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West Coast Lady Medical Resort

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West Coast Lady Medical resort was designed for teenage patients who had kidney transplant surgery and have been released from hospital. This resort not only accommodates guests with the clinical and hospitality facilities, but also this transitional healing space transform their life journey.

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West Coast Lady Medical Resort

BY

Neeyaz Angoshtari

A thesis Submitted in fulfillment of the

requirements for the degree of

MASTER OF FINE ARTS IN

INTERIOR ARCHITECTURE AND DESIGN

ACADEMY OF ART UNIVERSITY December 2012

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Design Development

intRoDUCtion AUtoBiogRApHYResUme

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implementeD AReAs

Design Development

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AUTOBIOGRAPHY

My name is Neeyaz Angoshtari, I was born and raised in Iran. The Farsi to English translation of Neeyaz means your greatest “need” in life; or deep-est desire. Education has always been my greatest “need” and desire in life. The desire to grow and improve has placed education as a central focus in life. I am fortunate that my continued commitment to education has enabled me to attend well-regarded schools over the course of my life.I dedicated time to study science and earned a Bachelor in Software Engineering in Iran. In 2003 I moved to the United States of America where I continued my studies at the University of South-ern California, Los Angeles. While studying at the

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University of Southern California I was awarded a teaching assistantship and research assistantship. This assistantship opportunity allowed me to realize my passion for teaching at the university level. After completing my Master’s in Computer Science in December of 2005 I worked as a programmer and analyst in both education and medical fields.

While much of my education career has been dedicated to math and science, I have always been inspired by the beauty of nature and power of color and see my passion for art and science work togeth-er. During a trip to Dubai in 2002 I visited the Burjo-larab Hotel, the first seven-star hotel. I was mesmer-ized by the beauty, harmony, and elegance of the interior design. This was a transformative experience that inspired my to pursue a career in interior design. With this new desire and passion to learn the skills and tools of design, and transform ideas into reality I moved to San Francisco to study Interior Design. I

feel so fortunate to study design in San Francisco as the city is brimming with inspiration and has further enriched my design education while bringing design into my daily life. Looking back at my journey and the various areas I have worked in from computer science and research I see a continued use and application of these skills. My design approach is to create a functional space for the user that is inspired by nature, while applying geometric and mathematical rules. This diversity has greatly strengthened my artistic view. I have always created art, but interior design has my life in technicolor. The joy of doing what I am truly passion-ate about has given me the chance to fully express myself. I am full of anticipation as this journey has been full of excitement and this chapter of my life is just beginning as I start my career as an interior designer.

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RESUME

independent contractorCOMMERCIAL | HEALTHCARE | RESIDENTIAL

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independent contractorCOMMERCIAL | HEALTHCARE | RESIDENTIAL

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INTRODUCTION

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Designing this rehabilitation center was an espe-cially personal project as it is one I have wanted to work on after working with young kidney transplant patients. During that time I quickly saw the need for a center, a transitional space that serves young kid-ney transplant patients as they recover from surgery and their family. There are four primary hospitals within the San Francisco Bay Area that specialize in kidney transplant surgery. Many patients travel here from outside California to receive this special-ized care. There are many steps that happen prior to receiving surgery, including ongoing sessions of dialysis, searching for a donor match (often with a wait list that can last years), and then preparing to have an invasive surgery. After surgery patients need to be monitored and watched carefully and take special care for a few weeks to ensure the best

THESIS SUMMARY

result, and this is all happening when the support system is exhausted with the process. This is a physi-cally and mentally exhausting time for patients and their friends and family that serve as support during this stressful journey through diagnosis to treatment. Often parents are required to return to work before the recovery period is complete and are unable to give the care needed to ensure a successful trans-plant. This facility will offer greatly needed clinical support as well as providing a “transitional space” for patients and give them the opportunity and inspi-ration to “transform” this difficult experience into a new chapter in life, with a new organ.

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CONCEPT

The idea behind designing this center was to create a transitional place between hospital and home for children to recover from kidney transplant surgery. There is a goal and desire to transform a child’s vision for the whole experience before they start their new life with their new organ. Parents will also receive support and opportunity to create a posi-tive experience in this new chapter in their life. All together this center is like a COCOON for chil-dren and their families. When the metamorphosis is complete the new butterfly will break its way out of the casing and spread its wings. I see recovered children coming out of the center and flying out to the new world of possibilities with their beautiful new wings.

