The purpose of this study was to determine which archetypal settings independent living residents of facilities that provide assisted living need and expect in the private living spaces of assisted living residences. The researcher developed an Archetypal Place Concept for Assisted Living Private Dwellings, based on work by Spivak (1984), which included eight archetypal categories with four sub-categories each. This concept was then used as a tool to evaluate scale models of assisted living dwellings constructed by independent living residents of retirement communities that offer assisted living. Seventeen residents in four retirement communities in Southwest Virginia participated in the research. The findings revealed that sample members believed all eight archetypal categories should be included in assisted living private dwellings. However, the degree to which the archetypal categories should be developed in a dwelling varied depending on whether the sample members were familiar with large or small assisted living dwellings. The most popular combination of sub-categories for sample members familiar with large assisted living dwellings was: multiple rooms not shared by unrelated adults, with separate sleep and living areas; separate sleep areas out of the living room with a door; bathrooms with a toilet, sink, shower, vanity closet, and linen closet; food storage with cooking appliances; two built-in closets; windows facing one direction, some with an outdoor area; separate seating for living and dining out of the sleep area; and kitchenettes with a refrigerator, sink, and cooking appliances. The most popular combination of sub-categories for sample members familiar with large assisted living dwellings was: one room not shared; a sleep area not shared, with no separate living room; a bathroom with a toilet, sink and shower, tied with toile, sink, shower, vanity storage, and linen closet; food storage with no cooking appliances; two built-in closets; windows facing one direction; designated seating arrangement within sleep area; and no kitchen, possible food storage. It was concluded that assisted living facilities should include a variety of dwelling types to meet different people's needs. However, any assisted living dwelling should include all eight archetypal categories to allow residents to function more comfortably. / Master of Science

Late life relocation for the purpose of receiving care may be one of the more challenging transitions for older adults because of being uprooted from their long-time home and the perceived loss of independence. Of available supportive housing options for older adults, assisted living facilities are growing in popularity. A family life review intervention, with an older adult resident and a selected family member, was facilitated to support older adults transition to assisted living through mutual storytelling and acceptance. Sixteen dyads participated in one, ninety-minute family life review (FLR) session. A semi-structured follow up interview was conducted approximately one month later to explore the perspective of families on participating in FLR during a relocation transition. Emergent themes (e.g., raising emotions in families, seeing self in systems, and navigating the relocation transition) suggest that FLR facilitated positive connections and enhanced existing relationships, ameliorated older adults negative feelings, and promoted an acceptance of self and new family narratives. Participating in the FLR allowed dyads to reflect, during and after the session, on their resilience earlier in life and how this resilience prompted an easier recovery to some of the more challenging components of the relocation transition (e.g., relational challenges with decision making, disagreements with the ALF). Personal and relational factors including the older adults physical health status, mental health concerns (e.g., depression and loneliness), and family involvement and dynamics impacted families experience and openness during the FLR as well as their perspective of the overall intervention process. Avenues for future research and clinical implications include randomized control trials testing the effectiveness of FLR on relationship satisfaction, coping, decision-making, and individual outcomes (e.g., depression, loneliness, life satisfaction) and using family challenges as opportunities for reconciliation and promoting resilience. / Ph. D.

Through observation and critical response, Seven Loci: The Completion of Villa Maderni is for the author not only a work reflective of his still emergent design judgments, but also one birthed as he lived and worked in the physical fabric of the place. The primary goal of this work is to propose an inhabitable enclosure for the perimeter of an already sacred villa and garden in the Ticino region of Switzerland. The secondary goal of the thesis is to explore and propose an architecture which does not make a forgery of the villa, but one whose language is of its own time and materials, all the while responding to the invisible traditions of the town, street and site. / Master of Architecture

No / This paper investigates the subjective experiences of older women living alone with Alzheimer’s disease, vascular or mixed dementia. Eight women were interviewed to explore how they managed their identities and coped with day-to-day living, in the absence of a significant co-resident other who might reflect them back to themselves. Through interpretative phenomenological analysis themes emerged about loss, embodiment, adapting, awareness, safety, relationships, exclusion and loneliness. Memory loss had the most significant impact through loss of independence. However, the women were actively engaged in re-constructing their sense of self, using a variety of coping strategies. Relationships with friends, neighbours and attendance at memory clubs were important. A search for meaningful relationships was apparent, conflicting with feeling vulnerable and a consequent desire for self protection.

