Changes for page Environments
Last modified by Tim Huisman on 2022/04/05 09:13
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edited by Ricardo Vogel
on 2022/02/09 11:15
on 2022/02/09 11:15
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... ... @@ -6,42 +6,38 @@ 6 6 7 7 * Pre-dementia: Some subtle signs appear 8 8 * Early dementia: Starts becoming noticeable for others 9 -* Middle dementia: Situation worsens as barelyany new information isbeingregistered in memory.10 -* Late: Cont inuousassistance is necessaryas patientsmay wander off or falldown due to lack of orientation and/or coordination.9 +* Middle dementia: Situation worsens, almost all new information will be lost 10 +* Late: Constant assistance is necessary, may wander or fall 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 -* 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 14 +* Decreased sight 15 +* Decreased hearing 16 +* Lack of understanding of technology 17 +* Motor issues 19 19 20 20 === Activities === 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. 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 25 25 26 26 === Contexts === 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: 28 +Care House: 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 34 34 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 - 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 seeking help and the limited availability of nurses makes the care insufficient for these patients in the earlier phases of dementia. This elevates their feeling of lonliness. In later phases, they are more keen to seek help as they will prompt nurses to show up to feel less lonely. 40 - 41 41 === Technologies === 42 - Presently, there is supporting technology available, butthe patients may experience difficulty regarding providing input and processing output from the devices that embed this technology.43 - ====Input====44 - Pressingbuttons, touching screensor vocalizing one's desire to engage with supporting technologyis difficult asitrequires a significant amountof patience from loved ones andhealthcare workers alike and sometimes even impossible. In cases this is possible, the reduced recall from short-term memory and reduced digital literacyof these patients can cause the device torespond to unintentional implicitinputs.45 - ====Output====46 - Patientsoften experience hardships processingtextand audio output from thesupporting devices. In addition,changes to the environment like the introductionofarobot cause feeli38 +Input: 39 +* Button press and verbal may be hard 40 +* More implicit input, technology reacts 41 +Output: 42 +* Difficulty with text and audio 47 47 * Changes in the environment, e.g. a robot