Magazine and newspaper articles Archives

Hospital design for healing

Hospital design is incorporating features that reflect the concept of healing rather than sickness. Older people make up a significant proportion of patients, and that means we need more age-friendly approaches to care. Physical environments are getting slip resistant floors, indirect lighting and large print wall clocks and calendars. Some hospitals are replacing harsh florescent lighting with systems similar to day – night cycles. An article on the AARP website discusses this and how hospital design is about healing.

Other ideas are a piano at registration, walking paths and gardens – making the place feel more hospitable rather than hospital. It’s about customer convenience and comfort. And this must help when people are in pain and feeling stressed. Many visitors feel stressed and anxious in hospitals and they aren’t even sick.

As for coffee bars in waiting areas – the sound of grinding beans in coffee bars adds to noise levels and the smell can be nauseating. Small things can make a difference to comfort and reducing stress levels.

Other changes involve telehealth services which can be delivered to patients at home. For more on this see the AARP article.

Accessible Pedestrian Signals

Accessible pedestrian signals are evolving. Audible crossing signals devised for people with low vision are a signal for all of us that it’s safe to cross the road. And now we have the “guiding sound corridor” which gives increased guidance to reach the other side more easily. As soon as a pedestrian activates the signal, the guiding sound corridor emits at both ends of the crossing. Then they just have to follow the sound to cross the street. It gives greater safety and independence because the signal ensures they are going in the right direction.

An article in the Inclusive City Maker blog explains the system. From a city planner perspective, this kind of device can encourage more walking for people with low vision and their companions.

How does it work?

The blog post explains that a guiding sound corridor needs to have 3 elements to be perfectly efficient:

1. 1. Poles with the accessible pedestrian signals (APS) need to be located face to face, on the same side of the crossing.
  2. The broadcast emitted by the audible pedestrian signals need to be led towards the crossing,
  3. Activation of the APS needs to be simultaneous – both sides of the crossing are synchronized and paired.

A video on the blog site illustrates how it works.

Ageless communities win the day

Apartments in shades of grey are linked by a graded pathway to provide accessibility. Ageless communities. — Image courtesy Guy Luscombe

It’s taken a pandemic to realise that for most people aged care isn’t something they choose or want to remain in. And it won’t be in the future. But what can we do differently? A workshop led by University of Queensland and aged care providers came up with a novel idea – ageless communities. This is what older people have been asking for.

The changes to home design in the building code will help people who buy/rent new homes in the future. So it’s time to re-think aged care design. A workshop run by The University of Queensland found that people wanted a real home with a real front door. So large institutional models are no longer in favour.

Another key theme was staying put and bringing services to the home. Micro communities linked to the wider community are a good alternative. Homes with front doors on public streets are good for any age if the homes are designed appropriately. The University of Queensland project also responds in part to the Royal Commission into Aged Care. Small home models were one of the recommendations. The article is titled Smaller ageless communities predicted for care design.

Homes for life beyond 100

Four older men wearing hats sit at a square table in the park.

Don’t be fooled by the headline. The segregated model of housing lives on in the minds of the housing and construction industry. But when you look at what their new ideas are, their homes for life beyond 100 look remarkably like those in our ordinary neighbourhoods.

The “senior housing industry” in the United States is staying with the notion of segregation as the solution to living in later life. Residents could stay for as long as 40 years and that means their business model has to change. How these places are planned and built need a product recall. That’s what Nate Berg writes in a FastCompany article.

Health and fitness, intergenerational housing, and introducing university students into the mix is part of the new way of thinking. The way the designs are described in the article seem like good designs for all ages. Why can’t people of all ages walk from their apartment to the shops and restaurants? Segregated housing for people in later life perpetuates ageist attitudes and reinforces stereotypes. The notion of walkability and amenity is something everyone can enjoy.

Staying connected

According to the article senior housing models are changing from insular layouts to one that’s more connected and encouraging of social interaction. Interweaving senior housing with preschool activities is part of this “new” idea. The title of the article is How to design homes for life well beyond 100. It also covers issues of affordability and being creative with small spaces.

If we are to combat ageism inclusive designs have much to offer. A new version of the segregation model might not be the way of the future after all. However, the senior housing industry both in the US and Australia is expecting to sell more of their products in the future. Building family homes that will last your lifetime is a challenge to their business model.

Ageing is ordinary

Ageing is ordinary – everyone is doing it. But somehow it’s thought of as an older person’s state of being. Policies, buildings, places, and products have a side-bar for older people. These side-bars are separate special policies, places to live, places to go and things to use. However, older adults want ordinary designs that work for them as well as others. It’s what gives a sense of inclusion and belonging. This segregation and stereotyping is not good for health. What older adults need is more universal design.

Peter Snyder is an advocate for universal design across products, services and built environment. In his article he explains the impact of “specialness” on the health and well-being of older adults. Stereotyping is particularly damaging. Some stereotypes are obviously not true, such as older people can’t deal with technology. But that doesn’t stop people from perpetuating them and that includes older people themselves.

