"what matters when you try to replace the warm hands with technology?”...

"What matters when you try to replace the

warm hands with technology?”

steinar.pedersen@telemed.no

Centre for research-based innovation in telemedicine and eHealth systems for chronic, age, and lifestyle related diseases, 2006 – 2014

What matters is

• To keep all persons, the elderly included, out of the health care system as long as possible

• And, if so needed, even with the help of technology

Some characteristics of the future ICT solutions

• Cordless and invisible sensors ”everywhere”– IP– Broadband – Open source– CAD– EWS

• The services will be delivered at new places– From the hospitals to the primary health care institutions– From the hospitals and the primary health care institutions

directly into the patients home• New, private institutions will surface • Requirements for competence about own health will

increase

Services within the hospitals

Tele-Dialysis

TMSTMS

TromsøTromsø

VefsnVefsn

SandnessjøenSandnessjøen

RanaRana

HarstadHarstad

HammerfesHammerfestt

NarvikNarvik

LofotenLofoten

BodøBodø

KirkenesKirkenes

AltaAlta

•Control and follow-up of

•Remote visit, guiding and education

UNN

St Olav

HaukelandDNR/Ullevål

NSS

GFS

VASSiR

Canser treatment

Doseplan

Samarbeid med satelittsykehus ved simulering og doseplanlegging.

Lineærakselrator

Spesialist

Pasient and assistent

Screening diabetics

Telestroke – trombolysis

• 15 000 patents a year • Must intervene with in 3 hours

Time is brain!

Some services between the hospitals and the nursing homes and/or the homes

Arterial ulcers

Photography

Outpatient department at UNN

Some services directly into the patients homes

Healthcare at home

Automatic control of patients compliance for medicine admission

Automatically transferee blood sugar measurement

SMS to parents

Heart patients

The Journal of the Norwegian Medical Association

• Results from a 14 articles meta- analysis show that the death rate is reduced with 30 %

Telecare of the future Lötsjögården (Stockholm)Body watch:

• Temperature

• Motion

• Pulse

• A lot of services in the flats in can be remotely controlled by the residents

GPS Universial Locator GPS Offender Locator

Exampels on telecare Position monitoring

... the system enables a doctor to observe remotely up to four different medical signals from a freely moving patient. Signals that can be transmitted include the ECG, blood pressure, oxygen saturation and blood glucose level.

Liquid cooling garment(overlay)

Skin Temperature sensor

Pulse oximetry sensor

Galvanic Skin Resistance

Bio Sensor NetworkBio Sensor Network• Physiological

sensor network in direct contact with skin

• Integrate sensor signals into a single feed to computer with VPack

• All wires from sensors embedded inside sock to prevent tear in suit bladder

http://www.flcmidatlantic.org/power_point/2006/Wednesday/merrell.ppt#324,7,Slide 7

Given Imaging M2A Camera Pill

• Ingestible pill containing camera, semiconductor, and radio transmitter

• Flashes 4 pictures per second for 24 hours

• Provides unparalleled medical imaging capabilities for endoscopy, proctology, and colonoscopy

SOURCE: National Semiconductor

Senior citizens’ home of tomorrow

Will all this make us healthier?

• A patient who have the feeling of being healthy, is a patient that has not been examined good enough

• Will all this sensors make us feel secured?

• Or will all this sensors make us feel unsecured?

The burden on health care sector today

The requirement of health care wokers

-

50 000

100 000

150 000

200 000

250 000

2000 2005 2010 2015 2020 2025 2030 2035 2040 2045 2050

Figur Sysselsettingsbehovet 2000–2050 målt i årsverk ved utsatt sykelighet og konstant

familieomsorg, målt i antall årsverk (Kilde SSB 2006).

About robots and warm hands

Why do we demand all kind of high-tech medicine to older and older persons/patients,

but when it comes to ICT it is looked upon as we patronize

the elderly?

Centre for research-based innovation in telemedicine and eHealth systems for chronic, age, and lifestyle related diseases, 2006 – 2014

• Do ”we” very strongly want to place the elderly under legal guardianship ?

The use of Internet for health purposes?

0

10

20

30

40

50

60

70

80

90

2000 2001 2002 2005

Total

15-29

30-44

45-59

60+

What does Google tells us about technology and care of the elderly?

• Care of the elderly + challenges gave 69.800 hits

• Technology for care gave 800 hits (mostly focused on protection of privacy)

• Care of the elderly + technology gave 0 hits

A ethical dilemma?

• To me there is a border between those mentally present (adequate) and those who are not

• Dementia

An old lady I once knew

Patients and

level of care

Personsper month Care level

2 (1) University hospital 13 (9) Local hospital

150 General practitioners

500 Self-care

85 Symptoms, no treatment 250 No symptoms

1000 Risk populationSource: Anders Grimsmo

The aim has to be

• To keep all persons, the elderly included, out of the health care system as long as possible

• And, if so needed, even with the help of technology

Thank You !