Tag Archive: PERS

so what’s new for 2011

So many things are hopping around, looking for daylight, in the senior home technology field. A few things for you to watch for:

  • Cell phone manufacturers are paying attention to the senior market after all. The Jitterbug and others continue to evolve in ways that make sense for the senior user; larger buttons and louder speakers. An earlier critique on this blog still points out very important cell phone shortfalls but they are improving. And a very welcome development for help button users; some new emergency buttons are capable of activating a senior’s cell phone in order to call for help. Keep watching the SafeCall site. We will soon be featuring one such system.
  • GPS technology continues to find its way into more devices. The CareLink MobileHelp emergency medical alarm is an early implementer of GPS-tracking. We’ve been using our test model and its accuracy is incredible — within 30-40 feet as displayed on a Google Map. Very cool. This has very positive implications for active, mobile people who are concerned about their health. Reassurance now knows no limits.

Do You Love Little Dogs?

I love dogs. However, a recent call about an elderly woman and her dogs made me just shake my head with frustration. The caller told me that her mother had suffered two falls AND two back surgeries due to tripping over her little dogs. ‘They scamper about and are always underfoot’ she said. Would your mother consider getting rid of them, I asked. Oh no, she replied, she just LOVES HER DOGS!!! Yep, loves them more than independence itself I guess.
SafeCall does a great job of keeping people safe at home but you gotta wanna be safe in the first place, don’t you?

Will a Cell Phone Keep the Elderly Safe at Home? Pt.2

My last post described the various problems associated with using a cell phone as a home safety device for an elderly person.
So what can you do to keep your elderly loved ones safe in the home? The most reliable method to date is still the Personal Emergency Response Service or help button, ie. help I’ve fallen and can’t get up. It is simple to use, waterproof and does not require periodic recharges. You can be visually impaired or have a hearing loss and your safety will not be compromised.

The button component (remote activator) is comfortably worn on the wrist or around the neck. The buttons are also exposed to vigorous shock, heat and water testing to ensure they can withstand soaking, temperature extremes and being dropped on a hard floor. This is true if the PERS unit carries the UL (Underwriter’s Laboratory) certification. Check your provider. Not all PERS units are UL-certified.

Additional features include text and voice messaging to responders (for those of us who do use cell phones daily) and online/email reporting to keep other family members in the loop if they live too far away to be physical responders.

Adaptive switches are available for people whose motor functions are severely limited by stroke, Muscular Sclerosis, spinal cord and head injuries or even near-complete paralysis. Many reputable companies sell these services including SafeCall www.safecall.biz, the company I started in 1995. This service costs about $1/day and has a long history of providing home safety to the elderly and disabled.

The PERS unit is the gateway to numerous other beneficial products. Automated medication dispensers, motion sensors, pressure-sensitive floor pads, door alarms and smoke detectors are among numerous accessories that integrate with a PERS to contact caregivers within seconds of alarming.

While the cellular phone industry has begun to recognize the safety needs of the elderly (which don’t include texting, music players and downloading apps), they still need to overcome issues of battery life and signal loss in large apartment buildings and rural communities. And cell phones still need to be designed for users with unsteady hands, poor sight and hearing. Home medical alarms manufacturers resolved these issues years ago.

© Sanford Freed 2009.

Will a Cell Phone Keep the Elderly Safe at Home?

Grandpa had been feeling ill and needed to go to the bathroom. He got out of bed slowly. His 83-year old legs were weak. He reached for the cell phone that his daughter gave him for emergency use and gripped it tightly. Grandpa took one step, then another. The bathroom was a few feet away. He took another step, felt his right foot dragging along the floor and then, it caught on something. Grandpa fell; the cell phone bounced away and came to rest somewhere under the bed as he went down, its little green lights glowing tauntingly. Grandpa was on the floor, too weak to move. He was scared. He felt a sharp pain in his knees. He lay there on the cold floor for 16 hours.

