In this concept, the educational, residential (non-aged-care) and health facilities make natural walls around a shared village. The conceptual diagram was developed as a masterplan. The above vision led to this conceptual diagram. The vision prioritised human centredness – a human-centred workplace, a student-centred learning environment, patient-centred aged-care residences and a person-centred environment overall. The diagram below shows an example of a vision in which high-care aged-care residences were to be incorporated into a new precinct for the University of Woolongong. Honesty, because a good vision isn’t shy about speaking the truth. Bravery because a good vision always aspires beyond known benchmarks and guidelines. It involves concrete decisions that are armed with bravery and honesty. A vision that makes human dignity a priority ensures other functional or pragmatic concerns do not lead to human rights being deprioritised.Ī good vision isn’t just words or intentions. The vision creates a hierarchy in which important things are valued more than anything else. Principle 1: projects are driven by a vision that maintains and enables human dignity, even for people with cognitive impairment.Ī vision includes a single, well-articulated concept that cannot be dismissed or ignored. Three principles for human-centred design in aged care All good architectural choices have similarly positive effects. Recent unpublished data (in review) shows time outdoors even protects against viral flu-like infections.Īnd that’s just one example of the benefits of good design. It also improves the resident’s experience (personal well-being and satisfaction). In turn, spending time outdoors helps prevent “sundowning” – people with dementia may become more confused, restless or insecure late in the afternoon or early evening. But a well-designed aged-care building is replete with wholesome invitations to do such things as explore gardens without putting residents at undue risk. If people fail to see how the design of a prison is the primary instrument for imprisonment, then it’s also hard to comprehend just how much good architecture improves people’s circumstances and well-being. Along with fences and high walls, such features are designed to keep some people in and others out. The forms of restraint (including in high-care aged-care residences) are increasingly disguised, but a locked door remains impenetrable even if it’s made of clear glass. But for residents who can’t get up on their own, deep seats restrict their freedom of movement and ability to make their own choices about as much as handcuffs do.
These restraints can look innocuous – including “seating residents in chairs with deep seats, or rockers and recliners, that the resident cannot stand up from”. The commission estimates architectural solutions to seclusion and other forms of physical restraint are used on 25-50% of all residents of high-care residences.
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