NEUROLOGICAL DISORDER CARE AND RESOURCE FACILITY

[Hypothetical]
Type: Institutional
Scale: 150 to 200 beds
Targeted disorders: Alzheimer's and other forms of dementia, Parkinson's and stroke

INTRODUCTION

According to a 2019 study by The Lancet global health, India is a home to nearly 3.69 million
people who are living with some form of dementia, 7.71 million people affected by
Parkinson's disease and a 1.29 million incident cases of stroke. However according to
WHO estimates only 5% - 15% of these disabled individuals have access to assistive devices.
Further, there is a severe disproportion in the number of care facilities that tackle such
disorder and existing care facilities are depressingly institutional.

NEED AND FEASIBILITY OF THE PROJECT

• A well designed built environment can have a great impact on the physical, emotional,
cognitive and spiritual well being of its inhabitants.
• Especially for patients of neurological disorders a healthcare institute should definitely be
able to provide respite through its spatial quality to a great extent.
• Architecture as a discipline might not have the ability to cure such diseases but it
definitely has the ability to provide a comfortable, safe and even healing
environment while reflecting on the fact that these facilities might as well be the
final home for most of its residents.
 THRUST AREAS OF SPECIAL STUDY

• Architectural design for the multisensory mind

• Concept of healing space through spatial and sensorial experience
• Study on how nature, light, colors and materials impact the perception of
OBJECTIVES OF THE PROJECT spaces

• To create a built environment that can ease the daily lives of patients
diagnosed with Neurological disorders and provide respite at the last stage
of their lives.
• To implement design ideologies, architectural elements, and principles
BOOKS FOR REFERENCE
in creating a state-of-the-art facility that can reimagine a specialised
healthcare facility for these Neurological disorders.
• Healing spaces, modern architecture and the body
• To provide a resource facility that can train care giving professional, By Sarah Schrank
counsel family members, raise awareness and spread knowledge about
such disorders. • The eyes of the skin: Architecture and the senses
• To understand the emotional and psychological needs of the patient By Juhani Pallasmaa
and propose a design philosophy that uses architectural element, colour
schemes and materials to meet the said needs. • Connecting people, place and design
By Angelique Edmonds

• Thinking Architecture
By Peter Zumthor

• Analysing architecture: Architecture as identification of a place

By Simon Unwin
CASE STUDIES

NIKISA dementia village and Alzheimer's hospital Nightingales center for ageing and Alzheimer's Karunashraya Hospice (LIVE CASE STUDY)
(LIVE CASE STUDY) (LIVE CASE STUDY) at Bengaluru, Karnataka
at Bengaluru, Karnataka at Bengaluru, Karnataka By Sanjay Mohe
SCALE: 100 beds in around 70 rooms SCALE: 96 beds SCALE: 85 beds
SITE AREA: 5 Acres (20234 sqm.) SITE AREA: 2 Acres (8200 sqm)
BUILT UP AREA: BUILT UP AREA: 3400 sqm

De Hogeweyk dementia village (NET CASE STUDY)
at Weesp, Netherlands
By Buro Kade architects
SCALE: 180 to 207 in house residents
SITE AREA: 4 Acres (16188 sqm.)
BUILT UP AREA: 276000 sqm.
Alzheimer’s village (NET CASE STUDY)
at Dax, France
By NORD Architects
SCALE: 120 in house residents
SITE AREA: 7 Acres (27870 sqm.)
BUILT UP AREA: 10700 sqm.
Carpe Diem dementia village (NET CASE STUDY)
at Donski, Norway
By Nordic office of architecture
SCALE: 160 in house residents
SITE AREA:
BUILT UP AREA: 18000 sqm.
 STATES OF INDIA ALZHEIMER’S OR PARKINSON’S STROKE
OTHER DEMENTIAS DISEASE SITE LOCATION 1: GOA
Highest prevalence rates of Parkinson's disease, Alzheimer’s disease and other
dementias and equally high rates of incident stroke cases. No comprehensive facilities
GOA 231 (93 – 552) 85 (68 – 104) 1485 (1105 – 1822)
are available to tackle the same.
KERALA 332 (129 – 726) 81 (68 -95) 1604 (1321 – 1908) SITE LOCATION 2: KERALA

TAMIL NADU 182 (77 – 420) 78 (65 -92) 1151 (934 – 1395) Highest prevalence rates of Parkinson's disease, Alzheimer’s disease and other
dementias and equally high rates of incident strokes. Existing facilities are not
equipped enough to handle the situation.
ASSISTED LIVING FULL TIME
FULL TIME
FOR DEMENTIA
RESOURCE AND
RESIDENTIAL
RESOURCE AND SITE LOCATION 3: PUDUCHERRY, TAMIL NADU
STATES OF RESIDENTIAL CARE SUPPORT SUPPORT
DAY CARE CENTER PATIENTS WITH CARE CENTRE
INDIA CENTRE FOR CENTRES FOR CENTERS FOR
DEMENTIA
OTHER
DEMENTIA
FOR
PARKINSON’S Highest prevalence rates of Parkinson's disease, Alzheimer’s disease and other
CONDITIONS PARKINSON’S
dementias and equally high rates of incident stroke cases. No comprehensive facilities
PARKINSON’S are available to tackle the same.
ARDSI GOA DISEASE AND
CHAPTER, MOVEMENT
SANGATH AND DISORDER
GOA - - -
COOJ MENTAL
-
SOCIETY AT
HEALTH PANJIM, TENATIVE PROGRAMS AND FUNCTIONS
FOUNDATION MAPUSA AND
MARGAO