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SERVICES

Medical CarePost-operation routines focus on closely monitoring kidney function, observation for complications, signs of kidney rejection and transplant progress. Medica-tion weakens the body’s immune system requiring special care and facilities. Nutrition and medication will be provided and monitored. Some patients may require dialysis sessions after surgery. Kids and their caregivers have access to therapy and consulting ses-sions as part of the medical care. EducationComprehensive education for patients, and their families after the procedure. Kids will be educated about different areas that matter most for their age range including nutrition, physical activity/sports, skin care, fashion consultation, relationship advice and communication skills.Local hospitals with transplant departments will have access to W.C.L. for meetings and collaboration between physicians and nurses.

The mission of the proposed center is to support recovering children and their family as they recover from kidney transplant surgery. A variety of services will be offered in the center, including medical care, education, hospitality and entertainment.

HospitalityParents or caregivers have the opportunity stay with their children during recovery enabling those that would otherwise need to commute from their home (near or far) to now stay with their children at the W.C.L. Patients may also have guests come for hourly visits to enjoy the facilities. EntertainmentA variety of entertainment services for patients and their families to enjoy on their own or with others (caregivers/other patients/friends). Indoor activities include an indoor gym, game room, pavilion, music stage and dance floor. They may choose an outdoor activity in the healing garden or watch a movie at the dynamic roof theater in the pavilion. W.C.L has been designed and tailored to give different options to different personalities.

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SERVICES

recovering children

parents/caregivers

medicalcaregivers resort employees

visitors

USERS

CLIENTThe Presidio Trust, a federal agency created by Congress helping preserve historic buildings in the Presidio and transforming existing space to serve a new national purpose.

USER PROFILEThis center provides different services including: medical, hospitality, entertainment and education. For each of these services the users of the space are children and adults.-Children age 10-16 range who have had transplant surgery and have been released from the hospital.-Adults will be the child’s parent or caregiver that will stay with them or come by for visit.-The other group of adult users of W.C.L are medical caregiv-ers, resort employees (maintenance,administration, staff).-Kids may have guests for an hourly visit.

USER PROFILES AND CLIENTS

MEDICAL CARE

EDUCATION HOSPITALITY

ENTERTAINMENT

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You may be wondering where the name “West Coast Lady” came from? In selecting a name for this resort I decided to choose a name that sounds neither like a medical or rehabilitation center, but instead a memora-ble name with intrigue. A unique name to elicit questions and encourage further inquiry to reveal the true beauty.

WEST COAST LADY(WCL)

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Drawing inspiration from butterflies in the design of the medi-cal center, a cocoon concept, and a biophilic design approach selecting a name from a butterfly specie from Northern California was a natural fit. While sifting through San Francisco butterfly names that matched my criteria the one that I kept coming back to and held my attention was “West Coast Lady”. I was reminded of the famous “painted ladies”, or fanciful victorian homes that border Alamo square and are one of the most photographed and recognizable landmarks in San Francisco. The “West Coast Lady” shares another recognizable symbol of San Francisco as the butterfly share the same colors as the San Francisco Giants as they are both in black and orange. This name encompasses the transformation of a butterfly as it emerges from the cocoon, it’s place on the West Coast, and the true colors of this fare city by the bay. Now you know how West Coast Lady came to be, the lady she is today.

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ChapTeR ThReePHOTO BY NEEYAZ ANGOSHTARI

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PHOTO BY NEEYAZ ANGOSHTARI

SITe & BUIlDINgS

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West Coast Lady (W.C.L.) is located in California, in the city of San Francisco, in the “Presidio” neighbor-hood.

PRESIDIO HISTORY“The Presidio of San Francisco is a 1,491-acre national park site and is part of the Golden Gate National Recreation Area. The Presidio was in con-tinuous use as a military post from 1776 to 1994, spanning the Spanish, Mexican, and United States periods.From March 28, 1776, the Presidio of San Francisco was a military post with local, regional, continental, and global connections. The original el Presidio was established by the Span-ish as the northernmost outpost of colonial New Spain (Mexico). With Mission San Francisco de Asis (Mission Dolores), and the later pueblo at Yerba Buena Cove, these three early settlements marked the genesis of the City of San Francisco. Before the arrival of the Europeans, this northwestern corner of San Francisco was Ohlone territory for more than a thousand years.

