ORY (Master Thesis) - Documentation

the future of aged living

CONCEPT TITLE

Ory

TOPIC

The future of aged living

AUTHOR

Laura Lang

SUPERVISOR

Dipl.-Ing. (FH) Johannes Scherr

UNIVERSITY

University of Applied Sciences, FH Joanneum, Graz

YEAR

2017

DECLARATION I hereby declare that the present master’s thesis was composed by myself and that the work contained herein is my own. I also confirm that I have only used the specified resources. All formulations and concepts taken verbatim or in substance from printed or unprinted material or from the Internet have been cited according to the rules of good scientific practice and indicated by footnotes or other exact references to the original source. The present thesis has not been submitted to another university for the award of an academic degree in this form. This thesis has been submitted in printed and electronic form. I hereby confirm that the content of the digital version is the same as in the printed version.

I understand that the provision of incorrect information may have legal consequences.

Ich erkläre ehrenwörtlich, dass ich die vorliegende Bachelorarbeit/Diplomarbeit/Masterarbeit selbstständig angefertigt und die mit ihr verbundenen Tätigkeiten selbst erbracht habe. Ich erkläre weiters, dass ich keine anderen als die angegebenen Hilfsmittel benutzt habe. Alle aus gedruckten, ungedruckten oder dem Internet im Wortlaut oder im wesentlichen Inhalt übernommenen Formulierungen und Konzepte sind gemäß den Regeln für gutes wissenschaftliches Arbeiten zitiert und durch Fußnoten bzw. durch andere genaue Quellenangaben gekennzeichnet. Die vorliegende Originalarbeit ist in dieser Form zur Erreichung eines akademischen Grades noch keiner anderen Hochschule vorgelegt worden. Diese Arbeit wurde in gedruckter und elektronischer Form abgegeben. Ich bestätige, dass der Inhalt der digitalen Version vollständig mit dem der gedruckten Version übereinstimmt.

Ich bin mir bewusst, dass eine falsche Erklärung rechtliche Folgen haben kann.

Graz, 01.10.2017

SUMMARY Nowadays emergency systems for elderly are usually made for care givers or families, but not the elderly themselves. Solving this problem and developing this idea suitable for the future generations, was the goal of this project. The following concept empowers seniors to live a self-determined life by regaining responsibility and control without compromising on safety. It is a home-monitoring system driven by artificial intelligence that does not only care about your safety but also your health. It works without cameras, infrared or other people involved. This means the user is in full control of his/her own monitoring. To avoid the risk of carelessness or misjudging their own situation, the built in artificial consciousness acts like a neutral person, guides and supports the user as a personal medical guardian. With the help of wireless signals, Ory can track people through walls, analyse the heartbeat and breathing as well as detect a fall or irregularities in walking speed over a long time period. This is not only a central part in detecting slowly rising diseases like dementia, but also raises consciousness about their general health & ageing process and helps to act proactively to accept & prepare for upcoming changes in high age.

Heimnotrufsysteme werden aktuell hauptsächlich für Pflegende oder Familien mit bedürftigen Eltern gestaltet, jedoch nicht für die betroffenen Menschen selbst. Ziel des Projekts war es, dieses Problem zu lösen und die Idee für die Zukunft der kommenden Generationen anzupassen. Das folgende Konzept gibt den älteren Menschen mehr Eigenverantwortung und Kontrolle über ihr Leben und stärkt sie damit darin dieses selbstbestimmt führen zu können ohne das Sicherheitsrisiko zu erhöhen. Dabei handelt es sich um eine Art Hausnotruf- und Monitoringsystem, welches durch künstliche Intelligenz nicht nur die Sicherheit gewährleistet sondern auch Unterstützung bei gesundheitlichen Angelegenheiten bietet. Dabei funktioniert es ganz ohne Kameras, Infrarot oder die Beteiligung Dritter. Dadurch steht der Nutzer selbst im Mittelpunkt und besitzt die volle Kontrolle über seine eigene Sicherheit. Um die Gefahr von Unachtsamkeit oder falsche Selbsteinschätzung zu vermeiden besitzt das Gerät ein künstliches Bewusstsein, welches den Senioren als ein persönlicher medizinischer Betreuer zur Seite steht, unterstützt und begleitet. Mit Hilfe von “Wireless Signals” kann Ory Menschen über Hindernisse wie Wände hinweg orten, Herzschlag und Atmung überwachen, sowie Stürze erkennen oder Unregelmäßigkeiten in der Geschwindigkeit des Gehens feststellen. Dies ist nicht nur von besonderer Bedeutung für das frühzeitige Erkennen von langsam voranschreitenden Erkrankungen wie Demenz, sondern schafft dadurch auch ein besseres Bewusstsein für die eigene Gesundheit und den Alterungsprozess. Außerdem fördert es damit frühzeitiges handeln und erleichtert die Akzeptanz für eigene altersbedingte Veränderungen.

PROJECT SCHEDULE

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER

OCTOBER

TOPIC MINDMAP 01 INITIAL RESEARCH 02 BENCHMARK 03 FOCUSED RESEARCH 04 OPPORTUNITY FIELDS 05 IDEA GENERATION 06 EVALUATION 07 CORE IDEA 08 CONCEPT SETUP 09 PROTOTYPING 10 CONCEPT VISUALIZATION 11 DETAILING 12 FINALIZING 13 DOCUMENTATION 14 PRESENTATION 15

research & analysis

idea generation & concept

development

modelling & presentation

CONTENT 01 / INTRODUCTION

04 / FOCUSED RESEARCH

07 / DEVELOPMENT II

understanding the topic

focus on seniors & healthcare

develop product

01.01 / MOTIVATION & RELEVANCE, PERSONAL GOALS

003

04.01 / MARKET HEALTHCARE MONITORING

051

07.01 / PRODUCT OVERVIEW

111

01.02 / TOPIC INTRODUCTION & SCOPE

005

04.02 / MARKET MONITORING AT HOME

053

07.02 / INSPIRATION

113

01.03 / FUTURE SCENARIO

009

04.03 / CHRONIC DISEASES IN HIGH AGE

057

07.03 / IDEATION

117

01.04 / GENERAL MARKET

011

04.04 / MEASURE THE NEEDED DEGREE OF CARE

063

07.04 / PROTOTYPING

121

01.05 / LESSONS LEARNED

013

04.05 / LESSONS LEARNED

065

07.05 / STRUCTURE & MANUFACTURING

125

02 / GENERAL RESEARCH

05 / CONCEPT

08 / RESULT

gather insights, understand problems

set core idea & develop concept

finalize and visualize

02.01 / SURVEY

015

05.01 / CORE IDEA

067

08.01 / FINAL DESIGN & PACKAGE

131

02.02 / SURVEY - WHAT CAN BE IMPROVED

017

05.02 / TARGET GROUP

072

08.02 / ORDERING & INSTALLATION

137

02.03 / OBSERVATION & INTERVIEW

021

05.03 / SCENARIO

079

08.03 / INTERACTION

143

02.04 / LESSONS LEARNED

029

05.04 / PRODUCT CONCEPT

085

08.04 / OPTIONAL ACCESSORY

149

05.05 / TECHNICAL CONCEPT

089

08.05 / WHAT WOULD BE NEXT

153

05.06 / LESSONS LEARNED

095

03 / CHALLENGES & OPPORTUNITIES summarize, develop ideas

09 / SOURCES

06 / DEVELOPMENT I

03.01 / CHALLENGES & OPPORTUNITIES

031

03.02 / BRAINSTORMING

041

03.03 / LESSONS LEARNED

049

develop brand & service 06.01 / BRAND

097

06.02 / INTERFACES WEB

101

06.03 / INTERFACES MOBILE

105

09.01 / SOURCES

155

09.02 / PICTURES

158

1

2

01

INTRODUCTION

understanding the topic 01.01 / MOTIVATION & RELEVANCE, PERSONAL GOALS 01.02 / TOPIC INTRODUCTION & SCOPE 01.03 / FUTURE SCENARIO 01.04 / GENERAL MARKET 01.05 / LESSONS LEARNED

3

01 / introduction

understanding the topic.

why is it important?

01.01

MOTIVATION & RELEVANCE In the following section, I would like to point out

ple suffering from dementia, because the needs

ural process. People lose their partner and friends

use this additional time we gain? Is it life-worthy

my motivation for the topic & outcome as well as

of this group are so special, that this topic alone

over time and get lonely. They often still live in a

to get that old? My last point to prove the impor-

the overall global importance. After that, I explain

would need a comprehensive research. Though,

huge house, because they do not want to change

tance of the topic of the future of aged living is the

my personal goals for this project and why I think

as the importance of this group is highly relevant

their life circumstances, but they also have no one

discrimination and social isolation in the society

they matter.

to the topic, I did not want to exclude it totally.

to invite or to live with. In our current times, where

of older people also called ageism (Age UK, 2017).

we have the possibility to move easily from one

It is not only about how we perceive older people

MOTIVATION

RELEVANCE

country to another we tend to spread across the

we meet on the street and how we interact and

Why is the topic of old age so important? As our

Besides my personal experience with older people

globe and be able to decide where we want to live.

handle them. It is also about how we treat older

society gets older our needs change, as should

in need, there are also global impacts, which make

This leads to family members that are separated

people at workplaces. It affects how older people

our whole perception of ageing and being old. Ev-

“the future of aged living� an essential and import-

not only by a few miles but also by different coun-

are shown in public, in commercials and how they

eryone has had already their own experience with

ant topic to deal with. As already mentioned, peo-

tries. This is very different from the time where

are included in the city concepts.

being old or with people that are old - in our fam-

ple are getting older, which means by 2050 we will

the family stayed together in one house and was

ilies, friends or on the street in our daily lives. It is

have about a quarter people in the age of 65+ in

able to take care of the older ones. But not only

something ubiquitous. And may be also something

Europe. (He W., Goodkind D., & Kowal P. ,2016) This

loss of friends and family can lead to loneliness.

we fear in the future, though it will affect every one

happens because of the low birth rate and the ris-

Also, illness that limits movement or psychological

of us. Designing something for elderly people does

ing life expectancy due to advancing technologies

issues as depression in high age can lead to the

not only mean designing for the future of one gen-

in the medical branch. Old age is something that

isolation of a person. Another important point is

eration but providing a visionary view on our gen-

affects every single person so it is important way

life quality in high age. As mentioned before, we

eral future of aged living. I defined for myself not

beyond national borders. It affects everyone. An-

will have a higher life expectancy in the future.

to deal with special groups but with elderly in gen-

other problem, which is very apparent in front of us

Though this does not mean that the life quality is

eral. Therefore I also did not want to focus on peo-

is the fact of loneliness in old age, which is a nat-

given to the ones that really get old. Can we really

DEMOGRAPHY

ISOLATION

In 2050 there will be 21.5% of people being 60+ worldwide.

LOSS OF LIFE QUALITY

Isolation & Loneliness through illness, loss of friends & family.

we are living longer than ever, but are we living better?

DISCRIMINATION ageism.

4

PERSONAL GOALS

INCLUSIVE

USER-CENTERED

FUTURE-READY

Above all I want my outcome to be inclusive and not elder-

Secondly, I want to create a user-centred product that

The third goal is to create a future-sustainable outcome. I

ly-specific. I want to create something that makes the el-

does not only assist in its own way but is directly focusing

want to design a solution that uses future technology and

derly people part of the bigger community again. I do want

on the user in a mental or physical way.

is still viable in the future beside other innovations that

to create an inclusive system that does not close out older

we already know will change the way we live. To make it

people because of specialized medical products.

future-ready, I set my scope to a mid-term outlook (20302040).

5

01 / introduction

understanding the topic.

understanding the topic.

01.02

INTRODUCTION In the following, I would like to summarize a few

tion into generations is also not officially fixed and

more important and decisions are made cautious,

general points about high age, define the scope of

represents just one point of view. The generation

risks are avoided. (HelpAge India 2017) (web care

elderly people and give an overview of the most

being seniors very soon are the baby boomers,

LBJ GmbH, 2017) In the following initial research, I

common challenges we have to face in high age.

currently 47-61 years old. The generation below

analyzed these points, which were just mentioned,

those is the Generation X, currently 37-47 years

to get deeper into the topic.

old, followed by the Generation Y, currently about WHAT IS HIGH AGE?

17-36 years old. (Jörg M., 2017)

Who are those elderly people? when am I old?

