Active Living

ACTIVE LIVING

AT NURSING HOMES

an attempt to create an outdoor space/gardening area to engage the residents in being socially and physically active which will reduce stress, isolation and loneliness

TABLE OF CONTENTS

1. EVOLUTION 2. PLANING 3.

SECONDARY RESEARCH

4.

VALUE PROPOSITION

5. STAKEHOLDERS 6.

PRIMARY RESEARCH

7.

AFFINITY DIAGRAM

8. IDEATION 9. REFERENCES

1. EVOLUTION A. EXPLORATION

exploring various ideas and mapping with 2 x 2 axis, which helped in critically evaluating the scope of study

B. SELECTION

after critically evaluating, we finalized the final scope of study and focused on Elderly

A. EXPLORATION PHYSICAL comfort traffic frequency

location population money

time

hygiene

BENEFITS

PROBLEMS process

pollution

decibel level

EMOTIONAL

PUBLIC TRANSPORTATION the 2 x 2 axis were physical and emotional versus benefits and problems, the data points were based on secondary research

A. EXPLORATION PHYSICAL medicine

exercise

shopping

meals

cooking for family

PRIVATE sleep

SOCIAL nutrition

ELDERLY play cards

reading medicine EMOTIONAL

the 2 x 2 axis were physical and emotional versus benefits and problems, the data points were based on secondary research

A. EXPLORATION BUSY HOURS festival

weekends

weekends office hour

off street

garage

PRIVATE

PUBLIC on street

PARKING SPACE

home FREE HOURS

the 2 x 2 axis were private and public versus busy hours and free hours, the data points were based on secondary research

B. SELECTION

CHANGES PHYSICAL

EMOTIONAL

risk of mortality

isolation

eyesight

loneliness

weak bones

depression

metabolism

fear

heart problems

anxiety

respiratory problems urinary problems chronic disease

selecting the elderly as our topic of focus. secondary research aimed at finding the changes an elderly goes through

B. SELECTION mapping activities of an elderly which involves individual - social interaction versus physical - emotional aspects

B. SELECTION

Sleep Meals

Shopping

Schedule

Nutrition

Driving

Prescription

Dietary Habit

Daily Schedule

Medicines

ELDERLY Exercise

Activities

Care Types

Relations

Indoor

Individual

Home Care

Family

Outdoor

Group

Nursing Home

Social

Assisted Living

Pets

2. PLANING A.

CREATIVE BRIEF

a description for explaining the project content and elabrating on the scope of topic

B.

5 W’s AND H

evaluating the topic critically under who, what, when, why, where and how

C.

PROJECT PLAN

planing the project under a guided time frame

D.

RESEARCH PLAN

planing the procedure of the project under a guided time frame

A.

CREATIVE BRIEF Preparing a SWOT (strength, weakness, opportunity and threats matrix which derives an guided insight for the topic

STRENGTH Government Health Insurance Professional Care Social Community Group Activities

Baby Boomer Generation Medical Needs

WEAKNESS Elderly Abuse Lack of Private Spaces Financial Cost Patient Neglect

Staff Shortage In-home Care Service

Holistic Care (Nutrition, Medicine, Water)

OPPORTUNITY

THREATS

A.

CREATIVE BRIEF BRIEF on basis of SWOT matrix, a statement of promise for the topic is prepared which sets the guidelines

an attempt to create an outdoor space/gardening area to engage the residents in being socially and physically active which will reduce stress, isolation and loneliness

B.

5 W’s AND H evaluating the topic critically under who, what, when, why, where and how to justify the worth of the topic

WHO

WHEN

WHERE

Elderly (age 65 and above)

Neglected

Nursing Homes

Abused

Skilled Health Care

Disabled

Depressed

Alzheimer’s Care

Isolated

Isolated

Assisted Living

Need Assistive Care

Independent Living

WHAT

Proposing activities to cater the physical within Nursing Home and emotional needs where the elderly are of an elderly, not neglected, not abused, not left unattended, well assisted

Senior Living Five-Star Senior Care

WHY

catering to special or specific needs,

C.

PROJECT PLAN

planing the project under a guided time frame and restricting the project time for 10 weeks that is 20 classes

3.

SECONDARY RESEARCH based on choosing the topic of focus, the secondary research was focusing on elderly and nursing homes

SECONDARY RESEARCH

America’s Growing Elderly Population In the United States, the 2010 Census recorded the greatest number and proportion of people age 65 and older in all of decennial census history: 40.3 million, or 13% of the total population. This “Boomer Generation” effect will continue for decades.

