Desertation

CONTENTS 1 Introduction

:

Aims and objectives Methodology Scope of Work Conclusion

2 Site selection

:

Site is at “Nagpur” Maharashtra

3 Case studies

:

a) Karunashraya at Banglore b) Shanti Avedna at Mumbai

4 Requirements of the project 5 Planning consideration 6 Asthethic approach 7 Landscape of landscaping elements 8 Conclusion 9 Bibliography

Mauli - The Palliative Care Centre

INTRODUCTION Cancer is not caused by germs but develop from uncontrolled growth of abnormal cells known as Neoplasis (new cells) Cancer divided into two types 1) Benign or innocent 2) Malignant which causes cancer. TREATMENTS 1) Chemotherapy 2) Radiation therapy 3) Surgery When these treatments tails to stop the growth of cancer at that time cancer grows and patient transfer to last stage such patients are called as TERMINAL CANCER PATIENTS. As per World cancer record untill 98-99 @ 43 million people die of cancer India Cancer record. @ 0.3 million people die of cancer. C.O.E.T.,Akola.

1

Mauli - The Palliative Care Centre During death they have lots of pain this pain relief of terminal cancer patients is done over such cancer care centre. During death they don’t have little pain. The main aim of such a cancer care centres to give them the peaceful death. Terminal cancer died within 2 months and that’s why lots of care and love and physicological support of family is must but some families send them to such cancer centre and over here nurses tried to give them homely atmosphere, caring, love as well as release of tension by counseling with them by mixing with them over here patient feels free. (Architect plays role of sociologist, as this is the social topic) It is palliative care or continuing care. It aims to adding life to days, not day to life. Hospital care enable a terminally ill patient (last stage) to cross over without pain and suffering. Terminally ill patient are those patients who are suffering from disease which are at last stage, means there disease cannot be cured. Only care can be taken of these patients The care taken in these “PALLIATIVE CARE CENTRE” is in three ways which are as follows : 1] Home care C.O.E.T.,Akola.

2

Mauli - The Palliative Care Centre 2] Day care 3] Inpatient Terminally ill patients who are landing their time. They may not be curable but they still need a lot of care medication of nursing to care their suffering. HOME CARE : It is the type of service which is rendered to the patients in the form that, the doctor or the nurse is called at the home or residence where they take full care of medication means who treatment can be carried out at the home itself. DAY CARE : It is that type of care in which the patient come to the centre during day time, take full treatment where day of finally or right they can return to their motive place, not need to stay in the centre for medication of care. INPATIENT :

C.O.E.T.,Akola.

3

Mauli - The Palliative Care Centre Deel to cancer in last stage the period for terminally ill patient is two months maximum of two hours minimum. So when terminal patients enter the care centre or take admission in care centre. There is a test to known that they really care terminal cancer patients or not. It they are terminal cancer patients they are admitted to care centre. The pain in cancer increased during last four months of for that in care centre there is the medicine to relieve that pain which is quiet effective. During these last two months or from the time of admission to care centre medicine given to them i.e. pain killer medicines due to which total pain is relieved during their death. These type of care centre recognizes every individuals right to die I dignity free of pain of in peace. No matter hour devastating the disease they suffer from. AIMS AND OBJECIVES : Main aim : To design a better space t die. To give them peaceful death

C.O.E.T.,Akola.

4

Mauli - The Palliative Care Centre Not for a hospital the clinical detachment of a hospital for the emotional trauma of a home environment. A hospital is a combination of love of splcialesea care with sophisticated palliative medical attention for really of symptoms. For patients whose disease has reached an incurable space stage. In the wards of Dame cicety “you matter upto the last moment of your lye of we will do all we can, not only to help you die peacefully but to live fully until you die. Within this structure it is ensure sufficient

diversity of

integration so as to in rich quality of life for the patients. To active an appropriate design solution which would be an immense resource of relief of comfort for the patients. To enhance the life of patients due to immense care of the insure them to die with dignity. METHODOLOGY : Depending upon my aims of objectives about this topic as mentioned above of my requirements I carried out a thorough study of them I produced for my requirements. I third to care and design certain auxiliary function along with care, love medication. The whole idea is based on playing with spaces. The most important is the “Five elements” which are of almost importance for human survival. I have paid due consideration dimatology during my designing. C.O.E.T.,Akola.