These are questions that are asked very often

CHALLENGES IN HIGH AGE

and in most cases “being old” depends on more

Getting older we have to face several complica-

than just a number for a lot of people. It depends

tions that may change how we live and do things.

on personal feelings, the health status one has

With technology & innovation, some of these diffi-

and the living situation of an individual. In general

culties will be made easier and better accepted by

high-aged people can be either separated by their

society. Though life-altering issues will not change

life status - how they live, what they achieved - or

and can not be made redundant. One-half of those

simply by age. Usually, people above 65 years old

difficulties are psychological. Dealing with loss,

are considered as elderly or seniors. This group

loneliness and life changes is all-time present in

can be divided and we then speak of three differ-

high age and will, of course, differ from person to

ent groups, which are also called sub-population.

person. Caused by this, elderly people have a high-

The exact division is not fixed, so it depends mostly

er risk of getting depressive. The other half of the

from country to country, depending on their elder-

difficulties will be physical. Dealing with the natu-

ly statistics. There is the youngest elderly group,

ral age-related decline of body functions and abili-

called the “young-old” or just the “old”. Then there

ties like sight and hearing loss as well as limitation

are the “old-old”, followed by the “oldest-old”

of movement and senses. This will influence the

which happens to start at 80 (Austrian Interdisci-

sense of time, speed, distance and weight and a

plinary Platform on Ageing 2017) or even 90 years.

lack of dexterity. Besides that, also the behaviour

Apart from that, the population can be divided into

changes in a lot of people. As a very natural reac-

several generations, which is also essential for

tion of ageing, safety plays a more important role

this thesis as the target group will be rather broad

in their life. It is essential to have the control over

and future-related. Though dividing the popula-

their surroundings which means routine becomes

PHYSICAL DECLINE*

CHANGE OF PRIORITIES

65+ YEARS OLD

MENTAL DECLINE*

6

TOPIC SCOPE / INITIAL RESEARCH To get a first overall overview of the most important

chronic diseases like diabetes that changes the

problem fields I started my research with previ-

person’s life situation. Also, limitations in move-

ously chosen meta topics and research questions.

ment is a common problem in a high age where

The results were gathered on a mindmap that was

a person gets dependent or limited by a location

then further evaluated and filtered with additional

or a product. Often this dependence results in

information through the second research phase.

the need of support in the everyday-life but can also end with going into a daycare institution or

I separated my initial research in two parts. I start-

live in a seniors residence. Of course, this is also

ed by analyzing the main user, the elderly. What

combined with psychological side-effects as e.g.

are the problems and needs of those group, what

depression in high age. Also, the financial aspects

causes those problems and what are the fields

of dependence should not be underestimated. Be-

that are connected with those problems? Further-

ing dependent on something can also attack the

more, what opportunities or technologies might

dignity of a person. This happens especially when

be able to solve problems in those fields? To get

products easily get stigmatizing and let the person

deeper into those fields before doing proper field

not only remind themselves of their illness but let

research I set myself some questions to analyze. I

them also appear even more ill and weak in the

wanted to know if there are cultural differences or

public. Which in fact may lead again to isolation

generational differences in how to cope with old

caused by shame. Also, general life altering issues

age. I searched for needs and motivators of the el-

like vision or hearing loss can be shameful for a

derly and I wanted to analyse the aspect of a com-

person if these needs are not met in a way that

munity. How is a community built? What makes a

maintains the dignity. Another interesting and

community a community - and are there any op-

probably not so obvious aspect that needs to be

portunities for the elderly to help them solve the

taken into account is individuality. Something we

isolation problem?

tend to forget because we do not feel it for ourselves. Most healthcare products for daily use are

The first and probably most important need of an

just made for functionality without the need to

elderly person is the independence. By getting old-

adapt to the user in a personal way. Taking a closer

er you lose independence, which can be caused by

look into daycare institutions you see the mono-

a special illness, that controls your life but it can

tone similarity of daily objects and services elderly

be also caused by general age -related limitations.

people with needs have to use.

That could be the first level of dementia, but also

understanding the topic.

7

illness that controls life

dementia diabetes loss of mobility

values & needs

elderly care

1 INDEPENDENCE

01 / introduction

living situation

everyday life

walkable neighbourhoods

values & needs

2 DIGNITY

navigate

general life altering issues

visually cognitive

activity

auditory ambulatory

motivate

customize

3

individuality

values & needs

IDENTITY

explore passion

loss of meaning in their life

dreams

motivation capability

skills curiosity

symbiotic learning

education isolation & loneliness values & needs

4 SOCIABILITY loss of family & friends

understand

community

communicate new friendships interest groups network

8

virtual reality

robotic elderly care

ENABLE artificial intelligence IoT

skilled prosthetics

“silvertech”

bio-tech wearable tech

domesticated healthcare products

biometric sensors fashionable prosthetics

tech clothing

gamification

CONNECT

augmented reality

multi generational institutions

business for elderly

which builds a base for people to belong to some-

older people in the whole community. To bring

also services where older people are gathered in

thing bigger where they can help and be helped.

generations together and thereby profit from each

groups so it is less work for care-givers, suppress-

Communities can be built through interest groups,

other. The outcome in this direction could be sys-

es the personality of the people. Thereby they lose

living areas as multigenerational housing or just

tems for multigenerational homes, educational

part of their identity in the public and are seen just

usual networks, that are built upon understanding

products or social services that trigger people to

as an “elderly” and not anymore as an individu-

each other and respecting each other.

interact or help each other.

al human being with a personality and individual

ENCOURAGE

authentic beauty

These flood of monotone mass products and

needs. This loss of identity is not only triggered by

PROBLEM SOLVING

how other people behave or products are made,

This results in three possible directions of prob-

but can be also triggered by themselves. Through

lem-solving. The first direction is to basically

the ageing process, a lot of people have to deal

elderly to take part in the society. This direction

with loss. not only losing a person but also losing

would be more product focused and help older

the job, the ability to do something they have al-

people deal with certain issues that pop up in high

ways done. This can lead to a point where they

aged life. Possible outcomes might be medical/

feel they have lost the meaning of their life. In high

healthcare products, everyday objects in their

age, it might be more difficult to start something

home or daily-use products for walking/trans-

new, to change to another thing than when you

portation. Trends and technologies like artificial

are younger. Being not able to do your hobbies or

intelligence, virtual reality, skilled prosthetics

have your familiar surrounding and people around

and biometric sensors could play a role in prob-

you, you also lose part of your identity as a person.

lem-solving for this topic. The second direction

Through changes of the body and mind, it is im-

focuses on encourageing elderly. That means to

portant to be self-aware of your capabilities and

restore and enhance their self-confidence and to

accept those changes to build upon. Motivation

motivate them to get out of the isolation cycle. In

will play a big role in this field. The last problem

this direction, the focus will be on a product but

field listed is sociability. Lack of sociability in high

also with a public perception background. This

age is usually initiated by isolation & loneliness

could be done tech-clothing, gamification, fash-

caused by loss of friends and family through death

ionable products, bio- or wearable tech. The last

or by living apart. But can also be caused by limita-

direction is focusing on connecting people. This is

tions of one’s body and mind as usual life-altering

only possible by assuming that the previous needs

issues. Sociability is the main part of a community

are already met. To connect means to integrate

9

01 / introduction

understanding the topic.

understanding future potentials.

01.03

GENERAL FUTURE SZENARIO To get a quick and rough insight into what might bring the future or what technology is most likely

TREND / ROBOTIC CARE PERSONAL*

to influence or live beside my product I want to create, I generated a small timeline with certain technologies and trends likely to arise. As these are

In the future robots will give

future scenarios, most of the information may be

bath our elderly, carry objects

speculation and be handled thereby with care.

and help older people with cooking and cleaning the house. (Smith, Anderson, 2014) *estimated time frame

TREND / LIVING IN MEGACITIES 59% of the global population will live in cities (United Nations

USED ARTIFICIAL INTELLIGENCE & DEEP LEARNING

TREND / HEALTH MONITORING In Denmark patients suffering from lung disease will

intelligence will be

the help of healthcare products. (Tai J., 2016)

Wearable tech gets implemented in clothes and fashion accessories and be able to trigger our brain activity. (WT

2016)

TREND / AUTONOMOUS SELF-DRIVING CARS

highly developed and play a certain role in our everyday lives. (Smith, Anderson, 2014)

2045 we could be able consciousness into a device. (Prigg, 2014)

DEMOGRAPHY / 20% ELDERLY By 2030, more than 50 countries expect to have about 20% of their

Volkswagen plans to bring

population being over 65

first self driving cars on the

(Pirkl J. J., 2009)

BEHAVIOUR ANALYSIS By analyzing behaviour in-depth and connecting it with IOT could influence and

market by 2019, as they also

improve the way we date

expect from their competitors.

and meet new people. (The

(Focus-Money, 2016)

VOX, 2016)

2010

It is said that in the year to upload our personal

Robots and artificial

be able to check up on themselves from home with

TREND / BIOMETRIC SENSORS

Human Settlements Programme,

UPLOAD CONSCIOUSNESS

Telegraph, 2017)

2020

2030

2040

10

COMPUTER SIMILAR INTELLIGENT TO HUMANS In 2050 the computer will be similar intelligent as humans through deep learning and artificial intelligence. Virtual and augmented reality will be flawless and ubiquitous. (Anthony S., 2011)

2050

tomorrows elderly generation will differ from the past generation which means “longer lives, better health, and more active life styles� (LINCOLN, 2014, S. 25)

11

01 / introduction

understanding the topic.

understanding market potentials.

01.04

GENERAL MARKET To analyze the market and evaluate blue and red oceans in the market, a first benchmark was made through analyzing the latest trends and products as well as product concepts. Emerging markets are the ones dealing with inclusive de-

MOBILITY (ENABLE)

MOBILITY (DRIVE)

MOBILITY (SUPPORT)

MOBILITY (ASSIST)

MOBILITY (CARRY)

wheelchairs on-road as

mix between

common mobility support

mobility assistance in

the market of carriage

well as offroad concepts.

transportation and

on wheels for elderly, also

shape of canes, many

products like shopping

carriage.

called walkers.

accessories available.

trolleys.

PHYSICAL ASSISTANCE

HYGIENE

SMART HOME

KITCHENWARE

GENERAL

inclusive, invisible

small products for daily

AI supported solutions or

intelligent solution for

general items that make

furniture design that

assistance with hygiene.

smart home devices.

kitchenware, especially

everyday life easier.

sign, products that are not having a healthcare appearance but are dedicated to support elderly with their life-altering issues. Another interesting market that is slowly emerging is the biometric market. Products that are not only technology driven through artificial intelligence, but are also directly responding to the body could help elderly with mental decline or other problems in high age.

supports elderly.

for parkinson target group.

12

MOBILITY (BODY)

MOBILITY (PUBLIC)

MEDICAL DEVICES

MEDICINE MANAGEMENT

MONITORING

mobility supporting

public solution to help

wearable medical devices

product solutions helping

monitoring solutions for

fashion or prothesis.

poeple with limited

needed for diseases

patients to remember and

people suffering from

mobility.

like diabetes, heart

manage their medication.

chronic diseases like

insufficiency, etc.

diabetes.

PHYSICAL TRAINING

MENTAL TRAINING

PHYSICAL THERAPY

MENTAL THERAPY

DEATH & MEMORY

COMMUNITY

CONSULTING & SUPPORT

public or personal fitness

devices to trigger or

objects or products to

devices to trigger brain

products, that deal with

services that trigger the

services that consult and

devices.

analyze brain activity.

rehabilitate after a stroke

activity for therapy

death or memories in life.

idea of community and

support elderly in decision

or illness, or prevent

reasons.

bringing people together.

making.

illness.

13

01 / introduction

understanding the topic.

lessons learned.

01.04

LESSONS LEARNED > ENABLE, ENCOURAGE, CONNECT Through research and analysis, three main topics were filtered to deal with further on in order to reach the goal. To enable elderly and support them with their physical needs, to encourage them and provide them stability and trust to be wanting to integrate into the multigenerational community and to establish a connection, a network, to bring generations together.

> ROBOTICS & BIOTECH Robotic trends like artificial intelligence, autonomous personal robots and biotech will shape the future and will especially get important for high age to solve daily problems.

> SLOWLY GROWING NEEDS As there is no specific point when we are old, when would be the point one considers himself or herself as an old person? Ageing is a process that is not only individual but goes on very slow, so that the needs that are occurring in high age arise step by step.

