How the Integration of Smart Home Devices can Save Homeowners ...

For instance, electricity powers dozens of machines in our homes, including our HVAC systems, cooking appliances, refrigerators, dishwashers, and an ...

Learn the ins and outs of integrating your household's smart devices without needing to be a rocket scientist, and make your smart home as smart as it should be. http://www.momentumenergy.com.au/habitat/at-home/integrate-your-homes-smart-devices/

https://www.cnet.com/topics/smart-home/best-smart-home-devices/

https://www.pcmag.com/article2/0,2817,2410889,00.asp

https://www.einfochips.com/blog/addressing-smart-home-automation-challenges-using-devops/

https://www.cbinsights.com/blog/smart-home-market-map-company-list/

http://ieeexplore.ieee.org/document/6781157/?reload=true

http://www.quest-trendmagazine.com/en/articles-archive/fdt-group.html

https://www.cerner.com/solutions/device-connectivity

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Best smart home system

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See below:

o section A(4 pages): what is needed in general

o section G (12 pages): Existing (already available) assistive tech: devices & systems

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…………Now returning to the beginning, more in detail………..

A) Proposing a few specific devices, including a 'reminder-system' for the memory-impaired:

(4 pages): The devices which are needed: Assistive technology - devices to help with everyday living

focusing on adult children and their aging parents (“boomers and seniors”).

Creating an “Online real-time remotely-monitored & controlled smart parent’s-home”

When someone rings the front-door bell, the child is notified in real-time with a special tone, a flashing icon etc (on their work computer system and smart-phone), and can press the icon to see who is at the door, and can speak with them. They also can have control over the door-lock, to be able to admit people (visitors when the parent is ill, a doctor, someone to clean while the parent is sleeping or away, or an electrician etc). Also if there is a security alarm system on the door, it notifies the child, who can also then communicate with police or the security company etc. (Similarly for balcony doors.)

If it is a private home: back door etc is controlled this way. Camera on roof has 360 degree view of the house’s surroundings. Motion sensor installed.

Bathroom/shower-room door: voice communication-system in/near bathroom to establish if there is need to remotely-unlock the door.

Drone in home can deliver items to parent in bed. Pills etc. Guided via video + remote.

If child spots items on the floor which can be a trip-hazard, they can remotely operate a device similar to a vacuum cleaner robot to remove it.

Perhaps it can also approach a parent on the floor after a fall to make communication simpler.

Phone-numbers of neighbors and relatives, emergency services, doctors etc, all appear when the emergency button on the device is activated/pressed. Also: icons for their ID numbers, medical records etc.

Certain windows have electrically-controlled mechanical openers, which can be operated remotely. Either to obtain fresh air, or if there is gas in the kitchen, or in case of fire etc.

To prevent flooding when parent forgets to shut off the water: a device which detects overflow of kitchen & bathroom sinks and bathtub/shower etc. All faucets including shower have off-switches connected to the handles, which can be operated via remote-control.

Same for any gas range, or other electrical devices – excess gas notifies child, and they can switch it off, or there is an automated system to do this and the child is notified as it occurs. They can then open the windows remotely and then turn the gas back on.

Electricity: fuse-switches can be controlled. If there is a fire, all electricity can be closed, which then causes the emergency lighting to go on. Child is notified as this is occurring, and the relevant emergency phone numbers and neighbor-contacts appear and pressing them calls them.

Heating and cooling system of the house can be controlled (easiest is central heating A/C, but also if it is separate AC’s and radiators etc).

Special mailbox installed with video and remotely-controlled separator arm, to be able to see what has arrived.

If necessary, device to melt snow near front door (or even to clear a path; or phone connection to people nearby who can do it).

For specific tasks:

· Creating menus for meals based on nutritional needs and personal tastes.

· Before a meal, a menu can be posted to appear on the elderly person’s kitchen wall

· Inventory: some feedback is needed as to what is in the pantry (video cameras installed inside the closet, with flash-light source so as to create a weekly shopping list; perhaps grocery items and other foods can be ordered online by the child, and delivered to the parent.

· There can also be reminders as to which stores sell which items, and where the stores are located.

· Reminders about to do list for the week and day.

· Assistance making calls, with access to the elderly parent’s telephone, so that one can remotely-control the number being dialed. Access to the voice mail.

· Remote access to the computer and entertainment system: the child can create a day-program with youtube exercise videos playing which the parent can join with, then news, then a favorite show or movie, then a documentary, then set it up to read and send email, make video-calls to friends etc, all via remote or with remote assistance.

· Daily schedule, and special days: [eg for RR erev shabbos buy JP, make cholent/egg&onion, need also recipe, and reminder on Th for shopping list to include Heinz B Beans etc, and check other ingredients. Remind which helpers come when, which days at which times she goes to a lecture, to call Fanny before to accompany heretc.][& to say: next week you have the x wedding, in two weeks y is coming as guest, in 4 weeks in tubshvat and then purim and pesach].

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Even self-sufficient elderly may at specific points of the day/evening need (or benefit from) some moral-support, company or guidance. For example when eating meals, they can benefit from guidance as to what to eat, where implements and food items are located or how to prepare certain foods.

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When there is a task to be done, or an emergency, all the children are notified, and as soon as the task is accepted by the child whose turn it is or who is responsible for that category of task, the rest of the children are notified (for example: emergency tasks appear as a red icon, non-emergency tasks appear as a blue icon and when someone accepts the task by pressing the icon it turns green).

