PORTFOLIO
Maria Gatillon
NCIDQ Certified Interior Designer
I have a passion for design, and solving challenges in creative ways. For me interior design is not only about the aesthetic appeal of a space, it is about creating experiences that enhance the life of it's occupants.
"
A design isn't finished until someone is using it. - Brenda Laurel
"
Healthcare
ALASKA NATIVE MEDICAL CENTER
INTRODUCTION
The Alaskan Native Medical Center’s (ANMC) Amputee and Rehabilitation Center is a tribally owned facility that provides healthcare services to Natives and American Indians who live in the surrounding area. ANMC has a multidisciplinary program that involves physical therapy, occupational therapy, prosthetic fitting, psychotherapy and other specialized services.
DESIGN STATEMENT
Design a family-oriented clinic that provides quality health services in a facility that promotes the well being of their patients. The design will support the patients’ multicultural heritage through environmentally friendly design principles and values. It will focus on the healing process using natural light, color, and patient’s cultural heritage to embrace family support through the use of environmental products.
GOALS
Achieve a well-designed and efficient medical treatment facility with design references and materials in regards to patients’ cultural heritage.
S
ustainability along with evidence-based design is the path that healthcare design is headed. Designers and owners are being influenced by new information that looks at environmental changes due to exposure to chemicals and other toxic substances as probable reasons of the increase of disease incidence. Healthcare professionals have re-evaluated the influence of these environmental factors in patient’s health in order to eliminate them from the healthcare setting and to improve the healing process. Most importantly, it contemplates this approach as a means to prevent diseases in an effort to reduce costs and improve productivity. Colors, light, the outdoors, art, and sustainable products are some key pieces of today’s healthcare facilities. They promote healing and wellness, and help patients to feel more comfortable. The healthcare facility is currently designed with the patients, the staff, and its geographical surroundings in mind. They have become the primary focus of the design professional, the healthcare provider, and owners. Long gone are the facilities that centered their design on the caregivers. Patient orientated design has introduced new philosophies and objectives, such as the identification of age groups to tailor facilities so their particular needs could be better accommodated, as well as how the patient’s healing process is improved by having a close interaction with their family members while receiving treatment. This new approach has also sparked awareness and research of the effects medical facilities have over patients and their healing, as well as, the recommendation of single bed use per patient’s room in order to minimize stress, cross contamination, improve privacy, and reduce costs.
Client Requirements and Programming
Alaska Natives represent about 16% of the state’s population. They come from 11 different cultures and speak 20 languages. They live in cities, towns, and villages that are separated by long distances and geographical regions.
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Care Managers
PROGRAMMATIC CONCEPT Use the calming views and natural light in the space as a healing component. Create an inviting, private and easy to navigate environment that supports physical and emotional wellbeing of patients and their families. Create two care “zones” that allow staff to be in close proximity to patients in order to provide efficient and prompt care while improving communication flow among the staff.
Psychotherapy Physician Offices
Impatient Facility
Patient Rooms
Outpatient Support Space
Nursing Station Coffee Shop
Occupational & Physical Therapy
Fitness Center Treatment Rooms
Admissions Area
Neutral
Outpatient Facility Primary Adjacencies Secondary Adjacencies
FLOW CHART: PATIENT’S PATH OF TRAVEL Entrance & Exit
Admission area
Patient in the system?
Yes
Nurse available?
Yes
Column
Treatment room
Sunlight
No
No
Patient needs to complete paperwork
Coffee shop
Physician or therapist available?
Yes
Physician or therapist office
No
Coffee shop
Need to stay?
