Professional Documents
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RESPITE CARE
RESIDENTIAL CARE
BEDRIDDEN CARE
PALLIATIVE CARE
RESPITE CARE :
SPECIALIZED ALZHEIMER’S CARE:
• Respite care provides relief for the caregiver. It takes some of the burden and stress away, whether • Alzheimer’s disease is a progressive brain disease. It causes problems with cognitive functions like
it’s for a few hours a day or a few days a week. Getting respite care is important for your health and memory, judgement, decision-making, and behavior. Symptoms are unpredictable, but usually develop
slowly and worsen over time.
for your ability to continue to provide care for your loved one .
• In the early stages, memory loss and other symptoms are usually mild. In later stages, people often have
• Respite care includes a variety of services such as home-based care, skilled nursing, home health, symptoms like problem of communication, complete dependence on others for care, loss of mobility,
residential programs and companionship. incontinence, problems eating, and unusual behaviors like repeating questions or asking to go “Home”
• The most important benefit of using respite care, whether it be short term or on a week to week basis, • Alzheimer’s is the 6th leading cause of death in the United States. As of now, there is no cure. Current
is that it lets you manage your personal life. Taking a break from being a caregiver to focus on yourself, treatments may reduce or delay symptoms, but typically work best in the early stages of the disease.
your other responsibilities and your spouse and kids is key to keeping a healthy lifestyle while caring
for a loved one. • After symptoms become noticeable, the average Alzheimer’s patient usually lives another 8 years. But
depending on age and other health conditions, patients could live from 4 to 20 years.
• Caregivers commonly use respite care when:
• These can take many forms and exist within various types of residential care. Including assisted living
They need to travel. facilities, and they may or may not be locked or secure units.
They need a break.
Their loved one wants a trial for a senior community. • Such units most often cluster settings in which persons with dementia are grouped on a floor or a unit
Their loved one needs a change of pace. within a larger residential care facility.
The need to help their loved one ease into permanent senior living.
• Among the many services in an Alzheimer’s SCU, you should expect that staff has received specialized
training in care needs for people with Alzheimer’s, programming caters to the needs of people with
memory problems and safety measures, such as secured exits, are ensured.
RESIDENTIAL CARE: • A standard rundown of memory care services includes:
Name : p. sripooja
• The people who are completely abandoned by their families and stay there for long. A private or semi-private room
24-hour personal assistance
• These places provide care to small groups of adults over age 60. They’re also commonly known as Three daily meals Roll no. : 16091AA049
board and care homes. Medication management
Cognitive and physical therapies
• Residents can expect:
Exercise activities
Social activities
semester : 4th
A single or double room (not an apartment) Housekeeping and laundry AREA REQUIREMENTS :
Shared bathroom
Meals College : vsap-h
Housekeeping • A person-centered approach to improve: • PEOPLE : 70
Personal care
• In a residential care home, your older adult can live as normal a life as they’re able. They can go
Encouraging social interaction and engagement to the patient’s level of comfort.
Helping seniors remain calm and keeping them safe.
• 5 TYPES OF ACCOMMODATION
Date :
shopping, have friends and family visit whenever they want, go for walks, dine out, etc. Understanding how to minimize cognitive and behavioral symptoms and outbursts. • COUNSELLING CENTRE
Adapting care methods and surroundings as needed as the disease progresses.
• It’s a great option for those who can’t live independently, but hate the idea of an large institutional setting. Offering family support and updates when necessary. • EXERCICES (MEDITAION, WALKING, YOGA)
• DINING Signature :
• KITCHEN
• •
Comprehensive care may be needed on a daily basis, not only medically but physically also. Medical
staff is on duty “twenty four hours” a day, medications are given, therapy may also be given.
• Palliative care relieves the side effects and symptoms of an illness, but does not replace your primary CONFERENCE HALL
Remarks :
care for the illness. Its goal is to make you comfortable and improve your quality of life.
• SPORTING SPACE
• Rooms may be shared giving the room a dorm-like atmosphere. All meals are provide and some have a • Palliative care is treatment for the physical, emotional and psychological symptoms that can occur
snack bar or coffee centre for in-between. This is where twenty four hour care is necessary. during a serious illness. In modern palliative care, doctors and care givers focus, not on curing or • TEMPLE
extending life, but on optimizing everyday life.
