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MAPUA INSTITUTE OF TECHNOLOGY

School of Architecture, Industrial Design and the Built Environment


Muralla Street, Intramuros, Manila, Philippines

LETTER OF TRANSMITTAL

To: Arch. Carlos P. Sauco, UAP


Thesis Adviser
MIT, School of Architecture, Industrial Design and the Built Environment

Dear Sir:

In compliance with your requirements for ARCHITECTURAL DESIGN 11 (AR200-2S), section AR1; I hereby present to you my thesis
work entitled: Proposed Cardio-Pulmonary Hospital in Baliuag, Bulacan. I hope that this will prove to be satisfactory.

Thank you.

Respectfully yours, Approved by:


________________________
Arch. Carlos P. Sauco
_________________________ Thesis Adviser, AR200- 2S/ AR1
John Paul T. Manalaysay
2008122305

____________________________ _____________________________ ________________________________


Arch. Perry E. Sanga Arch. Michelle P. Pernia Arch. Avelino S. Lubag, Jr.
Panelist Panelist Panelist
TABLE OF CONTENTS PAGE
LETTER OF TRANSMITTAL ii
TABLE OF CONTENTS iii
ACKNOWLEDGEMENTS..... v
ABSTRACT.. vi

PART 1: THE PROPOSAL


CHAPTER 1: THE PROBLEM AND ITS SETTING
1.1. INTRODUCTIO 2
1.2. STATEMENT OF THE PROBLEM.................... 3
1.3. ASSUMPTIONS AND HYPOTHESES.............. 3
1.4. SIGNIFICANCE OF THE STUDY..................... 4
1.5. DEFINITION OF TERMS.................................. 4
1.6. SCOPE AND LIMITATIONS.............................. 5
1.7. CONCEPTUAL FRAMEWORK......................... 5

CHAPTER 2: REVIEW OF RELATED LITERATURE............. 6

CHAPTER 3: METHODOLOGY....................................15

CHAPTER 4: ANALYSIS, INTERPRETATION AND PRESENTATION OF DATA..........16

CHAPTER 5: CONCLUSIONS, FINDINGS AND RECOMMENDATIONS..................................................................................................27

PART 2: THE SITE


I. INTRODUCTION TO THE SITE..................29
II. SITE ANALYSIS................................ .................33

PART 3: CASE STUDIES


I. LOCAL CASE STUDY.....................................................................................................................................................................38
II. FOREIGN CASE STUDY.................................................................................................................................................................51
.

iii
TABLE OF CONTENTS PAGE
PART 4: BUILDING USER PROGRAM....................................................................................................................................................................56

PART 5: ARCHITECTURAL SOLUTION


I. CONCEPT.....................................................................................................................................................................................79
II. SITE DEVELOPMENT PLAN.........................................................................................................................................................80
III. FLOOR PLANS..............................................................................................................................................................................83
IV. SECTIONS.....................................................................................................................................................................................87
V. ELEVATIONS.................................................................................................................................................................................89
VI. PERSPECTIVES............................................................................................................................................................................93
.
BIBLIOGRAPHY

iv
ACKNOWLEDGEMENT Jodie Lavaro: who always reminds me to finish my work on time
and for her assistance and encouragement during this thesis research.

This thesis project would not be possible without the support of many
Rob Ritz Cruz, Katrina Atterado, and Bianca Dinao: for helping
people namely:
me in 3d modeling and photo editing.

Arch. Carlos Sauco, our thesis adviser, for his criticism and
My friends, thesis classmates, and co-architecture students:
guidance throughout my 9 months of thesis class and for his constant
for their support and encouragements.
encouragement and support to our class.

Engr. Aristeo Manalaysay and Mrs. Leila Manalaysay, who have


Arch. Perry Sanga, Arch. Michelle Pernia, Arch. Avelino Lubag,
been my inspiration to keep studying hard, for their love and unending
Jr., my panelists, whose expertise and critics shared to improved this
support.
thesis proposal.

Tita Ellen, Lola Juling and my siblings, Leo, Leilani, JJ and Mara
Municipality of Baliuag, for their kind and approachable officers.
for their love and support.

Mr. Gene Torres, LCP administrative secretary, for his assistance


Lastly, to my God and savior: for His unending grace and giving
to gather necessary information and small tour in LCP facilities.
me strength to continue and finish this thesis proposal.

Ms. Aida, PHC administrative officer, for small interview and


information of PHC.

v
ABSTRACT

According to the World Health Organization, heart and respiratory related diseases are the top causes of mortality in the world. This data

also reflected on the statistics conducted by Department of Health (DOH) of the Philippines in 2006. Considering the culture of the Filipinos in food

and also the influence of cigarette smoking in our lives, these are the primary causes of health problems in the Philippines.

Cases of cardio-pulmonary related problem in the province of Bulacan shares a large fraction to morbidity rate of Region III based on

statistics conducted by DOH from year 2000 to 2009. In the past 10 years, the health profile of Baliuag Bulacan shows that cardiopulmonary health

problem contributes mostly in morbidity and mortality rate of the said town. Health is one of the most important factors that Filipinos priorities in life.

Health services like hospital should be proportional to the large population to support the Filipinos medical needs. The municipality should able to

provide the medical needs of its residents.

Key words:

*Cardio-pulmonary

*Specialty hospital

*Morbidity rate

*Mortality rate

vi
PART I
THE PROPOSAL
PART II
THE SITE
PART III
CASE STUDIES
PART V
ARCHITECTURAL
DESIGN SOLUTION
PART IV
BUILDING-USER PROGRAM
FLOOR PLANS
SITE DEVELOPMENT PLAN
ELEVATIONS
PERSPECTIVES
SECTIONS
2

CHAPTER 1: THE PROBLEM AND SETTING Based on studies, the use of tobacco continues to be a major

Introduction: cause of health problems worldwide. There is currently an estimated

Philippines is one of the country with highest population. 1.3 billion smokers in the world, with 4.9 million people dying because

According to US Census Bureau, Philippines is ranked 12th in the of tobacco use in a year. If this trend continues, the number of deaths

worlds most populous country, contributing 1.35% of total population will increase to 10 million by the year 2020, 70% of which will be

in the world. Aside from this fact, Philippines is also considered as a coming from countries like the Philippines. (The role of Health

third world country which means the development of our country is Professionals in Tobacco Control, WHO, 2005) Cases of cardio-

slower compare to other countries. Services offered are limited to pulmonary related problem in the province of Bulacan shares a large

sustain the growing needs of the people especially those in the rural fraction to morbidity rate of Region III based on statistics conducted by

and sub-urban areas. DOH from year 2000 to 2009.

According to the World Health Organization, heart and In the past 10 years, the health profile of Baliuag Bulacan

respiratory related diseases are the top causes of mortality in the shows that cardiopulmonary health problem contributes mostly in

world. This data also reflected on the statistics of Department of morbidity and mortality rate of the said town. Health is one of the most

Health (DOH) of the Philippines in 2006. Considering the culture of the important factors that Filipinos priorities in life. Health services like

Filipinos in food and also the influence of cigarette smoking in our hospital should be proportional to the large population to support the

lives, these are the primary causes of health problems in the Filipinos medical needs. The municipality should able to provide the

Philippines. medical needs of its residents.


3

Statement of the Problem: Assumptions and hypothesis:

The proposed project is needed in Baliuag, Bulacan to address

With the rapid development of towns like Baliuag, Bulacan, its the needs of the people with cardiopulmonary problems and provide

population also increases accordingly, but its medical facilities remain the necessary services for their condition. Statistics from Baliuag

the same. The main question for this study is, municipality shows that cardio-pulmonary related diseases are the

most common health problem in Baliuag. This cardiopulmonary

Is there a need of cardiopulmonary specialized hospital in Baliuag, specialized hospital may also cater the medical needs of nearby

Bulacan to support its growing population and medical needs? municipalities. With this facility, patients with such health problem are

not required to go to Manila City to get the medical treatment they

How this project will be able to help people in their medical need.

necessities especially those who has cardiopulmonary This study should able to state that:

problem? Municipality of Baliuag needs a cardiopulmonary specialized

What are the intended uses of this facility? hospital.

Is the facility helpful not only to the situated town but also in the It can help people in their medical necessities especially those

nearby municipalities? who has cardiopulmonary problem.

Is it capable of supporting the needs of its users especially its The facility is helpful not only to the situated town but also in

target patients? the nearby municipalities.


4

It is capable of supporting the needs of its users especially its Definition of Terms

target patients. Cardio-pulmonary - Of, relating to, or involving both the heart

Significance and Importance of the Study: and the lungs. (The American Heritage Medical Dictionary)

The significance of this study is to help the development of medical DOH shall mean Department of Health

services of Baliuag Bulacan and its nearby municipalities. This is also General Hospital provides services for all kinds of illnesses,
essential to understand that the current health condition with respect diseases, injuries or deformities.
to cardiopulmonary cases is alarming and needed a medical attention. Morbidity rate The proportion of patients with a particular
The targeted beneficiaries are mainly the people with cardiopulmonary disease during a given year per given unit of population. (The
related problems; the unemployed people, especially those in medical American Heritage Medical Dictionary)
field (ex. nurses, etc.), to seek a work opportunity in this project; the
Mortality rate also refers to death rate; an expression of the
designers and architects to be knowledgeable of the necessary
number of deaths in a population at risk during one year.
information needed to design similar projects.
(Dorland's Medical Dictionary for Health Consumers)
Objective
Specialty Hospital provides services for one particular kind of
The main objective of this study is to develop a medical facility
illness/disease or medical care need.
on Baliuag, Bulacan that specialized in cardio-pulmonary to support
WHO shall mean World Health Organization
the needs of its citizens. This may also serve towns from Northern

Luzon.
5

Scope and Limitation of the Study Conceptual Framework

INPUT PROCESS OUTPUT


The proponent will analyze the medical condition of Baliuag,
Problem: Gathering and
Bulacan to justify the need of cardio-pulmonary specialized hospital in Lack of analyzing of Solution:
cardiopulmonary information Proposal of
the community. He will also gather necessary information for designing specialized needed to Cardiopulmonary
facility in support the specialized hospital
this specialized medical facility. Bulacan prospect in Baliuag Bulacan.
problem of the
The proponent is expected to make a design solution Increasing no. of community
heart and lung
considering all the information gathered in this research. The design related health Site observation
problem in the
will only focus on its architectural scope. It will not cover structural, community. Case studies
electrical, mechanical, and other designs that are beyond the control Unemployment Interviews and
of medical Surveys
of the proponent. related people
6

CHAPTER 2: REVIEW OF RELATED LITERATURE action shows that DOH sees tobacco smoking as threat concerning the

health of Filipinos.
According to The Role of Health Professionals in Tobacco

Control (2005), the use of tobacco continues to be a major cause of Many hospitals are built catastrophes, anonymous institutional

health problems worldwide. There is currently an estimated 1.3 billion complexes run by vast bureaucracies, and totally unfit for the purpose

smokers in the world, with 4.9 million people dying because of tobacco they have been designed for, writes Dutch architectural historian Cor

use in a year. If this trend continues, the number of deaths will Wagenaar in The Architecture of Hospitals. (Ode Magazine-2006)

increase to 10 million by the year 2020, 70% of which will be coming Cor Wagenaar suggest that todays hospitals are not well
from countries like the Philippines. designed. Instead of helping the patients recover from their illness, it

In 2009, Philippine Global Adult Tobacco Survey revealed that contributes more stress and anxiety to its patients.

