topo: aging population and ami
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Päivi Topo, academy research fellow, National Institute for Health and Welfare (THL)Aging population, care services and needs for ambient technology.TRANSCRIPT
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Ageing population, care services and needs for ambient technology
Päivi Topo
Email: [email protected]
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Population is ageing globally
19/05/2009 Ageing population, care services and needs for ambient technology / Päivi Topo 2
Source: World Population Ageing: 1950-2050. UN.
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19/05/2009 Ageing population, care services and needs for ambient technology / Päivi Topo 3
Source: World Population Ageing: 1950-2050. UN.
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Significant differences among people in old age
• Go GoPeople no or minor chronic health problems
• Slow Go• People with problems in health and/or
functioning that cause some challenges for daily life
• No Go• People with severe problems in health and functioning, dependence on others in daily life
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Go Go and ambient technology• Prevention is the main issue:
Nutrition & diet & weight controlBlood pressureSports & daily physical activitySleepSocial activities Cognitive activities
• Support in their social activities and care responsibilities
• Changes already in fucntioning because of normal ageing need to be taken into account in user requirements
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Slow Go and ambient technology
• self-care of acute & chronic disease (medication, blood pressure, blood sugar etc.)
• "self-rehabilitation" (physical, cognitive, psychological exercises & feed back)
• social engangement
• Many "slow go people" also care for their frail spouses or other relatives
• Time to learn to use technology; motivation to do it depends on how necessary it is
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No Go and ambient technology
• self-care of acute & severe chronic disease (medication, blood pressure, blood sugar etc.)
• "self-rehabilitation" (physical, cognitive, psychological exercices & feed back)
• social engangement
• due dependence on help from the others communication & information delivery very important: easier to organise within family, more complex if health & social care services needed
• cognitive problems common: difficulties in learning > easy to use is basic requirement
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People with dementia as an example of Slow Go & No Go
• 30 million people with dementia worldwide: by 2050, over 100 million.
• Much of the increase will be in developing countries.
• More than 60% of people with dementia live in developing countries, by 2040 71%.
• The fastest growth in the elderly population is taking place in China, India, and south Asian and western Pacific.
• In western countries people with dementia use the vast majority of services for the ageing population: their care is far more expensive than cancer treatment
19/05/2009 Ageing population, care services and needs for ambient technology / Päivi Topo 8
Source: Alzheimer´s Disease International
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Prevalence of dementing illnesses in Finland by age
Age group Prevalence (%)
65-69 2,3
70-74 4,2
75-79 8,6
80-84 13,0
85-89 25,3
90+ 33,5
19/05/2009 Ageing population, care services and needs for ambient technology / Päivi Topo 9
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Can technology help?
• Dementia caused by Alzheimers disease and other similar disease weakens cognitive abilities widely
• Gradually the person has problems in short term memory, in orientation, perception, counting etc.
• Causes severe difficulties in daily life & need for 24 hour care
• Technology has been successfully used to help family carers, social & health care personell
• Topo P. Technology studies to meet the needs of people with dementia and their caregivers: a literature review. Journal of Applied Gerontology 2009.
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Can technology help?• Little is known about potential to directly support the person
with dementia to be more indepent or to have better quality of life
• Existing studies show promising results
• Good solutions needed for help in maintaining abilities & cognition, to help in orientation, to improve safety at home and in compensating skills that have been lost or are in danger to be lost
• This kind of approach can help in decreasing needs of care & cutting costs of care BUT it requires that personal help is available when needed
• Topo P. Technology studies to meet the needs of people with dementia and their caregivers: a literature review. Journal of Applied Gerontology 2009.
• Topo P. & Östlund B. (eds): Dementia, design and technology - Time to get involved. IOS Press, 2009 (available at: www.thl.fi/bookshop)
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Unnecessary disability in ageing societies
• Barrier free design & accessibility are essential
• Technology now used to compensate problems caused by non-accessibile design of built environments
• Service needs & needs for assistance are often caused by non-accessible environment:
UNNECESSARY DISABILITY
• Ambient technology has huge potential in improving actual environments of old people towards optimal environment
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Thank you!