By 2050, people age 65 and older are expected to comprise 20% of the total U.S. population. The fastest growing segment of American’s population consists of those 85 and up. In 2010, there were 5.8 million people aged 85 or older. By 2050, it is projected that there will be 19 million people aged 85 or older.

NCEA, “America’s Growing Elderly Population” http://www.ncea.aoa.gov/Library/Data/

SECONDARY RESEARCH

Facts About Senior Isolation Senior isolation increases the risk of mortality.

Feelings of loneliness can negatively affect both physical and mental health.

Social isolation makes seniors more vulnerable to elder abuse.

LGBT seniors are much more likely to be socially isolated.

Social isolation in seniors is linked to long-term illness.

Loneliness in seniors is a major risk factor for depression.

Socially isolated seniors are more pessimistic about the future.

Physical and geographic isolation often leads to social isolation.

Loss of a spouse is a major risk factor for loneliness and isolation.

Transportation challenges can lead to social isolation.

Caregivers of the elderly are also at risk for social isolation.

Loneliness can be contagious.

Volunteering can reduce social isolation and loneliness in seniors.

Technology can help senior isolation – but not always.

SeniorLivingBlog, “20 Facts About Senior Isolation That Will Stun You”, October 17, 2014 http://www.aplaceformom.com/blog/10-17-14-facts-about-senior-isolation/

NPR, “Independence Among U.S. Nursing Home Residents”, November 08, 2010 http://www.npr.org/templates/story/story.php?storyId=131081906

SECONDARY RESEARCH

Facts about Falling in Nursing Homes More than 1.4 million people 65 and older live in nursing homes.

If current rates continue, by 2030 this number will rise to about 3 million.

About 5% of adults 65 and older live in nursing homes, but nursing home residents account for about 20% of deaths from falls in this age group.

Each year, a typical nursing home with 100 beds reports 100 to 200 falls. Many falls go unreported.

Between half and three-quarters of nursing home residents fall each year. That’s twice the rate of falls among older adults living in the community.

Patients often fall more than once. The average is 2.6 falls per person per year.

About 35% of fall injuries occur among residents who cannot walk.

About 1,800 people living in nursing homes die from falls each year.

About 10% to 20% of nursing home falls cause serious injuries; 2% to 6% cause fractures.

Falls result in disability, functional decline and reduced quality of life. Fear of falling can cause further loss of function, depression, feelings of helplessness, and social isolation.

About 35% of fall injuries occur among residents who cannot walk.

CDC, “Falls in Nursing Homes”, March 19, 2015 http://www.cdc.gov/HomeandRecreationalSafety/Falls/nursing.html

SECONDARY RESEARCH

Independence Among U.S. Nursing Home Residents The degree to which the nation’s nursing home residents can do things for themselves varies considerably from state to state.

NPR, “Independence Among U.S. Nursing Home Residents”, November 08, 2010 http://www.npr.org/templates/story/story.php?storyId=131081906

SECONDARY RESEARCH

presentation and validating of the project was supported by the earlier model and secondary research

4.

VALUE PROPOSITION

A. OPPORTUNITY STATEMENT

statement that describes the final opportunity of the project

B.

VALUE PROPOSITION

creating a final statement which is to be followed till the completion of the project

C.

VALUE PILLARS

generating three value pillars to always follow as the project proceeds

A. OPPORTUNITY STATEMENT (ORIGINAL)

design a space within a nursing home for daily activities to revitalize and alleviate the overall experience

A. OPPORTUNITY STATEMENT (RE-FRAMED)

Social Security : Improvising the quality of life at nursing homes.

B. VALUE PROPOSITION (ORIGINAL)

For Senior Who aspiring a better life style for alleviating their physical and emotional health We propose new outdoor activities to get residents away from confined space We do this by a number of interactive group activities and focusing on recreation Unlike other activities confined within nursing home Our outdoor activities will offer a break from inside and a closer experience to nature

B. VALUE PROPOSITION (RE-FRAMED)

For the residents in Thomas F William Court Apartments That want to improve their quality of life in nursing homes Our service will completely focus on residents’ actual needs, both physical and emotional well being To deliver a healthier, safer and more sociable nursing home environment.

Unlike those who design nursing homes We will identify and address the issues that reduce residents’ quality of life in nursing homes In order to create a comfortable and reliable environment for all the residents to enjoy.