5

Mauli - The Palliative Care Centre SCOPE OF WORK : The project MAULI the palliative care centre has got large scope of work for design purpose. It is completely a design oriented topic which is based on five elements of survival i.e. Panchtatva Solid, Sun, Void, Air, Water of most important is human physiology. I have designed such a place which is environmental friendly nearest to home of far away from hospital look.

C.O.E.T.,Akola.

6

Mauli - The Palliative Care Centre

SITE SELECTION To select a site basic requirements are : 1) The site should always be reading accessible from all parts of the town by public transport of possible be within easy reach of people upto are in great need of that centre. 2. ENERGY CONSERVATION 2.1 General The importance of energy conservation shall be considered in all phase of facility development or renovation. Proper planning and selection of mechanical and electrical systems, as well as efficient utilization of space and climatic characteristic, can significantly reduce overall energy consumption. The quality of the heath facility environment must, however, be supportive of the occupants and function served. Design for energy conservation shall not adversely affect patient health, safety, or accepted personal comfort levels. New and innovative systems which

accommodate

these

consideration

while

preserving

cost

effectiveness are encouraged. A discussion of energy conservation considerations is included as Appendix B. C.O.E.T.,Akola.

7

Mauli - The Palliative Care Centre 2.2 Location 2.2.A. Access The site of any medical facility shall be convenient both to the community and to service vehicle, including fire protection apparatus etc. 2.2.B. Availability of Transportation Facilities should be located so that they are convenient to public transportation where available. 2.2.C. Security Health facilities shall have security measures for patients. Personnel, and the public consistent with the conditions and risks inherent in the location of the facility. These measures shall include a program designed to protect human and capital resources. 2.2.D. Availability of Utilities Facilities shall be located to provided reliable utilities (water, gas sewer, electricity). The water supply shall have he capacity to provide normal usage plus fire-fighting requirements. The electricity shall be of stable voltage and frequency. C.O.E.T.,Akola.

8

Mauli - The Palliative Care Centre 2.3 FACILITY SITE DESIGN 2.3.A. Roads Paved roads shall be provided within the property for access to all entrances and to loading and unloading docks (for delivery trucks). Hospital with an organized emergency service shall have the emergency access well marked to facilitate entry from the public roads or streets serving the site. Other vehicular or pedestrian traffic should not conflict with access to the emergency station. In addition, access to emergency services shall be located to incur minimal damage from floods and other natural disasters. Paved walkways shall be provided for pedestrian traffic. 3.2.B Parking Parking shall be made available for patients, personnel and the public, as described in the individual sections for specific facility types. SITE INTRODUCTION : The site is situated at Nagpur. Wardha Road. The site has road from three sides of on one side railway track. The main entrance is from the road which is 100 N wide.

C.O.E.T.,Akola.

9

Mauli - The Palliative Care Centre Site area :

A

=

304.0 m B = 264.0 m C = 288.0 m D = 256.0 m The total area for site = 19.12 acre site The site is totally plain site. REGIONAL CLIMATE OF NAGPUR : It is necessary to give due consideration to the local climate before planning any structure because climate affect the design of the building. The study of climate also helps to achieve human comfort through planning of building. Nature of climate : Nagpur climate is hot and dry. There are two main seasons i.e. winter and summer. There is normal rainfall during rainy season. Summer season is for 8 month and dryness is through out the year, except the rainy season. May is the hottest month and the monsoon starts in June. The average rainfall is 46.5”. C.O.E.T.,Akola.

10

Mauli - The Palliative Care Centre Air Temp : Max 400C Min. 30C. Humidity : It varies from 10% to 55%. Air is hot and dry, so there is quick evaporation. Sky Condition : Sky is clear normally due to low humidity there are few clouds. In the sky there is much glare. Clouds can be seen only during rainy season in month of June to first week of September. Wind : Nagpur has winds through out the year. The monsoon winds are from West-East. In general the winds are from South-West are from SouthWest to North-East. Nagpur lie on 210 North latitude. Amount of heat received during May to July is maximum and during Nov. Dec-Jan is minimum. The horizontal surface receives the maximum amount of heat. Clouds : Clouds can be seen only during rainy season in month of June to first week of Sept. In Nov-Dec. slight clouds can be seen on eastern hemisphere. VEGETATION OF THE SITE :

C.O.E.T.,Akola.