• Services to be provided: • LIBRARY
• Benefits of palliative care:
Help rehabilitate patients after injuries • HOSPITAL
Conduct routine check-ups and screenings improves quality of life
Develop patient care plans gives relief from pain and other distressing symptoms • GOUSHALA
Administer medication
Assist with pain management
supports life and keeping people as healthy as possible, regarding dying as a normal process
• SPA
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doesn’t quicken or postpone death
Bathing and bedsore prevention combines psychological and spiritual aspects of care
Helping Patients keep their independence offers a support system to help people live as actively as possible until death • ENTERTAINMENT CENTRE
offers a support system to help the family cope during a person’s treatment and in bereavement
• Because of their fragile health, elderly individuals often need special care, particularly since a minor uses a team approach to address the needs of the person who is ill and their families • PETS
health related issue can sometimes spin out of control quickly in the elderly. A geriatric nurse, or also applies to the earlier stages of illness, alongside other therapies that are aimed at prolonging life
gerontological nurse, is a type of nurse that helps care for aging and elderly individuals. They are trained can take place in hospitals, hospices but also in people’s homes. • DIETICIAN CENTRE
to be able to perform traditional nursing duties, yet they also have special training that helps them better
understand the special needs of many elderly people
ArchItectural desIgn
SITE : LOCATION :
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• LOCATION : 6-1-33, M.I.G.H. COLONY, NEW BHOIGUDA,
SECUNDERABAD, TELANGANA-500025
CONNECTIVITY : SURROUNDINGS :
Name : p. sripooja
semester : 4th
College : vsap-h
Date :
35.8 KM FROM AIRPORT 2 KM FROM RAILWAY STATION PLACES NEARBY RELIGIOUS PLACES NEARBY HOSPITALS NEARBY TRAFFIC PATTERN
CLIMATE : Signature :
Remarks :
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Precipitation is the lowest in January, with an average of At an average temperature of 32.7 °C, May is the hottest Between the driest and wettest months, the difference
3 mm. Most of the precipitation here falls in September, month of the year. December is the coldest month, with in precipitation is 172 mm. Throughout the year,
averaging 175 mm temperatures averaging 21.0 °C. temperatures vary by 11.7 °C.
ArchItectural desIgn
INTRODUCTION :
LAWS FAVOURING OLD AGED : AIMS AND OBJECTIVES :
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• Old age refers to ages nearing or surpassing the life expectancy of human beings and is thus
• “ARTICLE 41” provides that it is the right of the citizen of India to “RIGHT TO WORK, TO EDUCATION • The idea is not to evoke a sigh of pity.
the end of the human life cycle. Old people often have limited regenerative abilities and are AND TO PUBLIC ASSISTANCE WITHIN THE CAPACITY OF THE STATE”. • There should not be any stigma attached to the residents of old age.
more susceptible to diseases syndromes, injuries and sickness than younger adults. • Many parents of middle class families are neither neglected nor abandoned by their children.
• Old age homes are meant for senior citizens who are unable to stay with their families or are • “SECTION 20” of the HINDU ADOPTION AND MAINTENANCE ACT, 1956, makes it “AN • Provide opportunity to do all the things that you wanted to do but got left out in the hectic pace
destitute. OBLIGATORY PROVISION TO MAINTAIN AN AGED PARENT”. of work.
• There are more than a thousand old age homes in India. Most of them offer free accommodation. • A time to pursue your own interests, new hobbies, a time to enjoy your family but also your
• According to “TYABJI”, “BOTH THE SON AND DAUGHTER ARE UNDER THE OBLIGATION TO independence and personal space.
• They provide special facilities such as mobile health care systems, ambulances, nurses and PROVIDE MAINTENANCE TO THEIR AGED PARENT. MAINTENANCE IS DUE TO A
provision of well-balanced meals. RELATIONSHIP WITHIN A PROHIBITED DEGREE OF RELATIONSHIP”.
• Apart from food, shelter and medical amenities, old age homes also provide yoga classes to
• “SECTION 125” of the “CRIMINAL PROCEDURE CODE” makes it “OBLIGATORY FOR SONS AND MAKING A DIFFERENCE IN “BEING AGED” AND “BEING
senior citizens.
