Cardiothoracic Hospital

Cardiothoracic Hospital

Jinane Arbain

ARCH 509_Design 9 for Architecture Malawi Health Design Cardiothoracic Hospital Hearts For Mission International Blantyre, Malawi by

Jinane Arbain Project presented to the Faculty of the Department of Architecture College of Architecture and the Built Environment Thomas Jefferson University In partial fulfillment of the requirements for the degree of BACHELOR OF ARCHITECTURE Arch-507 / Design 9 Professor Christopher Harnish Philadelphia, Pennsylvania December 2023

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Research Statement Cardiologic facilities in Malawi are at a dangerous low, forcing many people inflicted with heart disease to either be outsourced internationally or remain untreated. For the facilities that do exist, it is crucial to optimize the time of healing and recovery in order to meet the high demand of surgeries. One of the largest factors of the healing process is the mental comfort state of the patients, and studies show that positive experiences have direct correlation with efficient healing. Due to the effect that architecture and wellness have on a patient’s experience, our focus is on spatial optimization that increases healing of a patient’s body and psyche through thoughtful qualitative design.

To understand the patient’s wellbeing during recovery, we have categorized our research by four topics: spatial quality, program, climate response, and material typology. “Spatial quality” studies the psychological effects of form, daylighting, ventilation, exterior views, etc. and aims to determine a balance between all of these building features. “Program” studies the proper adjacencies and how they create a pleasant flow for patients that limits stress and disorientation. “Climate response” is our series of strategies in order to better inform our building tectonics for maximum, low-energy comfort.

It also incorporates preparation for internationally outsourced surgeons for success in a foreign, tropic, climatic zone. “Material typology” works parallel with the previous category by acting as our partì in our climatic response process. Similarly, it studies the comfort levels of patients within and around the occupied spaces while simultaneously using sustainable systems. We hope that our design process achieves a cardiologic surgery facility that maximizes positive Malawian user-experience while maintaining a strong identity of sustainability.

The main part of the research, which was patient experience and healing, did continue with me to the design process, but some of the researxh isn’t as relevant to my project.

Design Thesis Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International

Design Statement Central to the design thesis is the integration of nature, emphasizing greenery, and capitalizing on natural elements such as light and ventilation. Thin building forms are strategically employed to facilitate an immersive experience where the boundaries between interior and exterior spaces blur, and both bleed into each other. As my design attempts to work with nature, I allowed site conditions, the placement of existing trees, and user experience within the landscape to inform the form and placement of spaces.

The circulation intentionally creates a seamless blend between the built environment and the surrounding nature, as I design the canopies and roofs to adjust to the exterior circulation that provides access to and from buildings in the courtyards. This design approach fosters a landscape circulation that seamlessly connects the exterior and interior, creating a therapeutic experience for patients. The incorporation of slanted roofs and canopies addresses the heavy rainfall in the tropical climate, while simultaneously providing cover for exterior circulation areas.

The design unfolds through sectional experiences, guiding individuals through buildings, landscapes, courtyards, and open spaces. This orchestrated interplay between the built environment and nature creates a dynamic and enriching atmosphere for both staff and patients. Programmatic elements are strategically located in relation to one another, with a focus on the patient’s journey through spaces where the placing of the Guardian space and Rehab Centre farther north on the site, for example, forces people’s interaction with nature.

Planter boxes are integrated into the design, providing not only aesthetic value but also opportunities for patients to connect with nature. They are built around existing trees, preserving the trees as integral components of the landscape.

In considering the healing aspect of the patient experience, the design places a strong emphasis on the integration of nature. The exterior and interior spaces are carefully orchestrated to blend into one another through thoughtful circulation, views, and access points. The thin building forms around the courtyards enhance the interaction between built structures and the natural environment. The thinness of the forms in addition to the window systems incorporated, allow for easy airflow, which is important for the prevention of infectious disease. This differs throughout the different programs, where some spaces might need to be more sealed than others.

Ultimately, this healthcare facility aims to redefine the relationship between exterior and interior spaces, fostering a healing environment that is deeply rooted in the therapeutic potential of nature. The intent is to create an environment where nature becomes an active participant in the healing process for both patients and staff.

