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100 BEDDED GENERAL HOSPITAL

SELF HEALING CONCEPT

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100 BEDDED GENERAL HOSPITAL

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  1. RAJA BALWANT SINGH ENGINNERING TECHNICAL CAMPUS, BICHPURI AGRA FACULTY OF ARCHITECTURE AND TOWN PLANNING IN PARTIAL FULLFILLMENT FOR THE AWARD OF THE DEGREE OF BACHELOR OF ARCHITECTURE IN ARCHITECTURE General Hospital At Guru Nanak Nagar, Near Satya Park, New Delhi Undertaken by: Shilpi Katara Roll. No. :1500481007 Course: B.Arch. 5th Year Semester: 9th GUIDE: Ar. Leena Chaudhary

  2. INTRODUCTION Once I watch a video lecture by Dr. Paul Farmer Discussing about Global Warming and he said that buildings are making people sicker. Simple design can be control the number of people’s died. Where are the Architects & Designer to help us build & Design the Hospitals. I found in summer and studied about hospital building. Simple site specific design can make a hospital real. When patients come, they really have some problems and we need to fix the problem and that’s why we need more Operation theater and need to buy extra machine. The real issue is here that we are not teaching people to care of the own behalf So long term solution is to educate people to take care of the own behalf. A very strongest key strategies is integrate Architecture with Nature basically.

  3. HEALING ARCHITECTURE (the power of environmental medicine) Healing Architecture is the best way to empower space and bring in higher harmony with building and environment. The pillars of healing architecture

  4. LITERATURE CASE STUDY KHOO TECH PUAT HOSPITAL(National healthcare Group) Location Yishun Singapore Care system Nationa healthcare Group Hospital type District Genral KhooTeckPuat Hospital(:KTPH) is a 761-bed general and acute care hospital located at Yishun in Singapore the hospital is part of an integrated development together with the adjoining Yishun Community hospital. The hospital was officially opened by Minister Mentor Lee Kuan Yew  on 15 November 2010, but began seeing outpatients and day surgery patients on 28 March 2010. Spanning over 3.5 hectares (8.6 acres) in the Yishun Central Area overlooking the scenic Yishun Pond. The hospital offers an extensive range of medical services and healthcare options for residents living in the north. As of October 2017, KTPH merged with the National Healthcare Group and is now known as Yishun Health, together with Yishun Community Hospital and Admiralty Medical Centre.

  5. Key facilities • 761 beds • 24 wards consisting: 23 general wards and 1 isolation ward • 2 intensive careunits • 88 consultation rooms • 8 operating rooms • 6 day surgery  operation rooms • 4 endoscopy suites • Other amenities such as family-friendly restrooms, handicapped-friendly restrooms, retail mall, food court and café

  6. Services • Acute and Emergency Care • Anaesthesia • Cardiology • Dental Surgery • Diabetes Clinic • Diagnostic Radiology • Endocrinology • Eye/Ophthalmology and Visual Sciences • Family and community medicine • Facial Plastic Reconstructive and Aesthetic • Gastroenterology and Hepatology • General Medicine

  7. Design between 20 and 40 metres. There are no protruding sinks or cupboards in the wards so patients are less likely to hurt themselves The KhooTeckPuat Hospital was designed by CPG Consultants in collaboration with RMJM to be patient-friendly. The 10-bedded "C"-class wards is divided into two sections, each with its own toilet and shower facilities. There is only one drop-off point for the hospital and the distance from it to the emergency department is only 20 metres, while the distance to the specialist clinics is

  8. INTRODUCTION A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipmentThe best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with a large number of beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include Trauma Centre, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received.

  9. REASON FOR CHOICE • There is a remarkable and complex question” How do we evaluate our life and what is values of life”. As I think our duty or responsibility absolute the life and make free from all debits, ,like debits of mother, father, Guru, Society, Nature and many others, for whose support and nurture I am here right now. I want to do something for everything that has helped me in many possible ways. • According to my knowledge and institution, there is a lots of problems regarding health, education, employment etc. It is an opportunity to explore myself in education and professional life throughout my thesis health care architecture. This will help me to provide better service to my society and country. This project is associated with basic need in this modern life everybody is suffering from stress due to irregular daily routine, unhealthy food, luxurious life style, which make our body weaker and seek. So hospital is a basic need of every community level society like school and market. The rate of death of body born and unnatural is very high in Delhi regarding national rate so as I am belonging from this state it is a great opportunity for me to do something for myself and my society through this thesis. • Hospital as an institution has to respond to changing social environments/attitudes, advancements in medicines, therapy and diagnosis and technologies. Each department of hospital needs its own identity and within its owns map, its private and public spaces as well as its front door; this all makes planning of hospital a very • complex proposition. Apart from that in today’s hospitals engineering department and support services have assumed greatest ever importance. • Thus, as a student of architecture I take this opportunity to explore and learn the complexities of designing a hospital

  10. AIMS AND OBJECTIVE • Providing an comfortable, economical and user friendly healing environment to the people of that area. • Application of green ideas in to hospital design. • Patient orientated design strategy. • Understanding the complexities of hospital design- How departments are interlinked and equipment and machinery are being used.

