PTCD Out-Patient Rehabilitation Center

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OUTPATIENT REHABILITATION Architectural Design 606 SPRING 2020 Completed by Joseph Ali Kirk Hamilton FAIA, FACHA, EDAC | University of Texas A&M

TABLE OF CONTENT

PROJECT REVIEW

PROJECT REVIEW

PTCD OUTPATIENT REHAB

Introduction Approach Research

Overview Plans Programming Structure Detail

SITE RESEARCH

CONCEPT DEVELOPMENT

Site Analysis Conceptual

Out Patient Rehabilitation Cardiac Rehab Physical Therapy Pillars of Rehabilitation

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

PROJECT REVIEW

PASSION FIRE BRICK SUN AMBITION Red. Red is the color of fire and blood, so it is associated with energy, war, danger, strength, power, determination as well as passion, desire, and love. Red is a very emotionally intense color. It enhances human metabolism, increases respiration rate, and raises blood pressure.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Design Space Program

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

4,630sf

REHABILITATION AREA

3,075sf

PUBLIC/ ADMIN

1,830sf

STAFF SUPPORT

1,650sf

LOCKER AND STORAGE

PROJECT BRIEF The following Rehabilitation space program is based on, but not limited by, the 2018 edition of the Facility Guidelines Institute (FGI) Guidelines For Design And Construction of Hospitals. These Guidelines are used by most states to evaluate and set a minimum standard for healthcare facilities. Texas is adopting FGI in 2020. Used by Patients & Staff This project calls for the design of a public outpatient rehabilitation center with some complexity that includes paying high consideration to research based information, challenges from socio-cultural community, site topography and variety of stratergies for sustainable design.

OBJECTIVE • Apply ideas of environmnetal sustainable design • Design and create architectural space with consideration to reserch based information • Combine the environmnetal need, the site ( topography, history, socio-cultural events) and the users’ experience within simple building design .

• Produce drawings (both 2 dimentional and 3 dimentional) to communicate and visualise architectural design and ideas that can be interpreted by non architects.

It will explore design solutions that harness qualities and conditions for human and enviromental sustainability,

AIM

PROJECT

• To develop a complete program for the outpatient rehabilitation center • To produce a complete architectural design for the outpatient rehabilitation center • This facility should meet ADA regulations.

Accessibility on site and in the facility is important for patients and staff.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

This project requires me to propose an outpatient rehabilitation center accomodationg several related functions such as Cardiac Rehabilitation, Physical Rehabilitation, Staff Support Area and Public Areas.

PROJECT APPROACH

PROJECT REVIEW

SITE RESEARCH

LOVE

PASSION

AIR

CARE

DETERMINATION

SUN

HEALTH

TENACITY

LIFE

LIFE

COURAGE

WATER

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE RESEARCH

PASSION FIRE BRICK SUN AMBITION Red. Red is the color of fire and blood, so it is associated with energy, war, danger, strength, power, determination as well as passion, desire, and love. Red is a very emotionally intense color. It enhances human metabolism, increases respiration rate, and raises blood pressure.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE Location

Katy is a suburb of Houston with a population of 18,094. Katy is in Waller County and is one of the best places to live in Texas. Living in Katy offers residents a sparse suburban feel and most residents own their homes. In Katy there are a lot of parks. Many families and young professionals live in Katy and residents tend to have moderate political views. The public schools in Katy are highly rated.

Population 18,094

K A T Y

H O U S T O N Houston, inland port city, in Harris, Fort Bend, and Montgomery counties, Houston is the state’s most populous city and the fourth largest city in the United States. The region’s climate is warm and humid, and the city is noted for its hot, sticky summers.

Latitude / Longitude (29.7866, -95.3909) Rank in State 1st County Fort Bend County Central Time Zone Total Area (km²) 1724.87 (665.97 mi²)

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE Location K A T Y

Physiotherapy Katy, TX

PROPOSED SITE

Costo Wholesate Memorial Herman Sport & Medicine

Olympus Grand Crossing

VIEWS Memorial Herman Sport & Medicine

Katy Emergency Room - A Village

ENVIRONMENT

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE Location

Due to the high level of rainfall, city regulations now call for all new construction to be built above the 500-year flood plain, plus an additional two feet. the level of 1st floor will be raised atleast 6 feet above the ground floor.