This is every elderly person’s nightmare. But Grandpa was lucky. His fall did not leave him permanently disabled or even severely injured. Grandpa returned home after a short hospital stay. But he began to reconsider whether or not he should trust his life to a cell phone.

Cell phones are everywhere. Everyone seems to have one, even elementary school kids. We receive endless offers for new plans; ads with unbelievably happy people enjoying the dickens out of life catch our attention daily. Yes, cell phones are everywhere, but we never see the elderly in those phone ads. That’s because cell phones aren’t marketed to the elderly. The physical limitations we experience as we ago create a number of serious barriers to cell phone usage, especially as a home safety device.

Problem #1 – Cell phones have small buttons; some are even flat. Small, flat buttons may be very difficult to press when you have diabetes (nerve loss at the finger tips) or suffer with arthritic fingers. Pressing tiny buttons require good small-muscle coordination. Many elderly people have lost a considerable amount of small-muscle control and may be struggling with hand tremors as well. Buttons appear dimly lit, at best, when you have macular degeneration, glaucoma or other vision problems. Grandpa didn’t have a chance to retrieve his glasses.

Problem #2 – Listening through a cell phone’s tinny little speaker port doesn’t present a problem when you still have the majority of your hearing. But aging is often accompanied by hearing loss – more than 30% of people over 65 have lost enough hearing to benefit from hearing aids (Hearing Loss Association of America, www.hearingloss.org). Grandpa can only hear the tiny sounds emitted by cell phones when he has properly aligned the speaker hole with his ear. Limited hand control makes this very challenging for older people.

Problem #3 – Cell phones are powered by rechargeable batteries. If Grandpa doesn’t use his phone regularly, he may not notice that his battery charge has been depleted. Someone who keeps a phone around just for emergency use will often find the batteries drained of power in their time of greatest need.

Problem #4 – EMS providers report that they cannot quickly locate a cell-phone caller. It looks so easy in the movies, but the reality is far slower. Unless Grandpa can state his address, response to his call may take quite a while. Also, check that there’s adequate signal coverage throughout Grandpa’s home in order for his cell phone to be useful. And make sure that Grandpa can handle the phone when he’s using his cane or walker. If Grandpa drops the phone, he might trip on it and fall, or worse, fall while he’s bending over to find it on the ground.

Problem #5 – Cell phones aren’t waterproof, so they can’t be carried into the shower. This is a serious problem as most elders will say they are scared to death of falling when they are in the bathroom. Will a cell phone ease their fears? Not once they’ve seen an electronic gadget burst into pieces when dropped on a hard floor.

With the best of intentions, we make decisions for our elders without fully understanding how aging affects their perceptions and physical abilities. Technology’s rapid development leaves many of us breathless and struggling to keep up. The features that give cell phones their cool factor – touchscreens, synthesized sounds, tiny buttons – baffle the elderly.

Try this – give Grandpa your phone and have him make a call and carry on a conversation. It isn’t as easy for him as it is for you. Now imagine the same thing occurring during a crisis where Grandpa has fallen and needs emergency help.

There are a small number of cell phone companies trying to serve the elderly population like the Jitterbug www.jitterbug.com. But beware. There are a number of consumer complaints of the Jitterbug and Great Call Inc., which can be found by Googling jitterbug phone complaints. Verizon Wireless www.verizonwireless.com also offers a number of phones made by Samsung, Nokia, Motorola and LG which are designed to be used by the elderly. But making the buttons larger and more brightly lit and simplifying the interface doesn’t solve all the problems inherent with cell phone use; incomplete coverage areas, not being water- or shock-proof, and keeping the phone charged are still serious shortfalls.

End of part 1; come back to safecallblog.wordpress.com next week for part 2: Safety in the Home Solutions.

