CONTENTS

1 Introduction : Aims and objectives

Methodology
Scope of Work
Conclusion
2 Site selection : Site is at “Nagpur” Maharashtra

3 Case studies : a) Karunashraya at Banglore

b) Shanti Avedna at Mumbai

4 Requirements of the project

5 Planning consideration

6 Asthethic approach

7 Landscape of landscaping
elements

8 Conclusion

9 Bibliography
 Mauli - The Palliative Care Centre

INTRODUCTION

Cancer is not caused by germs but develop from uncontrolled

growth of abnormal cells known as Neoplasis (new cells)

Cancer divided into two types

1) Benign or innocent

2) Malignant which causes cancer.

TREATMENTS

1) Chemotherapy

2) Radiation therapy

3) Surgery

When these treatments tails to stop the growth of cancer at that time
cancer grows and patient transfer to last stage such patients are called as
TERMINAL CANCER PATIENTS.

As per World cancer record untill 98-99 @ 43 million people die

of cancer India Cancer record. @ 0.3 million people die of cancer.

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During death they have lots of pain this pain relief of terminal
cancer patients is done over such cancer care centre. During death they
don’t have little pain. The main aim of such a cancer care centres to give
them the peaceful death. Terminal cancer died within 2 months and that’s
why lots of care and love and physicological support of family is must but
some families send them to such cancer centre and over here nurses tried
to give them homely atmosphere, caring, love as well as release of
tension by counseling with them by mixing with them over here patient
feels free.

(Architect plays role of sociologist, as this is the social topic)

It is palliative care or continuing care. It aims to adding life to

days, not day to life. Hospital care enable a terminally ill patient (last
stage) to cross over without pain and suffering. Terminally ill patient are
those patients who are suffering from disease which are at last stage,
means there disease cannot be cured. Only care can be taken of these
patients

The care taken in these “PALLIATIVE CARE CENTRE” is in three

ways which are as follows :

1] Home care

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2] Day care

3] Inpatient

Terminally ill patients who are landing their time. They may not
be curable but they still need a lot of care medication of nursing to care
their suffering.

HOME CARE :

It is the type of service which is rendered to the patients in the

form that, the doctor or the nurse is called at the home or residence
where they take full care of medication means who treatment can be
carried out at the home itself.

DAY CARE :

It is that type of care in which the patient come to the centre

during day time, take full treatment where day of finally or right they can
return to their motive place, not need to stay in the centre for medication
of care.

INPATIENT :

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Deel to cancer in last stage the period for terminally ill patient
is two months maximum of two hours minimum.

So when terminal patients enter the care centre or take

admission in care centre. There is a test to known that they really care
terminal cancer patients or not.

It they are terminal cancer patients they are admitted to care

centre. The pain in cancer increased during last four months of for that in
care centre there is the medicine to relieve that pain which is quiet
effective. During these last two months or from the time of admission to
care centre medicine given to them i.e. pain killer medicines due to which
total pain is relieved during their death.

These type of care centre recognizes every individuals right to

die I dignity free of pain of in peace. No matter hour devastating the
disease they suffer from.

AIMS AND OBJECIVES :

Main aim : To design a better space t die.

To give them peaceful death

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Not for a hospital the clinical detachment of a hospital for the

emotional trauma of a home environment. A hospital is a combination of
love of splcialesea care with sophisticated palliative medical attention for
really of symptoms. For patients whose disease has reached an incurable
space stage. In the wards of Dame cicety “you matter upto the last
moment of your lye of we will do all we can, not only to help you die
peacefully but to live fully until you die.

Within this structure it is ensure sufficient diversity of

integration so as to in rich quality of life for the patients. To active an
appropriate design solution which would be an immense resource of relief
of comfort for the patients. To enhance the life of patients due to
immense care of the insure them to die with dignity.

METHODOLOGY :

Depending upon my aims of objectives about this topic as

mentioned above of my requirements I carried out a thorough study of
them I produced for my requirements. I third to care and design certain
auxiliary function along with care, love medication. The whole idea is
based on playing with spaces. The most important is the “Five elements”
which are of almost importance for human survival. I have paid due
consideration dimatology during my designing.

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SCOPE OF WORK :

The project MAULI the palliative care centre has got large scope
of work for design purpose. It is completely a design oriented topic which
is based on five elements of survival i.e. Panchtatva

Solid, Sun, Void, Air, Water of most important is human physiology. I have
designed such a place which is environmental friendly nearest to home of
far away from hospital look.