28.3% of the population aged 15 years old and over currently smoke Research, however, shows that wisely planned hospital spaces
tobacco, 47.7% (14.6 million) of whom are men, while 9.0% (2.8 can help reduce stress, improve safety and health, and enable harried
million) are women. Eighty percent of these current smokers are daily staff to care for patients more easily, according to Robert Ulrich, a
smokers with men and women smoking an average of 11.3 and 7 professor of architecture at Texas A&M University and a behavioural
sticks of cigarettes per day respectively. scientist who studies the effects of health-care facilities on patient

In relation to this issue, DOH released a National Smoking safety and outcomes. Healing design elements include windows

Cessation Program which aims to reduce tobacco related death. This


7

overlooking nature, gardens and perhaps most important of all, private The author suggests that public health is involved in other

rooms. (Ode Magazine-2006) aspects of society including natural and built environment for

medication of patients. When designing medical facilities, these


Continuous researches have been conducted regarding the
aspects should be considered to give the proper medication and
relation of nature to the medication of patients. Results concluded that
services needed by patients. Schettler (2008) also stated that,
incorporating nature as part of planning healthcare facilities has been
Empirical data is forcing medical and public health professionals to
greatly contributed to the recovery of its patients.
consider their disciplines in the context of planetary health. Reporting
I. From Medicine to Ecological Health
on the state of the worlds ecosystems, the United Nations 2005

By Ted Schettler, MD, PH Millenium Assessment described an unprecedented newness in the

planetary system, most of which are degraded and used unsustainably


According to Schettler (2008), public health practice is what we
by humans. Dramatic change in our population, affects the public
as a society do collectively to ensure conditions in which people can be
health within the ecosystem. Schettler stated that within the larger
healthy. Public health emphasizes primary prevention and explicitly
ecosystem are changes in patterns of human diseases. Based on his
acknowledges the social, cultural, political, and economic determinants
studies, diseases around the world including obesity, cardiovascular
of health as well as the influential roles of natural and built
disorders, asthma, and many other diseases also increases in
environments. Historically, public health focused on sanitation, housing
proportion to growing population, changes in societys diet and
conditions, and infectious diseases.
agricultural system, land use, and industrialization.
8

II. The Tradition of Nature and Healing relaxing feeling to the patients as well as the other users of the medical

facility.
By Guenther and Vittori

III. Nature and Healing: The Science, Theory, and Promise of


Nature has been recognized as a source for healing throughout
Biophilic design.
the history. In ancient times, healing rituals were conducted in sacred

spaces defined by the presence of awe-inspiring nature Such early By Stephen R. Kellert, PhD, and Judith H. Heerwagen, PhD

places of healing included patient beds, treatments, medication, and


Given the evidence of the health and well-being benefits that
diet and exercise regimes, taking their architectural placement from
accrue from contact with nature, it is somewhat surprising that
nature: the sun and the prevailing winds. (Guenther and Vittorri -2008)
healthcare institutions have been slow to incorporate nature into

Even in the history of medication, nature plays a great role in building and site design. The authors clearly stated that nature

patients healing. In the nineteenth century, the design of hospitals including gardens, sunlight and landscape views - was ignored as part

focuses on the recovery of its patients. More openings are placed of healthcare designs despite of its benefits given to the patients.

within the hospital design including courtyards, gathering of daylights


Sunlight contributes reduction of pain, stress, depression, and more
and natural ventilation to the nursing rooms, landscaping are
positive moods in patients. Based on studies conducted by
incorporated in the hospital to supplement the medication needed of its
Beauchemin and Hays in 1996, patients who are confined in sunny
patients. Incorporating nature in hospital design gives a peaceful and
rooms remains fewer days in the hospital compare to those who stays

in dimly lit rooms. Same result was found out 1998 survey conducted
9

in heart patients. Patients assigned in northern side of the building has Plants and animals

higher mortality rate compared to those in sunny critical-care rooms. Natural views and vistas

Faade greening
The authors concluded that including nature as part of the hospital
Geological and landscape forms
design gives benefits to its users. These benefits includes: a) stress
Habitats and ecosystem
reduction; b) improved sense of well-being; c) enhanced emotional and

social functioning. Fire

Biophilic design approach to architecture refers to buildings and


2. natural shapes and forms
landscapes that promotes positive connection between people and
botanical motifs
nature. In relation to this, Kellert and Heerwagen cited elements to
animal motifs
consider in designing biophilic architecture (in general) this includes:
shell and spiral forms
1. Environmental features: egg, ovular,and tubular forms
Natural materials arches, vaults, domes
Natural colors columns and tree-like supports
Sunlight shapes that resist right angles
Water simulation of natural features
Natural ventilation biomorphism (resemblance to organic forms)
10

natural morphology (e.g. stratified surfaces and rooted Linked series and chains

relationships)

biomimicry( mimicry of organic structures and functions) 4. Light and space:

Natural light

3. Natural patterns and processes Filtered and diffused light

Time, aging, and change Light and shadows

Growth and efflorescence Reflected light

Central focal point Light pools

Patterned whole Warm light

Bounded spaces (e.g. borders, territories) Light as shape and form

Transitional spaces (e.g. gateways, thresholds) Spatial variability

Complementary contrasts (e.g. light/dark, high/low) Spaciousness

Dynamic balance and tension Space as shape and form

Similar forms at different scales (e.g. fractals) Spatial harmony (the integration of light, mass, and

Hierarchically organized scales scale)

Ordered complexity Inside/outside spaces ( e.g. atria, colonnades)

Relation and integration of parts to whole


11

5. Place-based relationships: Order and complexity

Historical connection to place Change and metamorphosis

Cultural connection to place Information and cognition

Geographical connection to place Attraction and beauty

Ecological connection to place Mastery and control

Use of indigenous materials Security and protection

Compatible orientation to landscape Affection and attachment

Landscape features tht define building form Fear and awe

Landscape ecology (connections, corridors, biodiversity) Reverence and spirituality

Integrating culture and ecology

Sense or spirit of place

Avoiding placelessness

6. Evolved human relations to nature

Prospect and refuge

Exploration and discovery

Mystery and enticement


12

GUIDELINES IN THE PLANNING AND DESIGN OF A HOSPITAL personnel and public exist. It shall be capable of withstanding weight

and elements to which they may be subjected.


1. Environment

4. Security
A hospital and other health facilities shall be so located that it is

readily accessible to the community and reasonably free from undue A hospital and other health facilities shall ensure the security of person

noise, smoke, dust, foul odor, flood, and shall not be located adjacent and property within the facility

to railroads, freight yards, children's playgrounds, airports, industrial


5. Patient Movement
plants, disposal plants.
Spaces shall be wide enough for free movement of patients, whether
2. Occupancy
they are on beds, stretchers, or wheelchairs. Circulation routes for

A building designed for other purpose shall not be converted into a transferring patients from one area to another shall be available and

hospital. The location of a hospital shall comply with all local zoning free at all times.

ordinances.
6. Ventilation

3. Safety
Adequate ventilation shall be provided to ensure comfort of patients,

A hospital and other health facilities shall provide and maintain a safe personnel and public.

environment for patients, personnel and public. The building shall be of

such construction so that no hazards to the life and safety of patients,


13

7. Ventilation 9.2. Second Zone areas that receive workload from the outer

zone: laboratory, pharmacy, and radiology. They shall be


Adequate ventilation shall be provided to ensure comfort of patients,
located near the outer zone.
personnel and public.
9.3. Inner Zone areas that provide nursing care and management
8. Parking
of patients: nursing service. They shall be located in private

A hospital and other health facilities shall provide a minimum of one (1) areas but accessible to guests.

parking space for every twenty-five (25) beds. 9.4. Deep Zone areas that require asepsis to perform the

prescribed services: surgical service, delivery service, nursery,


9. Zoning
and intensive care. They shall be segregated from the public
The different areas of a hospital shall be grouped according to zones areas but accessible to the outer, second and inner zones.
as follows: 9.5. Service Zone areas that provide support to hospital activities:

9.1. Outer Zone areas that are immediately accessible to the dietary service, housekeeping service, maintenance and

public: emergency service, outpatient service, and motorpool service, and mortuary. They shall be located in areas

administrative service. They shall be located near the entrance away from normal traffic.

of the hospital.
14

10. Function shall be located to permit visual observation of patient

movement.
The different areas of a hospital shall be functionally related with each
10.4. The dressing room shall be located to avoid exposure to
other.
dirty areas after changing to surgical garments. The nurse
10.1. The emergency service shall be located in the ground
station shall be located to permit visual observation of patient
floor to ensure immediate access. A separate entrance to the
movement.
emergency room shall be provided.
10.5. The nursing service shall be segregated from public
10.2. The administrative service, particularly admitting office
areas. The nurse station shall be located to permit visual
and business office, shall be located near the main entrance of
observation of patients. Nurse stations shall be provided in all
the hospital. Offices for hospital management can be located in
inpatient units of the hospital with a ratio of at least one (1)
private areas.
nurse station for every thirty-five (35) beds. Rooms and wards
10.3. The surgical service shall be located and arranged to
shall be of sufficient size to allow for work flow and patient
prevent non-related traffic. The operating room shall be as
movement. Toilets shall be immediately accessible from rooms
remote as practicable from the entrance to provide asepsis.
and wards.
The dressing room shall be located to avoid exposure to dirty
10.6. The dietary service shall be away from morgue with at
areas after changing to surgical garments. The nurse station
least 25-meter distance.
15

CHAPTER 3: METHODOLOGY

Methodology of Research: Method of Collecting Data:

The proponent will use a descriptive method of research for this The method of collecting data that proponent will be used

study. This study will attempt to describe systematically the situation, includes an extensive research accompanied by interviews and

problem, and living condition of a community. There will be no surveys. The proponent will visit libraries for research of related

experimental manipulation or random selection of groups, as there is in literature and studies; government agencies concerned to health

experimental research. This method also involves collection of data facilities, such as Department of Health (DOH), from municipal to

that will provide a description of individuals, groups, or situations. As national office if necessary; and an ocular inspection to the chosen

for this study is concerned to the present condition of Baliuag, site. The proponent will also prepare questionnaires for the citizens of

Bulacans cardiopulmonary health problem, a descriptive type of the Baliuag, Bulacan to conduct survey regarding the proposed

research will be most accurate technique for this specific study. The healthcare facility.

proponent will use various methods of gathering necessary data to

prove that a specialty hospital for cardiopulmonary illnesses is needed

on the selected municipality. After gathering necessary information, the

proponent will analyze, compare, and interpret these data to come up

with appropriate solution for the problem.


