Literature Review - House For The Elderly

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1.0 Introduction 2.0 Literature review iii. Foster independence – the focus of care
should be on self-maintenance with
existence.
As stated by Alfred, H.B., & Robert, J.G. Victor, R. (1994). Assisted living housing for iv. Focus on health maintenance, physical
(1996): the elderly; design innovations from the movement and mental stimulation
United States and Europe. John Wiley & Sons: v. Maintain connections with the
“Universal design is a design philosophy that surrounding community – the setting
New York.
includes existing codes and guidelines, but should integrate rather than isolate the
goes even further than barrier-free or The purpose in providing assisted living for resident from community.
accessible design standards. Universal design elderly are as following:
is meant to improve the lives of all people in For the elderly, the two opposing
the built environment. In this philosophy, i. The increasing number of aging people characteristics of support and challenge
people of all ages are included.” ii. The increasing costs of long-term care in should be addressed in the layout and
home care. specification of wall, ceiling and floor
It is meant for a design that accepted for all iii. The increasing numbers of technology help materials. It has to encourage interaction in
type of age and condition. Recent studies elderly to live independently in their house. community but at the same time assure the
have shown that people prefer to age in their privacy. The design also must encourage
familiar environments, thus guiding designers Certain basic qualities were outlined in flexibility of the resident. Sensory stimulation
to provide a safe and functionally appropriate provision of residential for elderly and they and opportunity for passive observation are
environment for ageing people, regardless of are: also important in addition to environments
their physical conditions or limitations. that utilize landscape materials like natural
Therefore, designs proposed where human i. Appear residential in character – the
light and sage of color. The social interaction
beings can improve their quality of life by assisted living element must portray house
will help to reduce depression and passive
promoting independence, as well as safety, environment.
observation helps to stimulate mind and spirit.
usability and attractiveness of the residence. ii. Recognize the uniqueness of each resident
– treatment plans should be customized The doors and windows also must be easily
This literature review may introduce certain accordingly to their abilities, disabilities opened and manipulated, shelves that can be
elements that can be applied in order to and interests. reached, fixtures that can safely maneuvered
design a house for the elderly in specific. and activity spaces that can reached easily.

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These can hamper the older person’s Dobkin, I. L., & Peterson, J. M. (1999). xi. 20-in-deep bench and oversized
independence if they are not properly Universal interiors by design; gracious shower to permit a portable
addressed as the environment for aged must spaces. McGraw Hill: USA. wheelchair
recognize the vulnerability of the oldest-old. xii. Using fixed showerhead and
The physical environment must not create The chapter represents the house owned by adjustable hand-held shower in order
barriers that limit choice, control, an elderly couple. Their house previously did to allow a variety bathing position
independence and autonomy. In another not match for their needs as an older group of xiii. Installation of grab bars for safety
perspective, it is argued that the design of people. Their circulation, improper scale purposes
environment should provide ways to furniture, and unsafe conditions were part of xiv. Adjustable iron board
challenge physical ability. For example an their house’s problems. Hence, they decided
open stairs in a convenient and visible location to redecorate the house. Below are some of The new design of the interior made the
that can encourage residents to use it for the changes in terms of interior design to fit couple easy accessible to almost every area
exercise. This is to stimulate physical, mental comfortably their needs as elderly: inside the house and the furniture’s is design
and emotional abilities. i. Reduce the use of furniture in order to larger the space and is construct
ii. Separate grooming area based on the suitable scale for older people.
iii. Placing the dressing area far from the
sleeping area According to the house designer Jean DeLaura
iv. Bed facing the room’s entry in Dobkin, I. L., & Peterson, J. M. (1999), house
v. Placing the toilet at the center part shall be design to meets the needs of all types
vi. Locating the mini kitchen near to the of people. She further explained that, the
sleeping area house shall be more accessible, adaptable,
vii. Enlarge the mini kitchen area affordable and attractive at the same time. In
viii. Relocate the television at the mini other words, a good house is the house that is
kitchen area for self contained living universal. Below are some of the design adapt
environment by Jean DeLaura:
ix. Using adjustable bed
x. Enlarge the toilet to fixed the
wheelchair

