Very small & low cost wearable "care timeliness" monitor

描述（由申请人提供）：为体弱长者提供身体护理的及时性和可靠性对维持他们的健康至关重要。这种对行动障碍患者的身体护理可能包括重新定位帮助预防或帮助愈合压疮，如厕帮助或失禁产品更换，洗澡，运动帮助和喂养帮助。机构日常身体护理，无论是在老年急症护理医院还是在养老院，通常由护理助理提供。护理助理工作量大，报酬不高，因此工作流动率高，如果他们是新移民，可能会有书面语言障碍。临床管理人员不容易监控护理助手提供护理的可靠性，因为大部分护理是在病人房间的隐私中完成的，没有留下明显的可观察到的“残留物”。几乎没有技术可以监控身体护理。有记忆障碍或痴呆的老年客户可能无法报告护理缺陷，而认知完整的患者通常不会报告护理人员的疏忽，这是有社会原因的。如果没有一种手段来监测护理的及时性和可靠性，临床管理在纠正护理过程缺陷和奖励那些在工作中最认真的人的能力方面受到损害。本应用程序的重点是开发一种可穿戴的身体位置监视器，可以帮助管理身体护理和促进护理质量保证计划。在应用阶段1，我们计划开发一种位置和范围的运动记录设备，它非常小，可以装在一个标准的3/4英寸创可贴的纱布里，它非常便宜，可以常规地用于维持护理改进计划，它非常坚固，可以依靠它提供多年的服务。在应用阶段2，我们计划开发软件，自动识别身体护理关键方面的运动特征，并报告护理交付的及时性，而不需要临床医生的数据分析专业知识。

DESCRIPTION (provided by applicant): The timeliness and reliability of the delivery of body care for the frail elderly is crucial to the maintenance of their health. This physical caregiving for those with mobility impairments may include repositioning assistance to prevent or aid healing pressure ulcers, toileting assistance or incontinence product changing, bathing, aid with exercise, and feeding assistance. Institutional routine body care, whether at a geriatric acute care hospital or in a nursing home, is usually delivered by nursing aides. Nursing aides have large workloads, are not often paid well and, hence, have high job turnover rates, and may have written language difficulties if they are recent immigrants. It is not easy for clinical management to monitor the reliability of care delivery by nursing aides since much of the care is done in the privacy of a patient's room and leaves no obvious observable "residue". Little technology is available to monitor physical caregiving. Elderly clients with memory impairments or dementia may not be able to report care deficiencies and there are social reasons why cognitively intact patients don't often report caregivers' oversights. Without a means to monitor the timeliness and reliability of caregiving, clinical management is impaired in its ability to correct care process deficiencies and to reward those who are most conscientious in their work. The focus of this application is to develop a wearable body position monitor that can assist in managing physical caregiving and facilitate care quality assurance programs. In application phase 1, we plan to develop a position and range of motion recording device that is so small that it can fit in the gauze of a standard 3/4" Band-Aid, so inexpensive that it can be routinely used to sustain care improvement programs, and so robust that it can be depended upon to provide years of service. In application phase 2, we plan to develop software that automatically identifies the movement signatures of crucial aspects of body care and reports the timeliness of care delivery without the need for clinician data analysis expertise.