16

CHAPTER 4: ANALYSIS, INTERPRETATION, AND 2. Are you aware that too much drinking alcohol and smoking

can cause heart and lung diseases?


PRESENTATION OF DATA

Total of respondents = 111 persons

1. Do you have any family history of heart or lung disease?

Yes
No
Yes
No
Conclusion: 99.10% of the respondents are aware that too

much drinking of alcohol and smoking can cause heart or lung


Conclusion: Majority of the people surveyed have heart or lung
illness. According to the respondent interviewed, they still drink
disease which means their family are the possible clients of the
or smoke more than the recommended amount for a single
specialty hospital proposed.
person.
17

3. Do you think the hospital facilities in Baliuag, Bulacan 4. How many times have you experienced or heard a patient

are enough to treat heart and lung diseases? being transferred to another hospital because the previous

hospital doesnt have enough facility to treat heart & lung

disease?

Yes
No
0-5 times
more than 6 times
Conclusion: majority of the respondents opinion that the
Conclusion: In relation to question no. 3, majority of the
municipality of Baliuag doesnt have enough facility to treat
respondents claimed that they experienced or heard more than
heart and lung illness. This also proves that the proposed
6 times that patients from Baliuag are transferred to other
specialty hospital is needed by the community.
hospitals due to incapability of the previous hospital to provide

the needed treatment for the patient with heart or lung disease.
18

5. Do you think a specialized hospital for heart and lung 6. Do you prefer to have a garden within the hospital

disease will be beneficial to the community? grounds?

Yes Yes

No No

Conclusion: Majority of the respondents preferred a garden


Conclusion: 100% of the respondents believed that specialty
within the hospital grounds. Studies shows that garden or any
hospital for cardiopulmonary illnesses is beneficial to its
open space can affect the span of recovery of patients admitted
community.
in hospitals.
19

7. If yes, what is the reason/s?

LOVES NATURE

FOR SOCIALIZING ONLY

GOOD PLACE TO RELAX AND HANG


AROUND

0 10 20 30 40 50 60 70 80 90

Conclusion: In 3 choices provided to the respondents agreed to

have garden within hospital grounds, the third choice, Good

place to relax and hang around, governed. Followed by the first

choice which is love nature and lastly by second choice which

is for socializing purpose only.


20

TOP 10 MORBIDITY RATE OF BALIUAG, BULACAN (2006-2011)

RATE RATE RATE


NO. of NO. of NO. of
2006 /1000 2007 /1000 2008 /1000
persons. persons persons
persons persons persons

1. Acute 1. Acute 1. Acute Respiratory


Respiratory 6349 43.78 % Respiratory 5027 33.57 % 7747 50.10 %
Infection
Infection Infection

2. Hypertension 1796 12.38 % 2. Hypertension 2193 14.66 % 2. Hypertension 2663 17.22 %

3.Bronchitis 1323 9.12 % 3. Bronchitis 1255 8.39 % 3. Influenza 1525 9.86 %

4. UTI 974 6.72 % 4. Diarrhea 961 6.42 % 4. Bronchitis 1501 9.71 %

5. Diarrhea 972 6.70 % 5. UTI 828 5.53 % 5. UTI 1461 9.45 %

6. Coronary Artery 6. Diarrhea 1328 8.59 %


6. Asthma 549 3.78 % 725 4.84 %
Disease

7. Infected wound 525 3.62 % 7. Infected wound 702 4.69 % 7. Infected wound 736 4.76 %

8. Skin Disease 327 2.25 % 8. Skin Disease 646 4.31 % 8. Skin Disease 646 4.18 %

9. Influenza 318 2.19 % 9. Asthma 474 3.16 % 9. Asthma 603 3.90 %

10. Pneumonia 109 0.75 % 10. Tonsillitis 347 2.32 % 10. Tonsillitis 360 2.33 %
21

RATE RATE RATE


NO. of NO. of NO. of
2009 /1000 2010 /1000 2011 /1000
persons persons persons
persons persons persons
1. Acute 1. Acute 1. Acute
Respiratory 13703 96.28 % Respiratory 12712 87.63 % Respiratory 8638 58.71 %
Infection Infection Infection

2. Hypertension 3687 25.91 % 2. Hypertension 3226 22.24 % 2. Hypertension 2245 15.18 %

3. Bronchitis 1922 13.50 % 3. Influenza 2031 14.0 % 3. UTI 1680 11.36 %

4. UTI 1811 12.72 % 4. UTI 1870 12.89 % 4. Asthma 1089 7.36 %


1462
5. Diarrhea 10.27 % 5. Skin Disease 1310 9.03 % 5. Skin Disease 1036 7.0 %

6. Influenza 1225 8.61 % 6. Asthma 1120 7.72 % 6. Influenza 1035 6.99 %

7.Asthma 906 6.36 % 7. Tonsillitis 1073 7.40 % 7. Diarrhea 949 6.41 %

8. Tonsillitis 756 5.31 % 8. Bronchitis 1030 7.10 % 8. Tonsillitis 748 5.05 %

9. Infected wound 746 5.24 % 9. Diarrhea 986 6.80 % 9. Parasitism 723 4.88 %

10. Parasitism 589 4.14 % 10. Infected wound 814 5.61 % 10. Infected
649 4.38 %
wound

CONCLUSION: The highlighted illnesses in the table are the diseases related to cardiopulmonary. The table shows that there are 4 to 5 illnesses

related to heart and lung disease that contributed annually in Municipality of Baliuags morbidity rate.
22

TOP 10 MORTALITY RATE OF BALIUAG, BULACAN (2006-2011)

NO. of NO. of NO. of


2006 2007 2008
persons persons persons
1. Cardio vascular 1. Cardiopulmonary 1. Cardio vascular
70 65 96
arrest Failure arrest
2. Congestive Heart 2. Cancer 57 2. Cancer 70
66
Failure
3. Myocardial 3. Myocardial 3. Myocardial
59 49 60
Infection Infection Infection

4. Cardio vascular 4. Arteriosclerotic


4. Cancer 56 43 46
arrest Heart Disease

5. Hypertensive 5. Hypertensive 5. Congestive Heart


39 43
Vascular Disease Vascular 40 Failure
Disease
6. Diabetes Mellitus 25 6. Coronary Heart 6. Pneumonia 36
38
Disease
7. Arteriosclerotic 7. Chronic 7. Diabetes Mellitus 22
24
Heart Disease Obstructive
36 8. Chronic
Pulmonary
8. Accidents 19 Disease Obstructive
17
8. Arteriosclerotic Pulmonary
29 Disease
9. Coronary Heart Heart Disease
18
Disease 9. Chronic Renal
15
9. Pneumonia 25 Failure
10. Pneumonia 18
10. Pulmonary
10. Accidents 23 15
Tuberculosis
23

NO. NO. NO.


2009 2010 2011
persons persons persons
1. Cardiopulmonary
1. Myocardial Infection 95 1. Cardio vascular arrest 122 94
Failure

2. Cardio vascular 2. Cardio vascular


85 2. Cancer 75 92
arrest arrest

3. Cancer 74 3. Myocardial Infection 73 3. Myocardial Infection 83

4. Cardiopulmonary 4. Atherosclerotic Heart


61 61 4. Cancer 55
Failure Disease

5. Atherosclerotic 5. Atherosclerotic
51 5. Accident 28 38
Heart Disease Heart Disease

6. Diabetes Mellitus 41 6. Chronic Obstructive


22 6. Pneumonia 33
Pulmonary Disease
7. Chronic Obstructive 7. Congestive Heart
35 7. Diabetes Mellitus 22 20
Pulmonary Disease Failure

8. Pneumonia 32 8. Cardiopulmonary 8. Chronic Renal


22 19
Failure Failure
9. Hypertensive 19
23 9. Pneumonia 9. Diabetes Mellitus 18
Vascular Disease

10. Accident 19 10. Chronic Obstructive


10. Chronic Renal Failure 19 18
Pulmonary Disease

CONCLUSION: The highlighted illnesses in the table are the diseases related to cardiopulmonary illnesses. The table shows that there are 6 to 7

illnesses related to heart and lung disease that contributed annually to Municipality of Baliuags mortality rate.
24

REGISTERED SPECIALTY DOCTORS IN BULACAN 2. MARCELO-PADILLA GENERAL HOSPITAL

Pulmonogists = 23 doctors 27 bed capacity

Cardiologists = 29 doctors Services:

EXISTING HOSPITALS IN BALIUAG EENT treatment (Eyes, Ears, Nose, Throat)

1. DE JESUS GENERAL HOSPITAL Outpatient Department

15 bed capacity

Services:

EENT treatment (Eyes, Ears, Nose, Throat)

Outpatient Department
25

3. CASTRO MATERNITY AND GENERAL HOSPITAL 4. RUGAY GENERAL HOSPITAL

30 bed capacity 35 bed capacity

Newly renovated last May 2012 Renovated at year 2010

Services: Services:

Outpatient Department Outpatient Department

General Diagnosis ( X-ray, Mammography, Ultrasound, General Diagnosis ( X-ray, Mammography, Ultrasound,
ECHO, Hemodialysis) ECHO, Hemodialysis)

Cancer and pain clinic


26

5. Baliuag district hospital

Public hospital

75 bed capacity

Services:

Outpatient Department

General Diagnosis

View from Emergency


entry

View from Main entry


27

CHAPTER 5: CONCLUSIONS, FINDINGS AND RECOMMENDATIONS

Conclusions and Findings: Recommendations:

Based on the data presented in this research, the proponent therefore Health of people is very important for a community. Healthcare

concludes that the condition of the current health data of Baliuag, Bulacan, facilities in Baliuag should be able to provide the necessary cardiac and

the morbidity and mortality are mostly related to cardio-pulmonary diseases. pulmonary health assistance needed by its consumers. With this, citizens of

67 out of 111 persons surveyed do have history of cardio-pulmonary the community will not be obliged to go to Manila City or any highly urbanized

diseases. There are enough cardiac and pulmonary doctors that were based area to receive the medical treatment they need.

on Bulacan province that may work in proposed specialized facility. The


The proponent found out that, designing a healthcare facility is not just
proposed cardio-pulmonary hospital will not only cater the town of Baliuag but
a providing the necessary facilities. Designers should also consider the
also the nearby municipalities and may also accept referrals from farther
nature to its design and its psychological effect to the users of the health
towns in Northern Luzon.
facility. It is proven in studies that designing healthcare facilities with nature

also helps in the recovery of the patients.


