Vcg Aiims 2009


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Assistive devices for elderly people

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Vcg Aiims 2009

  1. 1. International Congress on Gerontology and Geriatric Medicine 2009 AIIMS, New Delhi Feb 27, 2009 Dr V C Goyal Dr Usha Dixit Director Scientist C [email_address] [email_address] Science & Society Division Department of Science & Technology Technology Bhawan, New Mehrauli Road New Delhi-110 016 ASSISTIVE AND ENABLING TECHNOLOGIES FOR ELDERLY IN INDIA
  2. 2. <ul><li>Enabling a better environment for senior citizens where their experience & wisdom is gainfully utilized, thereby giving them a respectful position in the society. </li></ul><ul><li>They are able to live quality life by developing an effective interface with younger sections of society, who need and cherish their caregiving. </li></ul>THEME
  3. 3. TECHNOLOGY SUPPORT <ul><li>Elderly may be vulnerable when they: </li></ul><ul><li>Live alone </li></ul><ul><li>Walk alone </li></ul><ul><li>Go out for shopping </li></ul><ul><li>Do their banking </li></ul><ul><li>Travel alone </li></ul>
  4. 4. Technology Applications <ul><li>Health/Medical Care </li></ul><ul><li>Nutritious Food </li></ul><ul><li>Home Designs </li></ul><ul><li>Domestic Appliances </li></ul><ul><li>Furniture Designs </li></ul><ul><li>Garment Designs </li></ul><ul><li>Footwear Designs </li></ul><ul><li>Transport Designs </li></ul><ul><li>Assistive Devices </li></ul><ul><li>Recreation & Entertainment </li></ul><ul><li>Networking </li></ul>1 2 3 4
  5. 5. <ul><li>To provide needed safety and security </li></ul><ul><li>To restore and maintain possible level of functional independence </li></ul><ul><li>Two groups of users </li></ul><ul><li>require some support and assistance in everyday life- frail & ailing elderly </li></ul><ul><li>older people with disabilities </li></ul>Need of AET
  6. 6. Assistive/Enabling Devices (AEDs) <ul><li>Some examples: </li></ul><ul><li>elderly-friendly mobile phone & telephone instrument with enlarged buttons/numbers, speaker phone and cordless facility </li></ul><ul><li>walking stick </li></ul><ul><li>GPS-enabled walking stick with alarm </li></ul><ul><li>pendant-type surveillance devices for dementia patients </li></ul><ul><li>wearable devices to monitor inconsistencies in pulse, etc </li></ul>
  7. 7. Reasons for less popularization <ul><li>Lack of awareness among users </li></ul><ul><li>and professionals </li></ul><ul><li>Low availability in market </li></ul><ul><li>Absence of support systems </li></ul><ul><li>Affordability (& non-coverage under instruments of health insurance, govt. schemes, etc.) </li></ul><ul><li>Apathy & lack of synergy among various professionals (including academic institutions) </li></ul>
  8. 8. Measures/actions required <ul><li>Need assessment studies with involvement of appropriate organizations </li></ul><ul><li>Awareness of users and professionals </li></ul><ul><li>Interface with industry, academic institutions, Rehab Centres and voluntary organisations </li></ul><ul><li>for production and trials </li></ul><ul><li>Popularization and dissemination of AET through necessary support systems </li></ul><ul><li>Advocacy with government/other policy makers for inclusion of AET in relevant legislations </li></ul>
  9. 9. Some A/E Devices Medicine dispenser/cabinet Electronic Travel Aids Cordless speaker phone with preset memory-dial, large buttons & numbers Secufone with GPS and personal alarm system Memory games Distress/security alarms Talking alarm clock/watch Video intercom ‘ E-Netra’- reads text and converts into voice Position activated alarms Walking stick, walkers, wheelchair, spinal braces Smoke detector Utensils with finger bump grips or hand strap Raised seat, grab bars Back scrubber with hand loops on each end Bed rail Lap desk with book holder Stair glide, handrails Jar opener/closer Kitchen finger protector Device Device
