Recent Trends

Many of the generation entering retirement age are reluctant to go into skilled nursing. Older people have grown used to choices, control, and privacy of living in a private home. The increased cost of an institutional lifestyle is not appealing to this generation. The children of these elderly are then looking for a facility that are worth the value and responsive as a provider. Most new buildings feature Single unit rooms. There is also a trend toward more small home or neighborhood models.

Growth in Technologies and Care Systems
Things like incontinence was once a reason for institutionalize has been reduced with new products and programs. There are new electronic devices like Lifeline, Wanderguard, and TeleAlarm that change the way we monitor seniors. The emergence of portable medical devices allow more seniors to live at home longer. There are many new building technologies for monitoring and sensing that make building structures safer. Lifting devices are becoming more popular. Also, the use of natural light is growing.
Recent Trends - Health Architecture

reasing question of weather nursing home care is needed
With the increase of community based care and other options like assisted living many are wondering is nursing home care is needed. Many elderly see themselves "aging in place." A nursing home isn't needed until 24 hour care is needed and many don't need this level of care.

Women working in workforce
Middle-aged women have traditionally been the caregivers for their parents have become more engaged in there work outside of the home. Adult children give the majority of the care to older people, followed by the spouses. With the the increasing demands of the workforce, caregivers seek alternatives for there loved ones.

Mortality: Average length of stay is shorter because residents are entering facilities later and dying sooner then expected.
Privacy: only 4% of people over 50 preferred a shared room. Most people would prefer a smaller single room to a large double room. Having a single room is ranked #2 in priorities to women under quality of care and ranked #3 for men.
Lifelong learning: many seniors are wanting to continue intellectual stimulation. This has provided for an opportunity for facilities to be built adjacent to colleges.
ethnic and cultural diversity: Residents are becoming more accepting of different cultures so facilities are becoming more based on interests instead of religion.
Integration into communities: There used to be a stereotype that seniors wanted to live on there own but they would prefer to to stay in there community with children and grandchildren.
Facilities with a range of housing and care: currently there are a lot of freestanding facilities with just one service. People are leaning to only want to move once. So there is a growing need for facilities with a wide range of care
NORC's- Norc's are becoming popular because seniors want to stay in place and stay in the community.
Sustainability:Facility's are starting to look into sustainability by doing things like diverting of runoff into ponds, filtering of water to replenish wetlands, roof gardens, green and reclaimed materials. However there is a hope to possibly continue towards a facility generating its own energy or even giving back to the grid. Also, since air quality is such a large issue in these facilities continual advances in air quality.
The Green House project: buildings are proposed to be small 6-8 person communities linked with management and internet-connected health-care delivery network.
Pioneer Movement: advocates a change int eh culture of the nursing home by one of these approach's : 1. The Eden Alternative: creates a "human habitat", residents and give and receive care. 2. The regenerative community has staff members that act as community developers and have regular community meetings. 3. Resident-free/individualized care is used with residents who have dementia but still have the right to direct their own care. Staff makes decisions through the eyes of the resident. The staff learns to speak the language of dementia. 4. Resident-directed care are nursing homes that are made up of small neighborhoods. Residents choose there own routine and there are fewer managers and more front-line staff. Nurse aides (resident assistants) are well paid and highly respected.
Economics: Many seniors do not have a lot of money at retirement so, more HUD/affordable projects are being designed.

Perkins, Braford, J. David Hoglund, Douglas King, and Eric Cohen. Building Type Basics for senior living. Ed. Stephen A. Kilment. Hoboken: John Wiley & Sons Inc, 2004. Print.
Regnier, Victor. Design for Assisted Living. New York: John Wiley & Sons, 2002. Print.
Category. "Texas MEDICAL ALERT: Alarm Systems, "Just a Push of the Button From Help" | SENIORS feel Safe: TX:." Free Press Release Distribution Service - PR Log.Org. N.p., n.d. Web. 6 May 2010. <>.