Some or all of the remote tasks can be handled by people hired for the purpose.

There can be an entire system of ‘virtual staff’ handling the tasks for several elderly people.

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• http://www.marketwatch.com/story/silicon-valley-looks-to-disrupt-elder-care-2015-04-30
• https://techcrunch.com/2016/10/17/targeting-the-untapped-market-of-wearables-for-elder-care/
• http://www.louistenenbaum.com/aging-in-place-is-about-innovation/
• https://www.theguardian.com/technology/2016/jul/27/health-care-apps-elderly-silicon-valley-startups
• https://www.forbes.com/sites/robertglatter/2015/09/25/a-start-up-poised-to-disrupt-in-home-senior-care/#4cbbe30c6536

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Device: 24/7 hardware/software audio-visual ‘companion’

For the elderly, but purchased and installed at the request of their adult children.

The children are the actual clients, they control the device, and receive automated reports.

Can also be for various non-elderly impaired adults: settings specifies the 'disability' to be overcome, ie whether it is for hearing/speech-impaired, blind etc

Geared to a new demographic: reasonably tech-savvy children of aging parents, who have money for gadgets, and some time to spend on care-taking, but do not live in the same home, or even the same city as their parent.

Settings appropriate for these categories:

· One parent living alone;

· Both parents when they are both infirm;

· an elderly person taking care of an ailing spouse - to remove the care-taking burden from them;

· when there is a paid-caretaker in the home: to assist them; to catch abuse [search: "caretaker caught on video abusing", see eg this]; to compile a record for the use of a medical practitioner.

Two types of device are integrated:

· Accessed by the elderly person: has information input by the children, or by their surroundings, which is fed to them via audio (an earphone or aloud), or visually (via a tablet, or a watch-screen, or a wall-mounted monitor etc);

· Accessed by the children rather than by their elderly parent: Monitors the elderly person, with software to process the input in order to present relevant information to the children in real time and as periodic reports.

What technology is involved:

· wearable-tech

· medical-device remote-reporting

· web-cam for remote monitoring

· a "smart home" (smart-home remote-controls for children of elderly)

· subject-mounted camera

· inegrated calendar, to-do list, GPS, photo-recognition, navigation/maps

· remote-viewing & control of a different computer

· photo-sharing

· AI systems

· Automated study-aides and test-taking

Some business and marketing aspects:

Can also be or involve a business for 'outsourced' trained human remote-monitors.

Perhaps some of the expenses can be insurance-reimbursable.

An associated site can allow people to find each other to organize a group to share caretaking, ie for people whose parent has a similar situation such as:

· they live in the same city/neighborhood/building

· they have the same level of disability

· the same temperament, or the same interests

· speak the same language, have the same religion or culture etc

· they have the same set of devices/systems installed in their home

Associated devices:

Tablet on wall of each of the children (and possibly others: friends or relatives or a profesisonal:

· to see parent;

· to be updated with info

· to see to do list

· to see website below

· etc.

Website to coordinate their activities, division of responsibilities, each does one or more of these:

· medical/dental/pharmaceutical/vision/hearing/physical therapy/social worker;

· finances, bank accounts, benefits, bill payments etc;

· arranging shopping, entertainment, outdoor activities;

· assistants, cleaning, repairs, installing & maintaining communication systems;

· etc.

Software to display transcript of doctor visits, with medical input and recommended actions to take re tests, x-rays, procedures, pills, physical therapy etc.

Children can check off the to-do list and their name appears next to it, with their comments and reports, updates, for accomplishing that task.

24/7 monitoring and activity-reminders: from sleep-time, morning wakeup …to pills before bedtime

Night:

Sleep-lab: Video while sleeping, software detects motions, sounds (snoring, talking during sleep, sighing etc), determines when the eyes are open for extended periods while in bed, detects when leaving the bed… After the person has left the bed and stayed away and is active elsewhere in the room/home, a record of the nigh (time in bed) is created, and a periodic report (weekly, monthly etc) is compiled.

Perhaps sensor on the person’s head can detect neural activity changes (such as during REM, dreaming), and determine the quality of their sleep.

Report is available to children.

Near toilet: door-opening or motion sensor (can be located outside the bathroom), with log of how many times used during day, night, and how long spent there. Report is available to children.

Shower Audio-sensor detects use, and possible calls for help.

Morning:

· Device near bed can determine when the person has awoken even if they are still lying in bed: it tracks eye opening, eye motion, head and body motion (perhaps eventually has sensor on the person’s head and can detect neural activity changes).

· As soon as they are awake, the device ‘whisper’ to them in their ear, or says out loud and or displays on a monitor visible from the bed: “today is DAY OF WEEK, DATE, YEAR”, reminds which pills need to be taken and at what times of the day; reads the to do list, and reminders of what is expected to happen that day (your aide will come today at 3pm, your daughter will call at 4 to ask you about…, tomorrow is the wedding of X, yesterday you took care of Y, and were at Dr K, who said you will need a flu shot soon etc).

· Reminder is given to eat breakfast, even the menu they prefer. Smart refrigerator can be integrated.

· Meals can be pre-packaged and labeled, with large letter labels and an audio guide to take out the correct one. Similarly for other meals.

· A smart pill-box or a video monitor determines whether the day’s pills have been taken.

· Gas detector determines when have turned off the gas, correlates to the presence of flame on the stove.

