Senior Care GOOD LIGHTING ENRICHES SENIOR LIVING 2

LIGHTING SOLUTIONS FOR ELDERLY HEALTHCARE

THE IMPORTANCE OF GOOD LIGHT

The statistics on aging show us the challenges ahead in caring for the elderly. There is an increase in life expectancy, which is affecting the way we think about healthcare and the importance of quality in elderly care facilities. The lighting design of these facilities can have a great impact on the overall effectiveness for the staff, patients/residents and visitors. Derungs Licht AG has been addressing the needs of the healthcare industry for over 65 years. Experience and education has made us experts in the specific needs of elderly care facility lighting.

Lighting for the elderly Lighting for healthcare staff Lighting for healthcare facility owners

Light can stimulate the mind, emotions and Caring for the elderly and for people who High-performance, quality materials, energy- the circadian rhythm. It enables us to de- are ill can be a challenging task for the health- saving and durable luminaires along with cipher when things start and end, colors as care staff. It can push care providers to superior engineering and workmanship are well as shapes. As vision deteriorates with their physical and psychological limits. Our all reasons why our lighting solutions help increasing age, the elderly have to cope custom lighting solutions provide the best facility owners feel confident they chose with the effects of inadequate lighting. possible visual conditions for the staff. By Derungs. Age-related hearing problems are often enabling efficiency, quality and productivity offset by visual speech interpretation like through lighting, healthcare providers can lipreading. An 80-year-old person requires feel their own sense of well-being in the Derungs lighting solutions: on average ten times the illumination level workplace. Creating great environments of a young adult. Age-related illnesses such as dementia also need to be taken into Inconspicuous but highly effective—that’s account. The effective use of light helps Lighting for visitors what we demand of our lighting designs. people who are suffering from an illness Everybody has to feel accommodated in the to better cope with symptoms, and it pro- Light affects the way we perceive space same way: residents, care providers, and motes independence and mobility. Thus, in terms of dimension, color, material, and owners. Our state-of-the-art lighting solu- a custom lighting design that addresses atmosphere. It should convey a sense of tions provide homelike comfort and safety. these needs is important to a successful well-being and safety to enhance the vis- Our lighting design systems are adaptable and effective interior design of elderly care ual perception of the establishment. In this and they create an environment conducive facilities. Proper and adequate light can also way, the lighting design can actually help to to communication. Derungs’ luminaires are promote the best in quality of life despite promote the facility. inconspicuous yet effective. the circumstances. The combination of different light effects produced by high intensity lights, care lights, reading or work lights, general lights, examination lights, nightlights and guide lights enables us to provide lighting solutions tail- ored to meet the demands of every target group. We use indirect and direct lighting on ceilings, walls and floors as well as multi- purpose reading lights to produce different light effects. 3

TABLE OF CONTENTS

LIGHTING SOLUTIONS FOR ELDERLY HEALTHCARE

PAGE

4 BROCHURE GUIDE 4 Icons to help organize information

5 HEALTH CONCERNS OF THE ELDERLY 5 Visual impairments 6 Dementia

7 EFFECTS OF AGE-RELATED HEALTH ISSUES 7 Issues: Falling and slipping / Anxieties 8 Issues: Passiveness / Disorientation 9 Issues: The disruption of the circadian rhythm

10 HOW LIGHT AFFECTS THE QUALITY OF LIFE Custom lighting is a solution-key factors in adequate lighting 10 Illumination level, Cylindrical illumination 11 Light diffusion 12 Color of light, Color rendition 13 Glare control, Environment, Light distribution Reflection control, Shadow control

14 PREPARING A LIGHTING DESIGN 14 Important basics for planning

15 SPECIFIC LIGHTING 15 Recreation room, corridor and staircase lighting

16 DERUNGS PRODUCTS: CORRIDOR AND STAIRCASE LIGHTING 16 Ceiling lights 18 Wall lights

20 DERUNGS PRODUCTS: RECREATION ROOM LIGHTING 20 Ceiling lights / Reading lights

22 SPECIFIC LIGHTING 22 Healthcare room lighting

24 DERUNGS PRODUCTS / HEALTHCARE ROOM LIGHTING 24 Wall lights 26 Reading lights

28 SPECIFIC LIGHTING 28 Restroom lighting

30 DERUNGS PRODUCTS / RESTROOM LIGHTING 30 Wall lights

32 DERUNGS OFFERS ADDITIONAL BENEFITS 32 Safety, quality, ergonomics, economics

34 THANK YOU FOR YOUR ATTENTION 34 We are at your service as a reliable partner

35 LIST OF REFERENCES 35 Copy, graphic images 4

BROCHURE GUIDE

ICONS TO HELP ORGANIZE INFORMATION

Lighting solutions in elderly care facilities are extensive and multi-faceted. There are many factors to consider regarding each and every custom lighting solution. The icons below are used throughout this brochure to organize information and help give you clarity on the importance of lighting in elderly care facilities.

