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Supporting Caregivers in Nursing Homes for Alzheimer’s Disease Patients: A Technological Approach to Overnight Supervision

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Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2016)

Abstract

The reduction of public expenditure and investments in health care provisioning calls for new, sustainable models to transform the increasing aging population and dementia-related diseases incidence from global challenges into new opportunities. In this context, Information and Communication Technologies play a vital role, to both promote aging in place and home management of Patients with Dementia, and to provide new tools and solutions to facilitate the working conditions of the care staff in nursing homes, which remain an essential facility when cognitive-impaired patients cannot live at home anymore. Night staff in nursing homes are a vulnerable group, receiving less supervision and support than day staff, but with high levels of responsibility. Additionally, nighttime attendance of patients affected by dementia may be difficult, because of their incremented neuropsychiatric symptoms. This paper describes an integrated system for the night monitoring of patients with dementia in nursing homes, based on a product originally conceived for domestic use, but re-designed to provide support to nurses, by means of a set of sensors located in each patient’s room, and suitable software applications to detect dangerous events and raise automatic alerts delivered to the nurses through mobile devices. The results obtained from the first experimental installation of the monitoring system proved the effectiveness of the proposed solution to support nurses during the night supervision of patients, and suggested suitable modifications and additional features to increase the nurses’ compliance.

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Notes

  1. 1.

    All figures in the paper are reproduced from [24].

References

  1. Aloulou, H., Mokhtari, M., Tiberghien, T., Biswas, J., Phua, C., Lin, J.H.K., Yap, P.: Deployment of assistive living technology in a nursing home environment: methods and lessons learned. BMC Med. Inform. Decis. Mak. 13(1), 42 (2013). doi:10.1186/1472-6947-13-42

    Article  Google Scholar 

  2. Ancker, J.S., Witteman, H.O., Hafeez, B., Provencher, T., de Graaf, M.V., Wei, E.: The invisible work of personal health information management among people with multiple chronic conditions: qualitative interview study among patients and providers. J. Med. Internet Res. 17(6), e137 (2015). doi:10.2196/jmir.4381

  3. Asghar, I., Cang, S., Yu, H.: A systematic mapping study on assitive technologies for people with dementia. In: 2015 9th International Conference on Software, Knowledge, Information Management and Applications (SKIMA), pp. 1–8, December 2015

    Google Scholar 

  4. Alzheimer’s Association: 2016 alzheimer’s disease facts and figures. Alzheimer’s Dementia 12(4), 459–509 (2016). http://www.alz.org/documents_custom/2016-facts-and-figures.pdf

  5. Bowens, F.M., Frye, P.A., Jones, W.A.: Health information technology: integration of clinical workflow into meaningful use of electronic health records. Perspect. Health Inf. Manage./AHIMA, Am. Health Inf. Manage. Assoc. 7, 1d (2010). http://europepmc.org/articles/PMC2966355

  6. Chandola, V., Banerjee, A., Kumar, V.: Anomaly detection: a survey. ACM Comput. Surv. 41(3), 15: 1–15: 58 (2009). http://doi.acm.org/10.1145/1541880.1541882

  7. Chiatti, C., Masera, F., Rimland, J., Cherubini, A., Scarpino, O., Spazzafumo, L., Lattanzio, F.: The up-tech project, an intervention to support caregivers of alzheimer’s disease patients in Italy: study protocol for a randomized controlled trial. Trials 14(1), 155 (2013). doi:10.1186/1745-6215-14-155

    Article  Google Scholar 

  8. Chiatti, C., Rimland, J.M., Bonfranceschi, F., Masera, F., Bustacchini, S., Cassetta, L.: The up-tech project, an intervention to support caregivers of alzheimer’s disease patients in Italy: preliminary findings on recruitment and caregiving burden in the baseline population. Aging Mental Health 19(6), 517–525 (2015)

    Article  Google Scholar 

  9. Cook, G.A., Bailey, C., Moyle, W.: The impact of ICT-based telecare technology on quality of life of people with dementia: review of the literature. In: 2013 6th International Conference on Human System Interactions (HSI), pp. 614–619, June 2013