The Presidio in its entirety was declared a National Historic Landmark District for its importance to Spanish colonial settlement and its prominent U.S. Army history.In 1972, the Presidio of San Francisco - then an ac-tive installation - was included within the boundaries of the Golden Gate National Recreation Area. On October 1, 1994, after the post became excess to military needs, it was transferred to the National Park Service.In 1996, Congress created the Presidio Trust, a federal agency charged with preserving the natural, cultural, scenic, and recreational resources of the Presidio, and transferred administration of the park’s interior lands and more than 700 buildings to the Presidio Trust. Today, the Presidio welcomes local, national, and international visitors and is home to a community of residents and diverse organiza-tions.”[1]

HistoRY oF pResiDio

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From the map we can see how the resort is accessible from 4 hospi-tals specialized in transplant. Also it shows accessibility of different air-ports in bay area to the center.

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Site criteria:

• Sanitary area with fresh airThe project is a design of a recuperating center so it should be located in a place that serves this purpose. Patients who have had an organ transplant have a weak immune system, the fresh air and calming envi-ronment in the Presidio Park are ideal. • Access to transplant hospitalsThe W.L.C. center easily accessible to UCSF Medi-cal Center, Pacific Height Medical Group, Oakland Children’s Hospital & Research Center and Stanford Hospital and Clinics.• Well suited place for resort and recreational facilityPatients and their families will come to this place for physical and emotional support and recovery. Park Presidio is a tranquil park with scenic views, an ocean breeze and the convenience of being close to down-town San Francisco without being in the city.

WHY PRESIDIO?

There are also many places within or adjacent to the Park Presidio for patients and families to visit includ-ing:o The Walt Disney Family Museumo Bowling Centero Interfaith Centero Exploratorium • Access to the Airports San Francisco International Airport, Oakland International Airport and Alameda NAS Airports are close and convenient.• Easily accessible from San FranciscoPresidio is within the city, but distanced from city traffic and noise. Parents who need to take care of business in the city can easily commute. It is also very convenient for people who are visiting patients to commute to the Presidio with public transit.

In addition to the qualities above, I was looking for a place in San Francisco to contribute to improve the quality of life in my community.

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EXISTING BUILDING BLOCKSEXISTING BUILDING BLOCKSEXISTING BUILDING BLOCKSEXISTING BUILDING BLOCKS

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EXISTING CONDITION

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Currently the block is salvage and recycling area. Presidio Waste Reduction Department moves the park towards zero waste. Some of the buildings are used as storage or salvage space to reuse furniture, appliances and supplies. These pic-tures shows exterior and interior of some of the buildings. These pictures shows exterior and interior of some of the buildings.

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ARCHIVED IMAGES

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ARCHIVED IMAGES

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FLOORPLANS

Building 1242

This picture shows building’s numbers

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Building 1243

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Design Development DESIGN APPROACH INSPIRATIONSSPACE PLANNINGMAIN RECEPTION/EDUCATION CENTERMEDICAL CAREOUTDOOR SEATINGPHySICAL THERAPyTEA ROOM/DINING AREAGAME ROOMDINING AREA(LAUNCH/DINNER)PAvILIONCEILING & TRANSfORMATION SITE PLAN & fLOOR PLANSMATERIALS & fINISHESSITE PLAN DEvELOPMENTSITE SECTIONELEvATIONS & TOP vIEw

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DESIGN APPROACH & INSPIRATIONS

west Coast Lady is designed to bring the patient’s vision to life and enable transfor-mation while they receive treatment and services, it was only natural that designing this center needed a transformed vision as well. The goal was not to solely design a rehab center, but to propose a prototype for a transitional space between hospital and home. The main objective was to look for a solution that can measurably im-prove patient health, clinical outcome and operating efficiency. These goals lead me to study Evidence Based Design (E.B.D), Biophilic Design and the Pebble Project.