Organization of the brochure

This brochure will start with the definition Derungs is dedicated to the education of of terms and an explanation of factors that lighting in the healthcare industry, as well may affect professional lighting systems for as providing outstanding products and ser- healthcare facilities. First, several elderly vice as solutions. health issues will be defined. Then, overall solutions for good lighting, basics for plan- The icons below represent three separate ning, high-performance lighting systems sections in this brochure to help clearly il- will be discussed. Finally, this brochure lustrate its purpose. will conclude with the benefits in using Derungs as your elderly healthcare lighting expert and a listing of product lines.

Issue Solution Products

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HEALTH CONCERNS OF THE ELDERLY

VISUAL IMPAIRMENTS

The elderly and people afflicted with dementia often suffer from vision and perception issues. Studies have shown that adequate lighting provides the key to maximizing self-sufficient and accident-free living as much as possible. A professional lighting design can offset these issues and add to the quality of life for the patient.

Macular degeneration Cataracts Diabetic retinopathy

Impairment of central vision; affects read- Clouding in the variable lens; vision beco- Vision becomes blurred and distorted; dark ing ability, objects appear blurry, difficulty mes foggy or blurred spots, complete loss of vision in discriminating colors

Glaucoma Retinitis pigmentosa

Increased fluid pressure in the eye, optic Difficulties adjusting to brightness/dark- nerve fibers die due to lack of blood, he- ness, night blindness, sensitivity to glare, mianopsia tunnel vision 6

HEALTH CONCERNS OF THE ELDERLY

DEMENTIA

Fifty percent of all adults will need long-term care at some time according to research, and the trend is growing. Dementia is an enormous challenge for patients, care providers and relatives. The patient environment needs to be professionally designed to compensate for the changes in abilities like cognition and perception. Professional lighting significantly contributes to a successful environment in elderly care facilities. It helps ensure the highest level possible of patient independence as well as the physical and mental health of patients. Proper lighting solutions can also allow the healthcare professional to clearly and accurately handle tasks.

Understanding dementia

Imagine all of your memories were chro- Secondary symptoms may involve anxiety, nologically kept in a book. You can only flight rather than fight, depression, passive- remember what is recorded on these ness, aggressive behavior, and manic delusi- pages. Suddenly ‘dementia’ comes along ons. and starts to tear pages out of your book, beginning with the last pages. Patients with dementia require intensive support and care, often around the clock. Dementia involves the progressive decline Keeping this population of patients as self- of mental abilities accompanied by changes sufficient and mobile as possible is not only in personality. Carrying out daily activities in line with common social values but also without help becomes difficult and some- the decisive factor in reducing the workload times impossible. Symptoms that further of care providers. burden daily life include memory loss, loss of speech, difficulties with recognition and Customized lighting solutions can motiv- perception, difficulties with time and place ate the elderly to stay self-sufficient and orientation, and changes in behavior. The can also help facilitate the daily routines of environment becomes more and more con- healthcare providers. fusing to the dementia patient. It becomes more difficult to adequately process and re- act to environmental stimuli. 7

EFFECTS OF AGE-RELATED HEALTH ISSUES

ISSUES: FALLING AND SLIPPING / ANXIETIES

Falls, feelings of insecurity and anxiety can be significantly decreased by providing adequate lighting. This in turn results in a higher degree of independence, safety, comfort and contentment.

Falls Common causes of falling due to poor lighting: Falls and possible fractures like femoral neck fractures, may involve major surgery • Obstacles are not recognized in time and an extensive recovery period. Compli- due to glare cations during treatment may even mean • Bright/dark transitions cause eye strain in

1a) Poor lighting 1b) Good lighting immobility and no longer being able to carry older people out daily activities. • Hard shadows / Shiny spots are in- terpreted as obstacles and lead to false 1a) Unfavorable illumination levels and light conditions steps 2a) Reflections on floor caused by one direct light • Shadow of door handle is thought to be the door handle itself

2a) Poor lighting 2b) Good lighting

1a) Negative 1b) Positive Anxieties

Residents often interpret passing shadows Dark ceilings without indirect lighting feel or other optical illusions as a threat. This restrictive and unsafe. in turn causes anxiety and fear which may lead to aggression. Shadows on peoples’ 1a) Dark shadows on various facial features (images: reproduction and/or publication 1a) Poor lighting 1b) Good lighting faces may cause angst, especially if vision with permission from Verwaltungs- is impaired. Berufsgenossenschaft, Deelbögenkamp 4, 22297 Hamburg) 2a) Negative 2b) Negative Reflections are often the cause of irritabi- 2a,b) Passing shadows, door handle with shadow lity and insecurity. Patients with dementia often interpret these as obstacles or as optical illusions. Floor reflections are often thought to be water.

2a) Poor lighting 2b) Good lighting 8

EFFECTS OF AGE-RELATED HEALTH ISSUES

ISSUES: PASSIVENESS / DISORIENTATION

The need to actively engage in daily activities and in social life continues to exist even after moving to a private or public senior care facility. Adequate lighting helps seniors to manage their daily routines more independently.