  10. 10. ASSISTIVE DEVICES Bunion Protector Insoles Reflexology Wide Closing Slippers Back Scrubber Talking Alarm Clock Kitchen Finger Protector Pot and Pan Holder
  12. 12. ASSISTIVE DEVICES <ul><li>Technology for dementia, alzheimer & parkinson patients </li></ul><ul><li>Simple device for essential services (e.g. bank, post office, IT return, travel bookings, doctor) </li></ul><ul><li>Simple device for registration of complaints with police, legal cells </li></ul><ul><li>Low vision aids </li></ul><ul><li>Telecare systems </li></ul><ul><li>Wheel chair and walker </li></ul><ul><li>Mobility aids & writing aids </li></ul>
  13. 13. ASSISTIVE DEVICES <ul><li>Walking stick with on-board GPS </li></ul><ul><li>Alarm at multiple places </li></ul><ul><li>Fall alarm </li></ul><ul><li>Flash card with medical history </li></ul><ul><li>Medical cabinet </li></ul><ul><li>Location devices </li></ul><ul><li>Easy-to-use mobile device for video calls and internet services with a touch screen, camera, speakers, videoconferencing </li></ul><ul><li>Standard triggers such as neck-worn pendant alarm and pull cord, activated by residents for assistance </li></ul>Talking alarm Shower chair
  14. 14. Toilet Accessories
  15. 15. Home Monitoring Systems <ul><li>“ Smart Home”- residence with technologies that enhances safety of elders at home and monitors their daily activities </li></ul><ul><li>Devices and sensors control lighting, smoke detectors, door entry systems, locks, water outlets, as well as visual and tactile signaling devices </li></ul><ul><li>Sensors to watch for abnormal behavior, sleeping patterns, use of toilet, kitchen, etc </li></ul><ul><li>Devices for daily health checks, e.g. to measure heart rate, temperature, nutrition, etc </li></ul>
  16. 18. <ul><li>PART-I: GENERAL INFORMATION </li></ul><ul><li>Name, age, gender, village/town/dist/state, area (urban/rural), contact details, highest qualification, occupation, annual income, living (alone or with spouse/children) </li></ul><ul><li>PART-II: DIFFICULTY IN ADL </li></ul><ul><li>Floors (slippery), entrance, kitchen, toilet, lighting, doors/windows, any other difficulty/requirement </li></ul><ul><li>PART-III: ‘DEVICES’ INFORMATION </li></ul>SURVEY OF AET AT AISCCON-2008
  17. 19. SURVEY OF AET AT AISCCON-2008 <ul><li>Total respondents: 86 </li></ul><ul><li>Age (yrs)- ≤ 65: 26%, 65-70: 35%, 70-80: 37% </li></ul><ul><li>Graduates & above: 59 </li></ul><ul><li>Annual income < Rs 1 lakh: 52% </li></ul><ul><li>Male: 75, Female: 11 </li></ul><ul><li>Rural: 30, Urban: 56 </li></ul><ul><li>Highest response </li></ul><ul><ul><li>Difficulty in use : home safety, back scrubber, ht. adjsutable furniture, kitchen gadgets, entertainment </li></ul></ul><ul><ul><li>Awareness : home safety, walking equipment </li></ul></ul><ul><ul><li>Like to use : video intercom, back scrubber, finger protector, nail clipper, security alarms </li></ul></ul>
  18. 20. SURVEY OF AET AT AISCCON-2008 68/86 (79%) 1 10. Recreation/entertainment 275/344 (80%) 4 9. Mobility 273/344 (79%) 4 8. Sensory Functions 137/172 (80%) 2 7. Communication 134/172 (78%) 2 6. Clothings 72/86 (84%) 1 5. Footwears 147/172 (85%) 2 4. Furniture 147/172 (85%) 2 3. Kitchen gadgets & appliances 443/516 (86%) 6 2. Aids to daily living 224/258 (87%) 3 1. Architectural/home elements Response recd./ Max. total No. of Devices Category
  19. 21. SURVEY OF AET AT AISCCON-2008 Awareness
  20. 22. SURVEY OF AET AT AISCCON-2008 Difficulty in use