· Children can remotely turn on AC, set timers, etc;

· A video-pan throughout the house to check if night-light is on near bedroom, to check cleanliness of kitchen and bathroom, to see whether pills were taken at night.

· The fire-alarm, smoke-detector, kitchen cooking-gas-detector: all notify children, who are given the relevant local emergency phone numbers etc, and who have emergency override switch control (to turn off the gas etc)

· When going somewhere by public transport (some of this can be not only for the elderly): gps tells you (can be discretely in your ear) when you are close to the destination, why you are going there, and what you need to say, and do.

· This information can be fed in by the children, or by one’s self earlier in the day etc, or on a previous day, set to play back on that day and half hour before the time of the appointment or when gps detects travel to that location etc.

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http://www.top5reviewed.com/the-5-best-calendar-clocks-for-the-elderly/

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Other Devices

Record of a doctor-visit: audio or text: sent to the children, with option for them to be ‘present in real-time. Information re tests to be taken, specialists to be consulted, prescriptions, can also perhaps be eventually tied to one’s medical file; re medications: notification to pharmacy, or even via a chip on the pill container, or scanning the bar code of the medication into the device etc.

Electric window-opener: for airing it out, to cool the house, and if house has gas or smoke: controlled by remote.

Wearable med-tech for health-monitoring remotely by children.

Wearable device like Apple-watch, giving them needed cues etc, and also detects falls (via accelerometer , gps etc) and getting lost, gives direciotns and prompts according to the present surroundigs.

a. http://www.imedicalapps.com/2013/01/device-elderly-signal-alert-fall-sensor-gps/.

b. http://smartwatches.org/learn/best-senior-wearables-gps-trackers/

c. http://www.livescience.com/43016-best-medical-alert-systems.html

d. http://www.dailymail.co.uk/health/article-2883479/Worried-frail-elderly-relatives-New-GPS-wristband-track-24-7-sends-alerts-fall.html

e. a counter to detect bathroom use frequency: In doorway or nearby: proximity-detector or electric-eye, heat detector, linked to counter) how many times the bathroom door opened, or the toilet flushed etc, with a record to keep track, to see if there is a sudden change.

f. Alarmed pillbox, to alert/remind the remote caretaker when pills are to be taken, and notifies when one has not been taken (perhaps by detecting the presence of the individual pills? also: the video-capture of the camera near the pill box can be consulted)

g. After recording conversation with doctor during visit (if doctor permits) or afterwards: software keeps track of questions to ask, recognizes relevant medical terms, identifies using intelligent phrase-detecton the issues which the doctor said are to be followed up on, lists the medications and tests recommended during the visit etc. [This can be much simpler if the doctor participates/cooperates by using specific catch-phrases to alert the software.]

These may not yet exist, need to be created:

· Software like ‘team-viewer’ etc to enable a remote-viewer to assist their elderly parent in using their home computer, eg to use the internet, for watching online-TV, videos, writing/editing, viewing photos etc: On-screen there are two concentric "windows". The outer 'window' shows explanations, with a live-chat with the child, settings, and icons to choose the desired application; the inner window displays the current application, making it availabel for use by the parent: eg MSWord, email, Web browsing, viewing photos/videos etc. The outer window has explanaitons and capabilities with various levels for different ability, and can change with time, etc.

· Videos to watch, either by the parent alone, or with them in real-time: Child can arrange the 'favorites', and there is a 'recently watched' list.

· Also: can set Youtube exercise videos to be watched while parent does the exercise along wiht the youtube intsructor/class, maybe while they are on video-chat so they can see the parent if they are doing the exercise correctly and safely, and the parent sees the child in the chat windo on the outer rim window.

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Reviews, business analysis, government programs, organizations. actual homes as examples, (and a diagram, plus some videos)

Business analysis: http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/spurring-the-market-for-high-tech-home-health-care Technology-enabled home health care should be thriving in the United States What’s holding the market back? We observe a daunting array of financial and operational barriers, including the misalignment of incentives between payers and providers, the need to demonstrate a strong clinical value proposition, and the problem of designing attractive, easy-to-use products that facilitate adoption by patients.

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Israel: http://www.huffingtonpost.com/joan-gage/high-tech-advances-to-help-seniors_b_4843554.html 02/24/2014 06:30 pm ET | Updated Apr 26, 2014 High-Tech Advances to Help Seniors: Scary or Reassuring? In Israel the Senior Network service is free to seniors who want it. Someone will pay a site visit to the home to connect the computer to the Watchitoo video platform. Watchitoo was developed by Rony Zarom, a former Israeli paratrooper who created the technology so he could visit with his young son via video when he was traveling, and they could watch YouTube clips together. Watchitoo is now based in New York and combines HD video conferencing, streaming and multimedia collaboration on a Web browser platform. Yale University uses it for virtual classrooms and some TV networks use it for “after parties” following a TV show—so that viewers can discuss the program they just saw and ask questions of the stars.

Watchitoo and the Senior Network in Israel are just one of the ways I’ve learned that people around the world are creating new technology that will help in eldercare. Here are some more:

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Actually creatying a hitech home for elderly: http://news.bbc.co.uk/2/hi/technology/2422167.stm Tuesday, 12 November, 2002, Hi-tech homes to help the elderly Ten homes were packed with sensors linked to a base station where the welfare of elderly residents could be monitored unobtrusively.The long term goal of the institute is to develop technology systems that can improve social and health care for vulnerable people outside of hospital.The Huntleigh Research Institute has launched a project aimed at providing hi-tech homes for the elderly.