Passiveness Disorientation

People in need of care still need to main- Disoriented patients often feel worse in tain their own level of independence. Being poorly lit rooms. This is because objects able to move freely helps them better un- throughout the room lack contrast, therefore derstand the environment they live in and it making it difficult to see shapes and de- promotes social behavior with other people tails clearly. The perception of depth can be in the healthcare facility. Poor lighting may severely limited which makes it difficult for trigger fear and discourage the elderly from the patient to see the beginning and the end carrying out daily activities independently. of objects. The result is passiveness, discontentment, depression or even aggressive behavior. Corridors, staircases and recreation areas can become hazard zones with poor lighting Adequate lighting assists the elderly in bet- because the patients may lose their bea- ter finding their way around safely and inde- rings out of confusion. The ability to move pendently. They feel encouraged to move about independently decreases drastically; about and they are more likely to participate almost every step requires the assistance in social activities. Therefore, the overall at- of a care provider. mosphere throughout the facility is significantly enhanced. The systematic use of light substantially contributes to optimizing the general sense of spatial perception.

Dark with shadows and glare Clear, bright environment Clear, bright environment Dlite® amadea Dlite® amadea 9

EFFECTS OF AGE-RELATED HEALTH ISSUES

ISSUE: THE DISRUPTION OF THE CIRCADIAN RHYTHM

The circadian rhythm helps the human body adjust to the patterns of daily processes. It controls everyday human physiological processes like metabolism and hormone production and the awake/ sleep cycle with remarkable accuracy. Light acts as the body‘s “timer” in the process. If natural light is not available to regulate our inner clock, then a lighting solution that provides an adequate substitute for natural daylight is required.

The disruption of the circadian rhythm • Twenty-four hour cycle of light to organize daily course of activity Patients with dementia have difficulties • Positively affects the day / night cycle with spatiotemporal orientation. This leads • Helps balance hormone production to implications of inactivity, confusion and • Regular sleeping and eating habits

Early morning Morning depression. • Positively affects mood and sense of Morning Forenoon well-being; invigorates the senses “Visual Timing Light”, the innovative light • Compensates for mood fluctuations management system from Derungs Licht and depressions AG uses artificial light to simulate the • Enhances overall performance twenty-four hour cycle, from sunrise to • Significantly improves articulation of sundown and night-time. patients with dementia

Afternoon Afternoon Evening Evening

A sophisticated light control system is used to define the different light effects from morning until night. As the time of the day progresses, this lighting system features a different illumination level and light temperature. The control system repeats the different light effects over a twenty-four hour period. As each hour passes, corre- sponding color temperature and brightness is automatically simulated. “Visual Timing Light” has become an indispensable way to assist circadian rhythm health concerns. 10

HOW LIGHT AFFECTS THE QUALITY OF LIFE

CUSTOM LIGHTING IS A SOLUTION − KEY FACTORS IN ADEQUATE LIGHTING

This section describes the factors needed for adequate lighting. Derungs Licht AG combines and adapts these to meet the specific needs of adult care facilities. Effects of age-related deficiencies can consequently be substantially reduced.

Illumination level

One of the most significant factors for room Adequate illumination levels reduce feelings illumination is the illumination level mea- of insecurity, the risk of accidents, anxiety, sured in “lux” or “footcandle”. It defines the and passiveness among other things. intensity of light emitted over a given area. Due to the deterioration of vision, the el- See page 14 for specifics on illumination re- derly need a higher illumination level to be commendations for different rooms. able to cope with daily tasks. The threshold areas between light and dark such as entryways have to be kept brightly lit, especially on the inside, to help the eye better adjust to the inside when entering from the brighter outside.

Cylindrical illumination

Cylindrical illumination is the quantifying Quality components along with innovative parameter for the lighting level of vertical reflector and prism technology allow De- or virtually vertical object surfaces in a rungs Licht AG solutions to achieve opti- room. It is also applied as a standard for mal cylindrical illumination. determining the brightness in a room and, in particular, the brightness of faces. Ideal cylindrical illumination enhances the recognition of faces, door handles, light switches, colors, and more.

This diagram represents the various ap- proximate illumination levels in everyday life. 10 000 Lux 0.2 Lux Overcast sky 2 500 Lux At the window Full moon at midnight inside the room 300 Lux In the middle 100 000 Lux of the room Clear, sunny day

10 Lux 10 000 Lux Streetlighting In the shade 6 000 Lux Under an awning 1 Lux 10 Lux Candlelight In the basement 11

HOW LIGHT AFFECTS THE QUALITY OF LIFE

CUSTOM LIGHTING IS A SOLUTION − KEY FACTORS IN ADEQUATE LIGHTING

Features of poor light diffusion

Direct lighting Indirect lighting + very good to average energy efficiency + excellent glare control - discomforting glare for patients + minimum reflections confined to bedrest + room appears to be bright

Direct lighting Indirect lighting - reflective glare on equipment + hardly any shadows - dark shadow on facial features - average to poor energy efficiency and objects - ceilings are too bright for patients - faces not bright enough for confined to bedrest visual communication - diffuse lighting atmosphere - reflections on the floor (hardly any contrasts) - room appears to be dark

Direct / Indirect lighting Twin-component lighting

Features of good light diffusion

Direct / Indirect lighting Twin-component lighting Derungs Licht AG understands the signifi- + good energy efficiency + like direct / indirect lighting cance of direct / indirect lighting and twin + hardly any shadows + partial amplification of lighting component lighting. The light fixture product + hardly any reflections due to task / reading lights range focuses on providing lighting solu- + good glare control tions in these areas. Our priority is to pro- + room appears to be bright vide excellent lighting solutions that use a + homogeneous, soft transitions basic principle: provide indirect lighting while due to multiple reflectance diffusing direct light to properly balance the atmosphere safely and effectively. 12