  11. SITE INFORMATION • SITE AREA – 20ACRE & 80937SQM • SITE LOCATION –Guru Nanak Nagar, near Satyapark, Delhi • LATITUDE- 2838’39.27”N • LONGITUDE- 77 8’57’89” • Site is surrounding by ploughing field. • Prime location • Having 40m wide road from front side • Current land use is in framing side • Site is levelled at road level • Ownership – Indian Agricultural Research Institute,Pusa New Delhi SHILPI KATARA B.Arch. 5TH YEAR SITE INFORMATION OF THESIS PROJECT( GENERAL HOSPITAL)

  12. AREA OF WORKING • Understanding the functioning of the various departments of hospital and their co-relation with each other. • Circulation pattern • Typologies in hospital design. • Understand the local culture and its influence in hospital design. • Understanding the components of healing environment which will enhance the healing character of the hospital & Sustainable principles for energy conservation.

  13. REQUIREMENTS There are many hospital departments, staffed by a wide variety of healthcare professionals, with some crossover between departments. Below is a list of the main departments We’ll come across when we visit a hospital. Some of these units work very closely together, and may even be combined into one larger department.

  14. Accident and emergency (A&E) • Accident and emergency (A&E) • This department (sometimes called Casualty) is where you're likely to be taken if you've called an ambulance in an emergency. • It's also where you should come if you've had an accident, but can make your own way to hospital. • These departments operate 24 hours a day, every day and are staffed and equipped to deal with all emergencies. • Patients are assessed and seen in order of need, usually with a separate minor injuries area supported by nurses.

  15. Anaesthetics • Doctors in this department give anaesthetic for operations. • They are responsible for the provision of: • acute pain services (pain relief after an operation) • chronic pain services (pain relief in long-term conditions such as arthritis) • critical care services (pain relief for those who have had a serious accident or trauma) • obstetric anaesthesia and analgesia (epidurals in childbirth and anaesthetic for Caesarean sections). • Anaesthetics • Doctors in this department give anaesthetic for operations.

  16. Breast screening • This unit screens women for breast cancer, either through routine mammogram examinations or at the request of doctors. It's usually linked to an X-ray department. Cardiology • Term watch • Outpatient: short visit to hospital that lasts no more than a day. • Inpatient: hospital visit that requires at least one night's stay on a ward. • This department provides medical care to patients who have problems with their heart or circulation. It treats people on an inpatient and outpatient basis.

  17. Typical procedures performed include: • electrocardiogram (ECG) and exercise tests to measure heart function • echocardiograms (ultrasound scan of the heart) • scans of the carotid artery in your neck to determine stroke risk • 24-hour blood pressure tests • insertion of pacemakers • cardiac catheterisation (coronary angiography) to see if there are any blocks in your arteries

  18. Critical care • Sometimes called intensive care, this unit is for the most seriously ill patients. • It has a relatively small number of beds and is manned by specialist doctors and nurses, as well as by consultant anaesthetists, physiotherapists and dieticians. • Patients requiring intensive care are often transferred from other hospitals or from other departments in the same hospital.

  19. Diagnostic imaging • Formerly known as X-ray, this department provides a full range of diagnostic imaging services including: • general radiography (X-ray scans) • scans for A&E • mammography (breast scans) • ultrasound scans • angiography (X-ray of blood vessels) • interventional radiology (minimally invasive procedures, eg to treat narrowed arteries) • CT scanning (scans that show cross sections of the body) • MRI scanning (3D scans using magnetic and radio waves).

  20. Ear nose and throat (ENT) • The ENT department provides care for patients with a variety of problems, including: • general ear, nose and throat diseases • neck lumps • cancers of the head and neck area • tear duct problems • facial skin lesions • balance and hearing disorders • snoring and sleep apnoea • ENT allergy problems • salivary gland diseases • voice disorders

  21. Discharge lounge • Many hospitals now have discharge lounges to help your final day in hospital go smoothly. • Patients who don't need to stay on the ward are transferred to the lounge on the day of discharge. Staff will inform the pharmacy, transport and relatives of your transfer. • To help pass the time, there are usually facilities such as a TV, radio, magazines, puzzles, books and newspapers. • If someone feels unwell while waiting, nurses contact a doctor to come and see you before discharge.

