Few of the environments in which we live match end-of-life care settings in the complexity of needs that must be accommodated. Pain, fear, and grief significantly heighten sensitivity to all environmental factors including space, sound, light, odor, and tactile qualities. The built environment, when thoughtfully addressed, can make a positive difference for all involved in end-of-life experiences.

Provide residents and staff with easily accessible means to adjust lighting by small increments, such as through wireless control using a tablet.

Incorporate durable and easily cleaned materials and surfaces. Maintaining all surfaces is important to perceptions of environmental quality and infection control.

Allow access to nature or views to nature to promote spiritual well-being.

Furniture should allow, through portability, for visitors to sit comfortably for extended periods of time in close proximity and to enable physical contact between visitors and resident.

Design separate spaces for caregivers: relaxing break room for staff and a meeting room for communication among staff of different disciplines to ensure coordinated care.

Design indoor and outdoor communal spaces. Provide comfortable common areas with flexible seating close to resident rooms for visitors and residents to socialize. Provide ramps for wheelchair access to outdoor spaces.