The new edition of this acclaimed book comprehensively updates its timely advocacy of the need for good quality palliative care, today more necessary than ever. Rooted in the social history of the care of the elderly and terminally ill, Modern Hospice Design: The Architecture of Palliative and Social Care takes cognisance of the new conditions of social care in the 21st century, principally in the UK, Europe and North America. It does so with regard to the development of new building types, but also in response to new philosophies of palliative care and the status of the elderly and the dying. Benefitting from a clearer methodological approach and conceptual framework, the expanded book allows a broad section of readers to navigate the text more easily. At its core is a public discussion of a philosophy of design for providing care for the elderly and the vulnerable, taking the importance of architectural aesthetics, the use of quality materials, the porousness of design to the wider world, and the integration of indoor and outdoor spaces as part of the overall care environment. In doing so it advocates care settings that, in the words of Maggie Jencks whose life and ideas inspired the Maggie’s Centres, ‘rise to the occasion’. Including new chapters and new in-depth case studies, complete will full colour illustrations, this book is for architects and interior designers and their students, healthcare professionals, social care providers, estate and facility managers, hospital administrators and Healthcare Trust Boards.

There is a global public debate going on about care for the elderly and the dying, and what is meant by good quality palliative care. This book begins with the rise of the modern hospice movement, begun in 1967. Today there are 8,500 modern hospice projects in 123 countries. The hospice has become an iconic building for this new culture. This is not a book about hospitals as such, but about what lessons the hospice movement has for new ideas about buildings for healthcare across the world. For architects and interior designers, estate and facility managers involved in hospice design, healthcare professionals, hospital administrators and Heathcare Trust Boards.

Providing much-needed focus on hospice projects in the context of unprecedented rates of societal ageing, this new reference book presents an overview of major recent developments in this rapidly evolving building type. The authors present an overview of the historical origins of the contemporary hospice and the diverse variations on the basic premise of hospice care, and offer a series of case studies of exemplary hospices. The most innovative work in this area over the past decade has been in Japan, the US, Canada and the UK, and the authors describe and analyze examples both as individual projects and as comparable yet differing approaches. Hospice Architecture will be essential reading for anyone involved in the planning, design and construction of hospices.

The patient room is the smallest cell of the hospital organism. Its layout determines the structure of the ward and is therefore a decisive factor for the entire building. Many requirements have to be met. The patient's sense of well-being can be positively influenced by the design: homely materials, an attractive view and sufficient privacy are important objectives. Equally important are the working conditions for the staff, especially short distances and an efficient care routine. Finally, even the risk of infection can be reduced by a conscientiously planned room layout. This publication provides a systematic overview of the design task patient room and shows exemplary solutions: both typologically and in selected case studies.

"A Collection of essays and reflections, Cicely Saunders explores a deep and enduring preoccupation: the relationship between personal biography, the spiritual life and an ethics of care." --Cover.

When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Praise for Design Details for Health "Cynthia Leibrock and Debra Harris have developed a vitally important reference. They draw upon and compile a rich source of evidence that supports the application of specific research-based details for particular health-related settings." From the Foreword by Dr. Wayne Ruga, AIA, FIIDA, Hon. FASID The revised edition on implementing design details to improve today's health care facilities an inspiring, comprehensive guide In this significantly revised second edition, Cynthia Leibrock and Debra Harris offer up-to-date information on design details that can improve patient outcomes and user experience by returning authority to the patient, along with fascinating case studies and research demonstrating the positive role design can play in reducing health care costs. Design Details for Health, Second Edition offers contemporary examples showing how design can improve patient comfort and independence, and demonstrates how to design highly functional health care facilities that operate at peak performance. The book addresses a range of health care facility types including hospitals, ambulatory care, wellness centers, subacute care and rehabilitation, adult day care and respite, assisted living, hospice, dementia care, and aging in place. This Second Edition includes: The latest research, which was only anecdotal in nature as recently as a decade ago, illustrating how design through evidence produces measurable outcomes Real-world case studies of a range of excellent health care facilities that have been designed and built in the twenty-first century Updated contributions with leading practitioners, researchers, and providers conveying how design has a positive impact on health care delivery When design empowers rather than disables, everybody wins. Sensitive to the needs of both patients and providers, Design Details for Health, Second Edition is essential reading for today's architects, interior designers, facility managers, and health care professionals.