11

Mauli - The Palliative Care Centre The site has been divided into different zones according to climatology and design part : 1) Buffer zone : Site has railway track on one side hence it is essential to create dense buffer zone to present site from more pollution. 2) Gardens used for re-creation of nurses. 3) Vegetation + fruit trees. 4) Garden 5) Lawns with water as main element.

C.O.E.T.,Akola.

12

Mauli - The Palliative Care Centre

CASE STUDIES 1) KARUNASHRAYA – at Banglore 2) SHANTI AVENDA ASHRAM – Mumbai CASE STUDY - 1 KARUNASHRAYA – at Banglore : Architect

–

C

and

T

construction. Ar. Sanjay Mohe. A

joint

project

of

Indian

cancer society Karnataka chapter and Rotary club of Banglore, Indiranager. 5 km

from

Banglore

Airport

on

the

varthur main road which leads to whitfield. Banglore. Facilities they give : 1) Home care – 1994-95 2) Day care construction started from 96.

C.O.E.T.,Akola.

13

Mauli - The Palliative Care Centre 3) In patient care-from 99. Home care since 94-95 : Total no. of patients – 825 Active patient –16 Not active – 10 Transferred to Hospice –91 In patient – since 99 : Total Admitted – 1167 Patient on 17 June 02-17 Discharged – 301 Total deaths – 688. TOPOGRAPHY – Plane site : SITE : The land-20 acre.

C.O.E.T.,Akola.

14

Mauli - The Palliative Care Centre 4 acre building block containing big water body around 10-12 acre site used for fruit trees, farming, vegetables, flower trees. 3 to 4 acre site used for landscaping at the entrance, and inside the structure. There are 3 gardens inside the block. ORIENTATION : Site facing to south side. Main road at south side. GROUND COVERAGE / BUILDING TOPOGRAPHY : Near about rectangular building block, G + 1 structure, with 3 gardens and 2 water bodies, front façade with flat roof. Composite masonry used gray stones used to all building with R.C.C. wall. STRUCTURE ON BUILDING : Main building Security Meter room Servants quarters

C.O.E.T.,Akola.

15

Mauli - The Palliative Care Centre AREA FACILITIES PROVIDED : 1. Entrance/ Exit (porch) 2. Reception 3. Administration block 4. Training centre 5. Doctor chamber 6. Checking lab 7. Day care hall 8. Visitor area use for recreation purpose 9. Prayer room 10.Morgue 11. Medical centre

Prayer room used to pray for peace of

soul.

C.O.E.T.,Akola.

16

Mauli - The Palliative Care Centre 12.In patient facility 13.Accommodation for nurses 14.Service area – Kitchen, Stores, Laundry, Service entry, Canteen, Courtyard entry . FOUR 12 BEDED WARDS : 1) Malliage 2) Kamla 3) Samige 4) Shaivantige SUGANDHI - 5 No. private room : Single kitchen for staff and patients. Black – topped service road 10’ wide. Medical Waste (cottons) transferred to Government cancer Hospital to burn. In incinerator.

C.O.E.T.,Akola.

17

Mauli - The Palliative Care Centre

ENVIRONEMNT CERATION : 1) Terminal cancer patients lives for maximum 2 months, that’s why the environment created also help them to release the tensions soothing and healing environment gives them psychological comfort. 2) Courtyards provided to all wards creator the healthy environment for, water body the sign of purity, landscaping helps then to involves in nature. 3) Water fall creates the effect the sound generated by falling water into water body gives the coolness to mind. 4) Water body is situated in such way all wards gets view. 5) Fruit trees are planted at the backside of water body, which is visible from all sides of centre. Birds gather and sit on those these of due to their chirping a soothing sound is generated which also helps to feel patients relaxed and give oneness with nature. 6) Rain water over the slab collected into water body. To avoid the problem of water collection during rainy seasons they give the solution.