Design Thesis Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Research Narrative Program Climate Building Performance Strategies

Site + Landscape Program Concept Design

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Hearts For Mission International

Jinane Arbain

Research

•

Narrative

Thesis Healing Environment • Healing Design Strategies Here will•be

Fall 2023 Design 9

Cardiothoracic Hospital

Due to the effect that architecture and wellness have on a patient’s experience, our focus is on spatial optimization that increases healing of a patient’s body and psyche through thoughtful qualitative design.

Jinane Arbain

Hearts For Mission International

FACTORS FACILIATED

BY ARCHITECTURE

ARCHITECTURE

ARCHITECTURAL FEATURES (MEDIATORS)

HEALING CONSTRUCTS PSYCHOLOGY SELF-EFFICACY SOCIAL FUNCTIONAL

HEALING Research Narrative Thesis Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International SOCIAL

PSYCHOLOGICAL

ANXIETY

DEPRESSION

SATISFACTION

PAIN

PATIENT ISOLATION

WELL - BEING

The optimal healing environment is divided into four parts: Internal, Interpersonal, External and Behavioral. ​ These are affected by the four healing constructs; psychology and self-efficacy in relation to internal, social in relation to interpersonal, and functional in relation to external and behavioral.​

QUALITY OF CARE

EMOTIONAL FATIGUE

STRESS

PSYCHOLOGICAL

DEPRESSION

CONTROL

PATIENTCAREGIVER

SATISFACTION FATIGUE

COMFORT

PATIENT ISOLATION

The four healing constructs characterize healing, each made up of several subcategories that FUNCTIONAL are directly linked to specific architectural features that affect them.​

EXTERNAL

PAIN SENSE OF DIGNITY

SOCIAL

QUALITY OF LIFE

IDENTITY AUTONOMY

MAINTENANCE/ FATIGUE FUNCTIONAL RECONSTRUCTION

SELF PERCEPTION

SENSE OF DIGNITY

FUNCTIONAL

INTERPERSONAL

IMPROVED SENSE OF HEALTH

SOCIAL

Healing Relationships Healing Organizations

PATIENT ISOLATION QUALITY OF CARE STRESS

SECURITY

ACCEPTANCE

PSYCHOLOGICAL OF SELF-EFFICACY

ANXIETY

PATIENTCAREGIVER RELATIONSHIP

SOCIAL

Healthy Lifestyles Integrative Care CONTROL EMOTIONAL

SELF-CARE INDEPENDENCE & DOMESTIC FUNCTIONING

ACTIVITIES OF DAILY LIVING

SELF PERCEPTION

QUALITY OF LIFE

BEHAVIORAL

RELAXATION IMPROVED SENSE COMFORT OF HEALTH

ACTIVITIES OF DAILY LIVING

SATISFACTION ACCEPTANCE OF SELF-EFFICACY WELL - BEING CONDITION

DEPRESSION

SOCIAL

CONDITION

INDEPENDENCE

PAIN

PATIENT ISOLATION

RELAXATION COMFORT

CONTROL SELF-CARE & DOMESTIC FUNCTIONING

IDENTITY MAINTENANCE/ RECONSTRUCTION

SECURITY

Research Narrative Healing Environment

FUNCTIONAL Fall 2023 Design 9

SOCIAL

AUTONOMY SATISFACTION

SELF WELL - BEING PERCEPTION

QUALITY OF LIFE

ACCEPTANCE OF CONDITION

AUTONOMY

INDEPENDENCE

Healing Intention Personal Wholeness

ANXIETY DEPRESSION IDENTITY PSYCHOLOGICAL MAINTENANCE/ SECURITY RECONSTRUCTION Healing Spaces Ecological Sustainability

SELF-EFFICACY

QUALITY OF CARE

INTERNAL

CONTROL

SELF-CARE & DOMESTIC FUNCTIONING

IMPROVED SENSE OF HEALTH

ACTIVITIES OF DAILY LIVING

STRESS

WELL - BEING

RELAXATION

SENSE OF DIGNITY

RELATIONSHIP SOCIALFUNCTIONAL

SOCIAL

SECURITY

SELF-EFFICACY

EMOTIONAL PAIN

IDENTITY MAINTENANCE/ RECONSTRUCTION

SELF-CARE & DOMESTIC FUNCTIONING

PSYCHOLOGICAL ANXIETY

RELAXATION

COMFORT

SENSE OF DIGNITY

SOCIAL

SELF-EFFICACY

ACCEPTANCE OF CONDITION

PATIENTCAREGIVER RELATIONSHIP

Cardiothoracic Hospital

The healing design strategies are each connected to specific sub-categories of the healing constructs where they affect them either positively or negatively. ​

