Monitoring Behaviors of Patients With Late-Stage Dementia Using Passive Environmental Sensing Approaches: A Case Series.
Monitoring Behaviors of Patients With Late-Stage Dementia Using Passive Environmental Sensing Approaches: A Case Series.
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DOI：
10.1016/j.jagp.2021.04.008
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Vahia IV
中科院分区：
文献类型：
--
作者：
Au-Yeung WM;Miller L;Beattie Z;May R;Cray HV;Kabelac Z;Katabi D;Kaye J;Vahia IV
显示使用不同的非侵入性活动传感技术提供痴呆患者（PwD）的客观行为标志物的可行性。使用俄勒冈州老龄化与技术中心（ORCATECH）平台对两名生活在记忆护理病房的PwD的行为进行了评估，并使用Emerald设备对两名生活在辅助生活设施的PwD的行为进行了评估。俄勒冈州波特兰的一个记忆护理单位和马萨诸塞州弗拉福德的一个辅助生活设施。一名63岁的男性阿尔茨海默病（AD）患者和一名80岁的女性额颞叶痴呆症患者都住在俄勒冈州的波特兰的记忆护理病房。一名诊断为AD的89岁女性和一名诊断为主要神经认知障碍（阿尔茨海默氏症型，伴有行为症状）的85岁女性均居住在马萨诸塞州的一家辅助生活设施。其中包括：由床压垫测量的睡眠质量;由运动传感器测量的空间之间的转换次数和不同空间中的停留时间;由可穿戴体动记录设备测量的活动水平;以及由Emerald设备测量的沙发使用和呼吸幅度。空间之间的转换数量可以识别患者的激动发作;活动水平与患者的过度激动水平以及患者接受潜在不适当的药物治疗和接近生命结束时缺乏运动密切相关;沙发使用可以检测患者的冷漠程度增加;呼吸幅度可以帮助检测利培酮诱导的周期性肢体运动。这是ORCATECH平台和Emerald设备可以测量此类活动的首次演示。使用监测PwD行为的技术可以提供对PwD行为的更客观和更深入的测量。
To show the feasibility of using different unobtrusive activity-sensing technologies to provide objective behavioral markers of patients with dementia (PwD). Monitored the behaviors of two PwD living in memory care unit using the Oregon Center for Aging & Technology (ORCATECH) platform, and the behaviors of two PwD living in assisted living facility using the Emerald device. A memory care unit in Portland, Oregon and an assisted living facility in Framingham, Massachusetts. A 63-year-old male with Alzheimer’s disease (AD), and an 80-year-old female with frontotemporal dementia, both lived in a memory care unit in Portland, Oregon. An 89-year-old woman with a diagnosis of AD, and an 85-year-old woman with a diagnosis of major neurocognitive disorder, Alzheimer’s type with behavioral symptoms, both resided at an assisted living facility in Framingham, Massachusetts. These include: sleep quality measured by the bed pressure mat; number of transitions between spaces and dwell times in different spaces measured by the motion sensors; activity levels measured by the wearable actigraphy device; and couch usage and breathing amplitudes measured by the Emerald device. Number of transitions between spaces can identify the patient’s episodes of agitation; activity levels correlate well with the patient’s excessive level of agitation and lack of movement when the patient received potentially inappropriate medication and neared the end of life; couch usage can detect the patient’s increased level of apathy; and breathing amplitude can help detect risperidone-induced periodic limb motion. This is the first demonstration that the ORCATECH platform and the Emerald device can measure such activities. The use of technologies for monitoring behaviors of PwD can provide more objective and intensive measurements of PwD behaviors.
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