the wwrc smart cottage environmental at for people with disabilities tony gentry, phd otr/l funded...

The WWRC Smart The WWRC Smart CottageCottageEnvironmental AT for People with DisabilitiesEnvironmental AT for People with DisabilitiesTony Gentry, PhD OTR/LTony Gentry, PhD OTR/L

Funded by Grant #08-201 of theFunded by Grant #08-201 of theCommonwealth Neurotrauma Initiative Trust Fund,Commonwealth Neurotrauma Initiative Trust Fund,

administered by VA Department of Rehabilitative Services.administered by VA Department of Rehabilitative Services.

Funded by Grant #08-201 of theFunded by Grant #08-201 of theCommonwealth Neurotrauma Initiative Trust Fund,Commonwealth Neurotrauma Initiative Trust Fund,

administered by VA Department of Rehabilitative Services.administered by VA Department of Rehabilitative Services.

Why Smart Homes?Why Smart Homes?

We live there.We live there.

Safety & Security.Safety & Security.

Health.Health.

ADL/IADL.ADL/IADL.

Functional Functional independence independence begins at home.begins at home.

Technologies:Technologies:

Low-tech environmental organizersLow-tech environmental organizers

Mid-tech appliances (alarm clock, kitchen timer)Mid-tech appliances (alarm clock, kitchen timer)

Electronic Aids to Daily Living Electronic Aids to Daily Living (lighting/appliance control)(lighting/appliance control)

Safety features (fire, smoke, water, injury Safety features (fire, smoke, water, injury alarm)alarm)

Task Cueing (PDA, pc, pillbox, lighting cues)Task Cueing (PDA, pc, pillbox, lighting cues)

Cognitive Remediation (Wii and pc games)Cognitive Remediation (Wii and pc games)

Living RoomLiving Room

StudyStudy

KitchenKitchen

BedroomBedroom

Bedroom SinkBedroom Sink

BathroomBathroom

MedicationMedicationss

Safety optionsSafety optionsBathroom tub bench, rails, hot water controlBathroom tub bench, rails, hot water control

Stoveguard - turns off stove if kitchen Stoveguard - turns off stove if kitchen unoccupiedunoccupied

Water leak alarmsWater leak alarms

Medic-alert braceletMedic-alert bracelet

Voice-prompt fire alarmVoice-prompt fire alarm

Motion-controlled lightingMotion-controlled lighting

Telephone and calling scheduleTelephone and calling schedule

Training in emergency managementTraining in emergency management

Task Cueing OptionsTask Cueing Options

PDA calendar alarmPDA calendar alarm

Reminder pillboxReminder pillbox

PC onscreen promptPC onscreen prompt

Kitchen timer/alarm clarkKitchen timer/alarm clark

Automated light blinkAutomated light blink

Environmental Environmental ManagementManagement

De-clutter -- “a place for everything...."De-clutter -- “a place for everything...."

Drawer dividersDrawer dividers

Closet dividersCloset dividers

Divided clothes hamper on wheelsDivided clothes hamper on wheels

Washing machine directionsWashing machine directions

Refrigerator fileRefrigerator file

Food expiration tagFood expiration tag

CostsCosts

Equipment Total: Equipment Total: $3200$3200

pc and EADL software: $600pc and EADL software: $600

Motion-controlled lighting: $500Motion-controlled lighting: $500

Low-tech/mid-tech appliances: $500Low-tech/mid-tech appliances: $500

Insteon pc-controlled lighting: $400Insteon pc-controlled lighting: $400

Video-cam for front door: $400Video-cam for front door: $400

Stoveguard: $360Stoveguard: $360

Nintendo Wii and Brain Age: $310Nintendo Wii and Brain Age: $310

Palm z-22 pda: $100Palm z-22 pda: $100

Other Costs:Other Costs:

Electrician to install motion-controlled lighting Electrician to install motion-controlled lighting and Insteon wall switches (8 hours)and Insteon wall switches (8 hours)

Therapist to assess client needs, collaborate Therapist to assess client needs, collaborate with client in selection, installation, training with client in selection, installation, training and follow-along (will vary widely)and follow-along (will vary widely)

Replacement and upgrade costs of products Replacement and upgrade costs of products (estimate over ten years)(estimate over ten years)

Comments:Comments:““That That StoveguardStoveguard saved my life!” saved my life!”

