1. `
Lumea
`
Therapeutic Memoirs
“It is not the length of life, but the depth of life.”
Ralph Waldo Emerson
Carissa Lo
Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz

2. In three words I can sum up everything I’ve learned about life. It goes on.
Robert Frost

3. - Introduction .................................................. 1 - Design Direction ........................................... 6
Content
- History of Hospice Phase 2
- Research ...................................................... 1 - Revised Criteria
Phase 1 - Inspiration
- Understanding the Problem - Concepts
- Problem -Models
- Vital Statistic
- Understanding the Patients - Design Direction ........................................... 7
- Mental Phase 3
- Physical -Concept 1: Snowflake
- Belief - Model
- Existing Products - Application
- Research ...................................................... 3 - Concept 2: Finger Knitting
Phase 2 - Model
- Understanding Patient Analysis - Application
- Senses - Concept 3: Butterfly
- Daily Routine - Model 1
- Intent ............................................................ 4 - Application 1
Phase 1 - Model 2
- Intial Criteria - Application 2
- Concepts - Final Product ................................................ 8
- Models - Lumea
- In Field Research ......................................... 5 - Meaning of Lumea and Concept
- Materials
- Views
- Various Age Group Scenarios
- Technical Rendering and Exploded Views
- User Scenario
- Resources
- Bibilography
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz

4. History of the Hospice
Introduction
“Hospice” a linguistic root for “hospitality”
During the medieval times hospice was referred to a place of shelter and rest for the weary or ill travelers on a long journey. In 1967 a physician Madame
Cicely Saunders founded the first modern hospice center called St. Christopher’s Hospice in a residential suburb of London. She introduced the idea of
specialized care for the dying in the United States in 1963.

5. Understanding the Problem
Problem Vital Statistics
Many of terminal patients are forced There are at least over one million
to live in nursing homes, residen- patients that are diagnosed as termi-
Research
tial hospices, or hospitals due to nally ill in the US of 2006.
the variety of help needed for their
specific conditions including cancer, At least 80% of US patients die in
pulmonary, cardiac, and neurologi- institutions from medical treatment.
cal diseases. Most of these deaths occur among
Phase 1
adults from 65 to 85 years of age.
Due to a lack of proper diagnosis At least 15% of terminal patients die
from physicians, the solution for a within 7 days, with an average hos-
terminally ill patients maybe to either pital stay being 29 days.
hasten death or improper treatment
for the patients. Many physicians
do not seem to understand that
keeping patients in the hospital for
a prolonged period of time will lead
to a decline in the patient’s mental
state.
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
1
Parsons School for Design Professor Robert Rabinovitz

6. Understanding the Patient
Mental
Negative Positive
Psychologically these patients may To alleviate some of the mental
face a variety of emotions due to stress, there are many enjoyable
their fatal conditions. activities that can promote a better
quality of life.
- Distress
- Depression - Meditation
- Burden - Music
- Denial - Dance
- Helplessness - Theater
- Guilt - Art
- Shame - Events/ Festivals
- Feelings of unfulfillment - Sports/ Games
- Abandonment/ leaving too soon - Amusement Parks
- Anger - Singing/Chants
- Sadness - Concerts
- Frustration - Eating/ Food
- Attachment/ being separated
- Sense of Danger
- Anxieties
- Regrets
Hanging out with friends, spending
time with family, cultivating
relationships through patience, love,
compassion, and wisdom, creating
a cause for a future of happiness,
eliminate any final regrets, attain-
ment of the world, and taking day
trips can lead to a satisfying life.

