Domotics and Cure - PowerPoint PPT Presentation

1 / 31
About This Presentation
Title:

Domotics and Cure

Description:

People live longer and are longer ill. Demand for health care is increasing ... Mechanized crib to assist lifting infant. Raised infant tub at wheelchair height ... – PowerPoint PPT presentation

Number of Views:62
Avg rating:3.0/5.0
Slides: 32
Provided by: UT04
Category:
Tags: crib | cure | domotics

less

Transcript and Presenter's Notes

Title: Domotics and Cure


1
Domotics and Cure Care
  • Dr. Ir. Jan A. Van Alsté
  • University of Twente
  • Biomedical Engineering

2
Cure and care
  • Cure
  • Prevention
  • Diagnostics
  • Therapy
  • Back to normal activities
  • Short duration
  • High specialised
  • High tech
  • Care
  • Nursing
  • Support of vital functions
  • Normal activities not always possible
  • Often long duration
  • Medium specialised
  • Low tech

3
Relevant trends
  • Demographic changes
  • More grey demand for cure care
  • Less green supply of caretakers
  • More colour different life styles
  • Slow process time to action
  • Reduction of costs
  • Horizontal and vertical substitution in medicine

4
Care processes
  • Distinction between
  • Cure and care
  • Care and household
  • Health and well-being
  • Types of care processes
  • Short, directed towards recovery
  • Chronically ill or functional disorders
  • Terminally ill patients

5
Demand for care
  • Two trends
  • Changing epidemiological profile
  • People live longer and are longer ill
  • Demand for health care is increasing
  • Socio-cultural change in needs
  • Changing conditions of living
  • Information and self-realisation
  • Wish to function independently

6
Supply of care
  • Organisational changes
  • Shorter stay in hospital
  • More medical interventions at home
  • Business Process Redesign continuity of care
  • Problems of personnel
  • Shortage technology, self management,
    productivity, disability
  • New players and roles
  • Specific companies, call centres
  • Mergers and collaboration
  • Improved coherence contents, efficiency

7
Focus on end-user (patient)
  • Continuity in care processes
  • More possibilities to choose
  • Less restricted to certain localities
  • Home care technology quality of live
  • Assistive devices self care, independence
  • ICT choice based on information

8
Maslows hierarchy of needs
  • Physiological food, air, water, sex
  • Safety and security
  • Belonging to, love, acceptation, affection
  • Esteem, competence, approval, recognition
  • Esthetical and cognitive needs
  • Self realisation

9
Universal self care activities(after D.E. Orem)
  • Intake of air, water and food
  • Excretion
  • Balance between activity and rest
  • Prevention of threats against human happiness,
    functioning and well-being
  • Live in social communities according human
    possibilities, limitations and dignity

10
Health related self care activities(after D.E.
Orem)
  • Adequate medical care
  • Knowledge and insight in health and illness
  • Execution of diagnostic, therapeutic or
    rehabilitation activities
  • Anticipate troublesome or harmful effect of
    medical interventions
  • Changing ones self image
  • Learn to live with the consequences of illness

11
Trends in society
  • Individuality
  • Demand in control
  • Various target groupsdifferent wants
  • People over 50 are more in control
  • More market, less government
  • Room for innovation and renewal
  • Decentralised living, care and healthcare

12
Challenges for Domotics
  • Independent living
  • Activities of Daily Life
  • Social contacts
  • Entertainment
  • Medical treatment

13
Challenges for the near future
  • New homes
  • One level
  • Living well-cared
  • Adaptation of existing homes
  • Points of support of care functions
  • Domotics and personal alarm
  • Living environment more care oriented

14
Consequences of domotics for the organisation of
healthcare
  • Security / safety
  • Support functions at home
  • Quality improvement
  • Efficacy
  • Efficiency
  • Costs government institutions housing
    associations, caretakers
  • Personnel

15
Possible services and applications
  • Level of lighting adapted to biorhythm
  • Climate control
  • Individual control of freedom to walk around
  • Monitoring / Surveillance of activities during
    the night
  • Asking for help (by calling)
  • Automatic detection of water overflow
  • Automatic control of cooking equipment
  • Support in independent communication

16
Palliative care adds life to days when days
cannot be added to life (Saunders, 1995)
  • Symptom and pain relief
  • Monitoring
  • Support of self support
  • Continuity of care
  • ADL support
  • Communication, social, healthcare
  • Workload reduction care providers

