| ARCHITECTURAL PRECEDENTS |
What is Hospice?
Hospice is not a place -- it is a concept of care. Hospice aims to improve quality of life for people with a life threatening or terminal illness from the time of diagnosis. The focus is on caring, not curing, and on life, not death. Hospice care extends to family members and caregivers, helping them to care for their loved one and to care for themselves.
Hospices are stemmed from the palliative care system. In palliative care, the focus is on making a patient more comfortable by easing their pain. However, palliative care is found in hospitals, where the environment is still very much institutional. Hospices, on the other hand, offer a much more home-like atmosphere for terminally ill patients and their loved ones.In order to establish what should be included in this thesis, the following examples of precedence will help give some insight for the program at hand. This will be done by extracting important aspects of the present-day palliative care institutions and that of existing hospices.
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CARE |
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ROYAL Montreal, Quebec |
The Royal Victoria Hospital's Palliative Care Ward is one of the oldest
in Canada. The goal here is to alleviate as much as possible any pain
the patients may have and ensure that they are as comfortable as possible.
Palliative care has 1 full-time doctor, 1 part-time doctor and 2-4 nurses continuously on staff. There are also volunteers at the hospital, 3 per shift in the day as well as a psychologist. The ward offers services such as music therapy, occupational therapy, bereavement specialists. Each room is also furnished with a hide abed for family members that wish to stay over night. At the end of the wing, there is a solarium for patients and/or their families. This room is also being used for monthly memorial services. As well, there is a piano in the room for entertaining anyone on the floor. For more detail on the building program of the palliative ward, please visit my analysis of program page. The important here to note, however, is that all the rooms are undersized at the hospital. There is a huge lack of general space, as well as storage space. |
MONTREAL Montreal, Quebec |
The facilities are even smaller at the Montreal General Hospital (10 beds) than at the Royal Victoria Hospital (16 beds). The services here are even more limited here and the furnishing is much more humble. Although what the two wards do have in common is the solarium. Here also, there is a piano present. Music is most definitely an important aspect of therapy and must be taken into consideration for this thesis. |
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Guelph, Ontario |
Hospice Wellington operates as an organization,
rather than a home, that provides Volunteer Visits and Caregiver Support,
Therapeutic Programs, Bereavement Support and Public Education and
Lending Library.
The volunteers either visit the home or the hospital room of the client. They offer support for family members as well. They also have a drop-in day center where support group meetings are held for parents of children with life threatening illnesses. The therapeutic programs which are offered include Tai Chi, Therapeutic Touch, Reiki, Visualization, Sculpture, and Client Luncheons. |
HOSPICE
Toronto, Ontario |
The Hospice Association of Ontario, is not a hospice in itself. Rather it is a provincial membership association which was established in 1989 by eight independent hospice organizations. Their objective is to encourage, develop and support the voluntary community hospice movement in Ontario. On their website they discuss many services that may be offered by their members. Some of which are as follows: emotional support, personal care, respite care, spiritual support, financial and legal planning, hospice services for children, bereavement support. The HAO is also involved in created public awareness through the Annual Hospice Awareness week, as well as through the brochures and other materials promoting hospice. Furthermore, they offer educational and communication materials, fundraising support, and group programs. They also organize an annual conference which involves a variety of workshop sessions led by experts in the field. |
LISAARD
HOUSE Cambridge, Ontario |
The Lisaard House is a home for people that are dying of cancer. The location of this hospice provides privacy, peace, quiet, and tranquility in a natural setting. The focus here is to give compassionate care to the patients and to offer respite for their families. As with every other hospice, the emphasis here is also to live each day to its fullest. The home is a place where patients and their families can set their own daily pace, celebrate special occasions, and control the final days. |
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Other Projects |
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Main Room, The Renfrew Center, Philadelphia This psychiatric treatment center was modeled on the nineteenth-century
estate hospitals of England, which typically had picturesque rural settings.
(Verderber et al., p. 168.) |
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Private Patient Room There, residentialist furnishings, appropriate lighting, wall alcoves, carpet, artwork, and bedside computerization technology gave the rooms an inviting residential ambiance while avoiding a bland caricature of home, hotel, or hospital. Additionally, the windows afforded full-height views unencumbered by furnishings or equipment. (Verderber et al., p. 218.) |