Caring for COPD — Lisa Yoshiko Salamone
Case Study · Healthcare Service Design

Caring for COPD

Juggling the chaos of everyday caregiving

RoleDesign Researcher
MethodsDiary study · Data coding · Modeling · Storytelling
Participants10 COPD caregivers, 7 days
DeliverablesRelational model · 36″ × 22″ story platform

Caring for someone with COPD is a full-time act of juggling — medications, appointments, equipment, emotions, and a life of one's own. This project made that invisible labor visible: turning a week of self-reported caregiver data into structured insight, a relational model, and a story platform that let stakeholders feel the chaos for themselves.

Phase 01

Structuring the Data

Ten COPD caregivers self-reported their daily routines for seven days, documenting their day-to-day care tasks through photography and a set of survey questions. The raw material was rich but messy — hundreds of photos, notes, and moments with no inherent order.

Every data point was coded against the "Quad 4" framework — activities, attitudes, ambitions, and anxieties — bringing structure to the mess and making a week of lived experience comparable across ten very different households.

Self-reported diary data coded against the Quad 4 framework
Coded caregiver diary data organized by the Quad 4 framework. Structured caregiver data showing patterns across activities, attitudes, ambitions, and anxieties.
Phase 02

Modeling the Data

The model takes the structured data and represents it visually, so that anyone — clinician, administrator, designer — can grasp the information and its insights at a glance. As the data took shape, patterns emerged connecting multiple caregivers who faced strikingly similar challenges, despite never having met.

The relational model connecting caregiver challenges across households
Relational model diagram mapping shared challenges among COPD caregivers. View full size →
Phase 03

The Story Platform

Data alone rarely moves stakeholders. The story platform was designed to captivate — pairing visual cues, direct quotes, and insights into the chaos of a COPD caregiver's day. Through this visual narrative, people outside the program could understand the challenges of a caregiver's life without ever having observed one.

Final story platform · original format 36″ × 22″ poster
The story platform poster weaving caregiver photography, quotes, and insights into one narrative. View full size →
Phase 04

A New Service Narrative

Building a narrative around people's experiences creates empathy and understanding — and in healthcare, the patient's journey is only part of the picture. Clinicians, caregivers, and the people behind the scenes all interact with and shape any new design. A sustainable service has to address the needs and expectations of every party at the table to succeed.

Frames from the new service narrative
Service narrative frame 1. Service narrative frame 2. Service narrative frame 3. Service narrative frame 4. Service narrative frame 5. Service narrative frame 6.
Outcome

From anecdote to pattern

The Quad 4 framework and story platform gave the care team a shared, evidence-backed language for caregiver burden that hadn't existed before. Conversations shifted from individual anecdotes to visible patterns across households — and the new service narrative set up concrete concepts for how the system could better support the people doing the juggling.

← All work Lisa Yoshiko Salamone · Healthcare UX & Design Strategy