Jinane Arbain

BARRIER FREE ENVIRONMENT Environment to accomodate patients declining visual, auditory, and kinesthetic senses Prepared environment (carpeting, handrails, uncluttered hallways, elevated toilet seats and door levers)

Hearts For Mission International

ROOM LAYOUT

AUTONOMY

INDEPENDENCE

Single rooms

SELF-EFFICACY

QUALITY OF LIFE

SELF PERCEPTION ACTIVITIES OF DAILY LIVING

FUNCTIONAL

Environments providing deep attachments (personal reliable NOISE CONTROL and intimate place, aesthetic experience, secure atmosphere)

Presence of home mobility barriers SELF-CARE & DOMESTIC FUNCTIONING STRESS

LIGHT

A combination of multi-bedded and single rooms to be assigned based on patient preference

Acoustic celing tiles

SOCIAL

East-facing windows

SOCIAL RELATIONSHIPS

Research Narrative Healing Design Strategies

Fall 2023 Design 9

PSYCHOLOGICAL Patient rooms removed from noise producing areas

Cardiothoracic Hospital

For example, under Access to Views and Nature, there is “contact to outside”, connected to Quality of Life under Functional.​

Hearts For Mission International

Jinane Arbain

SATISFACTION

ACCESS TO VIEWS AND NATURE

PAIN

STRESS

HOME-LIKE ENVIRONMENT PSYCHOLOGICAL

Views to nature scenes

ANXIETY

Healing sanctuary less hospital-like

FATIGUE

CONTROL

Indoor plants

Home-like environment

Contact to outside

Environments providing deep attachments (personal reliable and intimate place, aesthetic experience, secure atmosphere)

SELF-EFFICACY QUALITY OF LIFE

FUNCTIONAL

SECURITY COMFORT

Research Narrative Healing Design Strategies

EMOTIONAL DISTRESS

Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

By providing patients with more contact to the outside, we are improving their quality of life, which allows them to be more functional, positively contributing to the optimal healing environment.​

HEALING

EXTERNAL

Healing Spaces Ecological Sustainability

Hearts For Mission International

INTERNAL

BEHAVIORAL Healthy Lifestyles Integrative Care

Healing Intention Personal Wholeness

PSYCHOLOGICAL

FUNCTIONAL HEALING CONSTRUCTS

Santa Rita Geriatric Center / Manuel Ocaña

PSYCHOLOGY SELF-EFFICACY SOCIAL FUNCTIONAL

STRESS

QUALITY OF LIFE

ARCHITECTURE

ACCESS TO VIEWS AND NATURE

ACCESS TO VIEWS AND NATURE

Contact to outside

Views to nature scenes

FACTORS FACILIATED

BY ARCHITECTURE ARCHITECTURAL FEATURES (MEDIATORS)

Tambacounda Maternity and Pediatric Hospital, Senegal, by Manual Herz Architects

Research Narrative Healing Design Strategies

PAIN

Fall 2023 Design 9

Cardiothoracic Hospital

Hearts For Mission International

Jinane Arbain

Research

•

Program

Adjacency Matrix • Adjacency map Here will be

Fall 2023 Design 9

Cardiothoracic Hospital

The program requirements are adapated to maintain the integrity of a happy and comfortable patient user experience.

It is essential for all clinical spaces to receive immediate technological attention.

However, it is also important to create separation in the ward spaces for trnquillity and easeof-mind.

Jinane Arbain

Hearts For Mission International

CLINICAL

WARD

1 Open-Heart Surgery

5 Private Unit General Ward (6 Bed)

1 Cath-Lab/Procedure Room

Rehab Space

8 Bed ICU (5 - 6 Patients)

Visiting Space/Meeting Room

15 - 20 Bed Step Down Unit Laboratory

Religious Space

Pharmacy

Shower

Equipment Storage

Laundry

Sterilization

Restroom

Outpatient Examination

EDUCATION

X-Ray Room/Ultrasound

Training Lab Public Class.

WAITING Patient Waiting Area

Gen. Staff Class.