29

PART 2: THE SITE industry also played important contributions to the economy of the

people. Buntal hat weaving in Baliuag together with silk weaving


Historical Background popularly known in the world as Thai silk; The manufacturer of cigar

cases, pineapple fibers, petates (mats) and Sillas de Bejucos (cane

Historical records revealed that the town of Baliuag began its chairs) all of fine quality became known in many parts of the world. The

actual or de facto existence on May 26, 1733 and the Augustinians local market also grew. During the early part of the 19th century Baliuag

formally approved or recognized its creation as tenth (10th) town of was already considered as one of the most progressive and richest

Baliuag in the provincial charter on May 15, 1734. The first population town of Bulacan. The growth of the public market has significantly

census of Baliuag was conducted in 1759 revealing the actual count of changed the mode of economy of the town. Baliuag became the center

inhabitants to 3,548. After about two (2) decades the population of the of commercial activities due to this strategic geographical location.

town rose to 18,865 based on statistics but was reduced to 13,202 in

1887 due to onslaught of dreaded diseases particularly cholera. Historical records say that Baliuag was part of Quingua (now

Plaridel). From the time Baliuag was separated from plaridel up to

Though the years of Spanish domination, Baliuag was 1898, the town had leaders numbering to 49 who served as Capitan,

predominantly agricultural. People had to depend on rice farming for 13 Alcalde, and 92 as Gobernadorcillos.

main source of livelihood. Orchards and tumanas yielded fruits and

vegetables, which we sold in the public market. Commerce and


30

The American came Baliuag became distinguished as the first Geographic Location and Land Area

municipality organized under this regime and the election of municipal

officials was held on May 6, 1899. The first municipal president was The municipality of Baliuag is located on the western most part

the Hon. Francisco Guerero. Baliuag since then had 26 mayors until of Bulacan province. It is also one of the perimeter towns of bulacan in

Hon. Rolando F. Salvador rose to political leadership in 1998 and the provincial boundary line with Pampanga. North of the town are two

currently the 27th mayor of the municipality. (2) municipalities of Pampanga namely, San Luis and Candaba, on

the south are Pulilan and Plaridel both of Bulacan: on the west Bustos

Baliuag rose to prominence as the growth center in the northern and San Rafael Bulacan. The town is approximately located between

part of Bulacan. In 1932 the market revenue soared to Php 39.000.00, 14 55 and 15 00 North latitude and 120 40 and 121 00 East

which greatly contribute to the general services to the people. The last longitude.

five years of income in million pesos from 1995 to 1999 is as follows:

Php 52.222,Php 61.201, Php 68.588 and Php 80.705. Topography

Baliuag has a fairly level land suited for agricultural crop

Today, Baliuag is in the height of general growth and production and urban development. Other topographic variations are

development trend, which is comparable to a city. the bodies of water, which means that the soil is fertile aside from

adding to the natural beauty of the territory. One of the largest rivers in

Luzon can be found in Baliuag. It is named as Angat River and is the


31

natural boundary line of Baliuag and Bustos. Rio Grande de communication system. This consists of telecommunication system;

Pampanga (Pampanga River) is on the northern north part of the town telegraph and postal services are available. At present, there are

that divides the provinces of Pampanga and Bulacan. seven (7) telecommunication companies, which operate in the locality,

these are Philippine Long Distance and Telephone Company (PLDT),


Climate
AI Digitel Telephone System, Extelcom Company, Mobiline, Smart
The town has two (2) pronounced seasons the wet and dry. The
Communications and Islacom.
wet season begins in April and ends in December. The rest of the year

is dry with occasional rains around the area. The average temperature

is from 21 C to 33 C while the annual rainfall is 100.58 inches. Water Resources

December and January are the cold months and the temperature
The Baliuag Water District (BWD), Supplies water to the municipality. It
registers from 21 to 25 C the town is also affected by typhoons, tropical
is located at Barangay Bagong Nayon. Thirteen (13) Barangays are
rains and storms.
being served by the Waterworks System

Telecommunication
Power
Reliable communication process cultivates the awareness of all
The Manila Electric Company (Meralco) serves the electrical needs of
people and makes them a potent instrument of development and
the municipality with office located at Barangay San Jose, Baliuag,
partner of social upliftment. The municipality has ample
Bulacan.
32

Located at the town of Baliuag, classified as one of the 1st


class municipalities in Bulacan.

The town is 52 kilometers north of Manila, which takes


usually two (2) hours in term of travel time.

Formerly zoned as agricultural land

Has a total area of 2.4 hectares.

Bounded by a 12 meter major road (Dona Remedios


Trinidad Highway) at east, and vacant lot from north, south
and west.

Approximately 2 km. away from the center of town

About 1.8 km. away from large commercial establishment


(SM Baliuag)
33

MACRO ANALYSIS

The center of the


town is full of
commercial areas
and no more further
development within.
The proposed site is
located away from
the center of
commercial areas
and located along
main road to be
more accessible
from other towns.
COMMERCIAL The site is
AREAS accessible from
residential areas,
PROPOSED SITE from major and
minor road, which is
RESIDENTIAL
a requirement of
AREAS
DOH for a desirable
location of hospitals.
34

SITE MAP

TO NUEVA ECIJA

STA. BARBARA HOMES


BALIUAG HOME DEPOT
SITE

RESIDENTIAL
AREAS

NINAS RESTAURANT
TO MANILA
35

MICRO-CLIMATIC ANALYSIS SENSORY ANALYSIS


36

SITE ANALYSIS

The site is approximately 1.20 meters below the road line.

The site is located near residential areas.

Transportation are readily available The site is located in

front of major road, accessible by private and public

transportation

Tricycles at minor road Public Utility Jeepneys passing along


DRT highway
The site is located in front of major road, and there are

possible noises coming from passing vehicles


38

PART 3 CASE STUDIES DEPARTMENTS

1. Philippine Heart Center I. Cardiovascular Surgery

II. Non-Invasive Diagnostic Cardiology

The Non-Invasive Diagnostic Cardiology Division (Cardiac

Graphics/Exercise Laboratory) is one of the busiest areas of the

Philippine Heart Center and one of the biggest Heart Station in the

country today, where patients are referred for non-invasive

diagnostic procedures. The primary objective is to obtain a

complete and precise cardiac diagnosis with the use of non-

invasive cardiac diagnostic methods that are performed by skilled,


The Philippine Heart Center in Quezon City was established through competent and compassionate staff. The laboratory contributes in
Presidential Decree No. 673 issued by President Ferdinand E. Marcos in
arriving at correct diagnosis, which is the basis of a rational
1975. Its original name was the Philippine Heart Center for Asia and was
therapy, thereby minimizing morbidity and mortality. Total number
changed to its current form in 1975. It was inaugurated on Valentine's Day,
of procedures performed annually approximately 300,000.
February 14, 1975 and graced by renowned cardiovascular experts such as

Dr.Christiaan Barnard, Dr. Denton Cooley, Dr. Donald Effler, and Dr. Charles It is located at the ground floor of Medical Arts Building with local

Bailey. numbers from 3140 to 3145.


39

III. Invasive Cardiology IV. Radiological Sciences

The Invasive Cardiology Division of the Philippine Heart Center is The Radiological Sciences Division provides radiologic services to

one of the country's busiest and most experienced cardiac patients including fluoroscopic contrast examinations, tomogram of

catheterization laboratory, routinely performing thousands of specific organs or structures, portable radiography and fluoroscopy,

angioplasties, catheterizations and other specialty procedures. diagnostic (non-cardiac) ultrasound, and Magnetic Resonance

Total number of procedures performed annually approximately Imaging (MRI).

4,000.
First Floor-Hospital Building the Radiological Sciences Division
It is conveniently located at the first floor of the hospital building in
provides radiologic services to patients including fluoroscopic
between the Radiology Division and Ultrasonography Section. The
contrast examinations, tomogram of specific organs or structures,
compact unit includes the offices and clerical services adjoining the
portable radiography and fluoroscopy, diagnostic (non-cardiac)
cardiac catheterization laboratory with 4 working catheterization
ultrasound, and Magnetic Resonance Imaging (MRI). The Sections
rooms.
under the Division are: General Diagnostic Radiology, CT-MRI

Section, Ultasound Section, and Vascular Interventional Radiology.


