International Congress on Gerontology and Geriatric Medicine 2009 International Congress on Gerontology and Geriatric Medicine 2009 AIIMS, New Delhi AIIMS, New Delhi
Feb 27, 2009Feb 27, 2009
Dr V C Goyal Dr Usha DixitDirector Scientist [email protected] [email protected]
Science & Society DivisionDepartment of Science & Technology
Technology Bhawan, New Mehrauli RoadNew Delhi-110 016
ASSISTIVE AND ENABLING TECHNOLOGIES FOR ELDERLY IN INDIA
Enabling a better environment for senior citizens where their experience & wisdom is gainfully utilized, thereby giving them a respectful position in the society.
They are able to live quality life by developing an effective interface with younger sections of society, who need and cherish their caregiving.
THEMETHEME
TECHNOLOGY SUPPORT
Elderly may be vulnerable when they:
• Live alone
• Walk alone
• Go out for shopping
• Do their banking
• Travel alone
Technology ApplicationsTechnology Applications
1
2
3
4
• Health/Medical Care• Nutritious Food• Home Designs• Domestic Appliances• Furniture Designs• Garment Designs• Footwear Designs• Transport Designs• Assistive Devices• Recreation & Entertainment
• Networking
• To provide needed safety and security
• To restore and maintain possible level of functional independence
• Two groups of users require some support and assistance in everyday
life- frail & ailing elderly
older people with disabilities
Need of AET
Assistive/Enabling Devices (AEDs)
• Some examples: elderly-friendly mobile phone & telephone
instrument with enlarged buttons/numbers, speaker phone and cordless facility
walking stick GPS-enabled walking stick with alarm pendant-type surveillance devices for
dementia patients wearable devices to monitor inconsistencies
in pulse, etc
Reasons for less popularization
Lack of awareness among users and professionalsLow availability in marketAbsence of support systemsAffordability (& non-coverage under instruments of
health insurance, govt. schemes, etc.)Apathy & lack of synergy among various
professionals (including academic institutions)
Measures/actions requiredNeed assessment studies with
involvement of appropriate organizations
Awareness of users and professionals Interface with industry, academic
institutions, Rehab Centres and voluntary organisations
for production and trials Popularization and dissemination of
AET through necessary support systems
Advocacy with government/other policy makers for inclusion of AET in relevant legislations
Some A/E Devices Device Device
Kitchen finger protector Jar opener/closer
Stair glide, handrails Lap desk with book holder
Bed rail Back scrubber with hand loops on each end
Raised seat, grab bars Utensils with finger bump grips or hand strap
Smoke detector Walking stick, walkers, wheelchair, spinal braces
Position activated alarms ‘E-Netra’- reads text and converts into voice
Video intercom Talking alarm clock/watch
Distress/security alarms Memory games
Secufone with GPS and personal alarm system
Cordless speaker phone with preset memory-dial, large buttons & numbers
Electronic Travel Aids Medicine dispenser/cabinet
Bunion Protector
Insoles Reflexology
Wide Closing Slippers
Back ScrubberBack Scrubber
ASSISTIVE DEVICES
Talking Alarm Clock
Kitchen Finger Protector
Pot and Pan Holder
HIP PROTECTOR
Talking Book
HEEL PROTECTOR
ASSISTIVE DEVICES• Technology for dementia, alzheimer & parkinson
patients• Simple device for essential services (e.g. bank,
post office, IT return, travel bookings, doctor)• Simple device for registration of complaints with
police, legal cells• Low vision aids• Telecare systems• Wheel chair and walker• Mobility aids & writing aids
ASSISTIVE DEVICES• Walking stick with on-board GPS• Alarm at multiple places• Fall alarm• Flash card with medical history• Medical cabinet• Location devices• Easy-to-use mobile device for video calls and internet
services with a touch screen, camera, speakers, videoconferencing
• Standard triggers such as neck-worn pendant alarm and pull cord, activated by residents for assistance
Talking alarm Shower chair
Toilet AccessoriesToilet Accessories
Home Monitoring Systems
“Smart Home”- residence with technologies that enhances safety of elders at home and monitors their daily activities
• Devices and sensors control lighting, smoke detectors, door entry systems, locks, water outlets, as well as visual and tactile signaling devices
• Sensors to watch for abnormal behavior, sleeping patterns, use of toilet, kitchen, etc
• Devices for daily health checks, e.g. to measure heart rate, temperature, nutrition, etc
• PART-I: GENERAL INFORMATION
