Building Health: How an Old Jailhouse in Toronto Became the Heart of Patient-Centered Care
CategoriesArchitecture

Building Health: How an Old Jailhouse in Toronto Became the Heart of Patient-Centered Care

The judging process for Architizer’s 12th Annual A+Awards is now away. Subscribe to our Awards Newsletter to receive updates about Public Voting, and stay tuned for winners announcements later this spring.   

In the realm of healthcare, where compassion intersects with cutting-edge medical science, lies a crucial element of healing: the environment itself. The Hennick Bridgepoint Hospital stands as a testament to the transformative power of architecture in nurturing wellness. Described as a “Village of Care,” this facility transcends being merely a structure of concrete and steel; it is a sanctuary meticulously crafted with the singular aim of nurturing healing and well-being, catering to individuals grappling with complex chronic diseases and disabilities.

A few years ago, I had the opportunity to visit the building and chat with a couple of nurses. One of them guided me through the building to the rooftop garden and shared an intriguing observation: patients who frequented the outdoor garden tended to experience faster healing. I found this insight quite fascinating.

The hospital’s design fully embraces the healing potential of nature and the surrounding landscape, with intentional efforts aimed at immersing patients in their surroundings. The hospital is intricately linked to prominent features of some of Toronto’s finest neighborhoods, including the Don River Valley, Riverdale Park, the downtown skyline, and Riverdale itself.

The site where the building stands holds its own narrative waiting to be told, embodying a narrative of transformative rehabilitation that mirrors the very mission of the hospital. Right next to the hospital, and central to the project’s significance is the historic 148-year-old Don Jail, occupying a prominent position on the site. Remarkably, the theme of wellness has been woven into the fabric of this site since its inception. From its inception as a reform prison in 1864, the liberal view of physical and mental wellness embedded in the building’s design led it to be nicknamed “Palace for Prisoners.”

Bridgepoint Active Healthcare by Diamond Schmitt Architects, HDR Architecture, KPMB Architects, Stantec Architecture

The historic Don Jail, adjacent to the new hospital, was restored and repurposed into the hospital’s administrative offices.

While a jail is not a flawless representation of wellness, and this theme may not have endured throughout its entire operational history, it is evident that a lasting theme has persisted over time. Fast forward to the present day, the Don Jail has undergone a remarkable transformation, now serving as the administrative and educational hub of the hospital — a key facility central to fostering interdisciplinary collaboration to address patients’ physical and emotional needs.

The design and layout of the hospital was driven by the aspiration to establish a unique community hub — a hospital that not only prioritizes healthcare and wellness but also fosters a deep sense of connection to the community. This vision aimed to create an urban center that served as a beacon for health and well-being. It was intended to evoke a strong sense of belonging for both the patients and the surrounding neighborhood. While hospitals often carry weighty connotations, Hennick Bridgepoint was purposefully designed to embody an open, airy and, above all, welcoming community village for its patients.

Upon entering, the space greets visitors with an abundance of natural light streaming through expansive windows and glass panels, creating a bright and inviting atmosphere — feelings often associated with health and vitality. The light and bright atmosphere undoubtedly establishes a strong connection to the outdoors. Coupled with the incorporation of warm hues and natural materials, the space evokes feelings of comfort and tranquility.

As I toured the building, I learned additional finer details that underscored the thoroughness of the building’s design and attention to detail. I discovered that ensuring indoor air quality was a top priority throughout the design process, with the architects making extensive efforts to maximize it. This included implementing measures such as controlling scents within the building, utilizing low-to-no VOCs in adhesives, sealants, paints, and coatings, and enforcing a strict no-smoking policy in the vicinity of the building.

Furthermore, the hospital’s layout has been fine-tuned to encourage physical activity and mobility. Wide hallways and spacious areas encourage patients to navigate freely, thereby supporting their rehabilitation journey. The incorporation of accessible design features guarantees that individuals of varying abilities can effortlessly navigate the building, promoting a feeling of independence and empowerment. Moreover, every detail of the architectural design, ranging from the placement of amenities to the selection of materials, has been intentionally chosen to enhance the patient’s experience.