Family Waiting Area

Cardiology Class.

OFFICE

MISC. Water Storage

Office Staff Lounge

Electrical/Generator

Call Booth

Mechanical ADJACENCIES Must Recommended Must (Group) Recommended (Group)

Research Program Adjacency Matrix Fall 2023 Design 9

Cardiothoracic Hospital

Open Heart Surgery 18m² 3m x 6m

Patient Waiting 9m² 3m x 3m

Training Lab 9m² 3m x 3m

Cath-lab/Proc. Rm 18m² 3m x 6m

The layout of appropriate adjacencies alludes to objective planning forms.

Certain arrangements cannot be avoided, while others are bound loosely inside the frame.

Hearts For Mission International

Jinane Arbain

Bed ICU (5-6 Pat.) 9m² 3m x 3m

X-Ray/Ultra 4m² 2m x 2m

Public Class.

4m² 2m x 2m

Laboratory 9m² 3m x 3m

Equpiment Storage 25m² 5m x 5m

Cardiology Class.

9m² 3m x 3m Staff Class.

4m² 2m x 2m

Outpatient 4m² 2m x 2m

Sterilization 4m² 2m x 2m

Family Waiting 9m² 3m x 3m

Call Booth 1m² 1m x 1m

Office 4m² 2m x 2m

Bed Step Dn 4m² 2m x 2m

Staff Lounge 9m² 3m x 3m

Restroom 9m² 3m x 3m

Pharmacy 9m² 3m x 3m

Shower 9m² 3m x 3m

Private Unit 4m² 2m x 2m

Rehab Space 9m² 3m x 3m Water Stor.

4m² 2m x 2m

General Ward (6 Bed) 9m² 3m x 3m

Mechanical 4m² 2m x 2m

Electrical 4m² 2m x 2m

Religious Space 36m² 6m x 6m

Laundry 4m² 2m x 2m

Visiting 9m² 3m x 3m

ADJACENCIES Must Must (Group)

Research Program Adjacency Map Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Research Here will be

Fall 2023 Design 9

Hearts For Mission International

•

Climate

Cardiothoracic Hospital

Hearts For Mission International

Jinane Arbain

ECOSYSTEMS

RIVERS

MALAWI

Blantyre’s grasslands are Shire River Basin produces essential for supporting 96% of Malawi’s electricity from hydropower. biodviersity.

Sub-saharan Climate Dry & Rainy

EXTREME CONDITIONS

BLANTYRE Southern region Lies in Shire Highlands 3,409’ above sea level Fair Air Quality

DROUGHT

33

FLOODS

Between 2012 and 2016, Malawi has been stuck with harsh droughts.

Weather-related disasters between 1990 and 2006.

Over the past 5 decades, Malawi has been hit with more than 19 major floods.

POWER OUTAGES

75%

Outages last from a few hours to 25 hours a day.

15

25

Wind Speed (mph)

10

20

15

5

15

0

10

10

5

5

0

0 Cold

Heat

“Electricity rationing loses Malawi up to 7% of its GDP a year.”

AVERAGE WIND SPEED

20

30

Nearly 75% of households depend on charcoal and wood burning.

AVERAGE SUNSHINE AND PRECIPITATION

AVERAGE ANNUAL TEMPERATURES 35

Significant amount of agricultural land surrounds Blantyre.

Sunshine (hours, monthly)

Percipitation (cm, yearly)

Research Climate Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Research

Hearts For Mission International

Building Performance Strategies •

Material Typology • Case Studies

Fall 2023 Design 9

Cardiothoracic Hospital

Hearts For Mission International

Jinane Arbain

Brick Organic material Pair with non organic materials for continuous thermal insulation, air seal, and moisture protection Heat absorbtion Locally accessible Long-term performance Flexible cladding configurations Pairs easily with rain screen systems

AGA Glass Affordable Local Aluminum framing members

Ceramic Tile Resistant to chemical disinfectants/staining Anti-slip Antimicrobial Easy to wash Resistant to mechanical damage

Terrastone Slabs Local quarries High durability Easy to wash Soft, comfortable texture

Research Building Performance Strategies Material Typology

Salvaged Steel Locally available Low-cost Low-carbon production More freedom in plan and section Longer spans

Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Concepts Invites adjacent parish and primary school to grow together as a village One single constructive unity, using local resources and traditions Programs Radial organizatoin that follows existing topography, allowing heart of plot to open up to wider community Classrooms and complementary programs are evenly distributed on the side of the scheme, promoting dialogue, exchange, and constant use of the courtyard.