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SITE SELECTION

To select a site basic requirements are :

1) The site should always be reading accessible from all parts of the town
by public transport of possible be within easy reach of people upto are
in great need of that centre.

2. ENERGY CONSERVATION

2.1 General

The importance of energy conservation shall be considered in

all phase of facility development or renovation. Proper planning and
selection of mechanical and electrical systems, as well as efficient
utilization of space and climatic characteristic, can significantly reduce
overall energy consumption. The quality of the heath facility environment
must, however, be supportive of the occupants and function served.
Design for energy conservation shall not adversely affect patient health,
safety, or accepted personal comfort levels. New and innovative systems
which accommodate these consideration while preserving cost
effectiveness are encouraged. A discussion of energy conservation
considerations is included as Appendix B.

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2.2 Location

2.2.A. Access

The site of any medical facility shall be convenient both to the

community and to service vehicle, including fire protection apparatus etc.

2.2.B. Availability of Transportation

Facilities should be located so that they are convenient to

public transportation where available.

2.2.C. Security

Health facilities shall have security measures for patients.

Personnel, and the public consistent with the conditions and risks inherent
in the location of the facility. These measures shall include a program
designed to protect human and capital resources.

2.2.D. Availability of Utilities

Facilities shall be located to provided reliable utilities (water,

gas sewer, electricity). The water supply shall have he capacity to provide
normal usage plus fire-fighting requirements. The electricity shall be of
stable voltage and frequency.

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2.3 FACILITY SITE DESIGN

2.3.A. Roads

Paved roads shall be provided within the property for access to

all entrances and to loading and unloading docks (for delivery trucks).
Hospital with an organized emergency service shall have the emergency
access well marked to facilitate entry from the public roads or streets
serving the site. Other vehicular or pedestrian traffic should not conflict
with access to the emergency station. In addition, access to emergency
services shall be located to incur minimal damage from floods and other
natural disasters. Paved walkways shall be provided for pedestrian traffic.

3.2.B Parking

Parking shall be made available for patients, personnel and the

public, as described in the individual sections for specific facility types.

SITE INTRODUCTION :

The site is situated at Nagpur. Wardha Road. The site has road
from three sides of on one side railway track. The main entrance is from
the road which is 100 N wide.

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Site area : A =
304.0 m

B = 264.0 m

C = 288.0 m

D = 256.0 m

The total area for site = 19.12 acre site

The site is totally plain site.

REGIONAL CLIMATE OF NAGPUR :

It is necessary to give due consideration to the local climate

before planning any structure because climate affect the design of the
building. The study of climate also helps to achieve human comfort
through planning of building.

Nature of climate : Nagpur climate is hot and dry. There are two main
seasons i.e. winter and summer. There is normal rainfall during rainy
season. Summer season is for 8 month and dryness is through out the
year, except the rainy season. May is the hottest month and the monsoon
starts in June. The average rainfall is 46.5”.

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Air Temp : Max 400C Min. 30C.

Humidity : It varies from 10% to 55%. Air is hot and dry, so there is quick
evaporation.

Sky Condition : Sky is clear normally due to low humidity there are few
clouds. In the sky there is much glare. Clouds can be seen only during
rainy season in month of June to first week of September.

Wind : Nagpur has winds through out the year. The monsoon winds are
from West-East. In general the winds are from South-West are from South-
West to North-East. Nagpur lie on 210 North latitude.

Amount of heat received during May to July is maximum and

during Nov. Dec-Jan is minimum. The horizontal surface receives the
maximum amount of heat.

Clouds : Clouds can be seen only during rainy season in month of June to
first week of Sept. In Nov-Dec. slight clouds can be seen on eastern
hemisphere.

VEGETATION OF THE SITE :

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The site has been divided into different zones according to

climatology and design part : -

1) Buffer zone : Site has railway track on one side hence it is essential to
create dense buffer zone to present site from more pollution.

2) Gardens used for re-creation of nurses.

3) Vegetation + fruit trees.

4) Garden

5) Lawns with water as main element.

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CASE STUDIES

1) KARUNASHRAYA – at Banglore

2) SHANTI AVENDA ASHRAM – Mumbai

CASE STUDY - 1

KARUNASHRAYA – at Banglore :

Architect – C and T
construction. Ar. Sanjay Mohe.

