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healing environments in radiotherapy - Agnes van den Berg

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Heal<strong>in</strong>g Environments <strong>in</strong> Radiotherapy Project Report<br />

can facilitate stress reduction, s<strong>in</strong>ce nature scenes foster positive feel<strong>in</strong>gs (Ulrich, cited <strong>in</strong> Hesta,<br />

2008). Ideally, gar<strong>den</strong>s <strong>in</strong> <strong>heal<strong>in</strong>g</strong> <strong>environments</strong> should be designed so that they provide a range of<br />

different experiences. For <strong>in</strong>stance some shadier, secluded areas should be provided for patients<br />

wish<strong>in</strong>g for some privacy. Hav<strong>in</strong>g the opportunity to feel ‘alone’ with nature can promote a feel<strong>in</strong>g of<br />

be<strong>in</strong>g protected for some patients. In contrast, larger open areas provide opportunities for people to<br />

gather and be social, and to enjoy the sun (Hesta, 2008). At the Mart<strong>in</strong>i Ziekenhuis Gron<strong>in</strong>gen, for<br />

example, the gar<strong>den</strong> is <strong>in</strong>tended to be a special place promot<strong>in</strong>g calmness and social contact. It was<br />

designed <strong>in</strong> cooperation with the nature protection agency Natuurmonumenten, which advised the<br />

hospital to create a wheelchair friendly trail towards a nature park nearby (Wartna, 2008). Figure 12<br />

shows a <strong>heal<strong>in</strong>g</strong> gar<strong>den</strong> at a cancer centre <strong>in</strong> Massachusetts, which <strong>in</strong>corporates the positive benefits<br />

of be<strong>in</strong>g among trees, hav<strong>in</strong>g sweep<strong>in</strong>g views, and enjoy<strong>in</strong>g a water feature.<br />

Figure 11: Heal<strong>in</strong>g gar<strong>den</strong> at Massachusetts General Hospital<br />

© greenrightnow.com<br />

The image below shows a small gar<strong>den</strong> courtyard at the <strong>radiotherapy</strong> department of Mar<strong>in</strong> General<br />

Hospital <strong>in</strong> California (figure 13). In the background, the floor-to-ceil<strong>in</strong>g glass w<strong>in</strong>dows provide a view<br />

<strong>in</strong>to the gar<strong>den</strong> from the wait<strong>in</strong>g area. Offices <strong>in</strong> the first floor also look out and down onto this<br />

space. Accord<strong>in</strong>g to the patients and visitors, this gar<strong>den</strong> provides an area of relaxation and an<br />

opportunity to get away from the busy hospital environment, provid<strong>in</strong>g a “big mental and emotional<br />

lift” (Mar<strong>in</strong> General Hospital, 2009). Froedtert Memorial Lutheran Hospital has created a similar<br />

central courtyard with w<strong>in</strong>dow access from 14 of its 32 rooms, <strong>in</strong> response to a survey of visitors that<br />

<strong>in</strong>dicated a need for a more visually pleasant and sunny environment (Cassidy, 2003).<br />

18

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