““The The PalmPalm pilot really keeps me on schedule.” pilot really keeps me on schedule.”

““I feel safe here, even though I’m by myself.”I feel safe here, even though I’m by myself.”

““Having the lights turn on and off saves energy and Having the lights turn on and off saves energy and helps me see when I come home after dark.”helps me see when I come home after dark.”

““At first it was a little spooky, but I got used to it.”At first it was a little spooky, but I got used to it.”

The water alarm went off and kept me from flooding the The water alarm went off and kept me from flooding the basement when I was washing my clothes.”basement when I was washing my clothes.”

““I used the pillbox to schedule my blood pressure tests, I used the pillbox to schedule my blood pressure tests, too.”too.”

““The The WiiWii games are fun and keep me using my brain.” games are fun and keep me using my brain.”

OT Comments:OT Comments:““We are learning the equipment, too, which We are learning the equipment, too, which takes time.”takes time.”

““The safety alarms have saved the house at The safety alarms have saved the house at least 3 times already.”least 3 times already.”

““I wish they had more time in the house, to I wish they had more time in the house, to experiment with different strategies and really experiment with different strategies and really get the hang of it.”get the hang of it.”

““This house is like a lab, where we can try out This house is like a lab, where we can try out stuff that may work at home.”stuff that may work at home.”

““These things will work for our spinal cord These things will work for our spinal cord clients, too.”clients, too.”

Next Steps:Next Steps:

Smart Suites in new wing of WWRCSmart Suites in new wing of WWRC

Smart apartment and suites at McGuire Veterans Smart apartment and suites at McGuire Veterans Administration Medical CenterAdministration Medical Center

Smart apartments at Faison School for AutismSmart apartments at Faison School for Autism

Collaborate with “Blue Roof” and other smart Collaborate with “Blue Roof” and other smart technology teams to provide service to Virginianstechnology teams to provide service to Virginians

Include passive-monitoring options for aging in Include passive-monitoring options for aging in place and off-site caregiver communicationplace and off-site caregiver communication

Monitoring Options:Monitoring Options:

Quiet-CareQuiet-Care ( (www.quietcaresystems.comwww.quietcaresystems.com))

Wireless motion sensors/changes in routine notedWireless motion sensors/changes in routine noted

e-Neighbore-Neighbor ( (www.healthsense.comwww.healthsense.com))

motion sensors/telehealth/medic-alertmotion sensors/telehealth/medic-alert

GrandcareGrandcare ( (www.grandcare.comwww.grandcare.com))

set-top box on tv acts as communicator and control set-top box on tv acts as communicator and control center for remote sensorscenter for remote sensors

ResourcesResources

www.vcu.edu/partnership/pdawww.vcu.edu/partnership/pda

www.vacni.orgwww.vacni.org

www.smarthome.comwww.smarthome.com

www.epill.comwww.epill.com

www.insteon.comwww.insteon.com

www.independentliving.comwww.independentliving.com

www.abledata.orgwww.abledata.org

ReferencesReferences

• Cook, A.M. & Hussey, S.M. (2002). Cook, A.M. & Hussey, S.M. (2002). Assistive Assistive Technologies: Principles and practiceTechnologies: Principles and practice. St. Louis, MO: . St. Louis, MO: Mosby.Mosby.

• Gentry, T. (in press). Smart homes for people with Gentry, T. (in press). Smart homes for people with neurological disability: State of the art. neurological disability: State of the art. NeuroRehabilitationNeuroRehabilitation..

Tony Gentry, PhD OTR/LTony Gentry, PhD OTR/LAssistant ProfessorAssistant ProfessorDept. of Occupational TherapyDept. of Occupational TherapyDirector, Assistive Technology for Cognition LaboratoryDirector, Assistive Technology for Cognition LaboratoryVirginia Commonwealth UniversityVirginia Commonwealth UniversityRichmond, VA 23298Richmond, VA 23298logentry@vcu.edulogentry@vcu.edu(804) 828-3397(804) 828-3397

Paula Martin, OTPaula Martin, OTWoodrow Wilson Rehabilitation CenterWoodrow Wilson Rehabilitation CenterDepartment of Occupational TherapyDepartment of Occupational TherapyPO Box 1500PO Box 1500Fishersville, VA 22939Fishersville, VA 22939Paula.Martin@wwrc.virginia.govPaula.Martin@wwrc.virginia.gov