Michelle Williams-Davis

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8/28/07 Ideas: noise reduction, patient and family centered environment. Along these lines we might want to put baby changing facilities in the patient's room for the family to utilize. It was suggested in class to add structures for lifts even if they are not immediately added to the facility. A good idea that was suggested is beepers to give to the patient's family so they do not feel restricted to the patient's room.

I feel like the beepers are important. Today I was at Crawford Long as a family member of a patient. My mother and I went to get lunch in the cafeteria but left my dad in the room so that he could call us if the doctor came by because the doctor was supposed to come by before noon and it was 12:45 when we went down to the cafeteria (and the PA or Dr had not been by). So I want to implement something like this in the room design if possible.

Also for this center we need to look at maybe designing to handle patients with Sickle Cell and Asthma. We need to do research on these diseases to see if we can incorporate design aspects to handle these diseases better.


Observations: 1) The waiting area has boring toys 2) No "sick" patient versus "non sick" patient waiting area in the clinic 3) There is a need for more open space in the ED 4) I got lost in the building I can not imagine actually being in a rush to find myself in the current building 5) I found it interesting that this facility is focused on disease specific aspects in design.

Ideas: 1) Put pictures on the signs that point people where to go to make it more universal in times of stress 2)we could design a philanthropic wall in the main area that is interactive with the kids..make it a game of some sort 3) Designing the signs in the lobby would be a big task since it need to be able to change..possibly use digital signs so if things change throughout the day then the signs can reflect this change 4) A project to model the flow of the crowd through the big entrance area would be interesting to look at with the co-location of facilities. 5) Possibly research the requirements of treating diabetes and sickle cell when designing a patient room.

Conversations: 1) Had a conversation with Dr. Lamb about decorating the underground hall way with a fun theme to make it less scary for kids to travel through. 2) Had a conversation with Mrs. Jones about the need for more natural lighting 3) Had a conversation with classmate David Herren about the size and cramped feel of the current facility.

9/4/07 Today Dr. Lamb talked with us about patient centered care. This is an important thing to keep in mind when designing our project. A few of the main points that I took away from the lecture was the PCC is focused on giving a choice to the patient and relying on the fact that people know themselves the best. There is a foundation for informed decision making that is a good reference. The PCC needs to support the processes of care. I think that we need to redesign our project to reflect more of these values.