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THE 
CHALLENGES 
OF 
ARCHITECTURAL 
HUMAN 
SCALE 
IN 
HOSPITAL 
ENVIRONMENTS: 
BRAZILIAN 
HOLY 
HOUSE 
OF 
MERCY. 
Moema 
Falci 
Loures 
Architect 
and 
Urban 
Designer. 
Founder 
of 
Imaginal 
Architecture. 
Professor 
at 
Pon:fical 
Catholic 
University 
of 
Rio 
de 
Janeiro. 
PhD 
in 
urban 
design. 
HEALTHCARE 
FACILITIES 
IN 
TIMES 
OF 
RADICAL 
CHANGES 
23rd 
Congress 
of 
the 
Interna:onal 
Federa:on 
of 
Hospital 
Engineering 
– 
IFHE 
25th 
La:n 
American 
Congress 
of 
Architecture 
and 
Hospital 
Engineering
www.IMAGINAL.com.BR 
ARCHITECTURE 
DESIGN 
ENGINEERING 
A 
mul:disciplinary 
office 
dedicated 
to 
planning, 
crea:ng 
and 
implemen:ng 
projects 
of 
architecture, 
urbanism 
and 
design. 
We 
say 
IMAGINAL, 
in 
order 
to 
give 
visibility 
and 
freedom 
to 
the 
imaginaIon. 
IMA 
(in 
English 
MAGNET) 
with 
the 
aim 
of 
puUng 
together 
many 
professionals 
related 
to 
the 
crea:ve 
process: 
from 
architecture 
to 
engineering, 
from 
art 
to 
design, 
from 
technology 
to 
innova:on.
ATMOSPHERE 
BASED 
ON 
THE 
HUMAN 
Scale 
of 
sensory 
percepIons. 
Scale 
of 
social 
mee:ngs 
We 
believe 
that 
a 
human-­‐scaled 
space 
is 
the 
path 
to 
encapsulate 
beauty 
and 
simplicity. 
SCALE 
Den 
Bosh 
Hospital, 
Netherlands. 
EGM 
Architects. 
www.IMAGINAL.com.BR
HEALING 
ENVIRONMENT 
Sensi:vity 
of 
colour 
uses, 
light 
intensi:es, 
temperature 
varia:on, 
suppor:ng 
orienta:on, 
wayfinding 
system, 
and 
constant 
interac:on 
of 
our 
bodies 
and 
movements 
within 
the 
environment 
in 
the 
architectural 
experience. 
www.IMAGINAL.com.BR
HOLY 
HOUSE 
OF 
MERCY 
Juiz 
de 
Fora 
– 
Minas 
Gerais. 
Philanthropic 
hospital. 
Founded 
in 
1854. 
15 
floors 
-­‐ 
first 
verIcal 
hospital 
in 
LaIn 
America. 
508 
beds. 
3.000 
people 
circulate 
in 
the 
complex 
per 
day. 
18.000 
surgical 
operaIons 
are 
done 
per 
year. 
70% 
for 
the 
Brazilian 
Public 
Healthcare 
System 
(SUS). 
For 
us 
the 
most 
important 
thing 
to 
remember 
in 
a 
large-­‐scale 
complex 
is 
to 
not 
lose 
the 
human 
scale 
and 
the 
major 
design 
challenge 
is 
to 
master 
the 
urban, 
architecture 
or 
design 
scales. 
www.IMAGINAL.com.BR
DETAIL 
AS 
A 
KEY 
WORD 
Having 
“the 
detail” 
as 
a 
keyword, 
for 
each 
work, 
we 
were 
learning 
how 
to 
approach 
the 
architecture 
on 
a 
human 
scale. 
The 
goal 
was 
always 
to 
awaken 
the 
playful 
in 
a 
rigorous 
and 
complex 
hospital 
environment. 
www.IMAGINAL.com.BR
www.IMAGINAL.com.BR
www.IMAGINAL.com.BR 
FOCUS 
ON 
THE 
PATIENT 
The 
most 
important 
aim 
of 
the 
architecture 
is 
the 
crea:on 
of 
an 
atmosphere 
inside 
and 
outside 
the 
building 
that 
helps 
the 
pa:ent 
to 
recover 
as 
quickly 
as 
possible 
and 
to 
make 
the 
stay 
as 
pleasant 
as 
possible.