17
Telemedicine moving data, instead of patient or
healthcare provider
  • Tele cure
  • Tele consultation
  • dermatology
  • Tele diagnostics
  • monitoring
  • Tele communication
  • Electronic patient record
  • Tele therapy
  • psychiatry
  • Tele surgery
  • robotics
  • Tele care
  • Tele monitoring
  • Tele supervision
  • Tele coaching
  • Tele communication
  • Electronic care record

18
Tele plus minus
  • Plus (stimuli)
  • Longer at home
  • Self management
  • Master of ones life
  • Double
  • Increasing singles
  • Increasing chronic ill
  • Quality of care
  • Decreasing costs of care
  • Minus (obstructions)
  • Contents
  • Infrastructure / organisation
  • Changes in job care provider and the care chain
  • Finances (no stimuli)

19
Design for all
  • Usable for all groups of users
  • Flexible in use
  • Simple, intuitive use
  • Readable information
  • Fault tolerant
  • Low physical load
  • Accessible

20
Feasible technology, not always available(Centre
for Universal design, 1994)
  • Electronic lock (strength, coordination,
    authorisation)
  • Intercom front door (voice activated)
  • GPS for way-finding
  • Icy walkway / ramp warning
  • Motorized trash removal system
  • Motorized window openers
  • Adjustable height toilet seat
  • Robotic washer / dryer assistance

21
Feasible technology
  • Indicator to show hot cook top
  • Automatic shutoff when pot is removed
  • Kitchen shelves, accessible heights
  • Potable robot for heavy lifting
  • Motorized extending refrigerator shelves
  • Remote cook top controls
  • Attractive, self-storing transfer device
  • Keypad controlled lockout for dangerous areas /
    appliances

22
Feasible technology
  • Mechanized crib to assist lifting infant
  • Raised infant tub at wheelchair height
  • Multi-sensory displays and controls for
    appliances
  • Central house status display on TV
  • Electrical power back-up system
  • Voice recognition computer
  • Remote health monitoring
  • Expanded on line information services

23
Home requirements
  • Wide rooms, including toilets
  • Many power outlets, power rails
  • Facilities for care provider
  • Workspace, workload (limitations)
  • Privacy (day, overnight)
  • Easy room separation (privacy)
  • Functions to bed instead of person to functions
  • Mobile care facilities, limited medical look
  • Communication, leisure facilities

24
Contradictions when designing equipment
  • Invisible versus easy to use
  • Foolproof versus adjustable
  • Multi-functional versus manageability
  • Continuity versus adjustment-preferences
  • Self support versus loneliness
  • Privacy versus social safety

25
Older adults attitude(Demiris et all, 2004)
  • Emergency help
  • Preventing or detecting falls
  • Assisting with visual or hearing impairments
  • Improving mobility
  • Reducing isolation
  • Managing medications
  • Monitoring physiological parameters

26
Attitude conclusions(Demiris et all, 2004)
  • Benefits
  • Emergency help
  • Prevention and detection of falls
  • Monitoring physiological parameters etc.
  • Concerns
  • User-friendliness of devices
  • Lack of human response
  • Need for training tailored to older users
  • Conclusion
  • Overall positive attitude towards devices and
    sensors installed

27
Health smart home(Rialle et all, 2002, review)
  • HSH systems provide health care services
  • Large diversity in needs in home-based patient
    population
  • Complex technology needed
  • Distributed approach, many hard and software
    techniques
  • Wide scope of new information, communication and
    data-acquisition technologies

28
(No Transcript)
29
Desired properties of technology
  • User / patient
  • Minimal load / burden
  • Simple in use
  • Good ergonomics and aesthetics
  • Mobility
  • Care provider
  • Communication with client
  • Work processes
  • Content and status of profession
  • Added value for the organisation

30
Communicationcomputer with internet connection
  • Care receivers
  • Information
  • About hospice, illness,
  • From doctor, nurse
  • Calls / alarms
  • Contacts family, friends
  • Fellow patients
  • Shopping
  • Social
  • Diary
  • Play station
  • Care providers
  • Work planning
  • Patient-record
  • Continuity of care
  • Consultation
  • Communication with colleagues
  • Adjusting equipment

31
Domotics, ICT and Care
  • Less costs of facility management
  • Less hours of care supply
  • Simpler user processes
  • Less costs of communication
  • Better functionality and reduction of costs
Write a Comment
User Comments (0)
About PowerShow.com