a good life: designing for health and well-being

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Designing for health and well-being.

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A GOOD LIFEDESIGNING FOR HEALTH AND WELL-BEING

March 28, 2014

LIFE

LIFE

LIFE

LIFE

LIFE

LIFE

LIFE

Ngorongoro Crater

solving problems

survival mode outdoors

unstable conditions

constant motion together

human evolution timeline

LARGE BRAINBIPEDAL TOOLS FIRE CROPS

7 6 5 4 3 2 1 NOW8 MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

MILLION YEARS AGO

HOMO SAPIENS

human population timeline

7 billion

0

10,000 years ago NOW

wor

ld p

opul

atio

n

5 billion

4 billion

3 billion

2 billion

1 billion

3,000 years ago

6 billion

Hunter-Gatherer Age

Agrarian Age

Industrial Age

Information Age

Abundance Age

Abundance Age

“ Measure your life; it just does not have room for so much.”

Seneca, 1st century AD

joy meaning empowerment

vitalitypeace & balance

love & connection

joy

sadness

meaning

apathy

empowerment

not in control

vitality

lack of energy

peace & balance

fear

love & connection

unlovable

HEALTH

HEALTHa state of complete

physical, mental and social well-being and not merely the absence of disease or

infirmityWORLD HEALTH ORGANIZATION

foundations of healthMENTAL

PHYSICAL SOCIAL

WELL-BEING

WELL‑BEINGjudging life in a positive way and feeling good

foundations of well-beingMENTAL

PHYSICAL SOCIAL

SPIRITUAL ECONOMIC

ENVIRONMENTAL

determinants of health

HEALTHCARE

GENETICS

ENVIRONMENTLIFESTYLE

LIFESTYLE/ BEHAVIOR CHOICE SOCIAL NETWORK

ENVIRONMENT GENETICS

LIFESTYLE/ BEHAVIOR CHOICE SOCIAL NETWORK

ENVIRONMENT GENETICS

ME US

HISTORYPLACE

“ The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not.”

Mark Twain

WORK

WORKa job or activity

that you do regularly, especially in order to

earn money

40-hour work week

WORK8.8 hours

SLEEP7.7 hours

LEISURE2.6 hours

OTHER1.6 hours

CARE GIVING1.2 hours

EATING 1.1 hours

CHORES 1.0 hour

employees working 50 or more hours per week

WOMEN MEN

low income mid income professional low income mid income professional

1977-1979 2006-2008 1977-1979 2006-2008

4% 4% 3%

8% 6%

14%16%

9%

21%23%

34%38%

employees working 50 or more hours per week

WOMEN MEN

professional professional

1977-1979 2006-2008 1977-1979 2006-2008

6%

14%

low income mid income low income mid income

4% 4% 3%

8%

16%

9%

21%23%

34%38%

40-hour work week

WORK8.8 hours

SLEEP7.7 hours

LEISURE2.6 hours

OTHER1.6 hours

CARE GIVING1.2 hours

EATING 1.1 hours

CHORES 1.0 hour

50-hour work week

WORK10.8 hours

SLEEP6.3 hours

LEISURE2.2 hours

OTHER1.3 hours

CARE GIVING1.0 hours

EATING 0.9 hours

CHORES 0.8 hour

60-hour work week

WORK12.8 hours

SLEEP5.3 hours

LEISURE1.8 hours

OTHER1.1 hours

CARE GIVING0.8 hours

EATING 0.8 hours

CHORES 0.7 hour

employment arrangements between couples

70%

10%

20%

30%

40%

50%

60%

0%

1960 1970 1980 1990 2000 2010

% o

f mar

ried

cou

ples

with

chi

ldre

n un

der

18

FATHER & MOTHER EMPLOYED

FATHER EMPLOYED

MOTHER EMPLOYED

FRAGMENTATIONBUSY-NESS

“ Workplaces think the best workers are the ones that come in early, that leave late, that are available 24/7, and our workplaces are becoming even more and more demanding.”