C.

VALUE PILLARS pillars are a promise to be kept till the succefull completion of the project

Social

Health

Safety

5. STAKEHOLDER A.

STAKEHOLDERS MAP

B. PERSONA

map is to identify all the key players surrounding the elderly who help them in performing daily activities

user persona are defined by the secondary research and interviews conducted at nursing homes

A.

STAKEHOLDERS MAP user archetype are created from first hand interviews and observations, which also helped in better understanding the needs and problems faced by the residents within a nursing home

STAKEHOLDERS MAP

Postman

Bus Driver

Manager

Doctor/ Nurse

Family Maintenance

Taxi Driver

Residents

Friends

Volunteer

Security

Cleaner

Visitor

STAKEHOLDERS

Elderly People who is 65 and older.

Disabled People who have physical restrain that need to use equitments to assist.

Impaired people Residents

People counter all kind of impairment.

Commuter People travel to and back between their home and community.

People in rehab People who need the rehabilitation service.

B. PERSONA

B. PERSONA

6.

PRIMARY RESEARCH

A. OBSERVATIONS

the user were observed in their natural environment without their knowing which gave us data points from actual activities

B. INTERVIEWS

based on observations we interviewed the user by preparing some questions and getting firsthand data from the user in their natural environment

A. OBSERVATIONS

automatic sliding door for residents convenience and easy access

they try to repleciate the nature and also put some pets - parrot in the interior environment

laundry area is all the way on the back on first floor

the daily schedule and up coming events were scheduled and updated on daily basis

A. OBSERVATIONS

fire evacuation map for safety during the fire

vending machine to sell chips and aerated drinks, knowing the its not helathy for residents

the column was covered by soft cushioning for residents safety

bringing nature closer to the residents by replecationg in the interior spcaes

B. INTERVIEWS

I love to perform outside activities like exercising as I was facing health issues in my early 40’s.

I used internet and its services for gaining knowledge in the field of science, events and political issues.

Doing exercise helps me be active and more independent.

I use cane for walking around the facility.

B. INTERVIEWS

I use my tablet to have video chats with my family.

I love green tree and flowers.

We need an additional transportation service.

Additional security service would be great.

7.

AFFINITY DIAGRAM

A. AFFINITIZING PROCESS

insights are set of data points and key points which were developed and registered by first hand observation and interviews (some were also backed up by secondary research to support the stand)

B. AFFINITY DAIGRAM

from our affinitizing process we developed affinity diagrams to map the flow of data and created insights for the project

C. INSIGHTS

from our primary research we developed the insights which were relevant and supporting our secondary research which also helped us work affectively towards the project

D. MAPPING

all the data points from the insights were mapped in a 2x2 - Low Impact to High Impact vs Short Term to Long Term this mapping guided us to come up with concept ideas and approaches on how to address the issue

A.

AFFINITIZING BUILDING PROCESS Collect data points from secondary research, observations and interview for affinity building process.

Read all the notes to find the underlying implication and categorize similar data points into a group to develop a theme.

A.

AFFINITIZING BUILDING PROCESS

Walk through each theme and group the coherent themes into one cluster.

Label each cluster with one coherent distinction in the first person, as though the customer was directly talking to you.

Create higher level cluster and label them by characterizing the themes under them.

B.

AFFINITY DIAGRAM

Independence and privacy factors affect their decision to go to a nursing home.

For their healthy living - dietary plan, medical treatment and physical exercise are very important.

Financial issue (cost of living) is a concern.

Interaction with pets, family and friends help them improve their mental health.

Entertainments is an essential need and it’s often conducted in indoor but some want and can be taken outdoor as well.

Activities like bingo and solitaire help seniors to do mental exercise, also help them kill social isolation by interacting.

Residents and seniors are constantly involved and made aware about the safety measures and precautions, which might help them and staff in emergencies

Game is over when fall happens. Bad environments and products generate the falling.

Being active helps residents to improve their physical health.

Pets will cause a lot of problems in nursing homes, just like allergies and mess up litter boxes.

Fear of falling can cause depression and social isolation.

Well-trained caregivers won’t make neglect happen. Visits of relatives and friends will also help prevent neglect.

Neglect happens in nursing homes when there are not enough staff.

Unwell-trained staff make neglect happen.

Hobbies like teaching and sharing knowledge are very important to some residents and this might be a good opportunity for seniors to interact with other people.

Residents in nursing homes need to have privacy and freedom.

