Article

BBC News – Health care by TV and remote control

My Comments

The home network and the Internet is now becoming an essential part of personal health care in may ways thanks to a variety of technologies.

Facilitation technologies

Level playing field for health-care sensor devices

Certain technologies are making this feasible through the use of device classes for health-specific devices such as blood-pressure / pulse cuffs, blood sugar monitors and heart-rate monitors. They are also being enabled with low-voltage wireless technologies like Bluetooth Smart and up-and-coming low-voltage Wi-Fi designs.

These devices are being made able to work from two AA batteries or a 3V watch battery for a long time, yet use an industry-common data link and device class. The actual benefit from these design factors is the ability to supply health-care sensor devices that are cost-effective to buy and maintain; yet are able to integrate with common computing devices.

Ubiquity of open computing platforms for this application

It is being extended with the availability of regular, mobile and TV-based computing platforms like Windows, MacOS X, iOS and Android as foundations for software that records and / or reports medical-status information.

The software can be designed to keep a local or cloud-based record and signal to health-carers and/or close relatives and friends if there are abnormal events. In some cases, details can be passed through immediately to the health-care professional who is supervising the patient.

Where do I see this being applicable

I see this technology being applicable for the management of chronic illnesses where the patient can manage the illness themselves with little outside intervention. This may extend to the care of pregnant women who have a low risk of birth complications. Even when the patient must travel to the health-care professional for an appointment, both the professional and the patient are in a better position to know “what’s going on” through the treatment process.

It also adds a sense of dignity to the care and treatment process by allowing one to integrate the management procedures in to their lifestyle without feeling awkward about it. This would benefit younger and middle aged people more so especially when they are encumbered with these illnesses like diabetes.

I see it also benefiting people living in rural areas in many ways. The telehealth technology can allow a specialist based at a small or larger town to manage multiple patients and only have to travel out to attend those at risk. As well, the patient wouldn’t need to travel out to the doctor unless necessary.

It can also assist with the ageing process for seniors who want to live in their own home, live in an “own space” near their relatives such as a granny flat or live in low-needs supported retirement accommodation. Here, the technology can help with supervising medical and other therapies or simply make sure they are OK without intruding on their lifestyle and dignity. In this case, it could augment other technology projects that are in progress or being completed that assist older people with their daily lives.

Similarly, the technology would help with sports medicine in allowing athletes and fitness enthusiasts, along with their trainers, know their limits and how they are performing through their workouts so they can exercise in an optimum way.

Conclusion

I would still like to see the telehealth technologies work as a complement to the personal touch in personal health care rather than distance the patient from the professional. The technologies can be seen as a tool for helping us stay well and independent; as well as conquer distance.

I have been talking by e-mail to Mika Kouhia from Ekahau about the use of their WiFi-based real-time location technology in the typical home or small-business network. The applications that may come to mind here will typically cover an emergency-response / nurse-call system that is an integral part of the at-home care of elderly, infirm or convalescing people; or small businesses, especially those who are partners to large business, who need to track assets in a similar manner to what is done by large organisations.

What is the main complication that concerns the Ekahau Real-Time Location System

The main complication that limits this technology is the fact that most of the wireless networks deployed in this space only have one access point, typically the one that is integrated in to a wireless router. You may be lucky to use this technology on a wireless network that has an extra access point such as a wireless router that is repurposed as an extension access point and connected to the main router via a HomePlug powerline link or one of those access points that work with a HomePlug powerline backbone.  On the other hand, you would have to deploy “infrared beacons” around the premises and rely on the Wi-Fi wireless link provided by the router as primarily a communications link.

The infrared beacons work on a similar infrared frequency to the remote controls used to control the majority of TV sets and other consumer-electronics devices in circulation. Thus they won’t interfere with the passive-infrared sensors used in most security systems or automatic “sensor-light” setups because these sensors are tuned to an infrared frequency emitted as part of body heat.

The primary reason for implementing the technology in the home

The primary implementation that I was talking about with Mika was to use their T301BD Wi-Fi Pager Tag which hangs around the neck of a person. This tag has an integrated display and two function buttons that also work as emergency-call buttons. As well, if the tag is pulled on the neckstrap, it can initiate an emergency response. The tag supports direct paging with push-button response, which can allow it to work with a “response-check” setup where if the user doesn’t respond within a certain time to a call, the system initiates emergency action. The display could come in handy by showing the person’s name, which would be a good help with people who have memory-loss disorders.

In this implementation, there may be the need to establish Internet access to the pager tag in order to permit this device to work as part of a solution provided by an external service provider. This may involve use of hardware or software on the network that provides at least dynamic DNS functionality and integration with UPnP IGD-enabled routers to provide access to the tag. The functionality could be extended to provide local nurse-call functionality with in-house location display through a local screen and / or Web page available through the home network.

Similarly, the pager tag could work with other technology to assist people who have memory-loss disorders by enabling the use of electronically-generated “reminder screens” for particular tasks. This is relevant to an article that I wrote about in my blog concerning technology that is to assist the elderly in their daily lives. Here, I had talked about a kitchen equipped with various technologies like pico-projection systems, RFID and Wii-style motion sensors to provide reminders through different food-preparation tasks.

How this could be taken further

Ekahau should then consider studying this application as a technology that suits the current home-driven health-care direction.

Here, we are dealing with an older population as people of the baby boom move in to the later years of life and more people live longer. As well, there is more emphasis on home-based health-care so as to provide patients with the dignity of being looked after in their own home environment. This also includes an emphasis on independent living for elderly people, including having younger relatives be part of the older person’s life in a support role.

Similarly, there are disabled or chronically-ill people who want to be in the familiarity of their own home and family and these people can be able to work as carers, whether alone or alongside paid staff members who work on a rostered system.

The supporting software could be integrated in to computing devices that work on any of the common desktop-computing, handheld-computing, set-top box or embedded-device platforms in order to establish an assistive-technology ecosystem in the home.

 Withings – Home Page

Why Fit | Wi-Fi Networking News

WiFi-enabled bathroom scale slides into USA, overweight Yanks sluggishly back away | Engadget

My comments on this next step for the home network

When I was young, the typical kind of bathroom scales that were commonly available were of a mechanical type that needed adjustment before anyone could be weighed. As well, a person who didn’t have good eyesight couldn’t easily weigh themselves and had to require someone else to read the weight. There was a trickle of electronic scales but these were very expensive and mainly available through selected mail-order catalog stores rather than the homewares departments of a typical department store.

In the last 20 years, we have seen the arrival of cost-effective electronic bathroom scales that had a large digital display or, in some applications, voice synthesis; didn’t need to be adjusted every time each person weighed in and could allow a person with limited eyesight to weigh themselves. These units are becoming available through most homewares stores and departments.

This bathroom scales is the first unit that does more than the typical bathroom scales can do. It can measure fat mass and body mass index; but works with a Web portal that keeps record of this data for up to 8 members of a household. The data is transmitted to the portal using the WPA-secured Wi-Fi segment of your home network and is kept in a secure manner on the portal. As well, there is a local application available for the Apple iPhone / iPod Touch platform which provides the data in a manner optimised to that handheld device. But the Web dashboard can be visited through a regular Web browser setup.

From what I have seen of this device, there isn’t anything about what is involved in integrating the scales in to a secure wireless network. As far as I am concerned, these are the kind of devices that WPS-Push-Button-Connect is made for. Another thing I would like to see for these scales is an API being available so that one can write software such as integration into various desktop, network and Internet health-records programs.

As well, this has actually been the first kind of personal-health device available on the market that is able to be part of a home network. It could pave the way for more of these networked health-measurement devices to be made available for home-network use.