Environments for Aging - Fall 2016 - 41

PERKINS EASTMAN Alarm systems, charting technology, vitals monitoring, and exam lighting are all required elements. "We always have to have 4-foot-wide doors and 8-foot-wide corridors. We do have emergency call systems. We will always have to have a med room," Pancake says. "There are critical medical components that will never go away, but we are disguising them. They are readily available to staff, but not in the [residents'] faces." In place of traditional higher-walled nurses' stations are now small charting tables or telephone tables with wood cabinetry and milling that blend in with other common area, living room, and den furnishings. And with electronic charting and the use of other paperless technology, documentation can be done via tablet in resident rooms or in a hallway charting nook. Where nurses' stations do exist, they're being significantly scaled back with "a singlesided grouping of cabinets and a counter that promotes staff and residents to occupy the same areas," says Russell Mauk, ABHOW's vice president of design and construction (Pleasanton, Calif.). "We have initiated the use of charting alcoves or cabinets along one side of the corridor where the nurses can perform their recording tasks," Mauk says. "This eliminates the institutional feel of a traditional nurses' station while keeping the nurses visibly available to the residents." Cultivating a residential environment further includes resident-specific medication drawers and customized sterile supply drawers. "A storage cabinet is located inside each resident bedroom, which contains the key caregiving medications and supplies so that med and supply carts are not parked in the corridors, creating an institutional ambience," Siefering says. Other bedroom cabinet systems can store a resident's wheelchair or walker, if desired, but with easy accessibility when needed. "The design of skilled nursing facilities will continue the evolution into friendlier environments where technology allows the systems required for that high level of care; however, it will also allow (that technology) to be hidden to the residents," Mauk says. The goal, however, is not to eliminate all medical aesthetics from view. Bed levels are visibly low where risk of falling is a concern- that responsive adjustment is observable and assuring. "This is an example of where Left: Designed by Perkins Eastman, The Living Center of Manhattan, part of The New Jewish Home, reflects the care trend toward small community SNF environments. The 20-story building will feature 22 Green House homes and will accommodate 264 long-term care and 150 rehab residents. It's scheduled to open in 2020. Below: With a philosophy toward mutual community connections, the first-floor entrance and second-floor amenities-including auditorium, kosher bistro, coffee shop, library, and outdoor terrace-will be open to neighbors in the surrounding community. healthcare takes precedence," says Audrey Weiner, president and CEO of The New Jewish Home. "It's functional; there's no hiding of the equipment." Some medical elements belong in full sight and are a welcomed fixture of the resident's routine. "I'm not sure how I would disguise an oxygen canister," Weiner says. "I'm not sure of the value of that. There's nothing derogatory about [its visibility]. If I were at home and needed oxygen, it wouldn't be wrapped up and disguised." The future profile Despite a prevalent desire by many to age at home, skilled nursing will remain a practical and needed solution that comes with its own benefits-especially for those who eventually require 24/7 care. "While home is the preferred location for most, the delivery of essential support services [at home] can be cost prohibitive, and the elder is often socially isolated" if they stay at home, Ryan says. Projecting demand for the market, Siefering says that "short-term rehab lengths of stay will probably continue to shorten, but many seniors will have recurring visits to short-term rehab. There's always likely to be a demand for long-term care, but it will become more medically intense with residents who have multiple chronic conditions." How the industry responds with appropriate design solutions will be key. "The innovation," Calkins says, "is the continuation of moving toward smaller groups of residents living in a setting that is much more residential in character-living in a house, not an institution." EFA Sharon Schnall is a writer based in Ohio. She can be reached at schnallwriting@yahoo.com. MORE ONLINE: * With renovations in skilled nursing communities usually taking place every 15 to 20 years, it's important to get design features right. From residential and hospitality models to destination spaces, find ideas for creating lasting environments at EFAmagazine.com/ snf-environments-last. * Designing outside spaces and access to natural light is just as important as the interiors in skilled nursing. See how some organizations are approaching this challenge at EFAmagazine.com/snf-outdoor-spaces. Fall 2016 * EFAmagazine.com 41 http://www.EFAmagazine.com/snf-envlronments-last http://www.EFAmagazine.com/snf-envlronments-last http://www.EFAmagazine.com/snf-outdoor-spaces http://www.EFAmagazine.com

