Promoting Independence For Older Persons With Disabilities

The focus of these papers, is on maintaining independence and active participation in family and community activities. As we age, we face chronic health conditions that have the potential to negatively impact our independence. By using technology (smart homes, robotics, telehealth, other assistive devices), maintaining our mobility, and preventing injuries we can offset much or all of the disabling effects of chronic health conditions.

The papers in this book provide important content related to aging, disability and independence. The focus of these papers is on maintaining independence and active participation in family and community activities. As we age, we face chronic health conditions that have the potential to negatively impact our independence. By using technology (smart homes, robotics, telehealth, other assistive devices), maintaining our mobility, and preventing injuries we can offset much or all of the disabling effects of chronic health conditions. This publication brings together a mix of individuals focused on aging, disability and independence, including those involved in research and development, professional practice and services, businesses providing products and services, government and policy planners, and end users and beneficiaries of our research, products, services, and policies. The main topics in this publication are Smart Homes; Robotics; Telehealth; Home Modifications and Universal Design; and Assistive Devices and Workplace Adaptations.

Living independently and participating in one's community are priorities for many people. In many regions across the United States, there are programs that support and enable people with disabilities and older adults to live where they choose and with whom they choose and to participate fully in their communities. Tremendous progress has been made. However, in many cases, the programs themselves â€" and access to them â€" vary not only between states but also within states. Many programs are small, and even when they prove to be successful they are still not scaled up to meet the needs of the many people who would benefit from them. The challenges can include insufficient workforce, insufficient funding, and lack of evidence demonstrating effectiveness or value. To get a better understanding of the policies needed to maximize independence and support community living and of the research needed to support implementation of those policies, the National Academies of Sciences, Engineering, and Medicine convened a public workshop in October 2015. Participants explored policies in place that promote independence and community living for older adults and people with physical disabilities, and identified policies and gaps in policies that can be barriers to independence and the research needed to support changing those policies. This report summarizes the presentations and discussions from the workshop.

The Institute of Medicine (IOM) and the National Research Council (NRC) have had prominent roles in discussions of aging, disability, and technology for decades. In 1978, Aging and Medical Education (IOM, 1978) raised national awareness of the challenges to physicians posed by the aging of the U.S. population. Thirty years later, Retooling for an Aging America highlighted concerns for the entire health care workforce in view of the aging of the population, including the role of technology in caring for older populations. The 1988 report The Aging Population in the 21st Century examined social, economic, and demographic changes among older adults, as well as many health-related topics: health promotion and disease prevention; quality of life; health care system financing and use; and the quality of care- especially long-term care. In 1991, the landmark report Disability in America laid out a national agenda to prevent disability and improve the lives of people with disabling conditions. The 1997 report Enabling America: Assessing the Role of Rehabilitation Science and Engineering examined the knowledge base of rehabilitation science and engineering and proposed ways to translate scientific findings into interventions that produce better health. And the 2007 report The Future of Disability in America examined progress made since the earlier reports and looked at continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. All these reports were produced by committees appointed in accordance with guidelines of the National Academies and met multiples times to compile and review evidence, reach consensus on conclusions and recommendations, draft a report of the committee, and then modify that draft report in response to comments from outside reviewers. The IOM and NRC have also held several workshops related to aging, disability, and technology and published summary reports, such as Technology for Adaptive Aging and Grand Challenges of Our Aging Society. The IOM and NRC also convene groups that take a different approach to issues of pressing national and international importance. Often known as forums or roundtables, these groups meet regularly to foster dialogue and confront issues of mutual interest and concern among a broad range of stakeholders. They can convene workshops, initiate cooperative projects among members, commission independently authored articles, and generate ideas for independent consensus studies. In 2012 the IOM and NRC joined together to establish the Forum on Aging, Disability, and Independence to provide a neutral venue for broad-ranging discussions among the many stakeholders involved with aging and disability. The goals of the forum are to highlight areas in which the coordination of the aging and disability networks is strong, examine the challenges involved in aligning the aging and disability networks, explore new approaches for resolving problem areas, elevate the visibility and broaden the perspectives of stakeholders, and set the stage for future policy actions. Forum sponsors and members include federal agencies, health professional associations, private sector businesses, academics, and consumers. Fostering Independence, Participation, and Healthy Aging Through Technology summarizes this workshop.

Independent living with smart technologies Smart Technology for Aging, Disability, and Independence: The State of the Science brings together current research and technological developments from engineering, computer science, and the rehabilitation sciences, detailing how its applications can promote continuing independence for older persons and those with disabilities. Leading experts from multiple disciplines worldwide have contributed to this volume, making it the definitive resource. The text begins with a thorough introduction that presents important concepts, defines key terms, and identifies demographic trends at work. Using detailed product descriptions, photographs and illustrations, and case studies, subsequent chapters discuss cutting-edge technologies, including: * Wearable systems * Human-computer interactions * Assisted vision and hearing * Smart wheelchairs * Handheld devices and smart phones * Visual sensors * Home automation * Assistive robotics * In-room monitoring systems * Telehealth After considering specific high-technology solutions, the text examines recent trends in other critical areas, such as basic assistive technologies, driving, transportation and community mobility, home modifications and design, and changing standards of elder care. Students and professionals in the rehabilitation sciences, health care providers, researchers in computer science and engineering, and non-expert readers will all appreciate this text's thorough coverage and clear presentation of the state of the science.

Master the assistive strategies you need to make confident clinical decisions and help improve the quality of life for people with disabilities. Based on the Human Activity Assistive Technology (HAAT) model developed by Al Cook, Sue Hussey and Jan Polgar, Assistive Technologies: Principles & Practice, 5th Edition, provides detailed coverage of the broad range of devices, services, and practices that comprise assistive technology. This new text offers a systematic process for ensuring the effective application of assistive technologies — and focuses on the relationship between the human user and the assisted activity within specific contexts. It features over 30 new photos and illustrations, as well as, updated chapters and case studies that reflect current technology. Human Activity Assistive Technology (HAAT) framework locates assistive technology within common, everyday contexts for more relevant application. Focus on clinical application guides application of concepts to real-world situations. Study questions and chapter summaries in each chapter help assessment of understanding and identification of areas where more study is needed. Coverage of changing AT needs throughout the lifespan emphasizes how AT fits into people’s lives and contributes to their full participation in society. Principles and practice of assistive technology provide the foundation for effective reasoning. Ethical issues content provides vital information to guide AT service delivery. Explicit applications of the HAAT model in each of the chapters on specific technologies and more emphasis on the interactions among the elements make content even easier to understand. New! Thoroughly updated chapters to reflect current technology and practice. New! Expanded discussion on assistive robotics and smart technologies. New! Review of global initiatives on Assistive Technology. New! Updated art program with 30+ new photos and illustrations. New! Updated case studies to reflect changes in technology and practice since last edition.