A joint project of Indian

cancer society Karnataka chapter and
Rotary club of Banglore, Indiranager. 5
km from Banglore Airport on the
varthur main road which leads to whitfield. Banglore.

Facilities they give :

1) Home care – 1994-95

2) Day care construction started from 96.

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3) In patient care-from 99.

Home care since 94-95 :

Total no. of patients – 825

Active patient –16

Not active – 10

Transferred to Hospice –91

In patient – since 99 :

Total Admitted – 1167

Patient on 17 June 02-17

Discharged – 301

Total deaths – 688.

TOPOGRAPHY –

Plane site :

SITE : The land-20 acre.

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4 acre building block containing big water body around 10-12

acre site used for fruit trees, farming, vegetables, flower trees.

3 to 4 acre site used for landscaping at the entrance, and inside

the structure. There are 3 gardens inside the block.

ORIENTATION :

Site facing to south side.

Main road at south side.

GROUND COVERAGE / BUILDING TOPOGRAPHY :

Near about rectangular building block, G + 1 structure, with 3

gardens and 2 water bodies, front façade with flat roof. Composite
masonry used gray stones used to all building with R.C.C. wall.

STRUCTURE ON BUILDING :

Main building

Security

Meter room

Servants quarters

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AREA FACILITIES PROVIDED :

1. Entrance/ Exit (porch)

2. Reception

3. Administration block

4. Training centre

5. Doctor chamber

6. Checking lab

7. Day care hall

8. Visitor area use for recreation

purpose

9. Prayer room

10.Morgue

11. Medical centre Prayer room used to pray for peace of

soul.

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12.In patient facility

13.Accommodation for nurses

14.Service area – Kitchen, Stores, Laundry, Service entry, Canteen,

Courtyard entry .

FOUR 12 BEDED WARDS :

1) Malliage

2) Kamla

3) Samige

4) Shaivantige

SUGANDHI - 5 No. private room :

Single kitchen for staff and patients. Black – topped service

road 10’ wide.

Medical Waste (cottons) transferred to Government cancer

Hospital to burn. In incinerator.

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ENVIRONEMNT CERATION :

1) Terminal cancer patients lives for maximum 2 months, that’s why the
environment created also help them to release the tensions soothing
and healing environment gives them psychological comfort.

2) Courtyards provided to all wards creator the healthy environment for,

water body the sign of purity, landscaping helps then to involves in
nature.

3) Water fall creates the effect the sound generated by falling water into
water body gives the coolness to mind.

4) Water body is situated in such way all wards gets view.

5) Fruit trees are planted at the backside of water body, which is visible
from all sides of centre. Birds gather and sit on those these of due to
their chirping a soothing sound is generated which also helps to feel
patients relaxed and give oneness with nature.

6) Rain water over the slab collected into water body. To avoid the
problem of water collection during rainy seasons they give the solution.

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When little water body. When second also overflows through pipes that
water transferred outside the main building block to the garden which
is at the entrance that pipes are laid before construction, if water from
third body, overflows transferred to fourth and if water is not soaked
inside the garden that is transferred outside site to municipal drainage.

7) They have four bore wells, during rainy season when water is soaked
by the land which in turns rises water required for landscaping.

8) WARDS : 1) Nurses station situated

centrally so that they get the view
of all patients and to look after
them during they use toilets. 2) The
wall raised up to and in between
two beds give the privacy to each
and every patients. Use as
wardrobe. 3) The doors provided for
every bed gives them the view of
water body and landscape (courts)
while they an relaxing. 4) Doors are
made in such a way that they
provide security as well outer look.

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5) Waste cotton duct provided to the back of the toilet block which is
collected the evening and burnt into incinerator, hygienic environment
10 maintained. 6) Though the max. patients not able to go to eat. The
pull car is there which serve food to all patients on bed, such
arrangement is there that the wooden plate of 1.5 feets attached to
bed which is rolled over bed. 7) Checkered m.m. tiles used as Hooring
i.e. easy to clean to maintain the healthy environment. 8) Composite
wall is used which has the exposed gray stone blocks which it gives
descent and cool look. 9) For parking no special type of construction is
there, parking is done below the shade of tvel. 10) However trees and
benches are at the side of the entrance and exit roads which give nice
look. 11) Compound wall covers with Bogan well gives beautiful look of
flowers. 12) Nurse station is so closed that they look after them 24 hrs.
and privacy of nurses maintained.