Table of Contents for the Digital Edition of Environments for Aging - Fall 2016

Environments for Aging - Fall 2016
Contents
EFAmagazine.com
Editorial
Show Talk
Bulletin
Community
Bigger in Texas
Exterior Expectations
Personalized Care
High Design
Creative License
Top 10 Remodel/ Renovation Projects
Design Profiles
Product Gallery
Q+A
Environments for Aging - Fall 2016 - Environments for Aging - Fall 2016
Environments for Aging - Fall 2016 - Cover2
Environments for Aging - Fall 2016 - 1
Environments for Aging - Fall 2016 - Contents
Environments for Aging - Fall 2016 - 3
Environments for Aging - Fall 2016 - EFAmagazine.com
Environments for Aging - Fall 2016 - 5
Environments for Aging - Fall 2016 - Editorial
Environments for Aging - Fall 2016 - 7
Environments for Aging - Fall 2016 - Show Talk
Environments for Aging - Fall 2016 - 9
Environments for Aging - Fall 2016 - Bulletin
Environments for Aging - Fall 2016 - 11
Environments for Aging - Fall 2016 - 12
Environments for Aging - Fall 2016 - 13
Environments for Aging - Fall 2016 - 14
Environments for Aging - Fall 2016 - 15
Environments for Aging - Fall 2016 - Community
Environments for Aging - Fall 2016 - 17
Environments for Aging - Fall 2016 - 18
Environments for Aging - Fall 2016 - 19
Environments for Aging - Fall 2016 - 20
Environments for Aging - Fall 2016 - 21
Environments for Aging - Fall 2016 - Bigger in Texas
Environments for Aging - Fall 2016 - 23
Environments for Aging - Fall 2016 - 24
Environments for Aging - Fall 2016 - 25
Environments for Aging - Fall 2016 - 26
Environments for Aging - Fall 2016 - 27
Environments for Aging - Fall 2016 - 28
Environments for Aging - Fall 2016 - 29
Environments for Aging - Fall 2016 - Exterior Expectations
Environments for Aging - Fall 2016 - 31
Environments for Aging - Fall 2016 - 32
Environments for Aging - Fall 2016 - 33
Environments for Aging - Fall 2016 - 34
Environments for Aging - Fall 2016 - 35
Environments for Aging - Fall 2016 - Personalized Care
Environments for Aging - Fall 2016 - 37
Environments for Aging - Fall 2016 - 38
Environments for Aging - Fall 2016 - 39
Environments for Aging - Fall 2016 - 40
Environments for Aging - Fall 2016 - 41
Environments for Aging - Fall 2016 - 42
Environments for Aging - Fall 2016 - 43
Environments for Aging - Fall 2016 - High Design
Environments for Aging - Fall 2016 - 45
Environments for Aging - Fall 2016 - 46
Environments for Aging - Fall 2016 - 47
Environments for Aging - Fall 2016 - 48
Environments for Aging - Fall 2016 - 49
Environments for Aging - Fall 2016 - Creative License
Environments for Aging - Fall 2016 - 51
Environments for Aging - Fall 2016 - Top 10 Remodel/ Renovation Projects
Environments for Aging - Fall 2016 - 53
Environments for Aging - Fall 2016 - 54
Environments for Aging - Fall 2016 - 55
Environments for Aging - Fall 2016 - 56
Environments for Aging - Fall 2016 - 57
Environments for Aging - Fall 2016 - 58
Environments for Aging - Fall 2016 - 59
Environments for Aging - Fall 2016 - 60
Environments for Aging - Fall 2016 - 61
Environments for Aging - Fall 2016 - 62
Environments for Aging - Fall 2016 - 63
Environments for Aging - Fall 2016 - Design Profiles
Environments for Aging - Fall 2016 - 65
Environments for Aging - Fall 2016 - 66
Environments for Aging - Fall 2016 - 67
Environments for Aging - Fall 2016 - 68
Environments for Aging - Fall 2016 - 69
Environments for Aging - Fall 2016 - Product Gallery
Environments for Aging - Fall 2016 - 71
Environments for Aging - Fall 2016 - Q+A
Environments for Aging - Fall 2016 - Cover3
Environments for Aging - Fall 2016 - Cover4
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