When you go the entrance door of Orbe, the geriatric ward at Charles-Foix Hospital in Ivry-sur-Seine (Val-de-Marne), it is as when you’re in a village sq.. A round bench going through the big home windows in entrance of which develop inexperienced crops. Marble flat basin, at armchair peak, for hand washing or cooling, as by the fountain. On the partitions are work drawn by sufferers. Right here, the whole lot is the alternative of the standard structure of hospitals.
This 82-bed care unit was designed and constructed on the daybreak of the Nineteen Nineties by André Bruyère (1912-1998), after a contest of concepts on growing older structure launched by Help Publique-Hôpitaux de Paris (AP-HP). Even earlier than embarking on the design, the architect immersed himself for days and nights to know the lives of sufferers and caregivers. His notes relate to the burden of loneliness, foul smells, and A vile fluorescent gentle caught to the ceiling.. And his displeasure with the variety of kilometers traveled within the lanes in a straight line. This led him to design a one-story constructing of huge volumes, all curves, the place the care and residing areas are intently intertwined.
At Orbe, the whole lot is completed to make you overlook the burden of a lifetime. The area is fluid and never very divided. The corridors have been scrapped and changed with vigorous areas, that are naturally lit, like many cascading squares. Sufferers, as soon as they depart their room, can meet individuals there, discuss to somebody, sit on an armchair, and a settee. Or roaming freely with out feeling constrained by the partitions, their gazes can veer away with out being blocked by obstructions. Right here, there is no such thing as a darkish place: the whole lot is illuminated by pure gentle and within the night by nice lighting. The whole lot is completed so that folks escape from the sensation of confinement.
Calm, calm and sometimes smiling faces
Within the single rooms, the mattress is oriented at an angle to permit a view of the backyard panorama by means of home windows and the important area by means of doorways – most of which stay open. In the course of the certification visits, the specialists of the Supreme Well being Authority demand that the doorways be closed for causes of confidentiality. However sufferers like to depart their door open, and this goes towards the architectural spirit of Andre Breuer. It’s not by isolating the aged that we assist them survivenotes Amina Lahlou, Head of Lengthy-Time period Care. Nicely-being, pleasure and dishing out with life are the first aims of this service. The expression of intimate areas and areas of social life enhances the motion of sufferers. By way of its variety, the structure of the place breaks with isolation and isolation. It’s believed that it stimulates life. » Furthermore, it’s exceptional, when one passes in entrance of those sufferers with Alzheimer’s illness: their faces are calm, relaxed, and sometimes smiling.
“As a result of the whole lot is open, sufferers come to actions on their very own, simply as they’ll exit to the park each time they need.” Catherine Dewaguet, animator
The 4 sectors of the service – conceived by André Bruyère as representing nature and life and thus named Fish, Minerals, Timber and Planet – are organized round a backyard the place residents can stroll or relaxation. Benches, chairs and tables are at their disposal. Farmers, on the peak of a wheelchair, additionally permit them to backyard, with the assistance of occupational therapists and exercise leaders. Within the recreation room, residents may also be a part of the workshop of drawing, writing, light gymnastics … “Right here the whole lot is open. Sufferers come to the actions on their very own, simply as they’ll exit to the park each time they need”Catherine Dewaget, a facilitator who has labored in lots of hospital departments for prolonged stays explains.
On Thursdays, residents can take part in panorama remedy classes, throughout which literary texts on a subject of their alternative are learn aloud. “It stimulates reminiscence and language, Explains speech therapist Florence Marques, who leads these classes. It happens to me, relying on what they provoke, to affiliate olfactory remedy, in order that they discover a sure variety of recollections by means of smells. »
On this establishment, all of the senses are consistently solicited. In the course of the day, the sunshine sound of classical music inhabits the widespread areas. The olfactory suggestions unfold contemporary (mimosa, lavender, and many others.) or enjoyable aromas that evoke early childhood. Sufferers have entry to the interactive Snoezelen Multisensory Stimulation Room, the place projections of panorama, lights and music assist them recharge their batteries, and the place they’ll get a therapeutic massage.
Poetic, musical, or choreographic “orders.”
as we’ve got seen 90 yr outdated ladyThe attractive documentary directed by Valeria Bruni Tedeschi and Jan Corridian at Orbe, the crew additionally doubles as inventive actions associated to portray, music and dance. Actors and musicians got here from the Théâtre de la Ville two to a few occasions every week throughout 2021 to carry out. “Medical Prescriptions” Poetic, musical or dance. Or as a part of an modern partnership with the Louvre, nursing assistants, nurses, facilitators and museum-trained speech pathologists, to share their information with sufferers and set up workshops. For the collection of works – copies had been made accessible to the division by the Louvre Artwork Library to brighten the affected person rooms and customary areas. The museum has additionally loaned life-size statues to the park. Our sufferers typically categorical themselves in a non-verbal manner of communication. Alzheimer’s illness impoverishes their language, and so they present their feelings another way. Nonetheless, artwork stimulates reminiscence and the awakening of recollections in an uncommon manner.Amina Lahlou notes. As a part of an intergenerational mission, a soup contest was organized based mostly on recipes prompt by sufferers and made by highschool college students from a close-by vocational highschool. Thus, life in all its dimensions is what requires the aged.
The composition and ambiance of this place is mirrored within the work of the healthcare crew. “It offers that means to our work, Florence Marques testifies. We do not really feel like we’re engaged on our deathbed. Older individuals, we see them in a different way than we see them by means of the standard meal, the modifications … they’re objects in themselves. We aren’t, as psychiatrist Jean Mesondio put it, in a “automobile park for the aged”: we’re in a medical place of life, a spot of residing. » Illustration: The distinctive bay window of the eating room and residing area, which Andre Breuer sculpted within the type of a standing man to make sufferers wish to sit, ‘To indicate they’re nonetheless alive’.