Healing Gardens

Happy National Nurses Week!

Jacqueline Fiske Healing Garden, Jupiter Medical Center, Jupiter, FL. Photo courtesy of Studio Sprout

Jacqueline Fiske Healing Garden, Jupiter Medical Center, Jupiter, FL. Photo courtesy of Studio Sprout

“So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself.” – Florence Nightingale

Let’s hear it for nurses!

If anyone knew the value of fresh air and access to the outdoors, it was Florence Nightingale (1820-1910); her birthday is on May 12th, and National Nurses Week began on May 6th.

Therapeutic and restorative gardens in hospitals and other healthcare facilities are not just for patients and visitors. Staff can benefit just as much – and sometimes even more. The outdoors is a critical place of respite where people who deal with life-and-death situations can go, by themselves or with colleagues, to take a physical, mental, and/or emotional break. Whenever possible, healthcare facilities should provide separate garden spaces for staff. This separation of space for different users with different needs can be as important as the space itself. Even a view of the outdoors has been found to benefit staff, for example by reducing stress and improving alertness (which, of course, benefits the patients as well!). (more…)

Nurture connection to nature by nurturing winter wildlife

Black-capped Chickadee. Photo by Henry Domke, http://henrydomke.com

Black-capped Chickadee. Photo by Henry Domke, www.henrydomke.com

The TLN Blog has published posts in the past on winter wildlife, and we will do so again in the coming year. But today I’m sharing this post from one of my favorite blogs, Beautiful Wildlife Garden:

Top 10 Tips for Your Winter Wildlife Garden

The article discusses the many rewards of creating a winter wildlife garden and offers tips on how to best provide food, water, and shelter for birds.

And speaking of which, the Audubon Christmas Bird Count is still on, through January 5th:

Each of the citizen scientists who annually braves snow, wind, or rain, to take part in the Christmas Bird Count makes an enormous contribution to conservation. Audubon and other organizations use data collected in this longest-running wildlife census to assess the health of bird populations – and to help guide conservation action.

Thanks again to Beautiful Wildlife Garden for the heads up on this.

So whether you’re enjoying watching wildlife from the comfort of your warm, cozy home or outside braving the elements as a Citizen Scientist for the Bird Count, connecting with nature at this time of year will nurture and sustain you until spring returns.

 

Updated LATIS Publication on Therapeutic Garden Design

Late-season bumble bee, Stonecrop Gardens, Cold Spring, NY. Photo by Naomi Sachs

Late-season bumble bee, Stonecrop Gardens, Cold Spring, NY. Photo by Naomi Sachs

From ASLA’s LAND e-news:

ASLA has released an updated version of a publication in the Landscape Architecture Technical Information Series (LATIS): the “LATIS Forum on Therapeutic Garden Design, 2nd Edition.” The paper highlights the benefits provided by therapeutic outdoor environments in a variety of settings and underscores their importance to people’s health and well-being at all stages of life.

The authors are Marni Barnes, ASLA; Jack Carman, FASLA; Nancy Carman; Nancy Chambers; Clare Cooper Marcus, Honorary ASLA; Nilda G. Cosco, Affiliate ASLA; Mark Epstein, ASLA; Sonja Johansson, FASLA; Jean Stephans Kavanagh, FASLA; Don Luymes; Patrick F. Mooney, ASLA; and Robin C. Moore, Affiliate ASLA.

In addition to updates provided by the authors, this LATIS has been evaluated for Professional Development Hours (PDH) under the guidelines of the LA CES (Landscape Architecture Continuing Education System) program. The update of this paper is part of an ongoing ASLA project to review content and reevaluate PDH of older LATIS publications. ASLA members and nonmembers can download LATIS papers at no charge from the ASLA website. Download is free for members [and the fee for non-members is $50] ; members and nonmembers pay a small fee to take an exam and receive PDH credit for each LATIS read.

Click on the ASLA LATIS page to download the publication.

As a teaser, here’s the Table of Contents:

PART ONE: Therapeutic Gardens in Healthcare Settings

  • A Thumbnail History of Therapeutic Gardens in Healthcare
  • The Role of Gardens in the Therapeutic Milieu of Healthcare Facilities
  • Gardens in Acute Care Settings: Principles and Practice
  • A Children’s PlayGarden at a Rehabilitation Hospital: A Successful Collaboration Produces a Successful Outcome

PART TWO: Environmental Sources of Wellbeing

  • Therapeutic Landscapes in the Public Realm: Foundations for Vancouver’s Wellness Walkways
  • Well-being by Nature: Therapeutic Gardens for Children
  • Therapeutic Gardens in Assisted Living Communities
  • The Power of Landscapes

Garden = Life

Ulfelder Healing Garden, Massachusetts General Hospital, Boston, MA. Photo by Naomi Sachs

Ulfelder Healing Garden, Massachusetts General Hospital, Boston, MA. Photo by Naomi Sachs

On my visit to one of three healing gardens last week in Boston, I waited in the hospital lobby for someone from administration to meet me. A pajama-clad man, connected through various tubes to an IV pole, ambled slowly by, his expression a combination of concentration and resignation. Someone grimaced while maneuvering, with difficulty, a wheelchair bearing the profound weight of an obese middle-aged woman. Doctors and interns in their scrubs and stethoscopes whisked quickly through the space to whatever important task awaited them.