Not only should valuables and areas like gymnasium be moved to the upper levels when possible, but smart materials will be selected that allow for the inevitable presence of water in our community. “If the building is constructed in a concrete block structure, no harm, no foul. It gets wet, and it dries, and we are good to go.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE Location

Prevailing wind in Houston is south-southeasterly at a mean speed of 7.4 mph.

The humidity is high throughout the year and peaks at 90% during summer mornings due to the clashes of air masses that travel from the Gulf of Mexico and the desert lands.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SITE Location

Solar heat absorbed through windows and roofs can increase your air conditioning use. Incorporating shading concepts into your landscape design can help reduce this solar heat gain, by reducing surrounding air temperatures as much as 9° F Planting trees on the South and West sides of your home will produce the greatest energy efficiency benefits. Trees on the north end of your property can help reduce heating costs by reducing winter winds. Also, consider shading you air condoning unit, making it run more efficient.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

CASE study PROJECT

Beit-Halochem Rehabilitation

LOCATION

BEERSHEBA, ISRAEL

FIRM

Kimmel-Eshkolot Architects

TYPE

Health

STATUS

Built

YEAR

2011

SIZE

6000.0 m²

BUDGET

$100M +

Light

material roof and overhanging, solid / lourved to protect interior area and create shaded exterior.

Ramps are used throught the project to ease accessibility and have a defining feature.

The building divides the site

into two, which creates different change in levels which will be difficult for ADA patients to navigate around

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

CASE study PROJECT

Hisham A. Alsager Cardiological

LOCATION

SHUWAIKH MEDICAL, KUWAIT

FIRM

AGi Architects

TYPE

Health

STATUS

Built

YEAR

2015

SIZE

15000.0 m²

BUDGET

Unknown

The

functional space seem to be clustered around the lobby creating a light permable environment in contrast with the colourful wall.

The main consideration of the planning was proximity of the physcio therapy area to the main lobby.

A highly penetrable exterior with closed interior which might give introverted patients the feeling of no privacy. This is also considered a good approach of design because most patients who suffer physical challenge likes the feeling of privacy without suffocation PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

CASE study PROJECT

Shirley Ryan AbilityLab

LOCATION

Chicago , IL, United States

FIRM

HDR , Gensler

TYPE

Research + Health ›

STATUS

Built

YEAR

2017

SIZE

1.2 million square feet

BUDGET

$407 million (construction); $550 million (project cost) The patients rooms are arranged

around the building perimeter, with ancillary and nurse functions clustered around the enclosed atrium that penetrates the large floor plate.

The PT are closely connected to the elevators.

Patients have no nature to interact

with unless they leave the building.

The building program is stacked up vertically. The districution looks a little mixed up for the patients to wrap around.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

CASE study PROJECT

Rancho Los Amigos National Rehabilitation Center

LOCATION

Downey, CA, United States

FIRM

Taylor Design

TYPE

Government + Health ›

STATUS

Built

YEAR

2018

SIZE

100,000 sqft - 300,000 sqft

BUDGET

$100M + Avoids the confidenment look. Use of natural lightening and passive approach of nature mixed with buildingR amps are placed all over the building for easy accesibilty for the patients and ADA users.

Direct accesibility from the physico gym to the green area.

The general footprint looks has one

general lobby that connects the traffic from reception area to the nurse unit. More tha one should have been provided.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

CONCEPT DEVELOPMENT

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

KEY DESIGN Considerations

Welcoming Environment

Reduced Noise

Intedrated Care

Outdoor Accessibility

PROJECT REVIEW

SITE RESEARCH

Social Access

Plentyful Daylight

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Team Based Treatment

Flexibility

Privacy

KEY DESIGN Considerations

WELLNESS Material

Sustainable materials that don’t emit toxic fumes including stones,

brick and aluminium

Exterior Louvers

Providing window - glazing that incorperate views

which shades from the west, south and east. Direct access to daylight and views reduce blood pressure and lower headaches

Acoustics

Claro Baffles that absorb sound in high intensity areas

such as Cardio and Physical Therapy weight area

Light/ Atrium

Used as a central gathering space for the user, This act as

a common social gathering space which is proven to improve mental awareness

ADA / Ramps/ Stairs

Inviting staircase to promote physical activity

and Ramp to provide accessibilty to spaces for physically challenged users.