CASE STUDY – II

2) SHANTI AVEDNA ASHRAM,

MUMBAI

Location – 216 Maunt Mary Road,

Bandra, Mumbai 400050.

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SITE :

TOPOGRAPHY :

Site hopes steeply downward from the road, i.e. from east to
west with level difference of approx. 7. am. The near (west) side and
south Boundary is well vegetated with trees and bushes 15% site area
(front) is landscaped with bushes and a well maintained lawn.

ORIENTATION :

The site being on a hill side, a panoramic view of the Arabian

sea, is seen on the west from the rear of the building.

Area – 400 m2 F.S.I.-1

PROPORTIONS AND SHAPE :

FSI consumed 0.96, (15%) plot area left for recreational purpose
plot is approx square in shape.

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GROUND COVERAGE/BUILDING TOPOLOGY:

C shaped building block (G+4) with a central courtyard at the

rear flat front façade with flat roof. Has extrovert character for
accommodating sea view.

STRUCTURE ON SITE :

Main building + parch + suction tank and meter room.

SOIL CONDITION / EFFECT ON DESIGN :

Murrum hill side has a lower ground floor mainly service floor
with rubble retaining wall on the east side, due to level difference.

AREAS / FACILITIES PROVIDED:

1. In-patient facility

2. Administrative block

3. consultation /medical areas

4. Day-care

5. Relatives-accommodation +canteen

6. Staff accommodation

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7. Service areas

Kitchen, stores, mortuary, lifts, laundry, service entry, kitchen

entry, loading/unloading, canteen, pantry, court yard entry.

8. Entrance /exit.

Main, court yard canteen, kitchen, service.

9. Prayer room.

10. Study centre

11. Ten beded wards.

Single kitchen for patients and staff.

Black-topped service road 10 ft. wide

Plumbing, drainage-to municipal system-capacity 4809.375 gallons.

Incinerator for destruction of medical wastes.(according standard

specification)

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LANDSCAPING ELEMENTS
SELECT THE PERFECT LANDSCAPES PLANT

Plant perform a variety of uses in a landscape. The form, the

basis for the garden’s floor, walls and ceiling. They provided privacy,
colour, shade, noise abatement, wind screening, erosion control, cooling,
food for your family or wildlife and most of all, they add value and beauty
to your property.

 Trees :

Trees are the tallest elements in a landscape, providing a frame

work for the setting and giving the design visual strength.

 Shrubs :

Shrubs offer the most versatility among landscape plants. They

are invaluable as foundation, planting, as screen and hedges, in shrub
borders, or as accents. When choosing shrubs, consider how their form
and the texture of their foliage and branches work with the landscape
design.

 Shrubs Borders :

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Shrubs borders often create along a property border or a

background of a flower ground. They can be used to separate different
areas of the landscape or to hide security fences.

 Hedges and Screens :

Sheared hedges are a bit out of vogue these day because they
require pruning several times a year.

 Vines :

Because they are climbing woody plants, vines make excellent

landscape plants for screening small areas, covering fences, arbors and
trellises, and softening corners and rough walls. They are especially useful
where space is at a premium-vines can also be allowed to climb up the
side of the house, although sometimes tendrils can damage mortar and
loosen clapboards. It is often advisable to grow a vine on a trellis placed in
front of the building rather than allow it to grow directly on building.

 Locating Shade Trees :

Shade trees are usually bets located to the sides, where they
will frame the structure rather than block it. When the vertical lines of a
tree’s trunk cut through the view of the structure this makes the former

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appear less significant and stops your eye from traveling towards the
front door, which should be the focal point of the design-framing a
building with trees makes it appear larger or longer than it is and leads
your eye to the front door.

 Locating Beads of Borders :

Sometimes called an island bed, a bed is a planting area

accessible from all side. Beds should be in a proportion to the rest of the
area. Any bed occupying more than one third of the lawn one will nose
likely appear out of proportion. Beds in formal gardens call for straight
edges and a symmetrical designs, but in an informal planting, they can be
free form Designers plant curves to be gentle because those that are too
sharp look contrived and busy soil within a bed can be mounded to create
a berm and give a flat garden needed dimension.

Bedding plants should be chosen with care so the area looks

distinctive and not merely like a functional hedge. The combination of all
these small details can create an imaginative landscape designs. The
designs which not only give pleasure to watch but enhance the quality of
people’s life.

