Power Point

1. “Strategies:
Assis-ve
Technology
for
the
Elderly
and
Homebound
Individuals”
Agnes
Helen
Bellel,
Ph.D.
Karen
Pierce-­‐Tibbs
Douglas
Tibbs

2. 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.

3. 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.

4. New
Reali-es
of
an
Older
America

5. 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,…”

6. 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.

7. 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.

8. 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)

9. • 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)

10. Genera-ons
and
Leisure
Time

11. 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

12. 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

13. AT
assessment
considera-ons
Demographics
Diagnosis/
Symptoms
Goals/Objec-ves
AT
outcome
Data
collec-on
(rubric)
Follow-­‐up
plan

14. Assessment
Considera-ons
Cost
Pa-ent
Family
Needs
Ongoing

15. Amyotrophic
lateral
sclerosis
(abbreviated
ALS,
also
referred
to
as
Lou
Gehrig's
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
Gehrig's
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.

16. 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.

17. Frank
Goals
Independent
around
the
house
Read
Use
his
computer
Cook

18. Family
Goals
(Wife)
Safety
Happy
Enjoy
some
of
the
things
he
like

19. 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

20. Spoons

21. 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.

22. 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.

23. 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.

24. 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

25. 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.

26. 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

27. 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.

28. Skype

29. 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.

30. 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.

31. Bob’s
Goals
Play
bingo
See
his
grandchildren
more
Independence
in
the
bathroom

32. 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

33. 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
don't
miss
those
important
telephone
calls
when
you
are
sleeping
or
if
you
need
a
silent
signal
when
the
phone
is
ringing.
$49.95

34. 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.

35. 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

36. Bathroom
Adapta-ons
–
super
Grip
to
assist
with
gepng
into
the
tub
and
sit
his
shower
chair

37. Home
Modifica-on
• Making
modifica-ons
in
a
home
can
be
costly,
but
we
try
to
use
some
basic
low
cost
adapta-ons.

38. Hands
Free
garbage
can
with
mo)on
detector

39. Hands
Free
garbage
can
with
mo)on
detector

40. Elevated
Garden
Box

41. Elevated
Garden
Box

42. 100%
90%
80%
70%
60%
low
tec
50%
Mid
Tech
High
Tec
h
40%
30%
20%
10%
0%
age
51-­‐55
age
56-­‐60
age
61-­‐
65
age
66-­‐70
age
71-­‐75
age
76-­‐
80
age
81-­‐
85

43. Baby
Boomer
AT
Kit
Independent
Living:
Baby
Boomer
Products
• hMp://www.independentliving.com/
products.asp?dept=691&deptname=Boomer
%20Style
• hMp://www.independentliving.com/
departments.asp?dept=133
•

44. 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.

45. 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/
•

46. 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
Tech's
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

47. 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=

48. 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

49. 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/

50. 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.