Pedestrian Pathway

Provide a wide pathway that can be used by two

Wheelchair users without obstructing each other and accessible by bikes and leg

Landscape

While creating a pedestrian walkway, landscaping should created

to provide comfort and a rest zone from the Katy harsh weather.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

RELATIONSHIP study OUTPATIENT REHABILITATION OUTPATIENT

ACIVITY FLOWCHART

PATIENTS

MEDICAL SERVICE

Muscle Injury

Physical Therapy

Healing Gardens

Cardiac Therapy

Canteen

Open Outpatient

Rehabilitation

Heart related Injury

PHYSICAL REHABILITATION Occupational Therapy

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

+

ACCOMODATION

Medical Care Unit

SUPPORT SERVICE Rehab Family Game Days Administration

INDEPENDENCE & ACUTE REHAB

Excercise & Manual Therapy

REHABILITATION

PROJECT REVIEW

SUPPORT

Excercise & Manual Therapy

MEDICAL SERVICE

=

TOTAL REHABILITATION

FLOW CHART study

Arrival lobby

Entry Vestible CENTRAL RECEPTION

Customer Service Business Office 1 Business Office 2 Manager Office

Seating Toilets

Nurse Unit

Closed Atrium

Hydrotherapy - Hi Boy

Xray

Exam Room

Gym

Gym

Relaxtaion

Male

Female

Changing

Changing

Toilet/Shower Toilet/Shower

OP Lockers PTCD OUTPATIENT

Housekeeper Closet

CONCEPT DEVELOPMENT

Hydrotherapy - Lo Boy

Physcio

Therapy World

Green Space

Office, Physician/ Fellow

SITE RESEARCH

Staff Toilet

Office, Program Nurse Manager

STAFF SUPPORT

PROJECT REVIEW

Drink & Food Delivery

Cardiac

Office, Program Medical Director

Conference Room

Back Office

Reception

Coffee Shop & Food

ADMINISTRATION

PTCD OUTPATIENT REHABILITATION

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Adoption of Cubism

• In healthcare (Rehabilitation) design we seek a form that respond to transparency, spatial ambiguity, form-faceting, and multiplicity.

Cubism Architecture brings out conceptions like abstraction, geometrization, symbolism, distortion, fragmentation, and illusion.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Re-orientation Nature and View

• Connection to nature and integration of plants.

Buildings with ecological materials we want to touch. Integrated gardens we can smell and eat. And buildings we can hear because bees and birds nest in them. Sensible rehabilitation center that make us feel alive. That’s thedream of this design.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Establish hierachy based of function

• Hierachy is used here to creates balance between the structure and symmetrical form.

The hierarchy is a system which organises the space – based on – How important they are in the rehabilitation center.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Use of diffused and passive daylight

• Diffuse and reflected light can be harnessed by building design to reduce the reliance on artificial.

• lighting Passive Daylighting Systems Could Transform the psychology of a space like the rehabilition center positively. Natural light is a powerful architectural tool. As the importance of sustainable design grows, the energy cost run the building is cut down.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

APPROACH Perspective Location - PTCD, Katy TX Weather - Clear Night Time - 5:58PM Month - Dec 23th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Rehabilitation Site Planning •

PROJECT REVIEW

Center

• Reduce and control environmental hazards and risks • Prevent accidents and injuries • Maintain safe conditions for patients, staff, and others coming to the facility

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

• Maintain an environment that is sensitive to patient needs for comfort, social interaction, and positive distraction • Minimizes unnecessary environmental stresses for patients,staff, and others coming to the organization’s facilities

Site Configuration •

Proper site planning and site design in an outpatient rehabilitation environment is measured by how easy the designer makes the experience for every scenario that could possibly present; Vehicle and pedestrian flow, parking and wayfinding, traffic control, calming devices and lighting are all basic planning and design considerations that should be addressed during site design, not after.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

KATY FWY Perspective Location - PTCD, Katy TX Weather - Clear Day Time - 1:48PM Month - Mar 3th 2020 Render - Vray

Site Configuration

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PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

1.

2.

3.

4.

5.

Out-patient Parking ADA Parking Staff parking Patient Parking Entrance Vestible

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7.

8.

9.

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A.