And it dawned on me (not that this hasn’t occurred to me before, but there was something different, perhaps more immediate or visceral, this time): As much as hospitals are places for birth and healing, they are also inherently places of pain, sickness, and death. Most people begin their lives and bring forth new life in the hospital, and that is a wonderful thing. But other than that, we don’t really want to be there. Hospitals are where sick and injured people go to be healed, sometimes successfully, sometimes not. Thus, they are places that elicit uncertainty, fear, and sadness.

And the environment itself, designed to be clean and efficient, is therefore sterile, intimidating, and alienating. It is so far from what most of us experience in our day-to-day lives.

And then there’s the garden. If you’re lucky, your hospital has a garden. And if it’s a good one, it’s an antidote, a life-affirming oasis, a desperately needed contrast to the strange machines, shiny surfaces, alien sounds, and assaulting smells. Gardens are about life. They contain green, living things; fresh air; birds; water. There is death in the garden, too, of course; plants don’t live forever. But somehow, even their death feels more natural, more just part of the cycle of life rather than a startling and traumatic interruption. And often even when plants look like they have died, we know that they have simply gone dormant: Autumn comes, leaves turn color and fall to the ground, and everything goes into hibernation. Then spring arrives and, as if by some miracle, green shoots emerge from the earth, from buds and branches. And the cycle begins again.

There is so much hope and promise in a garden. As Maude tells Harold in my all-time favorite movie, ‘Harold and Maude’:

“I like to watch things grow. They grow, and bloom, and fade, and die, and change into something else. Ah, life!”

Here’s a clip that includes that scene and the daisy scene, which comes right after: http://www.youtube.com/watch?v=h4-xMPTduds&feature=related.

The biologist E.O. Wilson termed our affinity to nature “biophilia” – an innate attraction to life and living things.

So that was my realization. Without going into a zillion caveats, which I’m usually wont to do: Hospital = pain and sickness, and sometimes death. Garden = respite and life and hope.

Peru, Here I Come! Healing Gardens for the Yantalo Clinic

Schematic sketch for Yantalo Clinic interior courtyard. Courtesy of Yantalo Foundation and the NewSchool of Architecture and Design

Schematic for Yantalo Clinic interior courtyard. Courtesy of Yantalo Foundation and the NewSchool

In 2005, Dr. Luis Vasquez visited Yantalo, Peru – his mother’s birthplace – for the first time. Though he had grown up in Lima, about 500 miles southwest of Yantalo, he had never seen his mother’s hometown. A retired cardiologist, Luis was struck by the need for medical care in the community. So Luis did what many of us dream of doing: He created the Yantalo Foundation, setting the wheels in motion to build a health clinic that would serve the people of the region.

Ground has now been broken, and work is well underway on the construction of the Adelina Soplin Yantalo Clinic & Diagnostic Center,  the first green clinic in South America. The 16-bed International Clinic will be equipped with telemedicine, solar power and intelligent water use to decrease negative environmental impact and to lower operating costs. The Clinic will serve everyone in the region, regardless of their ability to pay, while also serving as a training center for Peruvian medical students and physicians. International physicians, dentists and other health care professionals will examine and treat patients who otherwise have no access to proper medical attention.

Gina Cangialosi and Lauren Garza designed all work related to the architectural plans of the clinic. Principles of evidence-based design (EBD) were used throughout. The faculty, students and professional friends of the NewSchool of Architecture and Design in San Diego, CA, donated their time and expertise to the Foundation (their renderings are pictured in this post).

And a week from today, I will be in Yantalo, doing the same – donating my time and expertise for landscape design of the clinic and surrounding site.

From a landscape perspective, there are some very exciting things about this project:

  • The clinic has been designed with several interior courtyards as well as exterior spaces for patients, visitors and staff. The opportunity to work on a design where access to nature as a restorative element is a “given” is very exciting.
  • The clinic is on land that was cleared a long time ago – the disappearing Amazon forest is a major problem in Peru, and the government has a strong REforestation program in place. The Yantalo Foundation is proud to be part of that program; they have planted almost 200 trees already, with plans to plant 3,000-4,000 by the end of the project.
  • A local association of retired senior citizens are very active with the project, and many of them have extensive horticultural knowledge – about what grows well where, and also what plants can be used medicinally. I’ll be working closely with them on the design of the healing gardens in and around the building.
  • We will definitely be exploring the use of medicinal plants, something we don’t often get to do in the United States. In Yantalo, one of the goals is to nurture and maintain cultural traditions. Whether medicinal plants are used symbolically or for actual harvesting and use, they will be part of the design.

I leave on Saturday and will be there for a week. Where is Yantalo, exactly? In the Amazon jungle, 648 miles (405 km) south of the Equator. Here’s a map. Bye-bye, winter, hello, summer! I’ll do my best to send updates while I’m there – the best way to keep track of goings-on will be through Twitter and the TLN’s Facebook page, and will go more into detail once I’m back home.