14

02

GENERAL RESEARCH I

gather insights, understand problems 02.01 / SURVEY 02.02 / SURVEY - WHAT CAN BE IMPROVED 02.03 / OBSERVATION & INTERVIEW 02.04 / LESSONS LEARNED

15

A / future scope 02 / general research

gather insights, understand problems

gather insights.

02.01

SURVEY / FEARS & LONELINESS

37-46 (generation X)

20,2%

47-61 (baby boomer)

A survey was made to gather insights about experience with elderly as well as fears one has

12,3%

by thinking about the future. This survey focused on loneliness, fitness, as well as general problems related to high age. On the following pages you

AGE OF PARTICIPANTS

can find an excerpt of answers given on questions like “what are current problem” and “what can be improved”. The survey was made public through

4,2%

62-79 (generation 1968)

AUSTRIA

4,2% +80 (“oldest old”)

83,7%

google forms.

332 PARTICIPANTS

REGION OF PARTICIPANTS

63%

1,8% OTHER GERMANY 14,5%

18-36 (generation Y)

HOW WOULD YOU COPE WITH ISOLATION/LONELINESS IN HIGH AGE? yes, definetely

92%

74%

70%

37%

37%

36%

32%

yes, maybe

no, rather not no, definetely not i would develop a regular hobby

i would connect with groups of people in the same age

i would get a pet

i would move into a multigenerational house

i would try to meet new people on the street/at events

i would move to a more lively area

i would not do anything special

16

WHAT ARE YOUR 3 GREATEST FEARS OF HIGH AGE? mental limits

47,9%

loss of mobility

41,3%

loss of independence

41,3%

loneliness/isolation

34%

loss of sight and hearing ability

34%

loss of the meaning of life

26,2%

loss of dignity

21,7%

loss of identity/personality

15,4%

other*

14,2%

no fears

* Stroke Cancer Loss of contact to surrounding People that care to much about me Incontinence Dementia Alzheimer, Be a burden for others Vegetative state Disease

REASON

1,5%

FEAR EQ

REASON

ISOLATIO

OF

UALS

OF N

WHAT ARE THE 3 MAIN REASONS OF ISOLATION/LONELINESS OF ELDERLY PEOPLE? loss of mobility lack of motivation

40,7% 36%

isolated on the countryside

27,7%

i do not know any isolated elderly

26,5%

do not know how to get in contact with other people no self-confidence, anxciousness

26% 15,4%

events are not adapted to the needs of seniors

7%

grieving, needing alone-time

7%

other*

2,7%

N ISOLATIO T O N MIGHT BE A MAIN PROBLEM

?

* Lack of motivation Loss of friends Limited mobility, no access to public transport Incontinence Wish for the dead Getting easily stressed and tired of events, not able to relax easily enough Dementia Not independent Lack of flexibility in daycare

17

02 / general research

gather insights, understand problems

gather insights.

02.02

SURVEY EXCERPT / WHAT CAN BE IMPROVED? RESPECT & PERCEPTION NEIN, ABER GENERELL WERDEN SENIOREN EHER

ETC. ORGANISIEREN MIT GEMÜTLICHEM BEISAMMENSEIN MIT FÖRDERUNGEN

TER IN ANSPRUCH NEHMEN KÖNNEN / INDIVIDUALITY MEHR INDIVIDUALBETREU-

ÄNGSTLICHER, WAS ICH AUCH GUT NACHVOLLZIEHEN KANN UND MEIDEN GE-

DER STADT (OFT FINANZIELLES PROBLEM ODER GELDMACHEREI) / VERSCHIE-

UNG / MEHR AUF DIE ÄLTEREN MENSCHEN ZUGEHEN UND SIE FRAGEN, WAS SIE

SELLSCHAFTLICHE SITUATIONEN MANCHMAL PRÄVENTIV / ICH GLAUBE, EIN

DENE VERANSTALTUNGEN PASSEND ZU DEN INTERESSENSGRUPPEN / SCHWI-

DENN ÜBERHAUPT WOLLEN / DAS IST JEDEM SELBST ÜBERLASSEN / ICH SELBER

STARKER GENERATIONENAUSTAUSCH IST AM WICHTIGSTEN - AUCH UM GE-

ERIGKEITEN BEI ATTRAKTIONEN IN FREIZEITPARKS. / VORTRÄGE, ERFAHRUNG-

FÜHLE MICH EHER UNTER VIELEN MENSCHEN EINSAMER / AUSFLUGSMÖGLICH-

GENSEITIGE VORURTEILE ABZUBAUEN À LA “DIE JUGEND VON HEUTE ...”. / DAS

SAUSTAUSCH / VIEL UMGANG MIT GLEICHGESINNTEN UND GLEICHALTRIGEN /

KEITEN SELBST AUSWÄHLEN / MOTIVIEREN MIT ASPEKTEN DIE AUF IHRE BEDÜRF-

GESELLSCHAFTSBILD, DAS VON DEN MEDIEN ÜBERWIEGEND PRÄSENTIERT

WENIG ANSPRECHENDES KULTURPROGRAMM, ALTERSGEMÄSSES ANGEBOT, IN-

NISSE ZUGESCHNITTEN SIND / DIE MOTIVATION MUSS IMMER VON EINEM SELBST

WIRD, BESTEHT AUS FITTEN, GESUNDEN UND ERWERBSFÄHIGEN MENSCHEN

TERESSANTE UNTERNEHMUNGEN MIT HOHEM AUFWAND UND MEIST REISE IN

AUSGEHEN / SIE DORT “ABHOLEN”, WO SIE SIND KRÄFTE UND MOTIVATION SIND.

ZWISCHEN 20 UND 60, UND BIETET FÜR EINE 80JÄHRIGE WENIGE ANKNÜPFUNG-

EINE STADT VERBUNDEN / DAS LEBEN MIT SINNSTIFTENDEN AUFGABEN FÜLLEN.

/ MOBILITY BESSERER ÖFFENTLICHER VERKEHR IM LÄNDLICHEN RAUM / MEHR

SPUNKTE. / VIELE SENIOREN MÖGEN ES, UNTER JUNGEN LEUTEN ZU SEIN UND

/ MEHR AUF DEREN ERINNERUNGEN AUFBAUEN ALS NUR “BINGO SPIELEN”. ALTE

KONTAKT ZUR AUSSENWELT / ÖFFENTLICHE VERKEHRSMITTEL AN ÄLTERE LEU-

EINIGE SIND AUCH OFFEN FÜR NEUES UND MODERNES. HIERFÜR BRAUCHT ES AL-

LIEDER SINGEN, MIT IHNEN DINGE SCHAUEN, LESEN. / NORMALE AKTIVITÄTEN AN-

TE ANPASSEN / MOBILITÄTSANGEBOTE / INDIVIDUELLE MOBILITÄTSANGEBOTE /

LERDINGS AUCH GESELLSCHAFTLICHE AKZEPTANZ (Z.B. WENN DIE ENKELIN MIT

SPRECHENDER GESTALTEN - NICHT SPEZIELL FÜR ÄLTERE / INDIVIDUELLE SINN-

BILLIGER UND UNKOMPLIZIERTER FAHRDIENST / HABEN WENIG MOBILITÄT, WEIL

DER OMA IN DIE COCKTAILBAR GEHT). / DIE AKZEPTANZ DER GESELLSCHAFT / EIN

VOLLE BETÄTIGUNG MIT GLEICHGESINNTEN / SENIORENPARK MIT KLEINEM CAFE

SIE OFT NICHT MIT DEN ÖFFIS FAHREN WOLLEN ODER KEINE GELEGENHEIT HA-

ANDERES BILD VOM ALTERN ENTWICKELN / KÖRPERLICH UND GEISTIG EINGES-

ZUM AUSTAUSCH UNTER GLEICHGESINNTEN, WO ICH LEUTE KENNENLERNEN

BEN SIE ZU NUTZEN, DA SIE IRGENDWO AM LAND WOHNEN. / BARRIEREN WIE

CHRÄNKTE PERSONEN SIND IN DER GESELLSCHAFT MEIST NICHT ERWÜNSCHT,

KANN / MAN IST MEISTENS DIE ÄLTESTE. UNTER NOCH ÄLTEREN WIE Z.B. SE-

ZB ZU WEITE ENTFERNUNG VON ANSCHLUSS ÖFFENTLICHER VERKEHRSMITTEL

ODER WERDEN GAR IGNORIERT / SELBSTAUSGRENZUNG GEGENÜBER DER JÜN-

NIORENTREFF IST ES LANGWEILIG / ICH PLANE DERZEIT EIN BRETTSPIELECAFE IN

BZW ZU SCHWIERIG UM KÖRPERLICH FÜR SENIOREN SCHAFFBAR / BESSERE AN-

GEREN GENERATION! / VON JUNGEN MENSCHEN WERDEN ÄLTERE OFT ALS NEG-

HAMBURG UND HOFFE DAMIT AUCH VIELE SENIOREN ANSPRECHEN ZU KÖNNEN.

BINDUNG LÄNDLICHER GEGENDEN AN DAS ÖFFENTLICHE VERKEHRSNETZ /FAHR-

ATIVE, SCHLECHT GELAUNTE ZEITGENOSSEN WAHRGENOMMEN. ES GIBT KAUM

/ FREIWILLIGE ARBEITEN MIT “WÜRDIGUNG” UND WERTSCHÄTZUNG DER “ARBE-

SERVICE UM SIE IN DIE STADT ZU BRINGEN / COUNTRYSIDE / MEHR LEISTBARE

HILFESTELLUNG FÜR SENIORINNEN, POSITIVE, FRÖHLICHE, WEISE, ZÜGE ANZU-

IT” / FUTURE & TECHNOLOGY PROBLEMATISCH FINDE ICH DIE SICH SEHR RASCH

WOHNEN IM GRÜNEN / WENIG MÖGLICHKEITEN AM LAND (PENSIONSHEIME ETC.)

NEHMEN UND SICH IHRE LEBENSFREUDE UND IHREN HUMOR ZU BEWAHREN. /

ÄNDERNDE KOMMUNIKATIONSTECHNOLOGIE - HANDY, COMPUTER - DA HALTEN

/ WOHNGEMEINSCHAFTEN MIT GARTEN / HABEN WENIG MOBILITÄT, WEIL SIE OFT

MANGELNDE AKZEPTANZ DURCH JÜNGERE / STIGMATISIERUNG ALS KRANK UND

MANCHE JÜNGERE SCHON SCHWER MIT / DAS ALLTÄGLICHE LEBEN, ALLES GEHT

NICHT MIT DEN ÖFFIS FAHREN WOLLEN ODER KEINE GELEGENHEIT HABEN SIE ZU

HILFSBEDÜRFTIG, ALTE WERDEN OFT NICHT ERNST GENOMMEN ODER WIED-

SCHNELLER, VIELES LÄUFT ÜBER TECHNISCHE GERÄTSCHAFTEN SCHWIERIGKEIT

NUTZEN, DA SIE IRGENDWO AM LAND WOHNEN. / MEHR SERVICE IM LÄNDL GEB-

ER VERKINDLICHT / SIE WIE “NORMALE” MENSCHEN BEHANDELN EDUCATION

ŻUNEHMENDE ALLTAGSDIGITALISIERUNG UND SCHNELLIGKEIT BEI AKTUALIS-

IET / VERBESSERUNG ÖFFENTLICHHER VERKEHR V.A. IN LÄNDLICHEN REGIONEN

AUFKLÄRUNG ÜBER PRÄVENTION UND STURZPROPHYLAXE / ALTERSSTUDIUM

IERUNGEN / ALTERSBEDINGTE ZUNEHMENDE VERSCHLOSSENHEIT GEGENÜBER

/ FINANCIAL CRISIS & EMPLOYMENT SIE AKTIV NOCH MIT IN DAS BERUFSLE-

/ BESSERE AUFKLÄRUNG DER GESELLSCHAFT ÜBER DIE NOCH VORHANDENEN

VERÄNDERUNGEN GEGENWIRKEN UND NEUGIERDE FÜR NEUES WECKEN. / IN-

BEN EINBINDEN (Z.B. JOBS FÜR SENIOREN AUF GERINGFÜGIGER BASIS, UM IH-

RESSOURCEN BEI KLASSISCHEN ALTERSKRANKHEITEN / ES ZÄHLT MEHR DIE

TERNETERKLÄRUNGEN FÜR ALLE / DIGITALBERATUNG PREVENTIVE MOTIVATION

NEN WEITERHIN EINE LEBENSAUFGABE ZU GEBEN UND KONTAKTE ZU KNÜPFEN)