Physical Therapy Cardiac Therapy Administrative Support Area Water walk Wall seat-out

WORKING PLAN Configuration

10’

PROJECT REVIEW

20’

SITE RESEARCH

50’

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Approach Facade The facade of the building envelope creates a vanishing projected

image and creative intent. Increasingly, Based on the building typology, creating a soft tone with happy colour will act as an important environmental moderator. A thoughtfully designed skin can make a new building work more effectively for its owners, occupants and environment. It can also transform the performance of an existing building.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

APPROACH Perspective Location - PTCD, Katy TX Weather - Clear Day Time - 1:48PM Month - Mar 3th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Physical Therapy

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Physical therapy, also known as physiotherapy, is one of the allied health professions that, by using evidence-based kinesiology, electrotherapy, shockwave modality, exercise prescription, joint mobilization and health education, treats conditions such as chronic or acute pain, soft tissue injuries, cartilage damage, arthritis, gait disorders and physical impairments typically of musculoskeletal, cardiopulmonary, neurological and endocrinological origins.

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1. Clinical-exam

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2. Treatment room 3. Therapist workstation 4. Therapist workstation 5. Relaxation area 6. Occupational therapy 7. Pool Hi-Boy & Low-Boy 8. Staff changing 9. Physical Therapy

10’ PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

20’

50’

RECEPTION Perspective Location - PTCD, Katy TX Weather - Clear DayTime Time - 3:14 PM Month - August 09th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

West Facade East and West faรงades are the hardest for which to manage solar heat gain as the low angle between 10AM to 4PM in Texas is not controlled by vertical shading. South facing faรงades (in the Southern hemisphere) can admit good quantities of light even if there are projecting external shading systems; much of this daylight will have been reflected and the direct heat of the sun reduced.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

WEST Perspective Location - PTCD, Katy TX Weather - Overcast Time - 2:48PM Month - May 19th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Cardiac Therapy

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Cardiac rehab is a medically supervised program designed to improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery. Cardiac rehab has three equally important parts: Exercise counseling and training: Exercise gets your heart pumping and your entire cardiocular system working.

1. Cardiac Therapy 2. Staff change 3. Cardiac checkup 4. Private session area

10’ PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

20’

50’

CARDIAC Fitness Location - PTCD, Katy TX Weather - Clear DayTime Time - 3:14 PM Month - August 09th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

East Facade Solid faรงade elements give scope for good insulation levels which will help reduce extremes of heat and cold influencing the heating and cooling loads.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

REFLECTION Perspective Location - PTCD, Katy TX Weather - Clear DayTime Time - 3:14 PM Month - August 09th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Administrative zone An administrative zone in the rehabilitation center has the responsibility of ensuring that the administrative activities within an organization run efficiently, by providing structure to other employees throughout the organization.

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1. Meeting room 2. Business office 1 3. Business office 2 4. Medical director office

10’ PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

20’

50’

East Facade Double skin faรงade provides a minimal depth glazed thermal buffer zone for the moderating of fluctuating thermal conditions between inside and outside. Many variations of this idea have been developed in terms of the size of the compartments and the environmental operation of the system, which can be free flowing (gaps between glass panels), motorized automatically or with local override.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

East Perspective Location - PTCD, Katy TX Weather - Clear Day Time - 4:00 PM Month - Oct 11th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Support zone Support functions are needed to keep the operations, exclusion and contamination reduction rones running smoothly. Any function that need not or cannot be performed in a hazardous or potentially hazardous area is performed here.

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1. Receptionist

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2. Security

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3. Nurse Station 4. Locker room male

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5. Locker room female 6. Mini Starbucks 7. Female Toilet 8. Male Toilet 9. Electrical & Mech A. Housekeeping 0. Toilet

10’ PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

20’

50’

South West Perspective Location - PTCD, Katy TX Weather - Clear Day Time - 5:30 PM Month - June 12th 2020 Render - Vray

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

End of facility drop off encourages workers and users to use sustainable method of transport.

COMPOSITE ROOF PANEL

Mechanical windows on eastern and western facades capture prevailing S-SW winds to provide cross ventilation and passive cooling

SOLAR CAR RECHARGE

All sewerage and water collected is dispersed to drains and donated to surrounding native gardens

CROSS VENTILATION

Photovoltaic cells provide more than 30kW of energy to power all elements of the building with surplus power feeding back to the other buildings

SAFETY END OF TRIP DROP OFF

Low level mechanical windows facilitate cross-ventilation through office spaces.

