HIVE Acknowledgment

H.I.V.E.
Homecare Sanctuary
San Isidro Cararayan, Naga City
ACKNOWLEDGEMENT
I would like to express my deepest gratitude to the following individuals who

have spared their precious time in showing the same interest as me and providing
input to this research.
To my thesis mentor Arch. Mariel May Gamalinda, thank you for sharing
your pearls of wisdom with me throughout the entire course and for continuously
supporting the feasibility of the HIVE up until the end.
To our thesis instructors and consultants especially Arch. Virginia De Jesus,
Arch. Edgar Tuy, Arch. Oliver Gulapa, Arch. Jeniffer Vibar, Arch. Josenia
Merencillo, and Arch. Luningning Rivera. I'm truly grateful to all of you for giving
me factual inputs and ideal suggestions that greatly improved the paper.
To Don Susano J. Rodriguez Memorial Mental Hospital Bicol Medical
Center and DOH- Treatment and Drug Rehabilitation Center facilities especially
it's resident psychiatrists Dr. Lalyn Marzan, Dr. Edessa Laguidao, and Ms. Merly
Velasco. Thank you for sharing your expertise with me in the field and for providing
me current data that are vital to this manuscript.
To my friends and classmates, whom I spent my 5 years in college with and
made Architecture fun rather than stressful, Joey Arcilla, Kevin Matthew Boncodin
(and family), Kim Paglinawan, Nicanor Nacario, Jerome Gamboa, Andeng
Baduria, Neil Abundabar, Raffer Morano. Thank you for your constant
encouragement, support and for treating me as your family. I'll never forget those
midnight strolls, teatime, and all our moments together.
To my whole family especially to my Mom and Dad who had given me the
initial suggestion to do this research. Thank you for all the support and
encouragement during those times whenever I felt like giving up. I love you and I
owe everything to you.
Lastly to our ever loving Father whose been there with me from the
beginning. Thank you for showering me with your wisdom and clearing up my mind
during dark times. I lift everything to you regardless of what will happen to me in
the future.
i|I N T R O D U C T I O N
H.I.V.E. Homecare Sanctuary

September 14, 2015

ENGR. LEON B. PALMIANO IV
Dean, College of Engineering and Architecture
University of Nueva Caceres, Naga City
Dear Engr. Palmiano,
Good Day!
Bicol region in general have been provided with various services that are
essential in its progress. These includes numerous health facilities that caters only
specific branch. That being said, the region as a whole still lacks facilities
specifically when it comes to mental health.
Don Susano J. Rodriguez Memorial Mental Hospital of Bicol Medical Center
and DOH- Treatment and Drug Rehabilitation Center in fact are the only mental
institutions in the entire region accredited by Department of Health. After patients
span of treatment inside these facilities have ended they are already entitled for
discharge thus losing their chances of medical follow-ups and continuous
professional care.
The HIVE (Harmonious and Integrated Viable Environment) Homecare
Sanctuary aims to fill that gap between psychiatric facilities and the real human
environment amongst patient who needs continuous professional care.
As part of the requirements needed for the degree of Bachelor of Science
in Architecture, I have the honor to present my thesis proposal entitled, HIVE
(Harmonious and Integrated Viable Environment) Homecare Sanctuary. A facility
that is committed in providing high level of professional care for post psychiatric
and post drug rehab patients in the entire Bicol region.
I am hoping for your favorable response and approval on the said project.
Thank You!
Sincerely yours,
Ciudadano, Kim Brian S.