HUMANIZATION 
www.IMAGINAL.com.BR
CURIOSITY 
www.IMAGINAL.com.BR 
The 
idea 
is 
to 
arouse 
curiosity 
of 
those 
who 
experience 
the 
architecture. 
The 
drawings, 
for 
example, 
are 
located 
in 
places 
where 
they 
are 
not 
evident, 
the 
pa:ent 
will 
discover 
them. 
The 
forms 
are 
not 
clear, 
they 
insIgate 
sensiIve 
imaginaIon.
www.IMAGINAL.com.BR 
BEFORE 
HUMANIZATION
www.IMAGINAL.com.BR 
HUMANIZATION
NATURAL 
LIGHT 
ALL 
OVER 
www.IMAGINAL.com.BR 
Architecture 
is 
especially 
the 
spa:al 
experience 
that 
people 
undergo 
in 
buildings; 
the 
rela:onship 
with 
the 
outside 
for 
us 
is 
crucial. 
We 
are 
always 
interested 
in 
light, 
daylight, 
the 
light 
on 
things; 
it 
gives 
the 
feeling 
that 
there 
is 
something 
behind 
all 
understanding.
CARING 
ABOUT 
STAFF 
HEALTH
MEETING 
SPACE 
www.IMAGINAL.com.BR 
The 
boulevard 
is 
not 
just 
a 
circula:on 
area 
but 
also 
a 
public 
space. 
A 
“between 
space” 
where 
you 
can 
just 
stay 
to 
look 
outside, 
to 
talk 
with 
other 
pa:ents 
or 
just 
to 
have 
a 
coffee. 
A 
space 
for 
socialising, 
mee:ng 
places 
for 
groups, 
family 
and 
friends. 
Den Bosh Hospital, Netherlands. 
EGM Architects.
THE 
BOULEVARD 
IDEA 
www.IMAGINAL.com.BR 
This 
year 
we 
started 
the 
first 
ideas 
to 
build 
a 
Holy 
House 
of 
Mercy 
Hospital 
extension. 
Our 
main 
idea 
is 
to 
create 
a 
big 
boulevard 
that 
connects 
to 
the 
hospital. 
This 
space 
can 
give 
the 
visitors, 
staff 
and 
pa:ents 
a 
clear 
sense 
of 
spaIal 
direcIon.
WAYFINDING 
DESIGN 
www.IMAGINAL.com.BR 
Encompasses all of the ways in which people orient themselves 
in physical space and navigate from place to place.
BEFORE 
www.IMAGINAL.com.BR
BETWEEN 
SPACE 
You 
can 
stay 
to 
cast 
a 
quick 
glance 
outside, 
to 
talk 
with 
other 
pa:ents 
or 
just 
to 
read 
a 
book. 
www.IMAGINAL.com.BR
www.IMAGINAL.com.BR 
WAYFINDING 
DESIGN 
ORIENTATION 
is 
the 
alempt 
to 
determine 
one's 
loca:on, 
in 
rela:on 
to 
objects 
that 
may 
be 
nearby 
and 
the 
desired 
des:na:on.
www.IMAGINAL.com.BR 
WAYFINDING 
DESIGN 
Modern 
wayfinding 
has 
begun 
to 
incorporate 
research 
on 
why 
people 
get 
lost, 
how 
they 
react 
to 
signage 
and 
how 
these 
systems 
can 
be 
improved.
www.IMAGINAL.com.BR 
TECNOLOGY 
AND 
LOGISTICS 
TECNOLOGY 
and 
LOGISTICS 
are 
incorporated 
so 
that 
they 
func:on 
op:mally 
but 
do 
not 
dominate 
the 
atmosphere 
of 
the 
interior 
space.