    Google Scholar 

  10. Kerr, D., Wilkinson, H., Cunningham, C.: Supporting older people in care homes at night (2008). https://www.jrf.org.uk/report/supporting-older-people-care-homes-night

  11. Freedman, V.A.: Barriers to implementing technology in residential long-term care settings. Polisher Research Institute (2005)

    Google Scholar 

  12. Hallberg, I.R., Norberg, A.: Nurses’ experiences of strain and their reactions in the care of severely demented patients. Int. J. Geriatr. Psychiatry 10(9), 757–766 (1995). doi:10.1002/gps.930100906

    Article  Google Scholar 

  13. Huston, C.: The impact of emerging technology on nursing care warp speed ahead. OJIN Online J. Issues Nurs. 18(2), 1 (2013)

    Google Scholar 

  14. Institute of Medicine: Improving the Quality of Care in Nursing Homes. The National Academies Press, Washington, DC (1986). http://www.nap.edu/catalog/646/improving-the-quality-of-care-in-nursing-homes

  15. Kahanpää, A., Noro, A., Finne-Soveri, H., Lehto, J., Perälä, M.L.: Perceived and observed quality of long-term care for residents - does functional ability account? Int. J. Older People Nurs. (2016). doi:10.1111/opn.12110

  16. Khachiyants, N., Trinkle, D., Son, S.J., Kim, K.Y.: Sundown syndrome in persons with dementia: an update. Psychiatry Invest. 8(4), 275–287 (2011). http://doi.org/10.4306/pi.2011.8.4.275

  17. Kim, S.S., Oh, K.M., Richards, K.: Sleep disturbance, nocturnal agitation behaviors, and medical comorbidity in older adults with dementia: relationship to reported caregiver burden. Res. Gerontol. Nurs. 7(5), 206–214 (2014). doi:10.3928/19404921-20140512-01

  18. Lee, D., Heo, S.H., Yoon, S.S., Chang, D.I., Lee, S., Rhee, H.Y., Ku, B.D., Park, K.C.: Sleep disturbances and predictive factors in caregivers of patients with mild cognitive impairment and dementia. J. Clin. Neurol. 10(4), 304 (2014). doi:10.3988/jcn.2014.10.4.304

    Article  Google Scholar 

  19. Lotfi, A., Langensiepen, C., Mahmoud, S., Akhlaghinia, M.: Smart homes for the elderly dementia sufferers: identification and prediction of abnormal behaviour. J. Ambient Intell. Hum. Comput. 3(3), 205–218 (2012). doi:10.1007/s12652-010-0043-x

    Article  Google Scholar 

  20. Lowry, S.Z., Ramaiah, M., Patterson, E.S., Brick, D., Gibbons, M.C., Paul, L.A.: Integrating electronic health records into clinical workflow: an application of human factors modeling methods to specialty care in ‘obstetrics and gynecology’ and ‘ophthalmology’. Technical report, National Institute of Standards and Technology (2015). doi:10.6028/NIST.IR.8042

  21. Mao, H.F., Chang, L.H., Yao, G., Chen, W.Y., Huang, W.N.W.: Indicators of perceived useful dementia care assistive technology: caregivers’ perspectives. Geriatr. Gerontol. Int. 15(8), 1049–1057 (2015). doi:10.1111/ggi.12398

    Article  Google Scholar 

  22. Martínez-Alcalá, I.C., Pliego-Pastrana, P., Rosales-Lagarde, A., Lopez-Noguerola, J., Molina-Trinidad, M.E.: Information and communication technologies in the care of the elderly: systematic review of applications aimed at patients with dementia and caregivers. JMIR Rehabil. Assist. Technol. 3(1), e6 (2016). http://rehab.jmir.org/2016/1/e6/

  23. Milte, R., Shulver, W., Killington, M., Bradley, C., Ratcliffe, J., Crotty, M.: Quality in residential care from the perspective of people living with dementia: the importance of personhood. Arch. Gerontol. Geriatr. 63, 9–17 (2016). doi:10.1016/j.archger.2015.11.007

  24. Montanini, L., Raffaeli, L., Santis, A.D., Campo, A.D., Chiatti, C., Rascioni, G., Gambi, E., Spinsante, S.: Overnight supervision of alzheimer’s disease patients in nursing homes: system development and field trial. In: 2016 2nd International Conference on ICT for Ageing Well, April 2016

    Google Scholar 

  25. Nazerfard, E., Rashidi, P., Cook, D.: Discovering temporal features and relations of activity patterns. In: 2010 IEEE International Conference on Data Mining Workshops (ICDMW), pp. 1069–1075, December 2010

    Google Scholar 

  26. Obi, T., Auffret, J., Iwasaki, N.: Aging Society and ICT: Global Silver Innovation, 1st edn. IOS Press, Amsterdam (2013)

    Google Scholar 

  27. Occhiuzzi, C., Vallese, C., Amendola, S., Manzari, S., Marrocco, G.: Night-care: a passive RFID system for remote monitoring and control of overnight living environment. Procedia Comput. Sci. 32, 190–197 (2014). The 5th International Conference on Ambient Systems, Networks and Technologies (ANT-2014), The 4th International Conference on Sustainable Energy Information Technology (SEIT-2014). http://www.sciencedirect.com/science/article/pii/S1877050914006140

  28. Organization for Economic Co-operation and Development. Focus on health spending: OECD health statistics 2015 (2015). http://www.oecd.org/health/health-systems/Focus-Health-Spending-2015.pdf

  29. Patterson, T., et al.: Home-based self-management of dementia: closing the loop. In: Geissbühler, A., Demongeot, J., Mokhtari, M., Abdulrazak, B., Aloulou, H. (eds.) ICOST 2015. LNCS, vol. 9102, pp. 232–243. Springer, Cham (2015). doi:10.1007/978-3-319-19312-0_19

    Chapter  Google Scholar 

  30. Pombo, N., Spinsante, S., Chiatti, C., Olivetti, P., Gambi, E., Garcia, N.: Assistive technologies for homecare: outcomes from trial experiences. In: ICT Innovations 2015 Proceedings, Workshop ELEMENT 2015 (2015)

    Google Scholar 

  31. Spijker, A., Vernooij-Dassen, M., Vasse, E., Adang, E., Wollersheim, H., Grol, R., Verhey, F.: Effectiveness of non pharmacological interventions in delaying the institutionalization of patients with dementia: a meta-analysis. J. Am. Geriatr. Soc. 56(6), 1116–1128 (2008). doi:10.1111/j.1532-5415.2008.01705.x

  32. Vuong, N.K., Goh, S.G.A., Chan, S., Lau, C.T.: A mobile-health application to detect wandering patterns of elderly people in home environment. In: 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 6748–6751. Institute of Electrical & Electronics Engineers (IEEE) (2013). doi:10.1109/EMBC.2013.6611105

  33. Zimmerman, S., Sloane, P.D., Williams, C.S., Reed, P.S., Preisser, J.S., Eckert, J.K., Boustani, M., Dobbs, D.: Dementia care and quality of life in assisted living and nursing homes. Gerontol. 45(suppl 1), 133–146 (2005). http://gerontologist.oxfordjournals.org/content/45/suppl_1/133.abstract

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Acknowledgements

This work was partially funded through an Innovation Voucher issued in the framework of the WIDER project (Green Growing of SMEs: Innovation and Development in the Energy Sector in the Med Area), and partially by the AAL 2014-1-041 project “Home4Dem” (HOME-based ICT solutions FOR the independent living of people with DEMentia and their caregivers), co-founded by the Active and Assisted Living Joint Platform.

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Correspondence to Laura Montanini .

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Montanini, L. et al. (2017). Supporting Caregivers in Nursing Homes for Alzheimer’s Disease Patients: A Technological Approach to Overnight Supervision. In: Röcker, C., O'Donoghue, J., Ziefle, M., Helfert, M., Molloy, W. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE 2016. Communications in Computer and Information Science, vol 736. Springer, Cham. https://doi.org/10.1007/978-3-319-62704-5_1

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  • DOI: https://doi.org/10.1007/978-3-319-62704-5_1

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