40

V. Nuclear Medicine VI. Vascular Center

The Division of Nuclear Medicine of the Philippine Heart Center is a full The Vascular Center under the Division of Cardiovascular Surgery is a

service nuclear medicine which performs both diagnostic and dynamic multidisciplinary and service oriented unit composed of highly

therapeutic procedures. The division provides all the diagnostic specialized staff of cardiovascular medicine, surgical specialists and

procedures needed in a general Nuclear Medicine set-up with technologists that cater to the need of patients with vascular disorder.

emphasis given to Cardiovascular Nuclear Medicine and radionuclide


Its laboratory component utilizes the latest state of the art diagnostic
therapeutic procedures to treat diseases responsive to radioactive
equipment. It likewise offers a comprehensive wound care clinic
materials administered internally. It also provides in vitro procedures
designed to tackle various kinds of vascular related lesions. The
and interpretations. In the fight against disease, diagnosis is critical to
referring physician remains the provider for the overall care of the
the best treatment and outcome. Imaging techniques give the doctors
patient. Total number of procedures performed annually approximately
and staff a unique way to look inside the human body. These
4,000.
techniques combine the use of state-of-the art sensitive scanning

equipment, advanced computing technology and various radioactive VII. Laboratory Medicine

substances to produce high quality images. Total number of


The Division of Laboratory Medicine is responsible for the performance
procedures performed annually approximately 60,000.
of all Clinical and Anatomic Pathology services of the Philippine Heart

Center. It is manned by six (6) Pathologists, one (1) Clinical Research


41

Fellow, eight (8) Residents, thirty-one (31) Medical Technologists, VIII. Bloodbank

seven (7) Clerks, and four (4) Laboratory Technicians. Total number of
The Philippine Heart Center Blood Bank pursues one overriding
procedures performed annually 2 million.
objective: to provide adequate amounts of safe blood in a timely
Services Offered manner for our patients. They supply the complete menu of blood

component options 24 hours a day, 7 days a week. It has been


1. All clinical laboratory procedures for in and out-patients, both private
designated as Category B by the Department of Health and considered
and service.
one of the lead centers in the National Capital Region. It is a blood
2. Regular services for the needs of other divisions in monitoring
service facility responsible for donor screening and selection, blood
personnel.
collection, testing, preparation, handling, storage, release and dispatch

3. Culture studies of equipment/machine utilized by patients for the of all its blood products. Total number of procedures performed

overall control of spread of infection. annually approximately one million.

4. PHC employees are entitled to 20% discount on all laboratory


IX. Neurovascular Laboratory
procedures.
The Section of Neurovascular Laboratory under the Division of Allied
5. Services to other government agencies to 10% discount on all
Medical Specialties is composed of highly specialized Neurologist and
laboratory procedures.
Medical Technologist that caters to the need of patients with
6. Services to some agencies for their research projects
42

Neurological and Neurovascular disorders. The section provides phase is designed to address the different needs of the patient and

diagnostic test of Neurological and Neurovascular disorders. It is maximize their gain in the various stages of their recovery.

located at the 4th floor of hospital building between petal 4A and petal
The section is located at the 8th floor of the Medical Arts Building, just
4B with local number of 2456. Total number of procedures performed
beside the elevator where you can see a 3-lane indoor oval designed
approximately 7,000.
to enhance physical fitness. It has ample rooms for group exercise

X. Cardiac Rehabilitation classes, patient consultation, health education lectures, and support

group meetings for the patients partner and family. It also has a
The Philippine Heart Center- Cardiac Rehabilitation Section is the
Human Performance Laboratory where various physical fitness
pioneer in the field of cardiac rehabilitation and has been in the
evaluations are done.
forefront of the cardiac rehabilitation practice in the Philippines. It is

also a major proponent of primary and secondary prevention of cardiac XI. Physical Medicine and Rehabilitation

diseases since its inception in 1975. The Comprehensive Cardiac


The Physical Medicine and Rehabilitation Division (PMRD) is
Rehabilitation Program (CCReP) is designed to help patients with
responsible for providing therapeutic services in the fields of physical
heart disease recover faster and return to full and productive lives. The
therapy, occupational therapy, wellness and health promotion and
program is composed of 3 phases: Phase I or In-patient Phase, Phase
electro diagnosis. The aim of the PMRD is to develop the fullest
II or Early Recovery Phase and Phase III or Maintenance Phase. Each
physical, social, vocational, avocational, educational and psychological

potential of persons with disabilities ranging from the neurologic to the


43

musculoskeletal, from the pediatric to the geriatric. The PMRD staff is aims to help an individual reach the highest potential for function

made up of a qualified and experienced team of five(5) Consultant within his environment.

Physiatrists, nine (9) Physical Therapists, a Sports Scientist, a Physical


c) WELLNESS AND HEALTH PROMOTION CLINIC - an
Therapy Technician, a Laboratory Aide and a Clerk. Total number of
individualized exercise program aimed at improving the overall
graduates of certified training programs (clinical affiliation of PT interns
fitness capacity of an individual in terms of aerobic fitness,
from UST, UP, UE, FEU and PLM) from April 2000 to April 2008 are 1,
muscle fitness, flexibility and body composition.
088.
d) ELECTRODIAGNOSIS - the use of electrology to study the
Services Offered deviation from normal motor unit behavior and the interpretation

of its results for disorders of the neuromuscular complex of the


a) PHYSICAL THERAPY- concerned with the evaluation of the
motor system.
functions of neuromuscular, cardiovascular and pulmonary

systems and the selection and application of appropriate XII. Pulmonary and Critical Care Medicine
therapeutic processes such as physical modalities and exercise
The Division of Pulmonary and Critical Care Medicine is one of the
to maintain, improve and restore these functions.
most active in patient care, intervention and provides comprehensive
b) OCCUPATIONAL THERAPY a program of selected
service in the care of patients with respiratory disorders. It keeps a
activities conducted at treatment under medical direction which
twenty- four (24) hour service delivered by both pulmonary physicians
44

and respiratory therapists. Total number of procedures performed 24 Hour Ward Consult

annually approximately 500,000.


Maintains in Patient Care Service

Services Offered
Maintains out patient care service once a week for both adult

and pediatric pulmonary services


Cardio-pulmonary Resuscitation

Fiberoptic Bronchoscopy
Emergency Room Call

Pulmonary Rehabilitation Program for COPD patients


Continuous Laboratory to support Medical and Surgical

Intensive Care Units Pediatric Pulmonary Services

o Inhalation Therapy Polysomnograph (Sleep) Studies

o Arterial Blood Gas Analysis with Electrolytes Pre-flight Evaluation Clinic

Determination
XIII. Clinical Electrophysiology
o Mechanical Ventilation and Monitoring
The Clinical Electrophysiology Section serves all arrhythmia patients in
o Non-Invasive Mechanical Ventilation
need of diagnostic and therapeutic electrophysiology, device therapy
o Chest Physiotherapy
and follow-up.

o Pulmonary Function Studies


45

The Clinical Electrophysiology Section is composed of the Section psychologically for heart operation. Specifically, CHEERS aims

Head, two (2) Medical Specialists, a Medical Technologist, a Nurse, a to:

Clinical Research Fellow, and a Laboratory Technician. Currently,


Enhance ability to cope with pre-surgical stress
there are three (3) visiting physicians under the section. Rotating

fellows in training includes a third year and a second year Adult Educate about diagnosis, treatment plan, and prognosis;

Cardiology Fellows. Strengthen motivation and sense of responsibility for the

success of the surgery.


XIV. Psychiatry and Behavior Medicine

b) Consultation- Liaison (CL) Psychiatry CLP is giving clinical


Created in August 1993, with the mission to humanize patient
specialists advice on:
experience and patient management and to promote and apply the

principles of behavior medicine which recognizes that all thoughts, Mental status examination (MSE) abnormalities,
emotions, and behaviors directly influence health and therefore takes a depression, anxiety, and adjustment difficulties
comprehensive approach to health care.
Need for emotional support

Services Offered
Assistance with patient disposition

a) Cardiac Health Education, Enhancement and Restoration Competency determination


Service (CHEERS) - is helping surgical candidates prepare
Unexplained physical symptoms
46

Use of psychopharmacologic medications 2. Lung Center of the Philippines

Evaluation for transfer to psychiatric services

c) The section provides psychiatric training for PHC fellows and

nurses. This comes in the form of lectures and co-management

of patients in the ward. The section is also a training ground for

psychiatrists who want.


http://www.lcp.gov.ph/lcp_bldg2011.jpg

CONCLUSION:

The Lung Center of the Philippines (LCP) is a non-stock


In relation to the project, PHC is specialty hospital for
and non-profit corporation that was established on January 16, 1981
cardiovascular disease. PHC is divided into different departments to
by President Ferdinand Marcos under Presidential Decree No. 1823. It
deal with specific task, for example the Radiological Science
was placed under the administration of the Ministry of Health by
Department wherein it focuses on radiology and other related
President Corazon Aquino on July 29, 1986 under Executive Order No.
laboratory examination. These departments are strategically located
34.The purpose of its creation was to provide health care that
within the building for easy access of physicians and nurses during
specifically targets lung and pulmonary disease. It is located in Quezon
emergencies and operations. PHC also have research facilities and
Avenue, Quezon City.
offers training and education on how todeal with patients with heart

diseases.
47

DEPARTMENTS II. Department of Pulmonary Medicine

I. Department of Pathology and Laboratories


III. Section of Respiratory Services
The Department of Pathology and Laboratories of the Lung Center
This Section offers "Diagnostic and Therapeutic Procedures" used in
of the Philippines was established in 1982. It has been serving both
the evaluation and management of the different Pulmonary Diseases.
physicians and patients for twenty four years. From basic clinical

laboratory examinations, the laboratory has expanded its services and IV. Physical Therapy and Rehabilitation

operations over the years. To date, it offers a wide range of laboratory


The Section of Physical Therapy and Rehabilitation provides chest
examinations to aid physicians in the diagnosis and management of
physiotherapy and pulmonary rehabilitation services to patients
various disease entities, primarily chest diseases.
referred to the Section and to the Center. Through the years, under the

Clinical Microscopy able direction of the previous head, Dr. Buenaventura V. Medina, Jr., it

Blood bank has geared up with the latest equipment and facilities, embarked on

Clinical Chemistry specialized training, and involved itself in various research studies

Histopathology towards the promotion of its specialty. Plans to expand its services to

Immunology and Serology cater to non-pulmonary cases began a few years ago, as it can provide

Hematology basic care for musculo-skeletal disorders and post-stroke patients.

