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Achitecture, women and health

6 January, 2024

Health Architecture: Designing spaces for the full life of older adults

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The world population is aging at an accelerated pace. By 2050, it is estimated that there will be over 2 billion people aged 65 and older [1] worldwide. This demographic shift poses new challenges for society, including the need to create spaces that promote the independence, safety, and inclusion of older individuals.

Elderly-focused Architecture: Beyond ramps and elevators

At AHEAD Barcelona Healthcare Architecture, we believe that architecture for the elderly should not be limited to merely adding ramps and elevators; rather, it is essential to create environments that enable older individuals to live fully and autonomously, fostering connection and communal living [2] [3] [4].

A reference project in Meliana, Valencia

To illustrate how this theme can be addressed, we propose examining the project implemented in Meliana, Valencia, Spain. Constructed with sustainable materials and guided by Evidence-Based Design [5] and neuroscience applied to architecture [6], this project has transformed into an ideal environment for the elderly.

An inclusive approach

Our first principle was that of inclusion. We aimed to create an environment accessible to all, regardless of age or abilities. In the realm of architecture, we then incorporated necessary physical features such as handrails, bars, etc. However, great care was taken to ensure that the addition of these mandatory elements did not create a sense of a “medicalized environment.”

Specific considerations

Addressing specific concerns of older adults, we recognized the need to respond to feelings of “loneliness” [7] and “social isolation” [8] experienced by seniors. Consequently, we focused on the “interconnection of spaces” by creating common areas seamlessly connected to each other.

A dynamic environment

Considering the potential evolution of residences for older adults, we envisioned offering a variety of services and activities not solely for permanent residents. Thus, we implemented consulting rooms with direct access to the street, potentially transforming into external clinics, a gym with similar features, and areas for art and culture.

Conclusion

Architecture for older individuals is a commitment to the quality of life and dignity of our elderly population. Embracing Evidence-Based Design, ensuring mobility and accessibility, and creating interconnected spaces, contemporary architecture becomes a valuable tool for building an inclusive and respectful future for the elderly experience.

If you want more information about the project, you can click on the following link: Youtube Video

References

[1] World Health Organization (2022). Aging and health. https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health#:~:text=En%202050%2C%20la%20poblaci%C3%B3n%20mundial,habr%C3%A1%20duplicado%20(2100%20millones).

[2] Van Steenwinkel, I., de Casterlé, B. D., & Heylighen, A. (2017). How architectural design affords experiences of freedom in residential care for older people. Journal of aging studies, 41, 84-92.

[3] Lipman, A. (1968). A socio-architectural view of life in three homes for old people. Gerontologia Clinica, 10(2), 88-101.

[4] Marsh, A., Biniaris, C., Vergados, D., Eppler, A., Kavvadias, C., Bigalke, O., … & Caragiozidis, M. (2008). An assisted-living home architecture with integrated healthcare services for elderly people. Studies in health technology and informatics, 137, 93.

[5] Alfonsi, E., Capolongo, S., & Buffoli, M. (2014). Evidence based design and healthcare: an unconventional approach to hospital design. Ann Ig, 26(2), 137-43.

[6] Ritchie, I. (Ed.). (2020). Neuroarchitecture: Designing with the mind in mind. John Wiley & Sons.

[7] López Doblas, J., & Díaz Conde, M. P. (2018). El sentimiento de soledad en la vejez.

[8] Arranz, L., Giménez-Llort, L., De Castro, N. M., Baeza, I., & De la Fuente, M. (2009). El aislamiento social durante la vejez empeora el deterioro cognitivo, conductual e inmunitario. Revista Española de Geriatría y Gerontología, 44(3), 137-142.”