The Pedestrian is compromised in the majority of our built landscapes. Today's dominant fixture is the automobile. Pedestrian and automobile efficiency are in direct competition with each other; to facilitate one is to inhibit the other. Pedestrian functionality depends on the presence of walkable destinations, commonly referred to as multi-use areas. Pedestrian functionality is an important issue because sprawl, the current development norm, is reaching the physical limits of the countryside. Density is the positive alternative to issues we encounter as a result of low density such as increased runoff, pollution, congestion, obesity, physical inactivity, and road rage. â The alternative to sprawl is simple and timely: neighborhoods of housing, parks and schools placed within walking distance of shops, civic services, jobs and transit — a modern version of the traditional town.â 1 Improving pedestrian functionality has the ability to impact multiple aspects of our lives and improve the quality of life we experience. â We need communities that are occupied full time and that provide a world of opportunity for kids, communities that support women and men in their efforts to weave together an ever more complex life of home and work.â 2 1 Calthorpe, Peter, p. 16 2 Duany, Andres, p. 25 / Master of Landscape Architecture

Background: Three percent of all adults in Sweden have attention deficit hyperactivity disorder (ADHD) diagnosis. ADHD diagnosis can cause suffering in the individual due to social dysfunction, anxiety, depression, drug abuse and criminality and more. To be able to respond to these co- morbidities, it is required to have understanding and awareness of the patient's experience of living with ADHD.  Purpose: The purpose is to investigate adults' experiences of living with ADHD  Method: A structured litterateur review was conducted where scientific articles were searched in different databases: CIHNAL, PubMed and PsycInfo. The articles were Quality reviewed in accordance with the Bettany-Saltikov & McSherry review template. The data was analyzed in accordance with Graneheim and Lundman content analysis.  Results: Two main categories are identified in adults' experiences of living with ADHD: Experience that evokes negative emotions and Experience that evokes positive emotions. These two main categories are then organized into three subcategories. Conclusion: In summary, the results showed that ADHD causes disease suffering as related to the symptoms, life suffering due to the failure of relationship, education and professional occupation and care suffering due to the waiting time to receive treatment and care, lack of guidance and stigma. By recognizing these sufferings first, the healthcare staff can support the individual with ADHD in a good way. / Bakgrund: Tre procent av alla vuxna i Sverige har Attention Deficit Hyperactivity Disorder (ADHD) diagnos. ADHD-diagnos kan orsaka lidande hos individen på grund av social dysfunktion, ångest, depression, drogmissbruk och kriminalitet med mera. För att kunna bemöta dessa individers samsjukligheten ställs krav att ha förståelse och medvetande om patientens upplevelse av att leva med ADHD.  Syfte: Syftet var att undersöka vuxna individers upplevelser av att leva med ADHDMetod: En strukturerad litteraturgenomgång genomfördes där vetenskapliga artiklar söktes i olika databaser: CIHNAL, PubMed och PsycInfo. Artiklarna kvalitetsgranskades i enlighet med Bettany- Saltikov & McSherry gransknings mall. Datan analyserades i enlighet med Graneheim och Lundman latent innehållsanalys.  Resultat: Två Huvudkategorier identifieras i vuxnas upplevelser av att leva med ADHD: Upplevelse som framkallar negativa känslor och Upplevelse som framkallar positiva känslor. Därefter organiserats dessa två huvudkategorier en i tre underkategorier.  Slutsats: Sammanfattningsvis visade resultaten att ADHD orsakar sjukdomslidande som relaterad till symtomen, livslidande på grund av misslyckandet i relation, utbildning och professionellt yrke och vårdlidande på grund av väntetiden att få behandling och omvårdnad, bristande vägledning och stigma. Genom att först dessa lidande kan vårdpersonalen stödja individen med ADHD på ett bra sätt.

Master of Landscape Architecture / Department of Landscape Architecture/Regional and Community Planning / Hyung Jin Kim / The senior population within the United States has increased by 1.5% from 2010-2014, whereas other demographics have either stayed the same or have decreased (US Census Bureau, 2014). Assisted living facilities focus on sustaining and enhancing the quality of life for the residents, and their physical and social environments should be modified to stimulate this focus. Studies have shown that is can be accomplished by increasing access to nature. Additionally, a diminished physical activity level among senior citizens is an additional research problem as it contributes to their quality of life. With these research problems in mind, the two research question being addresses are: How does access to nature affect physical activity levels of senior citizens living within assisted living facilities; and how can indoor and outdoor landscapes assist in promoting physical activity? To answer the research questions, the following aims were established in support of the research and design objectives of this study: (1) identify barriers limiting use, and (2) idenify how access to nature affects phyisical activity levels in senior citizens within assisted living facilities, (3) to improve access to nature, (4) to improve quality of outdoor spaces, and (5) to encourage outdoor activity. Research Methods include (a) focus group interviews and (b)an environmental audit to investigate user’s preferences of activities, existing access to nature, and barriers prohibiting the use of the natural environments, (c) literature analysis and research to identify relevant design strategies that have been used in similar studies, and in the design phase,this study synthesizes how design principals can be utilized to solve the identified issues. The findings were then used to create a matrix for design and to also develop design goals and solutions for Homestead. The result of this study identifies strategies used to overcome barriers limiting outdoor use. The focus group and staff interviews along with the environmental audit and the literature analysis findings were used for developing a framework for design. The design framework and research methods this study used could be applied at similar facilities based on the ability ranges of the residents to produce a design solution that encourages outdoor use and physical activity, and thus, enhance the quality of life of the residents in the assisted living facilities.