When older people complete a memory test after reading that older people have impaired memory function, they perform more poorly than those who didn’t read the material. And the reverse is true. A positive statement brought about an improvement in the memory test. Snyder adds that if cognitive decline was a basic human trait, it would be seen across all cultures. However, this is not the case.

Snyder’s article argues that our beliefs about the ageing process have a significant impact on our wellbeing in later life.

The role of designers

If and when we need a product to help with a daily task, why does it need to be a special one? And why does it have to be purely functional with no aesthetics considered in the design? Too many functional products are clunky and ugly. It’s why people shun such products such as walking canes and mobility devices. It’s depressing.

By definition, stereotypes are rarely, if ever, true – even positive ones. But used as positive feedback it can work. But not by citing such things as “older people are wiser”. It is done by creating services and products that are inclusive so that age becomes irrelevant. This is why older people need universal design.

A good article showing the unintended consequences of ageist stereotypes on health and wellbeing and what designers can do about it. The title is, Universal Design as a Paradigm for Providing Health Interventions for Older Adults.

Telling stories for inclusion at work

When it comes to diversity and inclusion, economic arguments tend to fall flat. For many, economic arguments are academic – just information. Storytelling on the other hand is personal and connects with people. It makes the situation real. Telling stories is also the way to learn from each other. An article in the Harvard Business Review tackles the topic of telling stories for inclusion.

Measuring the number of different categories of person in a company is also an academic pursuit. Scorecards, targets and business cases can measure numbers, but what do those numbers actually mean? Inclusion by mathematics is not likely to create empathy and understanding – the real game changers. But whose stories get told?

Stories from leaders are good, but stories from peers are better. The article gives examples where the workforce might be diverse, but it’s not inclusive. This is where nuanced conversations are needed. Leaders need to hear about the impact bias and exclusion actually has on employees.

Creating safe spaces for storytelling is one way to find out how inclusive a workplace is. The article, How Sharing Our Stories Builds Inclusion gives more detail on this.

Summary of article

“It’s time for the conversation around inclusion and diversity to take a human-centric approach. It’s not just about the numbers — it’s about the people. Storytelling, one of the most universal human experiences, gives us a rare chance to look through new lenses. And perspective-taking is a life skill, not just a workplace one.

Companies that prioritize inclusion will emerge from crisis stronger, and stories are one major vehicle to help them get there. Inclusion consultants Selena Rezvani and Stacey A. Gordon offer steps to implement a story-based approach to DEI where employees are encouraged to tell their stories, own them, and consider how they impact their day-to-day experiences at work.

Can the construction industry be inclusive?

There’s an assumption that you can’t be a construction worker if you have a disability. So it’s no use recruiting them. Yet this industry has its fair share of permanently injured workers. Many access consultants also have a disability, so the assumption doesn’t hold. Can the construction industry be inclusive? Yes

At last someone has joined the dots in The Fifth Estate article, Yes, wheelchair users can work in construction. Working in construction is not all about climbing ladders and working in confined spaces, says Jonathan Fritsch. The article is about seeing the opportunities for people with disability. The construction industry employs over one million people. There are many jobs that don’t require ladders and heavy lifting. And not every role is onsite. But like most recruiting companies, they place people with disability at the bottom of the employability scale.

The full title of the article by Jonathan Fritsch is, Yes, wheelchair users can work in construction. Let’s see this as an opportunity.

Inclusive credit card design

The new card design by Mastercard has taken account of people who are blind. It is a classic example of a small design change making a huge difference. And it’s all achieved by cutting a shape on the edge of the card. There are three types of card: credit, debit and prepaid. So there are three different notches. The inclusive credit card design is called the Touch Card.

- - Credit cards have a round notch
  - Debit cards have a broad square notch
  - Prepaid cards have a triangle notch

The design has received the approval of The Royal National Institute of Blind Persons in the UK.

Mastercard is also embedding its signature melody at checkout counters. The sound confirms the transaction has gone through – especially handy for people with vision impairment.

Mastercard also introduced the True Name card designed to support transgender and non-binary communities.

See more on the BusinessWire website.

Doing plain language is a process

Accessibility and universal design have arrived in written language. People who can read and write well sometimes forget that not everyone else has that capability. But writing a document or webpage in plain language takes a lot of thought. Doing plain language is a process. This point is well made in a blog article.

Kelsie Acton writes about her plain language experiences in a blog post. As with any new idea, we grow with practice. That’s also one of the tenets of universal design: do the best you can with what you have at the time. Then do it better next time – it’s a process of continuous improvement.

Acton’s article is a great example in itself. It isn’t plain language as such, but it is very easy to read. She explains how she thinks about plain language and the difficulties it poses sometimes. For example, words feel flat – it’s all about facts and less feeling.

Having more than one version of a document is important. Writing in a way to make people think or to express values are difficult to do in plain language. Acton gives an example of this where she takes an emotive paragraph and turns it into plain language.