SCHNELLIGKEIT DINGE ZU ERLEDIGEN, ALS ANDERE ZUR SELBSTSTÄNDIGKEIT

MENSCHEN SOLLTEN BEREITS VOR DEM RENTENALTER MOTIVIERT WERDEN /

NEUE BERUFE UM SENIOREN ZU MOTIVIEREN / MÖGLICHST LANGER VERBLEIB

ZU VERHELFEN ODER IHNEN MIT GEDULD ETWAS NEUES BEIZUBRINGEN. / SIE

HOBBIES FRÜHER BILDEN ZU KÖNNEN / ICH FINDE DAS MUSS BEREITS WÄHREND

IM ARBEITSLEBEN (ARBEITSLOSIGKEIT DER GENERATION 50+ SENKEN) / ANGE-

FRAGEN OB SIE MITHELFEN WOLLEN. UND IHNEN DABEI DIE ZEIT GEBEN, DIE SIE

DER GESAMTEN LEBENSZEIT VORBEREITET WERDEN / OFTMALS BRÄUCHTEN SIE

BOTE FÜR BEGLEITETE EHRENAMTLICHE TÄTIGKEIT / LÄNGER ARBEITEN, AUCH

BRAUCHEN UM DIE NÖTIGEN FÄHIGKEITEN AUCH ERLERNEN ZU KÖNNEN. SIE KÖN-

SCHON TÄGLICHE BETREUUNG WOLLEN ABER NICHT IN EIN BETREUTES WOHNEN

TEILZEIT UND ODER EHRENAMTLICH / FINANZIELLE MITTEL / MEHR UNTERSTÜT-

NTEN NOCH WAS LERNEN, SPASS HABEN, ANDEREN WAS BEIBRINGEN, WEIL SIE

WEIL DAS “ENDSTATION” SIGNALISIERT- ZIEL WÄRE ES AUS MEINER SICHT

ZENDE ORGANISATIONEN / AUSREICHENDE PENSION / VIEL ZU WENIG RENTE, FI-

AUCH EIN TEIL DIESER WELT SIND. / ACTIVITY MEHR ANGEBOTE ZUR FREIZEIT-

WOHNUNGEN ANZUBIETEN IN DENEN SIE UNABHÄNGIG SCHON FRÜHZEITIGER

NANZIELLE PROBLEME / PENSIONSALTER AN LEBENSERWARTUNG ANPASSEN.

GESTALTUNG / VERANSTALTUNGEN WIE SPIELEABENDE, KABARRETTBESUCHE

EINZIEHEN KÖNNEN UND IN DER NÄHE BETREUNG BEI BEDARF IM SPÄTEREN AL-

18

STIGMATIZING PRODUCTS ENDE DER STIGMATISIERUNG VON “ALTEN MENSCHEN”, VIELE

MENSCHEN MISCHEN / MEHRGENERATIONENHÄUSER, BZW ZUSAMMENLEBEN /

ANBIETEN. / MEHR TECHN. HILFSMITTEL ZU VERNÜNFTIGEN PREISEN, / KLEINERE

ALTE MENSCHEN WOLLEN KEINE “PRODUKTE FÜR ALTE”. DASS “NORMALE DINGE” FÜR

ICH FINDE ES WICHTIG GENERATIONEN ZUSAMMENZUBRINGEN - DA PROFITIERT

PRODUKTGRÖSSEN (LEBENSMITTEL) - OFT ZU GROSSE VERPACKUNG UND ZU SCHWER

SIE BEDIENBAR SIND. DAS AUCH PRODUKTE FÜR SENIOREN HÜBSCH, SEHENSWERT

JEDER! / OBEN GENANNTE KINDERGARTEN-ALTERSHEIM OPTION VIELLEICHT...

ZUM TRANSPORTIEREN / INFORM MEHR ANGEBOTE DIE SENIORENFREUNDLICH SIND

UND FARBENFROH AUSSEHEN; HÖRVERMÖGEN IM ALTER NIMMT AB, ABER HÖRGERÄTE

IN MEINER HEIMAT BAD AUSSEE HABEN WIR EINEN SENIORENBESUCHSDIENST

/ BESSERE VERMITTLUNG VON BESCHÄFTIGUNGSMÖGLICHKEITEN DA VIELE NICHT

SIND ALS HILFSMITTEL NOCH IMMER NICHT SO ANERKANNT WIE Z.B. EINE BRILLE.

VERANSTALTET. JEDE KLASSE IST ABWECHSELND EINMAL PRO WOCHE IN DAS

WISSEN WELCHE ANGEBOTE ES GIBT / IMMER WIEDER DIE SENIOREN ANSPRECHEN

PERSONEN SCHÄMEN SICH DIESE ZU TRAGEN / PROVIDE GUIDANCE, PSYCHOLOGY &

SENIORENZENTRUM GEFAHREN UND HAT EINEN KURS MIT DEN ÄLTEREN DAMEN UND

AUCH DURCH DIE ORTSINTERNEN MEDIEN / STÄRKERES FOKUSSIEREN AUF SENIOREN

THERAPY PSYCHOTHERAPIE FÜR MOTIVATION & AUFARBEITUNG VON ALTLASTEN... /

HERREN TEILGENOMMEN. / ICH FINDE DIE KOMBINATION AUS KINDERGARTEN UND

IN DER BEWERBUNG ÖFFENTLICHER VERANSTALTUNGEN UND ANGEBOTE, VOR ALLEM

SCHULUNGEN UM MIT DER VIELEN ZEIT UMGEHEN ZU LERNEN (PENSIONSSCHOCK) /

ALTERSHEIM EINE WUNDERBARE OPTION. VIELE KINDER HABEN KEINE GROSSELTERN

IN DEREN BEVORZUGTEN MEDIENFORMATEN / WERBEN FÜR SENIOREN. ZUM BEISPIEL

MIT DEN THEMEN KÖRPERLICHER VERFALL/STERBEN/TOD/TRAUER MÜSSTE OFFENER

UND SO KÖNNEN AKTIVITÄTEN VIELLEICHT DOCH STATTFINDEN? ICH ALS SENIOR

SOLLTEN DIE FITNESS-CENTER ANZEIGEN AUFGEBEN, DASS SENIOREN ERWÜNSCHT

UMGEGANGEN WERDEN - LETZTLICH IST DER TOD EIN TEIL DES LEBENS, UND NIEMAND

WÜRDE GERNE 5 MAL DIE WOCHE EINE MÖGLICHKEIT HABEN, MICH SINNVOLL

SIND UND NICHT NUR 17JÄHRIGE / (MOBILE) SOZIALBERATUNG ZUR INFORMATION ÜBER

KOMMT AN IHM VORBEI. / BEGLEITETES SUCHEN VON VEREINEN, HOBBIES, EHRENAMT,

IRGENDWO EINZUBRINGEN UND MIT KINDERN ZU TUN ZU HABEN. / MEHR KONTAKT MIT

MÖGLICHKEITEN, SENIORENGRUPPEN / AKTIV MIT LEISTUNGEN UND EINGERICHTETEN

DAMIT DER ANSCHLUSS LEICHTER FÄLLT UND SIE NICHT AUFGEBEN / VIELE BESTREITEN

JÜNGEREN IHNEN MIT MEHR FREUNDLICHKEIT BEGEGNEN DAMIT ÄLTERE MENSCHEN

BEREICHEN BEI VERANSTALTUNGEN WERBEN / MUNDPROPAGANDA, WERBUNGEN,

IHREN LEBENSABEND VÖLLIG ALLEINE OHNE HILFE OBWOHL SIE AM ENDE IHRER KRÄFTE

AUCH SICH DER JUGEND MEHR ÖFFNEN. ES SOLLTE WIEDER MEHR DAS PRINZIP DES

SCHÖNES ERLEBNIS GARANTIEREN GIVE RESPONSIBILITY DIE BESTÄTIGUNG,

UND MOTIVATION SIND. VIELLEICHT MIT BESUCHSDIENSTEN ZU HAUSE, WELCHE

GEBENS UND NEHMENS BELEBT WERDEN. / STUDIERENDE GRATIS IN PENSIONSHEIME

DASS SIE EINEN WICHTIGEN BEITRAG ZUR GESELLSCHAFT LEISTEN, SEI ES DURCH

SIE DANN WOHIN MITNEHMEN WENN SIE SICH BESSER KENNENGELERNT HABEN /

WOHNEN LASSEN FÜR ETWAS ARBEIT / “ERSATZ-OMA/OPA” “ERSATZ-ENKELKINDER”

KINDERBETREUUNG, GARTENARBEIT, EHRENAMTLICHES ENGAGEMENT. / VIELE

INDEPENDENCE & CARE BESSERE VERSORGUNGSANGEBOTE, FINANZIELLE HILFEN

/ “BUDDY-SYSTEM”/ FAMILY & FRIENDS IN MEINER FAMILIE IST ES VOR ALLEM DIE

FÜHLEN SICH AUF “DEM ABSTELLGLEIS”. / DAS DIE MENSCHEN EINEN SINN IM LEBEN

FÜR NÖTIGE UMBAUARBEITEN, HAUSHALTSHILFEN. / MEHR PFLEGEBEDIENSTETE

NICHT VORHANDENE ZEIT, AUFGRUND VON BERUF UND STUDIUM. DER STRESS UND DIE

FINDEN, ZIELE HABEN UND DIESE VERWIRKLICHEN KÖNNEN / MEHR SICHTBARE

IN ALTERS-/PFLEGEHEIMEN, DAMIT MAN SICH FÜR DEN EINZELNEN MEHR ZEIT

VIELEN VERPFLICHTUNGEN SIND SEHR HINDERLICH. OFT ZU WENIG AUFMERKSAMKEIT

EINBEZIEHUNG DER STÄRKEN VON SENIOREN INS ÖFFENTLICHE LEBEN, ZB ERHALTUNG

NEHMEN KANN / AMBIENT ASSISTED LIVING / FÖRDERUNG VON HILFEN, DIE DIE

DER VERWANDTEN / ANSCHLUSS AN DIE EIGENE FAMILIE UND GROSSFAMILIE /

VON BEETEN DER STADT, VORLESE- GESCHICHTENERZÄHLSTUNDNE FÜR KINDER;

SELBSTÄNDIGKEIT UND DAS LEBEN ZU HAUSE AUCH MIT LEICHTEM PFLEGEBEDARF

FAMILIENZUSAMMENHALT / FREUNDE WENDEN SICH AB WENN MAN NICHT MEHR

SINN VON ERFAHRUNG UND BISHERIGEN WERTEN / EINE SINNVOLLE AUFGABE GEBEN

ERMÖGLICHEN. / KLEINE HILFESTELLUNGEN BEI HAUSHALTSFÜHRUNG / ALLES WAS

SO AKTIV UND MOBIL SEIN KANN / GLAUBE ES IST SCHWIERIG DA DIE MOMENTANE

/ MEHR TOLERANZ / WENN MAN IHNEN DAS GEFÜHL DES “GEBRAUCHT WERDEN”

DIE SELBSTÄNDIGKEIT VON ÄLTEREN FÖRDERT. / MEHR EIGENVERANTWORTUNG &

ÄLTERE GENERATION GLAUBEN SIE SCHAFFEN ALLES ALLEINE (MEINE GROSSELTERN)

VERMITTELN KANN. DENN, WER NICHT GEBRAUCHT WIRD, KANN SICH SCHLECHT

UNABHÄNGIGKEIT / “VERWAHRUNG” IN PFLEGEEINRICHTUNGEN / TENDENZ (AUCH IN

PROBLEMS IN EVERYDAY LIFE ETIKETTEN SOLLTEN GRÖSSER ANGESCHRIEBEN

INTEGRIEREN. AUF DIE ERFAHRUNG SETZTEN / IHNEN VERMITTELN, DASS SIE ETWAS

DER POLITIK), SENIOREN OHNE AUSREICHENDES EINKOMMEN IN PFLEGEWOHNHEIMEN

WERDEN / MEHR ÄLTERE PERSONEN UNGESCHÖNT IN DER WERBUNG / BESSERE

WERT SIND / IHNEN ZEIGEN DASS SIE ETWAS KÖNNEN / ANGEBOTE MACHEN DIE IHREN

ANGEBOTE FÜR SINGLE-HAUSHALTE (LEBENSMITTEL, VERPACKUNGSGRÖSSEN ...) /

FÄHIGKEITEN ENTSPRECHEN / TRAINING SPORTPLÄTZE FÜR SENIOREN (ÄHNLICH WIE

FÜR ÄLTERE MENSCHEN DIE VIELLEICHT JÜNGEREN MENSCHEN HELFEN / MEHR

TEXTE GRÖSSER DRUCKEN (BUSTAFELN, HINWEISSCHILDER, VERPACKUNGEN...) / BEI

TRIMMDICH-PFAD ODER SPIELPLATZ FÜR ERWACHSENE) / MEHR PHYSIOTHERAPIE

GENERATIONEN VERKNÜPFEN /

INTERACTION BETWEEN THE OLD AND KIDS.