Brigid Schulte, author of Overwhelmed

WORKLIFE

balanced

employment arrangements between couples

70%

10%

20%

30%

40%

50%

60%

0%

1960 1970 1980 1990 2000 2010

% o

f mar

ried

cou

ples

with

chi

ldre

n un

der

18

FATHER & MOTHER EMPLOYED

FATHER EMPLOYED

MOTHER EMPLOYED

how the past four generations self-identify

born 1928-1945

1. WWII, Great Depression

2. Smarter

3. Honest

4. Work ethic

5. Values/morals

born 1946-1964

1. Work ethic

2. Respectful

3. Values/morals

4. Baby boomers

5. Smarter

born 1965-1980

1. Technology use

2. Work ethic

3. Conservative/traditional

4. Smarter

5. Respectful

born 1980-2000

1. Technology use

2. Music/pop culture

3. Liberal/tolerant

4. Smarter

5. Clothes

SILENT GEN. BABY BOOMERS GENERATION X MILLENNIALS

millenials’ priorities

MARRIAGE 30%

PARENTING 52%

HELPING OTHERS 21%

HOME OWNERSHIP 20%

RELIGION 15%

HIGH-PAYING CAREER 10%

FREE TIME 9%

FAME 1%

SOURCE: http://pewsocialtrends.org/files/2010/10/millennials-confident-connected-open-to-change.pdf

WORK

integrated

LIFE

LIVE TO WORK

WORK TO LIVE

HOW DO WE DESIGN FOR HEALTH and WELL-BEING ?

PROVIDE FRESH AIR &

DAYLIGHT

ENABLE MOTION

design factors

REDUCE STRESS

FOSTER CONNECTION

John Medina

Auditory space and control

Color: focus and arousal

Memory and the reminiscence bump

ENABLE MOTION

10,000 steps

AUSTRALIA9,695 steps

SWITZERLAND9,650 steps

JAPAN7,168 steps

U.S.A.5,117 steps

average steps by country

“ Being physically active is one of the best things you can do to maintain good health.”

Steven N. Blair, P.E.D.

Engineering motion out of our lives

PROPINQUITY

the state of being close to someone or to a place;

proximity

Madison Park, Seattle

10 MIN WALK FROM RETAIL CORE

PARK

SCHOOL

RETAIL CORE

Seattle neighborhoods

SCHOOL

PARK

RETAIL CORE

20 MIN WALK FROM RETAIL CORE

10 MIN WALK FROM RETAIL CORE

Bellevue

10 MIN WALK FROM RETAIL CORE

PARK

RETAIL CORE

The dream ...

... has become a curse

PUPILS DILATE

BREATHING BECOMES SHALLOW

HANDS, ARMS, SHOULDER MUSCLES TIGHTEN

NECK, JAW MUSCLES CLENCH

1 Thornton Place

2 Library & Community Center

3 Hubbard Homestead Park

4 Transit Center/Light Rail Station

5 Northgate Mall

6 Thornton Creek

7 Freeway Bridge

8 Neighborcare

9 Northgate North Retail Center9

8

7

before (2008)

SHANGHAI BUND

PROVIDE FRESH AIR & DAYLIGHTPROVIDE FRESH AIR & DAYLIGHT

Lecture Dynamics Information Displays

Conference Rooms

Meeting Rooms

Informal Meeting Spaces

Touchdown Spaces

Light Main Hub

Breezeway

Focus Rooms

FOSTER CONNECTION

FOSTER CONNECTION

A day in the life...

