This is a review of a textbook chapter on environmental design. It discusses subjects such as the need to reconcile the physical demands of elderly populations with universal design principles; conflicting demands of the ADA (Americans with Disabilities Act) for designers; and the challenges of designing accommodations for persons with specific, age-related diseases.
Environmental Design
Environmental & Interior Design_ Environment for Disabled and elderly population
Environmental design: Summary
Preface
At times, it has been difficult to reconcile environmental design with aesthetics and the practical needs of populations. Environmental design strives to serve the needs of the persons who inhabit spaces rather than focus on the aesthetics of architecture alone. Environmental psychology is the study of how inhabitants relate to the area they inhabit and how design can have an effect on their behaviors (Kopec 2006: xii)
Environments for disabled and elderly populations
Being challenged with disabilities or the limits of age can make it difficult to perform acts of daily living. However, by creating structures with an eye upon the needs of the population and the demands of their acts of daily life (ADL), planners and builders can empower residents with physical challenges to remain independent as long as possible. Because of the Americans with Disabilities Act (ADA), commercial structures must be characterized by universal designs that are accessible by individuals with a variety of needs, not simply the able-bodied.
It is important to keep in mind that the needs of one population (the visually-impaired) may conflict with the needs of another (wheelchair-bound) and also that creating an environment that is ADA-compliant may not honor universal design principles. However, there are universal design solutions to many common disability-related issues that can be implemented with a certain amount of creativity (Kopec 2006: 172).
Issues of mobility
Not all persons with mobility issues are wheelchair-bound. Persons who use walkers and canes may need modified stairs that are easy to climb; wheelchair ramps may be too steep for people who need walkers. The distance required by a person in a wheelchair to operate in a kitchen is different from a person who uses other means of assistance (Kopec 2006: 172). For persons with prosthetic hands, doors should open easily (Kopec 2006: 173). Spaces should also be easy to clean for the impaired.
Issues of vision and hearing
Many visually-impaired persons use guide dogs, so the design of spaces must be crafted to accommodate their needs. Elderly persons may have impaired depth perception, which requires brighter lighting to enable them to more easily navigate unfamiliar spaces (Kopec 2006: 174). Hearing-impaired persons will appreciate a reduction of 'white noise' that further impairs their ability to listen (Kopec 2006: 174).
Geriatric populations
Even persons over the age of 80 can lead vibrant and active lives, and the environment must be orchestrated to allow them to accomplish daily tasks. Compensating, asking for help from others, restricting some activities and optimizing (planning the most effective way to perform the activity) are all ways for the elderly to cope with the challenges of aging (Kopec 2006: 175). Design improvements can better enable elderly persons to maintain an active lifestyle by compensating for age-related challenges, such as deterioration of balance (Kopec 2006: 176). Something as simple as an L-shaped kitchen that allows for greater maneuverability (given that elderly persons often cannot reach or use all of the burners) can make a great difference in the resident's life (Kopec 2006: 177)
Dementia of Alzheimer's Type
Alzheimer's, a form of cognitive decline has become an increasingly common problem amongst the population of America's elderly. To extend the time which the patient may remain with his or her family outside of nursing home care, designers can modify the environment to reduce the stressors of the illness, such as providing visual cues to prevent subjects from walking into doors or positioning the bathroom near the bedroom to reduce incontinence (Kopec 2006: 179). Remaining in a familiar place as long as possible can be highly beneficial for the patient.
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