Intelligent Sensing to Promote Self-management of Posture and Mobility in Community Dwelling Individuals

在许多情况下，个人会长时间躺在床上或椅子上，这通常发生在个人行动能力受损的社区环境中。在许多情况下，个人、护理人员和护理提供者没有被提醒注意长时间的不动。这导致自我管理不良，并限制获得护理支持，以促进运动。这些长时间坐着或躺着的潜在后果是压力溃疡，通常称为褥疮，它可以发展成疼痛的伤口，并且需要很长时间才能愈合。这对受影响个体的生活质量有显著影响，并且是患者安全和护理质量的指标。申请人代表了一个由科学家，临床医生，护理提供者和行业合作者组成的团队，他们一直在使用技术来监测躺着和坐着的个人。在过去的七年中，他们成功地在社区和医院医疗保健环境中使用商业连续压力监测仪来评估长时间的运动模式。通过监测个体与其垫子或床垫之间的压力，当他们移动的较少时，他们能够有效地通信。这项技术还被用来改善他们用来支持健康的垫子或床垫的类型。这有助于个人了解移动的较少的风险，并支持他们通过定期重新定位和护理合作进行自我管理。然而，该团队发现了现有商业压力监测设备的一些挑战，这些设备最初是为医院环境设计的。这些问题包括：-它们的成本，-传感器的复杂性，-它们对长期社区使用的鲁棒性如何-压力监测数据如何存储和用于帮助社区中的个人，护理人员和服务提供者拟议的项目将涉及开发一种新的传感系统和显示器，专门为社区居民设计。这将通过共同生产的原则来实现，这意味着与患者和公众，服务提供商和行业合作伙伴共同努力，以实现适合目的的解决方案。该项目旨在最大限度地提高那些将使用该技术的人的投入，其中创新必须适合最终用户。该项目已被划分为工作包，以实现以下目标：1。服务提供商和行业主导的一套新压力监测器和用户显示器的设计标准2。一个人领导的新设备的评估，涉及患者和公众的参与和承诺3。对社区环境中使用的器械进行评估，包括私人住宅、住宿护理和疗养院。 最终的系统将被设计为低成本，易于集成到椅子/床，并具有用户友好的显示器。通过监测姿势和移动性，我们的目标是通过提示和警报促进自我管理。数据还将与护理服务提供者共享，以便及时采取干预措施，防止可能导致住院的疾病或伤害。

There are many situations where an individual will spend prolonged periods in their bed or chair, often observed in community settings where individuals may have impaired mobility. In many cases, individuals, carers and care providers are not alerted to periods of prolonged immobility. This results in poor self-management and limit access to care support to promote movement. A potential consequence of these prolonged periods of sitting or lying are pressure ulcers, often termed bed sores, which can develop into wounds which are painful and can take a long time to heal. This has a significant impact on the quality of life for the individual effected and is an indicator of patient safety and quality of care. The applicants represent a team of scientists, clinicians, care providers and industry collaborators who have been working with technologies to monitor individuals whilst lying and sitting. Over the last seven years they have successfully used commercial continuous pressure monitors in community and hospital healthcare settings to evaluate movement patterns over prolonged periods. Through monitoring pressures between the individual and their cushion or mattress they have been able to effectively communicate when they have been less mobile. The technology has also been used to improve the type of cushion or mattress they use to support their health. This has helped individuals understand the risks of being less mobile and supported them to self-manage through regular repositioning and cooperation in care. However, the team identified a number of challenges with existing commercial pressure monitoring devices, which were originally designed for hospital settings. These include:- their cost, - the complexity of sensors, - how robust they are to prolonged community use - how the pressure monitoring data is stored and used to help individuals, carers and service providers in the communityThe proposed project will involve the development of a new sensing system and display which is purposefully designed for community residents. This will be achieved through the principles of co-production, which means working together with patients and the public, service providers and industry partners on a fit for purpose solution. The project has been designed to maximise the input from those who will be using the technology, where innovation must fit around the end user. The project has been divided into work packages to achieve the following:1. A service provider and industry led set of design criteria for the new pressure monitor and user display2. A person led evaluation of the new device involving patient and public involvement and engagement3. An assessment of the device in use within community settings, including private homes, residential care and nursing homes. The final system will be designed to be low cost, easily integrated to chairs/beds and have a user-friendly display. Through monitoring of posture and mobility we aim to promote self-management through prompts and alerts. Data will also be shared with care service providers, so timely interventions can be made to prevent illness or injury which may otherwise have resulted in hospitalisation.