BS Architecture 05
ii | I N T R O D U C T I O N

Noted:
Arch. Mariel May S. Gamalinda

Architecture Thesis Adviser
College of Engineering and Architecture
University of Nueva Caceres
Approved:
Engr. Leon B. Palmiano IV

Dean, College of Engineering and Architecture
University of Nueva Caceres
iii | I N T R O D U C T I O N

TABLE OF CONTENTS
TITLE PAGE
Acknowledgement
Letter to the Dean
ii
Table of Contents
iv
CHAPTER I -- Introduction
1 2
Background of the Project .
34
Statement of the Problem .....
45
Project Objectives .....
Significance of the Study .
Scope and Delimitations
79
Criteria for Site Selection .
10 11
SWOT Analysis.
11 12
Site Selection and Justification.
12 15
Site Description.
15 18
CHAPTER II -- Research Methodology .
19
Research Design
19 20
Research Instruments
20
Research Participants
20 21
CHAPTER III -- Review of Related Literature .
22
22
22
23
Foreign Literature
23 38
Local Literature
38 41
41
The Homecare Facility

Introduction
Overview
Facility Operations
iv | I N T R O D U C T I O N

Nursing and Service Standards
41
Facility Policies
..
41 46
Physician Services
..
46 48
Medical Director
..
Nursing Services
.....
48 49
Residential Assessment and Care Plan ..
50 51
...
51 52
Pharmacy Services
..
52 53
Medical Records
..
53 54
Dietary Services
Physical Environment
Quality Care Standards
Nursing Care
48
..
54
...
54 56
....
56 58
Patients Involvement
..
58 59
Contact with Family, Friends, and Community 59 60

Admission to the Home ..
60 61
....
62 63
Nursing Care Standard .....
63 65
Completion of Case Records
65
Individual Agreement
....
Consent to Examination, Treatment, and Care 65 66

Nutrition
...
66 67
Referral to Community Health and Social

Care Professionals ..
67 68
Responding to Patients Behavior
.....
68 69
......
69 70
Meals and Mealtimes
Program of Activities and Events

Nursing Vessel
..
70 72
....
72
....
72
Definition and Historical Background
.....
72 74
Types of Long Term Care Facility ....
74 75
..
75 76
Historical Background
Nursing Homes Offer

Terminologies
..
76
v|I N T R O D U C T I O N

Architectural Guidelines and Standards ....
77
Department of Health Standards

and Guidelines in the Philippines
.....
77
Administrative Order No. 147 S. 2004
77 79
Tertiary Care Service Capabilities
79 84
Guidelines in the Planning and

Designing of a Hospital and
Other Health Facilities
84 90
Number of Personnel
...
90 92
National Building Code of the Philippines ..
92 94
Case Study and Theories .... 95

Mental Health Theorist
..... 95 96
Mental Health Theories
..... 96 101
Safety and Security ..... 101

Safety Measures
..... 101
Accessibility Law (B.P. 344)
..... 101 119
Fire Code of the Philippines (R.A. 9514) ..... 119 122

Security Measures ...... 122
Digital Security Measures . 122 124
Other Security Measures and Services ..... 124 129
Green Architecture and Other Innovations
CHAPTER IV User Behavior Analysis

Market type Analysis
Projected Market
. 129 132
.... 133
.... 133
.... 133
133 134
Psychotic Disorders
...
134 138
Mood Disorders
...
138 142
Anxiety Disorders
...
142 148
Adjustment Disorder
...
148 150
150 154
Post Psychiatric Patients
After Substance Abuse
vi | I N T R O D U C T I O N

Market Demography
.... 154
Regional Psychiatric Demography ... 155 161

Substance Abuse Demography
Related Case Study Reports
Management Type Analysis
.... 161 162
.... 162 166
.... 167
.... 162 166
Management Type
Administrative Order No. 147 S. 2004
.... 167 169
Organizational Mandate
.... 169 170
Organizational Structure
.... 170 172
Management Roles and Responsibilities

Owner
.... 172
.... 172
Administrator .... 172

Medical Director
.... 173 174
Attending Physician .... 175 180

Nurse Practitioner .... 180
Clinical Nurse Specialist
.... 180 181
Pharmacist .... 181 182

Nursing Director
.... 182 184
Charge Nurse
.... 184 185
Unit Supervisor
.... 185 186
Licensed Practical Nurse .... 186 187

Certified Nursing Assistant .... 187
Physical Therapist .... 188
Occupational Therapist
.... 188
Speech Therapist
.... 188 189
Dentist
.... 189
Optometrist
.... 189
Financial Officer
.... 189 190
Cashier
.... 190
Billing Officer
.... 190
Disbursing Officer
.... 190 192

vii | I N T R O D U C T I O N

Admission Officer
.... 191
Social Service Director
.... 191
Budget Officer
.... 191 192
Social Worker
.... 192
Dietary Supervisor .... 192