HOW LIGHT AFFECTS THE QUALITY OF LIFE

CUSTOM LIGHTING IS A SOLUTION − KEY FACTORS IN ADEQUATE LIGHTING

Color of light

The color of light describes the color im- when providing adequate lighting for steps, pression of the light and is expressed as staircases, entryways and exits or for de- color temperature. Warm-white color manding activities at work. Fluorescent temperatures have a greater amount of lamps are available in any color of light, red and yellow hues, such as for candles from warm-white to daylight-white. and incandescent light (below 3300 Kel- vin). Warm-white light is comfortable and cozy in most atmospheres. Neutral-white light contains a greater amount of blue hues (3300-5300 Kelvin), daylight-white contains a large proportion of blue hues (more than 5300 Kelvin); these are required

Color rendition

The spectral properties of the light source The highest Ra value is 100. Ra 100 me- highest color rendition (level 1A) of a Ra ex- are important because the perceived color ans that all colors of a given object ap- ceeding ninety are required for color- criti- always depends on the spectral composition pear to be most natural (no apparent cal applications (skin examinations, medical of the light. changes in color) with this light source. treatments, surgeries). They often, howe- The greater the deviation from Ra 100, ver, deliver less light and are more expen- The general color rendering index “Ra” is the poorer the colors of a given object are sive. used to describe the color rendition proper- rendered with the defined light source. ties of light sources. This index defines how ‘well’ the colors of an object are rendered Fluorescent lamps feature an excellent color by a light source compared to a reference rendition level of 1B with a Ra from eighty light source (incandescent light or daylight). to ninety and should consequently be used for interior lighting. Lamps that provide the

Colors of light define interior spaces Properties of color rendition

Poor properties of color rendition make Good properties of color rendition make it it impossible for the eye to recognize all possible for the eye to see all actual existing existing colors. colors.

Negative Positive

Hues Hues accentuated by accentuated by cool-white light warm-white light Poor Good 13

HOW LIGHT AFFECTS THE QUALITY OF LIFE

CUSTOM LIGHTING IS A SOLUTION − KEY FACTORS IN ADEQUATE LIGHTING

Glare control Reflection control

The eyes of the elderly are more sensitive to Reflection on shiny surfaces is not safe and glare than the eyes of younger adults. Light causes strain on the eyes. Shiny surfaces is diffused differently in older eyes. There do exist almost anywhere in adult care may be deposits in the eye which can cause facilities: painted table tops, metal panels, cloudiness by forming a film across the re- mirrors, glass cabinet doors, pictures in tina. This film hides details and can make it glass frames, glossy flooring, etc. Disturb- difficult to differentiate between objects. ing reflections occur when a bright light source is mirrored in the line of vision. Derungs Licht AG products come equipped with diffusers with each clear glass incande- Derungs light solutions keep reflections to scent or halogen lamp to help control glare. a minimum by using diffusers with both direct or indirect lighting. Derungs’ luminaires control the light through sophistica- Environment ted light directing prisms. In this way, shiny surfaces are not spot-lit and reflections are Light affects emotions and moods and light minimized. can convey a sense of comfort and of feel- ing safe and secure. The elderly should feel comfortable in their environment. In addi- Shadow control tion, the care providers need to work in a bright, motivating environment. The interplay of light and shadow is indispensable in safely finding one’s way Derungs Licht AG creates healing environ- around a room and in recognizing objects. ments by taking into account all the vari- Concentrated light sources and bundled ables in the lighting design. Light can be light create lighting that promotes the for- used to create a comfortable environment, mation of sharp and deep shadows. This so that objects appear clear and the room produces sharp contrasts that may con-ce- safe. al objects or obstacles with dark shadows. Using light sources that cover an extensive area and radially diffuse the light, as is Light distribution done, for instance, with ceilings illlumina- ted by indirect lighting, creates illumination By using light to brighten walls, corridors that casts few shadows. Shadows neces- appear wider. Indirect ceiling light fixtures sary for orientation, however, are missing. make rooms seem more inviting and open. The shapes are no longer recognized and obstacles may not be perceived as such. Derungs Licht AG can precisely define the The objective consequently has to be to emitted light by using specially designed, provide illumination that produces an aver- light directing elements. The light is directed age degree of shadiness. Derungs Licht into the room in an optimal fashion. The AG customizes lighting systems to meet room is illuminated uniformly. This creates the unique needs of the customer and to illumination that is comfortable and low in produce just the right degree of shadiness glare, reflections and shadows. by utilizing the benefits of top-quality indirect / direct lighting and twin-component lighting systems. 14

PREPARING A LIGHTING DESIGN

IMPORTANT BASICS FOR PLANNING

At the heart of each one of our lighting designs is the goal to provide functional illumination by use of multiple lighting components. The luminaire itself should not dominate the overall room light levels, but rather allow for the correct balance of light while giving the designer freedom to customize it further.