A. TREES :

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1) Boganwell at the boundaries

2) Mango trees

3) Babul trees

4) Kanher flower trees

5) Chrisms trees

6) Tulsi, Bushes for garden

7) Nilgiri trees

8) Ashoka trees

9) Flower – Zendu bush

10)Rose bed

11)Orange trees

12)Banana trees

13)Coconut trees

14)Awla trees

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B. WATER

C. BENCHES CAST IN STONES

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REQUIREMENTS OF THE PROJECT

1) Music and sound therapy 2) Colour therapy 3) Landscaping elements.

A) 1. Security 2. Generator room

A) ADMINISTRATION

1. Entrance 2. Reception and waiting

3. Director office 4. Record 5.
Training centre for 50 persons.

C) DAY CARE CENTRE + INPATIENT

FACILITY

1. Doctor’s Chamber + Testing lab 2. Psychiatrist Chamber 3. Library 4.

Quiet room 5. Day care hall 6. Recreation room 7. Smoking zone 8. Care
giver’s room 9. Locker’s

D) COMMON FACILITIS 1. Dining hall 2. Kitchen 3. Pantry 4. Wash-up

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E) PATIENT FACILITIES :

1. 4 Wards-2 Gents + 2 Ladies, Private room : 4 No.-50 Patients,

2. Wheel chair + stretcher area.

3. Morgue,

4. Medicine storage,

5. Drying Area,

6. Wash Mac. Room.

7. Incinerator room.

8. Utensils Wash.

9. Area for waste cotton.

F) ACCOMMODATION : 30 Nurse-4 Main Nurse –2 Driver

1. Warden Room

2. T.V. Room

3. Store

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4. 4. 1 Bhk quarter

5. 2. 2 Bhk quarter.

6. 2 Driver – 2 room block, 7. 5 No. Guest Room.

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PLANNING CONSIDERATION

ZONING CRITERIA AND CONCEPTUAL :

Main Principle :

All the activities to be performed in this care centre are

grouped together i.e. attached building concept. This concept has been

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kept in mind white designing for this project hence care centre is
designed because patients need 24 hrs caring.

Aims and Objectives :

The main aim of this project is do render comfortable and

peaceful life as long as they live and to die with dignity. The ultimate aim
of this project is to “Design a better place to die”.

Concept :

The concept of this project are fully design based and aim to
design a better place to live the ending days of life in peace and dignity.

1) To use natural energy resources i.e. use of stored solar energy. Energy
efficient of self sufficient building is designed for environmental
friendly concept.

2) Landscaping elements : Water is the main landscaping element of this

project.

WATER THE MAINELEMENT OF THE PROJECT :

Our roots in water are not just physiological and psychological.

Water is essential for every aspect of human evolution. Each great culture

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started its advent neat to the banks of a great river. Ancient man soon
learnt that this development was determined by his ability to organized
and manipulates water.

THE NATURE OF THE WATER :

Water which is so, central and so vital to basic life is also vital a
diverse range of aesthetic and recreational pleasures. Water has so many
different and contrasting qualities all of which can produce a diverse
range of effects-visual and auditory. Depending upon volume, velocity,
quality of light soil, geology, and lots of other factors water can be
reflective and moody, crystalline and sparkling, auditory and awesome. At
one time it can be clam reflective crash resoundingly through an
arrangement of rocks or soot upwards towards the sky in a spirited
bubbling jet.

MOVING WATER :

On fairly gross level water bodies can be classified into moving

water and still water. Cascades and waterfalls seen to impart more of a
sense of excitement that calmer stretches of water, partly because the
rocky setting of those features are wilder and much more dramatic than

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the broad flat river valleys and also because of the visible discharge of
energy that is produced in any such situation the most noble examples of
moving water naturally create their own. Immediate aesthetic frame and
is therefore the centre of.

THE SOUND AND FEEL :

Water produces an endless range of sounds as it flows over and

around obstacles, as it sprays into the air and then returns to the surface,
a sit falls over rock into pools, a sit pulls air into its folds and combine
with it to produce even greater nuances of white water and waves. There
is hardly a sound created by water, which can be considered as
distressing, or annoying, except may be floodwaters. The very sound of
water has a cooling effect on people in hot climates. Even if the source is
hot apparent, the sound creates a sense of anticipation and is an
attracting force.