PHOTOVOLTAIC PANELS

During hot summer months, the roof and slab overhangs shade the facades to reduce heat load

HARVEST WATER TREATMENT

Deciduous tress provide shade during summer and lose their leaves in winte; allowing the sunlight to penetrate the building

ROOF HANGING

Deciduous tress provide shade during summer and lose their leaves in winte; allowing the sunlight to penetrate the building

ELECTRICALLY CONT WINDOWS

LOW WATER VEGETATION

DECIDOUS TREES

SUSTAINABLE System

0.98’’ Insulated composite roof panel

Solar Rechargable unit provided on site to encourage workers and users encouraged to get solar rechargeble cars.

SUSTAINABLE System

first simulation - Saftey and comfort of buildings and users is highly dependant on airflow around the building. the airflow simulation without vegetation on site shows us how the texas south southern wind will affect the building.

Red is the dangerous guss that forms around or within the building Blue is the strong down draft on the leanward side of the structure and can lead to high concentration of pollutants

Second simulation - After keying in some important greenry to reduce the effect of the wind vortex on the structural phase of the building, the health effect the resulting wind will harbor in the building site. Our final simulation shows how the dangerous guss will be absorb by the cover crops place at the front of the building and how the deciduous plants will break the effect of the strong down draft.

SUSTAINABLE System

Evergreen Tree TOUCH

Much like trees and their leaves provide shade and relief from the blazing summer sun, evergreen trees protect from harsh winter winds. They can also offer some sound proofing (up to 40%) and can act as an air pollution barrier

SMELL

Oak Tree Environmental Improvements.

Oaks, as well as other trees, can improve environmental conditions in a landscape. The tree casts shade to cool the ground, blocks or diminishes wind that filters through its branches and foliage and can help stabilize soil with its root system.

POLINATION Pollinated Plant 1. Clean Air (Carbon Cycling) 2. Water and Soils

LIFE

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

Butterflies.

Moths.

Hummingbirds

PTCD OUTPATIENT

Deciduous Shrub Carefully positioned deciduous trees can reduce your heating and cooling bills. Planted on the western side of the house a deciduous tree provides shade in summer, which cools the house and in winter when it loses its leaves it allows the sun to warm the house

MICRO CLIMATE / GREEN System OVERHANG SHADING - NOON SUN Vertical greenery to balance the sunlght produced from the angular sun azimuth in Katy during summer and winter.

VERTICAL GREEN SHADING

co2 O2

Vertical greenery to balance the sunlght produced from the angular sun azimuth in Katy during summer and winter.

PLEASANT AND PASSIVE VIEW Vertical greenery to balance the sunlght produced from the angular sun azimuth in Katy during summer and winter.

SCREEN AS VERTICAL LIGHT SHELF Ambient and direct daylight bounces off exterior glazed curtain wall.

O2 - CO2 EXCHANGE

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

SUSTAINABLE System Continuity in daylight control •

There are many different reasons to control the amount of sunlight that is admitted into the rehabilitation center. In warm, sunny climates excess solar gain may result in high cooling energy consumption; in cold and temperate climates winter sun entering south-facing windows can positively contribute to passive solar heating; and in nearly all year, Katy climate needs controlling and diffusing natural illumination that will improve day lighting.

• Well-designed sun control and shading devices can dramatically reduce building peak heat gain and cooling requirements and improve the natural lighting quality of building interiors. Depending on the amount and location of fenestration, reductions in annual cooling energy consumption of 5% to 15% have been reported.

Aesthetics for healing •

Material - Steel Process - Lesaer Cutter or Water Jet Advantage - Less carbon emission to concrete Process - one construction process.

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

Aesthetics can be an important link between technology development, design, nature and architecture. This shading device will not only serve the purpose of sustanability but create an ehnancing abstract geometry to show continuity and deconstructivism. This will also play a healing role in the main purpose of the building healing.

Shading device •

Sun control and shading devices can also improve user visual comfort by controlling glare and reducing contrast ratios. This often leads to increased satisfaction and productivity. Shading devices offer the opportunity of differentiating one building facade from another. This can provide interest and human scale to an otherwise undistinguished design.