C.O.E.T.,Akola.

18

Mauli - The Palliative Care Centre When little water body. When second also overflows through pipes that water transferred outside the main building block to the garden which is at the entrance that pipes are laid before construction, if water from third body, overflows transferred to fourth and if water is not soaked inside the garden that is transferred outside site to municipal drainage. 7) They have four bore wells, during rainy season when water is soaked by the land which in turns rises water required for landscaping. 8) WARDS : 1) Nurses station situated centrally so that they get the view of all patients and to look after them during they use toilets. 2) The wall raised up to and in between two beds give the privacy to each and

every

patients.

Use

as

wardrobe. 3) The doors provided for every bed gives them the view of water body and landscape (courts) while they an relaxing. 4) Doors are made in such a way that they provide security as well outer look. C.O.E.T.,Akola.

19

Mauli - The Palliative Care Centre 5) Waste cotton duct provided to the back of the toilet block which is collected the evening and burnt into incinerator, hygienic environment 10 maintained. 6) Though the max. patients not able to go to eat. The pull car is there which serve food to all patients on bed, such arrangement is there that the wooden plate of 1.5 feets attached to bed which is rolled over bed. 7) Checkered m.m. tiles used as Hooring i.e. easy to clean to maintain the healthy environment. 8) Composite wall is used which has the exposed gray stone blocks which it gives descent and cool look. 9) For parking no special type of construction is there, parking is done below the shade of tvel. 10) However trees and benches are at the side of the entrance and exit roads which give nice look. 11) Compound wall covers with Bogan well gives beautiful look of flowers. 12) Nurse station is so closed that they look after them 24 hrs. and privacy of nurses maintained. CASE STUDY – II 2)

SHANTI

AVEDNA

ASHRAM,

MUMBAI Location – 216 Maunt Mary Road, Bandra, Mumbai 400050.

C.O.E.T.,Akola.

20

Mauli - The Palliative Care Centre

SITE : TOPOGRAPHY : Site hopes steeply downward from the road, i.e. from east to west with level difference of approx. 7. am. The near (west) side and south Boundary is well vegetated with trees and bushes 15% site area (front) is landscaped with bushes and a well maintained lawn.

ORIENTATION : The site being on a hill side, a panoramic view of the Arabian sea, is seen on the west from the rear of the building. Area – 400 m2 F.S.I.-1 PROPORTIONS AND SHAPE : FSI consumed 0.96, (15%) plot area left for recreational purpose plot is approx square in shape.

C.O.E.T.,Akola.

21

Mauli - The Palliative Care Centre GROUND COVERAGE/BUILDING TOPOLOGY: C shaped building block (G+4) with a central courtyard at the rear flat front façade with flat roof. Has extrovert character for accommodating sea view. STRUCTURE ON SITE : Main building + parch + suction tank and meter room. SOIL CONDITION / EFFECT ON DESIGN : Murrum hill side has a lower ground floor mainly service floor with rubble retaining wall on the east side, due to level difference. AREAS / FACILITIES PROVIDED: 1. In-patient facility 2. Administrative block 3. consultation /medical areas 4. Day-care 5. Relatives-accommodation +canteen 6. Staff accommodation

C.O.E.T.,Akola.

22

Mauli - The Palliative Care Centre 7. Service areas Kitchen, stores, mortuary, lifts, laundry, service entry, kitchen entry, loading/unloading, canteen, pantry, court yard entry. 8. Entrance /exit. Main, court yard canteen, kitchen, service. 9. Prayer room. 10. Study centre 11. Ten beded wards. Single kitchen for patients and staff. Black-topped service road 10 ft. wide Plumbing, drainage-to municipal system-capacity 4809.375 gallons. Incinerator for specification)

C.O.E.T.,Akola.

destruction

of

medical

23

wastes.(according

standard

Mauli - The Palliative Care Centre

LANDSCAPING ELEMENTS SELECT THE PERFECT LANDSCAPES PLANT Plant perform a variety of uses in a landscape. The form, the basis for the garden’s floor, walls and ceiling. They provided privacy, colour, shade, noise abatement, wind screening, erosion control, cooling, food for your family or wildlife and most of all, they add value and beauty to your property.  Trees : Trees are the tallest elements in a landscape, providing a frame work for the setting and giving the design visual strength.  Shrubs : Shrubs offer the most versatility among landscape plants. They are invaluable as foundation, planting, as screen and hedges, in shrub borders, or as accents. When choosing shrubs, consider how their form and the texture of their foliage and branches work with the landscape design.  Shrubs Borders :

C.O.E.T.,Akola.