Microbiology
48

V. Diagnostic Radiology Department 8. Ambulatory/Outpatient Surgery

9. Cosmetic/Plastic Surgery
Divided into 3 Sections
10. Laser Therapy
Diagnostic Radiology
11. Myesthenia Clinic
CT Scan Section 12. Gastroesophagoscopy
Ultrasound Section 13. Pain Management Clinic

14. Laryngeal Surgery


VI. Department of Thoracic Surgery and Anesthesia 15. Tracheal Surgery

Services Offered: 16. General Surgery Procedures

17. Head and Neck Procedures


1. Outpatient Consultations/secondary opinions on TCVS cases
18. Foreign body extraction
2. Thoracic Surgery

3. Cardiovascular Surgery VII. Nursing Department

4. Thoracic Endoscopy Procedures At present, the Nursing Department has 133 nurses providing direct
5. Video Assisted Thoracic Surgery (VATS) care to patients in the different hospital unitssuch as the four Medical-
6. Esophageal Surgery Surgical wards, Medical Intensive Care Unit, Post-Anesthesia Care
7. Rigid and Fiberoptic Bronchoscopy Unit, St. Therese Unit, Emergency Room, Out-Patient Department, and
49

the Public Health & Domiciliary Unit, all of which are directly and repairing to coordinating the laundry of bedsheets, pillow cases,

supervised by Head Nurses. We have 59 Senior Nurses who are patient gowns, etc.

mostly distributed in the special units, while 58 of the Junior Nurses VIII. Emergency and Out-Patient Department

handle acute care in the ward areas. The hospitals Central Supply
The Emergency Room-Outpatient Department (ER-OPD) is one of
Division and the Linen Department are also under the supervision of
the busiest areas of the Center. These sensitive areas are manned by
the Nursing Department. All of our highly-trained nurses share the core
physicians, nurses and nursing attendants who are highly skilled and
values of concern and care for patients, employees, and the institution.
specially trained to handle ambulatory and life-threatening cases that
We possess high levels of responsibility, discipline, commitment, and
require medical attention and care. With a carefully selected consultant
dedication to excellence in the practice of Nursing as a profession.
staff consisting of board certified pulmonologists and thoracic surgeons
The Central Supply Sterilization Services of the Nursing who closely supervise the activities within the area, it is a very good
Department is responsible for the distribution of common non-drug training ground for fellows seeking to become specialists in their
supplies, sterilization procedures, the repacking of supplies, and chosen fields. ER-OPD involves in consultation, work-up and follow-up
requisition. It is also the property custodian, and is accountable for the of both private and service patients not requiring confinement. The
storage of equipment and supplies while not in use at the bedside or provision of a 24-hour emergency care management at the Emergency
the ward. Room, the areas of General and Specialty Clinics, and Private Doctors'
The Linen Section which under the Nursing Department is the Clinics are under the office of the ER-OPD Manager.
area responsible for the linen requirements of all wards, from sewing
50

IX. Intensive Care and Recovery Room 3. Control the patient's pain and level of consciousness to

This is where the patients are transferred after surgery, allowing make conditions ideal for a safe and successful surgery

them to emerge fully from the effects of anesthesia under the


X. Saint Therese Unit
watchful eyes of skilled nursing personnel, and with

anesthesiologist consultation immediately available. While As early as 2004, the Center has put up its Saint Therese Unit

safety is the foremost priority during surgery, it is also of utmost (STU) which was specially made to house the highly

concern that the patient be monitored and continually assessed contaminating patients. The construction of the St. Therese

while fully regaining consciousness. The anesthesiologist Unit was rushed to meet the SARS problem. The same unit

decides when the patient has recovered adequately to be sent came in handy with the admission of an alleged

home following outpatient surgery, or has been stabilized meningococemia patient.

sufficiently to be moved to a regular room or ward.


XI. LCP Chapel

The Section/Area:
The LCP Chapel is located at the 2nd floor of the hospital. It is open

24 hours daily. Regular masses are scheduled at 12:00nn on


1. Provide continued medical assessment of the patient
Mondays to Fridays and 8:00am on Sundays.
2. Monitor and control the patient's vital life functions, heart

rate and rhythm, breathing, blood pressure, body

temperature and body fluid balance


51

CONCLUSION: 3. Baptist Medical Center, Heart Hospital at Baptist

LCP is specialty hospital for pulmonary disease. It offers various

services for treatment needed by its patients. Children admitted in LCp

are separated from adults. This is to prevent any possible

contamination of diseases from adults. Just like PHC, LCP has

research facilities of new technology for treatment and medicine for its

patients. They also offer psychiatric and physical therapy on patients.

They also have separate facility for those patients with serious and

contagious diseases, the St. Therese Unit.

Client: Baptist Medical Center

Completion: 2005

Gross floor area: 203,000 sq. ft.

Signaling Baptists leadership in cardiovascular care, the hospital

establishes a landmark along Jacksonvilles riverfront. Two stacked,

independent vehicular drop-off loop provide centralized access to the


52

195,000 square feet hospital, an expanded emergency room and 4. Cardiac Center of the University Hospital at Cologne,

garage. Rising three stories; a freestanding helipad shelters drop-offs, Germany

creating a campus icon announcing the arrival experience. An

extensive garden at the entry court extends into a cascading atrium

connecting all four stories. The building responds to the flowing form of

the nearby river affording patients views of skyline across the water.

Client : The University Hospital of Cologne

Completion : 2007

Gross floor area : 30,000 sqm.

Equipped with latest medical equipment, the Cardiac Center

welcomes patients and visitors with a glazed 12 meter-high


53

entrance and a full height bright lobby. Deciduous trees with

benches and warm materials such as cherry wood make the five

floor lobby attractive with an atmosphere resembling more a hotel

than a clinic. The childrens cardiology department on the second

floor has parents room and playroom linked to a playground

framed by green pergolas. The column beam faade of the H-

shaped building is clad in light shell limestone with reddish-tinted

aluminum shades on the classical facade.

CROSS SECTION OF CARDIAC CENTER OF THE UNIVERSITY HOSPITAL VIEW FROM MAIN ENTRY
54

FLOOR PLAN OF CARDIAC CENTER OF THE UNIVERSITY HOSPITAL AT COLOGNE, GERMANY


56

ADMINISTRATIVE SERVICE FACILITY


ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS ( sq. m ) FIXTURES
Office of the -reads, writes and 4 1 Chief of 5.02 sq. 6.02 Desk and chair 2 750 x 1200 Close to Business
Chief Hospital use telephones in Hospital m/staff mm and Finance
his desk Office

-receives visitors 1 Secretary chair 3


-stores, files and 2 Visitors computer 1
retrieves records
cabinet 1 600 x 1200
mm
computer table 1 400 x 800 mm
steel filing cabinet 1 700 x 500 mm

Conference Room -hold meetings 12 1.40 sq. 5.04 Whiteboard 1 1200 x 2400 Close to Chiefs
and special m/person mm Hospital Office
lectures Chair 12 and to Business &
Conference table 1 1200 x 300 Finance Office
mm
Business and -performs 5 1 Hospital 5.02 sq. 7.53 Desk and chair 3 750 x 1200 Close to main
Finance Office cashiering, Administrative m/staff mm entrance and
disbursement, Officer Office of the
budgeting & 1 Cashier Computer table 3 400 x 800 mm Chiefs Hospital
personnel
functions
1 Bookkeeper Chair 3
2 Staffs Steel filing cabinet 3 700 x 500 mm
57

Computer 1
printer 1
Commission of -reads, writes in 4 1 Commission of 5.02 sq. 6.02 Desk and chair 2 750 x 1200 Close to Business
Audit Office his work station Audit officer m/staff mm and Finance
Office
-stores, files & 1 staff Chair 4
retrieves records
visitors Computer table 1 400 x 800 mm

Computer 1
Steel filing cabinet 2 700 x 500 mm

Toilet facilities -use and clean-up 6 Staffs 1.4 sq. 2.52 Water closet 4 Close to
m/person Lavatory 3 Administrative
urinal 2 Offices

CLINICAL SERVICE FACILITY


EMERGENCY SERVICES

MAXIMUM AREA EQUIPMENTS/


BREAKDOWN OF UNIT AREA NO. OF PCS. PLANNING
ROOM/SPACE ACTIVITIES NO. OF CIRCULATION FURNITURES/ DIMENSIONS
USERS PER USER REQUIREMENTS RELATIONSHIP
USERS ( sq. m ) FIXTURES

Nurse Station -makes inquiries 2 1 Nurse 5.02 sq. 3.01 Instrument table 1 Close to
& records m/staff Emergency Suite
necessary info. Entrance
From patients 1 Nursing Desk and chair 1 750 x 1200 Adjacent to
rushed in ER Attendant mm Treatment &
Operating Room
58

Steel filing cabinet 1 500 x 700 mm


Wall cabinets
Counter with sink 1 900 mm high
w/ cabinets
below

Treatment Room -treatment in 4 1 Resident 1.4 sq. 1.68 Table 2 406 x 508 mm Close to
patients injuries physician m/staff Emergency Room
and illness entrance
1 Nurse Chair 2 Adjacent to Nurse
Station and
Operating Room

1 Nursing Patient Bed 2 100 x 1900


Attendant mm
1 Patient
Doctor-on-Duty -paper works 1 1 Resident 5.02 sq. 1.51 Desk and chair 1 750 x 1200 Adjacent to
Room physician m/staff mm Emergency Room
Couch 1 700 x 1800
mm
Counter 1 900 mm high
w/ cabinet
below
Stretchers Nook -transfer of 1 1.08 sq. Stretcher trolley 1 Located near the
patient from m/stretcher main entrance
stretcher Wheelchair 1 Close to
trolley/wheelchair Emergency Room
to examine and Nurse Station
59

Observation -observe vital 5 1 Resident 1.4 sq. 2.1 Patient bed 2 100 x 1900 Adjacent to Nurse
Room signs & patients physician m/person mm Station
at regular
intervals
1 Nurse Table 2 406 x 508 mm Close to
Emergency &
Treatment Room

1 Nursing Lavatory 1
Attendant
2 Patients Water closet 1
Scrub-up Area -rinse arms & 2 1 Physician 1.4 sq. 0.84 Scrub sink 2 Adjacent to
hands prior to & 1 Nurse/Nursing m/person Operating Room
after delivery or Attendant
surgical operation

SURGICAL SERVICE

MAXIMUM AREA EQUIPMENTS/


BREAKDOWN OF UNIT AREA NO. OF PCS. PLANNING
ROOM/SPACE ACTIVITIES NO. OF CIRCULATION FURNITURES/ DIMENSIONS
USERS PER USER REQUIREMENTS RELATIONSHIP
USERS ( sq. m ) FIXTURES

