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AUTOMATED INCONTINENCE MONITORING FOR ELDERLY
An innovative approach to optimize, personalize and avoid incontinence care
...
Urinary incontinence - prevalence
Urinary incontinence (UI) in elderly = frequent!
Aging of population
Probleem vergroten
...
Urinary incontinence - impact
Physical
Falls / Fractures
UTI / Skin lesions
Hospitalisation
Morbidity / Mortality
Psychoso...
Current situation – care homes
Diapers from take-in
Fixed diaper change/miction tours (≤5/day and ≤3/night)
Labour-intensi...
BBC documentary: Behind closed doors, elderly care exposed
Current situation – care homes
Current situation – diagnostics
History
Clinical examination
Questionnaire
Uroflow
Residue
Fasting blood sample
Ultrasonog...
Innovative smart diaper technology
Product for optimized & personalized continence care
-Standard Smart Diaper-
Product fo...
Incontinence complaints
Usage smart diaper
Wireless data transfer & integration
Alerting & Intervention
(diaper change, op...
PRoF values & advantages – Standard Smart Diaper
Personalized system
Less diapers
Less skin irritation, falls, wounds
Qual...
Concept & Product
48h miction monitoring
in diaper through sensors
Frequency & sensitive volume
urine loss
48h miction mon...
PRoF values & advantages – Expert Smart Diaper / toolkit
Accurate in-situ UI measurements
At home monitoring
Decrease in d...
2014 2015
2016
Introduction to the diaper
manufacturers
First prototypes
Standard Smart Diapers
2014 2015
Automated Incont...
2016 2017 2018
Final negotiations
manufacturers
Clinical trials
hospital/care homes
Technological finalization &
optimizat...
Dissemination
Diaper manufacturers
Advertisement
VOKA health community
Exposure to partners
Networking
Automated
Incontine...
By creating awareness
Because she is
worth it
Because you are
worth it
Because the environment
is worth it
Because caregiv...
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6 aim

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PRoF UGent Chair Symposium, May 25, 2016
Nominee - AUTOMATED INCONTINENCE MONITORING FOR ELDERLY

Published in: Healthcare
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6 aim