When preparing a new lighting design, many factors have to be taken into account and coordinated, including financing, architectural specifications, needs of a wide variety of clients and the way daylight enters the rooms. The professional planning of illumination requires considerable expertise and partnership. We will work with you to create the best in custom lighting solutions as your professional lighting partner.

Illumination recommendations VDI Directive 6008: Barrier Free Buildings for Living IESNA: Recommended Practice for Lighting and the Visual Environment for Senior Living (1 footcandle = 10.76 Lux)

Area Light effect Illumination level E[lx] Color of light Type of lighting

day lighting close to floor (10 cm above floor) 200-300 lux warm-white/neutral-white direct / indirect eye level (140-160 cm above floor) 300-500 lux (cylindrical) warm-white/neutral-white direct / indirect Corridors

night lighting, close to floor 50-100 lux warm-white/neutral-white direct / indirect

Recreation areas day lighting, close to floor 200-500 lux warm-white/neutral-white direct / indirect

care light 300-500 lux warm-white/neutral-white direct / indirect, twin-component bed level (85 cm above floor) lighting, depending on type of care

reading light, work light 300-1000 lux warm-white/neutral-white direct / twin-component lighting bed level / eye level (separate auxiliary lighting, if needed) Residents‘ rooms

living room light, close to floor 100-500 lux warm-white direct / indirect

night light, close to floor 50-100 lux warm-white indirect monitoring lights for staff at night, close to floor approx. 5 lux warm-white indirect

For patients: basic lighting close to 200-500 lux warm-white/neutral-white direct / indirect Restrooms the floor; accent lighting at face level 15

SPECIFIC LIGHTING

RECREATION ROOM, CORRIDOR AND STAIRCASE LIGHTING

A homelike atmosphere can be created through using light throughout the entire healthcare facility. Patients often use the corridor as additional living space due to the size of their living quarters. When the weather is not conducive for walking outside, the elderly often use the corridors and staircases for such activities. Patients with dementia often prefer to stay indoors even in the summer. Properly illuminated corridors can become meeting places and a viable option for physical activity.

Light helps guiding

The elderly tend to use lighting for If certain corridors provide an opportunity Corridors without direct daylight are rather orientation. They will walk in lit areas and for walking around, they should be illumin- common. The ideal lighting solution en- avoid the dark. We can create brighter lit ated brighter than the secondary corridors. sures that corridors and alcoves are well-lit, and dimmed areas to help provide some For instance, you can use light to accen- even if there are no windows. direction. tuate doors for restrooms and recreation rooms. Examples: Reduce the illumination level toward the Room accessories can be accentuated by exit, if patients with dementia are not to combining wall lights with ceiling lights that leave the station. Increase the illumination can be switched differently. level to draw people to a specific area that is to be used for social gathering.

Safety on staircases

Safety on staircases is a top priority to • With partial indirect lighting false shad- healthcare facilities. There are specific ows and self-occlusion are avoided requirements staircase lighting must meet:

• Lighting that casts fewer shadows on steps makes them more visible. An additional way of making steps easier to be seen and making them easier to walk on is to use different paints or materials for the steps 16

CORRIDOR AND STAIRCASE LIGHTING

CEILING LIGHTS

Dlite® vanera

• General indirect / direct light • Ideal light distribution, casts few shadows, minimum reflection, no glare • Ceiling mounted, perfectly suitable for 54/54 C, 2x54 C low ceilings < 2.3 m • Modular set-up regarding materials, design, functionality and technology • On request: Toolbox Spot (accent lighting), Toolbox PS (DALI control 2x28 C * system), three-hour battery-operated emergency lighting, Visual Timing Light (see p. 9) * Luminaire Minergie (sustainability)

2x24 C Award Winner

Dlite® amadea

• General indirect / direct light • Excellent light efficiency and light effect due to DRS Double Reflecting System and T5 fluorescent lamps 54/54 C, 2x54 C • Luminaire Minergie (sustainability) • Suitable for various ceiling heights (min. 2.5 m) as the pendant length is adjustable (20 cm to 150 cm) • Homogeneous and uniform ambient 2x28 C * lighting • Light is low in glare, reflectances and shadows • Creates good visibility and safety * Luminaire Minergie (sustainability) 17 18

CORRIDOR AND STAIRCASE LIGHTING

WALL LIGHTS

Dlite® vanera

• General indirect / direct light • Special polymer prisms ensure ideal, asymmetrical light direction. The low light density on the walls ensures uni- 2x39 W form ambient lighting and a comfortable light low in glare, reflectances and shadows. • Modular set-up regarding materials, design, functionality and technology 2x28 W * • On request: Toolbox PS (DALI control system), three-hour battery-operated emergency lighting, Visual Timing Light (see p. 9) * Luminaire Minergie (sustainability)

2x24 W Award Winner

Dlite® amadea

• General indirect / direct light • Excellent light efficiency and light effect due to DRS Double Reflecting System and T5 fluorescent lamps Compact 55 W • The low light density on the walls ensures uniform ambient lighting and a comfortable light low in glare, reflectances and shadows. • Modular design of wall unit allows ac- 2x39 W commodation of additional components • Three-hour battery-operated emergency lighting 19 20