DAUGHTERS, INCLUDING A MARRIED DAUGHTER, TO MAINTAIN THEIR PARENTS”. OLD”:
• Some old age homes have day care centers. These centers only take care of senior citizens
during the day. • Government has come to the rescue of the elderly and brought about “ AN ACT TO PROVIDE FOR • Encouraged participation in the day to day activities Periodic celebrations of various festivals
• For older people who have nowhere to go and no one to support them, old age homes provide MORE EFFECTIVE PROVISIONS FOR THE MAINTENANCE AND WELFARE OF PARENTS AND
and social events.
SENIOR CITIZENS GUARANTEED AND RECOGNISED UNDER THE CONSTITUTION AND FOR •
a safe haven. Religion - religious services either within or outside the home.
MATTERS CONNECTED THEREWITH OR INCIDENTAL THERETO”. As follows Title of the Act : “THE •
• These homes also create a family like atmosphere among the residents. Senior citizens experience Contact with family and friends.
MAINTENANCE AND WELFARE OF PARENTS AND SENIOR CITIZENS ACT, 2009”. • Volunteer participation in Social Programs.
a sense of security and friendship when they share their joys and sorrows with each other.
HISTORY : STANDARDS :
• PARKING :
• Before 19 century
th
: No age restricted institutions for long term care. But elders ended their
• OLD AGE HOME REQUIRES BARRIER FREE LIVING.
days in alms-houses. • For parking of vehicles of disabled people the following provisions shall be made :
• ENTRACE OR EXIT DOORS :
• Beginning of 19th century : Women’s and Church groups began to establish special homes for Surface parking for two car spaces shall be provided near the entrance for physically
elderly. Number of elderly who found shelter in these institutions were handicapped persons with maximum travel distance of 30 metre from Building entrance.
The minimum size of the door shall be “1500 mm X 1750 mm”.
limited. Majority of them were widowed and single women. The width of parking bay shall be minimum 3.60 metre.
Minimum clear opening of the entrance door shall be “900 mm” and it shall not be provided with a
The information stating that the space is reserved for wheelchair users shall be conspicuously
step.
• 19th century : Alms-house elderly population increased to 33% and further to 67% displayed.
Entrance landing : Entrance landing shall be provided adjacent to ramp with the minimum dimensions
• “1800 mm X 2000 mm”.
20th century : Alms-houses are a symbol of failure and despair. Poor houses are a
word of hate and loathing. Clearly revealed the inability of elderly to
succeed the industrial world.
• By 2000 : Nursing homes had become a billion industry, paid largely by Medicaid, Name : p. sripooja
medicare and although the elderly individuals between 65 and 74 reside
in such institutions, the proportion of those over 85 increased to 25%
• There are over 81 million elderly people. The figure will rise to 177 million by 2025 and by 2050 it
will be about 240 million.
• RAMPED APPROACH : College : vsap-h
Ramp shall be finished with non-slip material to enter the building. • LIFTS :
• Life expectancy has increased from 41 years in 1951 to 64 years today, hundreds of old age
homes have sprung up in India.
Minimum width of ramp shall be “1800 mm” with maximum gradient “1:12”, length of ramp shall not
exceed “’9 metre” with “800 mm” high handrail on both sides extending “300 mm” beyond top and Whenever lift is required as per bye-laws, provision of at least one lift shall be made for the Date :
bottom of ramp. Maximum gap from the adjacent wall to the handrail shall be “50 mm”. wheel chair user with the following cage dimensions or lift recommended for passenger lift of 13
• Imported to India from the West. persons capacity by Bureau of Indian Standards.
• Migration – away from their native homes and in the recent past to many countries abroad. Clear internal depth : 1100mm
Clear internal width : 2000mm Signature :
• Security – lookout for a secure place. Entrance door width : 900mm
• Financial independence.
• • DIMENSIONS AND AREA REQUIRED FOR MOVEMENT : • Old age homes could be dormitory type, independent rooms or cottages depending upon
Children are working away from home.
the social and economical status of those who are going to live in the homes.
• Stress free living.
• The rooms should be well ventilated.
• As much as possible all facilities in the home should be at the ground level. If upper
METHODOLOGY :
floors have to be built then a sloping ramp has to be provided which would also facilitate
easy passage of wheel chair when needed. Sheet no. :
USER AND SPACE LITERATURE AND DATA
REQUIREMENTS COLLECTION CASE STUDY • The toilets and bathrooms should have rough flooring so that the elders do not slip.