Anyone who hikes through a hot woodland experience the some

urge upon arriving at a stream, pool or waterfall, that a city worker
experiences upon discovering a cool, splashing urban fountain while
trudging the hot side walks on a summer day. The natural urge is to
proceed beyond the visual and auditory experience, to look and listen is

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often not enough to satisfy out deepest needs. We want to feel the water
in order to complete out experience with it.

STILL WATER :

In quiet ponds, lagoons,

canals or lakes water presents an
entirely different set of moods, sounds
and settings than water in motion.

ARCHITECTURAL FOUNTAIN
SYSTEMS :

The basic components of the mechanical system for a

recalculating fountain / water display are the pump, with a screen
protecting it from debris, a delivery line connecting the pump and the
fountain, and another suction line connecting the pump and the fountain
pool. A main drain, an overflow drain and control values. Should be
regulate the operation of the system and facilities its maintenance.

ROLE OF WATER DISPLAY CONSULTANT :

Water display has today come alone way than the simple
fountains and water bodies of yesterdays. Technological advancements

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have now made it possible to create a wide variety of possibilities,

permutations and configurations of water, colour and sound. Different
novel types of musical fountains, water sheets, cascades and water
display gimmicks are possible to be created. Moreover over display
activity has acquired a high degree of sophistication and it is not longer
possible to create “Water Architecture” without the specialized
involvement of water display consultant, on account of the increasing
necessity to relay on advanced technology on advanced technology,
hydraulics, electric / control systems and relevant engineering
technicalities. Water display engineering has emerged as a discipline in it
won right. Buildings and status have become land markers in our city, but
similarly water display architecture elements are becoming a civic
landmark in itself.

Second main landscaping elements is various types of lawns and trees

:

a) Diamond lawn

b) Rajput lawn

3) Last but not the least the “PANCHTATVA” – Five elements : Is the main
planning concept of this care centre.

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a) Water

b) Sun

c) Air

d) Solid (Building blocks)

e) Sky (Void).

All these elements together form and complete a human being.

And patient i.e. human for which this centre is designed. Hence main
concept of this project is PANCHTATVA – five elements.

The long drive way leads upto entrance plaza, with an

administrative area and day care centre in front. The wards are located
towards the rear side surrounded by water body with the greenery
beyond enhancing the feeling of being with nature.

The water body plays a gental pivotal role, offering the

serenity, this kind of a situation necessitates. The large expanse of water,
forms the major orients itself, as most of the residents are in advance
stage of cancer and are subjected to excruciating pain, the main attempt
was to try and capture feeling of tranquility and a sense of calm, to

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soothe the nerves of those succumbing to the ravages of cancer. It was

felt that water the natural element could be used to capture this feeling
successfully than any built form could.

Hence where the built form recedes into the background the
vast surface of water becomes a stage upon which the ever changing
light, the breeze, the rain the nature perform and the reflection on the
water, almost a metaphor, for one reflecting on a life slowly, but steadily
drawing to a close.

A typical module is developed to have a centralized nurses

station and washing area, with individuals spaces for each patient, which
has storage space, a door leading to verandah with a sit out overlooking
the pond”. In essence it is “like a room with a room, open but private”.

We found that when a person is in hospital, a lot of time is

spent looking at the ceiling in response to this, rooms are located such
that, the mirror images from the water body, reflect onto the ceiling
creating myriad mobile undulations. There are court yard in between the
wards and other open spaces acting as transition spaces. The walls are
flanked by verandahs, which opens towards the water body and
courtyards on either side, offering a flowering sequence of spaces.

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The nurses living quarters though close to the wards, has its
own privacy with an independent entrance and a residential ambience.
The material used is locally available which ages most gracefully when life
is at its ebb and its time to ponder is peace, when all the worlds
medicines cannot offer a cure, how amazing is to have humanities helping
hand each out and smooth away the agonies of life.

ROLE OF PHYSCIATRIST :

Psychiatrist play an important role in the life of patient who is at

the ebb of life and wants to ponder in peace and with dignity. Psychiatrist
counsel the patients, hear to there pain and problems and teach the
trainees, family members how to take care of the patient. How to keep
them engage busy so that they can forget there pain for some time.

Psychiatrist help to release patients mental tension and give

them peace and way to lead their last days of life with place and dignity
“Where there is no cure -------- there is care”. Is the main objective of this
project. It is an endeavors to create a serene environment with quality
care, irrespective of caste, creed or colour for terminally ill cancer
patients. Much of this is achieved through the design of architectural
spaces that would complete body and mind to be in peace where
sensitivity to context become imperative.

