AGEING IN SOCIETY: Ambient Assisted Living in age-friendly communities

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AGEING IN SOCIETYAmbient Assisted Living in
age-friendly communities

• Author Rodd Bond M.R.I.A.I.
• Organisation Netwell Centre,
• School of Nursing, Midwifery, Health Studies
  Applied Sciences
• Dundalk Institute of Technology (IRL)
• Member of EU AGE Platform (expert group on UD
  and IL)

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• Gathers 140 associations from 27 EU Member
  States
• 114 Full Members (9 European-wide organizations
  and 105 national or regional-level associations)
• 18 Observer Members (NGOs outside EU, regional
  and local authorities, research centres etc.)
• Represents 25 million older people across Europe
• Promotes and defends the interests of the 150
  million older people in Europe
• A network that does not stop growing!

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the background
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Levels of interdependence
Cognitive decline High use of respite
services Multiple chronic diseases
Positive views on Bio-metric security
INDEPENDENCE
LEVELS OF DEPENDENCE
CARE LEVELS
Independent at home
Need care in the home / community setting
Need care in a long term / nursing home setting
Positive views on home monitoring
HOME/COMMUNITY SETTING
LONG TERM SETTING
Service centre Independence.
LOCATION
Isolation in the home Declining functional
status Concerns with falling
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The Nestling Project

• Demonstration project around Barrack St.,
• Multi-stakeholder collaboration
• Fusion environment, technology, care model
• Evidence-base for growth and intensification
• Stimulate product/service innovation
• Foster culture of CQI in community
• Build sustainability
• Alignment with national and international
  initiatives

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Incremental impact model (based on CHMC 2005)
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Extent of AAL space
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Louth within WHO Global age-friendly cities
framework

• It promotes active ageing
• The process of optimising opportunities for
  health, participation and security in order to
  enhance quality of life as people age (Active
  Ageing A Policy framework, WHO, 2002)

• Prioritised areas
• Transportation
• Neighbourhood safety security
• engaging with primary care
• Information from trusted sources

ICT isnt a single petal or leaf, - it can
impact on, and animate almost every dimension of
older peoples experiences.
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Burden or Bounty ?
Current costs associated with the management of
acute and chronic care
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Acute Care
Vulnerable
Reducing Burden ?
Curent costs associated with long term care
Reduced independence
Well-being promotion Injury prevention
Costs allocated to prevention
Liberating Bounty ?
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Active Ageing
Community / civic engagement Person-centred
empowerment Active ageing wellness
learning Employment - participation
Costs allocated to engagement and well-being
and participation
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Which market is it ?
Public private health
Threshold of reduced independence
Vulnerable
Public health Public housing
Consumer market
Active Ageing

• Inclusion ?
• Access
• Digital literacy

Low SES
High SES
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Acceptance and use - Technology Ageing( ref
National Academy of Sciences 2005)
From a Universal Design perspective - Whats
unique about ageing and older people ?
Ageing sensory / mobility / cognitive
Communications Learning
Transportation
Living at home
Compensating and accommodating age-related
decline
Health wellness
At work and leisure
Methodological issues
Participation Longitudinal studies Multi-factorial
Context-dependent Ethical
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Some AAL Workshop feedback we need

• to achieve a better balance between technology
  push and market pull in developing the sector.
• to foster the organisational, process and
  cultural changes necessary to meet the challenge
  of personal life quality management at home.
• to address interoperability in the context of
  services evolution and intensification over time
  
• to see AAL within the broader experience of
  living and positive ageing in society, in our
  cities and in our communities
• to consider the affectiveness (as much as the
  functionality) of system and their interfaces