7. Understanding the Patient
Physical
There is a concern for the patients level of consciousness,
range of movement and the duration of time.
Mike is in his mid twenties and is single. He was diagnosed Minor Cases
with Leukemia and his life expectancy is 2 weeks. He lives - Counseling
and works in the city on his own. His parents live in Europe - Support Groups
and visit once in a while. Since his diagnoses he has been - Foundations
bed ridden and his energy is diminishing. From time to time - Charities
he has a shortness of breathe and is limited in the range of - Wheelchair
movement. Due to the distance of where his parents live it is
difficult to reach him to visit at the hospice. Severe Cases
- Need constant attention
2 Weeks - Facilities to be close by
- Equipment if necessary
- Therapy
Jane is thirty years of age and has a husband and two kids. - Limited Range of movement
She was diagnosed with cancer and has 3 months to live. - Possiblity of Bed ridden
Her and her family live in the suburbs close to the hospital - Physically debilitating
facilites. She is a very energetic person but due to the treat-
ment she is on, to deter the illness, she has become very
woren at times. At times she experiences pain and uneasy Patients can have emotional con-
due to the medication. Her family is very supportive of her flicts because of a strained
and encourage her to stay strong throughout the process. relationship between them and
their loved ones. Loved ones may
3 Month also have to deal with the after
effects of the patients passing
away.
Frank is a senior citizen at his prime age of sixty-five. He
has a loving wife, two kids and three grandchildren. A cou-
ple weeks ago he was notified that he was diagnosed with a
pulmonary heart condition. The doctors told him that he has
a year to live. He resides now at a retirement home with a
large loving family that visits him on occasions. He is very
active even though his moblity is hindered a bit due to being
handicap from a stroke a couple months ago.
1 Year
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
2
Parsons School for Design Professor Robert Rabinovitz

8. Understanding the Patient
Belief
There are many different belief systems that are across the world. Many people surround them-
selves with spritual objects to comfort them. Some of these objects are the bible, a rosary, prayer
cards and pictures of saints. By engaging in reading prayer cards or the bible their hopes and
questions can be answered by a higher being, god.
Christianity
Other religions that are mainly celebrated in Eastern Culture is buddhism. Some forms of activies
that they perform help them to relax or set the mind at ease. These activies include worshipping
deities bringing them offerings or sacrfices, meditation, or simply by celebrating in a festive way.
Buddhism
Another sect of relgion or belief people come together for is by chanting or reading hymns out
loud. It releases any bad spirits one might have and bring in good energy.
Judism

9. Existing Products
Western Culture Eastern Culture
Letter Diaries and Journals Scrap Booking Monument Scrolls Temples/Shrines Sacred Text
Playing Instrument Collecting Stamps Bible and Rosary Deities Rituals/Ceremonies Calendars Symbolism
Books Puzzles Music Mummification Chants/hymns Processions
Will Knitting Quilting Offerings Pottery Jewelry
* Note: Two Color Scheme represent the setting of the tone in different cultures
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
3
Parsons School for Design Professor Robert Rabinovitz

10. Understanding Patient Analysis
Birth Graduation Maintenance Traveling
- Touch - Photos - Books
Research
- Bathing
- Discovery - Friends - Spa - Magazine
- Explore - Yearbook - Eating - Music
- Food - Family - Sleeping - Car Games
- Parents - Movies - Massage - Newspaper
Phase 2
Children Marriage Vacation Animals
- Sports - Planning - Hiking - Spider
- Growth - Relationships - Spa - Web
- Family - Honeymoon - Cruise - Butterfly
-Family Album - Vacation - Photo - Metamorphis
- Storytime - Anniversary -Camera - Bird
- Parents -Gifts - Books - Songs
Holiday Birthday Nature
- Friends - Photos - Plants
- Cards - Presents - Maze/ Labyrinth
- Food - Friends - Solar System
- Music -Planitarium
- Family - Trees
- Growth Rings

11. Senses
- Touch
- Smell
- Taste
- Hear
- See
Senses of the human body are to be applied when a person encounters different experiences.
By focusing on each of the sense it will enhance their awarness of their surroundings.
Hand Nose Mouth Ear Eyes
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 4
Parsons School for Design Professor Robert Rabinovitz

