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New Technology

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New Technology – PowerPoint PPT presentation

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Title: New Technology


1
New Technology Elderly Care
The NTEC PROJECT http//.ntec,org.uk Dr Frank
Miskelly Charing Cross Hospital, London
  • A Partnership Project between
  • London Borough of Ealing
  • London Borough Hammersmith Fulham
  • Hammersmith Hospitals Trust

2
Introduction
  • Background
  • Aids and devices
  • Results and future direction

3
The NTEC Project
  • A Partnership Project between
  • London Boroughs of Ealing
  • Hammersmith Fulham
  • Hammersmith Hospitals Trust
  • Funded by SS Modernisation Funds
  • NTEC in addition to current services - not a
    substitute
  • Ethical approval from Riverside Ethics Committee

4
NTEC - Links with other services
  • Social Services
  • Housing
  • Intermediate Care Services
  • Primary Care
  • Secondary Care Service
  • Voluntary Organisations
  • Alzheimers Concern
  • Age Concern
  • Users and Carers


5
The Elderly
  • UK
  • Population 60 million
  • gt 65 12 (20)
  • gt 70 6 (10)
  • gt 80 2
  • 1/5 of Population but 4/5 of NHS Resources

6
Serious Risks facing Older People
  • Falls
  • Wandering
  • Failure to Cope
  • Fires
  • Floods
  • Unlit gas
  • Unattended appliances
  • Environmental temperature extremes
  • Security esp Burglary

7
NTEC Technology
  • Falls
  • Prevention - Bed Chair Monitors
  • Detection - Automatic Fall Detection System
  • Wandering
  • Prevention - Bed Chair Monitors
  • Detection - Electronic Tagging
  • Failure to Cope - Video-monitoring
  • Fall detectors, Health Monitors, Hip Protectors

8
Falls - Introduction
  • Common 1/3 of people gt65 each year
  • More common in very old and women
  • Dangerous - Fractures, loss of independence
  • Important - Fractures 3rd biggest cause of bed
    occupancy in NHS
  • Majority occur in the home

9
Current Falls Management
  • Physio - walking, stairs
  • Teach how to get off floor
  • OT - Modifications to the home environment
  • Assistive devices - eg sticks / frames
  • Personal alarm

10
Bed Chair Monitors
  • Pressure Mats insert below mattress
  • or below leg/cushion of chair
  • Alarms when bed or chair vacated
  • Useful for falls and wandering prevention
  • Bed - nocturnal Chair - daytime
  • Residential homes, Hospital, Community

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15
The Story of Mrs Heaps
  • Admitted to Residential Home 1990
  • During daytime requires two to transfer
  • Wheelchair-bound
  • Night-time frequently found on floor
  • High risk of fracture
  • Bed Monitor installed
  • Revelation

16
Falls - Detection
  • Machine Vision technology
  • Camera attached to computer
  • Computer monitors room (MI5 Tech)
  • Pattern Recognition Analysis software
  • Recognizes walking, sitting, falling
  • Automatically generates alarm
  • Detects Fires, Burglars

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19
Electronic Tagging and Tracking
  • In the UK 600,000 have dementia
  • Most wander at some stage of their illness
  • Any one time 40 wander
  • Causes accidents, admissions, institutions
  • Stress on families and carers

20
Definitions
  • Tagging confined within certain distance of a
    central monitor
  • Tracking locate person at any time or place.
    Not confined.

21
Electronic Tagging Equipment
  • Bracelet - client
  • Pager - staff
  • Monitors - 2 types
  • Area - covers 50 - 300 m
  • Point - approx 3 m
  • Computer - program the system eg danger areas,
    change patient identities

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25
Tagging
  • Only alerts when someone leaves an area
  • Avoids sedation, imprisonment
  • Only certain scenarios - housebound / RH
  • Carer/Relative to respond immediately
  • Saves patient/staff/relative stress and time
  • Many people want to shop etc
  • Doesnt locate person

26
Electronic Tracking Equipment
  • Mobile telephone
  • - 2 types
  • GSM - triangulation 500m GPS enabled -
    approx 5 m
  • Needs carer or relative
  • Community Alarm Centre to monitor and respond

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30
Tracking
  • Requires broadband connection
  • Training to use system
  • Cooperation of staff
  • Who retrieves the patient
  • Used for Lone Workers
  • Used as a telephone

31
Tracking
  • Used for intermittent confusion
  • Unlikely to reduce lost episodes
  • Several locations per episode
  • Reduces emergency services involvement
  • Reduces institutionalisation / catastrophes
  • Ethics and Costs

32
Video-monitoring
  • Communicate using telephone and television
  • see and speak to each other at same time
  • Useful where client and relative live some
    distance apart
  • Confused - autoactivation

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34
NTEC Technology
  • Bed Chair Monitors
  • Automatic fall detection system
  • Electronic Tracking and Tagging
  • Video-monitoring

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36
Benefits for Client, Relatives and Staff
  • Improves safety, security, independence
  • Enabling and coping avoids institutional
    placement
  • Faster response to patient needs
  • Relieve anxiety and increase confidence and
    quality of life
  • Supports / Reassures relatives, staff and carers

37
Community Care
38
Conclusion
  • Aids and devices
  • Results of Pilot Studies
  • Larger scale Randomised Controlled Trials
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