24

Mauli - The Palliative Care Centre Shrubs borders often create along a property border or a background of a flower ground. They can be used to separate different areas of the landscape or to hide security fences.  Hedges and Screens : Sheared hedges are a bit out of vogue these day because they require pruning several times a year.  Vines : Because they are climbing woody plants, vines make excellent landscape plants for screening small areas, covering fences, arbors and trellises, and softening corners and rough walls. They are especially useful where space is at a premium-vines can also be allowed to climb up the side of the house, although sometimes tendrils can damage mortar and loosen clapboards. It is often advisable to grow a vine on a trellis placed in front of the building rather than allow it to grow directly on building.  Locating Shade Trees : Shade trees are usually bets located to the sides, where they will frame the structure rather than block it. When the vertical lines of a tree’s trunk cut through the view of the structure this makes the former C.O.E.T.,Akola.

25

Mauli - The Palliative Care Centre appear less significant and stops your eye from traveling towards the front door, which should be the focal point of the design-framing a building with trees makes it appear larger or longer than it is and leads your eye to the front door.  Locating Beads of Borders : Sometimes called an island bed, a bed is a planting area accessible from all side. Beds should be in a proportion to the rest of the area. Any bed occupying more than one third of the lawn one will nose likely appear out of proportion. Beds in formal gardens call for straight edges and a symmetrical designs, but in an informal planting, they can be free form Designers plant curves to be gentle because those that are too sharp look contrived and busy soil within a bed can be mounded to create a berm and give a flat garden needed dimension. Bedding plants should be chosen with care so the area looks distinctive and not merely like a functional hedge. The combination of all these small details can create an imaginative landscape designs. The designs which not only give pleasure to watch but enhance the quality of people’s life. A. TREES : C.O.E.T.,Akola.

26

Mauli - The Palliative Care Centre 1) Boganwell at the boundaries 2) Mango trees 3) Babul trees 4) Kanher flower trees 5) Chrisms trees 6) Tulsi, Bushes for garden 7) Nilgiri trees 8) Ashoka trees 9) Flower – Zendu bush 10)Rose bed 11)Orange trees 12)Banana trees 13)Coconut trees 14)Awla trees C.O.E.T.,Akola.

27

Mauli - The Palliative Care Centre B. WATER C. BENCHES CAST IN STONES

C.O.E.T.,Akola.

28

Mauli - The Palliative Care Centre

REQUIREMENTS OF THE PROJECT 1) Music and sound therapy 2) Colour therapy 3) Landscaping elements. A) 1. Security 2. Generator room A) ADMINISTRATION 1. Entrance 2. Reception and waiting 3.

Director

office

4.

Record

5.

Training centre for 50 persons. C) DAY CARE CENTRE + INPATIENT FACILITY 1. Doctor’s Chamber + Testing lab 2. Psychiatrist Chamber 3. Library 4. Quiet room 5. Day care hall 6. Recreation room 7. Smoking zone 8. Care giver’s room 9. Locker’s D) COMMON FACILITIS 1. Dining hall 2. Kitchen 3. Pantry 4. Wash-up

C.O.E.T.,Akola.

29

Mauli - The Palliative Care Centre E) PATIENT FACILITIES : 1. 4 Wards-2 Gents + 2 Ladies, Private room : 4 No.-50 Patients, 2. Wheel chair + stretcher area. 3. Morgue, 4. Medicine storage, 5. Drying Area, 6. Wash Mac. Room. 7. Incinerator room. 8. Utensils Wash. 9. Area for waste cotton. F) ACCOMMODATION : 30 Nurse-4 Main Nurse –2 Driver 1. Warden Room 2. T.V. Room 3. Store C.O.E.T.,Akola.

