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The purpose of this chapter is to discuss how technology can have a positive impact on the living environments and routine life activities of older adults. A living environment is a generic term that is used to indicate place of residence. Technology is broadly defined as the application of scientific knowledge resulting in artifacts that support the practical aims of human life. Auxler life activities are a collection of activities of daily living that are needed for an individual to maintain functioning and quality of life.

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These facilities take many forms but most commonly consist of self-contained, private-occupancy apartments in a range of sizes, styles, and amenities.

Indeed, it has been stated that the difference between needing and not needing nursing home care depends on the availability of social support Kane et al. Nursing homes remain an option for those individuals who require more-intensive assistance, especially with basic ADLs, due to cognitive or health declines. In addition, the regulatory and reimbursement climate has changed and, for the first time in decades, the rates of nursing home occupancy have begun to decrease slightly Kane et al.

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Thus, they move to a living environment that provides them with services because they need to. If a motion detector over the bathroom door is tripped in the middle of the night, it can be assumed that it is the lone occupant of the apartment who has entered the bathroom.

Tagging techniques, such as radio-frequency identification used on freeways and in airports and hotels to identify frequent customers, are much more effective, although their acceptability for general-purpose tracking remains dubious. This use of technology will try to approximate the looking peace of mind that comes from physical proximity. ALH has emerged as a very attractive housing option for many older adults.

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This whole area of cognitive orthotics is of growing interest. Table provides an overview of cognitive orthotics research, some of which we further highlight in this section. Monitoring and perception of activity in public spaces present a greater challenge, particularly for passive forms of monitoring, in which the individual is wearing no special instrumentation e.

The second dimension for technological aids concerns whether they attempt to strengthen a person's intrinsic abilities or seek to provide extrinsic support. Barrett MJ.

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These retirement communities are often located near, and in some cases affiliated with, major universities, thus attracting well-educated alumni as residents. These include acute illness such as strokeprogression of chronic diseases both cognitive and physicaland lack of social support.

Government Printing Office; Much has been written about this cohort, houseaork it has been noted that compared with today's seniors, the boomer vanguard is better educated and more technologically adept. Others choose to relocate as they age. As Mynatt and Rogersp.

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According to the census ofapproximately 95 percent of adults aged 65 and older reside in private households Cohen and Miller, These age differences are particularly pronounced for women. In response to problems discovered with their first prototype, Mihailidis, Fernie, and Barbenel used artificial intelligence to develop a new cognitive orthotic for people with moderate to severe dementia.


Elders go out to eat, shop, be with friends, go to church, and visit medical facilities and doctors' offices, and this desire does not suddenly disappear just because we get older. Examples are safety and security devices that actively prevent day or nighttime wandering into dangerous places or outside the home for individuals who live alone or alerts of wandering for a partner or caregiver living with that individual.

The digital family portrait auxief a history of one month's activity, providing an loooking acceptable communication aid aimed directly at supporting awareness for a distant adult. Houework simulated memory aid records and displays salient near-term actions from a recipe so that, upon resumption from an interruption, the cook can determine things such as how many cups of flour have already been added to the mixing bowl. In the home, the goal is to maintain independent functioning, security, autonomy, and rokm.

This trend may increase further as the baby boomer cohort ages and retires. The use of nursing home and assisted living facilities among privately insured and non-privately insured disabled elders.

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Currently, there are approximately 17, nursing homes in the United States providing care for over 1. Thus, elders may select living environments that optimize their health, safety, and functioning. Functional disability from both physical and cognitive conditions. Hosuework can facilitate the safety and security of older adults and can compensate for age and disease-related declines in health and functioning.

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LoPresti et al. General ing Office, When independently living elders can no longer manage ADLs, and lack family or resources to assist them, they require an alternative home environment that will enable them to maintain the highest level of functioning possible. Lkoking monitor and response systems can operate in the short term to sense a crisis situation, such as loo,ing fall, and provide a way to make a call for help. Medical alert systems provide a phone call to a response agency.

They may do this proactively, either to minimize the work and responsibility of home ownership, to pursue retirement leisure activities, or to be closer to relatives and friends. This research has progressed from using very basic rroom inexpensive timing technologies e. Experimental Aging Research.