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i. The layout is design for easy Alfred, H.B., & Robert, J.G. (1996). Hospitality In another aspect, aging vision reduces the
maneuvering design for the graying generation. John Wiley ability of the eye to receive light which results
ii. The size of the stair is extend for & Sons: New York. problem to identify colors. In order to help
easier stepping especially for the improve this in housing design, color
older group As we age, our ability to hear sound becomes determination of an area in the house can be
iii. Installation of convenience ramp at less acute. Through appropriate design, it can based on the following factors:
the house entry improve the quality of the sound in our
iv. Using flat floor (reduce level change interior environment. To improve i. The use or function of the room and
and threshold) communication between people aged of 65 what time it will be used daily.
v. Handrails provided at every stairways and above, low frequency background sounds ii. The desired atmosphere
and ramps should absorbed as much as possible. Speech iii. The light level in the interior and from
vi. U-shape layout at the kitchen to can become less understandable as these the exterior.
easier the maneuvering for item sounds reverberate within the interior iv. Number of people the room will
transferring architecture. Some design considerations are accommodate.
vii. Increase the height of the toe kicks as listed below: v. Age range and gender of people that
and decrease depths of the lower will be use the room
i. Soft acoustical materials can be used vi. The health condition of people who
portion of the base cabinets to serve
to absorb low frequency sounds and are using that room.
for wheelchair user.
to enhance intelligible speech. vii. The climatic factors
ii. Absorption of sound frequencies viii. The main purpose of the color (eg: to
depends on the type of material and soothe, to induce concentration)
the method of installation.
iii. Sound absorption by fibrous material Among the older population, the degree of
will depend on the thickness, density brightness and the clarity of color are
and porosity of the material as well as important considerations. Contrast between
its resistance to air flow. objects and backgrounds or between objects
iv. Sound absorbing treatments should and adjacent environments will also affect the
be applied equally on ceilings, floors, vision of the elderly. It also has close
and walls for the best result. relationship with lighting. It is important to

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reduce glare and improve contrast for elderly Building design for handicapped and aged bathroom, same goes to the step. Inside, roll-
while improving visual acuity. Some actions persons. (1992). Council on tall buildings and in shower or bathtub can be provided,
that need to consider are: urban habitat. McGraw Hill: New York. together with seat and bars on the walls.
These are to assist the elderly in the
i. Remove or relocate the light sources The discussion is on the housing design for bathroom.
that cause glare. high-rise in regards to elderly needs. Some
ii. Alter the reflective materials. For elements have been highlighted for the high Emergency communication: this is important
example, se non-glare glasses over rise housing development which are: especially those who are living alone. There
wall-hanging pictures to control should be a button or cord for the elderly to
indirect glare. Elevators: the elevator should be enough to alert the management or somebody that they
iii. Use shielding devices. accommodate at least two persons with are in danger. In England for instance, devices
iv. Use dimming devices to raise or lower wheelchair besides other residents. There is have been designed for them to wear around
brightness until acceptable contrast is often a fear among elderly that the door is the neck, which carry a button, if pressed, will
achieved. going to before they enter the elevator as connect them immediately to the local
v. Filter natural daylight penetrating they have slower movement, therefore, hospital or police. These are provided free
interior spaces to reduce direct glare. sensors at the bottom side of the elevator can under the National Health system to those
be installed to give them enough time go in who are living alone.
and out of the elevator.
Light switches: it is convenient if provided on
Hallways: the hallway must be wide so that the walls compared on the lamps. The height
two wheelchairs can pass-by comfortably. also must be reachable to the elderly who are
using wheelchair.
Kitchen: the entrance into the kitchen must be
wider to fir those who are using wheelchair. Windows and the view: as the elderly cannot
The kitchen must spacious enough for them to go out often, it is better to provide pleasant
turn around and level cabinets, sink and knob. view for them that can be seen from their
home.
Bathroom: the bathroom is the place where
home accidents occur often. The marble bar
must be avoided at the entrance of the

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Accessible housing by design; universal features that allow the elderly to move freely Kastenberg, E.C. and Chasin, J. (2004).
design principles in practice. (1997). Steven about their home and to remain independent. Housing Options of the Elderly, Elderly
Winter Aassociates. McGraw Hill: New York. The electrical receptacles, controls and Housing. http://apps.irs.gov/ retrieved on
switches are installed within easy reach. A November 4, 2009.
The book is a compilation of design from the strobe light and audible alarm are installed
architects in regards to universal design. near the front door to alert the occupants to This particular section of the article talks
Certain design are particularly made for the fire, telephone or doorbell. about the options for the elderly housing.
elderly to assist their daily live.
As the elderly population is increasing, there
The independent living homes for the elderly is no doubt that there is an increasing
designed with careful and thorough planning
demand for the need for housing. They
process (including the measurement of the
need adequate, low cost, well-designed
occupant’s height, strength and mobility) and
facilities that are also easy to maintain.
include all the necessities and amenities to
According to Katenberg and Chasin, when
help an elderly to live a full and comfortable
the seniors are relocated they want to live
life. For landed house, windows are placed
as near as possible to their own homes.
low and big to allow full views and emergency
egress. Ramp also installed to eliminate steps. They are only happy with the relocation if
The design for the base of cabinet and other residents have the same interest as
cooktop is open design to allow access space them and if the community or the neighbors
for a wheelchair user. All low cabinets have are helpful and friendly enough. Since 1960,
roll-out shelves and the corner aids seniors have been moving from their homes
accessibility. in the cities to rural or suburban areas
which offer a warmer climate and more
For the other house provided, all hallways are recreational opportunities. This has lead to
wide for easy maneuverability. Wide doors, the development of active senior
elimination of thresholds, low cabinetry, communities, apartment and complexes
tactile and audible cues, slip-resistant with medical facilities within the sub urban
surfaces, task lighting, reinforced walls,
areas.
backup power and security systems are all

