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 Constraints plan Literature Review Generate Reasons to Implement Define Project Gather Needs Solutions Believe Changes OUTPUTS Objectives Occupant Profile Design Proposal Design Priorities
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
SITE VISIT 44 Orlando Street, Mattapan, MA 02126
EXISTING STRUCTURE
EXISTING STRUCTURE
FRONT – SOUTH FACING BACK – NORTH FACING
FRONT – SOUTH FACING BACK – NORTH FACING
SPATIAL ORGANIZATION PRIVATE SEMI PRIVATE PUBLIC
DESIGN PRIORITIES NEEDED Voiced by client as explicit needs and motivating factors for the project DESIRED Expressed as wish list items during site visits and client interactions SUGGESTED Pinpointed through research and client interviews to be considered by client
OCCUPANT PROFILES Biological (Physical) Psychological (Cognitive) Social Design Interventions Late onset convulsions, seizures Low or extremely high IQ Delayed or absent verbal Noise control (internal ▪ ▪ ▪ ▪ Difficulty or absence in motor Weak short-term memory recall communication; Talking too and external) ▪ ▪ AUTISM control, including balance and but strong long-term memory much or not at all/reliance on ▪ Removal/Avoidance of posture recall non-verbal loose or movable ▪ Rhythmic bodily movement/ ▪ Low somatosensory perception objects gestures ▪ Higher likelihood of OCD, ADD, ▪ Removal of trip schizophrenia, and bipolar hazards (cords, ALZHEIMER’S disorder thresholds, rugs, etc.) ▪ Decreased fine motor control ▪ Spatial disorientation, ▪ Aggressive and/or isolative Use of people-focused ▪ Interruption of REM sleep; wandering behavior ▪ and/or photorealistic Fatigue Memory loss Behavioral disturbances/ ▪ ▪ images that show ▪ Increased fight/flight response, ▪ Trouble completing tasks outbursts completeness rather leading to increased heart rate, Decreased reasoning, judgment, Difficulty communicating ▪ ▪ than cutoff close-ups blood pressure, stress and comprehension skills (verbally and non-verbally) for art, signs, etc. Avoidance of dull or ▪ Higher incidence of respiratory Increased likelihood of Behavioral disturbances/ ▪ ▪ ▪ too highly contrasting DOWN SYND. infections Alzheimer's Disease outbursts color schemes ▪ Higher likelihood of vision ▪ Spatial disorientation ▪ Difficulty with verbal Use of antimicrobial ▪ impairments Confusion communication ▪ materials and cleaners ▪ Early onset of arthritis, hip ▪ Increased sensitivity to ▪ Difficulty understanding self in ▪ Avoidance of allergen- misalignment situational changes relation to others harboring or -inducing Late onset of convulsions, Irritability/moodiness Challenge or inability to relate ▪ ▪ ▪ materials seizures to others ▪ Distinct room Hypotonia ▪ characteristics (way finding) ▪ Arthritis, decreased dexterity ▪ Slowed reaction time ▪ Decreased ability to recognize ELDERLY ▪ Ability to regulate and mobility Confusion friends, mates, acquaintances, ▪ temperature in areas ▪ Hip misalignment ▪ Spatial disorientation etc. of the house ▪ Incontinence ▪ Declined ability to adapt to separately from other Impaired sense of touch changes in light ▪ areas ▪ Visual impairments ▪ Decreased sensory perception ▪ Combination of open/ Diminished ability to fight ▪ closed storage to infection counteract hoarding OBESITY Decreased mobility and Increased risk of depression, Stigmas and weight bias ▪ ▪ ▪ behaviors increased fatigue anxiety, OCD Decreased ability of the body to Low self-esteem ▪ ▪ stabilize itself in response to Sleep deprivation-related ▪ stressful situations processing and attention Sleep disruption problems ▪
PROPOSED SOLUTIONS Video
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
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
OVERSTUFFED HIGH-SIDED FURNISHINGS Justification: Reduce noise levels Specification: How many? What Sizes? Upholstered material? Cost: How much? Purchase From:
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
RELOCATED BEDROOM DOOR Justification: Noise control, improved resident privacy, reduced likelihood of dementia-associated wandering out the front door Specification: Move bedroom entrance from living room to new door way off the hall – Patching and new framing Cost: Approx. $550 Purchase From: Bay Cove Facilities
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.
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
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
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
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
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
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
CUSTOM BUILT CLOSET Justification: Designed specifically for dementia patients to improve object 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
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
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
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
ELEVATED AND MOUNTED TELEVISIONS Justification: Reduce likelihood of collateral damage in the event of outbursts 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
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
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
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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