12. Daily Routine
Morning Afternoon Night
Exercsing Bedsheets Reading Meditation Cooking
Laundry Mailbox Tea/ Cafe Hiking Pajamas
Food Towels/Linens Food Music Bath/Massage

13. Intial Criteria
To create a product that is
Intent memorable and a keepsake so that the patient will have
Phase 1 something physical to hold
To perpetuate core value and life experiences with loved
ones, friends, family, and even pets
To inspire reminiscing of treasured memories that creates
a sense of nostalgia
Joy Excitement Laughter Love
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz 5

14. Concepts
Electronic Bracelet Toy Doll Picture Ring HomeAroma Wand Photo Keychain
Models
Electronic Bracelet Toy doll Picture Ring HomeAroma Wand Photo Keychain

15. Cabrini Hospice Center, New York City
In Field Research What would patients like to leave behind before they pass away?
A legacy.
At the end of the patients life what is lacking from from life?
A constant need for movement or motion. Due to being bed ridden or restricted movement it is harder for the patients to keep
working or set goals due to end of their life.
What is the most essential or special when family members come to visit the patients?
Most important part is the sense of touch. Holding hands with the patients can be very calming and soothing to a person and
also having conversations.
What does Cabrini Hospice Center offer through their facilities?
The hospice center has staff that offers patients and family members to talk to them. After the patients pass away the com-
munity follows up after a couple weeks to a month to see if the family member is doing well. The facility offers a meditation
room, music room, and a cozy living room.
What kind of atmosphere and environment is created for the patients and family members in the hospice center?
When walking into the hospice center the atmosphere is very calming, soothing, and relaxing. The color of the walls are a
lavender pastel tone and is decoratesd with wall unit water fountains and beautiful art pictures/paintings. The mood of the
overall place is set with warm, soft, and dim lighting which is easier for the eyes and plants and placed throughout the facili-
ties to create a livelier environment.
What types of therapies does Cabrini Hospice Center offer here?
We offer Art therapy and Hand therapy mainly. With hand therapy a special high luxury end company has donated a few
bottles to the hospice center for therapeutic reasons.
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 6
Parsons School for Design Professor Robert Rabinovitz

16. Revised Criteria Inspiration
To create a product that overcomes There is a need for a product or system to
help these patients transition into their next
Design Direction
the stages of Dying, Death, and Grief
stage of lives. Patients need to feel a sense
To convey the present moment and of life long fulfillment and satisfaction in the
the vibrancy of life small duration of time they have left.
To engage a loved ones in events by
focusing on physical activies + Books
+ Letters/ Journal
Phase 2
To form a depth of life and layered of + Daily Activities
meanings - Photos
Existing solutions for these patients include
medical treatment,psychotherapy, and sup-
port groups. Some of them seem quite help-
ful, but many, including foundations and
charities, leave these patients in the same or
worse conditions and do not really grasp the
core values and essence of life.
+ Spending time with loved ones
- Medicine
- Charities
* Note: Symbols for Positive + and Negative -

17. Concepts
Hand Motion Plant Finger Cacoon Goal Inspired Flashcards
Models
Hand Motion Plant Finger Cacoon Goal Inspired Flashcards
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz 7

18. Concept 1: Snowflake
Design Direction
Phase 3
Inspiration: Snowflake Dimensioned Snowflake
Patterned Snowflake Flake Pendant Model

19. Concept 2: Finger Knitting
Design Direction
Inspiration: Fingers Fingers and Hands
Phase 3
Dimensioned Yarnball Book Model
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz 8

20. Concept 3: Butterfly
Design Direction
Phase 3
Inspiration: Butterfly Top View Option of handel
Side View Option of handel Butterfly Model

21. Lumea
Final Product
Inspiration: Relaxation Pendant Color Features
Photo Magnet Tracking connection Ring Detail
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 9
Parsons School for Design Professor Robert Rabinovitz

22. Meaning of Lumea and Concept
Lumea is in reference to the Moon Goddess Luna. She symbolizes protection of the skys above. On a specific day there is a ritual in rememberance for the goddess. By incorporat-
ing a sense of tradition in the product it will give more cultural meaning.
Moon Phases represents the cycle of change of time. The mechanism part of the product picture and the ring rotates on a track in a circular motion.
The Sky display the infinate and timelessness of the vast space. The objective of the product is to create a sense of value and sacredness in the product experience when in use.
The Stars represent a belief of wishes. Also star formation and cluster of stars connect to a bigger picture for instance constellations. Giving the consumer a chance to use the
product it can create a sense of connection or link forming a relationship.

