Landscapes - Summer 2018 - 20

PROLOGUE

06 / THE LANDSCAPE
OF NURSING HOMES
/ PEGGY CHI

PHOTO COURTESY JENNIFER CHANG

EN_
THE SALUTOGENIC THEORY, pioneered

by Aaron Antonovsky, is a novel approach
in our healthcare system. The theory
suggests that it is more important to
focus on people's resources and capacities,
than to focus on treating ill-health and
diseases. As many landscape architects
are aware, health can be promoted and
improved through salutogenic designs of
the landscape, particularly within built
environments designed for older adults.
However, the impact of landscape has
been understudied in Canadian nursing
homes. Now, the timing is ripe for
research. In Ontario alone, we have 300
nursing homeswe have three hundred
nursing homes to redevelop, under the
Ontario government's ten-year strategy.
Thanks to the Landscape Architecture
Canada Foundation's kind support of
my doctoral research, I am developing
validated instruments to standardize
data collection on the current landscape
elements and usages in nursing homes
for residents with various cognitive
impairments. Thus far, I have examined
the breadth and depth of salutogenic
research and presented my findings to
healthcare audiences. This is a necessary
20 LANDSCAPES PAYSAGES

step, since health care professionals have
been slow to mobilize the evidence on
salutogenic landscape designs. This is partly
because research is not generalizable across
facility types, countries and populations,
and in the past, studies were based on
small samples. International work tells
us that landscape can reduce depression,
aggression, drug use and job stress, all of
which are pervasive health problems in
nursing homes. Resident health is further
complicated by the harmful side effects of
psychotropic drugs used to treat depression
and aggression. These common issues
demand more attention from care staff
who already experience high job stress.
In future, I will update the LA community
on recent literature around the world. For
example, researchers in The Netherlands
found that activities in landscape increased
food consumption and social interaction
among the elderly.
PEGGY CHI, OALA, CSLA, LEED AP, is a
landscape architect and a doctoral student
in health services research at the University
of Toronto's Institute of Health Policy,
Management, and Evaluation.

peggy.chi@daniels.utoronto.ca



Landscapes - Summer 2018

Table of Contents for the Digital Edition of Landscapes - Summer 2018

TO BEGIN WITH
ADJUDICATION
COLLABORATION
PROLOGUE
EXCELLENCE 2018 Projects That Sing... and Whisper
JURY’S AWARD OF EXCELLENCE
Large-Scale Public Landscapes
Medium-Scale Public Landscapes
Small-Scale Public Landscapes
Residential Landscapes
Planning and Analysis
Research
Landscape Management
FELLOWSHIP OF THE RING
PARTING SHOT
Landscapes - Summer 2018 - Intro
Landscapes - Summer 2018 - cover1
Landscapes - Summer 2018 - cover2
Landscapes - Summer 2018 - 3
Landscapes - Summer 2018 - 4
Landscapes - Summer 2018 - 5
Landscapes - Summer 2018 - 6
Landscapes - Summer 2018 - 7
Landscapes - Summer 2018 - TO BEGIN WITH
Landscapes - Summer 2018 - 9
Landscapes - Summer 2018 - ADJUDICATION
Landscapes - Summer 2018 - 11
Landscapes - Summer 2018 - COLLABORATION
Landscapes - Summer 2018 - 13
Landscapes - Summer 2018 - 14
Landscapes - Summer 2018 - 15
Landscapes - Summer 2018 - PROLOGUE
Landscapes - Summer 2018 - 17
Landscapes - Summer 2018 - 18
Landscapes - Summer 2018 - 19
Landscapes - Summer 2018 - 20
Landscapes - Summer 2018 - 21
Landscapes - Summer 2018 - 22
Landscapes - Summer 2018 - 23
Landscapes - Summer 2018 - 24
Landscapes - Summer 2018 - 25
Landscapes - Summer 2018 - 26
Landscapes - Summer 2018 - EXCELLENCE 2018 Projects That Sing... and Whisper
Landscapes - Summer 2018 - 28
Landscapes - Summer 2018 - 29
Landscapes - Summer 2018 - JURY’S AWARD OF EXCELLENCE
Landscapes - Summer 2018 - 31
Landscapes - Summer 2018 - 32
Landscapes - Summer 2018 - 33
Landscapes - Summer 2018 - 34
Landscapes - Summer 2018 - 35
Landscapes - Summer 2018 - Large-Scale Public Landscapes
Landscapes - Summer 2018 - 37
Landscapes - Summer 2018 - Medium-Scale Public Landscapes
Landscapes - Summer 2018 - 39
Landscapes - Summer 2018 - 40
Landscapes - Summer 2018 - 41
Landscapes - Summer 2018 - Small-Scale Public Landscapes
Landscapes - Summer 2018 - 43
Landscapes - Summer 2018 - 44
Landscapes - Summer 2018 - 45
Landscapes - Summer 2018 - 46
Landscapes - Summer 2018 - 47
Landscapes - Summer 2018 - 48
Landscapes - Summer 2018 - 49
Landscapes - Summer 2018 - 50
Landscapes - Summer 2018 - 51
Landscapes - Summer 2018 - Residential Landscapes
Landscapes - Summer 2018 - 53
Landscapes - Summer 2018 - 54
Landscapes - Summer 2018 - 55
Landscapes - Summer 2018 - Planning and Analysis
Landscapes - Summer 2018 - 57
Landscapes - Summer 2018 - 58
Landscapes - Summer 2018 - 59
Landscapes - Summer 2018 - 60
Landscapes - Summer 2018 - 61
Landscapes - Summer 2018 - 62
Landscapes - Summer 2018 - 63
Landscapes - Summer 2018 - Research
Landscapes - Summer 2018 - 65
Landscapes - Summer 2018 - Landscape Management
Landscapes - Summer 2018 - 67
Landscapes - Summer 2018 - 68
Landscapes - Summer 2018 - 69
Landscapes - Summer 2018 - 70
Landscapes - Summer 2018 - 71
Landscapes - Summer 2018 - 72
Landscapes - Summer 2018 - 73
Landscapes - Summer 2018 - FELLOWSHIP OF THE RING
Landscapes - Summer 2018 - 75
Landscapes - Summer 2018 - 76
Landscapes - Summer 2018 - 77
Landscapes - Summer 2018 - 78
Landscapes - Summer 2018 - 79
Landscapes - Summer 2018 - 80
Landscapes - Summer 2018 - 81
Landscapes - Summer 2018 - 82
Landscapes - Summer 2018 - 83
Landscapes - Summer 2018 - 84
Landscapes - Summer 2018 - 85
Landscapes - Summer 2018 - PARTING SHOT
Landscapes - Summer 2018 - cover3
Landscapes - Summer 2018 - cover4
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