Materials Compressed clay brick forming dramatic modular vaults covered by a light metal truss and tin metal roof.

Terracotta floors made from compressed soil (using traditional techniques).

St. Paul’s Secondary School, Malawi, by Burckhardt + Partner

Research Building Performance Strategies Case Study

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Systems Water and heat protection Passive cooling Rainwater harvesting Solar panels

St. Paul’s Secondary School, Malawi, by Burckhardt + Partner

Research Building Performance Strategies Case Study

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Concepts Uses 100% local labor, educated and trained 3,989 people.

Create a holistic model, state of the art facility.

Fully choreographing the process.

Provide access to first-rate healthcare facilites.

Program Integrate the site and topography.

Mitigate and reduce transmission of airborne disease using layout, patient and staff flow, and natural ventilation.

140 beds.

Butaro Hospital, Rwanda, by MASS Design Group

Research Building Performance Strategies Case Study

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Systems

Materials

Passive cooling Infection control Thermal comfort

Volcanic stone (native to Rwandan landscape) Steel Concrete

Butaro Hospital, Rwanda, by MASS Design Group

Research Building Performance Strategies Case Study

Fall 2023 Design 9

Hearts For Mission International

Cardiothoracic Hospital

Jinane Arbain

Site + Landscape

Site Analysis • Form of • site Landscape Design Here will be a description

Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International

Analyzing the site from an experiential perspective where form is being informed by experience and site conditions.

Main Circulation/Entrance/Exit, Landscape Experience, Street Side Buffer, Potential Program Placement

Program Form, Housing Units, Exterior Spaces

Concept Site Analysis Fall 2023 Design 9

Roofline, Exterior Building Circulation, Courtyard

Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International

The experience of the space overlaps with the form in relation to circulation within the program and the landscape.

Solid vs. Void, Circulation vs. Program, Exterior vs.

Interior, Rehab Space, Seating, Guardian Space

Buildings, Roofline, Canopy, Shed

Concept Form Fall 2023 Design 9

Circulation, Light, Ventilation

Cardiothoracic Hospital

Jinane Arbain

Buildings, Roofline, Canopy, Shed

Concept Landscape Design Development

Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Program

Analysis • Adjacencies Here will be•aForm description of site

Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Analyzing program functions in relationship to each other to be able to work towards efficient adjacencies.

Program Analysis Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Analyzing program connections and the quality of existing spaces.

Program Diagram

Vignette Analysis - light, shading, exterior vs. interior, courtyards, light wells.

Program Analysis Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Analyzing the relationship between the built environment and the exterior, natural environment.

Program Analysis Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Sceme 1: Courtyard - Circulation, Ventilation, Sunlight

Program Form Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Sceme 2: Pods - Landscape Circulation/Experience Ventilation, Sunlight, Views

Program Form Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International

SURGICAL ADMIN EDUCATION/COMMUNITY OUTPATIENT/REHAB IN ADDITION

Program Adjacencies Fall 2023 Design 9

Cardiothoracic Hospital

Hearts For Mission International

Jinane Arbain

OFFICES

STERILIZATION

CONFERENCE/ HANDOVER

OPERATION ROOM

EXTERIOR RECOVERY

OPERATION ROOM

PRIVATE STEPDOWN EXTERIOR RECOVERY

GENERAL RECOVERY

STAFF LOUNGE

WASTE MANAGEMENT

PATIENT PREP

STAFF KITCHEN W.C.

CALL ROOM LAUNDRY

GUARDIAN AREA CALL ROOM

CALL ROOM

OFFICE W.C STRG.