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AESTHETIC APROACH

Five elements are the base of this project of they create a way
towards aesthetic. The five elements are as follows.

1) Water

2) Sun

3) Air

4) Solid (building)

5) Sky (void)

Water :

First water body circulated

by administrative block and other
water body to dormitory block.

The levels of these water

bodies maintained so that water when gets C shaped building of
dormitory in more quantity during rainy season,
the water level is maintained in three tanks.

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If water is still water : It creates nuisance and that why that

water gets moving with the help of air wheel. The water from all these
water bodies are moved towards sump tank and with the help of water
treatment plant, water is treated by adding of more amount of free
oxygen in treatment plant and circulated with the help of air wheel to al
water bodies.

The water bodies reduces the temperature of the courtyard

considerably.

Sun :

Sun is one of the basic element, sun is an inexhaustible energy

source which can be utilized in this care centre in the form of solar energy.
Solar equipment are used to trap solar energy and then this solar energy
is used for various purpose.

Air :

Air is basic elements for human survival to live all human

beings breathe air, hence this air should be fresh and pollution free proper
air circulation in maintained throughout the centre by providing adequate
number of openings. The whole site is planted proper so that fresh air is
available that can help patients to feel fresh and calm.

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Sky :

Sky is an element which helps oneself to keep cool and

attached with nature. Sky can be seen from each and every room,
courtyard, garden corner of this centre to give a soothing look to the
eyes.

Colour :

Proper colour scheme i.e. selection of proper colours for each

and every room of say ward helps to give smoothness to patients. Cool
colours are generally used rather than warm hot colours. Colours should
be selected such that they can match he purpose for which that block is
designed.

Texture :

Different forms of textures can be used throughout the centre

to change the monotony the, or else one gets bore of seeing the same
texture at each and every point of the centre, hence texture should be
changed wherever necessity arises in form of stones like dholpuri,
exposed bricks, tiles, rough plaster, checkered flooring etc. But it should
not exceed the limit.

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HUMAN PSYCHICOLOGY :

Human beings lead social life means friendly to one another

and environment and each and every object related to them hence he is a
social animal. He first sees and feels everything, thinks about it and than
proceeds. Each and every human being needs care and protection, unlike
any normal person terminal patients also wants place and soothing
environment i.e a place wither they can render there last days in peace
and care. Designing should be based related to their psychology and
accordingly landscaping elements should be provided.

When a child borns and as he grows up he feels everything and

according to his conclusions his mind develops, further as he grows he
wants to earn for himself and his family to land a letter life at that time
his psychology becomes materialistic finally if he suffer from cancer his
psychology changes, his craze for life becomes nil and at that time we
should create such environment by means of architectural elements in
which he feels to lead last days of life in peace care and with dignity and
hot in feeling of fear to die without dignity.

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That place should be such that, person should feel to render his
last days. He should not feel that other people are caring for him just
become of sympathy and that place should not give a feeling of hospital.

CONCLUSION

There are times, when despite our best effort and all the
modern advances in medicine we have to admit that we have nothing
more to offer “Terminal cancer patients. Many people die in absolute
misery, complete deprived of basic facilities, very often in great pain and
not infrequently without barest of dignity. In India the entire medical
system is groaning under weight of sheer number so what is to happen to
these wretched patients? where should they be left to die? Should an over
worked doctor and a crowded hospital merely discharge these persons,
literally abandon them and move on to other lives which have hope of
being saved?.

“You matter uplast moment of your life,

And we will do all we can,
Not only to help you die peacefully
But also to live untill you die.
There are question that should and must concern any right
thinking person. And a little though will reveal that the answers lies not in

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an automatic negation of love and care but at the heart of Hospice care.
“There may be a limit for cure but there is no limit for care.

We should start this project with a hope to contribute our mute

to giving back to a miserable human being the dignity he is entitled to by
birth, the freedom from pain, the basic comfort of a clean bed and above
all the love of caring of compassionate hands.

Hence I decided to take this project as my thesis topic and I

have tried my level best to give an good and appropriate design solution
which would help to create a better place to die.

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BIBLIOGRAPHY

1) Time saver standard – landscaping

2) Inside outside magazine

3) JIIA journal

4) Design a better place to die-Joan Kron.

5) Silent spaces – Gautam Bhatiya

6) Notes available from case studies

7) Karunashraya

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