COMPREHENSIVE • In house patient care facility

PARKINSON’S
HARMONY HOME
DEMENTIA DAY ARDSI
DISEASE AND • Day care center
CARE CENTER _ KOZHIKODE,
MALABAR,
ARDSI (THRISSUR,
SMRUTIPADAM
KOTTAYAM
MOVEMENT • Care and Rehab center for stroke and Parkinson’s
KERALA SNEHASADANAM COCHIN - DISORDER
AND HARMONY
COCHIN, AND
SOCIETY AT • Memory clinics and Rehab
ERNAKULAM, TRIVANDRUM
HOME KOTTAPADY
KOZHIKODE AND CHAPTER
COCHIN • Health and wellness clinics and wards
TRIVANDRUM) • Resource and information facility
ARDSI
• Caregiver training facility
DEMCARES DAY
CHENNAI • Research and development facility
CHAPTER AND
TAMIL CARE CENTRE AND
DEMCARES • Therapy centers
- ARDSI CHENNAI - - -
NADU CHAPTER DAY CARE
RESOURCE • Visitors and staff housing
AND
CENTER
TRAINNING • Common amenities
CENTER
PARAMETERS SITE 1 |
***** SITE 2 |
***** SITE 3 |
*****

LOCATION

Willingdon island, Kochi city Thengaithittu, Puducherry Besant nagar, Chennai

***** ***** *****

53, 430 sqm 55,660 sqm 51,800 sqm
AREA (13 Acres) (14 Acres) (13 Acres)

Moderate and tropical Semi arid type climate; hot and Warm and humid climate year
monsoon climate; No harsh oppressive year round round
CLIMATE extremities

***** ***** *****

• Adjoined by NH66 and
Kollam Kottapuram
waterway
SITE CONTEXT • Surrounding builings
Indian maritime university
and Naval officers
quarters
• Close proximity to NH 32 and
adjoined by Thengaithittu
estuary
• Surrounded by residential
buildings and Pondicherry
harbour
• Situated next to
Theosophical society (250
acres of dense vegetation)
• Located within the city
surrounded majorly by
residential buildings
PARAMETERS SITE 1 |
***** SITE 2 |
***** SITE 3 |
*****

SITE
GEOMETRY

Public and semi Public and semi

LAND USE public public
Institutional

Via 18 m wide Kochi – Via 12 m wide Thengathittu Via 10 m wide Besant Avenue
Panvel highway and 10 m fishing harbour road road
ADJOINING wide Kannangat – Willingdon
ROAD island bridge

***** ***** *****

• 2.6 Km from Kochi city
center
• 10 Km from Ernakulam
ACCESS AND railway station
CONNECTIVITY • 34 Km from Kochi airport
• 4.1 Km from Puducherry
city center
• 3 Km from Puducherry
railway station
• 3 Km from Cuddalore road
• 14.5 Km from Chennai airport
• 11.5 Km from Central railway
station
• 1.5 Km from Edwards Elliot's
beach

***** ***** *****

• 3m Slope along • 2m Slope along • 3m Slope along NS axis
TOPOGRAPHY NS axis NS axis • 2m Slope along EW axis
AND CONTOUR • 4m Slope along • 1m Slope along
EW axis EW axis

***** ***** *****

SITE LOCATION 1 – WILLINGDON ISLAND, KOCHI CITY

SITE EXTENT – 50,430 sqm (13 Acres)

CO ORDINATES - (9°55'40.24"N)
(76°17'21.32"E) SITE ACCESS
Via 18 m wide Kochi – Panvel highway and 10
m wide Kannangat – Willingdon island bridge

SITE DETAILS
• 2.6 Km from Kochi city center
LAND USE • 10 Km from Ernakulam railway station
Public and • 34 Km from Kochi airport
semi - public
SITE STRENGTHS
• Close proximity to city center
• Out of the way site (Away from mainstream
traffic)
• 210 meter waterfront position
SITE LOCATION 2 – THENGATHITTU, PUDUCHERRY

SITE EXTENT – 55.660 sqm (14 Acres)

CO ORDINATES - (11°54'49.01"N) SITE ACCESS
(79°49'31.91"E) Via 12 m wide Thengathittu fishing harbour
road

SITE DETAILS
• 14.5 Km from Chennai airport
• 11.5 Km from Central railway station
LAND USE • 1.5 Km from Edwards Elliot's beach
Public and
semi - public SITE STRENGTHS
• Close proximity to city center
• Out of the way site (Away from mainstream
traffic)
• 350 meter waterfront position
(Estuary front)
SITE LOCATION 3 – BESANT NAGAR, CHENNAI