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A) Proposal: Branding Israel as the hub for projects of this type

AR: Is there any interest on the part of a governmental ministry, or some organization, in doing this? Is there any need for something like this, or a benefit to Israel or to the project? Would it be easier to obtain development grants?

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Gadget review: http://www.usatoday.com/story/tech/columnist/2014/05/11/tech-gadgets-for-the-elderly/8804955/ (watch 0:45-1:13)

Low-tech: https://www.openplacement.com/community/blog/retrofitting-versus-assisted-living/ According to the National Association of Home Builders, based out of Washington D.C., the primary retrofits that are necessary to the systems in the house, such as security and electrical systems, to create a safe living space for seniors aiming to age in place are:

· Light switches by each entrance to halls and rooms;Light receptacles with at least two bulbs in vital places (exits, bathroom).

· Light switches, thermostats, and other environmental controls placed in accessible locations no higher than 48 in. from floor.

· Electrical outlets 15 in. on center from floor; may need to be closer than 12 ft apart.

· Clear access space of 30 in. by 48 in. in front of switches and controls. Rocker or touch light switches.

· Audible & visual strobe light system to indicate doorbell, telephone, or smoke or carbon monoxide detectors.

· security/intercom system which can be monitored, with the heating, air conditioning, and lighting, from any TV in the house.

· Easy-to-see and read thermostats; Pre-programmed thermostats.

· Flashing porch light or 9-1-1 switch direct-wired to police, fire, and EMS (as option).

· slanted walkway rather than steps to use to enter and leave the house.

· “Telewellness” systems: reminders to take medicine, quick means to contact emergency services. cameras at floor level so that any falls can be seen by caregivers logging in from a distance, or shoes with GPS systems for seniors with Alzheimer’s that alert the police and/or caregivers when the senior has moved outside of an approved area.

Granny pods

see 1:10-1:36 for indoor tour (the rest is not neccessary to watch) https://www.youtube.com/watch?v=dIoqivTHS3Y

AARP, would they help? : http://www.aarp.org/home-garden/housing/info-10-2010/abcs_of_adus.html Prefab 'In-law' Cottages Mix High-tech Features, Comfort

https://www.ft.com/content/8a6a4960-c396-11e2-aa5b-00144feab7de (refers to http://www.eskaton.org/village-roseville.html)

http://www.countryliving.com/home-design/a37788/granny-pods/ The small dwelling is hooked up to the main home's existing sewer, water and power lines. Standard safety features include hand railings, defibrillators, first aid supplies, lighted floorboards and a soft floor to minimize damage from falls.

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See diagram below: http://www.theblaze.com/news/2012/11/27/high-tech-granny-pods-allow-elderly-family-members-to-live-comfortably-in-a-backyard-cottage-for-125k/ High-Tech ‘Granny Pods’ Allow Elderly Family Members to Live Comfortably in a Backyard Cottage for $125K Washington Post reported that even the floor is specially designed to be cushioned in case someone falls. Several firms have entered the market for auxiliary dwelling units, or ADUs, as they’re known in the building industry. These include FabCab, a Seattle-based company that makes ADUs and full-size homes. Practical Assisted Living Solutions, or PALS, a firm based in Meriden, Conn., makes freestanding modules; and the Home Store, which is headquartered in Whately, Mass., sells modular “in-law” additions called “Elderly Cottage Housing Opportunity” additions.The company — N2Care — that creates the cottages was started by Rev. Kenneth J. Dupin. The Virginia Tech Corporate Research Center helped design them, according to the Post.

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http://hitechhomepros.com/assistive-domotics-elderly-care-givers/ Assistive Domotics for Elderly and Care Givers Assistive domotics is an application of home automation that focuses on making it possible for senior or physically challenged individuals to live at their home instead of a health care center. These items use Bluetooth sensing units to track movements in the home, or lack thereof, of elderly moms and dads. Sensing units affixed to any item, including pillboxes, doors, and keychains. GPS technology documents exact place details of the individual, logs activity, and reports it to a family member living somewhere else.

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Would governments help?

Patients in Fylde and Wyre will be among the first to benefit from a major new drive to modernise how the NHS delivers care. The scheme was unveiled by NHS chief executive Simon Stevens at the World Economic Forum in Davos. ... items such as sensors and other wearable technologies to help people look after themselves in the home as well as smartphone apps.Peter Tinson, chief operating officer for the Fylde and Wyre Clinical Commissioning Group, which is teaming up with Lancashire Care NHS Foundation Trust, Lancaster Health Hub and Philips said: “We are delighted and excited by the opportunity this programme will provide to work with a leading technology company and be at the forefront of innovation in health and care services.

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http://www.ukauthority.com/news/2758/elderly-scots-offered-hi-tech-home-care Elderly Scots offered hi-tech home care

Plans to use telecare to help increasing numbers of older people to live at home for longer are being advanced in Scotland with a £4m investment. The money is being used to pay for motion sensors, intruder alarms, emergency pendants and vibrating 'rumble' pillows for people who are hard of hearing.

Scottish Government public health minister, Shona Robison, said, "Investing in telecare is vital if we are to remain ahead of the game in meeting the needs of our growing older population. Telecare can help older people remain independent in their own homes - something we must explore further if we are to rise to the challenges we face."

