Special Topic: Assistive Technology & Aging in Place

By Kelly Hartwick, Ph.D

The Role of Assistive Technology in Promoting Aging in Place for the Elderly and Individuals with Dementia

The desire for seniors to “age in place,” or to live in their homes independently for as long as possible, has become more widespread. For individuals living with dementia, this goal is often complicated by cognitive decline, memory issues, and safety concerns. Assistive technology (AT) offers solutions that can improve safety, promote independence, and provide cognitive support. Below are key examples of how AT can strengthen safety and independence in the home environment.

Home Safety: Ensuring the safety of older adults is a primary concern. Forgetfulness and wandering can significantly increase the risk of accidents. AT can lessen these risks by providing live alerts and automated safeguards.

• Smart Sensors: These devices monitor irregular activities, such as prolonged inactivity or unsafe movement, and alert caregivers instantly. Motion sensors can track entry into high-risk areas such as kitchens and bathrooms, helping prevent potential accidents.

• Kitchen Safety Technology: Cooking accidents are common among those with memory impairments. Stove shutoff devices prevent fires by turning off appliances when inactivity or overheating is detected. Using a microwave and simplifying cooking tasks are a good way to maintain independence while decreasing the risk of hazards in the kitchen.

• Fall Detection Systems: Falls pose a risk that may threaten the ability for an individual to safely remain in their home. Wearable devices equipped with fall detection (ie. Life Alert) automatically notify caregivers or emergency services to ensure quick assistance if falls occur.

  
  

Promoting Daily Independence: AT plays an important role in empowering older adults to manage daily tasks with less caregiver support which can greatly improve their quality of life.

• Smart Home Devices: Voice-activated systems like Amazon Alexa or Google Home allow seniors to control lighting, thermostats, and reminders using simple voice commands. These devices are especially beneficial for individuals with limited mobility or cognitive challenges.

• Medication Management Systems: Automated pill dispensers ensure that older adults take the correct medications at the right time, reducing the chances of missed or incorrect doses and lessening the caregiver’s burden.

  
  

  Cognitive Support: Memory lapses and disorientation can make daily life challenging for individuals with dementia. Assistive technology provides valuable cognitive support to help mitigate these difficulties.

• Digital Memory Aids: Devices such as smart clocks and reminder systems assist individuals in staying oriented to time and daily routines.

• GPS Tracking Devices: Wearable GPS systems enable caregivers to monitor the location of individuals who may wander. These devices provide real-time alerts if someone exits designated safe zones, improving safety without restricting freedom

  
  

  Optimizing the Home Environment for Safety: Simple, cost-effective changes can significantly enhance safety and accessibility in the home. These adjustments, combined with assistive technology, improve overall well-being and promote independence.

• Remove trip hazards, such as throw rugs and electrical cords

• Add visual contrast to household surfaces for easier navigation

• Organize key areas, such as medication or bill-paying stations, for ease of access

• Enhance lighting, especially with task lighting or nightlights to prevent falls at night

• Install bathroom safety features like grab bars, shower chairs, and raised toilet seats to assist with toileting and bathing

  
  

In summary, assistive technology is essential in promoting aging in place for older adults, including those living with dementia. AT allows individuals to live comfortably and securely in their homes for longer by enhancing safety and supporting independence.. For caregivers, these technologies offer essential monitoring tools that can help achieve a balance between maintaining independence and receiving the necessary support.