BEFORE 
www.IMAGINAL.com.BR 
BEHIND 
THE 
SCENES 
The 
first 
impression 
of 
the 
refurnishing 
should 
be 
that 
it 
was 
easy 
to 
be 
done, 
and 
is 
simple 
and 
beau:ful.
Acompanhamos todas as etapas das obras. 
www.IMAGINAL.com.BR 
TECNOLOGY 
AND 
LOGISTICS
www.IMAGINAL.com.BR 
TECNOLOGY 
AND 
LOGISTICS
www.IMAGINAL.com.BR 
TECNOLOGY 
AND 
LOGISTICS
www.IMAGINAL.com.BR 
LUDIC 
SPACES 
Due 
to 
the 
objec:vity 
of 
:me 
on 
surgeries 
as 
well 
as 
the 
rela:vity 
of 
:me 
in 
pa:ent 
recovery, 
we 
decided 
to 
enhance 
this 
concept 
by 
crea:ng 
different 
clocks 
in 
which 
the 
exercise 
of 
seeing 
:me 
becomes 
subjec:ve, 
distrac:ng 
the 
pa:ent 
from 
focusing 
on 
their 
pain.
BEFORE 
www.IMAGINAL.com.BR 
LUDIC 
SPACES
www.IMAGINAL.com.BR 
LUDIC 
SPACES
AN 
INTEGRATED 
APPROACH 
www.IMAGINAL.com.BR 
Since 
the 
first 
ideas 
and 
desires 
of 
doctors, 
nurses 
and 
boards 
directors 
right 
up 
un:l 
the 
units 
had 
started 
work. 
We 
have 
an 
architecture 
office 
inside 
the 
hospital 
and 
we 
work 
together 
with 
the 
engineers 
and 
the 
construc:on 
team. 
We 
are 
immersed 
in 
the 
construcIon 
site 
and 
in 
the 
hospital 
ambience.
www.IMAGINAL.com.BR 
AN 
INTEGRATED 
APPROACH
THINKING 
PROCESS 
NOT 
PRODUCT 
www.IMAGINAL.com.BR
www.IMAGINAL.com.BR 
(…) 
what 
I 
am 
designing 
will 
be 
part 
of 
a 
place, 
part 
of 
its 
surroundings, 
used 
and 
loved, 
discovered 
and 
bequeathed, 
given 
away, 
abandoned, 
and 
perhaps 
even 
hated 
-­‐ 
in 
short, 
that 
it 
will 
be 
lived 
in, 
in 
the 
wildest 
sense.” 
Peter 
Zumthor.
www.IMAGINAL.com.BR 
TAKE 
UNCERTAINTY 
AS 
THE 
ONLY 
CERTAINTY 
The 
only 
certainty 
we 
have 
is 
that 
the 
human 
scale 
will 
always 
be 
essen:al 
in 
architecture 
and 
in 
promo:ng 
the 
speedy 
recovery 
of 
the 
pa:ent. 
Human 
scale 
will 
always 
be 
the 
challenge 
of 
architecture.
WHAT 
IS 
INSPIRING 
US 
? 
40 
days 
in 
Europe. 
25 
hospitals 
visited. 
“ARCHITECTURAL 
ANSWERS 
FOR 
HUMAN 
QUESTIONS”. 
EGM 
Architects. 
www.IMAGINAL.com.BR
OUTTAKES 
FROM 
THE 
PROCESS 
How 
the 
aging 
populaIon 
impacts 
on 
hospital 
seUngs? 
How 
telemedicine 
impacts 
in 
reducing 
hospital 
beds? 
Why 
corridors 
are 
open 
narrow 
and 
monotonous 
and 
can 
give 
rise 
to 
common 
areas 
for 
paIents 
and 
visitors 
to 
meet, 
as 
a 
living 
room? 
How 
natural 
light 
is 
u:lised 
throughout 
the 
history 
of 
architecture 
and 
can 
drive 
design 
decisions 
inside 
a 
hospital? 
www.IMAGINAL.com.BR
WHAT 
NOW?!? 