Food Service Worker.... 193
..... 193
Cook
Housekeeping/Laundry ..... 193

Maintenance
.... 193
Security
.... 194
CHAPTER V Site Analysis
195
Macro Scale Site Analysis.
195
Historical Background of the Locality..
195 196
196 - 204
Socio Economic Development Plan;
Micro scale Site Analysis
204
204
Location
Immediate Neighborhood
204 205
Site and Area, Technical
206 207
...
208 209
Physical Features and Vegetation ...
209 211
...
212 213
...
213 214
Description of the Lot
Land Use Pattern; Topography
Climatic Analysis
Utilities
Traffic and Transportation, Vehicular

& Traffic Analysis
...
214 215
...
216
Present and Future Development ...
216
Environmental Impact Analysis
CHAPTER VI Spatial Analysis

Zoning and Building Use
..
217
......
217
viii | I N T R O D U C T I O N

Department of Health Zoning Requirements..
217
HIVE Area Zoning .......
218 219
Space Program
.......
219
The Queen Area
.......
219 220
The Drone Area
.......
220
The Workers Area .......
220 223
.......
223 225
The Broods Area

Room Data Sheet
.......
226
The Queen Area
.......
226 249
The Drone Area
.......
250 251
The Workers Area .......
252 292
.......
293 305
The Broods Area
306
307 310
311
311 317
..
319
Design Philosophy
319
Design Concept
319
Design Philosophy
319
Design Objectives
320
Design Considerations
320 322
Design Solutions
..
322 -
Site Bubble Diagram

Space Bubble Diagrams
Site Matrix Diagram
Space Matrix Diagrams
CHAPTER VII Conceptual Analysis
ix | I N T R O D U C T I O N

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H.I.V.E.

I would like to express my deepest gratitude to the following individuals who

H.I.V.E. Homecare Sanctuary

September 14, 2015

Dear Engr. Palmiano,

Ciudadano, Kim Brian S.

H.I.V.E. Homecare Sanctuary

Arch. Mariel May S. Gamalinda

Engr. Leon B. Palmiano IV

H.I.V.E. Homecare Sanctuary

Letter to the Dean

Background of the Project .

Statement of the Problem .....

Project Objectives .....

Significance of the Study .

Scope and Delimitations

Criteria for Site Selection .

Site Selection and Justification.

CHAPTER II -- Research Methodology .

CHAPTER III -- Review of Related Literature .

The Homecare Facility

H.I.V.E. Homecare Sanctuary

Nursing and Service Standards

Residential Assessment and Care Plan ..

Contact with Family, Friends, and Community 59 60

Nursing Care Standard .....

Completion of Case Records

Consent to Examination, Treatment, and Care 65 66

Referral to Community Health and Social

Responding to Patients Behavior

Meals and Mealtimes

Program of Activities and Events

Definition and Historical Background

Types of Long Term Care Facility ....

Nursing Homes Offer

H.I.V.E. Homecare Sanctuary

Architectural Guidelines and Standards ....

Department of Health Standards

Administrative Order No. 147 S. 2004

Tertiary Care Service Capabilities

Guidelines in the Planning and

National Building Code of the Philippines ..

Case Study and Theories .... 95

Mental Health Theories

Safety and Security ..... 101

Accessibility Law (B.P. 344)

..... 101 119

Fire Code of the Philippines (R.A. 9514) ..... 119 122

CHAPTER IV User Behavior Analysis

Post Psychiatric Patients

After Substance Abuse

H.I.V.E. Homecare Sanctuary

Regional Psychiatric Demography ... 155 161

.... 161 162

.... 162 166

Administrative Order No. 147 S. 2004

.... 167 169

.... 169 170

.... 170 172

Management Roles and Responsibilities

Administrator .... 172

.... 173 174

Attending Physician .... 175 180

.... 180 181