"what matters when you try to replace the warm hands with technology?”...
TRANSCRIPT
"What matters when you try to replace the
warm hands with technology?”
Centre for research-based innovation in telemedicine and eHealth systems for chronic, age, and lifestyle related diseases, 2006 – 2014
What matters is
• To keep all persons, the elderly included, out of the health care system as long as possible
• And, if so needed, even with the help of technology
Some characteristics of the future ICT solutions
• Cordless and invisible sensors ”everywhere”– IP– Broadband – Open source– CAD– EWS
• The services will be delivered at new places– From the hospitals to the primary health care institutions– From the hospitals and the primary health care institutions
directly into the patients home• New, private institutions will surface • Requirements for competence about own health will
increase
Services within the hospitals
Tele-Dialysis
TMSTMS
TromsøTromsø
VefsnVefsn
SandnessjøenSandnessjøen
RanaRana
HarstadHarstad
HammerfesHammerfestt
NarvikNarvik
LofotenLofoten
BodøBodø
KirkenesKirkenes
AltaAlta
•Control and follow-up of
•Remote visit, guiding and education
UNN
St Olav
HaukelandDNR/Ullevål
NSS
GFS
VASSiR
Canser treatment
Doseplan
Samarbeid med satelittsykehus ved simulering og doseplanlegging.
Lineærakselrator
Spesialist
Pasient and assistent
Screening diabetics
Telestroke – trombolysis
• 15 000 patents a year • Must intervene with in 3 hours
Time is brain!
Some services between the hospitals and the nursing homes and/or the homes
Arterial ulcers
Photography
Outpatient department at UNN
Some services directly into the patients homes
Healthcare at home
Automatic control of patients compliance for medicine admission
Automatically transferee blood sugar measurement
SMS to parents
Heart patients
The Journal of the Norwegian Medical Association
• Results from a 14 articles meta- analysis show that the death rate is reduced with 30 %
Telecare of the future Lötsjögården (Stockholm)Body watch:
• Temperature
• Motion
• Pulse
• A lot of services in the flats in can be remotely controlled by the residents
GPS Universial Locator GPS Offender Locator
Exampels on telecare Position monitoring
... the system enables a doctor to observe remotely up to four different medical signals from a freely moving patient. Signals that can be transmitted include the ECG, blood pressure, oxygen saturation and blood glucose level.
Liquid cooling garment(overlay)
Skin Temperature sensor
Pulse oximetry sensor
Galvanic Skin Resistance
Bio Sensor NetworkBio Sensor Network• Physiological
sensor network in direct contact with skin
• Integrate sensor signals into a single feed to computer with VPack
• All wires from sensors embedded inside sock to prevent tear in suit bladder
http://www.flcmidatlantic.org/power_point/2006/Wednesday/merrell.ppt#324,7,Slide 7
Given Imaging M2A Camera Pill
• Ingestible pill containing camera, semiconductor, and radio transmitter
• Flashes 4 pictures per second for 24 hours
• Provides unparalleled medical imaging capabilities for endoscopy, proctology, and colonoscopy
SOURCE: National Semiconductor
Senior citizens’ home of tomorrow
Will all this make us healthier?
• A patient who have the feeling of being healthy, is a patient that has not been examined good enough
• Will all this sensors make us feel secured?
• Or will all this sensors make us feel unsecured?
The burden on health care sector today
The requirement of health care wokers
-
50 000
100 000
150 000
200 000
250 000
2000 2005 2010 2015 2020 2025 2030 2035 2040 2045 2050
Figur Sysselsettingsbehovet 2000–2050 målt i årsverk ved utsatt sykelighet og konstant
familieomsorg, målt i antall årsverk (Kilde SSB 2006).
About robots and warm hands
Why do we demand all kind of high-tech medicine to older and older persons/patients,
but when it comes to ICT it is looked upon as we patronize
the elderly?
Centre for research-based innovation in telemedicine and eHealth systems for chronic, age, and lifestyle related diseases, 2006 – 2014
• Do ”we” very strongly want to place the elderly under legal guardianship ?
The use of Internet for health purposes?
0
10
20
30
40
50
60
70
80
90
2000 2001 2002 2005
Total
15-29
30-44
45-59
60+
What does Google tells us about technology and care of the elderly?
• Care of the elderly + challenges gave 69.800 hits
• Technology for care gave 800 hits (mostly focused on protection of privacy)
• Care of the elderly + technology gave 0 hits
A ethical dilemma?
• To me there is a border between those mentally present (adequate) and those who are not
• Dementia
An old lady I once knew
Patients and
level of care
Personsper month Care level
2 (1) University hospital 13 (9) Local hospital
150 General practitioners
500 Self-care
85 Symptoms, no treatment 250 No symptoms
1000 Risk populationSource: Anders Grimsmo
The aim has to be
• To keep all persons, the elderly included, out of the health care system as long as possible
• And, if so needed, even with the help of technology
Thank You !