TITLE:

PALLIATIVE REHABILITATION CENTRE

PROJECT TYPE:
The thesis project is a palliative care centre.It is a multidisiciplinary approach to
specialized medical for people with life limiting illness.Cancer is among the
leading causes of death worldwide,many people are diagnosed with and die from
cancer each year.Here is an opportunity for the patient or surrogate to elaborate
what is important to the patient, what no hope means, and what recovery means,
the chances of survival.....

INTRODUCTION:
Rehabilitative palliative care is a paradigm which integrates rehabilitation,
enablement, self-management and self-care into the holistic model of palliative
care.Palliative care centre is specialized medical care for people with serious
illnesses. This type of care is focused on providing patients with relief from the
symptoms, pain, and stress of a serious illness.Believe that everyone matters all the
way through their life until the moment they die, and that no one should die in
avoidable pain, suffering or emotional distress.Considering that this palliative care
centre provides various stress reliefing concepts…

AIM:
The mission is to enable hospice care to transform the way,society cares for
the dying and those around them.

The aim is to improve healthcare efficiencies and minimize costs by means such as
reducing hospital lengths of stay and unanticipated readmissions.

The wide-reaching social and cultural transformation is needed, how adults and
children are cared for at the end of their life.Not only does this approach enable
people with life-limiting and terminal conditions to live as independently and fully
as possible, it allows hospices to respond to increasing demand for their services in
a cost-effective way.

Reducing the need for hospital admission and Supporting earlier discharge from
hospital or hospice services.

Decreasing or delaying the need for authority-funded care including admission to

nursing or residential homes.

OBJECTIVE:
The goal is to improve quality of life for both the patient and the family. Palliative
care is provided by a team of doctors, nurses, and other specialists who work with
a patient's other doctors to provide an extra layer of support. Palliative care is
appropriate at any age and at any stage in a serious illness, and can be provided
together with curative treatment.The people who are currently living after a cancer
diagnosis,the people who are still alive at a given time after diagnosis .

RESEARCH METHODOLOGY:
 Study of palliative care centre

 Research with people receiving palliative care services

 Data collection

 Development of design programs

 Design solutions

 General study as Site selection,zoning,circulation,lighting,services and

any issues etc...
 ISSUES AND PROBLEMS:

Some of the issues and problems that hospice and palliative care face are

 Clear communication between healthcare providers and the patients and

their family members
 Ethical practices during end of life care
 Stress
 The interior environment feeling too sterile and institutional
 About 70% of hospice patients are receiving treatments at home for these
patients distance from the facility could be an issue.
THRUST AREA:
The thrust area describes that the building is created in the environment between
the person's(men and women / children) needs/expectations.

Palliative care centre was developed consisting of

 an atmosphere of hospitality
 an atmosphere of safety
 an atmosphere of 'everydayness'.
 new attempt to use NATURE as therapy
 It is space that evokes an emotional response from those inhabiting the space

Openness as an operating concept and as an element of spatial,temporal

articulation between an interior and an exterior to it.
CONCLUSION:
Rehabilitative palliative care supports people to live fully until they die.

Finding the right services outside the hospital,For patients who have less cognitive
ability, either due to delirium or dementia, It might help.....&To help patients and
families feel comfortable with their decisions.

As the hospice movement, we must retain everything we have achieved to date

but grow and evolve to meet the needs of those at the end of their life today
and those in the future, whatever their needs might be.
SITE: Kanchipuram (6.3 acres)
SITE: COIMBATORE
Site area: 12 acres (48562.3sq.m)

The site is located in Mangarai(Coimbatore to Anaikatti road)

Mangarai is a small Village/hamlet in PeriyanayakkanpalayamTaluk in

Coimbatore District of Tamil Nadu State, India.

It comes under 24 VeerapandiPanchayath.

It is located 12 KM towards North from District head quarters Coimbatore. 494

KM from State capital Chennai.

Periyankanpalayam Rail Way Station , Coimbatore North Rail Way Station are the
very nearby railway stations to Mangarai. How ever Coimbatore Junction Rail
Way Station is major railway station 13 KM near to Mangarai

Coimbatore is surrounded by the mountains on the west, and the reserve forests on
the northern side. The entire western and northern part of the district borders the
Western Ghats with the Nilgiri biosphere as well as the Anaimalai and Munnar
ranges. A western pass to Kerala, popularly referred to as the Palghat Gap provides
its boundary.
SITE: Veli Village,Thiruvananthapuram, Kerala
7.6acres
 NET STUDY:
 Pain relief and palliative care society, hyderabad.
 Dhanvantri nursing home, mumbai.
 RMD pain and palliative care trust,chennai.

LIVE CASE STUDY:

 Karunashraya, Bangalore Hospice Trust(area: 8200sq.m)
 PalliumIndia ,thiruvananthapuram, kerela.(area: 750sq.m approx)
 Institute of palliative medicine,calicut (area: 1000sq.m approx)

DESIGN REQUIREMENTS:
The requirements of design vary for men&women and children.Initially the
common requirements are given.

RECREATIONAL AREAS:

 Indoor games
 Tv hall
 Prayer hall
 Meditation room
 Library services
 Shopping center
 Community hall
 Massage room
 Therapy room (Aromatherapy,Reiki therapy - Reiki is a gentle therapy to aid
relaxation, reduce anxiety, relieve stress and help boost your own immune
system)
 Activity room
 Children play area
 Art and Music
  Work shops
 Awareness programs
 Conference rooms
 Auditorium
 Pools

CARE CENTER:

 Single bedrooms, with en-suite WC and shower facilities

 bed rooms-en-suite
 Family room
 Treatment room
 Medicines room
 Day care room
 Drying yard
 Courtyards
 Dormitary
 Store rooms
 Dinning
 Nurses’ station
 Ward pantry and kitchenette • Dirty utility and sluice room • Clean utility
room • Linen store • Cleaner’s room • Patient’s toilet • Public toilets • Staff
toilets
 Pharmacy
 Catering
 Wheelchair and equipment store

RESIDENTIAL AREAS:

 Family room
 Dormitary
 Store rooms
  Kitchen
 Dinning
 Drying yard
 Courtyards

DAY HOSPICE ACTIVITIES:

 Entertainment - craft demonstrations, singers, performers

 Complementary therapies - provided by fully qualified therapists.
Massage, aromatherapy, Reiki and reflexology are offered. Red Cross
volunteers also provide manicures and basic hand massage
 Daily newspapers – available for everyone to read
 Hairdressing facilities – are provided by a trained volunteer, available for a
small donation
 Companionship – make new friends, share experiences and have fun with
your fellow Day Hospice patients, staff and volunteers
 Arts and crafts – we’ll often have lots of interesting things to create from a
variety of materials: rag rugs, decoupage cards, painting, knitting..
 Spiritual support – find out more by looking at our Spiritual Care and
Chaplaincy( Conducting religious exercises) section.
 END OF LIFE CARE ROOM. providing continuous monitoring and critical
and terminal care with attendant equipments.