Transportation systems provide them chance to buy grocery and promote social integration.

Internet and other technologies help residents live better with interactions, personal hobbies and avoid social isolation.

Most of residents have illness and conditions so they can’t learn or use something new, just like computers and Internet.

Knitting, weaving, reading and writing are some activities or hobbies which can be subjected to indoor/ outdoor. [ Some prefer outdoor versus indoor ]

Elderly need to concern about medical treatments.

Emotional aspect is highly associated with their past experience and feelings. They often fear of losing their family, home and loved ones.

They also think their health might get.

Interactions on daily basis with other residents or staff or new people help them overcome isolation and decrease the risk of suicidal thoughts.

Vital indoor activities are a must but they cater to need based requirements and do not exactly focusing on their aspirations.

Skilled nurses and caregivers are very essential but they are not completely dedicated or work to their best abilities leas to social isolation.

Full-time care and assistive staff is needed and they help residents round the clock for all different and varied day-to-day activities.

Seniors and residents opt to have security lockers for keeping their belongings safe and most of them are memories too.

Social isolation leads to loneliness which in turn to long-term illness, increase risk of mortality and they tend to become more pessimistic about the future.

Services provided by nursing homes are a factor to decide where to stay.

Baby Boomer generation leads a huge demand for nursing homes in the future.

Elderly fear to go to a place they are unfamiliar with, they might lose independence if they go to nursing homes.

Children struggle between their career and taking care of their parents.

Meals are very vital parts of everyday life and many seniors are happy and ironically skeptical about it.

Seniors are one of very important parts our social community, but they are still abused from staff and people around.

Pets help residents in nursing homes relieve stress and make them feel more at home.

Outdoor activities and outside environments are like aspirations for most seniors and residents as they help them perform daily activities.

Additional services is a good way to improvise the living at nursing homes.

Visits from family and friends reduce their stress.

Some people don’t want to move into a nursing home because they cannot afford that.

Seniors are benefited by social interactions as they have a major impact on their health.

Residents need social activities and interactions to overcome social isolation.

Residents need to ensure their personal safety and security while living in a nursing home.

Entertainment and personal hobbies help residents overcome stress and help them stay positive.

A well functioning and a comfortable environment will help residents to live a better life at nursing homes.

B.

AFFINITY DIAGRAM

Independence & Privacy

Financial

Healthy living

Relationships

Entertainments is an essential need and it’s often conducted in indoor but some want and can be taken outdoor as well.

Activities like bingo and solitaire help seniors to do mental exercise, also help them kill social isolation by interacting.

Residents and seniors are constantly involved and made aware about the safety measures and precautions, which might help them and staff in emergencies

Game is over when fall happens. Bad environments and products generate the falling.

Being active helps residents to improve their physical health.

Pets will cause a lot of problems in nursing homes, just like allergies and mess up litter boxes.

Fear of falling can cause depression and social isolation.

Well-trained caregivers won’t make neglect happen. Visits of relatives and friends will also help prevent neglect.

Neglect happens in nursing homes when there are not enough staff.

Unwell-trained staff make neglect happen.

Hobbies like teaching and sharing knowledge are very important to some residents and this might be a good opportunity for seniors to interact with other people.

Residents in nursing homes need to have privacy and freedom.

Transportation systems provide them chance to buy grocery and promote social integration.

Internet and other technologies help residents live better with interactions, personal hobbies and avoid social isolation.

Most of residents have illness and conditions so they can’t learn or use something new, just like computers and Internet.

Knitting, weaving, reading and writing are some activities or hobbies which can be subjected to indoor/ outdoor. [ Some prefer outdoor versus indoor ]

Elderly need to concern about medical treatments.

Emotional aspect is highly associated with their past experience and feelings. They often fear of losing their family, home and loved ones.

They also think their health might get.

Interactions on daily basis with other residents or staff or new people help them overcome isolation and decrease the risk of suicidal thoughts.

Vital indoor activities are a must but they cater to need based requirements and do not exactly focusing on their aspirations.

Skilled nurses and caregivers are very essential but they are not completely dedicated or work to their best abilities leas to social isolation.

Full-time care and assistive staff is needed and they help residents round the clock for all different and varied day-to-day activities.

Seniors and residents opt to have security lockers for keeping their belongings safe and most of them are memories too.

Social isolation leads to loneliness which in turn to long-term illness, increase risk of mortality and they tend to become more pessimistic about the future.

Services provided by nursing homes are a factor to decide where to stay.