For more information, and to make a donation to the Yantalo Foundation, visit their website: www.yantalo.org.

Rendering of Yantalo Clinic. Courtesy of Yantalo Foundation and the NewSchool of Architecture and Design

Rendering of Yantalo Clinic. Courtesy of Yantalo Foundation and the NewSchool of Architecture and Design

Books for Inspiration with a Healing Garden Theme

Healing garden books for inspiration

I’m forgoing Wordless Wednesday today in a big way since the number of shopping days until Christmas is dwindling fast. If you’re still looking for the perfect gift for someone special (including yourself) and you can’t get everything you need from the TLN store, here are some recommendations for beautiful books with a healing garden theme.

These are all books that I own and refer to again and again for inspiration when designing and consulting about healing gardens (including my own). There are more academic and educational books out there, which are listed on the TLN’s References page. Our “If You Only Read Five” page, which lists books in categories (inspiration, evidence-based design, horticultural therapy, specific populations, etc.), is still a work in progress, but look for updates this spring.

The books in this list are sure to inspire you and your giftees to create spaces that are truly nurturing to body and soul. And as a bonus, when you buy from all of the Amazon links on this post, you’ll be nurturing the Therapeutic Landscapes Network as well. Through the Amazon Associates program, the TLN receives a percentage of each book sale. This is true for Amazon purchase at any time of the year, so please bookmark the link and use it when you shop there. Of course, if you can find the books locally, all the better.

Our Shadow GardenI just discovered this sweet, sweet children’s book, Our Shadow Garden, by Cherie Foster Colburn. Illustrated by young patients at M.D. Anderson Cancer Center, it’s about a girl who creates a garden for her grandmother: When a beloved grandmother becomes ill and is no longer able to be in the sun, her granddaughter is inspired to create a garden for her she can enjoy. She and Poppa work together in secret to transform Nana’s garden into a night blooming oasis, a place where she can be with the creatures and plants that bring her happiness. Published by Bright Sky Press, Our Shadow Garden is the winner of the 2010 Growing Good Kids: Excellence in Children’s Literature Award from the American Horticulture Society and Jr. Master Gardeners.  I’m not providing an Amazon link to this book because when you purchase directly though the Children’s Art Project all proceeds go to them at the M. D. Anderson Cancer Center in Houston, Texas. They have raised more than $26 million dollars for cancer patients and their families selling notecards and gift items that feature original art by pediatric cancer patients, so when you buy this book, you’ll be giving a gift that becomes two gifts.

(more…)

Green Walls for Healing Gardens

 

Patrick Blanc's 'Mur Vegetal' in Paris -Quai Branly

Patrick Blanc's 'Mur Vegetal' in Paris -Quai Branly

One of the key elements of a healing garden – a garden designed to facilitate and even improve people’s health and well-being – is a high ration of plant material (“softscape”) to paving, walls, stairs, etc. (“hardscape”). More plants, less paving.

And especially if we’re talking about hospitals and other healthcare facilities, which is where healing gardens are needed most, people like a lot of softness and greenery to balance out the hard, sterile surfaces indoors. People also prefer a feeling of enclosure – it makes them feel safe and secure, and can delineate spaces for private reflection and conversation.

So, what better design element than a green, living wall? Patrick Blanc made a big splash with his (absolutely gorgeous) vertical gardens a few years ago, and since then, the market for green walls has exploded. I’ve been surprised at how slowly it’s catching on in the healthcare environment. Seriously, wouldn’t it be great if all of the hospitals and clinics and hospices and nursing homes had soft, green, living vertical surfaces instead of concrete walls and vinyl fences and strange partitions that don’t really work in delineating space?

Image courtesy Annabel Harrold from Echo Studio's post on Blanc

Image courtesy Annabel Harrold from Echo Studio's post on Blanc

Another plus about vertical gardens: They are easily accessible to just about everyone. Whether you’re standing on two feet or wheeling in a wheelchair or a stroller, the plants are at your height where you can reach out to touch and smell, or even to garden in. What a fantastic tool for horticultural therapists!

Here’s an example of a custom-designed wall by Hitchcock Design Group for a continuing care retirement community (CCRC) in Hyde Park, Chicago:

Hitchcock Design Group green wall. Photo by Naomi Sachs

Hitchcock Design Group green wall. Photo by Naomi Sachs

If you’re interested in the confluence of plants and architecture, definitely check out Jason King’s blog Veg.itecture (their tagline is “investigating green architecture.”).

And if you know of any healthcare facilities with vertical green walls – fixed or freestanding – please leave a comment. We’re trying to build a list for the Therapeutic Landscapes Network.

Here’s one last image, from a new company called Woolly Pocket Garden Company. Check out their blog. I especially like the posts about the Edible Staircase and the Edible Schoolyard, two programs with kids in Los Angeles schools.

Green wall image courtesy of Woolly Pockets

Image courtesy of Woolly Pockets