European Congress for Hospital Engineering Bern,uuid:b0513160-7db4-4... · As Giovanni Zaninetta writes, president of the Italian Society of palliative care, these statements should

European Congress for Hospital Engineering Bern, 10th - 12th April 2013

ing. Marcello Fiorenza

Direttore UOC Tecnico Patrimoniale

Direttivo SIAIS

http://www.eche2013.ch/home-de.html

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The correct sizing of “acute” hospital, is one of the main requirements to ensure the best quality of care - Both in terms of efficiency and effectiveness, - Both on the appropriateness and safety of the patient





From this definition bornes “the idea” of a health, hospital-land, necessary to carry out the reorganization and upgrading of hospital care as far as organizational goals.





Building a "hospice" for patients "acute" from a structure no longer used, is one of them .......................... IDEAS




Palliative care, hospice care and home care represent a true revolution of knowledge and practice of doctors and nurses: care should be taken even when to heal.





But as opposed to hospitals aimed to treat at cure to heal,

hospice is prepared to accompany the incurably ill in the process of the "dying" as painless as possible





Hospice, etymologically derived from the Latin hospitium, » Place where we welcome and where you are welcome » defines an assistance project became established since the '60s in the United Kingdom, which later spread to Canada and the United States, and even painfully in Italy.





The main objective of hospice therefore, is to accompany the patient and his family at this stage of life, in full respect for the dignity of the terminally ill, by the control of pain and symptoms relevant to the physical and mental quality of remaining life .





It is therefore to build a structure with the characteristics of the "house", with limited technology, but with intensive care.





It must be a sort of extension of the home that welcomes patients and their families, allowing them to live with freedom the last or one of the last stages of life. This happen through a multidisciplinary approach.





As Giovanni Zaninetta writes, president of the Italian Society of palliative care, these statements should not give the impression of hospice as a place dismal and death.





Instead , it is a place of life! certainly difficult, sometimes even painful, but it is also a place of hope and joy





an environment in which they meet, volunteers, family members, patients, visitors, each with their own experience, with their own fantasies about death and dying, but on living in spite of its limitations, with an existential project that can involve solidarity , proximity and charity.





And then so be it

• Color: corridors, rooms, reading room, • Natural light: windows in the rooms and in

conversation or reading room.





We have set ourselves the aim of enhancing the domestic aspects of the building that will host the Hospice (ceramic tile, color with natural tones and furniture of the household type).






The organizational model has required: the elimination of any type of distribution of hospital-

grade the creation of common spaces that recall the home,

where the living room and the reading room represent the focal elements of the house and the place of socialization





It was drafted a restructuring plan of an abandoned building by intervention able to transform a space forgotten in place of life and of meeting.





The project proposal has been constructed using the method of participatory planning, with close collaboration between engineers, doctors, health workers of different professional and voluntary





This was followed by a phase of documentation and study of the existing realities, the literature, bibliography and the current legislation (STANDARD FIRE ROLES PROBLEM).





The findings began on the designing part that made it possible to also define in detail the possibility of conversion to Hospice of the abandoned building





Preliminary studies and knowledge of other experiences already operating in Italy have revealed the

choice to imagine the Hospice so not as "Hospital humanized" but as a “home"





the abandoned building chosen to build the Hospice is one pavilion of a old psychiatric hospital complex that covers an area of 29 hectares approximately.






was chosen a building with a panoramic view over the city of Rieti





Documents

European Congress for Hospital Engineering Bern,uuid:b0513160-7db4-4... · As Giovanni Zaninetta writes, president of the Italian Society of palliative care, these statements should