Baby Boomer generation leads a huge demand for nursing homes in the future.

Elderly fear to go to a place they are unfamiliar with, they might lose independence if they go to nursing homes.

Children struggle between their career and taking care of their parents.

Meals are very vital parts of everyday life and many seniors are happy and ironically skeptical about it.

Seniors are one of very important parts our social community, but they are still abused from staff and people around.

Pets help residents in nursing homes relieve stress and make them feel more at home.

Outdoor activities and outside environments are like aspirations for most seniors and residents as they help them perform daily activities.

Additional services

Visits from family and friends reduce their stress.

Some people don’t want to move into a nursing home because they cannot afford that.

Seniors are benefited by social interactions as they have a major impact on their health.

Social interactions

Personal safety

Personal hobbies

Environment

C. INSIGHTS

1.

Independence and Privacy

“They fear loss of control over their lives.”

“There are people who thinks they can’t have their privacy and freedom staying in nursing home which could be changed.”

“Being able to stay in my own home.”

C. INSIGHTS

2. Financial

“They fear the financial burden will ‘rob’ them or their family.”

“Nursing homes can easily cost over $50,000 a year.”

“Before you can start paying with Medic-aid, you have to pretty much wipe out your life savings”

C. INSIGHTS

3. Healthy living

“I join the walking club and exercise activities. I think these would keep me healthy.”

“Both walking club and exercise would be for an hour.“ “These activities motivate me to be active and let me be more independent.”

“They fear that they will not be able to eat as they choose.”

“Exercise programs can improve balance, strength, walking ability, and physical functioning amongst the residents.”

C. INSIGHTS

4. Relationships

“Loneliness causes high blood pressure.”

“Other adults may be at a high risk of becoming socially isolated after their spouse has passed away.”

“A study shows a connection between social isolation and high rates of elder abuse.”

“They fear they will be forgotten there.”

C. INSIGHTS

5. Additional services

“I work in a nursing home and I come from a background in customer service. I use my customer service experience at the nursing home and the residents LOVE IT! It makes me stand out as a nurse and makes me feel as if I am extraordinary.”

“Being able to stay in my own home. Make it handicap assessable (mostly minor bathroom adjustments) and a caregiver is all one needs.”

“Facilities for family/relatives to stay when I am in a need or crisis.”

C. INSIGHTS

6. Personal safety

“Fear of falling can cause further loss of function, depression, feelings of helplessness, and social isolation.”

“Each year, a typical nursing home with 100 beds reports 100 to 200 falls.”

“Environmental hazards within nursing homes cause 16% to 27% of falls among the residents.”

“Nursing home residents account for about 20% of deaths from falls in this age group (65 and older.)”

C. INSIGHTS

7.

Personal hobbies

“His favorite activities were watching movies, visiting library, and watching movies via DVD medium.”

“I read novel or some inspirational books.”

“She likes to knit and weave for her family members. She spends 3-4 hours daily for knitting. She still does it.”

“I read novel or some inspirational books.”

C. INSIGHTS

8. Environment

“A woman put the food and drink on her rollator and leave.”

“She uses the elevator to move from her room to first floor.”

“Cleanliness. No smell.”

“Provide more than ample staff. That’s really the secret. And provide ample amount of space for residents and staff both.”

“Monitored laundry services (loss of personal items causes great distress in residents).”

C. INSIGHTS

9.

Social interactions

“She cooks on daily basis but finds difficulty in getting grocery from the market.”

“Lack of adequate transportation is a primary cause of a social isolation.”

“My old home should be easily accessible via public transport.”

“For 10 people participants the walking club, exercise, and bingo is always been house full.”

D. MAPPING OPPORTUNITIES all the data points from the insights were mapped in a 2x2 - Low Impact to High Impact vs Short Term to Long Term this mapping guided us to come up with concept ideas and approaches on how to address the issue

OPPORTUNITIES

1. Independence and Privacy

OPPORTUNITIES

2. Financial

OPPORTUNITIES

3. Healthy living

OPPORTUNITIES

4. Relationships

OPPORTUNITIES

5. Additional services

OPPORTUNITIES

6. Personal safety

OPPORTUNITIES

7. Personal hobbies

OPPORTUNITIES

8. Environment

OPPORTUNITIES

9. Social interactions

OPPORTUNITIES

GARDENING SPACE

D. MAPPING OPPORTUNITIES - TIMELINE based on our opportunity maps we developed a dedicated timeline to meet the project goals

OPPORTUNITIES - TIME-LINE

8. IDEATION A. IDEATION DEVELOPMENT

understanding and critically analyzing the maps helped in developing new ideas and concepts to create varied ways to approach and provide substantial solutions

B.

a visual or graphic interpretation of the overall story from an individual’s perspective of their relationship with an organization, service, product or brand, over time and across channels.