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Katenberg and Chasin claims that, ECHO housing also known as Granny Flats include the medical aids. People who offer
traditional nursing homes are not the only are occupied by second family living units or assisted living sometimes need to get a
option for the elderly, and explained several apartments with a separate entrance, on a license to do so.
other alternatives which are available single-family lot, with another family. They
nowadays. Following are the alternatives are portable, small homes, with complete Continuing Care Retirement Communities
mentioned in this article. facilities normally built at the back or side (CCRC)
yards of single family house. The idea of this
“Seniors Only” complexes Unlike assisted living, CCR offers the senior
type of housing is to provide an affordable
with facilities combined with housing,
housing for someone who prefer to live
They are apartments, condominiums, services and health care. This allows the
alone but needs family support.
cooperatives and other retirement residents to enjoy their private residential
communities which offer private dwellings Shared Housing lifestyle independently with continuous
exclusively designed for the senior citizens. healthcare.
They do not have medical facilities but This concept is about sharing the house of
residences are maintenance free with the senior with another person so that they Skilled Nursing Facilities
recreational facilities, with ownership. are not alone and they do not need special
Facilities, commonly referred as nursing
housing facilities. The roommate is need not
Modular Home Communities homes are the most common and most
necessarily be a another elderly. There are
intensive level of care on the residential
organizations in charge of arranging these
These are communities with full time care alternatives Skilled nursing facilities
types of housing based on the need on one
residents or part-year residents, or residents (SNFs) are equipped to handle individuals
side and abilities to provide on the other.
who just stay for few months or days. These with 24-hour nursing needs, post-operative
They do screening time to time to see how
types of communities are commonly recuperation, or complex medical care
well the sharing is going.
referred as mobile home communities. The demands they also offer assistance for
lots or mobile units are either leased or Assisted Living people who can no longer live
owned by the residents. independently such as chronically-ill
This type of living offers assistance for the individuals. They also need to have license
Elderly Cottage Housing Opportunity (ECHO) people living in private dwellings in their as they should meet a certain standard in
Housing daily lives. However this assistance does not

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terms of safety, staffing and care 3.0 Conclusion However, in another point of view, some
procedures. argued that institutionalized home is better
The housing designed for the elderly is for the elderly and listed certain amount of
Alzheimer’s Facilities
important for not letting them isolated from choices for them. They believed it helps the
These facilities are mostly for the early stage the common community and treated as other elderly to have a better living with care.
Alzheimer patients. They are entity. This always happens when the elderly So, the choice is up to them whether having
accommodated in a congregate or choose to live in care home or the like. The universal design in their home and aging in
independent wing of a multi-level campus. design of housing in conclusion must be their independent home or move to the care
universal for everyone and accessible. The home.
Senior Day Care Centers
elderly are able to live independently, at
In these centers the types of services varies home for longer; this can give them a higher
from "custodial care" with programs for quality of life and sense of well-being; it can
stimulation and rehabilitation to day care also significantly decrease the sense of being
providing medical care and procedures. institutionalized and over-dependent. The
elderly felt that their particular needs were
Senior Short-Term Vacation Housing
being addressed and this made them feel
These housing offers a ‘try before buying’ more independent and better about
option. This allows the individuals to themselves; greater exchange in the
experience the senior community a distant neighborhood meant that loneliness was less
location. People who are too delicate for the of an issue.
rigors of hotels and restaurants can spend
their vacation at a slower pace with needed
care available to them.

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4.0 References

Accessible housing by design; universal design


principles in practice. (1997). Steven
Winter Aassociates. McGraw Hill: New
York.

Alfred, H.B., & Robert, J.G. (1996). Hospitality


design for the graying generation. John
Wiley & Sons: New York.

Building design for handicapped and aged


persons. (1992). Council on tall buildings
and urban habitat. McGraw Hill: New
York.

Dobkin, I. L., & Peterson, J. M. (1999).


Universal interiors by design; gracious
spaces. McGraw Hill: USA.

Kastenberg, E.C. and Chasin, J. (2004). Housing


Options of the Elderly, Elderly Housing.
http://apps.irs.gov/ retrieved on
November 4, 2009.

Victor, R. (1994). Assisted living housing for


the elderly; design innovations from the
United States and Europe. John Wiley &
Sons: New York.

Comparative Housing Design /AUP 4452

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