30

Mauli - The Palliative Care Centre 4. 4. 1 Bhk quarter 5. 2. 2 Bhk quarter. 6. 2 Driver – 2 room block, 7. 5 No. Guest Room.

C.O.E.T.,Akola.

31

Mauli - The Palliative Care Centre

PLANNING CONSIDERATION ZONING CRITERIA AND CONCEPTUAL : Main Principle : All the activities to be performed in this care centre are grouped together i.e. attached building concept. This concept has been C.O.E.T.,Akola.

32

Mauli - The Palliative Care Centre kept in mind white designing for this project hence care centre is designed because patients need 24 hrs caring. Aims and Objectives : The main aim of this project is do render comfortable and peaceful life as long as they live and to die with dignity. The ultimate aim of this project is to “Design a better place to die”. Concept : The concept of this project are fully design based and aim to design a better place to live the ending days of life in peace and dignity. 1) To use natural energy resources i.e. use of stored solar energy. Energy efficient of self sufficient building is designed for environmental friendly concept. 2) Landscaping elements : Water is the main landscaping element of this project. WATER THE MAINELEMENT OF THE PROJECT : Our roots in water are not just physiological and psychological. Water is essential for every aspect of human evolution. Each great culture C.O.E.T.,Akola.

33

Mauli - The Palliative Care Centre started its advent neat to the banks of a great river. Ancient man soon learnt that this development was determined by his ability to organized and manipulates water. THE NATURE OF THE WATER : Water which is so, central and so vital to basic life is also vital a diverse range of aesthetic and recreational pleasures. Water has so many different and contrasting qualities all of which can produce a diverse range of effects-visual and auditory. Depending upon volume, velocity, quality of light soil, geology, and lots of other factors water can be reflective and moody, crystalline and sparkling, auditory and awesome. At one time it can be clam reflective crash resoundingly through an arrangement of rocks or soot upwards towards the sky in a spirited bubbling jet.

MOVING WATER : On fairly gross level water bodies can be classified into moving water and still water. Cascades and waterfalls seen to impart more of a sense of excitement that calmer stretches of water, partly because the rocky setting of those features are wilder and much more dramatic than C.O.E.T.,Akola.

34

Mauli - The Palliative Care Centre the broad flat river valleys and also because of the visible discharge of energy that is produced in any such situation the most noble examples of moving water naturally create their own. Immediate aesthetic frame and is therefore the centre of. THE SOUND AND FEEL : Water produces an endless range of sounds as it flows over and around obstacles, as it sprays into the air and then returns to the surface, a sit falls over rock into pools, a sit pulls air into its folds and combine with it to produce even greater nuances of white water and waves. There is hardly a sound created by water, which can be considered as distressing, or annoying, except may be floodwaters. The very sound of water has a cooling effect on people in hot climates. Even if the source is hot apparent, the sound creates a sense of anticipation and is an attracting force. Anyone who hikes through a hot woodland experience the some urge upon arriving at a stream, pool or waterfall, that a city worker experiences upon discovering a cool, splashing urban fountain while trudging the hot side walks on a summer day. The natural urge is to proceed beyond the visual and auditory experience, to look and listen is

C.O.E.T.,Akola.

35

Mauli - The Palliative Care Centre often not enough to satisfy out deepest needs. We want to feel the water in order to complete out experience with it. STILL WATER : In

quiet

ponds,

lagoons,

canals or lakes water presents an entirely different set of moods, sounds and settings than water in motion. ARCHITECTURAL

FOUNTAIN

SYSTEMS : The basic components of the mechanical system for a recalculating fountain / water display are the pump, with a screen protecting it from debris, a delivery line connecting the pump and the fountain, and another suction line connecting the pump and the fountain pool. A main drain, an overflow drain and control values. Should be regulate the operation of the system and facilities its maintenance. ROLE OF WATER DISPLAY CONSULTANT : Water display has today come alone way than the simple fountains and water bodies of yesterdays. Technological advancements C.O.E.T.,Akola.

