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Architect spends 24 hours in nursing home

March 22, 2010
by anonymous
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I give Alanna Carter of Horty Elving a lot of credit. She is an architect who really wanted to experience what it was like living in a nursing home. So, she checked herself into one for 24 hours. Carter's experiences were chronicled in a presentation today at the Environments for Aging.10 conference in Coronado, California.

While she did come away with better ideas for design, the overriding lesson she learned and passed onto the staff was a more person-centered lesson; that of not talking over residents as if they weren't there. "I remember sitting on the toilet waiting to be helped off and listening to the conversation in the hallway about what people were doing after work and I thought, 'I can't do that. I'm stuck here.' It really made an impression on me." Carter's left side was immobilized to simulate having a stroke.

In the dining hall, Carter recounted how one resident was upset that she didn't have salt and pepper shakers like the other table, only salt packets. It turned out she was unable to open the packets and that's why she was upset.

From a design standpoint, Carter said how important large personal room sizes are and that there be, whenever possible, no sharing of rooms. Wayfinding with strong colors and images as well as memory boxes outside of rooms are very important in the household model. "There needs to be a balance between private and public spaces," she said. "With larger personal rooms, people don't seem to want to socialize as much publicly, so the need for large public spaces is diminished."

anonymous (not verified)



While I applaud Ms. Carter's effort to formulate better design features in the skilled nursing environment from the perspective of the patient, I would urge her to do the same as an employee of a SNF. Such an experience would provide her with a more complete viewpoint on nursing home design. It might not be practical for her to work in every department but I would imagine working shifts in nursing, dietary and housekeeping would serve her endeavor well.