But perhaps the most profound impact of the Hennick Bridgepoint Hospital, lies in its ability to instill hope in its patients. The very sight of the building serves as a beacon of optimism, a symbol of possibility in the face of adversity. By creating a space that is conducive to healing, the architects behind Hennick Bridgepoint Hospital have given patients more than just a place to receive medical treatment, but a sanctuary that truly supports their journey towards wellness.

At its core, this building is a refuge of healing, exemplifying a commitment to patient-centered care that has been designed to address the holistic needs of its residents — both physical and emotional. Its environment is designed to inspire patients to leave their rooms, instilling motivation to confront their illnesses directly. The building has been thoughtfully crafted to facilitate patients’ access to nature, offering design elements like outdoor terraces, rooftop gardens and adjacency to a sprawling public park, all aimed at reconnecting them with the natural world.

Each individual room design includes 40% glazing, featuring a distinctive vertical window that subtly projects from the building’s exterior, spanning floor to ceiling in every treatment area. From the corridors to the corners, this intentional architectural decision strengthens the connection to nature, granting patients an unobstructed view of the outdoors, even from their beds, giving them direct access to the outside world. A patient can step up and into the window and feel as though they are virtually outdoors. Patient rooms are generously spaced to provide privacy, while communal areas are strategically positioned to promote social interaction and support among patients.

Bridgepoint Active Healthcare by Diamond Schmitt Architects, HDR Architecture, KPMB Architects, Stantec Architecture

The building’s design demonstrates a profound comprehension of the hurdles individuals encounter on their journey toward healing, encompassing everything from navigating intricate medical procedures to coping with chronic illness. This is where the healing garden and rooftop terrace truly demonstrate their power. As highlighted in this article, abundant research has showcased the therapeutic benefits of exposure to nature, ranging from stress and anxiety reduction to expediting healing processes. Indeed, each element spotlighted in that article represents design features that have been integrated into the hospital’s layout in their own unique manner, striving to harness the healing potential that architecture holds for its occupants.

In my opinion, the rooftop terrace at Hennick Bridgepoint Hospital stands as the apex of the building, harmonizing many of the aspects of healing and wellness into one space — a meticulously landscaped green roof covering 50% of the rooftop’s surface area. With lush gardens and pathways, patients have daily access to the outdoors, fostering a semblance of normalcy in their lives. The direct access to nature creates a highly therapeutic environment for both patients and staff alike, enabling them to engage not only in physical activity but in daily social interaction.

Rooftop Garden and Terrace at the Hennick Bridgepoint Hospital

Rooftop Garden and Terrace at the Hennick Bridgepoint Hospital with views over the city of Toronto, Canada

While many gardens rely on chemicals and fertilizers, the building employs native and highly resilient plants that require minimal maintenance, thus eliminating the necessity for additional chemicals. Having the opportunity to spend time outdoors in a nurturing garden environment, akin to one’s own backyard, can offer patients a comforting sense of familiarity and routine during their hospitalization. In fact, in 2013, Bridgepoint succeeded in reducing the average stay for rehabilitation patients by 20%, with a remarkable 100% of patients expressing their willingness to recommend the hospital to their friends and family.

This hospital is a shining example of the transformative power of architecture in healthcare. Through thoughtful design and careful consideration of the needs of its inhabitants, it has redefined the concept of what a hospital and healing space can be. From fostering a sense of calmness and serenity to promoting physical activity and social interaction, every aspect of the building has been optimized to nurture wellness. As we continue to explore the connection between architecture and health, the Hennick Bridgepoint Hospital serves as a beacon of inspiration, reminding us of the profound impact that the built environment can have on the lives of those who inhabit it.