Suitable railings should be provided for support.
• A room should be set apart where sick people needing short-term treatment could be
housed.
CONCEPT SITE ANALYSIS FINAL DRAWINGS • Recreation rooms and rooms for medical care should be built.
ArchItectural desIgn
MAIN ELEMENTS OF THE PLAN : KITCHEN AREA : DINING :
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• The main areas of the home are :
• The aim should be to encourage social contact, but at the same time to preserve individual privacy.
• The resident’s rooms are often grouped round a small sitting room and services area containing a
bathroom and lavatories.
• Circulation routes to the communal lounges and dining room should be as short as possible, although
routes through the residents’ groups should be avoided.
TOILETS :
• Communal areas may either be centralized or divided between the residential groups, but most homes
have a main dining room, which should be close to a sitting area. • One special W.C. in a set of toilet shall be provided for the use of
• The administrative offices should be close to the entrance hall, and, if possible, within easy reach of the handicapped with essential provision of wash basin near the entrance
kitchen. for the handicapped.
• Staff accommodation should be provided in self-contained flats with separate outside entrances.
The minimum size shall be 1500 mm x 1750 mm.
Minimum clear opening of the door shall be 900 mm and the door shall
swing out.
Suitable arrangement of vertical or horizontal handrails with 50 mm
clearance from wall shall be made in the toilet.
The W.C. seat shall be 500 mm from the floor.
• TAPS :
Choose taps that can be manipulated by arthritic fingers. Surgeon’s taps are not recommended, however, as in extreme cases ordinary taps can be modified to provide a similar facility. Name : p. sripooja
Within one building, it is sensible to maintain consistency as to the location of hot and cold, e.g. hot always on the right as is now provided in current standards. In addition, the tops should always
be boldly color-coded. It is hoped that in the near future a standard for additional tactile identification will be introduced.
Roll no. : 16091AA049
• WASH BASINS AND BATHS :
Wash basins should be fitted with their rims between 800 and 850 mm high.
Bathrooms should be large enough for undressing and dressing, and for someone else to lend a hand.
semester : 4th
Low-sided baths are available, as the rim, which should be easy to grip, should not be higher than 380 mm from the floor.
Alternatively, the bath may be set with the trap below floor level.
It should have as flat a bottom as possible and should not be longer than 1.5 m; lying down is not encouraged. College : vsap-h
Grab handles and poles should be provided to help getting in and out.
A seat at rim height is useful for sitting on to wash legs and feet.
Bathroom and lavatory doors should open out, with locks operable from the outside in emergencies. Date :
• SHOWERS :
Some old people find showers more convenient to use than baths.
If the floor of the compartment is of smooth non-slip material with a fall to a drain of l:40, there is no need for a tray with an
upstand to be stepped over.
The compartment should be well heated, with pegs for clothes on the dry side, divided from the wet with a shower curtain. Signature :
The water supply should be automatically controlled to supply only between 35°C and 49°C.
ROOM DATA AND SPACE REQUIREMENTS : The shower head should be on the end of a flexible hose, with a variety of positions available for clipping it on. WCs should
have a seat height of 380 mm, and handles.
• These layouts, from DHSS Building Note 2, with rooms of varying proportion, show ways of providing a • CUPBOARDS :
flexible arrangement within clearly defined sleeping/sitting areas.
• With narrow rooms, corridor circulation is reduced to a minimum, but other types may well be suitable
Shelves and cupboards should acknowledge the limitations of elderly people.
The clothes cupboard rail should be mounted 1.5 m from the floor, and the cupboards should be at least 550 mm deep.
Remarks :
where a different overall planform is chosen.
• FURNITURE :
• Easy chairs :
A variety of chair types should be provided in sitting and common rooms, to ensure maximum comfort for all the old people.
Seats should not be too low, as this makes the chair difficult to get out of; but if too high, the feet may end up off the floor.
A height between 400 mm and 430 mm is about right, with footstools available for those with extra-short legs.
A seat depth between 410 mm and 470 mm is ideal: any more and cushions become necessary.
The back should be angled at 28° to the vertical, and high enough to support the head, for which an adjustable pad is useful.
Room data and space requirements for single rooms
Armrests 230 mm above the seat at the front facilitate getting up, but if lower at the back, make sewing and knitting easier.
There should be a gap under the seat to allow the heels to be drawn right back when rising.