RECREATION ROOM LIGHTING

CEILING LIGHTS

Dlite® vanera

• General indirect / direct light • Ideal light distribution, casts few shadows, minimum reflection, no glare • Ceiling mounted, perfectly suitable for 54/54 C, 2x54 C low ceilings < 2.3 m • Modular set-up regarding materials, design, functionality and technology • On request: Toolbox Spot (accent lighting), Toolbox PS (DALI control sy- 2x28 C * stem), three-hour battery-operated emergency lighting, Visual Timing Light (see p. 9) * Luminaire Minergie (sustainability)

2x24 C Award Winner

Dlite® amadea

• General indirect / direct light • Excellent light efficiency and light effect due to DRS Double Reflecting System and T5 fluorescent lamps 54/54 C, 2x54 C • Suitable for various ceiling heights (min. 2.5 m) as the pendant length is adjustable (20 cm to 150 cm) • Homogeneous and uniform ambient lighting 2x28 C * • Light is low in glare, reflectances and shadows • Creates good visibility and safety * Luminaire Minergie (sustainability) 21 22

SPECIFIC LIGHTING

HEALTHCARE ROOM LIGHTING

Patient room lighting should create an inviting and safe environment. Sufficiently bright yet warm along with being glare-free are just a few of the variables needed to consider successful lighting solutions. Our philosophy of providing custom lighting for each healthcare room starts with the education of light and how it can be maximized for each application.

Various lighting effects can be selected depending on your custom needs:

General lights / Ambient lights Reading lights / Work lights Care lights / Examination lights

The general lighting in a room should coin- The correct combination of glare-free, am- The healthcare patient room is a “worksta- cide with daylight to create the correct bient lighting and precise bedside reading tion” for the staff. The lighting has to be amount of light. Ambient lighting appears light creates a safe and functional environ- adequate enough to provide patients with to be bright and natural, does not strain ment for patients and staff. Safety must general care like checking the skin, chan- the eyes and is rarely perceived as being come first, thus very little heat should be ging bandages, giving injections and infu- artificial. The ideal distribution of direct and generated in the reading area. There should sions, and other tasks. Adequate lighting indirect light allows us to see far and near be no risk of getting burned or fire from the facilitates the tasks of the care providers. objects without producing a discomforting light or its surface. Bedside lights not only glare, and is easy on the eyes. The lighting have to provide the patients with adequate Patients and care providers are often in should be designed to meet the environ- lighting for reading but must be easy to use their own shadow of the light. Illumination mental needs of the room resident. A more and glare-free. features have to meet the following requi- intense light can be chosen, for instance, rements according to care providers: no- for periods of activity and a warmer light for glare light that casts few shadows with a a cozy “sundown effect”. large lighting radius; ease of use; and the perfect illumination level depending on the application.

Night lights / Guide lights

Night lights provide a subtle guiding light for staff in the dark without disturbing the patient. 23

SPECIFIC LIGHTING

HEALTHCARE ROOM LIGHTING

Indirect / direct wall lighting Twin component lighting Variable use

• Provides patients and care providers Adjustable bedside reading / care light to Position bed as needed: with comfortable ambient lighting. Use supplement wall lighting: of indirect light • Can be accessed from one side (minor • Provides the patient with focused read- care needed); see top figure • Provides the patient with a comfort- ing or work lighting able reading and work light. Use of direct • Can be accessed from two sides (inten- light • Assists the staff with high-performance sive care needed); see bottom figure lighting in providing daily care • Ensures the care providers with high- intensity light suitable for examinations. Self-occlusion is avoided due to the sophisticated light direction system. Use of indirect and direct lights

• Provides patients with a subtle night light to safely guide their way in the dark and it facilitates the work of care providers on their nightly rounds 24

HEALTHCARE ROOM LIGHTING

WALL LIGHTS

Dlite® vanera Bed

• Indirect general light Direct reading light Indirect / Direct examination light LED or DALI night light 54/54 W (Light effects can be switched separately) • Special polymer prisms ensure ideal, asymmetrical light direction, uniform ambient lighting and a comfortable light low in glare, reflectances and sha- 39/39 W dows • Modular set-up regarding materials, design, functionality and technology • On request: Toolbox Socket (line current) Toolbox PS (DALI control system)

Dlite® amadea Bed

• I ndirect general light Direct reading light Indirect / Direct examination light night light 54/54 W • Light effects can be switched separately or they can be dimmed, on request • Excellent light efficiency and light effect due to DRS Double Reflecting System and T5 fluorescent lamps 39/39 W, 2x39 W • Available with 2x54 W and 2x39 W plus 24 W reading light 25

Night light

General light

Examination light

Reading light 26

HEALTHCARE ROOM LIGHTING

READING LIGHTS

Dcare® amalia

• Optimal light intensity with a reduced current consumption • Large range of movement thanks to the flexible arm and the foot joint 9 P S4 • Luminaire head turns 360° • Backlighted switch for an easy use of the LED reading and night light in the dark • Reduced heat generation 9 P S7 • Sturdy general construction and longlife light source • Extremely energy-saving thanks to the use of very efficient LED‘s

9 B S8

Dcare® medicool

• Glare-free reading light • Luminaire for minor examinations and care • Spring-balanced arm or gooseneck arm 14 P F1 • Guide light on luminaire head for ease of use in the dark • Minimal heat generation • Shield prevents direct contact with lamp 14 P S3 • 14 W compact fluorescent lamp