Terms and Definitions: “- Evidence-based design ensures com-passionate, patient-centered care in an environment specifically designed for ef-fective clinical operations.”[1]

According to the Center for Health Design, “evidence-based design is the process of basing decisions about the built environ-ment on credible research to achieve the

Above picture is the mood board I made for the project. It shows the wing patterns of fifty different butterflies. I have always been inspired with the colors and patterns of butterflies

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INSPIRATIONS fROM NATURE

while developing the desing I was inspired by: Interior butterfly color theme stages of the butterfly evolution golden ratio in the color of the butterfly wings structure of the butterfly wings for exterior Color and function of lichon

best possible outcomes”.[4]Biophilic design incorporates E.O. wilson’s concept of biophilia — human beings’ innate attraction to nature, through natural and symbolic elements, to promote well-being of occupants. As defined by Stephen Kellert, there are two basic dimensions to biophilic design:organic or naturalist (represented in shapes or forms); and place-based or vernacular (connection of building and landscape to regional culture and ecology[7]Pebble Project :”The Pebble Project is a unique and dynamic collaborative, where forward thinking healthcare organizations, architects, designers and industry partners work together to identify built environment designs and solutions that measurably improve patient and worker safety, clinical out-comes, environmental performance and operating efficiency”. [6]

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To come up with the building’s design these questions were answered:-what type of services will be offered at w.C.L.? Medical care, education, hospitality and entertainment-How to assign building for different services based on traffic, sun light, space use frequency, use order of the space?

To design an effective, functional, usable space I had to research guest “needs”, “challenges” and “favorite spaces”. Research included inter-viewing nurses, patients and few physicians. I also researched Ameri-can culture and trends to better know teens here, as I’m originally from another culture.

SPACE PLANNING

-what w.C.L can offer that makes it different with a rehabilitation center?-what activities and spaces should exist in each of the buildings?-How can the space accelerate kid’s recovery?-How can each specific space make a memorable vision for the kids? -what kind of choices will lead me to a more sustainable space?

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To answer the questions above comprehensive research and inter-views with users were needed.factors that contribute to healing process Music Color and sound Having family with them Healing garden Providing options (private, in a group, small community) Organic food Physical activity and ways to encourage more of it Sustainabilitywhen designing each of the spaces my effort was to make sure users would get enough natural light and that every place at the

resort has a view to nature. Since the primary purpose of this center is to transform the vision, my goal was to prevent patients from being reminded of hospital rooms by using new styles for walls and material finishes. Guests with different preferences have options to choose from. There are different types of areas, both indoor and out-door for guests either individually, with other recovering kids, parents, or with their therapist.

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1

342 3 4 4

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1 GUEST | RECEPTION | WAITING 2 PATIENT BATHROOM3 MEETING ROOM4 OFFICE 5 STAFF KITCHEN4 OFFICE 6 NUTRITION ROOM7 NUTRITION ROOM/ADA8 GUEST KITCHEN 9 STAFF/GIFT ROOM/ MAIN RE-CEPTION10 I (EYE) SPACE

DEvELOPING CONCEPT

To make the main reception more wel-coming and homey a kitchen has been designed for guests and guest visitors to get light snacks and juice. They will be served first time they get to WCL.Also at the entrance guest will receive a package including shirts and some accessories with wCL logo.

MAIN RECEPTION

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1 STAFF BATHROOM2 TRASH / CLEANROOM3 STORAGE 4 PHYSICIAN OFFICE5 LABORATORY6 DIALYSIS ROOM7 PATIENT BATHROOMS8 WAITING AREA

MEDICAL CARE

9 EXAM ROOM10 PATIO 9 EXAM ROOM 11 STAFF LOUNGE12 MECHANICAL ROOM13 CLEAN ROOM14 SUPPLY STORAGE

MAIN RECEPTION

15 NURSE STATION16 SEATING AREA/ WATER STRUCTURE17 STAFF ROOM/ CLINIC RECEPTION

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1 OUTDOOR SEATING

This outdoor seating area is the pass through from medical care to the gym. Originally this space was open, but to make it easier for the guests and to carry on the design through buildings this area was de-signed.

