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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 />

In the context of spatial design, it is also <strong>in</strong>terest<strong>in</strong>g to note that children perceive the environment<br />

differently from adults. Children are ma<strong>in</strong>ly concerned about the functional aspects of the<br />

environment, such as whether a tree affords climb<strong>in</strong>g. Adults consider, ‘what does the environment<br />

look like?’, whereas children ask, ‘what can I do here?’ (Whitehouse et al., 2001). This is important to<br />

consider <strong>in</strong> children’s wards, but also <strong>in</strong> the wait<strong>in</strong>g areas of all healthcare sett<strong>in</strong>gs. The provision of<br />

some form of enterta<strong>in</strong>ment for children, such as small tables with draw<strong>in</strong>g materials or a play<strong>in</strong>g<br />

corner with toys can significantly reduce annoyance levels of everyone <strong>in</strong>volved; the children, their<br />

parents, other patients, and staff. St. Charles Medical Center addresses this need for playfulness also<br />

for adults, by plac<strong>in</strong>g many large tables <strong>in</strong> public spaces of the hospital, on some of which lie<br />

uncompleted puzzles that <strong>in</strong>vite patients and visitors to cont<strong>in</strong>ue fitt<strong>in</strong>g pieces <strong>in</strong>to the puzzle.<br />

Art and positive distractions<br />

Healthcare sett<strong>in</strong>gs often provide art and decorations <strong>in</strong> order to improve the<br />

aesthetics of the environment and provide visual distractions. “In UMC<br />

Gron<strong>in</strong>gen, even the park<strong>in</strong>g garage underneath is made attractive, [based on<br />

reason<strong>in</strong>g that] when people don’t feel safe and well when they are enter<strong>in</strong>g<br />

an environment, it’s not a good beg<strong>in</strong>n<strong>in</strong>g.” (A. Kw<strong>in</strong>t, Plants for People).<br />

Mart<strong>in</strong>i Ziekenhuis Gron<strong>in</strong>gen implements a concept of reflection and<br />

<strong>in</strong>spiration as distraction for the patients. The four themes of this concept are spirituality, nature, art<br />

and sports, and the aim is to make the patient feel as comfortable as possible. Similarly, at Parrish<br />

Medical Center, a "Circle of Life" theme is repeated throughout the build<strong>in</strong>g, which is <strong>in</strong>tended to<br />

imply hope and optimism. At the control hospital, several artworks and sculptures are placed<br />

throughout the department. An art rent<strong>in</strong>g company regularly replaces the artworks, so that new<br />

distractions are offered on a regular basis. In the largest wait<strong>in</strong>g area, a big white elephant sculpture<br />

entitled ‘Wish I Could Lift You Up’ is hang<strong>in</strong>g under a glass ceil<strong>in</strong>g (figure 25). The symbolic mean<strong>in</strong>g<br />

of this sculpture is expla<strong>in</strong>ed on a wall panel as <strong>in</strong>tend<strong>in</strong>g to make light what is heavy. With this, the<br />

elephant represents the ideology of the control hospital’s <strong>radiotherapy</strong> department to make the<br />

heavy journey of the patients through <strong>radiotherapy</strong> as ‘light’ as possible. However, it should be kept<br />

<strong>in</strong> m<strong>in</strong>d that this can also be <strong>in</strong>terpreted differently. Some patients may see this as someth<strong>in</strong>g heavy<br />

hang<strong>in</strong>g over their heads.<br />

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