Dcare® cosy / Dcare® cosy LED

20 W halogen lamp • Glare-free reading light • Cord switch with LED • Twin-wall housing minimizes 20 W S0 20 P S3 • Shield prevents direct contact with lamp

12 W LED • No high heat generation S 20 P S3 • Energy conservation up to 40 % • Direct current give an above-average good electromagnetic compatibility value • Long service life

LED 12 P S3 LED S 12 P S3 27 28

SPECIFIC LIGHTING

RESTROOM LIGHTING

The day begins and ends in the restroom. The reflection of the patient in the restroom mirror in the morning and at night often influences how he perceives him- self. Restrooms are often too small to be an oasis of serenity and wellness. All the more reason to create a comfortable atmosphere in the restroom with uniformly distributed, no-glare and well-screened lighting.

Lighting up the restroom

• Soft and homogeneous ambient light- • Reduced reflective veil on face and • The restroom as an oasis of serenity ing body facilitates professional physical care and tending of wounds • Splash-proof IP 44 ensures high degree • Minimizes shadows and reduces risk of safety of falls • Ideal color rendition features ensure color authenticity of face and body in • Vanity sink, mirror and lighting blend to • Floor is easy to see when entering mirror form one esthetic unit the shower because of low-shadow lighting • Improves patients’ self-perception • Compact luminaire design creates a slim, linear outline

Version Standard with front cover Version Eco without front cover Version Standard with front cover Dlite® vanera Bath Dlite® vanera Bath Eco Dlite® vanera Bath 29 30

RESTROOM LIGHTING

WALL LIGHTS

Dlite® vanera Bath

• General indirect / direct light • Soft and homogeneous ambient lighting • No reflective veil on facial features 2x24 W • Floor is clearly visible due to low-shadow lighting • Vanity sink, mirror and lighting blend to form one esthetic unit • Splash-proof IP 44 ensures high degree of safety 31 32

DERUNGS OFFERS ADDITIONAL BENEFITS

SAFETY, QUALITY, ERGONOMICS, ECONOMICS

At Derungs, we take into account the detailed aspects of custom lighting solutions. Safety, quality, ergonomics and the economics play a vital role in the design and production of our luminaires.

Bedside reading lights should be Guide light Energy efficient luminaires equipped with a safety catch • Helps the patient find the lamp switch • Low energy, high-performance • Luminaire cannot be unintentionally even in the dark • Large lighting radius that is shadow- removed from bracket (risk of accident / free damage to luminaire) • Low heat (no excess heat for the Spring-balanced joints patient, no risk of fire) • Long service life (15,000 h) = virtually External surfaces of medical luminaires • Easy to use maintenance free should be smooth • Easy positioning • No unintentional tilting of luminaire (risk • Easy to clean and disinfect of accident / risk of fire) Halogen lamps • Reduced maintenance • Comfortable but “spotty” light Cable should be in arm joint • Dichroic lamps emit less heat in the Ergonomic handles to position the direction of light • No exposed wires or springs that might luminaire • Housing with good heat dissipation endanger the patient • Additional protection (second glass • Easier and safer to clean • Switch and night light switches are shield) from contact with the hot light located near the handle source • Special textured surface (notches) help • Spacer, so that the luminaire does not Low heat generation guide people with visual impairment lie flush on a given surface at any time (overheating) The unique design of Derungs luminaires in conjunction with high-performance tech- LED nology ensures that little radiant heat is emitted and that the heat generated on the • Increased energy efficiency luminaire body is kept to a minimum. Even • Consistently maintenance free thanks if the luminaire has been on for an extended to long LED life period, hazards due to excess heat (risk of • Cold light - no heat radiation in the light getting burnt / risk of fire) are eliminated. 33

DERUNGS OFFERS ADDITIONAL BENEFITS

SAFETY, QUALITY, ERGONOMICS, ECONOMICS

Shield Standards

The purpose of the special shield material Derungs luminaires have been developed, is to repel heat, to control glare, to distri- produced and certified according to the re- bute light and to prevent anyone from rea- levant standards and regulations in the field ching into the fixture. of medical lighting system to guarantee a maximum of safety:

Maintenance and service • CE Marking according to Directive 93/68/EEC • Patient luminaires should be designed • Medical Device Directive to require little maintenance 93/42/EEC • Top-quality materials ensure a long • Low Voltage Directive 73/23/EEC service life • Electromagnetic Compatibility • Durable, energy-efficient illuminants Directive 89/336/EEC cut maintenance costs • RoHS Directive 2002/95/EEC • Good service guarantees a good rap- • WEEE Directive 2002/96/EEC) port • IEC/EN 60598-1: Luminaires: General Requirements and Tests • IEC/EN 60598-2-25: Luminaires for use in Clinical Areas of Hospitals and Healthcare Buildings • IEC/EN 60598-2-1: Fixed General Pur- pose Luminaires • IEC/EN 60601-1: Medical Electrical Equipment: General Requirement for basic Safety and essential Performance • IEC/EN 60601-2-41: Particular Require- ments for the Safety of Surgical Lumi- naires and Luminaires for Diagnosis • ISO 9001 34

THANK YOU FOR YOUR ATTENTION

WE ARE AT YOUR SERVICE AS A RELIABLE PARTNER

Satisfying customers is the driving force behind everything we do. We provide excellent customer service and professional advisory service in addition to a broad range of products. We are committed to ensuring your long-term satisfaction as our customer.

