“Strategies: Assis-ve Technology for the Elderly and Homebound Individuals” Agnes Helen Bellel, Ph.D. Karen Pierce-‐Tibbs Douglas Tibbs
Overview • Assis-ve Technology (AT) plays a vital role in developing equal opportuni-es and improving the quality of life of people with disabili-es or aging gracefully. • AT can oﬀer them the opportunity towards beMer societal integra-on.
Overview • Losing some or all of one’s vision, hearing, ability to func-on may be a trauma-c experience for some “Baby Boomers”. Even day-‐to-‐day ac-vi-es like reading the newspaper, watching television, paying the bills, exercising, func-oning at work, or cooking dinner can be a challenge.
New Reali-es of an Older America • “The challenges of baby boomers reaching old age, combined with a growing , more diverse popula-on, will drive major changes, challenges and decisions in U.S. families, workplaces and communi-es,…”
Introduc-on • Assis-ve technology can eliminate barriers and enable the elderly or homebound individuals with disabili-es to par-cipa-ng and contribu-ng members of society and work communi-es. • The elderly and homebound individuals with disabili-es are en-tled to technology when a need has been determined to ensure opportuni-es for quality of living and independence.
Introduc-on • Someone has to accept the responsibility to provide assis-ve technology services to assist in maintaining a quality of life. This responsibility may be generated by the individual, family member, caregiver , medical ins-tu-ons, or agency.
Background “The shiW toward an older popula-on has enormous economic, social and poli-cal implica-ons for Americans of all ages.” “As people live longer and healthier lives, our culture must create new opportuni-es for individual and societal contribu-ons across all ages.” Baby Boomer • 80% personal ﬁnancial assets • 80% Leisure Travel • 60 % baby boomers over half take medica-on for chronic condi-ons (Blood Pressure, Arthri-s, High Cholesterol)
• Baby Boomers over 65 years old will double in the next 30 years-‐-‐-‐40 millions to 80 millions (13% to 20%) • By 2032, Baby Boomers (65 years)
Service Responsibili-es • Service Responsibili-es • The delivery of support and services may be assumed by one or more en--es. The following should be considered in providing any type of support or service related to assis-ve technology. • Evalua-on of the needs of the elderly or homebound individual with disability, including a func-onal evalua-on of the individual’s home, work, and/or community environment: • A.1 The agency or family member should be: • A.1 .1 familiar with the referral for assis-ve technology processes. • A.1.2 aware of technical support in the local community • A.1.3 aware of how to access diagnos-c personnel
Types of Assessment/Evalua-on • SETT • WATI • hMp://www.wa-.org/ • Wisconsin Assis)ve Technology Ini)a)ve • QIAT • hMp://natri.uky.edu/assoc_projects/qiat/ • Quality Indicators for Assis-ve Technology Services • HATT • FEAT • GPAT
AT assessment considera-ons Demographics Diagnosis/ Symptoms Goals/Objec-ves AT outcome Data collec-on (rubric) Follow-‐up plan
Assessment Considera-ons Cost Pa-ent Family Needs Ongoing
Amyotrophic lateral sclerosis (abbreviated ALS, also referred to as Lou Gehrigs disease) is a form of motor neuron disease caused by the degenera-on of neurons located in the ventral horn of the spinal cord and the cor-cal neurons that provide their aﬀerent input. The condi-on is oWen called Lou Gehrigs disease in North America, aWer the famous New York Yankees baseball player who was diagnosed with the disease in 1939. The disorder is characterized by rapidly progressive weakness, muscle atrophy and fascicula-ons, spas-city, dysarthria, dysphagia, and respiratory compromise.
Background Frank is a ﬁWy-‐eight year old male who was diagnosed with Lou Gehrig’s disease or Amyotrophic lateral sclerosis (ALS) since 2001. He lives with his wife. Frank’s wife works eight hours a day, therefore leaving him at home alone for nine hours. His wife was concerned about him staying home alone for long periods of -me.
Frank Goals Independent around the house Read Use his computer Cook
Family Goals (Wife) Safety Happy Enjoy some of the things he like
Due to the progressiveness of the disease Frank’s AT needs has been changing, making it important to be conscious of cost and the ﬂexibility of the AT
Independent around the house for Cooking Measuring spoons – He would some-mes become confused with the correct measuring units during a cooking ac-vity. The spoons are color coded according to unit measurements.
Uni Turner Etac® Uni Turner. Specially designed to make it easier to turn on the water, open or lock the door or switch on the oven, dishwasher or washing machine. Its comfortable handle allows both hands to be used. The hexagonal rods provide excellent grip and have many uses, thanks to the large grip area. Latex free.
Uni Turner He began to exhibit reduce muscle tone and strength, this allowed him to turn the handle on the stove. He has a velcro hand device and the Uni Turner ahs a piece of velro aMached which made it easy for him to hold.
Hands free can opener One Touch (TM) Can Opener Rather than a using large electric can opener to avoid having to turn the knob, this small (6.5" x 2.5") unit sits on top of the can and automa)cally cuts it open from the side. You press the top buRon to start it and when the lid is cut oﬀ, it has no sharp edges. Use it on a small, medium or large can. $23.95
Frank Due to his reduce muscle strength, it allowed him to open cans. He found it easy to use when he was cooking in the kitchen. The hands free can opener has been added to the kitchen utensils.