PRODUKTEN SPEZIELL AUF NACHLASSEN DER KÖRPERLICHEN FÄHIGKEITEN ACHTEN:

UND BEWEGUNGSLEHRE. / ERNÄHRUNGSWEISEN ÄNDERN UND AUFKLÄREN, MEHR

THE KIDS WOULD LEARN A LOT AND THE OLD WOULD HAVE SOMETHING TO DO /

ZB SEHKRAFT. VIELE LÖSEN FÜR DIE GEISTIGE FITNESS GERN RÄTSEL, LESEN ZEITUNG,

FITNESS IM ALLTAG.

KOMBINATION KINDERGARTEN / ALTERSHEIM! / MEHR MEHRGENERATIONENKONZEPTE

KOCHREZEPTE,... ABER DIE SCHRIFTGRÖSSE IST OFT VIEL ZU KLEIN (SODASS ES

/ WERTSCHÄTZUNG DER LEBENSERFAHRUNG UND DES WISSENS / WG MIT JUNGEN

AUCH MIT LESEHILFE SCHWER FÄLLT). RÄTSEL, ZEITUNGEN,... MIT GROSSER SCHRIFT

UNTERZUBRINGEN.

/

GENERATION

SYMBIOSIS

BESCHÄFTIGUNGEN

SPEZIELL

19

02 / general research

gather insights, understand problems

gather insights.

02.02

SURVEY RESULTS / WHAT CAN BE IMPROVED? A survey was made to ask for current problems

circumstances, what older people or people with

as well as possible solutions to improve the life of

any chronical illness are still able to do or work.

seniors. After the end of the survey, the answers

On the other side, you have to actively help elderly

were clustered in topics. Answers with the same

people to understand and learn at their own pace.

content that were mentioned several times were

Most of them are wanting to learn something new,

marked as important, as were the ones that could

but havn’t been given the time they need to do so.

EDUCATION AS PERCEPTION CHANGER?

MOTIVATION Another problem that was mentioned several times is the timeframe after retirement. Poeple suggested to be prepared earlier, or to be prepared your whole lifetime through, for the time when one stops work-

lead to a innovation oportunity. Thereby the main

ing.

problem fields were indicated as well as challenges

ACTIVITY & TRAINING

that can be used in further analysis. In the following

Though younger and mid-aged participants of the

INDIVIDUALITY

I wanted to give a summarized insight of the survey

survey commonly said that there should be more

Many participants critizize the way people want to

results.

activity offerings for elderly, the older ones have

change or improve things without really asking the

not mentioned any lack of events or offerings in

elderly what they really need. Not only in general but

average. It was also mentioned several times that

also face-to-face. Services are more and more ge-

there is a basic age problem in activities. While the

neric and less personal, as it also happens with care.

old people are often the oldest when taking part in

It is important to pick them up where they stand in

any activities, when searching for special high-aged

life, to ask their needs and their personal motivation

groups it is mostly boring for the still more active

to improve their lives.

RESPECT & PERCEPTION It was mentioned several times that there is a need of changing the perception of ageing. This can/should happen through the media, as well as business & marketing. Not only on a general but also personal level of perception plays an important role. Older people are seen as weak and ill in the

ENCOURAGE PREPAREDNESS OF HIGH AGE

CHANGE PUBLIC PERCEPTION OF HIGH AGE.

SUPPORT INDIVIDUAL NEEDS

ones. This means that there is still some room where active seniors should be able to meet people with

MOBILITY & COUNTRYSIDE

public, which should change. It was criticised that

similar age, but also avoid group activities that are

Obvious facts like barrier-free buildings, access-

there is no actual help for elderly to deal with the

focusing on elderly people only. It is also suggested

ability problems for public transport as well as in-

psychological issues like loss and fears in high aged

to build sports areas attractive also for seniors.

dividual mobility as a problem has been mentioned

life, so it is obvious that younger people experience

several times. More and more people like to stay in

them as negative and easily stressed person. Other

FUTURE & TECHNOLOGY

participants say that older people are often not

People mention the problem of the fast-paced fu-

wanted and closed out.

ture, that elderly have to fight with. This happening will actually never change and always stay a prob-

EDUCATION

lem. Which of course, is also influenced by a natu-

It was said that on the one handside people

ral biological mechanism of staying safe and isolate

need to be educated better about ageing and its

oneself from new risks by getting older.

IMPROVE PUBLIC TRANSPORTATIOON FOR ELDERLY

their homes, which means staying on the country-

DEAL WITH MODERN/ CURRENT TECHNOLOGY

side. Participants of the survey explain how this is influencing problems to go to the doctor as well as not being able to use public transport, as the bus is not available where they live.

IMPROVE MOBILITY OPTIONS FOR ELDERLY

20

FINANCIAL CRISIS & EMPLOYMENT Being financially independent people critizie the amount of pension a person currently gets as well as the overall support from the government. It is mentioned that the importance to integrate older people longer in work life is rising. This can be done

INDEPENDENCE & CARE

INTEGRATE ELDERLY LONGER IN WORKLIFE

Ambient assisted living is the most central point in healthcare for elderly and the most answered issue in the survey. Assistence that does not take

SUPPORT INDEPENDENCE

EVERYDAY LIFE People mentioned problems with living alone, from buying small portions until carrying them alone to their flat. Also problems in everyday life due to

over the life of seniors but supports them with

life-altering issues like loss of hearing, sight and

their independence. People also mention that care

mobility limitations.

by switching responsibilities within the job. Also

should start at home with small things, to prevent

new jobs for seniors could be an opportunity to stay

seniors as long as possible from going into public

INFORM

active in later life. Additionally voluntary jobs are

institutions or to a senior residence.

The majority of the survey participants indicate

getting more important.

that offerings are actually there, but are not used by GENERATION SYMBIOSIS

STIGMATA & INCLUSIVE DESIGN Stigmatizing products are ubiquitous, as also seen in the results of the survey. Not only the public perception but also the perception of the

A lot of people see an opportunity in bringing together

INCLUSIVE DESIGN

generations and trigger interactions between them.

Multigenerationsl housing as well as temporary combining kindergarden and senior residence

seniors with the reason that they are not informed

TRIGGER INTERACTION BETWEEN GENERATIONS

enough. Even in marketing, participants complain about commercial that are excluding older people, which subconsciously will influence the attendance of seniors.

user themself should get more importance in the

was appreciated by several survey participants.

healthcare industry. It is said that most products

Also enhancing the capabilities of seniors by

RESPONSIBILITY

look too technical and not colorful and appealing.

helping younger people was suggested. Even older

Lot of people ciritizise the way elderly are treated.

Products should not developed “for” old people but

participants of the survey are wanting to have more

They suggest to give them more responsibility,

“with” old people, so that everyone can use them.

to do with children in their lives. This could increase

something to work on to regain the feeling to be

understanding, and thereby acceptance and respect

still

in between the generations.

themselves. This could be done by integrate them in

PSYCHOLOGY As depression is a big issue in high age, it is essential to guide and support elderly in their high aged life not only with their physical needs but also with psychological problems. People also mention to do this preventive, to change the perception of

CHANGE PERCEPTION OF LIFE AND DEATH

needed in society and be able to express

important areas of everyday life.

FAMILY & FRIENDS Many people complain about lack of connection and support of their family or families in general.

Caused by stressful jobs or living situation regarding

death and ageing and thereby talk more openly

distances. But also seniors often refuse help for

about those topics to avoid surprises and prepare

themselves because they are certain to handle their

the individual person.

problems alone.

BRING FAMILY TOGETHER

CREATE INFORMATION SYSTEM FOR ACTIVITIES/ EVENTS

TRIGGER DREAMS & PASSIONS OF ELDERLY, REESTABLISH REASON OF LIFE

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gather insights.

02.03 / 01

INTERVIEW HEALTHCARE SUPPLY STORE For having an insight into the products of the

health insurance regulates/fixes the patient’s level

nice idea for elderly to help them with limited motor

healthcare branche I visited a main local healthcare

of illness to determine what amount of help they

skills. But they would not buy it for themselves and

supply store in Germany. A supply store provides

are meant to receive. So after leaving the hospital

products for patients that have special needs after

there are about 3-4 weeks where just nothing

surgery or a longer stay in the hospital/rehabilitation.

happens and the patient has to wait for getting

They also have products for institutions like daycare

any support. Therefore it would be of great help to

or elderly residence or for older people in general.

have something that connects or mediates between

The store I visited was very open like a usual store

the health insurance, doctors, hospitals and health

but had various sections where people can get

supply stores.”

specialized help from sellers to choose the right

AFTER LEAVING HOSPITAL, THERE ARE 3-4 WEEKS WHERE NOTHING HAPPENS.

when they enter our store, they are actually more in need of something crucial and would not search for small everyday items to improve their lifestyle.

DID YOU EVER EXPERIENCE A CUSTOMER THAT REFUSED PRODUCTS BECAUSE OF THEIR LOOKS? Of course! The most extreme case is when especially younger people just suffered from a

product for their needs. The goal was to get an

ARE THERE ANY NEEDS THAT YOU HAVE THE

insight of customer’s preferences and behaviour as

FEELING ARE NOT MET YET IN HEALTHCARE

well as insights of the sellers point of view. For this

SUPPLIES?

deal with their problems and accept help. It can be

case I prepared questions to start a discussion and

”There are already a lot of products on the market.

difficult then to suddenly need a wheelchair or other

get as many insights as possible. In the following

And they are getting more and more specialized. It

supporting products that make them look weak and

I will describe the most important parts of the

already seems as if there is a product for every case

ill. So we already had the case where people rather

interview and its overall results.

that can possibly happen. They all work perfectly, but take a look - none of them look appealing at all. With time we recognized that the usually best healthcare

LACK OF HIGH QUALITY HEALTHCARE PRODUCTS

stroke. This event always comes out of a sudden and totally unexpected so it is very hard for them to

leave without a product than taking anything “ugly” that would help them but also makes them appear weak in public.

DO YOU EXPERIENCE ANY BIGGER PROBLEMS IN

products we get are the one from Scandinavia. All

YOUR DAILY WORK?

products from Germany are built for functionality

“The biggest problem is happening when people

only. They are built to be cheap and simple. As much

just got out of the hospital. They do not really know

as possible. The Scandinavian products seem to be

their rights, what they are able to receive and what

way more focused on quality and reliability, not only

HIS/HER NEEDS?

products and services there are to meet their

functionality. This might result from their different

There are still problems with cars and wheelchairs.

health insurance system. Another thing is that

People are not able to get independent when they

people do not know about the products until they

have a wheelchair. There should be something

see them for the first time, which is usually in our

made for cars like an easy loading option.

problems. Nor do the doctors. They simple do not get informed. So they lie on their couch unable to continue with their daily life, but have to inform

UNINFORMED PATIENTS

themselves what to do and where or how to get

store, or when caregivers get to buy products for

help. And then it takes even more time until the

them. There are this new dishes for example, a really

LACK OF KNOWLEDGE ABOUT EXISTING PRODUCTS

CAN YOU THINK OF ANY PRODUCT/USE CASE THAT IS STILL MISSING ON THE MARKET? HAS ANY PATIENT BEEN MISSING A PRODUCT FOR

PSYCHOLOGICAL BARRIER (STIGMA)

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gather insights.

02.03 / 02

OBSERVATION / CLUBS & INTEREST GROUPS To get the most direct feedback I visited senior

of course personalities of the seniors. There are also

clubs in Graz, Austria. Two days I was taking part at

people who just change in between groups. When I

89 old. Member of the

the group meeting of “Aktiver Lebensabend” and

asked the reason about why they were here everyone

club since 22 years. Go

visited one monthly meeting that was organized by

told me that they visit this group to get any news, to

dancing once per week

the senior department Graz.

not get lonely. They also explain that many people do

and love to play cards

not understand the essence of those meetings as

together.

