dementia care, cognitive decline

We are selling a product that people don’t want to buy. This Senior Housing News article, The New Skilled Nursing: Assisted Living Operators Adapt to Changing Place in the Care Continuum does not hide a trend that is significantly changing their business but also the future for older adults. So they delay their move until it becomes urgent – Mom cannot live at home any longer. Translate – Mom is too frail, her dementia is worse, her mobility has declined, etc. She will need multiple types of support.  Recent statistics about assisted living demographics are harsh: Consumer Affairs asserts that 70% of residents have some level of dementia, with the majority of residents women in their 80’s.

Clearly many caregivers are missing out on useful technology.  According to the new AARP Caregiving in the US report, utilization of useful technologies, detailed in a brief report attached here, that could help with care of either children or older adults is below 50% other than smart home tech. Maybe that is the smart doorbell?  Smart TV? --which is just about all you can buy.  Only 10% of caregivers say they own home health safety devices, which probably include a pendant with fall detection or an in-home fall detection device. If these caregivers are living with the older adult, perhaps that makes sense.  If not, perhaps they do not know what they don’t know. Only a third say they use smart home technology (for lighting? Temperature control? Other?). Perhaps the AARP site for caregivers would be of benefit.  Lots of information there.

This report is published every five years – and it is (still) dismaying.  The new report, Caregiving in the US 2025, was published this week. The previous report was surveyed in 2020. The bottom line of it is the sheer number of adults (63 million) who provide care to an adult family member or child with a medical condition or disability in the past 12 months. Most of this care is unpaid.  Some are leveraging state or national programs to pay family caregivers, and one-third, likely higher income, hire outside help. The report’s focus is on the 59 million who provide care for an adult. So what has changed in terms of tech use? If usage penetration is a metric, there is some progress. For example:

An AI tech agent on our behalf – predicted long ago. Consider the definition: “An AI agent is a system that perceives its environment, makes decisions, and takes actions to achieve specific goals, often autonomously.” At first look, that seems quite scary and is reminiscent of two quite predictive fictions:  HAL 9000 in 2001 (“Sorry, Dave, I can’t do that”) or the robot in the Robot and Frank (2012) that takes care of every need of a lonely man with dementia, then assists him in committing crimes.  

Five years ago -- this site looked at the state of dementia-related technologies.  The more things (the tech offerings) change, the more their purpose and function remain the same.  Today there are websites that list gadgetry for managing and living with dementia.  There are research reports about technology for dementia care that include social robots, apps, or GPS locators. There are thoughts about implementation factors, articles from AARP, books about dementia care and many other knowledgeable observations and sources of guidance. Today 6.9 million Americans have dementia, slightly fewer than the 7 million estimated in 2020, though growth projections about dementia through 2030 were large and lon longer timeframe ones are even larger.  So what are the general tech categories that can help at the various stages?