MO

ME

NT

08/28/2012 | Bay View | Page 4

Day In The Life

ARRIVAL

EAT-ALONE

WORK- FOCUSTHRESHOLD

WORK-COLLABORATE

EAT-TOGETHER

REST

DEPART

PLAY

10/30/2012 | Bay View | Page 11Campus Activity Mapping

100

600

100

2,400

1,200

WETLANDS

HUB

PIAZZA

QUAD

ROTISSERIE

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st

so

uth

po

diu

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1,675

10

1,250

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1,675

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10

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1,200

100600

2,400

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ea

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HUBHUB

HUBHUB

HUB

HUB

HUB

HUB

HUB

MARKETPLACE

ASIAN

HEALTHYBASICS

ROOFTOPCAFE

FAMILYSTYLE

OVERLOOK

QUAD

PIAZZA

HUB

WETLANDS

OVERLOOK

ARRIVAL DEPARTUREMORNINGACTIVITIES

EN ROUTECoFFee shopNeWs staNd

spoRts tiCKeRtea house

DESTINATIONYoGa CLass

Laptop RepaiRCRoss Fit

doCtoR’s VisiteRGo eVaLuatioN

spiN CLassChiRo adJustmeNt

massaGetai Chi

dRiViNG RaNGeWeiGht LiFtiNG

RuNNiNG

LATE MORNING ESCAPE

WaLKiNG meetiNGFuLL sCaLe Chess

miNi GoLFhammoCK FaRm

biRdiNGaRCheRY

dRiVNG RaNGepotteRYmassaGe

ChiRo adJustmeNtFLY CastiNG

FLoatiNG spaCessCuLptuRe WaLK

aRCadeoFFiCe GRaFFitipaiNtiNG CLass

meditatioNRoWiNG pooL

hoLodeCK

EARLYAFTERNOON

ESCAPE

Robot WaRsVoLLeYbaLL

ZipLiNesWimmiNG

tiGht RopetRampoLiNe

VeLCRo WaLLstRetCh

iNdooR sKY diViNGRopes CouRseRoCK CLimbiNG

dodGe baLLWaLKiNG meetiNG

FRisbee GoLFGo-CaRt RaCiNG

CabLe paRKsWiNG

stRoNGest maNbiCYCLe poLo

tRapeZeboWLiNG

eCo touRsRoLLeR sKatiNG

bouLdeRiNGWaVe pooL

paR CouRse

EVENINGACTIVITIES

EN ROUTEdiNNeR basKet

aRt busesFamiLY suppeR

DESTINATIONsoFtbaLL

VoLLeYbaLLpiLates

basKetbaLLsoCCeR

ViRtuaL GamiNGYoGa

daNCe CLassbeeR GaRdeN

CooKiNG CLassesCampiNG

obseRVatoRYboCCe baLL

RooFtop WiNe baRCRoss Fit

LUNCH

EAThub

PLAY pooL

MEEToNe-oN-oNe

REST meditatioN Room

EATmiCRo-KitCheN

PLAY piNG poNG

MEETteam huddLe

REST LibRaRY

EATmiCRo-KitCheN

PLAY aRCade

MEETimpRomptu CoLLaboRatioN

REST Nap pod

EAThub

PLAY GuitaR heRo

MEETbRaiN stoRmiNGsessioN

REST massaGe

A day in the life...

