ILWAUKIE, Ore. - While academic and corporate researchers
develop systems to enable old people to stay out of nursing homes,
at least one home for the elderly has already been built using some
of the same concepts.
Oatfield Estates, a residential care complex developed by Elite
Care here in this Portland suburb, is wired from top to bottom to
monitor the residents' well- being. Even the residents themselves
are wired, with electronic locating badges.
The complex, which opened last October, consists of 10 group
homes; each one has separate bedrooms for 12 residents, common areas
and a kitchen.
Each bed has sensors that can detect a resident's weight as well
as how much a sleeping person tosses and turns. Infrared motion
sensors switch lights on and off and detect whether a person has
left a bed and not returned which could indicate a fall.
Incontinence can be handled with programmable lights that cue a
resident to use the bathroom. Electric panels are in the wall behind
the toilets for the future installation of toilet sensors that will
detect a person's pulse and body temperature and whether the person
is dehydrated.
In addition, all residents wear tracking badges that also serve
as electronic room keys and help buttons. A high- bandwidth fiber
optic system conveys the tracking information to a central database,
where staff members monitor the data for aberrations. Residents'
rooms also have touch-screen computer stations for e-mail and Web
surfing. And thanks to the tracking badges, software lets residents
locate their friends on a floor plan.
Residents can view and track their own medical information and
make it available on the Web if they want family members to see it.
Other software acts as a cognitive crutch, reminding residents to
take their medicine. Care providers, who also wear tracking badges
that monitor when and how long they are in a room, can log their
activities onto a resident's computer as they work, reducing
paperwork.
Bill Reed, owner of Elite Care, said that the technology could
increase the freedom of elderly people while providing a way to
monitor the quality of care.
"One of the things that happens when you move into a facility for
seniors," he said, "is that they constrict your freedom because they
are afraid of the risks, such as someone falling and nobody
noticing, or burning themselves on a stove, or that someone will go
out and get lost." With technological monitoring, he said, "the
computer can keep an eye on residents' weight, vital signs, movement
and location, and if there is an anomaly, it can alert the
management to send someone to check."
One aspect of this approach is that each house has a family-style
kitchen. "We allow residents to participate in cooking if they
want," Mr. Reed said. "Most facilities don't do that because they
are afraid that some residents who shouldn't be near a stove will
get burned. With the badges and the data relay, if someone tries to
use the stove who is not authorized, it turns off."
This approach is not without controversy. Some fear that the
human touch will be lost as care for the elderly becomes more
automated. "A lot of people say, It's high tech does that mean you
are trying to cut down on the amount of care-giving?" Mr. Reed said.
"No, we want the caregivers to be giving care, not doing government
paperwork."
Mr. Reed said that society had in a sense already cut down on
care for the elderly because people often moved far away from aging
parents. In his vision, computers can pick up some of the slack.
"When my mother was taking care of my grandmother," Mr. Reed
said, "she knew when she got up in the middle of the night, if she
was losing weight or wandering around. The computer takes the place
of someone who is looking after you, and has that sixth sense that
knows when your mother has fallen." As for privacy concerns, Mr.
Reed noted that much of the equipment in his housing could be turned
off if that was what residents wanted.
But he sees the issue of privacy from a different perspective.
"The converse to Big Brother is that you restrict people's freedom
because of insurance," Mr. Reed said. "Right now, especially with
people with dementia, we lock them in their rooms. So the question
is, Would you rather be locked in your room or would you rather have
freedom and have someone monitor your information so they can pick
you up if you fall down?"
Oatfield Estates has been slow to fill up, with only 8 of 120
places filled, which may have something to do with the fact that it
costs a hefty $3,250 a month ($3,650 for couples). But as younger
generations more comfortable with technology begin to retire and
age, this option may become increasingly appealing.
"I figure in another couple decades, I'd better have a good
system developed," Mr. Reed said, "because you couldn't drag me into
a facility that they have now."