SITE EXTENT – 51,800 sqm (13 Acres)

CO ORDINATES - (13° 0'20.41"N)
(80°16'10.29"E)
SITE ACCESS
Via 10 m wide Besant Avenue road

SITE DETAILS
• 14.5 Km from Chennai airport
LAND USE
• 11.5 Km from Central railway station
Institutional
• 1.5 Km from Edwards Elliot's beach

SITE STRENGTHS
• Prime location within the city extents
• Surrounded by dense vegetation
 PROGRAM DERIVATION

FULL PROGRAM AREA (sqm) PURPOSE

This facility will constitute spaces that will

Training and cater to providing training and raising
685
resource facility awareness among family members and care
givers regarding the disorders

This facility will constitute spaces that will

Community
form the day to day activity, recreation and
spaces and 895
support spaces that form grounds for social
recreation center
interaction among the patients.

Common patient
care facilities 1305

Patient care This constitutes in house residential units for

11650
facility patients and comprehensive day care centers

TOTAL 14535
 FUNCTION TYPOLOGY NO. OF UNIT AREA QUANTITY TOTAL PURPOSE
USERS (sqm) AREA (sqm)
To conduct programs for
Auditorium
Public 100 190 1 190 patients, family members,
(100 Pax)
care givers and training

To train care givers and

Classroom Public 20 40 3 120 nurses

Psychiatrists (2), General

Doctor’s 1 Doctor per physicians (4), Counselors
Private 10 20 200 (2), Physiotherapists (4),
suite unit
Neurologists (4) and
Occupational therapists (4)

Training and resource facility

To hold discussions and
This facility will constitute spaces that will cater to Amphitheatre
Public 50 - 1 - meetings as a part of the
providing training and raising awareness among family (50 Pax)
training facility
members and care givers regarding the disorders

Conference To hold discussions and

room Public 8 30 2 60 meetings as a part of the
(8 Pax) training facility

Admin
Private 5 45 1 45 -
office

To provide state of the art

Resource
Public 10 70 1 70 resource material regarding
library
the disorders

TOTAL 685
 FUNCTION TYPOLOGY NO. OF UNIT AREA QUANTITY TOTAL PURPOSE
USERS (sqm) AREA (sqm)
Activity and interaction
Library Public 25 - 30 170 1 170 spaces

To provide a space for year

Conservatory Public - 200 1 200 round gardening experience
for the patients

Art, music, cognitive

Activity
Private 10 per unit simulation, speech
workshops 25 5 125 therapies and so on

Activity and interaction

Yoga studio Public 10 50 1 50 space
Community spaces and recreation center
This facility will constitute spaces that will form the day to Activity and interaction
day activity, recreation and support spaces that form Gymnasium Public - 75 1 75 space
grounds for social interaction among the patients.

Activity and interaction

Indoor games Public - 75 1 75 space
room

Restaurant /
Public 20 75 1 75 -
cafe

Grocery
Public - 45 1 45 -
store

Activity and interaction

Family Public - 80 1 80 space
lounge

TOTAL 895
 FUNCTION TYPOLOGY NO. OF UNIT AREA QUANTITY TOTAL PURPOSE
USERS (sqm) AREA (sqm)

Entrance
lobby and Public - 150 1 150 -
waiting area

Consultation To provide out patient

Public 1 15 3 45
room consultation

Family
To provide family
counseling Public 1 25 2 50 counseling
room

Patient
receiving Public 5 patients 120 1 120 -
Common patient care facilities ward

To provide assessment and

Memory clinic Public - 60 1 60 diagnosis facility

Pharmacy Public - 30 1 30 -

Dining area
Public 150 480 1 480 -
(150 Pax)

Kitchen Private - 120 1 120 -

Mortuary Private - 250 1 250 -

TOTAL 1305
 FUNCTION TYPOLOGY NO. OF UNIT AREA QUANTITY TOTAL PURPOSE
USERS (sqm) AREA (sqm)
To provide comprehensive
Day care Public 50-75 150 1 150 day care for out patients on
center a daily basis

Private room Private 1 Patient 30 25 750 Single person living unit

(1 Pax) with attached washroom

Private 1 patient, Family living unit with

housing unit Private 1 family member 100 25 2500 attached washroom,
(2 – 3 Pax) and 1 care giver kitchenette, dining and
per unit living area

1 patients and 1 Two family living units with

Double
Patient care facility family member per attached washroom,
housing unit Private 120 40 4800
This constitutes in house residential units for patients unit with 1 care kitchenette and a common
(5 Pax) care giver room
and comprehensive day care centers giver per 2 units

5 patients Group living unit with

Group
and 1 – 2 common washroom and
housing unit Public 200 15 3000
support care giver room
(5 – 7 Pax) 10% earmarked for EWS
staff

Care giver Single person living unit

living units Private 1 30 5 150 with attached washroom
(1 Pax)

Doctor’s Single person living unit

living units Private 1 30 10 300 with attached washroom
(1 Pax)

TOTAL 11650