Znaczenie technologii wspomagających w życiu osób w starszym wieku

Mariusz Duplaga


The potential for the use of assistive technologies in elderly

The process of ageing of modern societies is the source of substantial challenges for social and health care systems. The growing number of elderly persons may be perceived both in terms of the burden but  also as an opportunity. On one hand, elderly population requires additional forms of care and support. On the other hand, older persons shape a market for various types of services and products supporting them in independent and secure life.
Ageing usually results in progressing limitations of the sensory and cognitive functions as well as mobility. Thus, elderly population is a target audience for products belonging to the domain of assistive technologies. This term origins from first regulations accepted in USA in 60. in XX century in relation to elderly persons. Nowadays, it is used as umbrella term for all tools and systems applied for maintaining or increasing functional capacities of the person with various types of disabilities. Assistive technologies cover whole spectrum of products differing both in term of technical sophistication and complexity. There are many classes of assistive technologies which could be used by elderly persons depending on functional limitations occurring in a specific person. The solutions available currently demonstrates high technical advancement and trend for coverage of diversified aspects of every day living. The progress in the domain of supportive tools for elderly persons resulted in the concept of ambient assisted living. The concept is based on the desire of developing friendly and attentive environment for elderly persons assuring them independent and comfortable living. Ambient assisted living integrates the use of advanced sensory and communication technologies integrated as „smart home” and telemonitoring systems used not only in medical but also social context.
The expectation of establishment of supporting environment of living for elderly persons is also inherently linked to growth of the Information Society and ongoing embedment of information and communication technologies in all aspects of life.

Słowa kluczowe: technologie wspomagające, osoby starsze, uniwersalne środowiska wspierające, inteligentny dom, alarmy społeczne, telemonitorowanie, technologie informacyjne i komunikacyjne

US Older Americans Act of 1965, 42 USC (US Code), Title I.

US Technology-Related Assistance for Individuals with Disabilities Act of (1988) PL (Public Law), 100-4007.

US Assistive Technology Act of 1998, PL 105-394.

European Commission, Access to Assistive Technologies in the European Union, European Commision Directoriate-General for Employment and Social Affairs, Unit E, 4, 1-188, 2003.

Technical Aids for Persons with Disabilities – Classification and Terminology, ISO 9999: 2002.

Pomoce techniczne dla osób niepełnosprawnych. Klasyfikacja i terminologia, PN-EN ISO 9999: 2004.

Assistive products for persons with disability – Classification and terminology, ISO 9999, 4th edition, 2007.

Wyroby pomocnicze dla osób z niepełnosprawnością. Klasyfikacja i terminologia, PN-EN ISO 9999: 2007.

World Health Organisation, International Classification of Functioning, Disability and Health (ICF); http://www.who.int/classifications/icf/en/ (dostęp z 20.07.2011).

Trefler E., Hobson D., Assistive Technology, w: C. Christiansen, C. Baum (red.), Occupational therapy: Enabling function and well being, 2nd ed., SLACK Incorporated, Thorofare, NJ 1997.

Galvin J.C., Scherer M.J., Evaluating, Selecting, and Using Appropriate Assistive Technology, Aspen Publication, Gaithersburg, MD, 1996.

Desch L.W., Gaebler-Spira D., Prescribing Assistive-Technology Systems: Focus on Children With Impaired Communication, „Pediatrics” 2008; 121: 1271–1280.

Waldron D., Layton N., Hard and soft assistive technologies: Defining roles for clinicians, „Austral. Occup. Ther. J.” 2008; 55: 61–64.

Cook, A., Hussey S., Assistive Technologies – Principles and Practice, 2nd ed., Mosby, St. Louis, MD, 2002.

Scherer M.J., Outcomes of assistive technology use on quality of life, „Disability Rehabilit.” 1996; 18(9): 439–448.

Scherer M.J., Craddock G., Matching Person & Technology (MPT) assessment process, „Techn. Disability” 2002; 14: 125–131.

Assistive Technology Information Network in Europe (EASTIN); http://www.eastin.info (dostęp z 18.07.2011 r.).

Fuhrer M.J., Assistive technology outcomes research: challenges met and yet unmet, „Am. J. Phys. Med. Rehabil.” 2001; 80: 528–535.

