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Enhancing Community Design: Principles of Resident-Directed Care in Veterans’ Homes

This presentation explores resident-directed design principles, emphasizing the importance of including veteran residents in decision-making processes regarding their living environments. The architects and healthcare professionals will share their perspectives and experiences in designing spaces that promote comfort, safety, and community. Case studies from the Maine Veterans’ Home and St. Mary’s Large Renovation Project highlight the positive impact of involving residents in design choices, fostering a sense of ownership, and enhancing their quality of life. This dialogue aims to encourage collaboration among designers, caregivers, and residents.

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Enhancing Community Design: Principles of Resident-Directed Care in Veterans’ Homes

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Presentation Transcript

  1. Design from Within Deb Fournier RN-BC, MSB, NHA Maureen Carland RN, BSN, NHA Evan Carroll AIA, LEED, BD+C, Principle

  2. Our Objectives • Identify principles of person directed design • Describe the resident architect's experiences and the application of these experiences to the community • Examine the formation and role of advisory counsels for guiding project development

  3. What Typically & Historically has Happened • Decision making by owner or architect • Even small decisions made away from the user • Management makes decisions

  4. How and Whythis Needs to Change Baby Boomers are Coming! The next generations wants more choices

  5. Outline An administrator’s perspective: Why and how an architect came to MVH 2. An architect’s perspectives: Evan’s experiences 3. Lessons learned from Evan’s visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s

  6. What happenedat Maine Veterans’Home • Evan Carroll • Architect, Graduate of Roger Williams University • Raised in Maine • Passionate for designing for aging population

  7. How did this Happen? Living Through Learning program at UNE Marilyn Gugliucci, Director of Geriatrics

  8. How we prepared • Previous Med students • Faux medical conditions • Positive results

  9. The best laid plans… • Uneasiness • Unprepared staff

  10. Communication • Rationale and learning goals • Concerns and anxieties • Careful planning • Discussion

  11. Outline An administrator’s perspective: Why and how an architect came to MVH 2. An architect’s perspectives: Evan’s experiences 3. Lessons learned from Evan’s visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s

  12. Living in a Veterans’ Home • Why have this experience? • How did I prepare? • What was it like? • What did I learn?

  13. Why have this experience? • People • Paradigms are shifting • Empathy • New solutions

  14. How did I prepare? • Journal • Packing • Self coaching

  15. HOME safe comfortable familiar secure

  16. What was it Like? • Arrival • Having a roommate • Dependence • Shift Changes • Smiles

  17. What was it Like? • Settling In • Staff • Socializing • Visitors • Becoming a household

  18. What was it like? Two Stories: The Luau Rose

  19. What was it like? • A rewarding experience: • The relationships • Growing old is a part of life • Love can overflow • Designers, residents, families and staff must work together

  20. What did I Learn? • Kinds of Care • My two different roommates • Memory/Long Term Care Rehabilitation • Build friendships vs. Protect self • Settle-In vs. Wait to leave • Home vs. Hotel • Dependence vs. Hope for Independence

  21. What did I Learn? • Senses • Sounds of home • Smells of home • Sights of home • Textures of home

  22. What did I learn? Spaces in a Home Space - to be alone

  23. What did I learn? Spaces in a Home Space - to chat

  24. What did I learn? Spaces in a Home Space - to walk

  25. What did I learn? Spaces in a Home Space - for a group

  26. Spaces for things What did I learn? • Identity • Ownership

  27. Spaces for things What did I learn? Ledges & Shelves

  28. Spaces for things What did I learn? Frame Rail

  29. Spaces for things What did I learn? Window Dressings

  30. Spaces for things What did I learn? Bedding and Rugs

  31. Spaces for things What did I learn? Shadow Box

  32. Views and Safety What did I learn?

  33. Outline An administrator’s perspective: Why and how an architect came to MVH 2. An architect’s perspectives: Evan’s experiences 3. Lessons learned from Evan’s visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s

  34. Now that we Know Small Projects • Cafe • MVH Multi-Purpose Room Remodel • MVH Room Remodel

  35. Now that we know • Jake’s Cafe

  36. Now that we Know New Menu

  37. Now that we know Multi purpose room • Residents choose finishes • Residents choose window treatments

  38. Now that we Know Room Remodel • Mock Room • Resident interviews and surveys • Focus groups • Staff Surveys

  39. Outline 1. An administrator’s perspective: Why and how an architect came to MVH 2. An architect’s perspectives: Evan’s experiences 3. Lessons learned from Evan’s visit and applications at MVH 4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s

  40. An Administrator’s Journey • What are our key stakeholders telling us? • Expectations have changed • Privacy is important • Desire to be included in making decisions that affect them • They are individuals and not just patients • Trust comes from: • Honest communication • Prompt response • Reliable and competent care

  41. Preparing the Culture • Decision to adopt the principles of patient and family centered care. • Changed the wording to patient, resident, and family centered care • Researched PRFCC models and tools • Provided education to Board, Leadership, & Employees • Identified this transition as a corporate goal • Shared stories of patient, resident, and family experiences

  42. Principles of Patient, Resident, & Family Centered Care Dignity and Respect Information Sharing Participation Collaboration Reprinted with permission from the Institute for Patient- and Family-Centered Care: www.ipfcc.org."

  43. www.ipfcc.org Patient, Resident, & Family Advisory Councils Who: Former patients, residents, and family members What: Serve as advisors to administration and staff

  44. Patient, Resident, & Family Advisory Councils Why: Provides an effective mechanism for stakeholder inputs. Results in more efficient planning. How: Careful selection of skilled facilitator • Criteria to identify potential council members • Initial educational session to introduce roll of advisory councils and principles of PRFCC • Ask for membership on the council

  45. Advisory Council Charter for St. Mary’s Rehab Center • Serve as Advisors for: • 2.3 million dollar renovation project • Healing environment • Evidence based design for seniors • Guide program transition from traditional skilled care to rehab center of excellence • Deliverables: • Customer satisfaction 96% recommend • Return to home rate 90% • 3 year CARF accreditation

  46. Renovation Learnings • Use of mock rooms • Getting around the bed • Swing versus pocket doors • Width of bariatric bathroom entrance • Location of head of bed • Put a picture here?

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