Name, age, gender, village/town/dist/state, area (urban/rural), contact details, highest qualification, occupation, annual income, living (alone or with spouse/children)
• PART-II: DIFFICULTY IN ADL
Floors (slippery), entrance, kitchen, toilet, lighting, doors/windows, any other difficulty/requirement
• PART-III: ‘DEVICES’ INFORMATION
SURVEY OF AET AT AISCCON-2008
SURVEY OF AET AT AISCCON-2008
• Total respondents: 86• Age (yrs)- ≤ 65: 26%, 65-70: 35%, 70-80: 37%• Graduates & above: 59• Annual income < Rs 1 lakh: 52%• Male: 75, Female: 11• Rural: 30, Urban: 56• Highest response
– Difficulty in use: home safety, back scrubber, ht. adjsutable furniture, kitchen gadgets, entertainment
– Awareness: home safety, walking equipment– Like to use: video intercom, back scrubber, finger protector,
nail clipper, security alarms
SURVEY OF AET AT AISCCON-2008Category No. of Devices Response recd./
Max. total
1. Architectural/home elements
3 224/258 (87%)
2. Aids to daily living 6 443/516 (86%)
3. Kitchen gadgets & appliances
2 147/172 (85%)
4. Furniture 2 147/172 (85%)
5. Footwears 1 72/86 (84%)
6. Clothings 2 134/172 (78%)
7. Communication 2 137/172 (80%)
8. Sensory Functions 4 273/344 (79%)
9. Mobility 4 275/344 (80%)
10. Recreation/entertainment 1 68/86 (79%)
SURVEY OF AET AT AISCCON-2008
0
20
40
60
80
100
120
140
160
180
Total no. of response
1
ARCHITECTURAL
AIDS TO DAILY LIVING
KITCHEN GADGETS & APPLIANCES
FURNITURE
FOOTWEARS
CLOTHING
COMMUNICATION
SENSORY FUNCTIONS
MOBILITY
RECREATION/ ENTERTAINMENT
Awareness
SURVEY OF AET AT AISCCON-2008
0
10
20
30
40
50
60
70
80
90
total no. of response
1
ARCHITECTURAL
AIDS TO DAILY LIVING
KITCHEN GADGETS & APPLIANCES
FURNITURE
FOOTWEARS
CLOTHING
COMMUNICATION
SENSORY FUNCTIONS
MOBILITY
RECREATION/ ENTERTAINMENT
Difficulty in use
Assistive & Enabling Technologies Consultation-2009Assistive & Enabling Technologies Consultation-2009Jan 14, 2009Jan 14, 2009
ISSUES FOR DEVELOPMENT & PROPAGATION OF ASSISTIVE AND ENABLING TECHNOLOGIES
FOR ELDERLY PEOPLE IN INDIA
1. Prof. A B Dey, AIIMS, N Delhi 10. Prof. Sugan Bhatia, Ex-Delhi Univ.
2. Dr Rekha Agrawal, Bhagwan Mahavir Hospital, New Delhi
11. Mathew Cherian, HelpAge India
3. Dr R K Sharma, Safdarjang Hospital, N Delhi 12. Avinash Datta, HelpAge India
4. Dr Alaknanda Banerjee, Max Hospital, Saket 13. Bakshi, HelpAge India
5. Dr Bharat Bhushan, ESIC 14. Anupama Datta, HelpAge India
6. Dr Ramesh Arya, GB Pant Hospital, N Delhi 15. Kiran Sohal, Architect
7. Ms Ruchi Nagar, Jamia Hamdard University 16. Raman Bhai Shah, AISCCON
8. Kamal N Arya, IPH, N Delhi 17. Dr V C Goyal, DST
9. Prakash Sharma, AIIMS 18. Dr Usha Dixit, DST
Mechanism for development and dissemination of AEDsElderly User +
Professional Team
Need identification
Academic Institutions
Education of students, specialists & users
HealthWellnessDesignTechnology
R & D
New AET products
ModificationsAdaptive trialsMethodologyTraining programsEpidemiological studies
Industry/Enterprises
Production of AETTest trialsSale & distributionPropagation thru mediaService supportInsurance fundingTelecommunication
Field Organizations
Dissemination of AET products
Field trialsUsers awarenessAdvocacyDemand assessment
Actors
Activity
Funding Support
GovernmentInt. donorsIndustry (+CSR)Charity organizations
DEMAND ASSESSMENT
• Studies in different areas to identify various disability and other difficult conditions
• Assessment at OPD clinics for senior citizens
• Special attention on specific age-related diseases and conditions
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
• Awareness and extent of use of AET for users, professionals, carers
• Information about AET appropriate to their needs, O&M requirements, sources of availability, device cost (& running cost)
• Availability of appropriate devices at affordable costs
• Support systems for easy availability and uninterrupted use
WAY FORWARD
WAY FORWARD
• Development & field trials of appropriate technologies
• Adaptive research to explore technologies available outside country
• Assimilation of dev. in diff. fields of technologies
• Legislative provisions to cover AEDs for frail & ailing elderly thru insurance, government schemes
Legislative ProvisionsLegislative Provisions
• Coverage of frail and ailing elderly in the definition of “disabled”
• Inclusion of “Activities of Daily Living”
• Modified procedure for prescription of AEDs
• Mechanism for development, field trials & distribution
• Tax incentives, etc. for production, import and sale/distribution of AEDs
• Funding of AEDs thru insurance, banks, etc.
ThanksPlease visit
“Technology Interventions for Elderly (TIE)” Programme of DST
at our websitewww.scienceandsociety-dst.org