Stack J., Zarate L., Pastor C., Mathiassen NE., Barbera R., Knops H., Kornsten H., Analysing and federating the European assistive technology ICT Industry. Final Report, European Commission, Information Society and Media, March 2009.

Nordic Centre for Rehabilitation Technology, Provision of Assistive Technology in the Nordic Countries, Second Edition, May 2007.

European Communities, 2009 Ageing Report: Economic and budgetary projections for the EU-27 Member States (2008–2060), European Economy 2|2009.

Organization for Economic Co-operation and Development, Maintaining Prosperity in an Ageing Society: The OECD study on the policy implications of ageing, June 1998.

Organization for Economic Co-operation and Development, Ageing and Income. Financial Resources and Retirement in 9 OECD Countries, OECD Publications November, Paris 2001.

England R.S., The Fiscal Challenge of an Aging Industrial World. A White Paper on Demographics and Medical Technology, Center for Strategic and International Studies – Global Aging Initiative, Washington, DC: 2001.

Wiliams E.I., A model to describe social performance levels in elderly people, „JRCGP”, 1986; 36: 422–423.

Miskelly F.G., Assistive technology in elderly care, „Age Ageing” 2001; 30: 455–458.

Fisk M.J., Introduction: what are social alarms? w: Fisk M.J. (red.) Social alarms to telecare: older people’s services in transtion, The Policy Press, Great Britain, 2003: 1–22.

Meystre S., The Current State of Telemonitoring. A comment on the Literature, „J. Telemed. e-Health” 2005; 11(1): 63–69.

Botsis T., Hartvigsen G., Current status and future perspectives in telecare for elderly people suffering from chronic diseases, „J. Telemed. Telecare” 2008; 14: 195–203.

Lymberis A., Ditimar A., Advanced Wearable Health Systems and Applications. Research and Development Efforts in the European Union, „IEEE Eng. Med. Biol. Mag.” 2007; 26(3): 29–33.

Scanaill C.N., Carew S., Barralon P., Noury N.., Lyons D., Lyons G.M., A Review of Approaches to Mobility Telemonitoring of the Elderly in Their Living Environment, „Ann. Biomed. Eng.” 2006; 34(4): 547–563.

Orr R.J., Abowd G.D., The smart floor: a mechanism for natural user identificaiton and tracking, Proceedings of the ACM Conference on Human Factors in Computing Systems 2000: 275–276.

Campbell A.J., Borrie M.J., Spears G.F., Jackson S.L., Brown J.S., Fitzgerald J.L., Circumstances and consequences of falls experienced by a community population 70 years old and over during a prospective study, „Age Ageing” 1990; 19: 136–141.

Tinetti M.E., Speechley M., Ginter S.F., Falls, injuries due to falls, and the risk of admission to a nursing home, „NEJM” 1997; 337(18): 1279–1284.

Sattin R.W., Falls among older persons: a public health perspective, „Ann. Rev. Pub. Health” 1992; 24(3): 265–271.

Aschkenasy M.T., Rothenhaus T.C., Trauma and Falls in the Elderly, „Emerg. Med. Clin. N. Am.” 2006; 24: 413–432.

Sterling D.A., O’Connor J.A., Bonadies J., Geriatric Falls: Injury Severity Is High and Disproportionate to Mechanism, „J. Trauma Inj. Inf. Crit. Care” 2001; 50(1): 116–119.

Stevens J.A., Corso P.S., Finkelstein E.A., Miller T.R., The costs of fatal and non-fatal falls among older adults, „Inj. Prev.” 2006; 12(5): 290–295.

Masud T., Morris R.O., Epidemiology of falls, „Age Ageing” 2001; 30-S4: 3–7.

Larson L., Bergmann T.F., Taking on the fall: The etiology and prevention of falls in the elderly, „Clin. Chiropractic” 2008; 11(3): 148–154.

Rubenstein L.Z., Falls in older people: epidemiology, risk factors and strategies for prevention, „Age Ageing” 2006; 35-S2: ii37–ii41.

World Health Organization, Programmes and projects. Violence and Injury Prevention and Disability, Falls http://www.who.int/violence_injury_prevention/other_injury/falls/en/index.html (dostęp z 20.07.2011 r.).