The judging process for Architizer’s 12th Annual A+Awards is now away. Subscribe to our Awards Newsletter to receive updates about Public Voting, and stay tuned for winners announcements later this spring.   

Reference

Personal care products powered by plants
CategoriesSustainable News

Personal care products powered by plants

Spotted: Fossil-fuel-based ingredients are widely used in cosmetic products for several reasons. For example, they lock moisture into the skin, provide a protective barrier, and disperse fragrance ingredients. They are also used as fillers and texture enhancers. FineCell is working to eliminate fossil fuels from cosmetics with an entirely bio-based cellulose that can do everything fossil-fuel-derived ingredients can do, and more. The company is a spinout of the KTH Royal Institute of Technology in Stockholm, Sweden, where initial research to develop the product was conducted.

FineCell’s CellOx dry cellulose powder is made by turning plant pulp into a biomaterial that can be used both as a powder and as a hydrogel. CellOx is produced by combining natural cellulose with oxalic acid, a natural chemical found in plants like rhubarb.

The new material is completely bio-based, lightweight, and requires 80–90 per cent less energy to manufacture compared to similar cellulose products. CellOx can be easily combined with other ingredients, making it an excellent binding agent for products such as sunscreens, skin creams, and even paints. It’s also transparent, making it suitable for a large number of applications.

The company has recently announced a €1 million seed investment led by Metsä Group. The funding will be used to improve R&D, engage with potential customers, and finalise plans for a demonstration production facility. The company aims to have the design of its demo plant ready for investment decision by the end of 2024 and larger-scale test production underway in 2025, with full commercial production commencing in 2027.

Beauty is a huge industry, and Springwise has spotted a number of innovations aimed at improving the sustainability of cosmetic products. These range from the use of forest by-products as ingredients to a process that uses fermentation to turn food waste into a sustainable palm oil substitute.

Written By: Lisa Magloff

Reference

Next-gen care: AI spots early signs of health decline
CategoriesSustainable News

Next-gen care: AI spots early signs of health decline

Spotted: An ageing population, combined with the potential growth of dementia, is contributing to the immense pressure being put on the UK’s National Health Service (NHS). Part of the challenge lies in the high numbers of vulnerable people admitted to A&E, who are then kept in hospital while a suitable care home is found, or homecare support is organised.  

Remote monitoring technologies help care teams quickly respond to emergencies and often provide a life-saving service. Physiotherapist Louise Rogerson and data scientist Jonathan Burr wanted to find a way to prevent some of those emergency admissions by deploying smart home care earlier and in more detail. The co-founders built Howz, a smart home care monitoring system that works to prevent falls and other injuries by identifying slight changes in a patient’s behaviour.  

Using artificial intelligence (AI), a motion sensor, smart plug, door sensor, and hub, Howz’s package helps carers track energy use and at-home movements. The AI quickly establishes a base routine for each patient and uses that information to identify early behavioural changes and capability that indicate a possible need for social care support. Those early alerts – such as no electric kettle use that day – help social care teams and family carers spot and react to small changes that may otherwise go unseen with current home care monitoring systems, before a more serious accident can occur.  

It takes only minutes to install the Howz system and data is available instantly via the app for individual carers and healthcare professionals. Howz provides round-the-clock monitoring and a care dashboard for those in charge of multiple patients. At the same time, privacy is an essential part of the system. No personal data is collected, and the main account holder can add or delete permissions for those using the app. Results show that the use of Howz reduces emergency admissions by 32 per cent and the risk of care home admission by 42 per cent. 

From Parkinson’s to mental health, Springwise’s library includes a variety of innovations using AI to provide customised, timely healthcare interventions.

Written By: Keely Khoury

Reference

How can mixed reality and AI improve emergency medical care?
CategoriesSustainable News

How can mixed reality and AI improve emergency medical care?