Acton says that plain language uses:

- - The most common vocabulary possible so that readers aren’t stopped by unfamiliar words
  - Active voice, so it is clear who is doing what
  - Short sentences
  - Headings, lists, bullet points, and white space to make information clearer
  - Definitions to introduce readers to complicated vocabulary

It makes you think

There is no doubt that writing complex ideas in a straightforward way takes time and effort. Acton says the process makes her think about her own understanding of a topic. Writing in an active voice makes her think about who is doing what. It also makes her think about her relationship to the topic.

So, doing plain language is more than a case of clever wordsmithing. It’s a learning process as well. Kelsie Action’s short article is on the Critical Design Lab website and worth a read. Note the design of the webpage for easy access and reading.

Universal design through a disability lens

The term ‘universal design’ means different things to different people depending on their experiences. It emerged from the barrier-free movement in the United States. Once it was realised that barrier-free was good for everyone, it was seen as a universal good. Hence the term universal design. A look at universal design through a disability lens reminds us of our obligations.

In Access Insight magazine, Dr Ben Gauntlett reminds us of Australia’s obligations to implement universal design. As the past Disability Discrimination Commissioner he knows Australia’s obligations under the UN Convention on the Rights of Persons with Disabilities. That is to,

“undertake or promote research and development of universally designed goods, services, equipment and facilities, which should require the minimum possible adaptation and the least cost to meet the specific needs of a person with disabilities, to promote their availability and use, and to promote universal design in the development of standards and guidelines”.

Disability policy

Dr Gauntlett argues that adopting universal design principles is a critical aspect of disability policy in Australia. But it’s often thought that the NDIS is the only disability policy that exists. Of course, this is incorrect, but shows the poor level of knowledge about Australia’s disability policy.

Key aspects of policy from a human rights framework for people with disability are lack of appropriate accessible housing, exercising legal capacity, indefinite detention in the justice system, and sterilisation of women without consent. But housing is the most pressing policy issue.

Dr Gauntlett expresses his concern that some states have indicated a reluctance to follow through with the agreement to adopt the Livable Housing Design Standard in all new housing. This could mean a breach of Australia’s obligations under the UN Convention.

The article concludes that, “We must develop a culture of universal design in all aspects of our society…” and that “every one of us has the obligation to raise awareness of the responsibility of governments to promote and legislate for universal design approaches.”

The article is titled, Recognising the need for universal design approaches through engagement with the United Nations. It is on page 10 of Access Insight – Winter 2021. View on issuu or download as a PDF.

The Sustainable Development Goals also incorporate universal design and the inclusion of people with disability.

Builders ignored disability access

External view of Sunshine Coast University Hospital. Builders ignore disability access. — Sunshine Coast University Hospital

The recent court ruling in Queensland reminds designers and builders not to ignore disability access. But many do, and that is probably because they are unlikely to be called to account. Complaints under the Disability Discrimination Act are rare. That’s because the person who experiences the discrimination has to make the complaint. And that’s tough. Court cases are very stressful.

The Sunshine Coast University Hospital (SSCU) was the subject of Peter Ryan’s complaint. He is legally blind and claimed disadvantage in the way access was provided for him. The SSCU supposedly complied with the National Construction Code and the Access to Premises Standard. However this was not the case and calls into question the issue of building certification.

This case highlights conflicts of interest could be more common than we know. Both the building certification firm and the access consultants are owned by the same group.

The building won numerous awards for Architecture. So this raises questions about what is judged as a good building. Time to start including accessibility for all in the judging criteria for these awards.

The bottom line is that the hospital must rectify the breaches of the the National Construction Code and Access to Premises Standard. And it is a long and expensive list.

Unfortunately Peter Ryan passed away before the Judge handed down his decision. A Sourceable article written by Bryce Tolliday has more detail. The title of the article is Non-Compliant Hospital Costs Queensland Taxpayers Millions.

Home with wrap-around ramp: Will it work?

A couple in their 50s told their architects they wanted a home for four generations. The home needed to accommodate themselves, their daughter and her husband and child, and three older relatives. Focusing on the older generation, the architects made a major feature of a ramp that wraps around the house from the ground to first floor. Other floors are accessed by stairs. But was this design about functionality or creativity? Why a wrap-around ramp and not a lift that could have served all floors? And what about the accessibility of internal spaces? Perhaps there was a reason for not solving the access issues with a home lift.

The wrap-around ramp for family members who use a wheelchair seems like a good idea until you see how long it is. A powered wheelchair could manage the ramp, but most people use a manual wheelchair indoors. Imagine pushing someone in a wheelchair on this ramp which looks quite steep.

The home is featured on the Dezeen website with photographs to show the position of the ramp and the rationale behind it. The photographs here are taken from the Dezeen article. Note that the home is in Nansong, China so there could be regulations preventing other design options. There are links to other designs for multigenerational living.

A lift would serve all family members across their lifespan and would be more useable than a ramp. It is not clear why this option was not chosen. Any member of the family can find themselves permanently or temporarily disabled at any time. So focusing on the currently disabled person produces a specialised design instead of one designed inclusively.

Category: Magazine and newspaper articles

Hospital design for healing

Like this: