
The dog days of February -- effort beyond task. I was in a assisted living/nursing home last week and saw the same golden retriever dog (whose master is the ever-cheerful maintenance guy) and down another hall, a snoozing cat. Here's something I've not seen surveyed -- what percentage of senior housing organizations permit and even encourage pets on the premises and in the presence of seniors? If you know the answer to this question, please contact me! I view the presence of a house pet (and not just the caged birds) as an indicator of effort beyond task -- making me hope that's true of every aspect.
Puzzle pieces -- interlocking from necessity. For those of you who have seen the market overview (downloadable free at Aging in Place Technology Watch) or heard me present, you know that I view the technology market categories as four interconnected domains: communication and engagement (PCs, e-mail, web, video, chat), home safety and security (PERS, home monitoring, fall detection), health and wellness (medication dispensing and reminder, disease management, fitness), and contribution and learning (legacy, lifelong learning, volunteering, working). The puzzle metaphor was carefully chosen because ignoring one is a recipe for decline -- risk, isolation, depression, non-compliance.
The puzzle paradigm also reflects the need for solutions beyond products. I am regularly contacted by vendors of products who may have developed one product or be reselling a list of products. My plea is for a vendor to know how their product fits into (or spans) this four-part puzzle for aging well. Even if products are only sold through referral channels or online, it's extremely important that new entrepreneurs and established vendors understand and position their product within in the overall context of an aging individual's life (the puzzle). Even (call me crazy) referring to other vendors who could provide the missing pieces should an individual's circumstances require it. Evidence that we've a long way to go is everywhere -- particularly in the patient or doctor-centricity of language of health-related technologies.
So here are three blog posts from the February collection -- I can't help myself -- the news tends to make me crazy:
The oversized and underdeployed world of mobile Health. It's particularly eye-catching when a category or product is described (as I saw recently) as telehealth/eHealth/mHealth and saving projects are intergalactic in scale, but are far exceeded by spending projections (how can this be?). I love a good market sizing as much as the next analyst, but in the world of health-related devices, perhaps for the benefit of venture capitalists who have no other way to predict success, the market sizings border on the hysterical. With such a market, you'd think we would be benefiting sooner.
Smoke signals and caregiving apps -- more on the way. Caregiving app innovation seems to be falling into two categories: in one, the care recipient is in the center of a portal-like community of those who are interested in their status and care. In the other, care recipients indicate their status (health, wellness) to worried caregivers. As noted above, larger context is required to ensure that these offerings have staying power.
How do home care agencies use technology? Whether it is home health care or companion care, today tech is primarily for administration of paperwork, not yet as a supplemental means of interacting with a care recipient. Yet home care, which is preferred by nearly everyone as an alternative to assisted living or nursing homes, is not typically round-the-clock. For those most at risk, can sensor-based or video technologies help fill in those monitoring time gaps?
If you or your firm would like guidance in any of these areas, learn more about Aging in Place Technology Watch offers of retainer-based business services.
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Hope to see you at one of the many conferences I am attending -- listed on the home page!
All the best!

Laurie Orlov
Rationalizing the Aging in Place "space".
I've been following the emergence of your "context of an aging individual's life (the puzzle)."
I believe that you and Joe Coughlin at the MIT AgeLab could set the pace for a " rational aging in place space" which will greatly help any aging in place product and/or service company who wants to realize their market potential.
Being in love with ones product can blind a company to the most important and compelling needs of potential customers.
Similarly, have a rational aging in place model developed by a "systems analysis" of aging in place, will enhance the adoption of product innovators who understand their relationship with other AIP products and consumer needs and perceptions.
As an experiment, ask 10 people to define "aging in place" and more than likely their definitions will vary widely and not take into account all of the diverse interrelated elements of aging in place which determine "aging in place" policies, practices and technologies.
We really will need to stretch our minds more to fully understand and rationalize the "aging in place space."
Pets
Any project that serves elderly or handicapped persons, and is either subsidized or insured by HUD is required to allow pets. The notable exception is health care facilities such as nursing homes, intermediate care facilities, board and care homes and hospitals (projects insured under Section 232 or 242).
Source: http://www.hud.gov/local/shared/working/r10/mf/petpolicy.cfm?state=wa
Dan Smerken
Smerken Consulting - Eldercare Services
Olympia WA.
Selecting a CCTV magnifier
One of my problems in the selecting a CCTV magnifier (from the hundred on the market) is the lack of Task lists. E.g., Which is best for reading a book? A Newspaper? Shopping? etc. This information is buried in the product reviews. I have started to attack this problem by starting threads on the AFB Technology Talk message board, "How do you ...' do certain tasks. The results are slim, but I will persist.
Abledata.com, the gov't supported AT database has product reviews by users, but there are very few for the low vision products.
The AFB message board is the closest thing to a community of the low visioned, but the users are all hidden behind screen names and there is no way to send a private message. I learned about computers in the computer group SIGs and the beer and sandwich sessions that followed meetings. We can't do that, but the Internet is there to be used.
Suggestions welcome.
Be of good cheer. G F Mueden NY NY
Comment about pets in AL
Yes!!! Pets and animals being an integral part of an AL community is an indicator that the community is offering service, support, and an environment which exceeds the mere essentials. It is likely that the presence of pets and animals varies from region to region as well as based upon the ownership of the particular community.
Our community has 'community' pets and many residents have their own pets - dogs, cats, birds, at the moment - and we are open minded about accepting other pets. The love that a pet provides it owner increases the value of life, as perceived by the resident, and that is why we allow and encourage animals.
We also bring in pet therapy for residents who want interaction with animals and are unable to have a pet of their own.
The aging industry is, and should be, changing rapidly. Thank you for being part of those that offer direction and guidance for providing value to the individual rather than only to the investor.
Side note: Please don't combine 'assisted living' with 'nursing home' as the two environments differ drastically - due to the differences in purpose (among other factors).
Sincerely,
Lisa Gregoire
Lisa Gregoire
Director of Sales and Marketing
Ashley River Plantation
An Assisted Living and Memory Care Community
2333 Ashley River Road
Charleston, SC 29414
843-766-9898 Extension 26
www.AshleyRiverPlantation.com
www.BellPartnersInc.com
lgregoire@bellpartnersinc.com