Rose and Emma, 85 and

they think seniors go there to meet a partner as most

AKTIVER LEBENSABEND

of them are widows.

The location of the club was at the city center and easy reachable by public transport. Every second

On this day also a new member visited the group. She

week there are two groups holding their meeting at

told me she is now trying out certain groups to find

this location. It was a big room with kitchen and one

out what would fit best to her. Her goal is to not find

big table. Usually there is one topic per day where

a group that just has coffee together and talks about

there is a presentation or speech and afterwards

the latest local developments, but to stay active,

there is coffee. (This day a police officer was doing

play a few games and maybe find new friends. She

a presentation about safety at home and on the

explained to me that she just lost her best friend who

street.) People gather around the table, some are

meant everything to her as they did a lot of things

totally quiet, others already chat with each other and

together. As her husband left her several years ago

exchange news. When the speech began, the seniors

she is now lonely and afraid to get isolated from

listened excited and also took part in tellling their

society. She is very clear about the importance and

experiences about robbery.

relation of stayng active and health. This was also

to stay physically and mentally healthy for a long

my impression with all the other members. Later I

time.

interviewed two older women who turned out to be

This was also approved by my second visit when I

best friends.

met an older woman that told me she got only 300€

As the founder told me, the most difficult topic for this organisation is to find a suitable location and of course people who like to take part. It has to be big enough and low cost in financing. To integrate but

SENSIBILITY TO FIRST IMPRESSION

DIFFICULTY OF LOSING THE BEST FRIEND IN HIGH AGE

They are members of the club since 22 years, go dancing once a week and love to play cards. They are 85 and 89 years old. When I asked them how they get here, they tell me that they come by car. It seems these older people understood what they have to do

per month, has to pay her medication but still tries Christine, 65 years old.

to do as much as she can. She already notices small

also to let them integrate is essential for building a

Just lost her best friend.

mental changes when remembering things, but

senior community. The first impression is essential

Visits the club for the

she keeps her brain fit by making jokes and create

for the visitor and decides whether they stay or leave

first time, wants to

sayings.

the group again. This depends often on activities and

make new friends and stay mentally fit in high age.

To maintain privacy, all names have been changed.

PEOPLE ARE CONSCIOUS & EAGER ABOUT HEALTHY AGEING

24

Eve, 81. Is afraid of

ing told not being active enough. They explained the

While a man in the round told me he is here to find

walking alone through

importance of quiet and private time and that a lot

a new partner, most of the woman told me that they

the city at night. Already

of the “active ageing” feels to them like a prejudice

has some tricks in mind

of older people. One said that a lot of them do not

to avoid dangerous

like being alone but usually you get used to it, which

situations.

PRIVACY IS IMPORTANT

are not interested in a new relationship. In fact, they even have problems to be misinterpreted when dancing or doing any activities with other men.

was agreed by many others. Many said that being with people in the similar age is important to them,

On the other side they complain about the problem

which is the reason they are visiting the meetings.

of being alone in the public. People do simply not

One said that older people often isolate themselves

talk to each other and not even perceive each oth-

by saying that they have pain everywhere and can

er. They say that they actually all experienced some

When I visited a meeting organized by the senior

not go out, which she usually sees as an excuse of

kind of prejudice whether in the public or through

department, everyone was already informed about

being just lazy or afraid to do anything in the public.

their families. But this happens also in between

my thesis and could answer me questions. I had the

Others say that a lot of people do not know any of

the same generations. Often elderly are not open

overall feeling that the seniors there were very mod-

this events even if they have information material

enough even though they are lonely and seeking

ern and open. It took place at the back of a restau-

at home, they just do not read it or think about at-

for friends. One woman is telling about her weekly

rant, where everyone was having coffee and sat in

tending it. In general they are very happy with the

experience at a cafe, where she would sit alone for

a circle to see each other and have an open dis-

amount of local offerings. They even explained to

hours, but nobody would talk to her.

cussion about a certain topic together. This day the

me that others envy them when they tell them about

topic was my master thesis and how to improve the

what they do and what events there are. Many of

life of seniors. So I prepared a view questions and

them are single, though a few do still have a partner

everyone was eager to answer and tell about their experiences. We began with the topic of isolation.

Most thought that the problem of isolation would be more of a problem in the city, where you do not know your neighbours that well, but I was also told

“ELDERLY BEING ISOLATED” AS A PREJUDICE

at home. They say they like this kind of events to get to know people and their experiences and learn new things. Some told me that jealousy is often a reason why some woman do not participate in such senior groups and that it is important to solve this problem,

that isolation might be a problem of perspective,

as there will be probably a time when you are alone

too. When in the past you saw people working on a

for which you have to be prepared. A lot of seniors

farm relaxing in their chair, you knew they did hard

experienced a hard time until they finally made the

work and earned their break. They say, that nowa-

step into going out and making new friends after the

days older people can not sit a minute without be-

loss of a partner.

SEE THE IMPORTANCE OF MAKING FRIENDS AND STAYING CURIOUS

SEEKING FOR ACTIVITY, NOT FOR NEW RELATIONSHIP

WISH FOR MORE INTERACTION

Anna, 73. Loves to make jokes, sees the importance of staying mentally fit through games and social interaction.

25

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gather insights.

02.03 / 03

OBSERVATION / DAYCARE / TAGESPFLEGE CARITAS For one whole day I visited a daycare institution

coffee and cake, sometimes even live music, where

people that just want to go to the daycare to meet

in Germany. My goals were getting an overall

they can sing or dance.

with people and have some entertainment, but also

impression from the point of view of the caregivers

people that are suffering from dementia and usual-

IMPORTANCE OF ROUTINE AND PREPARATION

as well as from the elderly. I had the chance to be

Being prepared and having a strict routine was

treated like a usual care-person and helped where I

probably the most essential point of the daycare

could. In the following section I want to review this

from the point of view of the caregivers. There were

visit and summarize important points as learnings

birthday calender on the walls, with pictures of each

from this experience. I was not allowed to take

visitor and everyone has their own coaster with their

photos to guarantee privacy and personal rights of

name written on them. In the evening, when all the

eryone has their individual needs and need thereby

the elderly.

people are gone, these coasters were already pre-

also individual care. This is not only difficult for the

pared for the next day. So the caregivers know who

caregivers but also difficult for the visitors, as they

will be there on the next day, as some people are

usually come to also talk with other people and do

ONE DAY SCHEDULE

there everyday, others are just for one day per week

something together. When we did some interactive

The daycare is located very rural on the edge of a

at the daycare. But not only the amount of people

games it was interesting to see that some, that usu-

little village. The building was very spacious and

changes, it is also important to know the visitors as

ally do not participate were also triggered by some

open. There was one main room with big windows,

every person has individual needs related to eating

more traditional quizes. The probably most interest-

where you can sit on a long table, along with the

habits or illness. It is also helpful to see whether

ing part was live music in the afternoon. This was

open kitchen. Also a toilet on the hallway and one

someone is missing this day. This princible is also

appreciated by every person and even the ones suf-

silent “sleeping room” as well as one office room

done with cuttlery that are prepared for the next

fering severely from dementia suddenly smiled and

for the care-givers. In the morning most people are

meal or the next day on a tablet. Routine especially

were happy to hold hands or even dance with the

fetched by a bus from their home and be driven to

seemed important as a day schedule. There are cer-

caregivers.

the daycare. Some others are picked up by a family

tain time frames fixed for each occasion. Breakfast,

member. After everyone arrived, they will sit around

morning activity, lunch, sleep/walking, afternoon

the table, most of them have their special place.

activity. After that, the people are picked up again

Then there will be breakfast, reading the news &

by the daycare bus or a family member to be driven

doing some quick quizes or games. After lunch

home.

some of the visitors will sleep, others will continue doing some board games or just sit and watch the

Difficulties happen especially with the individual

others. Before they get picked up at around four

needs of the people. At the daycare there are peo-

or five o’clock in the afternoon, there is also some

ple that are just unable to live alone but can speak,

ly do not speak. There are also people who can not eat alone so they have to be fed by the caregivers.

Some people need their sleep after lunch, some are so active that they are like to do some games in the afternoon. Others just want to watch and relax. Ev-

INDIVIDUAL PERSON NEEDS INDIVIDUAL CARE

ACTIVATION THROUGH MUSIC

26

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gather insights.

02.03 / 04

INTERVIEW CARINA SCHWEIGER Carina Schweiger is psychotherapist for people 65

to build your identity, you need feedback, respect

and over. I interviewed her about her daily job as

and acceptance and kind of a mirror to develop your

well as some general questions about the future of

personality. We define ourselves through our sur-

high aged living. As I already prepared a few idea

roundings, also in high age.

sprouts generated in a quick brainstorm I could also ask her to give feedback on specific topics I was

OLDER PEOPLE MENTION THAT THERE ARE AL-

planning to work on further.

READY MANY GOOD OFFERINGS TO GET MORE

IDENTITY COMES THROUGH SOCIAL CONTACT

they would not have grandchildren to fill this emptyness. But this habit is rapidly changing. The people, who are now between 50-70 had already more lifetime besides their worklife. This means they will be probably more open to offerings. This population group also has a higher consciousness about ageing because of their role as a caregiver for their own

ACTIVE, TO SOCIALIZE AND DO SOMETHING WITH

parents. The nowadays old generation has never ex-

WHAT PROBLEMS DO PEOPLE HAVE WHEN THEY

THEIR LIFE, THOUGH THERE ARE STILL SO MANY

perienced their parents being so old. In the past the

ASK FOR YOUR HELP?

PEOPLE WHO DO NOT REACT OR DO NOT USE IT.

old people just stayed at home in their bed, nobody

My job is to help and consult older people in chang-

We will never be able to end some basic loneliness

questioned their need to take part in the society, to

ing or optimizing their life situation. This can be

that comes with high age. We are all single humans,

be more active. But we there are also people nowa-

medical, through therapy, about social situation,

there will be always some level of loneliness when

days who do not want to deal with their surrounding

surrounding, as well as the living or financial situa-

we get older. Apart from the people that are oher-

with anything new.

tion. It might be surprising that most of the people are not visiting me because of the loss of the partner, but way more often because of the recent loss of a long-time friend.

INTEGRATING ELDERLY MORE INTO THE BIGGER PART OF SOCIETY WAS ONE OF MY CHALLENGES.

HIGH IMPORTANCE OF A BEST FRIEND IN HIGH AGE

GENERATION WILL CHANGE SIGNIFICANTLY

wise isolated because of psychological or physical limitations, there are usually two different types of

IS THERE ONE TOPIC YOU HAD TO DEAL THE MOST

people. The ones who take part in a lot of those offer-

OR ONE TOPIC THAT IS ANY KIND OF SPECIAL?

ings and the ones that are not that active and have

One issue that plays an important role is the typical

to overcome one’s inhibition. These ones have to be

“I do not want this anymore”. Though it has to be

attracted to get outside and do something. They are insecure and afraid and often unsure about what

WHAT ARE YOUR THOUGHTS ABOUT IT?

abilities to bring to visit any events or take part on

Often you might think, social contact would be

any activities. People define themselves with work,

something that is triggered through daycare insti-

with what they do. This builds the base of their life,

tutions or nursing homes. This is not the case. Often

which means the less they are able to do this work,

the opposite happens. One might think older people

the less they feel secure in doing new activities. Also

are just getting more calm and quiet and then some-

when looking into this generations a bit deeper - lots

day they will die. Though they do have so much po-

of them have never had a lot of spare time where

tential and ressources that can be used to develop

you could build hobbys or interests beside your usu-

themselves personally. You need social connections

al job. Most of this generation are then sad when

BARRIER OF VISITING INTEREST GROUPS: WHAT ABILITIES DO I HAVE TO BRING?

strictly differentiated from suicidal intentions. I often hear sentences like “I would not mind not waking up tomorrow”. In this cases it is important to speak to their individual needs, to try to understand them deeply and not motivate them with words like “we will find a solution”. This group of people is actually happy with their life but want to change something.