23. Materials
Plastic Pellets Golden Chain Ball Bearing Steel Circular White Labels Magnets
Pendant is made out of plastic pellets that are melted into a liquid and then is poured into a mould to form the shape of the pendant. Located on top of the pendant is a hole for the
golden chain to go through it so the user can wear it around their neck.
Ring is a ball bearing that is composed of steel.
Photo Disc top surface has a flat surface to hold the circular white label that have adhesive backing. On the back side of the photo disc situated in the middle of the circle is a mag-
net. There is also one on the top surface of the pendant to keep the photo attached to the pendant.
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 10
Parsons School for Design Professor Robert Rabinovitz

24. Views
Top View Oblique View
Bottom View Side View

25. Various Age Group Scenarios
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 11
Parsons School for Design Professor Robert Rabinovitz

26. Technical Rendering Cross Section and Exploded View

27. Technical Rendering Exploded View
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 12
Parsons School for Design Professor Robert Rabinovitz

28. User Scenario
Step 1: Step 2: Step 3: Step 4: Step 5: Step 6:
Taking the picture. Downloading the picture. Printing the picture. Peeling the picture off. Sticking the picture on the Giving the pendant to the
pendant. patient.

29. User Scenario
Step 7: Step 8: Step 9: Step 10: Step 11: Step 12:
Patient wearing the pen- Taking the ring out. Talking to the ring. Giving the ring to a loved Listening to the ring. Rotating the picture.
dant. one.
Carissa Lo
Lumea- Terminally Ill Patients by Carissa Lo 13
Parsons School for Design Professor Robert Rabinovitz

30. Resources
Cabrini Medical Center Hospice
227E. 19th St. Stuyvesant
(212) 995-6480
Cabrini Medical Centers- Bereavement Support Ser-
vices
(212)- 995- 6869
Jacob Perlow Hospice Continuum Hospice
1st Ave at 16th St
Ms. Carolyn J. Cassin
Ms. Annette Farrell
T. (212) 420- 3370
F. (212) 420- 2420

31. Bibiliography
Bhattacharya, Anupama. “The Pleasure Principle”
2/5/06
http://www.lifepositive.com/Mind/happiness/pleasure.
asp
“Psychedelic-Assisted Psychotherapy for the Terminally
Ill 2/1/06
http://www.maps.org/research/sewick.html
“Older Persons’ Preferences for Site of Terminal Care”
2/3/06
July 20, 1999. Volume. 131 Issue 2. Pgs 109-112
http://www.annals.org/cgi/content/full/131/2/109
“Timing of referral of terminally ill patients to an outpa-
tient hospice” 2/3/06 June 9, 1994 pages 314-320
http://www.ncbi.nih.gov/entrez/query.
fcgi?cmd=Retrieve&db=pub
med&dopt=Abstract&list uids=8077995&query
hl=2&itool=pub med docsum
Emanuel, Ezekiel J., “Assistance from Family Members,
Friends, Paid Care Givers, and Volunteers in the Care
of Terminally Ill Patients.” The New England Journal of
Medicine 2/3/06 September 23,1999. Volume 34, Pages
956-963, Number 13
http://content.nejm.org/content/abstract/341/13/956?
ck=nck
Carissa Lo 14
Lumea- Terminally Ill Patients by Carissa Lo
Parsons School for Design Professor Robert Rabinovitz