Operating Room -surgical 6 2 resident 5.02 sq. 9.04 Instrument tool 2 Adjacent to Sub-
operation is physicians m/staff sterilizing room &
performed 1 Nurse Scrub-up area
1 Nursing
-administering of Attendant Operating table 1
anaesthesia 1 Patient
1 Utility Worker Anaesthesia 1 450 x 600 mm
machine
60

Surgical bed 1
Anaesthetists table 1 570 x 2100
mm
Surgical light 1 400 x 500 mm
Single basin stand 1

Adjustable open 1
shelving
Double x-ray film 1 430 x 470 mm
illumination

Flat panel monitor 1 500 mm deep

Flat illuminators 2

Clock 1
Case cart 1
Medical gas 1
Operating Room 1
storage
Scrub sink 1
Video endoscopic 1

Sub-sterilizing -preparation of 2 1 Physician 5.02 sq. 3.01 Sterilizing unit 1 Close to


Room surgical equip. m/staff Operating Room

1 Nurse
61

Sterile -checks the 2 1 Nurse 1.4 sq. 0.84 Shelves 450 mm deep Close to
Instrument & availability of m/person Operating Room
Supply Storage supplies for & Delivery Room
issuance 1 Nursing
Attendant
Clean-up Room -perform post- 2 1 Nurse 1.4 sq 0.84 Counter w/ cabinet 1 600 mm deep Close to
operation & m/person Operating Room
clean-up activities 1 Nursing Clinical sink 1 & Delivery Room
Attendant
Staff s Locker & -change clothes 10 Resident 1.4 sq. 4.2 Lockers 8 500 x 600 mm Close to access
Toilet physicians m/person door of Surgical
-storing of Nurses Lavatory 2 Room
clothing &
personal things Nursing Water closet 2
Attendants
Staff Lounge -take a rest 6 Resident 1.4 sq. 2.5 Sofa bed 2 750 x 2000 Close to access
Physicians m/person mm door of Surgical
Nurses Coffee table 2 400 x 600 mm Room
Nursing
Attendants
Recovery Room -use of 5 1 Physicians 5.02 sq. 7.53 Bedside cabinet 3 400 x 500 mm Close to
monitoring Nurses m/staff Desk and chair 1 Operating &
& diagnostic Nursing Delivery Room
equipment Attendants Stretcher bed 3
Lavatory 1
Clinical sink 1
Wall cabinet
Work counter w/
sink
62

Central Sterilizing -disassembling & 3 1 Central Supply 1.4 sq. 1.26 Counter 900 mm high Close to Surgical
& Supply Room arranging of Service m/person Room
instruments 1 Nurse Table 2
1 Nursing Wall cabinets
Attendant
Sterile supply
cabinets
Surgical -records, stores & 2 1 Surgical 5.02 sq. 3.01 Chair 2 Close to
Supervisors Area retrieves data Supervisor m/staff Operating &
1 Nurse Steel filing cabinet 1 500 x 700 mm Delivery Room

Counter
desk 1
Anesthesiologists -records, files & 1 1 5.02 sq. 1.51 Desk and chair 1 750 x 1200 Close to
Area retrieves data Anaesthesiologist m/staff mm Operating and
or Delivery Room
-oversees work Resident Steel filing cabinet 1 500 x 700 mm
physician Adjacent to
Anaesthesiologist
Storage

ANCILLARY SERVICE FACILITY


RADIOLOGY

MAXIMUM EQUIPMENTS/
BREAKDOWN OF UNIT AREA AREA NO. OF PCS. PLANNING
ROOM/SPACE ACTIVITIES NO. OF FURNITURES/ DIMENSIONS
USERS PER USER CIRCULATION REQUIREMENTS RELATIONSHIP
USERS FIXTURES

X-ray Room -undergoes 3 1 X-ray 5.02 sq. 4.52 Sink & casework 1
radiographic Technician m/staff
63

examinations 1 Patient Radiographic unit 1 Close to


Outpatient
1 Physician-in- X-ray table w/ buck 1 Department &
charge of Emergency
Radiology Department &
other Ancillary
Table & tube 1 90 x 1900 mm Service
Transformer 1
Film illuminators 1

Dark Room -preparation of 1 1 X-ray 5.02 sq. 1.51 Manual processing 1 Adjacent to X-ray
processing Technician m/staff tanks Room & Control
chemicals Console

Pass box 1
-loading and
unloading of
unexposed x-ray
film into cassette
X-ray cassettes w/ 12
-processing of intensifying screens
films

-cleans manual
Safe light 1
processing

-maintaining of Exhaust fans 2


processing
equipment
Film fryer 1
-performing of
quality control
tests
Film rack 1
64

Dressing room -patient changing 1 1 Patient 1.02 sq. 0.31 water closet 1 Adjacent to X-ray
and Toilet room m/staff lavatory 1 Room
Control Console -technician gives 1 1 X-ray 5.02 sq. 1.51 Control console 1 Within X-ray
instruction to Technician m/staff room
patient
-conducts microphone 1 Adjacent to
radiographic darkroom
exposure
built-in desk 1 750 x 1 200
mm
Film File and -filing of 1 1 X-ray section 1.40 sq. 0.42 open shelves 1 Close to
Storage Room radiographs of 5- staff members m/person Radiologist office
years duration and Viewing room
movable step ladder 2.00 mts.
-retrieving of height
films on file for
follow-up of
patient condition
Radiologist office -interpretation of 2 1 Radiologist 5.02 sq. m 3.01 Desk and chair 1 750 x 1 200 Adjacent to x-ray
data /staff mm room
1 Physician-in-
-oversee work Charge of
Radiology
CT Scan room -Operating the 1 1 Patient 5.02 sq. 1.51 CT table 1 90 X 1 900 Close to other
machine m/staff mm Ancillary services
Laser imager 1
-Obtaining
imaging of patient
Sink 1
65

PHARMACY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Pharmacy -preparing & 3 Pharmacists 5.02 sq. 4.52 Refrigerator w/ 1 8 cu. Ft. Close to
sterilizing of m/staff biological drawers outpatient &
solutions inpatient service
Computer and 1
- preparing of printer Close to business
reports & finance office
Cold packs 1
-drug information Close to frontline
is provided Calculating machines 1 services

-pharmaceuticals Prescription scale 1 1 100 mm


are manufactured high
heavy duty 1
-medications are
Prescription scale
supplied to
nursing units
counter scale 1 600 mm deep
-biological are
stored and
dispensed Waste receptacles 1

-injectible
solutions
prepared and
sterilized Electric stove 1
drug cabinet, 1 600 mm deep
sectional type
Transaction counter 1 600 mm deep
66

Counter, cabinets
and drawers below

Counter, open 2
adjustable shelves
below
Swivel chairs 1
Book shelves 2
Sink w/ and Drain
board
Distribution trolley 500 x 700
mm

LABORATORY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Clinical -collecting 3 2 Medical 5.02 sq. m. 4.52 Refrigerated reagent 1 8 cu. Ft. Close to
Laboratory specimens technologist /staff storage Emergency
1 physician Department
-recording of Computer and 2 Close to
source & findings printer outpatient
department
-clinical hand Tissue processor 1
washing
Slide Storage 1
-blood collection, Counter 1
typing & cross-
matching
67

-donor screening Wall cabinets 1


-glassware Sinks 1
screening
-Clinical Microscope 1
pathology testing
Microscope table, 1 750 mm high
with cabinets and
drawers below
Waste receptacle 1

Waste paper 1 900 mm high


receptacle
Acid resisting 1
counter
Table 1 0.75mx1.37m
Swivel chairs 4 500 mm dia.
Distribution trolley 2 500 X 700
mm
Pathologist's -oversees work 1 Pathologist 5.02 sq. 1.51 Desk and chair 1 Adjacent to
office m/staff Laboratory
-typing Bookshelves
Computer &printer 1

OUTPATIENT
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Admitting & -patient arrives 30 Patients and 1.60 sq. 14.4 Waiting benches 4 600 x 3 600 Close to other
Waiting area on foot or in their companions m/person mm Ancillary services
wheelchair
68

Transaction counter 1 1 100 mm Close to financial


-patients waiting high services
their turn to be
attended
Consultation -Obtaining 2 1 Patient 5.02 sq. 3.01 Desk 1 750 x 1 200 Within Outpatient
Room patient's health m/staff mm Department
history
1 Companion Chairs 3 600 x 600 mm
-assessing of
patients case
Waste receptacle 1

Examination -physical 2 1 Patient 5.02 sq. 3.01 Examination Bed 1 90 x 1 900 Within the
Room assessment of m/staff mm Consultation
patient Room
1 Physician Examining Light 1
-doctor's
assessment
Stool 1 450 mm dia.
Adult Weighing 1 500 x 500 mm

Scale
Sphygmomanometer 1

Stethoscope 1
Diagnostic Set 1
Instrument ray 1

Waste receptacle 1

Sterilize 1
69

Physicians Office -writing 1 1 Physician 5.02 sq. 1.51 Desk and chair 1 750 x 1200 W/n the
m/staff mm Consultation
Dental Clinic -performing 3 1 Dentist 8.36 sq. 7.52 Desk 1 600 x 1 200 Adjacent to other
special dental m/dental mm Treatment Rooms
procedures 1 Dental Aide chair Swivel chair 1 & other Ancillary
1 Patient Chair 2 Service
Dental instrument 1
cabinet

Adjustable stool 1

Steel filing cabinet 1

Counter 1 500 x 700 mm


Dental unit 900 mm high
Instrument sterilizer

MEDICAL RECORDS
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Medical Records -filing and 2 Medical records 5.02 sq. 3.01 Desk 2 750 x 1200 Close to Ancillary
retrieving of officer m/staff mm Services
patient records Swivel chair 3 500 mm dia.
Transaction counter 600 mm deep

Writing counter 1 600 mm deep

Open shelving 400 mm deep


70

Distribution trolley 1 500 x 700 mm

Steel filing cabinet 1 500 x 700 mm

MEDICAL SOCIAL SERVICE


ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Social service -patient 2 1 Medical social 5.02 sq. 3.01 Computer 2 Close to
office presentation of worker m/staff Admitting Office
referral slip from
admitting clerk
1 clerk Printer 1 Close to
-medical social
Emergency Suite
worker interviews
patient
-updating of Chair 5 Close to Office of
records Chief Hospital
Desk 2 750 x 1 500 Close to Business
mm & Finance Office
Steel filing cabinet 1 500 x 700 mm

