Francisco, Mikaella Ann Dc.
Arc212
“GREEN SANCTUARIES: DESIGNING A NATURE-INTEGRATED HOSPICE CARE
FACILITY FOR PATIENT COMFORT AND WELL-BEING “
Section A
1. Age: ___
2. Gender: ☐ Male ☐ Female ☐ Prefer not to say
3. Role: ☐ Patient ☐ Family Member/Caregiver ☐ Healthcare Provider ☐ Other: _______
4. Length of time involved in hospice care:
☐ Less than 6 months ☐ 6 months – 1 year ☐ Over 1 year
5. How important do you personally consider access to nature or green spaces for comfort and
well-being?
☐ Very important ☐ Important ☐ Neutral ☐ Not important ☐ Not at all important
6. In your current hospice care environment, how often do you have access to natural spaces
(gardens, plants, outdoor views, etc.)?
☐ Very often ☐ Often ☐ Sometimes ☐ Rarely ☐ Never
7. Which of the following nature-related features do you currently have access to in the hospice
facility? (Select all that apply)
☐ Garden or landscaped areas
☐ Indoor plants
☐ Natural light / large windows with outdoor view
☐ Water features (e.g., fountains, ponds)
☐ Bird feeders or wildlife-friendly areas
☐ Nature sounds (e.g., birdsong, water sounds)
☐ Other (please specify): ___________
Section B
1. In your opinion, how can nature or green spaces contribute to the comfort and well-being of
patients in hospice care?
2. Can you share any stories or examples where nature helped improve someone’s mood,
comfort, or quality of life in a hospice or healthcare environment?
3. How do you think nature might support not only patients, but also families and caregivers in
hospice care settings?
Francisco, Mikaella Ann Dc.
Arc212
“GREEN SANCTUARIES: DESIGNING A NATURE-INTEGRATED HOSPICE CARE
FACILITY FOR PATIENT COMFORT AND WELL-BEING “
4. What challenges or difficulties do you think might come up when trying to include more
nature or green spaces in hospice care settings?
5. Is there anything else you would like to share about the role of nature in hospice care and how
it can enhance patient well-being and comfort?
6. In your opinion, what is the biggest benefit of integrating nature into hospice care?
7. 8. Has spending time in nature helped with stress, anxiety, or depression during hospice care?
8. 9. Do you feel more at peace or comforted when you’re able to engage with natural elements
(like gardens, sunlight, fresh air)?
9. 10. Do you think nature should be considered a therapeutic component in hospice care? Why
or why not?
10. How do you feel access to nature can affect physical symptoms such as pain, fatigue, or stress
in hospice patients?
11. How important is it for hospice staff and caregivers to have access to nature or restful green
spaces during their work? Why?
12. For individuals with mobility challenges (e.g., wheelchair users, patients with walkers, bed-
bound patients), what barriers or difficulties might they face when accessing nature-integrated
spaces in healthcare settings?
13. What types of design features or supports would make nature-integrated spaces more
inclusive and comfortable for patients with mobility impairments?
Francisco, Mikaella Ann Dc.
Arc212
“GREEN SANCTUARIES: DESIGNING A NATURE-INTEGRATED HOSPICE CARE
FACILITY FOR PATIENT COMFORT AND WELL-BEING “
1.1. Statement of the Problem
1.3.1 Main Problem
The Philippines is currently experiencing a severe shortage of hospice centers as a
result of the aging population and rising demand for end-of-life care. Many elderly
patients end their lives in overcrowded hospitals or at home without adequate
palliative care as a result of this gap in the healthcare system. The quality and
accessibility of these services are further restricted by the dearth of qualified medical
professionals with expertise in geriatric and hospice care. To guarantee that the
elderly receive kind and respectable care in their last days, this issue must be
resolved.
1.3.2. Sub Problems:
1.3.2.1. How do patients, families, and caregivers/healthcare workers
understand the role of natural elements (such as gardens and natural light) in
enhancing comfort and well-being in hospice care settings?
1.3.2.2 How can we integrate nature into a hospital without affecting its
operational efficiency in terms of accessibility?
1.3.2.3. How do patients with mobility challenges experience nature-
integrated spaces in healthcare settings, and what design features support their
accessibility and comfort?
1.4. Objectives of the Study
The goal of the study is to create a Hospice care Facility that incorporates nature in
the environment to provide comfort and the best possible quality of care they may receive for
people before their final days. These are the following objectives:
1.4.1. To design therapeutic spaces in hospice care facilities that incorporate natural
elements like gardens and natural light to enhance patient comfort and well-
being.
1.4.2. To develop strategies for integrating nature into hospice care and hospital
environments without compromising accessibility, operational efficiency and
patient safety.
Francisco, Mikaella Ann Dc.
Arc212
“GREEN SANCTUARIES: DESIGNING A NATURE-INTEGRATED HOSPICE CARE
FACILITY FOR PATIENT COMFORT AND WELL-BEING “
1.4.3. To design a hospital and clinic that prioritize inclusivity, making nature-
integrated healthcare spaces accessible to all patients, including those with
mobility challenges.