Gibson M.J., Andreas R.O., Isaacs B., Radebaugh T., Worm-Petersen J., The prevention of falls in later life. A report of the Kellogg International Group on the Preventiona of Falls by the Elderly, „Danish Medical Bulletin” 1987, 34 (Suppl. 4): 1–24.

Noury N., Rumeau P., Bourke A.K., Olaighin G., Lundy J.E., A proposal for the classification and evaluation of fall detectors, „IRBM” 2008; 29: 340–349.

Parker M.J., Gillespie W.J., Gillespie L.D., Hip protectors for preventing hip fractures in older people, Cochrane Collaboration. The Cochrane Library 2009, Issue 3.

Intertek Housing Learning & Improvement Network, 2003. For the DTI Smart Homes Project.

Aldrich F.K., Smart Homes: Past, Present and Future, w: Harper R. (red.), Inside the Smart Home, Springer, 2003, 17–39.

Communication from the Commission to the European Parliament, The Council, The committee of the Regions, Ageing Well in the Information Society An i2010 Initiative Action Plan on Information and Communication Technologies and Ageing.

Seniorwatch 2 Assessment of the Senior Market for ICT Progress and Developments April 2008http://ec.europa.eu/information_society/activities/einclusion/docs/swa2finalreport.pdf(dostęp z 20.07.2011 r.).

Overview of the European strategy in ICT for Ageing Well. October 2010 ttp://ec.europa.eu/information_society/activities/einclusion/docs/ageing/overview.pdf (dostęp z 20.07.2011 r.).

Curry R.G., Tinoco M.T., Wardle D., The Use of Information and Communication Technology (ICT) to Support Independent Living for Older and Disabled People, Report for Social Care Group of the Department of Health, UK, October 2002.

Celler B.G.., Lovell N.H., Chan D.K.Y., The potential impact of home telecare on clinical practice, „Med. J. Austral.” 1999; 171: 518–521.

Hanson J., Osipovic D., Hine N., Amaral T., Curry R., Barlow J., Lifestyle monitoring as a predictive tool in telecare, „J. Telemed. Telecare” 2007; 13: 26–28.

Traver V., Faubel R., Personal Health: The New Paradigm to Make Sustainable the Health Care System, w: Fred A., Filipe J., Gamboa H. (red.), Biomedical Engineering Systems and Technologies, Third Int. Joint Conference, BIOSTEC 2010, Valencia Spain, January 2010, Communications in Computer and Information Science 127, 3–11.

Istepanian R.S.H., Pattichis C.S., Laxminarayan S., Ubiquitous M-Health Systems And Convergence Towards 4G Mobile Technologies, w: Istepanian R.S.H., Larminarayan S., Pattichis C.S. (red.), M-Health. Emerging Mobile Health Systems. Topics in Biomedical Engineering, International Book Series, Springer Science-Business Media, Inc., New York, NY, 2006.

Milenkowic A., Otto C., Jovanov E., Wireless sensor networks for personal health monitoring: Issues and implementationn, „Comp. Comm.” 2006; 29 (13–14): 2521–2533.

Braddock D., Rizzolo M.C., Thompson M., Bell R., Emerging Technologies and Cognitive Disability, „J. Spec. Educ. Techn.” 2004; 19(4): 49–56.

Molin G., Pettersson C., Jonsson O., Keijer U., Living at home with acquired cognitive impairment – Can assistive technology help? „Techn. Disab.” 2007; 19(2–3): 91–101.

Meiland F., Reinersmann A., Bergvall-Kareborn B., Craig D., Moelaert F., Mulvenna M., Nugent C., Scully A., Bengtsson J., Droes R.M., COGKNOW: Development of an ICT Device to Support People with Dementia, „J. Inform. Techn. Healthcare” 2007; 5(5): 324–334.

Lauriks S., Reinersmann A., Van Der Roest H.G., Meiland F.J.M., Davies R.J., Moelaert F., Mulvenna M.D., Nugent C.D., Droes R.M., Review of ICT-based services for identified unmet needs in people with dementia, „Ageing Res. Rev.” 2007; 6(3): 223–246.

61.ICT & Ageing. European Study on Users, Markets and Technologies. Final Report January 2010. Report prepared by empirica and WRC on behalf on the European Commission, Directorate General for Information Society and Media. http://www.ict-ageing.eu (dostęp z 20.07.2011 r.).