USER JOURNEY MAP

C. SKETCH AND PROTOTYPE

a drawing that is not intended as a finished work, but a preliminary exploration.

D.

USER TESTING

a technique used in user - centered interaction design to evaluate a product by testing it on users. This can be seen as an irreplaceable usability practice, since it gives direct input on how real users use the system

E.

WHAT’S NEXT

trend report with final implementation on site at WCA (Williams Court Apartment)

A.

IDEATION DEVELOPMENT understanding and critically analyzing the maps helped in developing new ideas and concepts to create varied ways to approach and provide substantial solutions

INSIGHTS 1

2

3

4

5

6

7

8

9

IDEATION

5. ADDITIONAL SERVICES

9. GARDENING SPACE

IDEATION DEVELOPMENT

GARDENING SPACE

In house Outdoor activity Convenient

Savannah : food dessert

Transportation service Assisstive services

Earn money by selling

Improves physical health

Socially active

Public and Family, friends private and relatives Skilled assistance

Spend money for themselves

Reduces mental stress

IDEATION DEVELOPMENT

GARDENING SPACE

WHO

Seniors residents

WHEN

3-4 times per week

WHERE

Outside area in Williams Court Apartment

WHAT

WHY

HOW

Gardening space

Physical exercise, being closer to nature

Provide a dedicated outdoor space in Williams Court Apartment

IDEATION DEVELOPMENT

GARDENING SPACE

WHO seniors residents

WHEN 3-4 times per week

every Saturday seniors, residents, assisstive and transportation service

WHERE outside area in Williams Court Apartment

Farmer’s Market at Forsyth Park

WHAT

WHY

HOW

gardening space

physical exercise, being closer to nature

provide a dedicated outdoor space in Williams Court Apartment

a stall for sell- social interacing produce tion and being a part of the social community

transportation service would help them travel from nursing home to park and assisstive service will help in setting up at the park

A.

IDEATION DEVELOPMENT ERAF SYSTEMS DIAGRAM The ERAF Systems Diagram is a method for creating high level systems views of the context being explored. It helps us to think about all elements of a system and their interactions with one another. We defined a set of entities, relations, attributes and flows to study the garden space in William Court Apartment.

ERAF SYSTEMS DIAGRAM Steady Impaired People Disabled

Devoted

Onlookers

Commuter

People in Rehab

Elderly

Residents

Staff Family Social Workers

Se ll

Sustainers

po rt &

act

Friends

ion

Volunteers

Neighborhood

Transport & Sell

Social Interaction

Tra

od

ns

Fo

rt &

an

Temporary

ll

Se

Co

o sp

Tr

ok

s

es

sin

Bu

Nursing Home Space

Multitudinous

ter

ide

Steady

l In

Participant

ov Pr

Small Quantity

S

cia

ac

ter

l In

a oci

Professional

So

tion

City Parks

Farmers’ Market

Kitchen Pro

Single Purposed

Public Kitchen

vid

e Individual Kitchen

Multi Purposed

Consumers Multitudinous

Relationship Temporary

Tourists Local

Little Product Flow

Large Product Flow

AREA OF FOCUS AREA OF FOCUS we chose the existing picnic area as our site to implement the gardening space as it was convenient for the residents and also close by to the building

AREA OF FOCUS

B.

USER JOURNEY MAP a visual or graphic interpretation of the overall story from an individual’s perspective of their relationship with an organization, service, product or brand, over time and across channels.

