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Architecture plays an important role within the health sector. Architects are given the unique task of meeting traditional architectural standards for general construction while adhering to the distinctive needs of those who will live or work there. The nuances of this task are often heightened when meeting the needs of people with physical disabilities such as Rheumatic Diseases (RD).

RD’s often involves painful joints, swelling, and inflammation. This creates challenges regarding an individual’s ability to work, manage their activities of daily living, and subsequently, maintain their overall independence. Patients living with RD can struggle with the likes of getting dressed and getting out of bed, and other tasks such as turning on a tap and opening a bottle cap. In fact, in a bulletin on musculoskeletal diseases, the World Health Organization (WHO) concluded that,

 “Although fatal diseases attract much more public attention, RDs or musculoskeletal disorders are the most frequent in the world population, with undoubted repercussions on health and quality of life, causing huge load costs for health care services.”

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Given that people living with RD almost always experience challenges with activities of daily living at some point, having a proper environment is critical to maintaining independence. A discordant environment can greatly impact their health and functionality. For contemporary architecture, a continued focus on the modern world without much attention to health implications can overshadow considerations for mobility and ease of living for individuals living with RD. Small environmental changes such as secure carpet edges, secure bathroom surfaces, well-placed handrails, and optimal lighting can go a long way to improve safety of the home environment. Cutting back on clutter can be useful as well; so, incorporating built-in storage would be useful. Carefully designed environments can improve the quality of life of people living with RD. Such environments can only be created if architects have the proper knowledge.

 

An interdisciplinary approach is required that promotes a healthy balance of environmental awareness, health, and well-being. For example, studies on the value of physical activity and home exercises emphasize the need for adequate physical space. These spaces promote a conducive environment for those with physical disabilities to perform exercises that are necessary to maintain functional independence. This design element must be taught in the architectural education system. Although architectural students are taught to consider unique needs as given by American Disability Association requirements, the needs of people living with RD are not frequently addressed in architecture schools. If such lessons are added to the curriculum, the new generation of architects may have increased awareness of the importance of providing environments in which individuals living with RD can thrive. With such training, we can ensure the creation of a supportive architectural environment that encourages safety and independence for people living with RD.

 

Infographic


The Role of Architectural Design in the Wellbeing of Patients Living with Rheumatic Diseases Infographic

 

References

Punzi, L., Chia, M., Cipolletta, S., Dolcetti, C., Galozzi, P., Giovinazzi, O., Tonolo, S., Zava, R., & Pazzaglia, F. (2020). The role of architectural design for rheumatic patients’ wellbeing: the point of view of Environmental Psychology. Reumatismo, 72(1), 60-66. https://doi.org/10.4081/reumatismo.2020.1251

Briggs, A., Woolf, A., Dreinhöfer, K., Homb, N., Hoy, D., Kopansky-Giles, D., Akesson, K., March, L. (2018). Reducing the global burden of musculoskeletal conditions. Bulletin of the World Health Organization, 2018;96:366-368. doi: http://dx.doi.org/10.2471/BLT.17.204891