Future Call Press the photograph of friends or loved ones to dial their number. This phone has 10 spots for a photograph and programmed number, and the numbers saved are backed up for life, even if disconnected from the phone line. No AC adapter or baRery is required to use this phone. 40 dB of volume control in handset. Suitable for users with a mild hearing loss. $48.95
Future Call Frank used the future call Program number and put in number (1 dial) – reduce motor skills needed, he was able to use a light touch to ac-vate the phone.
Chronic Heart failure (HF) is generally deﬁned as the inability of the heart to supply suﬃcient blood ﬂow to meet the needs of the body.
Case study Bob is a eighty ﬁve year-‐old re-red veteran who is suﬀering from chronic heart failure. He was living independently un-l he fail and moved in with his son, daughter-‐in-‐law and grandson. He is unstable in the bathroom when showering, doesn’t hear the phone when it rings and loves to socialize.
Bob’s Goals Play bingo See his grandchildren more Independence in the bathroom
Family’s goals Bob to go to the neighborhood center to socialize and be involved in recrea-onal ac-vi-es Answer the phone when no one is home See his grandchildren who lives out of the state more oWen
ClearSounds ClearSounds ClearRing Ampliﬁed Phone Ringer/Signaler ClearRing oﬀers a bright LED ﬂashing strobe and an extra loud ring. Purchase the op)onal vibra)ng pad so you dont miss those important telephone calls when you are sleeping or if you need a silent signal when the phone is ringing. $49.95
ClearSounds Allow Bob to not only hear the phone, but see the bright LED ﬂasher. Bob was answering the phone more oWen when no one was at home.
Super Grip You can grip and grab it with conﬁdence. Red/green color indicator buRons clearly and immediately tell you if you have a secure suc)on. You can mount the Easy-‐Install Bath Safety Grip Handle either ver)cally or horizontally. (Note: This handle should be used to aid and maintain stability; not intended to support full body weight.) $10.95
Bathroom Adapta-ons – super Grip to assist with gepng into the tub and sit his shower chair
Home Modiﬁca-on • Making modiﬁca-ons in a home can be costly, but we try to use some basic low cost adapta-ons.
Summary • In summary, research must con-nue to address the “Baby Boomers” living a quality of life with assis-ve technology, no maMer if they live alone, choose to con-nue to work or if they have to be cared for by a family member.
Baby Boomer Resources (Web sites) • Genera-ons and Leisure Time (Worlds Apart) • hMp://www.boomerproject.com/images/gen-‐ leisure-‐ac-vi-esjpg • Free insights into understanding today’s Boomer Consumer • www.boomerproject.com • New Reali-es of an Older America (Stanford Center on Longevity) hMp://longevity.standord.edu/node/ •
Baby Boomer Websites Resources • It’s Never Too Late • hMp://www.in21.com/index.cfm/event/pageview/ contentpieceid/7644/ • www.assis-vetech.net • This site was created by Georgia Techs Center for Assis-ve Technology and Environmental Access (CATEA), with funding from the Na-onal Ins-tute on Disability and Rehabilita-on Research (NIDRR), and Rehabilita-on Services Administra-on (RSA). • “Aging in Place” is a senior support network. To collabora-ve group of professional service providers. • www.ageinplacetech.com
Baby Boomer Resources (Web sites) • When It Come To Leisure Time, Watch Out For The Genera-on Gap by MaM Thornhill • hMp://www.mediapost.com/publica-ons/? fa=Ar-cles.showAr-cle&art_aid=150104 • Technology for the Elderly Maturing • hMp://www.businessofageing.com/www/default/ index.cfm/news/?categoryID=3B23E700-‐1517-‐ B69D-‐05D77E611F58B4C1&relatedID=
Baby Boomer Resources (Web sites) • Genera-ons and Their Gadgets • hMp://www.businessofageing.com/www/ default/index.cfm/news/genera-ons-‐and-‐their-‐ gadgets • Adap-ng Technology To Help The Growing Elderly Popula-on • hMp://www.businessofageing.com/www/ defaulty/index.cfm/news/adap-ng-‐technology-‐ to-‐help-‐the-‐growing-‐elderly-‐popula-on
Baby Boomer Resources (Web Sites) Adap)ng Technology To Help The Growing Elderly Popula)on • hMp://www.businessofageing.com/www/ default/index.cfm/news/adap-ng-‐technology-‐ to-‐help-‐the-‐growing-‐elderly-‐popula-on/
Reference • Boger, J. Hoey, J. Poupart, P. Bou-lier, C. Fernie, G., & Mihailidis, A. (2006). A planning system based on Markov decision processes to guide people with demen9a through ac9vi9es of daily living. IEEE Transac-ons on Informa-on Technology in BioMedicine, 10(2), 323-‐333 • Gutman, G.M. (2003). Gerontechnology and the home environment. Impact of technology on successful aging 251-‐261.