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HiTech homes for people with disabilities rather than aging: organizations: http://fortune.com/2015/02/01/disabled-smart-homes/ Living Resources, a New York nonprofit that works with people who have disabilities, recently built a smart home for six people. It included lights, fans, blinds and TVs that residents can operate from their iPad, as well as stoves that shut off automatically when there’s no activity. The entire house cost $600,000 while the technology alone cost about $100,000 said Fred Erlich, the organization's CEO.

Tunnel to Towers, a nonprofit which works with disabled war veterans, runs a program to build smart homes for disabled war veterans. It spends $400,000 to $500,000 per house, using grants and donations, to make them more livable for veterans who are missing limbs.

https://www.ageinplacetech.com/ Industry Market Trends, Research & Analysis;

https://www.ageinplacetech.com/blog/ces-2015-part-3-3-six-more-innovations-useful-older-adults Aging In Place Technology Watch

Review of some gadgets at the 2015 tech show http://www.orlandosentinel.com/health/senior-helpers/os-senior-inhome-care-agency-new-hightech-products-and-innovations-focus-on-senior-needs-20150116-story.html Senior In-Home Care Agency: New High-Tech Products and Innovations Focus on Senior Needs

http://www.dailymail.co.uk/sciencetech/article-3068832/High-tech-sensors-help-kids-eye-aging-parents.html The ultimate OAP app: Smart home system can monitor everything from pill boxes to TVS so concerned children can keep an eye on elderly parents: has videos: see 0 -0:33http://www.dailymail.co.uk/video/sciencetech/video-1181160/OAP-app-lets-concerned-kids-eye-elderly-parents.html

http://newatlas.com/wonderwall-tum-elederly-care/26287/ Wonderwall: High-tech home-assisted living for the elderly February 20th, 2013

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http://www.homecaremag.com/top-10-technology-devices-seniors An elder care industry veteran offers her picks for must-have aging-in-place technology. Laurie M. Orlov, a technology industry veteran, writer, speaker and elder care advocate, is the founder of Aging in Place Technology Watch, a market research firm that provides thought leadership, analysis and guidance about technologies and related services that enable boomers and seniors to remain longer in their home of choice.

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JAPAN: http://web-japan.org/trends/11_tech-life/tec120910.html HIGH-TECH NURSING CARE For Elderly-Friendly Societ

http://www.fiftyplusadvocate.com/archives/9689 High-tech toilet seats popular with caregivers, elderly Unlike traditional toilets, the high-tech version washes from behind and — if desired — in front with water.

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http://www.usnews.com/news/business/articles/2015/05/05/high-tech-sensors-help-kids-keep-eye-on-aging-parents In this March 17, 2015 photo, Phil Dworsky shows off an app on his phone that displays the movements of his parents, Dorothy, 80, left, and Bill Dworsky, 81, rear, at their home in San Francisco. Each time an elder Dworksy opens the refrigerator, closes the bathroom door or lifts the lid on a pill container, tiny sensors in their home make notes on a digital logbook, which the younger Dworsky monitors daily on his smartphone. (AP Photo/Eric Risberg) THE ASSOCIATED PRESS

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Articles, associations

1. Khachiyants N, et al. Sundown syndrome in persons with dementia: An update. Psychiatry Investigation. 2011;8:275.
2. Sleeplessness and sundowning. Alzheimer's Association. http://www.alz.org/care/alzheimers-dementia-sleep-issues-sundowning.asp. Accessed Jan. 22, 2014.
3. Caring for a person with Alzheimer's disease. National Institute on Aging. http://www.nia.nih.gov/alzheimers/publication/caring-person-ad/understanding-how-ad-changes-people-challenges-and-coping. Accessed Jan. 29, 2014.
4. Francis J. Prevention and treatment of delirium and confusional states. http://www.uptodate.com/home. Accessed Jan. 22, 2014.

Sleep and agitation in nursing home residents with and without dementia

· Donnamay T. Brown ^{(a1) (a2)}, Juanita L. Westbury ^(a2) and Benjamin Schüz ^(a1)

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http://dailycaring.com/amazon-echo-for-dementia-technology-for-seniors/

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C) Existing assistive tech: devices & systems already available

http://www.alzheimers.net/9-22-14-technology-for-dementia/ Technology for Caregivers and Those Living with Alzheimer’s. new technologies can help ease anxiety, establish routine, and improve the quality of life for everyone involved.

This kind of technology is called “assistive technology” and can promote independence and autonomy, manage potential safety risks around the home and reduce stress. Here is a list of the top tech innovations on the market today for people with Alzheimer’s and their caregivers:

1. Reminder Messages Reminders can help keep properties and loved ones safe when the caregiver can’t. These messages are recorded on a device in the home and then played back out loud at the appropriate time. For example, a caregiver may record a message to play that reminds a person to take a medication at the correct time. Some devices can play messages depending on the person’s activity. For example, if a person with dementia leaves their home, a reminder message could tell them to lock the front door. This technology can also remind both caregiver and patient of appointments. Other reminder messages can also let those who have dementia know not to open the door, to go back to bed and to provide reassurance when the caregiver is not present.

2. Clocks Clocks specifically designed for those with Alzheimer’s and dementia can help ease anxiety associated with a diagnosis. Someone who has dementia may confuse night and day and an easy to read clock can help them distinguish the time. This can also help caregivers who are trying to set a routine by showing their loved one that it actually is the time they say it is.