MO

ME

NT

08/28/2012 | Bay View | Page 4

Day In The Life

ARRIVAL

EAT-ALONE

WORK- FOCUSTHRESHOLD

WORK-COLLABORATE

EAT-TOGETHER

REST

DEPART

PLAY

10/30/2012 | Bay View | Page 11Campus Activity Mapping

100

600

100

2,400

1,200

WETLANDS

HUB

PIAZZA

QUAD

ROTISSERIE

ea

st

so

uth

po

diu

m

1,675

10

1,250

1,250

825

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

1,675

1,250

1,250

825

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

20

30

40

10

20

30

40

6001,675

10

1,250

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

20

30

1,250

825

eatmeet

pLaY

Rest40

1,675

825

eatmeet

pLaY

Rest

eatmeet

pLaY

Rest

30

40

1,250

eatmeet

pLaY

20

Rest

1,250

eatmeet

pLaY

Rest

10

100

1,200

100600

2,400

600

ea

st

so

uth

po

diu

m

HUBHUB

HUBHUB

HUB

HUB

HUB

HUB

HUB

MARKETPLACE

ASIAN

HEALTHYBASICS

ROOFTOPCAFE

FAMILYSTYLE

OVERLOOK

QUAD

PIAZZA

HUB

WETLANDS

OVERLOOK

ARRIVAL DEPARTUREMORNINGACTIVITIES

EN ROUTECoFFee shopNeWs staNd

spoRts tiCKeRtea house

DESTINATIONYoGa CLass

Laptop RepaiRCRoss Fit

doCtoR’s VisiteRGo eVaLuatioN

spiN CLassChiRo adJustmeNt

massaGetai Chi

dRiViNG RaNGeWeiGht LiFtiNG

RuNNiNG

LATE MORNING ESCAPE

WaLKiNG meetiNGFuLL sCaLe Chess

miNi GoLFhammoCK FaRm

biRdiNGaRCheRY

dRiVNG RaNGepotteRYmassaGe

ChiRo adJustmeNtFLY CastiNG

FLoatiNG spaCessCuLptuRe WaLK

aRCadeoFFiCe GRaFFitipaiNtiNG CLass

meditatioNRoWiNG pooL

hoLodeCK

EARLYAFTERNOON

ESCAPE

Robot WaRsVoLLeYbaLL

ZipLiNesWimmiNG

tiGht RopetRampoLiNe

VeLCRo WaLLstRetCh

iNdooR sKY diViNGRopes CouRseRoCK CLimbiNG

dodGe baLLWaLKiNG meetiNG

FRisbee GoLFGo-CaRt RaCiNG

CabLe paRKsWiNG

stRoNGest maNbiCYCLe poLo

tRapeZeboWLiNG

eCo touRsRoLLeR sKatiNG

bouLdeRiNGWaVe pooL

paR CouRse

EVENINGACTIVITIES

EN ROUTEdiNNeR basKet

aRt busesFamiLY suppeR

DESTINATIONsoFtbaLL

VoLLeYbaLLpiLates

basKetbaLLsoCCeR

ViRtuaL GamiNGYoGa

daNCe CLassbeeR GaRdeN

CooKiNG CLassesCampiNG

obseRVatoRYboCCe baLL

RooFtop WiNe baRCRoss Fit

LUNCH

EAThub

PLAY pooL

MEEToNe-oN-oNe

REST meditatioN Room

EATmiCRo-KitCheN

PLAY piNG poNG

MEETteam huddLe

REST LibRaRY

EATmiCRo-KitCheN

PLAY aRCade

MEETimpRomptu CoLLaboRatioN

REST Nap pod

EAThub

PLAY GuitaR heRo

MEETbRaiN stoRmiNGsessioN

REST massaGe

A day in the life...

LI KA SHING CENTER FOR LEARNING AND KNOWLEDGELI KA SHING CENTER FOR LEARNING AND KNOWLEDGE

A DAY IN THE LIFE

.

1 PM

7PM

The LKSC supports a 24-hour learning environment, while fostering a balanced

student life and an extended research community. On a typical day, students will

benefit from a comfortable learning environment that is designed to encourage

interaction among undergraduates, graduates, faculty and researchers.

8AM

Grand RoundsAttend a lecture by a visiting scholar at the

Department of Medicine Grand Rounds.

B

A

7AM

Wake up EnergizedHit one of the elliptical machines in the student

lounge fitness room to start the day. Make

breakfast in the kitchen. Before heading out, log

on to secured computers to check on the status

of patients you’ve seen on medical rounds.

Lecture DynamicsAttend class in one of the two halls on

the first floor. The lesson is automatically

recorded and can be broadcast on monitors

throughout the building, as well as being

available for review later. An in-class polling

system allows the instructor to interact with

the entire class.

9AM

C

D

AM11

Virtual HospitalGo to the Center for Simulation and Immersive

Learning, where an entire floor of mock

hospital environments train students and

physicians for a variety of medical situations,

from disasters with multiple traumas to heart

surgery. Give injections and hook up an IV

to one of the computerized mannequins. An

instructor controls the mannequin’s responses

from another room and speaks as the patient

through a microphone in the dummy.

ERefueling Grab a sandwich and a latte at the café, and get

ready for the afternoon’s activities. Stop by the

Medical School store to buy Stanford sweatshirts

to send to your parents.

FThe Human Touch Appointment with a “standardized patient,” an

actor who portrays an assortment of conditions,

in one of the 10 exam rooms that comprise the

virtual hospital on the ground floor. Your exam is

recorded and afterwards, an instructor reviews

your work with you in a nearby conference room.

GDinner Theater Attend a dinner-lecture honoring one of your

professors. The conference room has been

transformed into a banquet hall that seats 300

people. Dinner is prepared in the adjacent kitchen.

PM2

PM5

Room with a View Time to study. Use the video facility in the

student lounge to practice a presentation due

later in the week. Consult a librarian through the

LKSC branch of Lane Medical Library for help

on researching a project. Move to a comfortable

chair on the balcony to read while enjoying a

stunning view of the Santa Cruz mountains.

A

H

B G

C

E

D

F

H

REDUCE STRESS

WHAT IS STRESS?

1. Aroused physiological response

WHAT IS STRESS?

1. Aroused physiological response

2. Stressor must be perceived as adverse

WHAT IS STRESS?

1. Aroused physiological response

2. Stressor must be perceived as adverse

3. Person must not feel in control of the situation

Unexpected acts of kindness

WE ARE GETTING A CLEARER PICTURE OF THE IMPACT BUILDINGS HAVE

on the human experience.

PEOPLE CHANGE DESIGN

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