  1. 1. AUTOMATED INCONTINENCE MONITORING FOR ELDERLY An innovative approach to optimize, personalize and avoid incontinence care Ir. Bjorn Van Keymeulen Dr. ir. Candy Kumps
  2. 2. Urinary incontinence - prevalence Urinary incontinence (UI) in elderly = frequent! Aging of population Probleem vergroten [2] EU [1] +-600 000 elderly in Belgium [1] Shamliyan et al 2007 [2] Eurostat 2011
  3. 3. Urinary incontinence - impact Physical Falls / Fractures UTI / Skin lesions Hospitalisation Morbidity / Mortality Psychosocial Institutionalisation Family / Care givers Shame / Social isolation / Depression Under reporting Impact on Costs Physical Psychosocial Consults/hospital intakes Caregiver hands-on time Incontinence material [3,4] [3] Abrams et al 2009 [4] Visser et al 2012 Impact on QoL
  4. 4. Current situation – care homes Diapers from take-in Fixed diaper change/miction tours (≤5/day and ≤3/night) Labour-intensive / often unnecessary / sleep disruptive Non-optimized absorption degrees Skin wounds, falling, affected self-image, unnecessary harming of privacy Poor education of caregivers Lots of wasted material 7h 8h 9h 10h 11h 12h 13h 14h 15h 16h 17h 18h 19h 20h 21h 22h 23h 0h 1h 2h 3h 4h 5h 6h
  5. 5. BBC documentary: Behind closed doors, elderly care exposed Current situation – care homes
  6. 6. Current situation – diagnostics History Clinical examination Questionnaire Uroflow Residue Fasting blood sample Ultrasonografy Urodynamics Voiding diary with/without* residue (72h*) Pad-test (24h) Renal function profile (24h) FRAIL ELDERLY (=60/y; UZ Gent) HOSPITALIZED AUTONOMOUS ELDERLY (=270/y; UZ Gent) AMBULANTORY CONSULT1 CONSULT1 DAY1DAY2 HOME(DAY1-3)* DAY3 CONSULT2 809 euro1698 euro 979 euro
  7. 7. Innovative smart diaper technology Product for optimized & personalized continence care -Standard Smart Diaper- Product for diagnosis of urinary incontinence (in elderly) -Expert Smart Diaper as part of a diagnostic toolkit-
  8. 8. Incontinence complaints Usage smart diaper Wireless data transfer & integration Alerting & Intervention (diaper change, optimized diaper selection, bladder training) Home/Care home Home/Care home Online Care giver Continuous urine monitoring in diaper through sensors Estimation of urine volume Unique measurement module Flat, reusable Continuous faecal monitoring in diaper through sensors Presence of faeces (yes/no) Concept & Product Work flow Quality management (diaper change, optimized diaper selection, bladder training) Software Saturation levels, automated alerting, diaper use and bladder training program Wireless data transfer & integration in one platform Data transfer Product for diagnosis of urinary incontinence -Standard Smart Diaper-
  9. 9. PRoF values & advantages – Standard Smart Diaper Personalized system Less diapers Less skin irritation, falls, wounds Quality label continence care Secure/safe measurements Secure data transfer Secure data storage Improved interventions Less harming of privacy Protected data Quality insurance More self-confidence More control/less insecurity More social behavior Avoid inter-human problems Avoid embarrassment Avoid isolation Better quality ensured life Due to optimization and personalization Also for family care givers Improved relationship Selection of correct diaper type Limited amount of changes Personalized
  10. 10. Concept & Product 48h miction monitoring in diaper through sensors Frequency & sensitive volume urine loss 48h miction monitoring in toilet through sensors Frequency & sensitive volume miction/urine loss Concentration in urine through biosensors Na+, creatinin & osmolality Automated bladderscan Bladder content (residue) after urine detection Software intake questionnaire, miction and complaints diary Data transfer & integration Wireless data transfer & integration in one platform Urological complaints Digital intake questionnaire Usage smart diaper - toilet measurement tools Wirelss data transfer & integration Clinical / additional examination & therapy Home/Care home Home/Care home Home/Care home Online Doctor Work flow Product for optimized & personalized continence care -Diagnostic toolkit-
  11. 11. PRoF values & advantages – Expert Smart Diaper / toolkit Accurate in-situ UI measurements At home monitoring Decrease in diagnostic burden Adequate treatment Secure/safe measurements Secure data transfer Secure data storage Increased self-esteem Less harming of privacy Protected data Diagnostics more accurate with lower threshold Less isolated people More anonymous approach More privacy/discretion (home) Accounting for physical and psychosocial functions Increased self-esteem Decreased burden for incontinent people/their family Multiple applications Personalized Use in any setting Increased UI condition Longer life at home
  12. 12. 2014 2015 2016 Introduction to the diaper manufacturers First prototypes Standard Smart Diapers 2014 2015 Automated Incontinence Monitoring - evolutions
  13. 13. 2016 2017 2018 Final negotiations manufacturers Clinical trials hospital/care homes Technological finalization & optimization Expert smart diaper Investment search 5000€ 5000€ 2017 2018 Team search Official start p²solutions Road towards commercialization standard smart diaper Analysis ongoing hospital, care homes, diaper studies Automated Incontinence Monitoring - evolutions
  14. 14. Dissemination Diaper manufacturers Advertisement VOKA health community Exposure to partners Networking Automated Incontinence Monitoring Scientific exposure Abstracts Publication Symposia & Workshops Congresses Urological channels Urological societies (BAU, EAU, ICS,…) Consortia (eg. NOPIA, including experts in LUTS,…) Patient organizations & family care givers Awareness Communication Sensibilization Nursing channels Urological nursing society (Urobel,…) Education Ghent University Hospital VIVES University College University College Ghent Internships Courses Commercial exposure Fairs (TEDx,…) Congresses Social media
  15. 15. By creating awareness Because she is worth it Because you are worth it Because the environment is worth it Because caregivers are worth it Automated incontinence monitoring can change the world of incontinence care With the help of technology BBC documentary: Behind closed doors, elderly care exposed

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