personalisation and innovation in telecare

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    Personalisation andInnovation in Telecare

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    Desired Outcomes

    prevent accidents / emergencies create a safer environment give people greater control, independence andconfidence reduce hospital / care home admissions assist carers to provide more reliable support assist carers to provide support in a lessintrusive way (Self) manage conditions

    enable Social Services to commission adifferent model of support

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    AT - Whats available?

    Developers, techies and the market areyears ahead of users and commissioners interms of what is possible.

    The use of assistive technology is beingdelayed by us our lack of imagination and

    reluctance to embrace possibilities!

    Answer: Almost anything you need or want!!

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    Barriers to Telecare

    Lack of understanding about what isavailable and how it can be used Assessing Fears around staff roles, responsibilities and

    changes to they way people are supported Lack of training and ongoing support Capital and revenue costs Monitoring and evaluation Fears around social isolation

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    Telecare AssessmentTool

    Available for Blackberry, Android

    and Apple devices Full wireless and 3G capability Easily deployable Available with full training package

    Guides assessor through theassessment process Suggests equipment to beconsidered based on needs Can be modified to output to other

    managements systems Ready in December?

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    Personalisation!

    Be clear about what you want to achieve foreach individual Think about how you/they will use theequipment Find out what is available use the whole ofthe market There are various versions of the same namedpieces of equipment

    Ask questions Remember, one size does not fit all!

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    Which would you choose?

    OPTION 1:This is a flood detector:

    Traditionally, it is placed on the floor and tells you when there isenough water on the floor to set it off in a small kitchen thiscould be approx 700 litres of water

    It talks to a panel which responds directly or can forward info to a call centre, off site carer etc

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    OPTION 2:This is a flood detector:

    Usually it is placed in the overflow so that as soon as waterlevels reach that point an alert is triggered. It talks to a panel which responds directly or can forward info to a call centre, off site carer etc

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    OPTION 3:This is a flood detector and a water shut off valve:

    The flood sensor is placed in the overflow so that as soon aswater levels reach that point the water shut off valve isactivated. It can talk to a panel which responds directly or can forwardinfo to a call centre, off site carer etc

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    Answer!

    It depends on the individual and theircircumstances!

    Be clear about what you want to achieve for eachindividual

    Think about how you/they will use the equipment

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    Which system?

    Equipment can sent alerts to a number of different sources

    for action:

    be built-in so providing a direct alert to people there (iedomestic smoke detector) send an alert to someone within the same building for

    immediate response via: a panel, a mobile phone, aDECT (cordless) phone, pager send an alert to someone forurgent response outsidethe building via: mobile, call centre, text send an alert to someone forinformation via: a panel, amobile, text, email, website, other management system Large schemes (or those with lots of kit) may use a PCbased management system with panels, DECT phone,pager

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    More about systems Pager or DECT phone will allow staff to move

    about within an area to answer/cancel callswithout going to a panel each time DECT phones provide 2 way speech option Calls can be routed to a mobile phone, but

    think about the cost if staff are on-site A call centre can cost about 50p per week -think about response time and default position PC based management system canprogramme unique responses/actions to various

    parts of the building so every aspect of theenvironment can be pre-planned Some systems can provide activity logs

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    Equipment!

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    Lighting

    Auto lights-on can reassure people at night andsave money if lights are habitually left on! Directional lighting can assist people to findtheir way in the dark eg directing to the toilet Energy saver readers reduces electricity use

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    Beams

    Beams can be used to detect movementbetween two points.

    They can be flush fitted eg into door frames Are battery operated Can send alerts to panels, DECT phone, pageretc

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    Using BeamsDoors A contact only senses whether a door has beenopened/closed A Beam will indicate movement through two points People can access spaces without being closelyfollowed Can provide early alert of route of travel

    Beds Occupancy sensors only indicate weight changes.Mats in the bed or on the floor arent accurate ifsomeone moves around a lot or misses them Beams can be fitted on all sides of the bed so it doesmatter how/where someone exits it!

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    Biometric locks

    Biometric (finger-printreader)locks enable peopleto leave home withoutworrying about their keys Useful for people who

    struggle to use keys Coloured biometric lockscan help direct people todoors they can use

    Programmable to controlaccess

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    Door forced alarms

    Window contacts to detect if glass is broken Water and gas shut off devices Small appliance shut-off devices Extreme temperature alerts incl Thermotxt Hands-free tag/fob within proximity will open

    doors - good for staff, use on a wheelchair CCTV Smoke and heat detectors with strobe lightsfor people with sensory needs

    Voice alerts Water-proof falls detectors Whole floor falls detector

    Staying Safe / Security

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    For Staff

    Hands-free tag/fob within proximitywill open doors Skyguard emergency alert solutionsto assist with lone working /emergency situations DECT phone and pagers save to-ingand fro-ing to a panel LCD reader can provide messageseg at shift change over

    Some systems can provide activitylogs Some systems can link to payroll

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    Health Care and Telehealth Epilepsy monitors - in bed, wrist-watch style Cotton enuresis mat does not make peoplesweat creating false alarms! Skin surface thermometer no need to put inthe mouth or on the forehead! Smart pill dispenser Blue tooth and non-evasive reading devices Homecare bed with built in sensors wirelesslytransmits data to carer/nurse Remote consultations, monitoring and

    diagnosis saving time and money travelling