Yes
Patient rooms
N No
Do not need to stay? Start / End
Decision
Yes
Occupational & Physical therapy
Process Fitness center
Patient leave
ORGANIZATION & CIRCULATION
View of parking lot
View from South windows
Offices and workspaces adjacent to patient rooms provide a more decentralized, yet private plan that allows for a more dynamic interaction between staff, patients, and their family members. This plan improves communication and supervi-sion which embraces more personalized relationships. Primary Circulation: A primary path way from East to West provides first access to the building. A second path provides access to the Inpatient Area and around the Nursing Station. Secondary Circulation: Three secondary paths that run from North to South join the primary paths. A fourth path provides access to patient rooms located along the South
Programming
View from North windows
Code Analysis (IBC) and Application
Building type: 1-B Occupancy type – I-2 Institutional, Health Care Coffee Shop: I-2 (Institutional, Health Care) Originally: B (Business) less than 10% Outpatient Clinic: I-2 (Institutional, Health Care) Inpatient Clinic: I-2 (Institutional, Health Care) Other occupancy considerations Inpatient Clinic: Sleeping Units Occupancy Load – Occupants Outpatient Area: Institutional, Outpatient Areas – 24 Admissions, Care Managers: Institutional, Outpatient Areas – 13 Inpatient Clinic: Institutional, Inpatient Treatment Areas – 7 Patient Rooms: Institutional, Sleeping Areas – 26 Fitness Center: Exercise Room – 48 Coffee Shop: Business – 6 Total Occupant Load: 124
Means of Egress Minimum number of exits 2 Preferred number of exits 3 Egress width Door/aisle: 36” Stairways: 42” (width clearance required of 38”) Exit access travel distance: 200’-0” with sprinklers Arrangement of Exits Diagonal Distance: 199’-6” Half of Diagonal: 99’-9” Distance from front door to door at fitness center: 98’-6 5/16” ADA Considerations 60” main corridors, 48” for secondary passage areas 60” turning radius Ramps Allowable Area Rehabilitation Clinic: I-2: Stories 4, Area UL (unlimited)
Egress Main Corridors (60”) Secondary Corridors (48”) Clearance Distance 199’-6 5/16” Distance 98’-6 5/16” ”
Plumbing Requirements Inpatient Clinic: Water closet: 1 per room Lavatory: 1 per room Shower: 1 per 15 occupants Preferred: 1 per room Drinking Fountain: 1 per 100 occupants. Outpatient Clinic: Water closet: 1 per 75 occupants Lavatories: 1 per 100 occupants Drinking Fountain: 1 per 500 occupants Preferred: 1 per 100 occupants
Base Plan
-
Floor Plan
Image taken at Fair Oaks Hospital by Maria Ga�llon
www.armstrong.com
INFUSIONS Accent Canopies - Graphix www.armstrong.com
Graze ligh�ng from above (shown from below in photo).
www.signatureligh�ng.net
N
Reflected Ceiling Plan
SOUNDSCAPES Shapes Acous�cal Clouds, Concave and Convex Panels
www.flickr.com
Admissions Desk Millwork: Use of wood and metal banding to provide a clean contemporary look. www.karlsberger.com
Wai�ng Area: Modern furniture to include children’s sec�on. www.karlsberger.com
DESK DETAILS DESK DETAILS
Admissions Area
Trees in Planters
Isa Interna�onal Radcliffe Chair
Maharam Align in Cabana Loca�on View
3-Form Moderna Wall at Entry in Linea Vert Stool at Kids Table
Stone Feature Wall
FINISHES FINISHES
Side Table MDC Inami Bamboo Herringbone Veneer for Side Table and Desk Millwork MDC Surface iQ in Chateau Wallcovering
Recyclable Planters by Serralunga
Gammapar Bamboo Flooring in Ver�cal Carbonized Escondido
Admissions Area
PERSPECTIVE PERSPECTIVE
Patient Room
Hand Sink: Becomes a feature in the room with a contemporary design. www.karlsberger.com
Adult Pa�ent Rooms: Use of light colored woods and na�ve Alaskan mo�fs/decora�ons to create a home like environment. www.karlsberger.com
Pediatric Pa�ent Rooms: Use of bright colors and pa�erns that appeal to children.
www.karlsberger.com
Design Intent Provide patients with a sense of warmth, comfort, and ease by incorporating native environmental and cultural elements. Enhance patient’s experience by showcasing an understanding and support of their cultural heritage.
Bench Fabric Maharam Plural in Poppy
LP1096
LiquaPearl Loca�on View
Nurture Mitra Guest Chair
CP3351
Ceramic
CP3021
Ceramic
MDC Paint & Finish
Nurture Sieste Recliner
Nurture Opus Overbed Table Veridian by
Maharam Waterfront in Iceberg
Nurture NightStand
Accessories
Pa�ent Li�
Marmoleum Flooring
Pediatric Patient Room
MDC Inami in Wood Diamond Veneer for Bench Tree
FINISHES FINISHES
PERSPECTIVE PERSPECTIVE
Nursing Station
Nursing Sta�on: Use of light colored woods and counter height varia�ons. Accent ligh�ng emphasizes accessible transac�on counter. www.karlsberger.com
www.karlsberger.com
www.karlsberger.com
Coffee Shop Counter: Use of circular corner to create a focal point. Wood and metal banding is also used.
COFFEE SHOP COFFEE SHOP
Occ. & Phy. Therapy Desk: Curvilinear area creates an invi�ng and collabora�ve atmosphere. Lighter wood color would be used to match other counter surfaces.
Physical Therapy and Coffee Shop
THERAPY THERAPY
Thank you
703.239.4748
mlgatillon@gmail.com
mariagatillon.com
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