OUTDOOR SEATING

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1 3413

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1 GIRLS MASSAGE ROOM 2 GIRLS BATHROOM3 PATIO4 BOYS MASSAGE ROOM5 BOYS BATHROOM6 BOYS AROMA THERAPY

7 CLEAN ROOM8 TRASH ROOMS9 STAFF BATHROOM10 GIRLS AROMA THERAPY 11 GIRLS FACIAL ROOM 12 BOYS FACIAL ROOM

PHySICAL THERAPy

13 MANI/ PEDI SERVICE IN CIRCLE14 MECHANICAL ROOM15 STAFF LOUNGE AREA16 SPIRITUAL/ MEDITATION ROOM

17 yOGA/POLITy ROOM18 wEIGHTING ROOM19 TREADMILL/ELLIPTICAL 20 DAy SAP RECEPTION

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3423

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1 TEA LOUNGE2 BATHROOMS3 KITCHEN4 BREAKFAST AREA5 MUSIC STAGE

OUTDOOR SEATING

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342

3 4

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1 BATHROOMS2 GAME STATIONS3 PHOTO BOOTH4 JUICE BAR5 SEATING AREA/ WATER STRUCTURE6 TABLE GAMES 7 COMFY SEATING

GAME ROOM

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342 3 4

5

567

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1 VESTIBULE2 KITCHEN3 BAR4 MECHANICAL ROOM5 STORAGE SPACE6 MUSIC STAGE/ DANCE FLOOR7 DINING AREA8 WATER STRUCTURE9 OUTDOOR SEATING

DINING AREA

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342

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1 DYNAMIC ROOF MOVIE THEATER2 FASHION ROOM3 GAME ROOM4 LIBRARY/ STUDY ROOM5 ACTING ROOM

Pavilion has a theater with dynamic roof, inspired by Santiago Cala-trava’s design in addition to different activity rooms. The roof will be opened toward the stairs. Seats are cushions on the stairs. The stair case connects the game room to the pavilion. There is also a lift for people with disability that can use to go to the pavilion.

PAvILION

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The design of the ceiling is one of the efforts that meant to implicitly convey transformation and recovery of the kids. The design of the ceiling starts with separate monochrome panels and then as the guests go further into the resort the number of colors increases. finally it the

last building which is served for dining purposes, the ceil-ing will be in the form of continuous sculptural hanging panels which are from class C fabric tiles.(picture in the right page)Colors of the fabric tiles in the east buildings are inspired by the colors of three butterflies.(picture above) Also from north to south each of the spaces has the theme of earth,

The picture above in second row and also the pictures in bottom of the page are Autodesk Revit generated drawings to show the repetitive tile structure of the ceiling.

CEILING & TRANSfORMATION

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water and fire. Based on the Ayurvedic system everything on this planet, including our bodies & minds, consists of five elements: fire, water, earth, air, and space and each person have one of these elements dominant. I thought of including one element in each space so that there will be a connection for each individual with one color theme.The change and evolution in design of ceiling not only ben-efits guest in accelerating their health, but also is aesthetically pleasant and func-tional. Panels are used for different purposes in different area. Panels are used as sound acoustics, heater and also air purifiers based on the used materials.

These pictures are “Kvadrat Clouds” fabric tile that can be attached by special rubber bands, formed a three_dimensional effect and hung from ceiling. Clouds was my solution for part of the ceiling design. Not only it is functional and beautiful, but simplicity, colorfulness and repetitive structure of Clouds reminds me of the butterfly wing structure.

The sketch on lower right corner shows the change in ceiling design as we go further from the main entrance. Panels will be in used on the 3 west buildings and east buildings will have continues ceiling made by Clouds fabric tile.

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SITE PLAN & fLOOR PLANS

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INTERIOR MATERIALS & fINISHES

Above is a color code map for flooring materials and finishes. Materials were chosen based on these criteria:-To have simple, minimal design and least numbers of used materials -To have a cohesive design through different buildings-To make a connection between all buildingsUsing few colors in design will keep the space soothing, while not boring.

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Being inspired with the golden ratio in the color position of the butterfly wings and the urge to connect the buildings through walkways, I decided to apply golden ratio

rule in designing the site. I used center of the block, vertical rectangle that covers all buildings and guest houses around the five warehouses, as start-ing point. And used width of the building, all building has the same width of 60’, to build up the golden rectangle. I continued the process till it covered all the properties inside the resort.

