Dementia is a term which describes a range of conditions which cause damage to our brain. This damage affects memory, thinking, language and our ability to perform everyday tasks. Although technology may not fix someone’s deficits, it will give them a better quality of life and peace of mind for their family. Assistive technology can help support and enable people with conditions such as dementia to live more independently.
One of the most common technologies that can enable people with dementia to live more independently is a Pendant Alarm. The aim of the pendant alarm is to support an individual living independently by ensuring they are safe while alone. For example if they have a fall or any other major concern they can press the pendant to beckon help. The pendant is typically worn around the neck as a necklace or around the wrist as a watch. The pendant alarm can also signal the presence of a hazard requiring urgent attention, such as high smoke or a carbon monoxide levels, as various sensors can be linked to the pendent alarm system. These devices can be further linked to a Monitoring Centre that operates 24 hours a day seven days a week. If a personal alarm or accompanying sensor is activated, a call is immediately alerted to the 24 hour Monitoring Centre where it will be answered by a trained telecare operator. The internal speaker and microphone on the Pendant Alarm will allow the operator to speak hands free with someone until help arrives. The operator will remain on the line until the situation has been resolved and they are satisfied that the person is back in good hands. In Ireland the cost of a Pendant alarm package is covered by a grant available under the Seniors Alert Scheme. This is open to those over the age of 65, and covers the cost of having a socially monitored alarm installed at home.
A Pendant to activate the alarm is worn around the neck or the wrist. Pendants can be subtle such as the Minute Watch which is discreet high quality watch that incorporates a personal alarm.
Once alarm is activated the centre is contacted which will allow the operator to speak hands free to the client.
Prompts and reminders
An individual with dementia over time may have a decrease in their ability to think and remember, they may need reminders to help them with their daily activities, such as making meals, feeding pets or taking their medication. There are various gadgets currently available which can provide prompts and reminders and generally, make their life a bit easier.
As most people are rarely without their mobile phone, setting up a reminder app could be a useful way to help them remember important things. Some apps worth trying include Wunderlist (free) which lets you create different lists for different topics. Another app which is also useful is called It’s Done! It’s Done is essentially an app that provides a checklist for life’s everyday critical tasks such as locking doors, feeding pets, taking medication, and turning off the stove. This allows you to go back and check your routine everyday tasks if you have forgotten.
If apps are not sufficient for an individual to remember to take their medication then there is the option of a Pill dispenser. Pills can be divided up into days, morning and evening and fitted into their own compartments. An alarm will sound when s/he need to take his pills. Some dispensers can be programmed to only release the set number of pills each time, locking away the rest until they’re needed.
If an individual struggles to remember people’s names, an app called Knome (free) can help by setting up profiles for people the person meets, including pictures and explanations of how they know them.
For those who occasionally misplaces items such as wallet or keys around the home, a key finder will help reduce frustration and disappointment.
The Object Locator is a gadget that offers a simplistic solution. The beepers can be attached to items with the key rings or with Velcro to handbags, or a glasses case. You just press the labelled remote control to activate a beeper.
Maintaining cognitive abilities
Studies have found that playing games which challenge people on reasoning and problem solving can help people over 60 to get on better with their daily activities. In 2006, the ACTIVE Study, funded by National Institute of Health, demonstrated that older adults could improve their brain abilities with the correct training. Certain mental exercises can partially offset the expected decline in older adults’ thinking skills and show promise for maintaining cognitive abilities needed to do everyday tasks.
There a number of brain trainer sites such as Lumosity and Fit brains.
Both sites feature a combination of cognitive games that are aimed at “exercising” the brain. The games challenge memory and attention by engaging the user in common cognitive and neuropsychological tasks.
Out and about
For individuals who may become lost in familiar places such as their own neighbourhood or village, the installation of a suitable route planner on a Smart Phone may be good idea. It will pick out the best way to get somewhere, or back home again.
Many people may still want to enjoy the freedom of taking their dog out for a walk. Pendant alarms do not typically work outside the range of the home. However an individual’s condition becomes worse an emergency phone such as a Pushphone OK may provide valuable support. This is an emergency phone with GPS for location, Fall monitoring and GEO-fencing.
With the Pushphone OK you can call the number you have stored on the upper two buttons (red and green handset) by pressing the respective button for a longer time. The person who is called can also receive an SMS with the link of the position data.
On the upper right side there is the little red button. This button should be configured for the worst case. The button can be connected to the local ambulance 112.
With the Geofencing (entering a certain radius.) If the person moves out of the given area, a message is sent to the smartphone.)
Great article Sean, thanks