MATTAPAN GROUP HOME REDESIGN Project Team Advisors Nadia Rachel - - PowerPoint PPT Presentation

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MATTAPAN GROUP HOME REDESIGN Project Team Advisors Nadia Rachel - - PowerPoint PPT Presentation

MATTAPAN GROUP HOME REDESIGN Project Team Advisors Nadia Rachel Dak Kopec Adrienne Jones Patricia Swenson Janet Roche D E S I G N F O R H U M A N H E A LT H PROCESS Problem Client Input Needs Finalized project INPUTS Site Visit


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MATTAPAN GROUP HOME REDESIGN

Project Team Nadia Rachel Adrienne Jones Janet Roche Advisors Dak Kopec Patricia Swenson

D E S I G N F O R H U M A N H E A LT H

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Problem Client Input Site Visit Literature Review Needs Constraints Finalized project plan Objectives Occupant Profile Design Priorities Design Proposal

PROCESS

Implement Changes Reasons to Believe Generate Solutions Gather Needs Define Project

INPUTS OUTPUTS

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PROJECT GOAL

Adapt a four-bedroom residential home whose aging occupants are affected by cognitive disabilities and presenting with dual diagnoses of Alzheimer’s Disease.

Objective 1: Reduce sound transmission to neighboring properties Objective 2: Prepare for behavioral symptoms associated with Alzheimer’s Disease

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SITE VISIT

44 Orlando Street, Mattapan, MA 02126

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EXISTING STRUCTURE

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EXISTING STRUCTURE

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FRONT – SOUTH FACING BACK – NORTH FACING

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FRONT – SOUTH FACING BACK – NORTH FACING

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SPATIAL ORGANIZATION

PRIVATE PUBLIC SEMI PRIVATE

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DESIGN PRIORITIES

NEEDED Voiced by client as explicit needs and motivating factors for the project SUGGESTED Pinpointed through research and client interviews to be considered by client DESIRED Expressed as wish list items during site visits and client interactions

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Biological (Physical) Psychological (Cognitive) Social Design Interventions ▪ Late onset convulsions, seizures ▪ Difficulty or absence in motor control, including balance and posture ▪ Rhythmic bodily movement/ gestures ▪ Low or extremely high IQ ▪ Weak short-term memory recall but strong long-term memory recall ▪ Low somatosensory perception ▪ Higher likelihood of OCD, ADD, schizophrenia, and bipolar disorder ▪ Delayed or absent verbal communication; Talking too much or not at all/reliance on non-verbal ▪ Noise control (internal and external) ▪ Removal/Avoidance of loose or movable

  • bjects

▪ Removal of trip hazards (cords, thresholds, rugs, etc.) ▪ Use of people-focused and/or photorealistic images that show completeness rather than cutoff close-ups for art, signs, etc. ▪ Avoidance of dull or too highly contrasting color schemes ▪ Use of antimicrobial materials and cleaners ▪ Avoidance of allergen- harboring or -inducing materials ▪ Distinct room characteristics (way finding) ▪ Ability to regulate temperature in areas

  • f the house

separately from other areas ▪ Combination of open/ closed storage to counteract hoarding behaviors ▪ Decreased fine motor control ▪ Interruption of REM sleep; Fatigue ▪ Increased fight/flight response, leading to increased heart rate, blood pressure, stress ▪ Spatial disorientation, wandering ▪ Memory loss ▪ Trouble completing tasks ▪ Decreased reasoning, judgment, and comprehension skills ▪ Aggressive and/or isolative behavior ▪ Behavioral disturbances/

  • utbursts

▪ Difficulty communicating (verbally and non-verbally) ▪ Higher incidence of respiratory infections ▪ Higher likelihood of vision impairments ▪ Early onset of arthritis, hip misalignment ▪ Late onset of convulsions, seizures ▪ Hypotonia ▪ Increased likelihood of Alzheimer's Disease ▪ Spatial disorientation ▪ Confusion ▪ Increased sensitivity to situational changes ▪ Irritability/moodiness ▪ Behavioral disturbances/

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▪ Difficulty with verbal communication ▪ Difficulty understanding self in relation to others ▪ Challenge or inability to relate to others ▪ Arthritis, decreased dexterity and mobility ▪ Hip misalignment ▪ Incontinence ▪ Impaired sense of touch ▪ Visual impairments ▪ Diminished ability to fight infection ▪ Slowed reaction time ▪ Confusion ▪ Spatial disorientation ▪ Declined ability to adapt to changes in light ▪ Decreased sensory perception ▪ Decreased ability to recognize friends, mates, acquaintances, etc. ▪ Decreased mobility and increased fatigue ▪ Decreased ability of the body to stabilize itself in response to stressful situations ▪ Sleep disruption ▪ Increased risk of depression, anxiety, OCD ▪ Low self-esteem ▪ Sleep deprivation-related processing and attention problems ▪ Stigmas and weight bias

AUTISM ALZHEIMER’S DOWN SYND. ELDERLY OBESITY

OCCUPANT PROFILES

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PROPOSED SOLUTIONS

Video

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TRACK-OFF SYSTEM Justification: Minimize tracking of dirt, pathogens, and contaminants into the home Specifications: 2 - 3x5 carpets (one outside and one inside) with rubber Backing Cost: $80 Purchase From: Koffler Sales Company