  22. Endoscopy • Endoscopy involves a small thin tube with a camera on the end. • This is guided down the throat to investigate problems in your oesophagus and digestive system. • Small surgical instruments can be guided down in the same way, meaning it can be used for diagnosis and treatment General surgery • The general surgery ward covers a wide range of surgery and includes: • day surgery • thyroid surgery • kidney transplants • colon surgery • laparoscopic cholecystectomy (gallbladder removal) • endoscopy • breast surgery.

  23. Gynaecology • These departments investigate and treat problems of the female urinary tract and reproductive organs, such as endometritis, infertility and incontinence. • They also provide a range of care for cervical smear screening and post-menopausal bleeding checks. • They usually have: • a specialist ward • day surgery unit • emergency gynaecology assessment unit • outpatient clinics

  24. Maternity departments • Women now have a choice of who leads their maternity care and where they give birth. Care can be led by a consultant, a GP or a midwife. • Maternity wards provide antenatal care, care during childbirth and postnatal support. • Antenatal clinics provide monitoring for both routine and complicated pregnancies. • High-dependency units can offer one-to-one care for women who need close monitoring when there are complications in pregnancy or childbirth.

  25. Microbiology • The microbiology department looks at all aspects of microbiology, such as bacterial and viralinfections • Neonatal unit • Neonatal units have a number of cots that are used for intensive, high-dependency and special care for newborn babies. • Nephrology • This department monitors and assesses patients with kidney (renal) problems.

  26. Neurology • This unit deals with disorders of the nervous system, including the brain and spinal cord. It's run by doctors who specialise in this area (neurologists) and their staff Nutrition and dietetics • Trained dieticians and nutritionists provide specialist advice on diet for hospital wards and outpatient clinics, forming part of a multidisciplinary team. • The department works across a wide range of specialities such as: • diabetes • cancer • kidney problems • paediatrics • elderly care • surgery and critical care • gastroenterology.

  27. Occupational therapy • This profession helps people who are physically or mentally impaired, including temporary disability after medical treatment. It practices in the fields of both healthcare and social care. • The aim of occupational therapy is to restore physical and mental functioning to help people participate in life to the fullest. • Occupational therapy assessments often guide hospital discharge planning, with the majority of patients given a home assessment to understand their support needs. • Staff also arrange provision of essential equipment and adaptations that are essential for discharge from hospital.

  28. Ophthalmology • Eye departments provide a range of ophthalmic services for adults and children, including: • general eye clinic appointments • laser treatments • optometry (sight testing) • orthoptics (non-surgical treatments, eg for squints) • prosthetic eye services • ophthalmic imaging (eye scans).

  29. Orthopaedics • Orthopaedic departments treat problems that affect your musculoskeletal system. That's your muscles, joints, bones, ligaments, tendons and nerves. • The doctors and nurses who run this department deal with everything from setting bone fractures to carrying out surgery to correct problems such as torn ligaments and hip replacements

  30. Physiotherapy • Physiotherapists promote body healing, for example after surgery, through therapies such as exercise and manipulation. Rheumatology • Specialist doctors called rheumatologists run the unit and are experts in the field of musculoskeletal disorders (bones, joints, ligaments, tendons, muscles and nerves). • Their role is to diagnose conditions and recommend appropriate treatment, if necessary from the orthopaedic department. • The rheumatologist may need to review you regularly, either in person or via one of the rheumatology team. • Alternatively, your condition may be one your GP can manage in the community. Many conditions are managed jointly between the GP and the hospital care team.

  31. Sexual health (genitourinary medicine) • Sexual health (genitourinary medicine) • This department provides a free and confidential service offering: • advice, testing and treatment for all sexually transmitted infections (STIs) • family planning care (including emergency contraception and free condoms) • pregnancy testing and advice. • It also provides care and support for other sexual and genital problems. • Patients are usually able to phone the department directly for an appointment and don't need a referral letter from their GP.

  32. Urology • The urology department is run by consultant urology surgeons and their surgical teams. It investigates all areas linked to kidney and bladder-based problems. • The department performs: •  flexible cystoscopy bladder checks • urodynamic studies (eg for incontinence) • prostate assessments and biopsies • shockwave lithotripsy to break up kidney stones.

  33. AREA REQUIREMENT FOR 100 BEDDED GENERAL HOSPITAL AS PER INDIAN STANDARD 12433:2001

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