Our product range Service / Advisory Services

The broad range of our product line an- We are at your service as an innovative, swers your every need and covers the enti- flexible and reliable partner. Advisory ser- re field of medical lighting systems in our vice and support are an integral part of our market segment. In addition to our stand- service spectrum, complete with profes- ard product range, we also design specialty sional planning of lighting systems and fixtures customized to meet the unique unique lighting designs. Moreover, we re- needs of our customers. We continuously main at your disposal after the sale with our adapt our product range with innovations in fast and reliable customer service. response to market demands.

Your solution Our range of luminaires: This brochure imparts important knowledge Dmed® Treatment / Examination Lights on the professional planning of lighting sy- Dcare® Care and Reading Lights stems and it provides viable solutions. Dlite® Room Lighting Please refer to “Product Overview / Tech- nical Data” for more information on each Our market segments: luminaire.

Senior care Should you be interested in other Derungs Hospital / Clinics / Doctors’ surgeries Licht AG lighting solutions, we will gladly Veterinary surgeons / Animal clinics send you the relevant information. 35

LIST OF REFERENCES

COPY, GRAPHIC IMAGES

Graphic images

The graphic images on page 5 were used Till Roenneberg, Institute for Medical Psych- with the kind permission of “Allgemeinen ology of Ludwig-Maximilians-Universität in Blinden- und Sehbehindertenverein” in Munich, DE: “Das rhythmische Auge der Berlin and were taken from their visual im- inneren Uhr” (p. 9) pairment simulator (www.absv.de). Original photography: Andreas Friese Hamburgische Electricitäts-Werke AG: “Beleuchtungsempfehlungen für alte Men- schen, Demente und Alzheimer-Kranke”, by order of HEW edited by Dr. Ing. Georg Copy Roessler, Light Engineering Offices, Ham- burg (pp. 10, 13) VDI Directive 6008: Illumination in Hos- pitals, Nursing Homes and Habitats for Com- prehensive Generations, (p. 5)

Rudolf Welter, Matthias Hürlimann, Ka- tharina Hürlimann-Siebke: “Gestaltung von Betreuungseinrichtungen für Menschen mit Demenzerkrankungen” (pp. 6, 8) [email protected] www.waldmann.cn 0032 3385 21 +86 Fax 1799 5169 21 +86 Telephone Chine 200949 P.R.C. Shanghai, Baoshan Road, Jian Chang 199 Workshop Normative Five No. A, Part Ltd. Co. (Shanghai) Lighting Waldmann [email protected] www.waldmann.com 8377 6275 +65 Fax 8300 6275 +65 Telephone Singapore 150168 Singapore 1, .3 Tower Connection Merah Bukit Jalan 168, Blk Ltd. Pte. Singapore Lighting Waldmann [email protected] www.waldmannlighting.com 1730 520 +1 Fax 847 1060 520 +1 847 Telephone USA 60090 Illinois Wheeling, Drive Century W. 9, Company Lighting Waldmann [email protected] www.waldmann.se 609 991 8 +46 Fax 350 990 8 +46 Telephone Sweden Bandhagen 12450 370 Skebokvarnsvägen AB Ljusteknik Waldmann [email protected] www.waldmann.com 856 627 344 +31 Fax 019 631 344 +31 Telephone Netherlands Tiel LK 4004 19 Lingewei BV Waldmann [email protected] www.waldmann.com 78 63 24 98 02 +39 Fax 24 90 24 98 02 +39 Telephone Italy (MI) Milanese Giuliano San 20098 18 A Pace, della Via S.r.l. Illuminotecnica Waldmann [email protected] www.waldmann.com 444 67 7229 +43 Fax 400 67 7229 +43 Telephone Austria Pasching/Linz 4061 7 Wagram Gewerbepark Ges.m.b.H Lichttechnik Waldmann [email protected] www.waldmann.com 68 95 8820 3 +33 Fax 88 95 8820 3 +33 Telephone France 67116Reichstett l’Embranchement de Rue - Z.I. S.A.S Eclairage Waldmann [email protected] www.waldmann.com 12 99 839 62 +41 Fax 12 12 839 62 +41 Telephone Switzerland Küttigen 5024 57 Benkenstrasse GmbH Lichttechnik Waldmann [email protected] www.waldmann.com 290 601 7720 +49 Fax 100 601 7720 +49 Telephone Gemany Villingen-Schwenningen 78057 P.O.5062 Box KG Co. & GmbH Waldmann Herbert O W N D I ST RI BUT OR S # 04-09 B 04-09 www.derungslicht.com at: find you partners distribution Further [email protected] www.derungslicht.com 11 77 388 71 +41 Fax 11 66 388 71 +41 Telephone Switzerland Gossau 9200 12 Hofmattstrasse AG Licht Derungs

Derungs Licht AG • 79715 / 05.11 / 500 / SD • subject to modifications • printed in Switzerland