Sash and Glass sealant

Structural System

Chip board flooring stops at 0.39’’ short of stud

3.9’’ Block foundation Extruded polystyrene insulation

Custom ORB Perforated anodised concrete screen

Rigid insulation

0.46 in SHS 6.0

Reinforcement (Optional)

Paraphet WaterChanel pit Rigid insulation tapped to drain roof

6’ min Concrete footing below frost depth Compacted earth

3 ft

0.5 in Concrete roof decking Mechanical or Perforated Acoustic Plywood celin

Concrete curb and foundation per local standard Concrete Paver 31/8 thickness 12’’ Wide Geotextile along perimeter turn up at curb

Mechnaical awning

10 ft

Compacted Aggregate base Compacted earth subgrade 12’’ Wide geotextile along perimeter turn up at curb Geotextile as required

Insulated DGU 8+16+6mm double glazing unit U value 1.4 w/mk Raised timber floor

Spacer Fibre cement cladding 3 ft

Low-E and Solar control coating Timber joist / Mechanical and Lighting Recess Foundation Masonry concrete block

Below the frost line

Foundation footing PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

Double panes

PTCD OUTPATIENT

Stool Weather stripping

Structural System

Structural System

Apron/Flange

Sash

Sill

Concrete curb and foundation per local standard Concrete Paver 31/8 thickness 12’’ Wide Geotextile along perimeter turn up at curb

Pressure treated sill plate Timber joist insulation / Mech and Elec 4-in Gravel drainage layer

Concrete masonry foundation

Structural System

Perforated steel shading device

Roof membrane

Glass daylight sky windows

MLT deck concrete

Semi translucent curtain glass wall

Strip Foundation system

PROJECT REVIEW

SITE RESEARCH

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

MECHANICAL & CIRCULATION System Concrete Pavement

15 Tons Air conditioner - Vertical •

Outdoor Mounted electrical cooling unit utilizing scroll/ semi-hermetic compressors for cooling duty. Unit shall discharge supply air vertically or horizontally.

20-60 Tons Condenser for VPAC •

PROJECT REVIEW

SITE RESEARCH

Active comfort supply to the physical therapy area and the nurse unit using HVAC.

CONCEPT DEVELOPMENT

PTCD OUTPATIENT

ADA Wheelchair Ramps •

For those individuals with disability, wheelchair ramps are incredibly beneficial. Without them, accessing PTCD will be time consuming and quite difficult to say the least. A disabled or wheelchair ramp is one of the most common provisions required by the guidelines.

•

Being that these are mobility device aids, wheelchair ramps serve a very useful purpose for those in wheelchairs and numerous other devices for improved accessibility.

D. Kirk Hamilton FAIA, FACHA, EDAC Professor Department of Architecture Associate Director Center for Health Systems & Design

Charles Cadenhead FAIA, FACHA, FCCM Senior Medical Planner Senior Principal

A. RAY PENTECOST FAIA, FACHA, LEED AP Joseph G. Sprague Chair of Health Facilities Design, Director, Center for Health Systems & Design, Professor of Practice

Andrea C. Batarse LEED AP Master of Architecture Degree Candidate Center for Historic Preservation

Heather E. Lorenzo LEED AP Master of Architecture Degree Candidate Architecture for Health Interior Visualizer

RESEARCH

https://www.slideshare.net/presteaaa/project-2-brief-architecture-studio-4-arc60206-august-2015

https://www.slideshare.net/presteaaa/project-2-brief-architecture-studio-4-arc60206-august-2015

https://archinect.com/dandrear/project/ spaulding-rehabilitation-center

https://www.weather-us.com/en/texas-usa/ houston-climate

http://www.houstonstateofhealth.com/index. php?module=demographicdata&controller=index&action=index&id=2675

https://en.wikipedia.org/wiki/Demographics_ of_the_United_States

http://www.color-wheel-pro.com/color-meaning.html http://www.lantzfullcircle.com/the-sustainable-design houstoniamag.com/newcomers-guide/2018/10/houston-architecture https://www.arch2o.com/leed-certification-infographic/ http://www.greenhoustontx.gov/calculator. html

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Joseph O. Ali M.Arch Candidate for Design for health track & sustainability SHEA Officer - Graphic Designer