Design & Environment for Elderly
The parameters used in designing any built environment are based on normal, healthy
and active human beings. The architects as well as the end users simply do not realize
that all of us will age sooner or later. We all are witness to a phenomenal advancement
in medical technology in recent times. This is resulting in major demographic change
in the world. Soon we will have a very high percentage of ageing population which
will be forced to fend for themselves for various social reasons. And the built
environment will be full of barriers for them. Barriers adversely affect the elderly.
They deter them from performing physical activities and make them dependent for
their very existence. The need to create a barrier free built environment for them
should be addressed with a feeling of urgency. The elderly should not be deprived
of full participation and enjoyment of the environment caused by barriers.
Barrier free architecture would incorporate and utilize certain design principals
to create functional, safe and convenient built environment for the elderly. The
principles required to be adopted while planning are:
- ACCESSIBILTY
All built environment should be designed so that it shall be accessible to all young,
old and differently abled.
- REACHABILITY
Provisions in the built environment should be introduced to make it reachable to
all young, old and differently abled.
- USABILITY
The design of all built environment should make it usable to all.
- ORIENTATION
The design of all built environment should be such that all can easily enter and
find his or her way around. Easy evacuation of all from a building is also of the
utmost importance, especially in times of sudden disasters or calamities.
- WORKABILITY
The design should incorporate all those principles to make the elderly work and
fend for themselves.
- SAFETY
Designing all built environment for safety will ensure that every one should be
able to move about with least hazards to life and health.
A sensitively designed environment can make all the difference in making the elderly
feel isolated or independent. Therefore, one needs to address the indoor built environment
as well as the outdoor public spaces. An integration of design purpose between these
two can produce an enabling physical environment coupled with services that allow
elderly to become independent within their family as well as the community for much
longer without having to recourse to institutional care. In this way the barrier
free built environment can reinforce the personal environment to support an age
integrated community and a society for all ages
Each of us is going to age sooner or later and there are various factors that affect
the ageing process. These are:
- PRIMARY FACTORS
Genetic or inherent biological factors, acquired defects at birth, inherited or
familial diseases such as diabetes affects bones, stamina, vision to name a few.
- SECONDARY FACTORS
Cumulative effects caused by polluted environment and hazardous work places can
affect breathing, hearing and posture.
- PHYSIOLOGICAL FACTORS
Loss of stamina, mobility, decrease in immunity, slowing down of metabolic system
of elderly can affect their daily activities. Incontinence is one of the major concerns
one needs to address
- PSYCHOLOGICAL FACTORS
Loss of financial sources, loss of work after retirement, loneliness caused by loss
of spouse or friends can aggravate stress in elderly to a large extent.
THE DESIGN PRINCIPLES FOR BARRIER FREE BUILT ENVIRONMENT
- ENTRY AND EXIT: Entrance and exit to every building should be easily
accessible and clearly visible from the road. If the entrance lobby is higher than
the road level, then ramps should be provided. For buildings having more than one
floor, ramps or elevators should be provided besides comfortable staircases.
- RAMPS: Ramps will help elderly persons with walkers or wheel chair
to enter or exit any building. Therefore, the gradient of such a ramp should be
not less than 1:12. The minimum width should be 120 cm and the maximum length can
be 6 meters after which a landing of about 180 cm should be provided. The ramps
should be provided with handrails and 10 cm high curbs on both sides.
- DOORS: All doors should have a minimum clear width of 80 cm to
allow a wheel chair or a walker to pass. A minimum clear level space of 150cm x
150cm should be provided before and extending beyond a door. Doors and windows should
preferably be of such material that helps them to operate smoothly. Opening or locking
doors and windows should not require wrist action or fine finger manipulation. Lever
type handles are preferable.
- STAIRCASES: Stairs in buildings having risers of 150cm and treads
of 300cm are comfortable even for the elderly to ascend or descend. Railings along
both sides of the width of the staircase make it easier for them. Triangular treads
should be avoided at turnings as they can be hazardous. Open risers and projecting
nosing can make the elderly trip as their feet or their walking sticks can get caught
in them. Slanted risers are preferable. Treads should preferably have slip resistant
surface or at least non slip strips at the edge to avoid slipping. The treads and
risers may have contrasting colours to make them clearly defined for elderly with
poor vision.
- PASSAGES: In public areas, changes in levels of walkways should
have dropped curbs. These walkways should have a continuing surface and should be
wide enough to allow a person to pass a wheel chair. It can be wider at intervals
to allow another wheel chair to pass. To assist the elderly in moving around, use
of railings along the passages and corridors in the building as well as pathways
in gardens and parks is beneficial. The floors and paved areas can also have contrasting
borders at edges to facilitate elderly with poor vision.
- LAYOUT OF THE BUILDING: Buildings should be well lighted and ventilated.
The layout or planning of spaces of any building should be simple and obvious to
help elderly in finding their way around as most of them can be affected by diminishing
memory. Cluttered rooms and gardens, ill placed rugs or foot mats, ill located garden
and street furniture, sign posts along defined routes can make elderly trip and
hurt themselves. Toilets in private and public areas should be placed conveniently
as most of the elderly persons suffer from incontinence.
- TOILETS: At least one toilet in a building should be large enough
to allow a walker or wheel chair user to enter, close the door and transfer oneself
onto the water closet seat. A turning space of 2.25 sq.meters with a minimum space
of 150 cm for wheel chair movement should be provided. Grab bars (preferably steel)
strategically placed along water closets, urinals, wash basins and shower areas
go a long way is assisting the elderly persons to perform their daily activities
with ease. All the accessories in the toilets should be accessible to the person
in a wheel chair. Floors in toilets as well as kitchen should have non slip tiles.
Use of rubberized mats in shower area will minimize falls caused by slipping.
- LIGHTING: Every building should have adequate natural lighting.
The windows should have well placed shades to cut off the harsh glare of the sun
in daytime. Contrasts in unlit and lit areas at night time should be least. This
is because elderly persons with poor vision have difficulty in adjusting their eyes
when coming in from a dark area to a well lighted one and vice versa. Use of contrasting
colours for electrical switch boards helps the elderly in identifying them.
- HYGEINE AND SAFETY: As elderly persons have diminished immunity,
having smooth walls will reduce the accumulation of dust, thereby reducing the chances
of catching infection. Elderly will be less prone to hurts if rounded edges are
provided for walls, doors, windows, and furniture.
- ACCOUSTICS: Most elderly persons have diminished hearing sense.
The use of sound absorbing materials in the rooms, like curtains, carpets, cloth
upholstery, tapestries on walls etc. goes a long way in reducing echoes, thereby
making it easier for the elderly to hear clearly.
- AESTHETICS: Besides making all provisions for having a barrier
free environment, it is of the utmost importance to have aesthetically pleasing,
clean, and well maintained environs which do wonders in reducing depression in elderly
persons.
- TO SUM UP: It is very important to understand that designing and
providing barrier free built environment does not necessitate increased overall
areas or cost of construction. If these principles of barrier free architecture
are adapted to any design then all will benefit as all of us are going to age sooner
or later.