Being inspired with the butterfly and how it extends its journey from inside out, I decided to continue these lines and connect the interior and exterior of the building, which resulted in blending the building design to the surrounding landscape.

site plan Development

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This section through the site shows that the west buildings of the site, main entrance, medical care and physical therapy, have higher elevation than the dining areas and game room.

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SITE SECTION The design of the ceiling is one of the efforts that meant to implicitly convey transformation and recovery of the kids. The design of the ceiling starts with separate monochrome panels and then as the guests go further into the resort the number of colors increases. finally it the last building which is served for dining purposes, the ceiling will be in the form of continuous sculptural hanging panels which are from class A fabric tiles.The color of the fabric tiles in the three dinner

To blend the design of the block to the city and design the block sustainably, I used some of the features that can be seen in the city. Green roof of the pavilion and bio wall are some of those.

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Images above show the block is almost symmetric and it look like a flying butterfly. Since the buildings are located in presidio, the building exterior should look like other buildings. The pavilion has a green roof, so the top view of the site is the same and we didn’t change the view of presidio by adding a new building.

BUILDING ELEvATIONS & TOP vIEw

Site section; Looking west from down the hill

Lower building’s elevation ( dining areas and game room)

Higher building’s elevation( main reception, education and physical therapy center)

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Above rendering shows top view of the outdoor seating area with hanging

Elevation of outdoor seating area between medical care and gym

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resort Main receptionnutrition rooMMidway outdoor seatinggyM/ restoration areaBreakfast areaplay rooMdining areaoutdoor seating with Bay view

Implemented AReAs

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stops in journey

when the guests arrive they will be greeted in the main reception. the higher buildings are about taking care of mental and physical health of kids and lower building and pavilion are dedicated to nurturing and entertaining the guests.from this journey i have implemented following areas:

1 entrance2 Main reception3 nutrition room4 outdoor seating5 physical therapy/cardio area6 patio 7 day spa reception

8 tea/breakfast room9 Music stage10 game room/seating area11 table game area12 dining-area13 outdoor seating

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entrance

Main entrance is supposed to be welcoming, sooth-ing and interesting. a place that intrigues guests the desire to explore more. using wood for entrance, and bright and energizing colors, orange and green lime are in this regard. as a butterfly extends its wings out of the cocoon to reach out, in the design of the resort one of the main themes which can be seen frequently is extend-ing from inside out and continuity of the design. in this area fiberglass seat can be brought as an example.the beige wooden panels are sculptural and show the beginning of the transformation. design of the ceiling is one of the efforts to carry on the evolution and stepping forward in the healing process.

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Main reception of the resort is lo-cated by the entrance of the build-ing. there are two seating areas in the main reception which can be used as waiting areas or as one of the options to meet with visiotors.as it’s shown in picture the colors has been chosen to be soothing, but the design is nothing to remind guests of hospital. the interior color of the staff cube and chairs are lime green which is refreshing healing and bring hopes.all the flooring is from amtico and spacia luxury vinyl flooring prod-ucts that not only are beautiful and look like real wood, but also it has designed specifically for healthcare purposes. the wood looking floor-ing finish makes the space homier, welcoming and cozier.

Main reception

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Page 62: West Coast Lady Medical Resort

when the guests arrive they will be greeted in the main reception. the higher buildings are about taking care of mental and physical health of kids and lower building and pavilion is dedicated to the nurturing and entertaining the guests.

staff cuBe

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in designing the space i try to make it interactive and intrigue questions for the visitor of the space, or try to inspire him to think. having the cocoon as concept and trying to envision transformation in different forms, i used one of M.c. escher’s painting, day and night, that always reminds me of transformation.

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nutrition rooM

one of the main areas that will be under supervision is guest’s diet. not only as part of the post-surgery care, but also the fact the physical body and look is one of the main areas that teens are concern about. during their stay in the resort they will be educated as how to eat right and how to reach their ideal body shape.

one of the efforts in keeping the kids inspired is to hang their im-age or their ideals on the wall. with doing this action first we are personalizing the nutrition room and it makes them feel more comfortable. also they can envision their goal every day.