YEARNING FOR DEATH

28

or at least deal with this problem they feel. I am

ple suffering from dementia. They appear rather

FEEDBACK ON TOPICS / WHAT SHOULD CHANGE

not sure if this yearning for death will always stay

quiet and do not talk much, but still feel and think

FOR THE FUTURE OF AGED LIVING?

or changes with generations due to more activities,

so rational and get quickly to the heart of something

Having the choice is the base of independent living.

added possibilities and reason of life. Depression

when you expect it the least. These are very emo-

Not just in the moment when people are forced to

in high age is not something one can discuss and

tional and motivating moments that give a lot of en-

use assisting objects but decide for themselves in a

then it is gone. Most times it is something way more

ergy in my job.

moment before would be essential. Inclusive design

deep and long-term, or something that happened at

should be a standard, not only for old people, but

some point in the past. The focus of depression in

WHAT DO YOU THINK ABOUT THE ROBOTIC PET

for all age groups. Also the generations will change.

high age has its focus on acceptance, not on solving

TREND IN THERAPY?

The next generation will be way more technology fo-

a problem.

Living animals would be better for sure. Especially

cused, this could already happen the next 10 years.

in our region, seals are not very familiar animals and

Loneliness will still be a topic I think. In the high age

thereby probably not the best option to trigger social

the single-housholds are increasing.

ARE THERE ANY CASES WHERE PEOPLE SHOULD

interaction and relationship. For people suffering

DEAL WITH THEIR DEPRESSION OR HAVE EVEN

from dementia we already use similar solutions in

I also do not believe in robotos coming to healthcare

HOMEWORK-LIKE EXERCISES TO CHANGE THEIR

therapy. For example dementia dolls, which get ac-

very fast. A big problem is hygiene. It is not done by

LIFESTYLE?

cepted very well. I do not really like the idea of robots

assisting someone with their daily body care. The

in healthcare. As we currently already have a lack of

bathroom is a rather dangerous place and elderly

caregivers, every caregiver is responsible for sever-

easily slip and fall. So usually they also should have

al more patients which means less time and there-

someone by their side that can hold them or take

by less personal & individual care for each patient.

care of them in case something happens.

In the past it was common sense not to dig deeper when a person suffers from depression in high age.

But there are always a few individual people who want to deal with their issues from the past. Though this is only possible as long as the person is really ready for it.

WHAT WAS THE MOST SURPRISING OR UNCOMMON CASE YOU HAD IN THE LAST YEARS? Often there are very interesting family situations.

Some of which you can not imagine yourself. How to live with this circumstances so many years. The most surprising moments though happen with peo-

DEAL WITH LOSS AND DEPRESSION THROUGH THERAPY IS AN INDIVIDUAL THING

Even now lot of caregivers are advised to just do the minimum care. With robots this would just increase

depressionen im alter lassen sich nicht wegdis-

and be even less personal and emotional I am afraid.

kutieren, mit dem bestehenden muss man leben,

Smart home solutions will play an important role in

akzeptanz im fokus

the future, but face-to-face contact should not be underestimated.

HAVING A CHOICE IS THE IMPORTANT FACTOR IN INDEPENDENCE

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gather insights, understand problems

lessons learned.

02.04

LESSONS LEARNED > FOCUS CHANGE / SOCIAL INTEGRATION NOT THE PROBLEM Through modern technology and mobile opportunities many solutions already focus on the problem how to integrate elderly into the bigger part of society via connecting them to each other or with their families. In interviews it also turned out to be a prejudice made by younger people who think older people are all lonely and would like to be more active and to connect with people. Making this conclusion, the focus changed to the goals of enabling and encouraging elderly rather than connecting or creating network interactions.

> HEALTH, INDEPENDENCE, PERCEPTION, RETIREMENT, LOSS There were five topics that always came up through the survey, observations and interviews. Therefore these topics were marked as main problems and will be treated as core challenges.

> IMPORTANCE OF GENERATION-CHANGE The generation change might be more significant than we expect it to be. While in the past elderly have not been asked if they are still living their life how they want to live, nowadays we have many opportunities to stay healthy longer and thereby more years to fill with quality time. Also not to forget the changing approach to current modern technologies that baby boomers use now and still will be when they are old. Another important point is the rising acceptance of ageing by the changing generations. Current baby boomers are more open to accept help or move to a smaller, more practical home when they need to, as they experience this exact problems now as a first generation that actively take the role of a care person for their parents.

> REDESIGNING SYSTEMS AND SOCIETY PERCEPTION A lot of issues, that come up in old age desire a more holistic solution than creating a single product. To be conscious about this fact, is needed to focus on smaller steps that can lead to a bigger approach.

> IMPORTANCE OF INDIVIDUALITY IN HEALTHCARE Observing elderly and systems made for elderly at fairs or at senior homes is a very emotional act, as one sees his/her own possible future. There is still a huge lack of products that address an elderly as a individual human being, yearning for self-expression, building personality, not only functionality.

30

03

CHALLENGES & OPPORTUNITIES

summarize insights & develop ideas 03.01 / CHALLENGES & OPPORTUNITIES 03.02 / BRAINSTORMING 03.03 / LESSONS LEARNED

31

03 / challenges & opportunities

summarize, develop ideas

summarize & analyze problem fields.

03.01 / 01

CHALLENGE A / HEALTHY AGEING Healthy ageing does not only mean being prepared for the later life, but live healthy in general to decrease the risk of illness and increase the abilities in later life. As active ageing is usually of high effort and even something one might not think of in younger age, this is something that can be solved in an subconscious way. By tech-related solutions like virtual reality or gamification as well as the general way how we build cities and infrastructures.

Walkable neighbourhoods is something that is very important in high age, to stay active by providing an accessable infrastructure with no barriers and enough diversity to activate the brain (Walkscore, 2017) (Brownstone, 2014). Another way to ensure healthy ageing could be triggering creativity and curiosity through inspiring experimental or activi-

challenge

ENSURE PEOPLE STAY HEALTHY FOR/IN HIGH AGE (ACTIVE AGEING)

ty starter kits. Reversing the idea of subconscious healthy ageing to conscious ageing brings even more opportunities. Conscious ageing lets us deal with our life more intense and seeing it more valuable. By changing also the perception of life-altering issues to a good thing or having an overview to deal with our lifetime in a more detailed way. The process of ageing itself is also an important issue, which can be visualized as a product that grows with you, guides you and gives you feedback about your healthstatus in an attractive and decorative way.

P01 problem field.

UNCONSCIOUS AGEING when is the time to get help? When am I “old�?

P02 problem field.

LONELINESS & SOCIABILITY seeing the importance to stay active in high age, but having no peers to train with/be motivateted by

P03 problem field.

FAST PACED FUTURE people getting anxcious of the fast moving world they lose contact with

P04 problem field.

COUNTRYSIDE ISOLATION rising health issues when isolating on the countryside or suburbs

32

make it a game

explore “walkable neighbourhoods�

gamification

ity

un

t

op

make it a game

po

augmented reality

opportunity

TRIGGER CURIOSITY opp

opp

see life plan

or

t

adapting material

ins

pi

t

n

motivational & surprising kit

ra

ins

natural analogy: wrinkles

pi

ra

natural analogy: ageing spots

opportunity

ESTABLISH RITUALS/ ROUTINE

ity

t

or

tio

n

ity

tio

or

opp

un

opp

un

know your roots & risks

ity

CONSCIOUS AGEING

un

opportunity

t

experimental kit

ages with you

know your genetics

or

un

un

or

ity

opp

pi

ity

ra

ins

rt

tio

un

n

MAKE IT SUBCONSCIOUS

collect

ity

explore

opportunity

opp

opportunity

GUIDANCE/ TRAINER

or

t

ity t

let it grow with you

opp

mirrored interface

or

t

opp

haptic data visualisation

or

t

opp

visual milestones

or

t

ity un

MONITOR & STATUS FEEDBACK

ity

opportunity

un

workshops

or

ity

opp

un

t

ity

artificial intelligence

or

un

opp

un

un

ity

ritual kit

opp

or

t

decorational/ growing visualisation

33

03 / challenges & opportunities

summarize, develop ideas

summarize & analyze problem fields.

03.01 / 02

CHALLENGE B / INDEPENDENCE Independence is probably the most difficult issue when getting into the high aged life. As the financial side is getting more important, seniors tend to move if they are willing to. This leads to the opportunity to adapt the idea of student flats. Bringing not only students and elderly together (Szemberg Wodek, 2017) but create a multigenerational housing that adapts to the need of both, could be one solution of independent living for seniors. Also modern

challenge

technolgy and rising acceptance through switching

ENSURE DIGNIFIED INDEPENDENT LIVING IN HIGH AGE

generations can bring benefit to the elderly. Smart homes will not just regulate the temperature but be so much more (Taylor & Francis healthsciences

PERSONALIZE

2004). Another way of independent living is to build inclusive designed furniture for homes that are invisible to the eye of the public and visitor. This can be done on the level of furniture parts through shapeshifting or inclusive design but also ubiquitous as a system that influences the home as a whole.

Reversing the idea of invisible support is leading us to making it visible. This again is related to change the perception of elderly by fashionize items and healthcare products and make them more advanced through modern technology.

P01 problem field.

LIFETIME CHANGES changing from big family to single life during lifetime

P02 problem field.

SINGLE HOUSEHOLD a lot of people are living alone in high age, but there are rarely solutions for this case.

P03 problem field.

MEDICAL DESIGN illness & weakness made visible through products - medical design of products

P04 problem field.

COUNTRYSIDE ISOLATION rising health issues when isolating on the countryside or suburbs

P05 problem field.

PERSONALIZA products are n identity/perso

ATION & IDENTITY not designed for onal customization

34

small & cheap low budget furniture

or

t

opp

or

opp

invisible healthcare products - inclusive design

invisible injuryavoiding items

ity

ity

t

or

t

neutral appearance/ decoration

opp

or

t

reserved household elements

opp

brain interaction

t

adaptive elements

or

grows with you

t

opp

autonomous products

or

t

opp

shapeshifting elements

opportunity

shows age

illuminated textile

generative elements

or

t

ity

ity

ity opp

opp

or

t

emotion sensitive

un

t

un

or

un

un

ity

SHOWING PERSONALITY/ EXPERIENCE/HISTORY opp

ity

ity

3D printed customization

follows you

opp

system

opp

ity

or

t

un

un

opp

or

tracking textile

ity

SHAPESHIFTING

opp

un

FASHIONIZE ity

opportunity

t

pattern & structure (modular)

universal adaption opportunity

or

un

t

reacts to you

ity

or

opp

or

t

adapting material

or

t

un

ubiquitous aid: living home

opp

un

t

un

or

ity

opp

un

t

un

architecture implemented

or

un

un

opp

ity

CUSTOMIZE ity

UBIQUITOUS AIDS

ity

opportunity

ity

opportunity

ity

opp

un

t

un

or

opp

formable elements

or

t

un

opp

un

un

un

ity

INVISIBLE AIDS

ity

ACCESSABLE AIDS

ity

opportunity

opportunity

opp

interactive/ reacting elements

or

t

or

t

35

03 / challenges & opportunities

summarize, develop ideas

summarize & analyze problem fields.

03.01 / 03

CHALLENGE C / PERCEPTION Elderly are seen as ill and weak people in the public.

Changing this is the goal of this topic. One generic solution to this would be starting at the very beginning of prejudice by making changes in education or the toy industry as well as marketing. Changing the perception has to be visual, not invisible. This can be reached through changing stigmatic healthcare products, fashionize them or make them even provocatively visible. The third way to counteract on the stigmatic perception of elderly is to bring

challenge

up their positive sides as wise and most life experi-

COUNTERACT ON STIGMATIC PERCEPTION OF ELDERLY BEING ILL & WEAK

enced humans, which is already done in other cultures.

P01 problem field.

IDENTITY THROUGH PRODUCTS products are not designed for identity/personal customization

P02 problem field.

LACK OF ROLE MODEL having no role model for older people in society. (hidden age)

P03 problem field.

AGEISM perception of elderly being ill & weak. exclusion of elderly in business life

P04 problem field.