USER JOURNEY MAP - from apartment to gardening space

( / an attempt to bring residents more closer to NATURE - gardening space this engages them in physical activities which also leads to social interaction and they can also do their own individual activities like - reading, writing etc. with other residents, family and friends

(

USER JOURNEY MAP - from apartment to gardening space

Residents USER JOURNEY 1

Staff Sustainers

Social Interactions Participants

Social workers Family members Friends Volunteers

Residents

Neighborhood Working

Exercise Personal hobby

Health Benefits Relaxation

Basking Individual activities Group activities

USER JOURNEY MAP - from gardening space to farmers’ market

an attempt to bring residents more closer to COMMUNITY - farmers’ market, Savannah this engages them in being closer other people which also leads to social interaction and they can make new friends and develop a small community of their own for being socially active

USER JOURNEY MAP - from gardening space to farmers’ market

FARMERS’ MARKET IN FORSYTH PARK, SAVANNAH

USER JOURNEY 2

Consumers Social Interactions Tourists

Residents

Working Health Benefits Relaxation

USER JOURNEY MAP - from gardening space to kitchen

an attempt to bring residents more closer to HEALTHY DIETARY OPTIONS - cooking activity this engages them in consuming healthy produce which also leads to a healthy lifestyle and they can meet more residents who love to cook and form a small group within themselves.

USER JOURNEY MAP - from gardening space to kitchen

USER JOURNEY 3

Residents

Health Benefits

Healthy Dietary Plan

C.

SKETCH AND PROTOTYPE CONCEPTS SKETCHES developing concept ideas from our insights and data collected from secondary and primary research

CONCEPT SKETCHES

CONCEPT SKETCHES

C.

SKETCH AND PROTOTYPE PROTOTYPE based on our concept ideas we developed a small scale model to demonstrate the actual use of space for user testing with the residents

PROTOTYPE

Top view of environment around Thomas Francis William Court Apartment

Selected outdoor space

PROTOTYPE

Gardening prototype elements in space

Gardening elements with sitting elements in space

PROTOTYPE

D.

USER TESTING a technique used in user - centered interaction design to evaluate a product by testing it on users. This can be seen as an irreplaceable usability practice, since it gives direct input on how real users use the system

USER TESTING

“ I would love to grow tomatoes if I was given a choice. “ - Ms. Claire “ I love the layout, which you suggested but have an overhead covering as well. “ - Ms. Nessi

USER TESTING

“ I want a gardening space to grow some peppers, I love doing that and I miss it. “ - Ms. Betty “ Enthusiastic residents can form groups, to promote this activity to other residents. “ - Ms. Tammy

USER TESTING

“ Earlier we attempted to plan a garden, but it did not work out. “ - Ms. Alice “ I am more oriented towards growing flowers. “ - Ms. Alice

E.

WHAT’S NEXT

Hello Terry, It was nice to meet you and Jay and Eli yesterday. I emailed our manager Chris with the details of your garden project. He would love to be able to meet with you all on Friday, May 29th around 11 am. Of course if that time does not work we can come up with another date and time.

Best Regards, Tammy J. Kenkel Service Coordinator T.F. Williams Court Apartments

THANK YOU

9. REFERENCES

Avoid Resident-on-Resident Violence in Nursing Homes http://www.alzmass.org/newsletter%20pdfs/01-06.pdf

Nursing home residents’ aggression is studied http://www.dispatch.com/content/stories/local/2014/12/13/residents-aggression-is-studied.html Resident –on-Resident Aggression https://www.cna.com/vcm_content/CNA/internet/Static%20File%20for%20Download/ResidentonResidentAggressionIdentifyingDangerSignsDefusingConflict.pdf Abuse, Neglect, and Exploitation of the Elderly and Disabled http://health.mo.gov/safety/abuse/

Nursing Home Policy Laws http://www.ehow.com/about_5081576_nursing-home-policy-laws.html

The Impact of Technology on Living Environments for Older Adults http://www.ncbi.nlm.nih.gov/books/NBK97336/

The 2030 Problem: Caring for Aging Baby Boomers http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1464018/

The Future of a Generation: How New Americans Will Help Support Retiring Baby Boomers http://www.immigrationpolicy.org/justfacts/future-generation-how-new-americans-will-help-support-retiring-baby-boomers The Ripple Effect of Baby Boomer Retirement http://money.usnews.com/money/blogs/on-retirement/2012/08/03/the-ripple-effect-of-baby-boomer-retirement Health Conditions http://www.agingcare.com/Health-Conditions Privacy and Confidentiality http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/PrivacyandConfidentiality.html The Effects of Long-Term Care on the Mental Well-Being of the Elderly

http://www2.humboldt.edu/sociology/2004Heft.pdf

9. REFERENCES Healthy Aging - Normal Aging http://www.webmd.com/healthy-aging/tc/healthy-aging-normal-aging

Older Drivers http://www.nidirect.gov.uk/older-drivers-deciding-when-to-stop-driving Older Adults’ Health and Age-Related Changes http://www.apa.org/pi/aging/resources/guides/older.aspx Older Americans http://www.agingstats.gov/agingstatsdotnet/Main_Site/Data/2012_Documents/Docs/EntireChartbook.pdf

