“Giving People the Tools

to Take Control”Dr. Kevin Doughty

Director, Centre for Usable Home Technologies, Universities of Coventry, York, and Newcastle

Director of Smart Systems, WHATcares, Carers Trust

Wee Stage, The Arches, 253 Argyle Street, Glasgow, G2 8DLMonday, 16th. March, 2015

WE CHOSE TO CLIMB! SELF-DIRECTED CARE IN SCOTLAND

Person Centred Care

Abilities

Interests

FamilyValues

Goals

© KD 2015

Tools to Take Control1. Assessments

– Must focus on goals

– Need to understand the obstacles posed by ill-health, long

term conditions, disability, individual preferences, etc

© KD 2015

Goals - A Personal Bucket List?• Everything you want to achieve in life, dreams you want

to fulfil, and better experiences you desire.• It’s a reminder of what we want to achieve in our time

on Planet Earth, so that instead of wasting time, we are directing our energies into doing what matters to us.– What would you do if you had unlimited time and money?– What have you always wanted to do but have not done yet?– Any countries, places or locations you want to visit?– What do you want to see in person?– What experiences do you want to have / feel?– Are there any special moments you want to witness?– What activities or skills do you want to learn or try out?– What would you like to say/do together with other people? – Are there any specific people you want to meet in person?

© KD 2015

Obstacles and IssuesWe can’t always do what we want to do – there are challenges to overcome:

– Health issues

– Mobility restrictions

– Sensory deficits

– Cognitive/neurological issues

– Communication difficulties

Each challenge introduces issues that need to be resolved

© KD 2015

Some Conditions and Issues

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Tools to Take Control1. Assessments

– Must focus on goals

– Need to understand the obstacles posed by ill-health, long

term conditions, disability, individual preferences, etc

2. Technologies– Vital signs monitoring and wearable devices

– Smart homes

– Communications

– Computers, interfaces and tablets

– Smart phones and Apps

© KD 2015

Learning Disability – Health Comparisons

Condition Entire

population

Chances of dying before 50 1 in 1000

Death from respiratory

diseases

16%

Incidence of epilepsy 1%

Avoidable death rate 0.3% p.a.

Dementia in over-65s 5.7%

Women having smear test 77%

In patients in hospital per

annum

14%

60 in 1000

49%

22%

1.2% p.a.

21.6%

19%

26%

People

with LD

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2nd Generation Telehealth Equipment

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Non-Invasive Blood Glucose Measurement

• C8 MediSensors uses Raman spectroscopy to non-invasively detect glucose in blood by shining light through the skin and detecting changes in the returning spectrum.

• Once the sensor is attached to the skin it sends out regular readings wirelessly

© KD 2015

• Abbott’s FreeStyle LibreFlash Glucose Monitoring System has a sensor that’s attached to the back of the upper arm and a device that copies and displays the readings from the sensor.

• The sensor records blood glucose levels every minute, sampling the interstitial fluid using a 5mm long filament that penetrates the skin.

Contactless ECG Measurements

• The EPIC sensor can measure very

slight changes in the electric field around

it and doesn’t require gels or substrates

to enhance signal transmission, very

useful for ECG, EMG, and EEG

applications

• At a distance, the sensor can detect arm

gestures and body movement, also

useful for patient monitoring

• The imPulse device reads anyone’s

cardiac signals via the two EPIC thumb

pads and uses Bluetooth to interface

with smartphones and tablets for instant

ECG readout.

• Because of its low energy consumption,

the imPulse is promised to work for

months without requiring battery

changes

© KD 2015

BOW BOW DevicesBOdy Worn Battery-Operated Wireless device

They gather data automatically & continually from the wearer.

© KD 2015

Collecting Vital Signs Data 2015

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Smart Homes – Samsung Style

Smart Bathroom Elements

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The Internet of Things

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From Dial-up to Broadband

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Virgin Cable

Coverage

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Speed Inequalities

What About Mobile Phones?20% of UK households no longer have a landlineMobile phones allow communication at home, and away

UK’s First Mobile Phones© KD 2015

EE Mobile Coverage in the UK

After launch in 2012 in 10 cities, 4G services are now reaching over 50% of the population but only a small percentage of communities

© KD 2015

Computers Reach the Masses to

Offer Information and to Overcome

Social Isolation

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Personal Wearable Cool Interfaces

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Sony’s SmartEyeglass

Control – for Mice and Men!

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The Power of SmartPhonesFeatures Sensors & Actuators

Good processing power Microphone

Large touch-screen colour

display

High quality speaker & headphone

output

Large memory Accelerometers

Phone & SMS/MMS GPS & GSM location

Familiar Interface options Magnetometer

Lightweight & always carried Temperature chip

Open platforms for innovation Camera(s)

M-care “apps” explosion Vibration unit

Peripheral devices available Direct inputs

Prices are falling Bluetooth (LE) & WiFi

Battery life is increasing Proximity sensor

Suitable for different modes of

operation

Near Field Communications (NFC)

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Mobile Healthcare & Apps

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Health & Well-being AppsFall DetectorSpantec GmbH

© KD 2015

Apple and Samsung - both develop new health monitoring platforms

© KD 2015

Tools to Take Control1. Assessments

– Must focus on goals

– Need to understand the obstacles posed by ill-health, long

term conditions, disability, individual preferences, etc

2. Technologies– Vital signs monitoring and wearable devices

– Smart homes

– Communications

– Computers, interfaces and tablets

– Smart phones and Apps

3. Decision support– Links to assessment

– Simple filters

– Where to buy

– Independent advice© KD 2015

Matching Goals to Technology Opportunities

Goal or

Ambition

Potential Issues or

Need

Technology Options

Stay put Avoid residential care

Move to level access home

Telecare services

Stair-lift or exoskeleton

Get out more Visiting local amenities

Attending social events

Mobility scooter

Discover events online

Be more

independent

Perform domestic tasks

Take more decisions

Buy a robotic cleaner

Online shopping

Become

physically fitter

Take more exercise

Lose weight

Use a treadmill

Wear a fitness tracker

Take up a new

interest

Learn a new language

Play strategy games

Web conversations

Virtual games forums

Enjoy better sleep

Sleep for longerWake up refreshed

Monitor sleep qualityProvide relaxing music

© KD 2015

HMDs (Head Mounted Displays) have

established themselves as the premier patient

distraction and entertainment system in

dentistry in New York

3D Displays on TV

- Virtual tour bus

- Virtual “bucket list” fulfilment

Virtual Presence Technology

© KD 2015

© KD 2015

New Web Portal Developed for Mi Liverpool Dallas Community

© KD 2015

THANK YOU

FOR YOUR ATTENTION

Any questions?

dr.k.doughty@btinternet.com

Mob: 07810797971

PLEASE CONTACT ME DIRECTLY

FOR A COPY OF MY PRESENTATION