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Changes for page Environments

Last modified by Tim Huisman on 2022/04/05 09:13
From version Icon 2.1 Icon
edited by Ricardo Vogel
on 2022/02/09 10:57
Change comment: There is no comment for this version
To version Icon 3.2 Icon
edited by Rohan Sobha
on 2022/02/09 12:44
Change comment: (Autosaved)

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1 -XWiki.ricardovogel
1 +XWiki.rsobha
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6 6  
7 7  * Pre-dementia: Some subtle signs appear
8 8  * Early dementia: Starts becoming noticeable for others
9 -* Middle dementia: Situation worsens, almost all new information will be lost
10 -* Late: Constant assistance is necessary, may wander or fall
9 +* Middle dementia: Situation worsens as barely any new information is being registered in memory.
10 +* Late: Continuous assistance is necessary as patients may wander off or fall down due to lack of orientation and/or coordination.
11 11  
12 12  Besides symptoms of dementia, other characteristics of the elderly should be considered when designing the systems, including but not limited to:
13 13  
14 -* Decreased sight
15 -* Decreased hearing
16 -* Lack of understanding of technology
17 -* Motor issues
14 +* Impaired vision
15 +* Impaired hearing
16 +* Cognitive inability to comprehend new technology
17 +* Lack of prior basic knowledge to engage with technology
18 +* Motor issues including speech impediments
18 18  
19 19  === Activities ===
20 -These activities can help slow down progression or levitate symptoms of dementia: [[src(wikipedia for now)>>https://en.wikipedia.org/wiki/Dementia#Psychological_and_psychosocial_therapies]]
21 -* Reminiscence therapy
22 -* Offer tailored experiences
23 -* Animal-assisted therapy
24 -* Music
25 -* Exercise
21 +These activities can help slow down progression or alleviate symptoms of dementia: [[Wikipedia>>https://en.wikipedia.org/wiki/Dementia#Psychological_and_psychosocial_therapies]], [[ReJAM>>https://rejam.tudelft.nl/?q=node/4]]
22 +* Reminiscence therapy: therapy that triggers the recall of memories
23 +* Animal-assisted therapy: to provide patients with a primal familiar feeling and helps them connect with nature [[Perspectives of People with Dementia>>https://journals.sagepub.com/doi/10.1177/1533317515598857]]
24 +* Music and Exercise: they serve multiple goals such as increasing physical activity and cognitive stimulation among others.
26 26  
27 27  === Contexts ===
28 -* Care home
29 - * Individual setting
30 - * Group setting
31 - * Constant support available, but may be busy
32 -* Own house
33 - * Earlier stages
34 - * Nurse may be on call
35 - * Loneliness
27 +People with dementia can have residence in a care center or their own home.
28 +====Care Center====
29 +Residents of a care center conduct their activities in both an **individual setting** as well as in a **group setting**. Different settings come with their own challenges.
30 +* Individual setting: there is no direct supervision, so it may take a while for a caretaker to reach the patient. However, whenever a caretaker is present, the patient usually gets their full deserved attention.
31 +* Group setting: there is direct supervision at all times, but if an accident occurs involving a patient from the group who needs immediate attention and urgent care, this leaves the rest of the group hanging which diminishes the effectiveness.
32 +====Own home====
33 +Patients with dementia who reside in their own home are usually in one of three settings:
36 36  
37 -=== Technologies ===
35 +1. Family (living with children and/or spouse) possibly having a health worker coming once or twice a week
36 +2. Sole with nearby assistance
37 +3. Sole with no assistance
38 38  
39 +Patients in the earlier stages of dementia tend to go about their day and try to hide their symptoms from their loved ones. If a loved one finds out, they may not seek help for them out of being afraid of the stigma that comes with dementia. This occurs more often in a family situation than in situations where the patient is alone. In the second situation, the patient may have access to a nurse on call, but stigma, cognitive capability of s
40 +* Nurse may be on call
41 +* Loneliness
42 +
43 +=== Technologies ===
44 +Input:
45 +* Button press and verbal may be hard
46 +* More implicit input, technology reacts
47 +Output:
48 +* Difficulty with text and audio
49 +* Changes in the environment, e.g. a robot