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Page 66: West Coast Lady Medical Resort

outdoor seating

this outdoor seating area is the connection between medical care and gym. it is en-closed with shed and is equipped with heater panels. lichen grows fast in this area and also it purifies the air., so i designed a bio wall from perforated metal covered with lichen as it helps to prevent wind and also clean the adja-cent air.

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Page 68: West Coast Lady Medical Resort

getting fresh air and being exposed to the sun accelerates the recovery. these kids shouldn’t be exposed to direct sun very often as their immune systems are weak for the medications they are taking. the glass shed is tinted and the area is warm because of the heater panels, so guests can enjoy fresh air with no worries.

outdoor seating

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patio

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each of the areas in the resort has been designed in a way that guests have view to the greens. so for those who are using cardio section this patio will be an awesome view. patio can also be a relaxing area if any of the guest choose to spend his time in more isolated space.tium que et utem as volesere ea simus aut minctis eum volupta

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physical therapy/cardio area

doing light physical activity is one of the most important ways to have a faster recovery. kids should at least walk for 20 minutes a day.

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skin care and physical look are of main concerns that teens are dealing with. almost all of the teenagers who i interviewed and ask them about their concerns, they brought up their body shape and skin. in their stay they can get advice regarding the proper activi-ties for them to get them to their ideal shape.

gyM/cardio

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the glass hallway, with the caterpillar as design inspira-tion, lead the guest to the reception desk.guests can make appoint-ment and use different personal cares. they can get massage, use aroma therapy room, do facial or make their nails. in this building there is also a pray/mediation room. no matter what belief or religion each person has can spend some quiet time there. there are yoga, pilate and weighting room too, and they don’t need to make appoint-ment for those.

gyM/cardio Day Spa reception

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Breakfast is one of the most important meals in the day, but most of the kids don’t have them in their diet. as the stay in wcl is considered as a transformational trip, specific space has been allocated for breakfast to implicitly teach kids the place and importance of the breakfast. there are different seating options for guests. they can enjoy their breakfast inside or eat their breakfast out in the north light and outdoor seating. Music stage is also there to make breakfast area one of the places they want to go.

tea/Breakfast rooM

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gaMe rooM/seating area

in the game room there are different types of entertain-ment including table games, photo booth, video game stations and a juice bar. kids like to be treated as adults and having a juice bar in game room makes them feel like they are in a casino. it will be also a good time for kids to get juice and learn to eat healthy snacks.

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dining area can also be an educational place for kids. table tops have been designed to have the im-ages of five food categories. kids will learn gradually what to eat and how to be choose their food in the duration of the time they are in wcl.

they can also enjoy outdoor seating with the bay view after their dinner.

dining area

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references1. ulrich, r.s. (2008). Biophilic theory and research for healthcare design. in s.r. kellert, j.h.heerwagen, & M.l. Mador (eds.), Biophilic design: the theory, science, and practice of bringingbuildings to life (pp.87-106). hoboken, nj. john wiley & sons, inc.2. institute of Medicine. evidence-based hospital design improves healthcare outcomes for patients, families, and staff. princeton, nj: robert wood johnson foundation: 2004.3 kellert, s.r. (2008). dimensions, elements, and attributes of biophilic design. in s.r.kellert, j.h. heerwagen, & M.l. Mador (eds.), Biophilic design: the theory, science, and practice4 evidence-Based Biophilic design grows in healthcareof bringing buildings to life (pp.87-106). hoboken, nj. john wiley & sons, inc5 http://en.wikipedia.org/wiki/san_francisco_giants6 http://www.healthdesign.org/pebble7. Zimring c, ulrich r. the role of the physical environment in the hospital of the 21st century: a once-in-a-lifetime opportunity. concord, ca: the center for health design; 2004.8. Morrisey Ma. competition in hospital and health insurance markets: a review and research agenda. health serv res 2001;36(1 pt 2):191-221. 9. carr rf. hospital. the Building design guide. available at: http://www.wbdg.org/design/hospital.php. accessed august 5, 2005. 10 academy of architecture (aia). guidelines for design and construction of hospital and health care facilities. health guidelines revision com-mittee 2001. 11. swan je, richardson ld, hutton jd. do appealing hospital rooms increase patient evaluations of physicians, nurses, and hospital services? health care Manage rev 2003;28(3):254-64.12. schweitzer M, gilpin l, frampton s. healing spaces: elements of environmental design that make an impact on health. j altern complement Med 2004;10 suppl 1:s71-83. 13. hamilton k. the four levels of evidence based practice. healthcare design 2003;3:18-26. 14. Blomkvist v, eriksen ca, theorell t, ulrich r, rasmanis g. acoustics and psychosocial environment in intensive coronary care. occup environ Med 2005;62(3):e1. 15. hilton Ba. noise in acute patient care areas. res nurs health 1985;8(3):283-91. 16. Mclaughlin a, Mclaughlin B, elliott j, campalani g. noise levels in a cardiac surgical intensive care unit: a preliminary study conducted in secret. intensive crit care nurs 1996;12(4):226-30. 17. robertson a, cooper-peel c, vos p. peak noise distribution in the neonatal intensive care nursery. j perinatol 1998;18(5):361-4.18. corser nc. sleep of 1- and 2-year-old children in intensive care. issues compr pediatr nurs 1996;19(1):17-31.19. cureton-lane ra, fontaine dk. sleep in the pediatric icu: an empirical investigation. am j crit care 1997;6(1):56-63.