Ten Tips for Home Medical Alarms

Family caregivers often provide the link for senior citizens to live at home as their health declines. Home medical alarms help the caregiver to maintain a safety net around their loved one. Often, home medical alarms are indispensable to an aging senior’s independence especially when they are a fall risk or suffer from daily confusion or memory loss. Here are ten tips to help you understand when a medical alarm is appropriate to your situation.

1. Stay off the ground
A fall is the critical incident which often begins the decline of an elder’s independence. More than 30% of people over 65 years fall annually. The time spent on the ground may determine the severity of the fall’s effects. A Personal Emergency Response Service (PERS), or help button, greatly reduces the time spent waiting for someone to come and help you.

2. Peace of mind reduces stress and anxiety
Caregivers suffer higher rates of depression and anxiety than the general population. A help button or medication dispenser provides peace of mind and reassurance to counter those emotional states. Caregivers know that when a help button is installed in a loved one’s home they can be contacted within minutes of it being activated.

3. Have your support information reviewed several times a year
A help button system works best if the responder information is current. Ask your provider how often your response information is updated. Better yet, can you review this data online?

4. Digital phone warning
Personal Emergency Response Services are not yet compatible with digital phone systems, also called Voice Over Internet Protocol (VOIP). If you or your loved one have phone service through a cable TV provider or as a bundled service – usually voice/data/cable tv – you will need to check with your help button provider to see if an adapter is needed for your service to operate reliably.

5. Caregivers don’t need to sleep with one eye open
The stress from not having a restful night’s sleep increases the intensity of caring for a dementia sufferer. Caregivers ‘sleep with one eye open’ in case the dementia sufferer wanders, which is more likely to happen overnight. A wander alarm can alert the caregiver that their loved one is leaving a room or opening a door. These alarms are set to alert caregivers if an outside door is opened or if a pressure-sensitive floor pad is stepped on.

6. Get help to reduce medication confusion
Some seniors take an average of 32 different medications daily. Anyone would have difficulty managing that much medication! Confusion and poor memory make the task far more challenging and often lead to medication errors. Many seniors lose their independence by not accurately following their medication regimen. When confusion and/or memory issues contribute to medication non-compliance, an automated medication dispenser will help to keep elders independent. These devices secure the medications internally and deliver the right dose at the right time.

7. When repeating instructions doesn’t work; you need something extra
Plastic medication organizers don’t protect a disoriented elder from medication non-compliance. A quality automated med dispenser has a secure lock that keeps the med doses tamper-free and a battery backup keeps the dispenser working during power outages. The latest medication dispensers utilize active communication features like text messaging and email to alert family members that the senior needs to be contacted about their medication.

8. Online alerts can help caregivers share their responsibilities
The Internet is changing home care. Medical alarms now report their activity on password-protected web sites. You can receive alerts via email, text messages and phone calls. Caregivers can also receive secure online reports from their loved ones’ home medical alarms. Family members can see if Mom needs reminders to take her medication or if Dad needed the neighbor to help him up, along with a variety of system reports that let you know of any potential problems, such as a power loss or disconnected phone line.

9. When you’re not saved by the bell
Moving quickly to reach a ringing phone can cause an elder to fall. A help button can be used to answer the telephone – without moving from the bed or couch. It works this way: the button is pushed to answer the call. The caller is greeted and a conversation is started by speaking through the speakerphone/base unit, which picks up sound around the home. Then the elder can stand up to get to the phone, slowly and carefully, before hanging up the base unit by again pushing the help button. No sudden movements. No increased falling risk.

10. Are you losing, or keeping, your independence?
Elders may argue that they don’t need a home medical alarm. They are often afraid that it means they are losing their independence. The truth is that these alarms assist elders in retaining their independence just like using a walker, extended toilet seat, shower bars and other home medical equipment maintain independence, instead of diminishing it.

The tools of home care are no longer limited to the caring nurse or home health aide. Those strong components have been strengthened even more with devices that communicate a variety of needs. Home medical alarms are the important tools that assist the caregivers to keep their loved ones in their home.

©SafeCall 2009