Path Tortuosity in Everyday Movements of Elderly Persons Increases Fall Prediction Beyond Knowledge of Fall History, Medication Use, and Standardized Gait and Balance Assessments

Kearns, William D.; Fozard, James L.; Becker, Mary; Jasiewicz, Jan M.; Craighead, J.; Holtsclaw, Lori; Dion, Charles

doi:10.1016/j.jamda.2012.06.010

Cited by 51 publications

(59 citation statements)

References 36 publications

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“…Clinician focused remote monitoring systems for telehealth can be found in [3][4][5][6][7][8][9]. In the telehealth system shown in [8], wireless wristwatch-based monitoring devices are attached to elderly patients to continuously collect their temperature and motion data.…”

Section: Related Studiesmentioning

confidence: 99%

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An IoT System for Remote Monitoring of Patients at Home

Park

Lee

2017

Applied Sciences

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Application areas that utilize the concept of IoT can be broadened to healthcare or remote monitoring areas. In this paper, a remote monitoring system for patients at home in IoT environments is proposed, constructed, and evaluated through several experiments. To make it operable in IoT environments, a protocol conversion scheme between ISO/IEEE 11073 protocol and oneM2M protocol, and a Multiclass Q-learning scheduling algorithm based on the urgency of biomedical data delivery to medical staff are proposed. In addition, for the sake of patients' privacy, two security schemes are proposed-the separate storage scheme of data in parts and the Buddy-ACK authorization scheme. The experiment on the constructed system showed that the system worked well and the Multiclass Q-learning scheduling algorithm performs better than the Multiclass Based Dynamic Priority scheduling algorithm. We also found that the throughputs of the Multiclass Q-learning scheduling algorithm increase almost linearly as the measurement time increases, whereas the throughputs of the Multiclass Based Dynamic Priority algorithm increase with decreases in the increasing ratio.

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Section: Related Studiesmentioning

confidence: 99%

“…The remote monitoring of patients has become a highly active area of research in recent years [3][4][5][6][7][8][9]. However, there has not been much research on remote monitoring that employs the IoT concept.…”

Section: Introductionmentioning

confidence: 99%

An IoT System for Remote Monitoring of Patients at Home

Park

Lee

2017

Applied Sciences

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“…"Measuring this sleep quality over long periods is very inconvenient, especially for the elderly" [34]; " [...] the belt pack and waist strap were subject to urine odor and dampness" [40]; "Twenty-six participants (38%) disliked wearing wristbands" [41].…”

Section: Technical Problems and Ethical Considerationsmentioning

confidence: 99%

“…Kearns et al used a comprehensive definition for a nursing problem: "Falls are defined as an unintended movement from an elevated position to a position on the surface on which the person was either standing or from a higher surface such as a chair, with no elaboration of the circumstances surrounding the fall" [41]. The complexity of the nursing problems, which is only revealed by such definitions, represents an equally complex challenge for the SeTe and its software algorithms.…”

Section: Underestimated Nursing Problemsmentioning

confidence: 99%

“…The majority of the studies, however, were not aware of the need to consider the ethical aspects of their scientific work [56,57]. Studies which, for instance, used trackers [18] and face-recognition [58], or which had the intention of sharing these data with the electronic health record [41] should take data security into account [59]. This includes the potentially unsecure data transmission from a SeTe device to servers via WiFi [19], Bluetooth [19,27], or a mobile phone [60].…”

Section: A Disappointing Ethical Debatementioning

confidence: 99%

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A critical systematic review and synopsis of the alignment of scientific developments in surveillance technology in nursing care facilities

Fehling¹,

Dassen²

2017

J Nurs

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Background: The deficits in the self-care of older people are often associated with a loss of autonomy and if care is not provided in the home environment by relatives or professional caregivers, then the self-care deficits may result in the admission to a residential care facility (RCF). On the other hand, in industrialized countries, the recruitment and long-term retention of professional caregivers are becoming increasingly difficult. Technical aids such as sensor technology (SeTe) could solve this dilemma and improve the autonomy, the quality of life, and the safety of the residents. Objectives: To analyze the nursing problems targeted in the studies, where was the SeTe used, and why has it been chosen, the technical limitations of SeTe and whether the studies contain ethical considerations. Design: This review followed the Cochrane Collaboration methods for systematic reviewing. The databases EBSCOhost (which includes CINAHL, MEDLINE, and PsycINFO), Web of Science, Cochrane Library, and Google Scholar were searched. Methods: This critical systematic review analyzes publications on SeTe if the nursing problems referred to by scientists have been in connection with residents of RCFs. Studies that focused on participants in hospitals and home environments or those using gaming consoles or medical applications were excluded. Results: Of the 49 studies included, 31% used only accelerometers, 20% used cameras, and 29% combined various types of SeTe devices. The use of various SeTe was beneficial, possibly because the more perspective data are combined. 51% preferred non-wearable SeTe devices, ⅔ preferred the permanent surveillance by SeTe devices. The nursing problems which the research teams concentrated on were fall risk, immobility, agitation and sleep problems. Only ¼ of the studies mention current or potential ethical considerations regarding the surveillance of residents by SeTe devices. Conclusion: It is gratifying that the international interest in researching SeTe in RCFs has increased. Ethical dilemmas were hardly discussed. The future use of SeTe in RCFs is certainly desirable and unavoidable, but consulting the residents, professional caregivers, and nursing scientists about their requirements for useful and necessary technical surveillance first seems usefull. Relevance to Clinical Practice: Currently RCFs should continue to use the SeTe cautiously. Professional caregivers in RCFs should be able to convey the growing self-image of nursing into similar SeTe research projects.

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Body Sensor Networking, Design and Algorithms

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Path Tortuosity in Everyday Movements of Elderly Persons Increases Fall Prediction Beyond Knowledge of Fall History, Medication Use, and Standardized Gait and Balance Assessments

Cited by 51 publications

References 36 publications

An IoT System for Remote Monitoring of Patients at Home

An IoT System for Remote Monitoring of Patients at Home

A critical systematic review and synopsis of the alignment of scientific developments in surveillance technology in nursing care facilities

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