This study was performed as the result of gaps in the literature in the area of transition to independent living (IL) using secondary data from the National Longitudinal Transition Study 2 (NLTS-2). Its findings identify individual, skills, family, and school factors that predict postsecondary living status and moderators of the relationships between predictors and the outcome. Specifically, results indicated the following factors as predicting postsecondary living status: individual factors (ethnicity and disability label), skills (self-care, functional mental, personal autonomy, self-realization, and social), family factors (parental expectations and parental involvement in school), and school factors (student’s role in transition planning and having IL as the primary IEP goal). The following factors also emerged as moderators: ethnicity, disability label, mental skills, social skills, personal autonomy, and having IL as the primary goal. Performing analyses on secondary data, although providing the advantage of large numbers of participants, also result in limitations that were considered when making recommendations. Future research should investigate the accuracy of findings regarding skills predictors, and probe for better understanding of decision making during transition planning and participants’ experiences. Policy should include transition planning specifically for IL and postsecondary follow-up for this outcome, while practice should focus on incorporating planning for IL during transition planning, addressing cultural diversity in transition, and helping parents develop high and realistic expectations for their children.

v anglickém jazyce: The aim of the thesis is to provide description of nursing and medical aspects and offer ethical and legal context concerning the issue of living will. The body of the thesis is divided into theoretical section and practical section. The theoretical section deals with the issue of living will from the nursing and medical point of view with characterization of several serious conditions in intensive care such as apalic syndrome, terminal state etc. The chapter on legal aspects of living will defines the term 'lege artis', 'do not resuscitate - DNR', and characterizes the matter of decision making in the case of serious and terminal states. The chapter on ethical perspective discusses the process of dying and the Christian point of view on the issue of dying. The practical section processes the results of a survey based on 104 non-professional respondents and their replies to a provided questionnaire. The research section analyzes the level of knowledge which non-professional population has of the issue of living will. The closing discussion evaluates the confirmation of established hypotheses and provides practical suggestions. Keywords: living will, dying, ethic, resuscitation, terminal state.

A pressão pela publicação e divulgação de mais dados governamentais produzidos pelos governos tem contribuído não só para aprimoramento dos níveis de transparência pública, mas também como forma de potencializar o desenvolvimento de serviços públicos digitais por meio de novas plataformas TIC. Em São Paulo, a criação de um ambiente de inovação, pautado pela criação de ferramentas e soluções digitais do tipo, desenvolvidas através da coparticipação entre o governo municipal e demais partes interessadas, se baseou essencialmente na utilização de dados abertos de transporte e mobilidade urbana. Dessa forma, nasceu o MobiLab, um laboratório vivo (living lab), pautado pela copartipação de setor público, empresas, universidades e demais potenciais usuários que juntos, passaram a direcionar seus esforços para a criação de soluções digitais voltadas para solucionar problemas de locomoção presentes hoje no cotidiano do município de São Paulo. Esta dissertação, portanto, buscou lançar um olhar para o MobiLab, de modo a poder realizar um estudo de caso que contemplasse as questões envolvendo a utilização de dados governamentais abertos, a partir da utilização de um living lab, o MobiLab, como catalisador de diferentes oportunidades e desafios que governos, empresas e a sociedade podem enfrentar engajadas no uso de novas tecnologias criadas a partir do uso de dados abertos. Como forma de melhor analisar as atividades realizadas no MobiLab, a pesquisa realizou um estudo de caso junto à startups participantes de um programa de residência, onde foi possível acompanhar parte do processo de criação de aplicativos digitais e a percepção dos usuários do laboratório a respeito da utilização de um ambiente de inovação tecnológica, caracterizado pelo uso de dados abertos e a forma como ele incide no desenvolvimento das soluções propostas / The pressure for the publication and dissemination of more government-produced government data has contributed not only to improved levels of public transparency, but also as a way of leveraging the development of digital public services through new ICT platforms. In São Paulo, the creation of an innovative environment, based on the creation of digital tools and solutions of the kind, developed through the co-participation between the municipal government and other interested parties, based on the use of open transport data and urban mobility. MobiLab was born, a living lab, based on the co-participation of the public sector, companies, universities and other potential users, who together began to direct their efforts towards the creation of digital solutions aimed at solving problems of Urban mobility present today in the daily life of the municipality of São Paulo. This dissertation, therefore, sought to look at MobiLab, as a case study that contemplated the issues involving the use of open government data, focused on urban mobility, and guided by the use of a living lab, the MobiLab, as a catalyst for different opportunities and challenges that governments, startups and society may face while using new technologies created from the use of open government data. As a way to better analyze the activities developed at MobiLab, the research carried out a case study with startups participants of a residence program, where it was possible to follow part of the creation process of the applications and the perception of the users regarding the use of an environment of technological innovation, based on the use of open data and the way in which it focuses on the development of the proposed solutions