MEETING

NURSES STATION

CONFERENCE STERILIZATION OPERATION ROOM

OPERATION ROOM

OPERATION ROOM

WASTE MANAGEMENT

CALL ROOM

OPERATION ROOM

PRAYER

PATIENT PREP PATIENT PREP

CALL ROOM

CALL ROOM

NURSES STATION

POTENTIAL SEATING / NATURAL INTERACTIVE SPACE

ICU

LAB + RADIOLOGY

STERILIZATION

WASTE MANAGEMENT

W.C

CATH LAB/ PROCEDURE

OUTPATIENT EXAM RM

EXTERIOR INTERIOR WAITING WAITING GUARDIAN AREA GUARDIAN AREA

CALL ROOM

HDU

CHECKIN

SEATING

W.C

NURSES STATION CATH LAB/ PROCEDURE

W.C

CATH LAB/ PROCEDURE

ICU

LAB + RADIOLOGY

ICU

LAB + RADIOLOGY

OUTPATIENT EXAM RM

OUTPATIENT EXAM RM

POTENTIAL SEATING POTENTIAL SEATING / / NATURAL NATURAL INTERACTIVE INTERACTIVE SPACE

REHAB CENTRE

REHAB CENTRE

SPACE

EXTERIOR INTERIOR EXTERIOR INTERIOR WAITING WAITING WAITING WAITING

HDU HDU

CHECKCHECKIN IN

SEATINGSEATING

Program Adjacencies Fall 2023 Design 9

SURGICAL ADMIN EDUCATION/COMMUNITY OUTPATIENT/REHAB IN ADDITION

Second Floor

Cardiothoracic Hospital

Jinane Arbain

Concept

Form Roof Form • Systems Here will•be a descri

Fall 2023 Design 9

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Cardiothoracic Hospital Roof that connects to form one continuous canopy that serves exterior circulation

The mashrabiya or screen allows for ventilation while providing heat and rain protection

Concept Form, Roof Form, Systems

Hearts For Mission International

Jinane Arbain

Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Hearts For Mission International

Form exploration

Structure

Case Study Kintobo Health Centre

Airflow and sunlight within buildings

Concept Form, Roof Form, Systems

Fall 2023 Design 9

Cardiothoracic Hospital

Jinane Arbain

Design

Plans Sections Here will•be a descri • Axon

Fall 2023 Design 9

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Cardiothoracic Hospital

Jinane Arbain

Design Site Plan Fall 2023 Design 9

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Cardiothoracic Hospital

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Jinane Arbain

Gaurdian Area Kitchen 16 m² Laundry 16 m²

10

8370

11

12

19070

13

6835

14

11776

Kitch 10 m²

Laundry 15 m²

16

Office 12 m²

Prayer 18 m²

5006

Rehab Center 36 m²

Call RmLounge 12 m² 10 m²

4600

15 Conference 27 m²

Staff Entrance

Office 12 m²

17

Office 12 m² Office 12 m²

11418

Conference Edu 60 m²

Office 12 m²

9424

Private Ward 15 m²

Private Ward 15 m²

15 m² Private Ward

15 m² Private Ward

15 m² Private Ward

W.C. W.C. 10 m² 9 m²

Office 9 m² Strg 10 m²

19

Main Entrance

8 3610

20

7 8327

ICU 81 m²

Nurse's Station 53 m²

HDU 80 m²

Out.P Ex. 11 m²

W.C. 9 m² W.C. 8 m²

Lab & Radiology 21 m²

Elevator 7 m²

Check-in & Waiting 125 m²

Cath Lab/Proc.

19 m²

UP

6

Emergency Entrance

10548

5

20297

4

14016

3

Design Plan Level 1

-

Fall 2023 Design 9 Level 1

7466

2

---

1

5722

General Rec 88 m²

Call Room 13 m²

11290

9

Nurses' Station 13 m²

18 Meeting Rm 15 m²

1

Cardiothoracic Hospital

Jinane Arbain

10

Hearts For Mission International

11

12

13

14

15 16 17

18 9

19 8 20

7 OR1 70 m²

Steril.

15 m²

OR2 70 m²

Elevator DN 7 m²

Patient Prep 24 m²

6

5

4

3

Design Plan Level 2

---

Fall 2023 Design 9 1

Level 2 1 : 200

2

1

Cardiothoracic Hospital

Jinane Arbain

Design Section Perspective Fall 2023 Design 9

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Design Axons Fall 2023 Design 9

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Perspectives Surgical - Ward Courtyard Fall 2023 Design 9

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Perspectives Staff Courtyard Fall 2023 Design 9

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Perspectives Section Exterior Recovery

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Perspectives Exterior Rehab Fall 2023 Design 9

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Perspectives Exterior Healing Fall 2023 Design 9

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Cardiothoracic Hospital

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Fall 2023 Design 9

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