There are two undeniable trends in senior care. First is the strong preference of seniors to age in place, to live in the lowest acuity setting possible. Second is the ongoing labor shortage, which shows no sign of improving. Ambient sensing technology can be part of the solution for both of these trends by helping seniors live independently and safely, and helping caregivers monitor and address health concerns in their early stages.
Ambient sensing works by installing devices in the living spaces—homes or senior care communities—of seniors. These sensors look similar to a smoke or CO2 detector and run 24/7. Typical placement would be one device per room, such as a bathroom, a bedroom, a kitchen and a living room. Once the resident consents to having the monitoring turned on, the sensors use radar to monitor mobility, sleep patterns, and movement of people in or out of the space, including if the resident leaves.
It’s important to note that these sensors are not collecting clinical information, making clinical decisions or replacing care team conversations with residents. They simply provide additional insights for the resident and care team. For example, let’s say the ambient sensors show an increase in bathroom use during the night. This could indicate a health issue the care team needs to address.
In a case like this, a resident might not remember exactly how often or how many times they were up during the night when talking with care staff. Without the sensing technology, it would be difficult for the care team to have detailed, accurate data about a situation like this since they’re not monitoring in-person, around the clock. Ambient sensing helps make up for that gap by providing insights that can potentially prevent health issues from getting worse.
Residents and their families are asking for ambient sensing more and more. Initially, people were curious about the sensors and their placement in their homes. But technology-enabled living has made them feel safer because they know they’ll have help if they need it.
Privacy concerns have come up. While some technologies use tools such as video to capture images of what a resident is doing, more innovative solutions leverage radar, which can sense movement. Once residents understand that radar-based ambient sensing only provides a set of information points about the resident, that alleviates any privacy concerns they may have.
Ambient sensing can help care teams work more efficiently in a few different ways. First, on the level of daily routines. For instance, maybe care staff makes it a practice to make sure that every independent or assisted living resident is up by 10 a.m. They may go around knocking on doors, doing a face-to-face check. But with ambient sensing, they’ll be able to see if a resident is up and around without having to disturb them, which is more respectful of the resident’s privacy and more efficient for your staff.
The data provided by ambient sensing can also help show, in an objective way, when it might be time to have a conversation with the resident and family members about changing the level of care. If the sensor data shows less mobility, maybe therapy or more of an assisted living arrangement is needed. Having data from the sensors provides insights to support those conversations and do what’s best for residents.
We’ve heard how ambient sensing has had a positive impact on care from some early users. In one case, sensors showed a resident visiting the bathroom more frequently than usual during the night, while also indicating declining sleep quality. The primary physician found that the resident had a urinary tract infection, which was successfully treated with antibiotics. It happened that this patient had a history of kidney infections, so catching the UTI early likely helped prevent a more serious health issue.
This technology can also sense instability events that may be precursors to a major fall. If sensors indicate that a resident has tripped or stumbled, care teams can be alerted via a text group chat so they can take action earlier and help prevent a fall. Similarly, ambient sensing can track the efficacy of physical therapy by helping to evaluate whether a resident returns to baseline activity levels.
The goal of ambient sensing is to capture signals, turn those signals into insights about how the resident is doing, and then roll those insights into workflows and the day-to-day processes of the care team. This technology can support better clinical decisions that can help lead to better outcomes, higher resident satisfaction, and the reduction of potential incidents. Ambient sensing is still evolving, but if it can help solve for the preferences of seniors to age in place, help mitigate staff shortages and provide information that helps clinical staff improve outcomes, this technology will have a key role to play going forward.
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Lee Kilmer serves as the Vice President, Product Management at MatrixCare. Lee started at MatrixCare in June of 2016 and has over 24 years of experience leading global software development and product management teams with a proven track record for setting product strategy and delivering new innovative software solutions to market. Lee currently resides in the Greater Minneapolis-St. Paul Area.
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