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Generally, the padding should not be too soft and generous, as this can put strain on the tissues rather than allowing the
bone structure to support the body.
ArchItectural desIgn
NAME : Ayudham society
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ARCHITECTS : VINAY K. CHADHA & PARVESH GHAI
AREA STATEMENT :
• The resident members are encouraged to get involved with the activities according to their capability, temperament and expertise. Balanced and simple vegetarian food is served to them. Medical and nursing care is
provided regularly to the needy residents to make their life livable and pleasant. Recreation facilities of carom, T.T. And chess and a meditation hall is available for yoga and common spiritual lectures and
discourses.
• The senior citizen home provided by Ayudham Society is located in pollution free, eco-friendly green environment in the village Rewla Kanpur, near Najafgarh in Delhi south west. It is boon to senior citizens where in
they have access to health care services, balanced and simple food, personal attendant (if required), security, housekeeping, entertainment and spiritual programs etc. To make their life livable and pleasant. The
society started functioning from the year 1993.
• It aims to provide best possible in terms of physical, emotional as well as spiritual care.
• It is a non government, non profitable & non religious organization.
• TANGIBLE SPACES : • INTANGIBLE SPACES :
ARCHITECTURAL ASPECTS :
OFFICES (ADMINISTRATIVE WING) HALL – used as outdoor dine for children
OPD MEDITATION HALL – used as a library
• Form & volume MEDITATION HALL LAWN – used as an assembly area
• Matrix of open semi-open and closed spaces DINING HALL ENTRANCE PATHWAY – used as an evening walkway.
• Use of brick and concrete for building KITCHEN
• Lush green lawns, jogging tracks and gardens HALL Name : p. sripooja
• A positive aspect of this special home is that it is closely connected LAWN
with an orphanage called “AASTHA CHILDREN HOME”. MUTLI-PURPOSE HALL
• A triple story building with 30 rooms has come up in the pollution-free
and eco-friendly green environment for a peaceful living. The campus
TODDLER’S AREA
Roll no. : 16091AA049
SITE AND ZONING : OBJECTIVE OF THE PROJECT : is equipped with all facilities of international standard while maintaining
COMPUTER LAB
Ambulance facility available CCTV cameras for security purpose • RECREATION ACTIVITIES :
Easy access to take wheel chair or Physiotherapy And OPD Dining hall
Excursion : Excursions are organized from time to time to nearby places.
stretcher
Festival Celebration : All the major festivals such as Republic day, Sheet no. :
Independence day, Holi, Deepawali etc. are celebrated with active
participation of all residents.
Annual day celebration : This is celebrated with pomp & show where in all
donors, residents and other well wishers are invited. Room Elderly Persons Requiring Personalized Care Annual function at Ayudham
Meditation and Prayer hall Lift facility available
ArchItectural desIgn
NAME : KRISHNA SADAN OLD AGE HOME
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LOCATION : H.No: 8 – 90, Survey No: 711/B, Devaryamjal Village,
Shameerpet Mandal, Ranga Reddy District,
Andhra Pradesh, Pincode: 500078
ESTABLISHED : 2005
AREA : 3 Acres
CAPACITY : 20 PEOPLE
LOCATION WITH RESPECT TO COUNTRY LOCATION WITH RESPECT TO CITY SITE TRAFFIC PATTERN SURROUNDINGS
ESTABLISHMENT :
VISION :
•
•
Family together is a non-negotiable.
Working to ensure happiness among elders in old age is our priority. We
Name : p. sripooja
believe that elders should live with dignity and respect with their family.
WORKERS:
• 2 people for cleaning
• Weekly twice toilets are cleaned
Remarks :
CONSTRUCTION:
• We are delighted to present Krishna Sadan also a transit home, for elders
who wish to take break from regular pattern of life and spend a day or two
or upto a week at Krishna Sadan
SOLAR PANEL
ArchItectural desIgn
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Name : p. sripooja
semester : 4th
College : vsap-h
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ArchItectural desIgn
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Name : p. sripooja
semester : 4th
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Name : p. sripooja
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ArchItectural desIgn
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Name : p. sripooja
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ArchItectural desIgn
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Name : p. sripooja
semester : 4th
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ArchItectural desIgn
Drawing title:
Name : p. sripooja
semester : 4th
College : vsap-h
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ArchItectural desIgn