3. Medication Management Medication management technology can be as simple as a pillbox marked with days of the week, or as high tech as automated pill dispensers which beep and open to remind caregivers and those with dementia to take their medication. Some medication reminders are also as simple as a vibrating alarm on a watch. This technology serves the busy caregiver well by allowing them to trust the device for a medication reminder.

4. GPS Location and Tracking Devices Location tracking devices are a great option for those who have Alzheimer’s or dementia and may wander. Tracking devices can be worn or attached to the person in some way and many have alert systems that let a caregiver know if their loved one has left a certain area. This type of technology can also alert emergency personnel to ensure a speedy and safe recovery.

5. Picture Phones Specifically designed for people who cannot remember phone numbers and may need to contact someone quickly. These phones have large numbers and are pre-programmable with frequently called phone numbers. Some of the phones come with clear buttons where photos can be placed so that the person can just push the button associated with the photos to call their loved one quickly.

6. Electrical Use Monitoring This new piece of technology is specifically designed for caregivers who do not live with their loved ones. It monitors their use of electrical appliances by plugging into a wall outlet or power strip and will alert caregivers if their commonly used appliances have not been turned on or off.

Technologies like the ones listed above do not make an Alzheimer’s diagnosis easy. The disease is still devastating. But, with new

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Assistive technology - devices to help with everyday living www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=109

Download a PDF of Assistive technology − devices to help with everyday living Alzheimer's Society has worked with a number of other organisations to produce a Dementia-friendly technology charter that provides more information about assistive technology and how it can help people. This is available atalzheimers.org.uk/technologycharter

This factsheet does not cover some basic items that can help people to cope with memory loss (eg a simple calendar, a noticeboard or sticky notes). For more information on these see Alzheimer's Society booklet 1540, The memory handbook.

Similarly, items designed for problems with mobility, continence, sight and hearing are not considered to be assistive technology. These include mobility aids, continence devices and pressure relief mattresses. For information about these types of solutions see factsheet 429, Equipment, adaptations and improvements to the home.

Assistive technology refers to devices or systems that support a person to maintain or improve their independence, safety and wellbeing. It tends to refer to devices and systems that assist people with memory problems or other cognitive difficulties, rather than those that are used to aid someone with mobility or physical difficulties. This factsheet summarises the types of device available in what is increasingly a fast-developing environment.Assistive technology items can be found on the Alzheimer's Society online store.

Many assistive technology devices are electronic, but the term does not just refer to high-tech devices. However, devices such as smartphones and tablets, coupled with widespread internet coverage, are making technology more accessible for everyone in ways that we couldn't predict just a few years ago. Widespread use of social media (such as Twitter and Facebook) also means that many people now live some of their life in a virtual environment, as well as in a more traditional face-to-face one.

All this means that the nature of assistive technology for people with dementia is changing. Technologies and 'apps' (applications or programs for smartphones and tablets) that have been developed for the general public are increasingly being used by people with dementia as well. Over time these mainstream technologies will probably replace many of the products that were developed specifically for people with dementia or disability.

Technology can be used in a variety of ways, and for a variety of purposes. It can support people in carrying out everyday tasks and activities, enhance a person's safety, support theirsocial participation, and monitor their health. Assistive technology can help people who have problems with:

• speech
• hearing and eyesight
• safe walking
• finding their way around
• memory and cognition (thinking and understanding)
• daily living activities such as bathing and cooking meals
• socialising and leisure.

technology can never replace human contact and interaction and it should never be used for this purpose. Doing so may lead to feelings of isolation and loneliness .

Products may not have been designed with the specific wants of the person with dementia in mind and, as a result, there may be less focus on this. Instead, it is expected that the person will adapt to the technology, not the other way round. Expecting the person with dementia to adapt, without listening to their views, can affect how keen they are to use the technology. This in turn will affect how successful it is.

Automated prompts and reminders: One type of reminder, based on a motion sensor, plays a pre-recorded voice prompt when there is movement nearby. For example, a sensor placed near the front door could remind someone to lock the door, or one in the kitchen could remind someone to turn the oven off.

Another kind of reminder does not detect movement but is set to play a message at a certain time. For example, someone may record a message reminding them to take their medication or telling them that they have an appointment. They could also set their phone calendar to remind them.

Technology now also allows family members or other people not living with the person with dementia to access a tablet in the person's home and support them with reminders. This means the person with dementia has a display of appointments, visitors and activities, as well as the reassurance of knowing where people who can help are and how to contact them.

Automatic calendar clocks apps can also be downloaded for tablets, which you can set up to suit your own tastes and needs.

http://www.onkol.net/ What does OnKöl do? Your OnKöl system can be set up to do a variety of things. But right out of the box it can:

Inform.

OnKöl simultaneously notifies selected family members and other caregivers of everything from vital signs to incoming and outgoing calls to emergency or panic situations. That way, the caregivers and interested parties can get out in front of specific events or anomalies, before they become full-blown emergencies.

There has never been a better, easier, less invasive way to stay connected to someone you care about.

Medication Simple boxes for pills (known as dossette boxes) have separate compartments for days of the week and times of day eg morning, afternoon, teatime, bedtime.Automatic dispensers for pills that are taken regularly are also available. These are pre-filled - ask your local pharmacist whether they offer this service - and then locked. When the medication needs to be taken, the dispenser sets off an alarm and the right compartment opens, allowing the person to access their medication. The alarm may continue until the pills are removed from the dispenser. There are also devices that can send an alert to a friend or relative to notify them if the medication hasn't been taken, or if the device isn't working, has low battery or needs refilling.