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20. johnson an. neonatal response to control of noise inside the incubator. pediatr nurs 2001;27(6):600-5.21. Benedetti f, colombo c, Barbini B, campori e, smeraldi e. Morning sunlight reduces length of hospitalization in bipolar depression. j affect disord 2001;62(3):221-3.22. keep pj. stimulus deprivation in windowless rooms. anaesthesia 1977;32(7):598-602.23. lawson B, phiri M. hospital design. room for improvement. health serv j 2000;110(5688):24-6.24. powers ks, rubenstein js. family presence during invasive procedures in the pediatric intensive care unit: a prospective study. arch pediatr adolesc Med 1999;153(9):955-8.25. Benians rc. the influence of parental visiting on survival and recovery of extensively burned children. Burns incl therm inj 1988;14(1):31-4.26. walker sB. neonatal nurses’ views on the barriers to parenting in the intensive care nursery?a national study. aust crit care 1998;11(3):86-91.27. ulrich rs. effects of interior design on wellness: theory and recent scientific research. j health care inter des 1991;3:97-109.28. Beauchemin kM, hays p. sunny hospital rooms expedite recovery from severe and refractory depressions. j affect disord 1996;40(1-2):49-51.29. lewy aj, Bauer vk, cutler nl, et al. Morning vs evening light treatment of patients with winter depression. arch gen psychiatry 998;55(10):890-30. terman js, terman M, lo es, cooper tB. circadian time of morning light administration and therapeutic response in winter depression. arch gen psychiatry 2001;58(1):69-75.31. wallace-guy gM, kripke df, jean-louis g, langer rd, elliott ja, tuunainen a. evening light exposure: implications for sleep and depression. j am geriatr soc 2002;50(4):738-932. terman M, terman js, ross dc. a controlled trial of timed bright light and negative air ionization for treatment of winter depression. arch gen psychiatry 1998;55(10):875-82.33. Martin dp, diehr p, conrad da, davis jh, leickly r, perrin eB. randomized trial of a patient-centered hospital unit. patient educ couns 1998;34(2):125-33.34. dubois jM, Bartter t, pratter Mr. Music improves patient comfort level during outpatient bronchoscopy. chest 1995;108(1):129-30.35. Menegazzi jj, paris pM, kersteen ch, flynn B, trautman de. a randomized, controlled trial of the use of music during laceration repair. ann emerg Med 1991;20(4):348-50. 36. yilmaz e, ozcan s, Basar M, Basar h, Batislam e, ferhat M. Music decreases anxiety and provides sedation in extracorporeal shock wave lithotripsy. urology 2003;61(2):282-6.37. ulrich r. effects of exposure to nature and abstract pictures on patients recovering from open heart surgery. j soc psychophysiol res 1993;30:204-21. 38. janssen pa, klein Mc, harris sj, soolsma j, seymour lc. single room maternity care and client satisfaction. Birth 2000;27(4):235-43. 39. hahn je, jones Mr, waszkiewicz M. renovation of a semiprivate patient room. Bowman center geriatric rehabilitation unit. nurs clin north am 1995;30(1):97-115.

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