ON 
TO 
THE 
NEXT 
PIPE 
DREAM 
( 
… 
) 
www.IMAGINAL.com.BR
SCALE 
?!? 
Royal 
London 
Hospital, 
Alice’s 
Adventures 
in 
Wonderland.
FEEL 
FREE 
TO 
TAKE 
WHAT 
YOU 
WANT, 
AND 
LEAVE 
THE 
REST. 
I 
show 
my 
work 
at: 
WWW.IMAGINAL.COM.BR 
Get 
in 
touch 
with 
me: 
moema@imaginal.com.br 
Moema 
Falci 
Loures

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Healthcare Architecture Moema Loures - IFHE 2014 - Arquitetura Hospitalar

  • 1. THE CHALLENGES OF ARCHITECTURAL HUMAN SCALE IN HOSPITAL ENVIRONMENTS: BRAZILIAN HOLY HOUSE OF MERCY. Moema Falci Loures Architect and Urban Designer. Founder of Imaginal Architecture. Professor at Pon:fical Catholic University of Rio de Janeiro. PhD in urban design. HEALTHCARE FACILITIES IN TIMES OF RADICAL CHANGES 23rd Congress of the Interna:onal Federa:on of Hospital Engineering – IFHE 25th La:n American Congress of Architecture and Hospital Engineering
  • 2. www.IMAGINAL.com.BR ARCHITECTURE DESIGN ENGINEERING A mul:disciplinary office dedicated to planning, crea:ng and implemen:ng projects of architecture, urbanism and design. We say IMAGINAL, in order to give visibility and freedom to the imaginaIon. IMA (in English MAGNET) with the aim of puUng together many professionals related to the crea:ve process: from architecture to engineering, from art to design, from technology to innova:on.
  • 3. ATMOSPHERE BASED ON THE HUMAN Scale of sensory percepIons. Scale of social mee:ngs We believe that a human-­‐scaled space is the path to encapsulate beauty and simplicity. SCALE Den Bosh Hospital, Netherlands. EGM Architects. www.IMAGINAL.com.BR
  • 4. HEALING ENVIRONMENT Sensi:vity of colour uses, light intensi:es, temperature varia:on, suppor:ng orienta:on, wayfinding system, and constant interac:on of our bodies and movements within the environment in the architectural experience. www.IMAGINAL.com.BR
  • 5. HOLY HOUSE OF MERCY Juiz de Fora – Minas Gerais. Philanthropic hospital. Founded in 1854. 15 floors -­‐ first verIcal hospital in LaIn America. 508 beds. 3.000 people circulate in the complex per day. 18.000 surgical operaIons are done per year. 70% for the Brazilian Public Healthcare System (SUS). For us the most important thing to remember in a large-­‐scale complex is to not lose the human scale and the major design challenge is to master the urban, architecture or design scales. www.IMAGINAL.com.BR
  • 6. DETAIL AS A KEY WORD Having “the detail” as a keyword, for each work, we were learning how to approach the architecture on a human scale. The goal was always to awaken the playful in a rigorous and complex hospital environment. www.IMAGINAL.com.BR
  • 8. www.IMAGINAL.com.BR FOCUS ON THE PATIENT The most important aim of the architecture is the crea:on of an atmosphere inside and outside the building that helps the pa:ent to recover as quickly as possible and to make the stay as pleasant as possible.
  • 10. CURIOSITY www.IMAGINAL.com.BR The idea is to arouse curiosity of those who experience the architecture. The drawings, for example, are located in places where they are not evident, the pa:ent will discover them. The forms are not clear, they insIgate sensiIve imaginaIon.
  • 13. NATURAL LIGHT ALL OVER www.IMAGINAL.com.BR Architecture is especially the spa:al experience that people undergo in buildings; the rela:onship with the outside for us is crucial. We are always interested in light, daylight, the light on things; it gives the feeling that there is something behind all understanding.
  • 15. MEETING SPACE www.IMAGINAL.com.BR The boulevard is not just a circula:on area but also a public space. A “between space” where you can just stay to look outside, to talk with other pa:ents or just to have a coffee. A space for socialising, mee:ng places for groups, family and friends. Den Bosh Hospital, Netherlands. EGM Architects.