Locator devices and solutions: keys or a wallet. A small electronic tag is attached to each item.In one system, the person has a dedicated locator device and, if they mislay the item, they can click a button on the locator device to make the tag beep. The locator device will need to be kept somewhere obvious. These systems can be confusing and difficult to use for some people with dementia. They may be more helpful for carers, or when carers are able to support the person to use them. An alternative (and less intrusive) approach is to attach a small tile to each item and link these to a smartphone using a simple app. One system like this stores the last place your phone 'saw' the tile. This location can then be displayed on the phone's map function.

Communication aids telephones pre-programmed with frequently used numbers. video chat. For a person who has problems with speech, communicating using cards that combine pictures and text may help. Someone caring for the person might use these cue cards to offer different options for an activity, for example. The person would then point or nod to choose the one they want. Talking mats is a popular app which takes this idea onto a tablet or computer. People can communicate how they feel, or who they want to spend time with - for example, by selecting the picture or symbol from the options offered. Talking mats is increasingly used to engage people with dementia living in care homes.

Technology designed to support a person's safety includes the following:

• Automatic lights that come on when the person is moving around. They can help to prevent trips and falls.
• Automated shut-off devices that can stop the gas supply if the gas has been left on, or turn off a cooker if it's been left on. These may need to be installed, which may cost money, and there may be costs for reconnecting the gas supply.
• Water isolation devices that can turn off a tap if it's left running, preventing flooding.
• Special plugs that allow users to choose a certain water depth in a sink or bath. If the water goes above that level, the plug opens and the water drains. They can also include a heat sensor that changes the colour of the plug when it reaches a certain temperature. This can help prevent floods and scalds.
• Fall sensors that can register if a person has fallen.
• Telephone blockers that can be used to stop nuisance calls.

Types of safer walking device include:

• An alarm system - This provides an alert when someone has moved outside a set boundary (eg the front garden). These devices cannot locate a person.
• Tracking devices or location monitoring services - These use satellite or mobile phone technology to locate and track the person. The types of devices include watch-based devices, smartphone apps, key rings and pendants. These are generally used when there is a particular risk of the person getting lost or going missing.

The location of the person carrying the device can be viewed on a computer, tablet device or mobile phone. Many tracking devices also allow the person to press a panic button if they get lost. Many new mobile phones also have location finder technology. This could be considered instead of a stand-alone tracking device. When purchasing a device to enable safer walking, it is important to consider how reliable it is. For example, will it work when the person is indoors, and how often will it need charging?

The signal required for tracking devices to work can be patchy, which means the device may not work in all areas. Some of the devices can be difficult to use (especially for a person with dementia) and the person may not want to wear a device or risk forgetting that they should have the device with them. The person with dementia may also not be able to respond appropriately when an alert happens (eg being told to stay where they are).

Safer walking technology can enable some people with dementia to have greater freedom and independence, and can ultimately reduce the use of unpleasant solutions such as drugs and physical restraints. It may also mean that carers worry less about the person's safety.

The use of safer walking technology has many possible benefits, but it also raises important ethical questions around capacity and consent (see 'Ethical considerations' below).

Telecare: Telecare usually refers to a system or devices that remotely monitor people living in their own home, enabling them to access support or response services when necessary. The various pieces of technology are connected via a telephone line or over the internet. Telecare systems can include community alarms, sensors and movement detectors, and video conferencing.

Telecare systems are often used to support independence and personal safety. They may help to reduce the risks associated with living alone, and can be useful for people living with dementia. Telecare can provide assistance to the person to help them to do things (eg a phone call to remind them to take their medication). It can also alert others of dangerous situations (eg if they were to have a fall or leave the gas on). Sensors around the home can be linked to a nominated person or call centre. The system monitors a person's activities and can trigger an alarm to the person or call centre if a problem occurs. The alarm can also be triggered by a person pressing a panic button or community alarm.

Telecare has traditionally been provided by a community alarm or monitoring service provided through social services. However, it is now possible to set it up privately.

Telecare comes in various forms and may be used for a range of situations:

• Community alarm - This is a pendant worn by the person that they press if they become worried or if there is an incident (eg they have a fall). The person will need to remember to wear the pendant.
• Medication reminders - An automatic pill dispenser can be linked to a call centre. If the medication isn't taken at a set time, an alert is raised and the person is contacted to remind them to take their medication.
• Floods - Sensors can be fitted on skirting boards or floors in the kitchen or bathroom. If taps have been left running and cause a flood, the system will shut off the water and raise the alarm.
• Extreme temperatures - Sensors will send a warning signal if the temperature is very low, very high, or changes suddenly. This can be useful in the kitchen - for example, to detect a pan that has boiled dry. It can also detect if the temperature in a room is low enough to pose a risk of hypothermia.
• Absence from a bed or chair - A sensor is placed on a bed or chair. If a person gets up and doesn't return within a pre-set time, or if they don't get up in the morning, an alarm is raised.
• Getting up in the night - Sensors placed by the bed can be used to activate an alarm when the person gets up in the night - for example, to alert someone to help them get to the toilet. Similarly, lights with movement sensors can switch on if a person gets out of bed or enters a room.
• Leaving the home - A system may be set up to trigger a response if the front door is opened, perhaps during specified times (eg at night), or if a person does not return within a specified time.
• Devices to monitor daily activity - These are unobtrusive movement sensors that can oversee a person's activity in their home over a period of time. They can sometimes help relatives or community services get a better idea of a person's activity during the day and night. This can allay fears that the person with dementia is not coping well, and may help others to step back and not become too closely involved. Alternatively, it may show that the person needs more assistance and can be used to start discussions about the type of support that may help. An alert can easily be set to tell the person monitoring if something unexpected happens, such as a visitor at an odd time or the person leaving their home in the middle of the night.