Cabinet 1 600 x 2 000


mm
71

MORTUARY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Lobby/ Waiting -family inquiry 8 Family of patient 0.65 sq. 1.56 Sofa 1 750 x 2 000 Adjacent to
area m/person mm Autopsy Room
-releasing Coffee table 1 400 x 600 mm

Autopsy Room -performing 2 1 Pathologist 5.02 sq. 3.01 Scale 1 Adjacent to


autopsy m/staff Lobby/Waiting
procedures area of Autopsy
-temporary 1 Utility Worker Instrument steriliser 1
storage
Suction apparatus
Waste paper 1
receptacle
Kick bucket 1
Footstool 1 900 mm high
Adjustable stool 1

Overhead shelves 1 500 x 1 200


and cabinet mm
Tiled counter, 1
cabinets below
Cabinet Autopsy 1
table & sink
Combination of 1
instrument & scrub
sink
72

NURSING SERVICE FACILITY


NURSING UNIT
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Private Room -monitoring of 2 1 Patient 7.43 sq. 4.46 Patient bed 2 1 000 x 1 900 Close to Nurse
patient's health 1 Visitor m/bed mm station
Chair 2
-sleeping Distance to
Over bed table 2
Outpatient
-resting Footstool 2 500 x 600 mm department
Bedside cabinet 1
-sanitation Lavatory 1 Close to Surgical
Room
Water closet 1
Semi-Private - monitoring of 8 4 Patients 7.43 sq. 17.83 Patient bed 4 1 000 x 1 900 Close to Nurse
Room patient's health 4 Visitors m/bed mm station
-sleeping Chair 4
-resting Distance to
Over bed table 4
-sanitation Outpatient
Footstool 4 500 x 600 mm department
Bedside cabinet 1
Close to Surgical
Lavatory 1 Room
Water closet 1
Office of the -recording data 1 1 Chief Nurse 5.02 sq. 1.51 Desk 1 750 x 1 500 Close to Nursing
Chief Nurse Visitors m/staff mm Unit
Swivel chair 1
Close to
Chair 6
Administrative
Steel filing cabinet 1 500 x 700 mm Service
73

NURSE STATION
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Nursing Station -records & reports 3 1 Chief Nurse 5.02 sq. 4.52 Counter 1 900 mm high Close to Nursing
patient care 1 Nurse m/staff Wards
activities 1 Nursing
-entertain queries Attendant Bulletin board 1
from visitors
-transferring to Adjustable stool 2
hospital's linen Chair
room
Clean Linen Room -storing of clean 1 1 Nurse/Nursing 5.02 sq. 1.51 Cabinets 600 mm deep Adjacent to Nurse
linens Attendant m/staff Station
-distribution of Linen carts 4
linens to patients
Treatment Room 2 1 Nurse 1.4 sq. 0.84 Patient bed 2 1 000 x 1 900 Adjacent to Nurse
1 Nursing m/staff mm Station
Attendant

DIETARY SERVICE FACILITY


DIETARY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
-receives visitors 1 Dietician Desk 1 750x1200mm
Swivel Chair 1
-stores, files & 1 Staff 5.02 sq. Adjacent to
Dieticians Office 2 3.01 Chair 2
retrieves data m/staff Receiving Area
Steel filing cabinet 1 500 x 700 mm
74

1 Dietician
Close to
-inspects and
Dieticians Office
checks the quality 1 Auditor/Senior
Supply Receiving 1.4 sq.
of food items 3 House Officer 1.26 Mobile cart 1
Area m/person Close to Dry
purchased from
Storage Room
the market
1 Food Service
Worker

1 Dietician Open shelving Close to Receiving


-storage of Room
Cold & Dry 0.65 sq.
foodstuff 2 0.39
Storage Room 1 Food Service m/person
procured Cabinet w/ shelves Close to
Worker Dieticians Office
Staff Dining -hospital staffs 1.4 sq. Dining table 1 Adjacent to Food
12 Hospital staffs 5.04
Room take their meals m/person Chair 12 Preparation Area
Close to Food
Pot cabinet
Preparation Area
Washing Area -cleaning the 1 1 Food Service 1.4 sq. 0.42 Close to Food
Slop sink 1
dishes Worker m/staff Conveying Area

Double 610 x 610 x


1
compartment sink 357

Locker 3
Locker Room w/ 1.4 sq. Close to Dietary
-dressing 8 Dietary staffs 3.36 Lavatory 1 500 x 600 mm
toilet m/person work areas
Water closet 1
75

ENGINEERING, MAINTENANCE & HOUSEKEEPING


MAINTENANCE & MOTORPOOL
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Storage - storing of tools, 3 1 Engineer 0.65 sq. 0.59 Cabinet Close to
equipments & m/person Maintenance
supplies needed Work Area
1 Utility worker Open shelving
for maintenance
works Close to Garage
1 Mechanic
Close to Staff
Room
Maintenance -cleaning, testing 3 1 Engineer 5.02 sq. 4.52 Counter 900 mm high Close to Garage
Work Area & repairing of 1 Utility Worker m/staff Wall cabinet
hospital Close to Storage
equipments 1 Mechanic Stool 1
Carpentry tools Close to Staff Rm.
Electrical tool
Mechanical tools
Locker Room & -changing of 5 Maintenance 1.4 sq. 2.1 Locker 3 500 x 600 mm Close to Staff
Toilet clothes staff m/person room
-storing of clothes Water closet 1
Close to
Lavatory 1 Maintenance
Work Area

Staff Room -makes 3 1 Engineer 5.02 sq. m 4.52 Desk 1 750 x 1 200 Close to
requisition for mm Maintenance
spare parts work area
-updates records 1 Utility worker Chair 2 Close to Locker
room & toilet
76

1 Mechanic Wall cabinet


Counter 900 mm high
Steel filing cabinet 1 500 x 700 mm

LINEN & LAUNDRY


ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
-changing of
Locker 2 Located within
clothes
Locker Room & Laundry unit 1.4 sq. the Laundry
8 3.36 Water closet 1 500 x 600 mm
Toilet workers m/person Department
-storing of clothes
Lavatory 1

-inspections of
linens brought Uniform rack 2 Adjacent to
from the drying Sorting &
area Washing Area
Pressing & 2 Laundry 1.4 sq.
2 0.84 Ironing board 1
Ironing Area workers m/person
-presses & irons Close to Linen
clean linens 660 x 2 400 Office
Table 1
mm
600 x 1 200
1
mm
Adjacent to
Open shelving Pressing & Ironing
Sorting bins Area
Sorting & 2 Laundry 1.4 sq.
-washing of linens 2 0.84
Washing Area workers m/person
Tiles washing Close to Linen
troughs Office
77

-receives linen
issue slip & 1 Laundry Head Close to Sorting &
Chair 4
prepares linen Unit Washing Area
items for issuance
-prepares forms
2 Laundry 5.02 sq. Close to Pressing
Linen Office for purchased of 3 4.52 Counter 900 mm high
workers m/staff & Ironing Area
materials

-retrieves Transaction counter

Shelving w/ bins
79

I. CONCEPT:

Design Concept:

Studies show that incorporating nature within a hospital can give a relaxing and peaceful

feeling for its users. Thus, large landscape areas and open spaces were included in this design

to supplement the medication of its patients. The structures form was curvilinear so that room

openings (especially nursing rooms) will be the landscape and open spaces.

In addition to the operability of the structure, administrative offices are located at the

center directly accessible to other departments to express its full control of the facility.
88

FRONT ELEVATION

LEFT ELEVATION
89

REAR ELEVATION

RIGHT ELEVATION
91

TOP: VIEW FROM MAIN ENTRY

RIGHT: VIEW FROM EMERGENCY


ENTRY
92

TOP: VIEW FROM REAR ENTRY

RIGHT: VIEW FROM REAR ENTRY


93

TOP: EXTERIOR
PERSPECTIVE

BOTTOM-LEFT: PRIVATE ROOM

BOTTOM-RIGHT: CLINIC
BIBLIOGRAPHY

Guenther, R. & Vittori, G. (2009). Sustainable Healthcare Architecture. New Jersey: John Wiley & Sons , Inc.

Leibrock, C. & Harris, D. (2011). Design Details for Health. New Jersey: John Wiley & Sons , Inc.

Nickl-Weller, C. & Nickl, H.(2009). Hospital Architecture + Design. Braun Publishing AG.

National Building Code of the Philippines. (2007). Quezon City: Vicente B. Foz.

Guidelines in the Planning and Design of a Hospital and other Health Facilities (2007). Manila: Department of Health

Ridley, Kim (2006). Healing by Design. Retrieved January 21, 2007 from http://odewire.com/52170/healing-by-design.html

Comprehensive Land Use Program of Baliuag, Bulacan

Health Statistics of Baliuag (2006-2011) from Municipality of Baliuag

2007 Annual Report of Lung Center of the Philippines

2009 Annual Report of Philippine Heart Center

http://lcp.gov.ph

http://phc.gov.ph

http://www.gmp-architekten.com/uploads/tx_gmpprojects/1419_e_Herzzentrum_Uniklinik_Koeln__web.pdf
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SCALE 1:300 MTS.


CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY GROUND FLOOR PLAN DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO
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CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY SECOND FLOOR PLAN DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO
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THIRD FLOOR PLAN


SCALE 1:300 MTS.
CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY THIRD FLOOR PLAN DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO
FUTURE DEVELOPMENT
AREA=14,737.38 SQ.M.
DEVELOPED LAND
AREA=10,016 SQ.M.
PU
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FILE
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ROOM CLINIC CLINIC CLINIC CLINIC


VA EN AUDI
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RECOAIN
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EMERGENCY ENTRY
PHARMACY
FEMALE MALE

CLINIC CLINIC CLINIC CLINIC

MAIN ENTRY

SITE DEVELOPMENT PLAN


SCALE 1:1000 MTS

CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY SITE DEVELOPMENT PLAN DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO
2
4.1
9

201.92
4
2.0
18
N

142.82
LOT 1 AREA LOT 2 AREA
12,134.96 sqm 12,618.42 sqm
28.43

SITE DIMENSION
141.60 73.29 SCALE 1:1000 MTS

CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY SITE DIMENSIONS DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO