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WORKSHOP AGEING WELL INTEGRATING HEALTHY AGING AND CHRONICITY. Dr Ignasi Sáez isaez@bsa.cat Geriatrician Department of Geriatric Medicine and Palliative Care Badalona Serveis Assistencials Barcelona, 17th January 2013.
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WORKSHOPAGEING WELLINTEGRATING HEALTHY AGING AND CHRONICITY Dr Ignasi Sáez isaez@bsa.cat Geriatrician Department of Geriatric Medicine and Palliative Care Badalona Serveis Assistencials Barcelona, 17th January 2013
The voice of the end users of HSH:Elderly and carers views about the Home Sweet Home Project • Difficulties • Benefits • Further improvements
difficulties • Accepting use of something new • I am all right as I am now • I don’t need any machine to keep on with my life • I am afraid of using the, in case I break them down • Accepting use and confident to technology • Anyway, I know that this will never work properly • Uau…darling! This is too much complicated!
difficulties • Changing their home environment • Do you mean that so many wires… • …and this blinking light will not be too power consuming? • Changing their free daily schedule • …and it will be necessary to take my blood pressure every day. I have never done that!
difficulties • Cognitive and functional abilities to perform • Use of control remote with several steps • In which channel did you said that my daughter appeared on TV? • Turn back to Home page before measurement • (for the third time) Oh, I see, so I need to press here each time I want to take my blood pressure? • Put arm blood pressure monitor • I tried several times but the blood pressure results where inappropriate. I decided to take my own wrist blood pressure monitor.
difficulties • Cognitive and functional abilities to perform • Switch off Smoke alarm • It was horrible, I could only leave this loud noise until my son could come and switched it off • Outdoor mobility for Mambo usage • I am not really using this telephone because I don’t go out usually, and in case I I always go with someone else.
benefits • Clinical team visits: increased personal contact • I thank you for coming home frecuently, my GP is not able to do so as much as I would like… • Feeling secure at home: 24h contact • …at least I know I can call any time pressing this red button. • once I did not contact my daughter because it was too late at night. I did not know what to do… Now I can use this device
benefits • Confidence in health situation and progress • I can monitor my lost of weight easier than I would do going to the pharmacy • Cognitive training opportunity in normal ageing • I find it really interesting to be able to play with these funny games • Oh, I can finally improve my memory. I keep on forgetting many things lately, you know… • Early contact in case of emergency • They contacted me immediately although I was not feeling out of breath. They anyway suggested me to contact the Emergency number for a urgent assessment.
further improvements • Enthusiasm. Human value. • Frailty as target phenotype. Improving fine selection: which old person is more suitable to what services. • Design priority: • listen to end user! • Improve a system adaptable enough to each reality