( dust , noise , visual )
•Energy conservation.Types of scapes
•Land scapes ( greenery)
•Water scapes
•Pavement / Hard scapes
•Site amenities

11. The garden includes elements such as different walking surfaces for those learning
to walk again after a stroke with the aid of a walker or cane.
Differing planter edge heights so that patients learning fine motor control can sit or
lean while doing simple gardening tasks.
Labels that speech pathologists use in their work with patients regarding speech
after a stroke.
Similar outdoor facilities at other hospitals include slopes, steps, bridges, a range of
walking surfaces and parallel bars to aid in physiotherapy.

12. What are design principles of a healing garden?
Not all gardens have healing effects (Stigsdotter & Grahn 2002), they should have
special characteristics in order to be called a healing garden.
They must have few characters:
•Feeling of security - By being fenced off and safe, they could offer psychological
peace and space for relaxation .
•Understanding user groups and their needs -Healing gardens should be restorative
and helpful to participants for improving their well-being. In designing healing
gardens it is extremely decisive to understand the user groups and intention of the
garden.
•Offering different types of activities -In healing gardens, paying attention to the
need of different types of communication is crucial. One type can relates to
demanding environment.
•Different rooms- “Healing garden must be able to communicate with the visitors on
many levels through sight, smell, hearing etc.
•Surrounding and views- The geographical context of the garden has influence on
the garden and the experience of the garden. It is important to know what surrounds
the garden.

13. benefits
•Stress reducing effects of viewing plants:
Simply nature dominated structures , dominated by water , greenery , plants
, hard scapes help patients to recover bit sooner .
•Benefits for staff
•Physiological effect
•Positive effect of nature on all the peoples ( students, staff, patients )
•When land scaping is done it increase the aesthetic value , gives
connectivity between to blocks in campus.

14. Case study
SOUKYA ,
Dr Mathai's International Holistic Health Centre, Bangalore, India.
• deals in ayurvedic and punchakarma ,homeopathy ,naturopathy ,yoga,,siddha , unani
,acupuncture, reflexology treatment.
•Its origin is the ancient Greek word "holos," meaning "whole".
•SOUKYA is located on thirty acres of beautifully cultivated land in the countryside east of
Bangalore, about 50 minutes from the airport.
•Nine major structures are built around an oval, the centre of which is filled with lawns,
flowers, trees and a symbolic Open Portal that encourages an open heart, mind and soul.
• These nine buildings – the medical centre, the administrative centre, the yoga hall, the
therapy centre, the dining hall, and the four residential clusters are all built in the South
Indian traditional style, making use of as many local and handmade materials as possible.
•All buildings are ground-level structures, helping the body to connect at all times with
the magnetic force of the earth.

15. Case study
At entrance , the straight tree-lined drive helps to focus the mind and bring clarity of
thought and intention.
The ascending lamps along the drive help to elevate the person to a higher level.
The three fountains at the end of the drive symbolize the mind, body and spirit.
The lighting of lamps removes negative energy and the resonance of the handcrafted bell
also helps to clarify energies.
a)SWAGATH & SAMPOORNA . b)SHANTHI .

16. Case study
C)SHALA b)SADYA

17. Case study
The entire grounds are planted with flowers, flowering shrubs, and trees and attract many
colorful varieties of butterflies and birds.
Signs provide those who use the trail with the names of the various shrubs and trees that
can be seen along the way.
Organic vegetable gardens and fruit orchards enhance the beauty of the grounds and
provide the kitchens with much of the food prepared for meals.
A 2.2-kilometer walking and jogging trail encircles the whole property and runs along the
inside perimeter of the surrounding fences.

18. Case study