Global Age-friendly Cities http://www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf

Facts about ageing

http://www.who.int/ageing/about/facts/en/

Physical Changes With Aging http://www.merckmanuals.com/professional/geriatrics/approach_to_the_geriatric_patient/physical_changes_with_aging.html

Social Isolation Among Seniors: An Emerging Issue http://www.health.gov.bc.ca/library/publications/year/2004/Social_Isolation_ Among_Seniors.pdf 14 Ways to Help Seniors Avoid Social Isolation http://www.aplaceformom.com/blog/help-seniors-avoid-social-isolation-8-14-2014/ You Are Not Alone: 6 Steps to Reduce Senior Isolation http://www.aplaceformom.com/blog/9-2-14-reduce-senior-isolation/

20 Facts About Senior Isolation That Will Stun You http://www.aplaceformom.com/blog/10-17-14-facts-about-senior-isolation/

How Social Connections Keep Seniors Healthy http://greatergood.berkeley.edu/article/item/how_social_connections_keep_seniors_healthy

9. REFERENCES Best activities and hobbies for older people http://www.myageingparent.com/best-activities-and-hobbies-for-your-older-parent/

Hobbies for the Elderly or Disabled http://www.disabled-world.com/artman/publish/elderly-hobbies.shtml

Trends in Nursing Facility Characteristics http://www.ahcancal.org/research_data/trends_statistics/Documents/Trend_PVNF_FINALRPT_March2014.pdf AHCA http://www.ahcancal.org/research_data/trends_statistics/Pages/default.aspx Nursing Home Trends http://www.skillednursingfacilities.org/resources/nursing-home-trends/

THE HISTORY OF NURSING HOMES http://www.4fate.org/history.pdf Nursing Home Renovation and Replacement Plan http://www2.gnb.ca/content/gnb/en/departments/social_development/promos/nursing_homes_.html America’s Growing Elderly Population http://www.ncea.aoa.gov/Library/Data/ Falls in Nursing Homes http://www.cdc.gov/HomeandRecreationalSafety/Falls/nursing.html

About Nursing Homes https://www.longtermcarelink.net/eldercare/nursing_home.htm Ideas for Nursing Home Activities http://seniors.lovetoknow.com/Nursing_Home_Activities_Ideas

Reasons for Putting Elderly Parents in Nursing Homes http://www.livestrong.com/article/233653-reasons-for-putting-elderly-parents-in-nursing-homes/ Nursing Home and Assisted Living Activities http://assistedliving.about.com/od/caringforclients/a/nursingandassistedlivingactivities.htm The Real Challenge For Elderly Care Providers http://www.opportunity-links.org.uk/the-real-challenge-for-elderly-care-providers-infographics/

9. REFERENCES

What are Nursing Homes? http://www.seniorhomes.com/p/nursing-homes/ Overview of Assisted Living/Residential Care Facilities for the Elderly http://canhr.org/factsheets/rcfe_fs/html/rcfe_needtoknow_ fs.htm A Guide to Different Levels of Elder Care http://www.insideeldercare.com/assisted-living/a-guide-to-different-levels-of-eldercare/ Elder Abuse: When Caregiving Goes Wrong http://www.aarp.org/home-family/caregiving/info-2015/elder-abuse-assisted-living.html Nursing Homes http://www.assistedseniorliving.net/ba/best-nursing-homes/ Level of Care Chart http://atlanta-senior-resources.com/level-of-care-chart/ Frequently Asked Questions about Medicaid: Level of Care http://www.disabilityrightsohio.org/frequently-asked-questions-about-medicaid-level-care#protective2 Elder care law http://www.lgcsc.org/elder-care-law-protecting-seniors/ Legal Definitions of Senior Care Types of Residences http://www.seniorliving.org/lifestyles/senior-care-type-definitions/

SENIOR HOUSING & HEALTH CARE OPTIONS DEFINITIONS & TERMS tions.htm

http://www.seniorlivingguide.com/resources/defini-

Nursing home resident died during evacuation http://www.mcknights.com/nursing-home-resident-died-during-evacuation-ny-timesreports/article/385085/ Nursing home resident may have murdered ‘noisy’ fellow resident http://www.mcknights.com/report-nursing-home-resident-mayhave-murdered-noisy-fellow-resident/article/101982/