Spotted: Mixed reality (MR) refers to technologies that create immersive computer-generated environments in which parts of the physical and virtual environment are combined. With potential applications that range from education and engineering to entertainment, the market for MR is forecast to record revenues of just under $25 billion by 2032. Now, in a ground-breaking partnership, Singapore-based company Mediwave is teaming up with Sri Lanka’s 1990 Suwa Seriya to deploy MR and artificial intelligence (AI) to create a fully connected ambulance.

1990 Suwa Seriya is Sri Lanka’s national pre-hospital emergency ambulance service, which boasts response times that surpass even some services in developed countries. The innovative ambulance it has deployed uses Mediwave’s integrated Emergency Response Suite, which combines the latest communications equipment with internet-of-things (IoT) and AR capabilities to enhance the efficiency of the emergency response eco-system.

The connected ambulance ensures swift response times and digitises critical processes, while specialised care can be provided remotely through a Microsoft HoloLens. The technology enables Emergency Medical Technicians (EMTs) – staff who man ambulances in Sri Lanka – to connect with physicians at the Emergency Command and Control Centre. These physicians help the EMTs provide care during the so-called ‘golden hour’ of medical emergencies – the concept that rapid clinical investigation and care within 60 minutes of a traumatic injury is essential for a positive patient outcome.

In addition to connecting EMTs with doctors, Mediwave’s system also employs an AI-powered transcriber to digitise Electronic Patient Care Records. This minimises human error and reduces delays once the patient reaches the hospital.

Other applications of extended reality in the Springwise library include holograms that are used to train doctors, virtual environments for treating phobias, and an augmented reality contact lens.

Written By: Matthew Hempstead

Reference

Crop care products based on sustainable materials
CategoriesSustainable News

Crop care products based on sustainable materials

Spotted: The European Commission is navigating a bumpy path as it attempts to reduce the amount of toxic chemicals in the environment. A proposal on a sustainable use of pesticides regulation (SUR) suggests halving the amount of pesticides in use in the region by 2030 may be debated in early 2024. On the other hand, the revision of a broad chemicals strategy for sustainability appears to be indefinitely paused.  

In the meantime, Belgian agritech company Minagro is helping farmers reduce their chemical impact and navigate changing regulations by providing bio-based versions of essential crop care products. With a number of patents already in place, the company provides three different categories of crop inputs. In-can preservatives, adjuvants, and solvents are made from the natural raw ingredients sugarcane bagasse and essential oils.  

In-can preservatives help preserve aqueous-based products in their liquid form. Adjuvants help other chemicals work more effectively, and solvents make it easier to spread crop treatments by dissolving certain products. Agrochemical companies can replace standard products with Minagro’s bio-based versions and help farmers reduce the negative impact of their agricultural activity.  

The company provides distributors with technical support in formulating just the right mix of its inputs for desired results. All Minagro products are biodegradable, making them an important piece in growers’ transition towards reductions in groundwater pollution and soil damage. And most organic certification authorities allow for the use of Minagro’s biochemicals.  

From drone-powered pest control to carbon-neutral fertiliser that improves crop yields, Springwise’s database contains a diverse range of innovations seeking ways to change agriculture for the better while making it possible to feed the growing global population.

Written By: Keely Khoury

Reference

An algae-based material for use in personal care products and solar panels
CategoriesSustainable News

An algae-based material for use in personal care products and solar panels

Spotted: Biotechnology has been rapidly gaining momentum in recent years, with manufacturers increasingly turning to the natural world both for its unique qualities and sustainability. One of those manufacturers is Swedish Algae Factory, which uses diatoms – a type of unicellular microscopic algae – to produce its new advanced materials. 

The company’s first products are a skin cleanser called Algica and a protective coating for photovoltaic (PV) panels. The products are manufactured via a sustainable, circular process that uses wastewater from other local businesses as an energy source, with the cleaned water is returned to its partner organisations for reuse. According to the company, producing one kilogramme of Algica helps clean the atmosphere of at least eight kilogrammes of carbon dioxide and one kilogramme of nitrogen. 