More information on what is available in the person's local area will be available from their local authority, local assisted living centre, or by searching online.

As with tracking devices, using telecare systems poses ethical challenges (see 'Ethical considerations' below).

Devices to support engagement, social participation and leisure

While assistive technology has traditionally been used to help people with dementia remain safe and continue with everyday activities, it is increasingly being used to support a person's social life and provide opportunities for activities and enjoyment. This can help them to maintain their relationships, skills and wellbeing.

With the increasing availability of tablets, smartphones and apps, there are many new options to help people stay in touch and engage with those close to them. They also offer opportunities for activities, which is important for supporting the wellbeing of a person with dementia. These can include reminiscence, creative activities (eg music), video calling and life story work.

Other types of assistive technology that can be used for leisure include:

• digital photoframes - these can be programmed to show a slide show of photographs and may help support conversation with others
• puzzles and games
• sensory stimulation - devices that use touch, sound and light (eg a sensory cushion)
• electronic games and apps (eg a video-sharing app to support discussion about the past)
• mental stimulation (eg 'brain training' devices)
• easy to use equipment (eg music players and radios).

A tablet used to deliver these can itself become a topic of conversation, and so lead to more interactions for the person. This is particularly true for 'intergenerational' interactions, where the shared experience of the technology gives a younger person a connection that might otherwise not have existed.

Finding the best solution : It is important that anyone considering assistive technology has clear information on what is available. The bodies listed in 'Other useful organisations', as well as the companies that make the devices, may be able to help with this. People respond differently to different devices, and the products should meet the needs of the individual as best they can. Choosing a piece of assistive technology is not always easy, but it is important to find the best solution. Decision-making should be shared, and the person with dementia should be supported and involved as much as possible in discussions and choices. If someone has been using a device (eg smartphone or tablet) before they developed dementia, then a solution based around this technology may be easier for the person to adopt.

Many devices can be bought independently, but before doing so it is advisable to seek professional advice. An occupational therapist, adult social services assistive technology or telecare team (contact your local council), or a local assisted living centre will all have expertise in this area. Your GP or social worker is less likely to have the detailed expertise themselves, but they should be able to help you find an expert and get an assessment. Even if these professionals can't offer the devices directly, the person with dementia may find that they are eligible for an assessment, or are able to get help in finding the best device orfinancial assistance.

Things to consider when looking for assistive technology

There is no one-size-fits-all approach to choosing assistive technology - what works for one person may not work for another. For example, one person might find it helpful to have a recorded message reminding them to take their keys with them, while another person might find this confusing. It can help to think carefully about the person's specific needs and capabilities, and consider what the benefits of using the technology might be.

It is important to make sure the technology is supporting the person and not restricting them. It is also a good idea to look at the person's living space and see if there are adaptations to the environment that may help (eg making sure there are good lighting levels and removing trip hazards). For more information see factsheet 429, Equipment, adaptions and improvements to the home.

When choosing assistive technology, some things to consider include:

• whether there is definitely a need for assistive technology, or whether there is another solution
• the degree of memory loss and types of difficulties the person has
• the person's needs, preferences and ability to use devices, and how these might change over time
• whether the person has any other conditions that may affect how they use the technology (eg poor sight or hearing)
• the level of support the person can rely on
• how well the technology will fit in with the person's usual routines
• whether the technology requires a phone line or internet access
• the cost of the technology - some devices are expensive, but the cost of mainstream technologies are falling in many cases.

You can also find a list of questions to consider when choosing a solution in the Dementia-friendly technology charter.

It is also worth being aware that the earlier the technology is introduced, the more successful it is likely to be. This is because the person will have more time to get used to it before their dementia gets worse. Some people with dementia choose to refer to the use of assistive technology, particularly tracking technology, when they are documenting their wishes for the future (advance care planning).

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How to remodel your home: http://ageinplace.com/at-home/aging-in-place-home-ideas/

· https://www.theguardian.com/technology/askjack/2014/jul/03/what-tech-can-i-use-to-keep-an-eye-on-an-aging-parent

· https://www.caring.com/checklists/useful-gadgets-for-elderly

· http://www.makeuseof.com/tag/8-devices-elderly-relatives-safe-at-home/

· http://www.huffingtonpost.com/jim-t-miller/how-to-keep-tabs-on-an-el_b_8954044.html How to Keep Tabs On an Elderly Parent with Video Monitoring

· https://myageingparent.com/technology/communication/mobile-apps-help-monitor-older-people/

· http://www.safewise.com/blog/wearable-technologies-keeping-tabs-elderly/

· http://www.dailymail.co.uk/sciencetech/article-3068832/High-tech-sensors-help-kids-eye-aging-parents.html

· The ultimate OAP app: Smart home system can monitor everything from pill boxes to TVS so concerned children can keep an eye on elderly parents : http://www.dailymail.co.uk/sciencetech/article-3068832/High-tech-sensors-help-kids-eye-aging-parents.html#ixzz4SGG99C8l

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