  21. 23. Assistive & Enabling Technologies Consultation-2009 Jan 14, 2009 ISSUES FOR DEVELOPMENT & PROPAGATION OF ASSISTIVE AND ENABLING TECHNOLOGIES FOR ELDERLY PEOPLE IN INDIA 18. Dr Usha Dixit, DST 9. Prakash Sharma, AIIMS 17. Dr V C Goyal, DST 8. Kamal N Arya, IPH, N Delhi 16. Raman Bhai Shah, AISCCON 7. Ms Ruchi Nagar, Jamia Hamdard University 15. Kiran Sohal, Architect 6. Dr Ramesh Arya, GB Pant Hospital, N Delhi 14. Anupama Datta, HelpAge India 5. Dr Bharat Bhushan, ESIC 13. Bakshi , HelpAge India 4. Dr Alaknanda Banerjee, Max Hospital, Saket 12. Avinash Datta , HelpAge India 3. Dr R K Sharma, Safdarjang Hospital, N Delhi 11. Mathew Cherian , HelpAge India 2. Dr Rekha Agrawal, Bhagwan Mahavir Hospital, New Delhi 10. Prof. Sugan Bhatia, Ex-Delhi Univ. 1. Prof. A B Dey, AIIMS, N Delhi
  22. 24. Mechanism for development and dissemination of AEDs Elderly User + Professional Team Need identification Academic Institutions <ul><li>Education of students, specialists & users </li></ul><ul><ul><li>Health </li></ul></ul><ul><li>Wellness </li></ul><ul><li>Design </li></ul><ul><li>Technology </li></ul>R & D <ul><ul><li>New AET products </li></ul></ul><ul><li>Modifications </li></ul><ul><li>Adaptive trials </li></ul><ul><li>Methodology </li></ul><ul><li>Training programs </li></ul><ul><li>Epidemiological studies </li></ul>Industry/ Enterprises <ul><ul><li>Production of AET </li></ul></ul><ul><li>Test trials </li></ul><ul><li>Sale & distribution </li></ul><ul><li>Propagation thru media </li></ul><ul><li>Service support </li></ul><ul><li>Insurance funding </li></ul><ul><li>Telecommunication </li></ul>Field Organizations <ul><ul><li>Dissemination of AET products </li></ul></ul><ul><li>Field trials </li></ul><ul><li>Users awareness </li></ul><ul><li>Advocacy </li></ul><ul><li>Demand assessment </li></ul>Actors Activity Funding Support <ul><ul><li>Government </li></ul></ul><ul><li>Int. donors </li></ul><ul><li>Industry (+CSR) </li></ul><ul><li>Charity organizations </li></ul>
  23. 25. DEMAND ASSESSMENT <ul><li>Studies in different areas to identify various disability and other difficult conditions </li></ul><ul><li>Assessment at OPD clinics for senior citizens </li></ul><ul><li>Special attention on specific age-related diseases and conditions </li></ul><ul><li>Alzheimer’s disease, Parkinson’s disease, diabetes, arthritis, osteoporosis, spinal cord injury, heart disease, urinary incontinence, neuro-degenerative diseases, vision and hearing-related disorders, nutritional deficiencies </li></ul>
  24. 26. <ul><li>Awareness and extent of use of AET for users, professionals, carers </li></ul><ul><li>Information about AET appropriate to their needs, O&M requirements, sources of availability, device cost (& running cost) </li></ul><ul><li>Availability of appropriate devices at affordable costs </li></ul><ul><li>Support systems for easy availability and uninterrupted use </li></ul>WAY FORWARD
  25. 27. WAY FORWARD <ul><li>Development & field trials of appropriate technologies </li></ul><ul><li>Adaptive research to explore technologies available outside country </li></ul><ul><li>Assimilation of dev. in diff. fields of technologies </li></ul><ul><li>Legislative provisions to cover AEDs for frail & ailing elderly thru insurance, government schemes </li></ul>
  26. 28. Legislative Provisions <ul><li>Coverage of frail and ailing elderly in the definition of “disabled” </li></ul><ul><li>Inclusion of “Activities of Daily Living” </li></ul><ul><li>Modified procedure for prescription of AEDs </li></ul><ul><li>Mechanism for development, field trials & distribution </li></ul><ul><li>Tax incentives, etc. for production, import and sale/distribution of AEDs </li></ul><ul><li>Funding of AEDs thru insurance, banks, etc. </li></ul>
  27. 29. Thanks Please visit “ Technology Interventions for Elderly (TIE)” Programme of DST at our website