The shells of algae diatoms contain silicon dioxide and are extremely efficient at absorbing light and carbon dioxide. By replacing some of the chemicals traditionally used in skincare products, Algica not only reduces the carbon emissions of production, it also makes the products themselves healthier and more effective. In a controlled, double-blind study, external assessors found Algica’s moisturising capability to be the same as hyaluronic acid.  

Because the algae grow in salt as well as wastewater, production processes are accessible to communities without a consistent supply of clean water. By eliminating the need for potable water to grow algae, areas can more easily and quickly engage with new opportunities for economic growth, particularly as Swedish Algae Factory continues to explore additional and improved uses of the plant.  

A recipient of an EU LIFE grant, Swedish Algae Factory also has a project called Life Sunalgae for large-scale industrial production of an algae-based silicon film that blocks UV light. When applied to PV panels, the film slows the degradation of materials while increasing the solar cells’ efficiency in converting light into power. 

Springwise has spotted the versatility of algae being used in a range of innovations in the archive, including in limestone and to power a microprocessor.

Written By: Keely Khoury

Reference

5 Ways Architects Can Combat Sterile Stereotypes of Elderly Care Homes
CategoriesArchitecture

5 Ways Architects Can Combat Sterile Stereotypes of Elderly Care Homes

Architizer is thrilled to announce that the 11th Annual A+Awards is officially open for entries! With an Early Entry Deadline of November 4th, 2022, the clock is ticking — get started on your submission today.

As the boomer generation grows old and cultural norms for caring for the elderly shift, retirement homes become increasingly important in our society. When we think of elderly care homes, a sterile and despondent image often comes to mind, one that typically lacks vitality, life and community. Retirement and nursing homes are complex spaces that facilitate a variety of tasks and undertakings. They do not only serve as living spaces; they are medical centers, social domains and spiritual places too. And such multiplex environments have proven to be complex design undertakings.

The architectural field plays an intrinsic role in the betterment of retirement communities. Through careful planning, a deep understanding of the elderly’s needs and a commitment to fostering community, elderly care homes can become places that nurture vibrant lifestyles for their aging population.

Encouraging Movement Through Accessible Floor Plans 

St John’s House Nursing Home by FKL architects, Dublin, Ireland, 2021

Physical mobility decreases with age, and it is imperative that elderly homes both limit and encourage movement. There is a fine line between accessible circulation and inaccessible movement, and architects can help encourage movement through well-devised and safe floor plans. The St John’s Nursing Home in Dublin, Ireland is a space that responds to elderly needs.

This renovation completely reconfigured its amenities in order to best serve its residents. The site’s original chapel was located in an inaccessible and non-central spot. The chapel was then relocated from its former position to a central spot that leads onto an external, enclosed structure. Centralizing this place of worship within the home makes for easier movement and as a result, encourages residents to engage in moments of devotion.

St John’s House Nursing Home by FKL architects, Dublin, Ireland, 2021.

At St John’s Nursing Home, a sheltered promenade was created to join the new building with the existing structure. Covered pathways are ideal for elderly residents as they encourage outdoor movement while protecting residents from extreme weather, such as heavy rainfall, which could cause slippery conditions. 

Moreover, herbs, vegetables and fruits were planted in the outdoor gardens, which create active outdoor spaces where residents can engage their senses through scents, textures and taste. The home’s interior design was carefully placed and boasts contrasting colors in order to remain accessible for residents with cognitive impairments. Thus, creating a space for accessible circulation and healthy movement. 

The Hainburg Nursing Home in Austria is another great example of accessible and tactical design. Inside, niches were implemented in front of each resident’s bedroom door, and thus turn the hallways into active spaces for circulation and gathering that are an extension of residents’ rooms. The interior surfaces are demarcated by their materiality: laminate and linoleum and wooden floors. Meanwhile, contrary to the anonymous and bland exteriors that lend a medical air to many nursing homes, this Austrian project is sheathed in a pattern of colored diamond-shaped Eternit-shingles, offering a unique expression of identity for the place that residents call home; which brings me to my next point.