36

Mauli - The Palliative Care Centre have now made it possible to create a wide variety of possibilities, permutations and configurations of water, colour and sound. Different novel types of musical fountains, water sheets, cascades and water display gimmicks are possible to be created. Moreover over display activity has acquired a high degree of sophistication and it is not longer possible

to

create

“Water

Architecture”

without

the

specialized

involvement of water display consultant, on account of the increasing necessity to relay on advanced technology on advanced technology, hydraulics,

electric

/

control

systems

and

relevant

engineering

technicalities. Water display engineering has emerged as a discipline in it won right. Buildings and status have become land markers in our city, but similarly water display architecture elements are becoming a civic landmark in itself. Second main landscaping elements is various types of lawns and trees : a) Diamond lawn b) Rajput lawn 3) Last but not the least the “PANCHTATVA” – Five elements : Is the main planning concept of this care centre. C.O.E.T.,Akola.

37

Mauli - The Palliative Care Centre a) Water b) Sun c) Air d) Solid (Building blocks) e) Sky (Void). All these elements together form and complete a human being. And patient i.e. human for which this centre is designed. Hence main concept of this project is PANCHTATVA – five elements. The long drive way leads upto entrance plaza, with an administrative area and day care centre in front. The wards are located towards the rear side surrounded by water body with the greenery beyond enhancing the feeling of being with nature. The water body plays a gental pivotal role, offering the serenity, this kind of a situation necessitates. The large expanse of water, forms the major orients itself, as most of the residents are in advance stage of cancer and are subjected to excruciating pain, the main attempt was to try and capture feeling of tranquility and a sense of calm, to

C.O.E.T.,Akola.

38

Mauli - The Palliative Care Centre soothe the nerves of those succumbing to the ravages of cancer. It was felt that water the natural element could be used to capture this feeling successfully than any built form could. Hence where the built form recedes into the background the vast surface of water becomes a stage upon which the ever changing light, the breeze, the rain the nature perform and the reflection on the water, almost a metaphor, for one reflecting on a life slowly, but steadily drawing to a close. A typical module is developed to have a centralized nurses station and washing area, with individuals spaces for each patient, which has storage space, a door leading to verandah with a sit out overlooking the pond”. In essence it is “like a room with a room, open but private”. We found that when a person is in hospital, a lot of time is spent looking at the ceiling in response to this, rooms are located such that, the mirror images from the water body, reflect onto the ceiling creating myriad mobile undulations. There are court yard in between the wards and other open spaces acting as transition spaces. The walls are flanked by verandahs, which opens towards the water body and courtyards on either side, offering a flowering sequence of spaces.

C.O.E.T.,Akola.

39

Mauli - The Palliative Care Centre The nurses living quarters though close to the wards, has its own privacy with an independent entrance and a residential ambience. The material used is locally available which ages most gracefully when life is at its ebb and its time to ponder is peace, when all the worlds medicines cannot offer a cure, how amazing is to have humanities helping hand each out and smooth away the agonies of life. ROLE OF PHYSCIATRIST : Psychiatrist play an important role in the life of patient who is at the ebb of life and wants to ponder in peace and with dignity. Psychiatrist counsel the patients, hear to there pain and problems and teach the trainees, family members how to take care of the patient. How to keep them engage busy so that they can forget there pain for some time. Psychiatrist help to release patients mental tension and give them peace and way to lead their last days of life with place and dignity “Where there is no cure -------- there is care”. Is the main objective of this project. It is an endeavors to create a serene environment with quality care, irrespective of caste, creed or colour for terminally ill cancer patients. Much of this is achieved through the design of architectural spaces that would complete body and mind to be in peace where sensitivity to context become imperative. C.O.E.T.,Akola.

40

Mauli - The Palliative Care Centre

AESTHETIC APROACH Five elements are the base of this project of they create a way towards aesthetic. The five elements are as follows. 1) Water 2) Sun 3) Air 4) Solid (building) 5) Sky (void) Water : First water body circulated by administrative block and other water body to dormitory block. The levels of these water bodies maintained so that water when gets dormitory

in more quantity during rainy season,

the water level is maintained in three tanks. C.O.E.T.,Akola.

