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Geriatrics, Gerontology & Gerontechnology

1st ISG Masterclass Gerontechnology Eindhoven, may 22nd – 23 rd , 2006 International Society for Gerontechnology and the Herman Bouma Foundation for Gerontechnology. Geriatrics, Gerontology & Gerontechnology. Prof.dr. Alain Franco, France. Aging worldwide.

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Geriatrics, Gerontology & Gerontechnology

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  1. 1st ISG Masterclass Gerontechnology Eindhoven, may 22nd – 23rd, 2006 International Society for Gerontechnology and the Herman Bouma Foundation for Gerontechnology Geriatrics, Gerontology & Gerontechnology Prof.dr. Alain Franco, France

  2. Aging worldwide

  3. « Women have now the power, my dear! »

  4. Structure of the populationUK 1991, Pr Stuart PARKER, University of Sheffield Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  5. UK 1991Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  6. UK 1996Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  7. UK 2001Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  8. UK 2006Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  9. UK 2011Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  10. UK 2016Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  11. UK 2021Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  12. UK 2026Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  13. UK 2031Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  14. UK 2036Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  15. UK 2041Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  16. UK 2046Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  17. UK 2051Parker 2001 Age 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 Population in millions

  18. Usually healthy aging

  19. Worldwide but differences in life expectancy

  20. Population mondiale

  21. Gero(n)technologyDefinition • Crossed and multidisciplinary approach between gerontology and technology • Gerontology: sciences of aging under its different aspects • Technology: technics applied to the production of goods and services answering needs of daily living CORNET G., Revue Hospitalière de France, 1999, n°2, 82-5.

  22. GerontechnologyFinality To improve quality of life To improve quality of care For aging and elderly persons For frail and/or disabled persons

  23. GerontechnologyGoals of prevention • To protect or restore autonomy • To improve the comfortin the ADL • To improve the efficacyin the IADL • To protectsocial links by developing technical aids • To create a favourable environment in order to prevent or compensate functional disabilities

  24. GerontechnologyA paradox • technologies are invading the society • New and performing tools for elderly patients, caregivers • decrease (?) of learning capacities for elderly persons • Gap at risk to generate exclusion • Two worlds apparently distant “Les chassés-croisés entre la technique et le social" Françoise BOUCHAYER (CNAV), Alain ROZENKIER (MIRE), French gov. Report, 1999

  25. GerontechnologyMoving World: International Society of Gerontechnology 1991 1st Congress in Eindhoven (NL) 1991-1996 EU Programs: COST A5, TIDE, 5th and 6th RDCP 1996 Congress in Helsinki 2002 Congress in Miami CORNET G., Revue Hospitalière de France, 1999, n°2, 82-5. France 2002 Groupe Français de Gérontechnologie de la SFGG Institut de la Longévité (France): genetics, clinical research, gerontechnology… but gave up…

  26. GerontechnologyWays for action • A method: user centered • Identification of the needs of end users and intermediate users • Step by step evaluation of solutions (iteration) • Global expectations are different from younger population • Integration of aged persons in the process

  27. A collaboration: multidisciplinarity obvious for gerontologists. ergonomy, communication, computer, robotics, domotics, micro-electronics, biotechnology, « design for all », for the weakest Brakes: sociology, psychology, legal , professional and ethical aspects, fear instrumentalisation Brakes: divergence between actors (target person, caregiver, nurse, doctor, financing…) Brakes: costs and economy GerontechnologyWays for action

  28. Five aspects for Gerontechnology • Prevention • Support of social activity and links • Compensation of functional disabilities and handicap • Aid for professional and informal caregivers • Education and research Institute for Gerontechnology - Eindhoven, NL

  29. GerontechnologyPrevention • Sensorial progressive loss (vision, audition) • Prevention of trauma (hip protector) • etc… Not enough financing Difficulties to assess

  30. GerontechnologySupport of social activity and links • (Télé)communications • Multimedia • Internet • Tele-assistance • Telemedicine • User-friendly

  31. GerontechnologyCompensation disabilities and handicap • Vital functions • Cognitive funct.: memory, executive • Object handling • Sensorial perception : auditive, visual, tactile • Move in, out • Preservation of elderly Citizenship

  32. GerontechnologyAid for caregivers • Telemedicine and home care • Home care coordination • Virtual consultation • Chronical diseases management • Patient and caregiver education • ViSaDom

  33. GerontechnologyEducation and research • Teaching of aging processes for the technologists • Progressive adaptation of workers to their job • Work organization and management of aging workers • Education for all in new technologies • Age groups integration • New jobs care/techno • Assess the quality of education and research

  34. End-users of gerontechnologies Maslow’s pyramid for needs

  35. End-users of gerontechnologies Maslow’s pyramid for needs The market

  36. Intermediate users of gerontechnologies Intermediate users : Medical care services • Hospital (including home hospitalisation) • Social care services (nursing home, home care, social services) • Health professionals (physicians, nurses) • Bio-medical material providers • Telecommunication companies • Computer science companies • Etc…

  37. Financing gerontechnologies • End-user itself • Family or substitute • Foundations • Social insurance system • Health care system • City or community solidarity • (Welfare) state

  38. An equipped smart room

  39. GARDIEN: nocturnal activity: quiet pt

  40. GARDIEN: nocturnal activity: paroxystic agitation

  41. GARDIEN: nocturnal activity: chronical agitation (sleep disorders)

  42. Actimetry VIVAGO Bracelet, IST Finland 24/24 activity, hypothermia, out of zone Real time alarms for the caregivers

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