Steering Away from Sterile Environments 

Home for Dependent Elderly People and Nursing Home by Dominique Coulon & Associés, Orbec, France. Photos by Eugeni Pons

Homes for the elderly encompass much more than a simple place to eat and rest. These spaces are typically equipped with large medical teams made up of doctors and nurses. More often than not, a pragmatic reality takes precedence over design creativity and as a result, sterile spaces are erected. 

However, there are ways to ensure that a caregiver’s work can be performed without a hitch while creating inviting and dynamic spaces. The simplest way to do so is through color. The Home for Dependent Eledery People and Nursing Home in Orbec, France chose unconventional colors for its design. The interior hallways are painted with a bright red and crisp white color, steering away from conventional medical palettes. Even the exterior’s green façade makes for an inviting space and connects the center to the surrounding landscape.

St Brieuc’s Elderly Establishment by Nomade Architectes, Saint-Brieuc, France | Photo by Mathieu Ducros

This bold use of color can be seen in additional homes, including the St Brieuc’s Elderly Establishment in France, which boasts a colorful interior and exterior purposefully done to energize the space. The design respects the area’s residential nature by breaking the program into nine small blocks and borrowing traditional architectural codes, such as double-pitched roof. The array of materials and color further differentiate units of the housing, reinforcing a sense of individuality for the residents in the community.

Encouraging Autonomy Through Separated Public and Private Spaces 

Indeed, balancing autonomy and independence can be a challenge when designing an old folk’s home, especially when most residents require assistance from staff. Separating public and private spaces in order to encourage independence — while not compromising community and efficient care — is key. The Old People’s and Nursing Home in Rolle, Switzerland finds a perfect balance between public and private spaces. Residents’ bedrooms are located on the upper floors while the main level is reserved for communal areas. Additional common spaces are added to upper floors, which encourages private gatherings and therefore, allow residents to socialize on their own terms. 

Old People’s and Nursing Home, Rolle by PIERRE-ALAIN DUPRAZ ARCHITECTE ETS FAS, Rolle, Switzerland, 2015.

Hospitality-Based Design

Some designers have approached the architecture of a senior’s home similarly to that of a hospitality space. The Nursing Home in Sceaux was informed by hotel designs and mimics a similar aesthetic through its thematic spaces. This home has three pronounced gardens, all of which boast a unique theme and create exploratory spaces for residents to discover.

Dining, lounging and media rooms are all separated to further encourage movement and exploration — just like one would in a hotel. Moreover, the entire façade is wrapped by wooden logs which create an enclosed passageway and provides an environment completely atypical of a nursing home but still safe for the elderly. 

Nursing Home in Sceaux by Philippe Dubus Architectes, Sceaux, France, 2013.

Hospitality-influenced design is equally see at the St Brieuc’s Eldery Establishment (mentioned earlier in this article) which has an in-house hair salon and delineated family reception area. These sorts of hospitality-focused spaces bridge the gap between the home and the outside world by providing a sense of ‘normal’ living. Residents can engage in mundane tasks such as visiting the hairdresser and hosting family. 

Improved Areas for Staff and Caregivers 

As important as it is to consider the residents’ needs when designing spaces for the elderly, it is equally paramount to take into consideration the very people that make these spaces possible — the staff. Caregivers have arguably one of the most challenging jobs and it is critical they are well-considered when designing nursing homes and retirement residences. Delineating clear environments where staff can perform their work, as well as look after themselves, help create an environment ideal for growing old.

Architizer is thrilled to announce that the 11th Annual A+Awards is officially open for entries! With an Early Entry Deadline of November 4th, 2022, the clock is ticking — get started on your submission today.

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