C shaped building of

41

Mauli - The Palliative Care Centre If water is still water : It creates nuisance and that why that water gets moving with the help of air wheel. The water from all these water bodies are moved towards sump tank and with the help of water treatment plant, water is treated by adding of more amount of free oxygen in treatment plant and circulated with the help of air wheel to al water bodies. The water bodies reduces the temperature of the courtyard considerably. Sun : Sun is one of the basic element, sun is an inexhaustible energy source which can be utilized in this care centre in the form of solar energy. Solar equipment are used to trap solar energy and then this solar energy is used for various purpose. Air : Air is basic elements for human survival to live all human beings breathe air, hence this air should be fresh and pollution free proper air circulation in maintained throughout the centre by providing adequate number of openings. The whole site is planted proper so that fresh air is available that can help patients to feel fresh and calm. C.O.E.T.,Akola.

42

Mauli - The Palliative Care Centre Sky : Sky is an element which helps oneself to keep cool and attached with nature. Sky can be seen from each and every room, courtyard, garden corner of this centre to give a soothing look to the eyes. Colour : Proper colour scheme i.e. selection of proper colours for each and every room of say ward helps to give smoothness to patients. Cool colours are generally used rather than warm hot colours. Colours should be selected such that they can match he purpose for which that block is designed. Texture : Different forms of textures can be used throughout the centre to change the monotony the, or else one gets bore of seeing the same texture at each and every point of the centre, hence texture should be changed wherever necessity arises in form of stones like dholpuri, exposed bricks, tiles, rough plaster, checkered flooring etc. But it should not exceed the limit.

C.O.E.T.,Akola.

43

Mauli - The Palliative Care Centre

HUMAN PSYCHICOLOGY : Human beings lead social life means friendly to one another and environment and each and every object related to them hence he is a social animal. He first sees and feels everything, thinks about it and than proceeds. Each and every human being needs care and protection, unlike any normal person terminal patients also wants place and soothing environment i.e a place wither they can render there last days in peace and care. Designing should be based related to their psychology and accordingly landscaping elements should be provided. When a child borns and as he grows up he feels everything and according to his conclusions his mind develops, further as he grows he wants to earn for himself and his family to land a letter life at that time his psychology becomes materialistic finally if he suffer from cancer his psychology changes, his craze for life becomes nil and at that time we should create such environment by means of architectural elements in which he feels to lead last days of life in peace care and with dignity and hot in feeling of fear to die without dignity.

C.O.E.T.,Akola.

44

Mauli - The Palliative Care Centre That place should be such that, person should feel to render his last days. He should not feel that other people are caring for him just become of sympathy and that place should not give a feeling of hospital.

CONCLUSION There are times, when despite our best effort and all the modern advances in medicine we have to admit that we have nothing more to offer “Terminal cancer patients. Many people die in absolute misery, complete deprived of basic facilities, very often in great pain and not infrequently without barest of dignity. In India the entire medical system is groaning under weight of sheer number so what is to happen to these wretched patients? where should they be left to die? Should an over worked doctor and a crowded hospital merely discharge these persons, literally abandon them and move on to other lives which have hope of being saved?. “You matter uplast moment of your life, And we will do all we can, Not only to help you die peacefully But also to live untill you die. There are question that should and must concern any right thinking person. And a little though will reveal that the answers lies not in C.O.E.T.,Akola.

45

Mauli - The Palliative Care Centre an automatic negation of love and care but at the heart of Hospice care. “There may be a limit for cure but there is no limit for care. We should start this project with a hope to contribute our mute to giving back to a miserable human being the dignity he is entitled to by birth, the freedom from pain, the basic comfort of a clean bed and above all the love of caring of compassionate hands. Hence I decided to take this project as my thesis topic and I have tried my level best to give an good and appropriate design solution which would help to create a better place to die.

C.O.E.T.,Akola.

46

Mauli - The Palliative Care Centre

BIBLIOGRAPHY 1) Time saver standard – landscaping 2) Inside outside magazine 3) JIIA journal 4) Design a better place to die-Joan Kron. 5) Silent spaces – Gautam Bhatiya 6) Notes available from case studies 7) Karunashraya

C.O.E.T.,Akola.

47