  • 16. THE BOULEVARD IDEA www.IMAGINAL.com.BR This year we started the first ideas to build a Holy House of Mercy Hospital extension. Our main idea is to create a big boulevard that connects to the hospital. This space can give the visitors, staff and pa:ents a clear sense of spaIal direcIon.
  • 17. WAYFINDING DESIGN www.IMAGINAL.com.BR Encompasses all of the ways in which people orient themselves in physical space and navigate from place to place.
  • 19. BETWEEN SPACE You can stay to cast a quick glance outside, to talk with other pa:ents or just to read a book. www.IMAGINAL.com.BR
  • 20. www.IMAGINAL.com.BR WAYFINDING DESIGN ORIENTATION is the alempt to determine one's loca:on, in rela:on to objects that may be nearby and the desired des:na:on.
  • 21. www.IMAGINAL.com.BR WAYFINDING DESIGN Modern wayfinding has begun to incorporate research on why people get lost, how they react to signage and how these systems can be improved.
  • 22. www.IMAGINAL.com.BR TECNOLOGY AND LOGISTICS TECNOLOGY and LOGISTICS are incorporated so that they func:on op:mally but do not dominate the atmosphere of the interior space.
  • 23. BEFORE www.IMAGINAL.com.BR BEHIND THE SCENES The first impression of the refurnishing should be that it was easy to be done, and is simple and beau:ful.
  • 24. Acompanhamos todas as etapas das obras. www.IMAGINAL.com.BR TECNOLOGY AND LOGISTICS
  • 27. www.IMAGINAL.com.BR LUDIC SPACES Due to the objec:vity of :me on surgeries as well as the rela:vity of :me in pa:ent recovery, we decided to enhance this concept by crea:ng different clocks in which the exercise of seeing :me becomes subjec:ve, distrac:ng the pa:ent from focusing on their pain.
  • 30. AN INTEGRATED APPROACH www.IMAGINAL.com.BR Since the first ideas and desires of doctors, nurses and boards directors right up un:l the units had started work. We have an architecture office inside the hospital and we work together with the engineers and the construc:on team. We are immersed in the construcIon site and in the hospital ambience.
  • 32. THINKING PROCESS NOT PRODUCT www.IMAGINAL.com.BR
  • 33. www.IMAGINAL.com.BR (…) what I am designing will be part of a place, part of its surroundings, used and loved, discovered and bequeathed, given away, abandoned, and perhaps even hated -­‐ in short, that it will be lived in, in the wildest sense.” Peter Zumthor.
  • 34. www.IMAGINAL.com.BR TAKE UNCERTAINTY AS THE ONLY CERTAINTY The only certainty we have is that the human scale will always be essen:al in architecture and in promo:ng the speedy recovery of the pa:ent. Human scale will always be the challenge of architecture.
  • 35. WHAT IS INSPIRING US ? 40 days in Europe. 25 hospitals visited. “ARCHITECTURAL ANSWERS FOR HUMAN QUESTIONS”. EGM Architects. www.IMAGINAL.com.BR
  • 36. OUTTAKES FROM THE PROCESS How the aging populaIon impacts on hospital seUngs? How telemedicine impacts in reducing hospital beds? Why corridors are open narrow and monotonous and can give rise to common areas for paIents and visitors to meet, as a living room? How natural light is u:lised throughout the history of architecture and can drive design decisions inside a hospital? www.IMAGINAL.com.BR
  • 37. WHAT NOW?!? ON TO THE NEXT PIPE DREAM ( … ) www.IMAGINAL.com.BR
  • 38. SCALE ?!? Royal London Hospital, Alice’s Adventures in Wonderland.
  • 39. FEEL FREE TO TAKE WHAT YOU WANT, AND LEAVE THE REST. I show my work at: WWW.IMAGINAL.COM.BR Get in touch with me: moema@imaginal.com.br Moema Falci Loures