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SOUND ATTENUATION PANELS Justification: Prevent sound from escaping the living room through the front door Specification: 12 – 24”x24”x2” panels applied with 1/8” spacing between the panel and wall Cost: $1,190 Purchase From: Acoustimac.com

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OVERSTUFFED HIGH-SIDED FURNISHINGS Justification: Reduce noise levels Specification: How many? What Sizes? Upholstered material? Cost: How much? Purchase From:

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CABINET LOCKS Justification: Prevent resident access to dangerous or sensitive items Specification: 6 – (insert description here) open with a single key Cost: How much will they cost? Labor for installation? Suggested Handyman: Bay Cove Facilities

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RELOCATED BEDROOM DOOR Justification: Noise control, improved resident privacy, reduced likelihood

  • f dementia-associated wandering out the front door

Specification: Move bedroom entrance from living room to new door way

  • ff the hall – Patching and new framing

Cost: Approx. $550 Purchase From: Bay Cove Facilities

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LOW-PILE CARPET TILES Justification: Noise control, easy to replace, fade and rut resistant Specification: Approx. 1,000 sq. ft. Cost: $5,014 Purchase From: Flooring, Inc.

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RUBBER FLOORING Justification: Noise control, easy cleaning, anti-microbial, fall- and wheelchair-friendly, rut-resistant Specification: Approx. 1,000 sq. ft. recycled rubber flooring Cost: $5,000 Purchase From: Nora.com

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TRIPLE-PANED WINDOWS Justification: Noise control Specification: 10 – Triple-paned (36”x37.5” each) Cost: $2,850 for windows, $2,000 labor Purchase From: ReliaBilt

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SOUND ABSORBING DRAPERY Justification: Noise control Specification: 14 - Neutral-colored cotton panels (57”x63” each), Sound transmission rating for up to 7 dB Cost: $966 Purchase From: Moon Dream

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PULL FLUSH COMMODES Justification: Counteract any dementia-related hoarding and hiding behaviors Specification: 2 floor-mounted commodes (1 for each bathroom) Cost: $200 Purchase From: Glacier Bay

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CUSTOM BUILT DESK Justification: Provide staff with a cohesive working space and improved medication administration workflow Specification: Painted MDF wood with built-in plugs and lights Cost: Approx. - $800/lineal ft., $1200 installation, $1000 wiring Suggested Carpenter: Bay Cove Established Contractor

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STAFF CLOSET EXPANSION Justification: Enhanced storage closet in staff area to allocate space for cleaning products and miscellaneous items, minimize door swing into open space Specification: 2 – Bi-fold doors (48”x80” each), 2 – Double doors (48”x80” each) Cost: $450 – bi-folds; $160 – double doors Purchase From: Home Depot

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CUSTOM BUILT CLOSET Justification: Designed specifically for dementia patients to improve

  • bject locating and reduce likelihood of hoarding behaviors while

allowing some resident property security Specification: Painted MDF wood, dimensions on following slides Cost: Approx. $1500 Suggested Carpenter: Bay Cove Established Contractor

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ART-BASED ACOUSTIC PANELS Justification: Noise control, wayfinding, and personalization Specification: 4 – Personalized acoustic panels (approx. 4’x2’ each) Cost: Approx. $200 per art piece Purchase From: Acoustimac.com

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WALL SCONCES Justification: Improved lighting Specification: 6 – Polished nickel sconces with fabric shades Cost: $660 sconces, $600 labor Purchase From: LitSource via LampsUSA.com, Bay Cove Established Electrician

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SOUND ATTENUATION PANEL Justification: Additional noise control Specification: 16 – 24”x24”x2” panels applied with 1/8” spacing between the panel and wall (4 for each bedroom) Cost: $3200 Purchase From: Acoustimac.com

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ELEVATED AND MOUNTED TELEVISIONS Justification: Reduce likelihood of collateral damage in the event of

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Specification: 4 - Wall mounting systems (3-8” extension from wall, 20deg downward tilt) & 4 - 20” Black LED HD televisions with DVD Cost: $100 mounts, $566 televisions, $100 installation Purchase From: DisplaysToGo.com, Insignia via Best Buy, Bay Cove Facilities

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COLORED LOWER DOOR PANELS Justification: Create reference points for wayfinding Specification: What is the paint brand? How much to purchase (gallons) Cost: Cost of paint, Cost of labor Purchase From: Home Depot, Bay Cove Facilities

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SHOWER BENCH Justification: Accessibility and resident comfort Specification: 1 – Teak, foldable seat (12”x15”, 250lb weight capacity) Cost: $146 Suggested Handyman: DreamLine via Lowe's, Bay Cove Facilities

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HOIST SYSTEM Justification: Easier patient transferring Specification: 3 – 3 meter tracks, 1 – Portable Motor, Accessory components Cost: $7,180 full system Purchase From: SureHands

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OVERHEAD LIGHTING Justification: Improve d lighting Specification: 3 – 3 meter tracks, 1 – Portable Motor, Accessory components Cost: Lights, labor estimate Purchase From: BromiDesign via LightingDirect.com, Bay Cove Established Electrician

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PROPOSED SOLUTIONS

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COST ESTIMATE

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Problem Client Input Site Visit Literature Review Needs Constraints Finalized project plan Objectives Occupant Profile Design Priorities Design Proposal

NEXT STEPS

Implement Changes Reasons to Believe Generate Solutions Gather Needs Define Project

INPUTS OUTPUTS