MEDICAL DESIGN illness & weakness made visible through products - medical design of products

36

opportunity

un

ity

CHANGE SOCIETY’S OVERALL PERCEPTION IN ENTERTAINMENT AND EDUCATION

opp

or

t

education (children toys)

opp

alternative movement concepts

t

ity

ity opp

illuminated textile

or

t

un

or

opp

provocative design

or

t

interactive clothing

strengths & abilities life experience

achieved goals skills

opp

markings of traditonal elders

opp

traditon of aboriginal elders

under-skin implement

or

t

opp

or

t

natural analogy: wrinkles

ity

ity

ity

ity opp

opp

or

t

natural analogy: ageing spots

un

t

un

or

un

t

un

or

un

achieved age

ity

expertise ity

ENHANCE PERCEPTION OF ELDERLY AS LIFE EXPERIENCED & “UPLEVELED“ PEOPLE

opp

un

opportunity

t

un

or

un

un

ity

ENHANCE STIGMATIC HEALTHCARE PRODUCTS

ity

opportunity

opp

showing off experiences

or

t

37

03 / challenges & opportunities

summarize, develop ideas

summarize & analyze problem fields.

03.01 / 04

FIELD/D RETIREMENT

opportunity

INTEGRATE LONGER IN WORK-LIFE

Retirement is something the babyboomers and the following generation either fears or is looking forward to. This can not only influence our feelings, but for some who had a especially stressful worklife even be life-threatening. How to avoid the risk of a sedentary lifestyle when quiting a long-term job

challenge

forever? One solution would be to try to stay longer

AVOID SEDENTARY LIFESTYLE AFTER THE POINT OF RETIREMENT

in “work life” by finding new opportunities or new jobs that can be done even in high aged life or are voluntary. Also triggering dreams and passions can help to remember goals and challenges we set in our earlier life and be motivated to fulfill these. It is also said that sometimes interest is not enough, people need active support or a quick push in the direction

opportunity

to overcome their inner barrier. (Weltgesundheit-

GE CHAN WILL E NEXT H FOR T ATION R E N GE

MOTIVATE TO CHANGE TO SOMETHING NEW

sorganisation, 2005). This can be solved through special creativity kits or public job and activity opportunities. Participation is the key factor of this goal, which was proven to increase the mental and physical health of elderly. (Institut für Gerontologie, TU Dortmund, 2011)

P01 problem field.

FINANCIAL CRISIS IN RETIREMENT a lot of people do not receive enough pension to live a fullfilled life when they would have the time to

P02 problem field.

SUDDEN RETIREMENT LIFE loosing whole enjoyment & social environment through retirement

P03 problem field.

AGEISM perception of elderly being ill & weak. exclusion of elderly in business life

P04 problem field.

ISOLATION rising health issues when isolating on the countryside or suburbs

P05 problem field.

ACCESS if you tr own dec

38

opportunity

un

ity

ADAPT TO FUTURE JOBS MADE AVAILABLE THROUGH MODERN TECHNOLOGY (VR, AR...)

opp

or

t

virtual reality

trust, peace (haven of peace)

opportunity opportunity

education (expertise & skills)

kits: give guidance/ explain

opp

S DISABILITY reat people as if they are not able to make their cisions they start not making their own decisions

ity un

opp

or

t

common goods (city responsibilities) opportunity

INFORM

opportunity

or

t

establish room

ity un

un

ity

CREATIVE WORKING opp

opp

or

t

establish workspace

opp

or

stories in enterntainment

t

ity

ity opp

or

children involvement

t

un

t

un

or

consulting, advice-giving

opportunity

EMPOWER / GIVE RESPONSIBILITY

ity

entertainment (stories & experience)

un

t

ity

or

un

un

opp

good advice (character & strength)

GENERATION SYMBIOSIS

ity

TRIGGER INTERESTS & DREAMS

opp

teamwork

or

t

39

03 / challenges & opportunities

summarize, develop ideas

summarize & analyze problem fields.

03.01 / 05

FIELD/E COPE WITH LOSS Coping with loss may be the most ubiquitous topic in high aged life. Not only by losing the independence and physical abilities but also longtime friendships and lifetime relationsips. Providing furniture or systems to have a quiet shelter in todays fast and loud world could be one improvement. Mostly this is not enough and a person needs some kind of guidance through the process, which can be supported by products or system kits that work as a companion or friend. Dealing even more intense with the feeling of depression or grieving, product solutions might

challenge

visualise a certain state or change in ones feelings

COPE WITH LOSS IN HIGH AGE (DEPRESSION /GRIEVING)

and let the person physically interact with it. This can also indicate positive developments in the grieving process or even help the person to get over a loss by having the opportunity to experience it on a physical level.

P01 problem field.

COPING WITH LOSS & PSYCHOLOGICAL ISSUES (independence, chronic illness, dearest friends, family, personal possessions over lifetime)

P02 problem field.

SUDDEN RETIREMENT LIFE loosing whole enjoyment & social environment through retirement

40

opp

opp

bionic process

t

opp

furniture

or

t

cocoon

opp

or

t

lifeline record (individual trigger)

opp

opp

light therapy

or

ity

ity

t

opp

interactive display of feelings

or

un

t

un

or

un

un

ity

KNOW YOUR FEELINGS, EXPRESS STATE OF FEELINGS IN TANGIBLE WAY

ity

opportunity

t

opp

or

t

brain interaction

haptic data visualisation

opportunity

u np i tpy o

rtu

nity

KNOW YOUR FEELINGS, EXPRESS FEELINGS IN TANGIBLE WAY opp

or

t

o

data visualisation interface

opp

companion

opp

artificial intelligence

opp

process/data visualisation

or

ity

ity

ity

t

t

opp

process/data visualisation

or

t

un

or

un

t

un

or

un

un

ity

GUIDANCE THROUGH PROCESS

ity

opportunity

opp

animalistic

or

t

un

or

un

ity

ity

t

un

or

un

un

ity

GAIN ENERGY FOR GRIEVING

ity

ENCOURAGE TO TALK AND SHARE MEMORIES

opportunity

ity

opportunity

opp

or

t

inspiring triggers (general trigger)

41

03 / challenges & opportunities

summarize, develop ideas

creating ideas.

03.02

BRAINSTORMING

01

SMART HOME

BRAIN INTERACTION DEVICE (equality & dignity) mind controlable device to move/control objects at home/wheelchair/mobile storage etc.

02

SMART HOME

THE HOME AS A UBIQUITOUS COMPANION (equality & dignity) letting the house be your artificial intelligence, controlling devices, being ubiquitous (to talk to) and reacting like a living being.

03

SMART HOME

HOME COMPANION OF THE FUTURE (equality & dignity) animalistic soft robotic companion to help elderly in the household (physically & mentally) also reactive and emotional.

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

service design

service design

service design

experience design

experience design

experience design

42

creating ideas.

04

MOBILITY

CARGO BICYCLE (equality & dignity) cargo bike to make daily transport easier and simpler.

05

MOBILITY

WALKING CARRIAGE/ MOBILE STORAGE (equality & dignity) walker of the future, not looking medical but helping with several functionalities for better loading/exceptional appearance.

06

MOBILITY

AUTONOMOUS PUBLIC TRANSPORT (equality & dignity) through autonomous driving, elderly people and people with restricted mobility will have better access to public transport. how will they influence autonomous cars / public transport?

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

service design

service design

service design

experience design

experience design

experience design

43

03 / challenges & opportunities

summarize, develop ideas

creating ideas.

03.02

BRAINSTORMING

07

STAY CURRENT

SIMPLIFY INFORMATION TO UNDERSTAND THE MODERN WORLD

08

HEALTHY AGEING

“EARLY BIRD” MOTIVATIONAL GUIDE (healthy ageing) app that helps you stay fit

(healthy ageing) browser pop up for articles (or websites/

through rewards which are connected with

blogs... with lots of texts/long videos) that summarizes the

supermarket discounts.

content on the website in understandable, easy language.

09

STAY CURRENT

CREATIVITY TRIGGER SUBSCRIPTION BOXES (healthy ageing) subscription boxes that fill the life of retirement with individual interest fields. Learn new skills, be creative together with family or friends or discover unknown places. This can also help to stay uptodate with current technology.

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

service design

service design

service design

experience design

experience design

experience design

44

10

INDEPENDENT LIVING

INVISIBLE HOME ASSISTANCE (equality & dignity) change the perception of static & needed mobility aids into architectural & decorative pattern. modular bed design that provides handlebars as structural elements integrated in the overall shape bathroom that supports independence in high age without being visible as aided structure

level of innovation size of market product design service design experience design

45

03 / challenges & opportunities

summarize, develop ideas

creating ideas.

03.02

BRAINSTORMING

11

DEATH & GRIEVING

GRIEVING TEXTILE (depression & grieving) grieving

12

DEATH & GRIEVING

COCOON

(depression & grieving) a piece of furniture,

13

HEALTHY AGEING

EXPLORATION COMPASS (healthy ageing & retirement) compass that

pillow/blanket that is reactive to

shaped as a cocoon, soothing place to gain

motivates to explore and provides the user only

touch, breathes and soothes the

energy and have some alone-time.

with the direction, not the exact way. thereby new ways can be explored

user.

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

service design

service design

service design

experience design

experience design

experience design

46

creating ideas.

14

PERCEPTANCE

PROTECTIVE FASHION

15

PERCEPTANCE

VISUALIZED EXPERIENCE (equality & dignity) external vizualization of

16

HEALTHY AGEING

GROWING HEALTH STATUS

for elderly people.

experience level, acting as a status symbol of high age.

(healthy ageing) analogue growing object, that represents oneself in terms of health/stress. Can give feedback about changes and improvements.

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

(equality & dignity) protective fashion

service design

service design

service design

experience design

experience design

experience design

47

03 / challenges & opportunities

summarize, develop ideas

creating ideas.

03.02

BRAINSTORMING

17

MULTI-GENERATIONAL HOUSING

INCLUSIVE DESIGN FOR KITCHENWARE (equality & dignity) kitchenware

18

MULTI-GENERATIONAL HOUSING

MULTIGENERATIONAL HOUSE MODULES

19

HEALTHCARE

PATIENT HEALTHCARE INFO & SUPPLY SYSTEM

(equality & dignity) furniture modules

(healthy ageing) service that connects hospital,

designed for elderly as well as students,

patient and healthcare supply store to provide the

as they have similar needs. supports

healthcare products as soon as possible as the

multigenerational housing.

patient is at home.

level of innovation

level of innovation

level of innovation

size of market

size of market

size of market

product design

product design

product design

designed for people with disabilities (grabbing function, dangerous zones...)

service design

service design

service design

experience design

experience design

experience design

48

creating ideas.

20

DEATH & GRIEVING

SOUL VESSEL (FUTURE URN/GRAVEYARD) (depression & grieving) a vessel/container filled with digital life information of a dead person. Can contain information about ancestors.

level of innovation size of market product design service design experience design

49

03 / challenges & opportunities

summarize, develop ideas

lessons learned.

03.03

LESSONS LEARNED > TOPIC / INDEPENDENT LIVING Independence turned out to be the biggest topic and the most important when ageing. By getting older, the need of a quiet and comfortable space is rising. The home is getting more important to be a safe and soothing place. Not only improving this place with innovative products but also adress the need of inclusion in design to adress a broad target group and age without creating stigmatic perception will be the goal for this project.

> METATOPIC / HEALTHCARE In high age, dealing with health is a ubiquitous and daily activity. As it is also a big and important core part of every topic that was dealt with in the section before, healthcare will be a metatopic for this project.

50

04

FOCUSED RESEARCH

seniors & healthcare 04.01 / MARKET HEALTHCARE MONITORING 04.02 / MARKET MONITORING AT HOME 04.03 / CHRONIC DISEASES IN HIGH AGE 04.04 / MEASURE THE NEEDED DEGREE OF CARE 04.05 / LESSONS LEARNED

51

04 / focused research

focus on seniors & healthcare

analyze market.

04.01

MARKET OVERVIEW OF HEALTHCARE MONITORING In this overview, one can see the continuous transition from motivational healthcare products that prevent illness or support staying fit and healthy, to products that can heal or treat a specific disease. Both are emerging markets as we tend to get older by being healthier, but there will be an increase of people suffering from chronic diseases that need regular support or treatment.

DEPENDENT HEALTHCARE (MEDICAL DEVICE)

Smart Skin

Symphony

Alert1

Life Phone

Body Sensor

Cardiovascular & Moisturizing

Diabetics care

Fall detection

Fall detection

measuring vital data

Asthma

Heal Station

Telemedicine

Medical Guardian

Medical Guardian

Wellness Kit

Diabetics Management

Robot

Emergency System

Emergency Call

Quell

Dialog

Phillips Lifeline

Medical Guardian

Vital Connect

Manage Chronic Pain

Epilepsy Monitoring

Emergency Call/Fall Detect.

Classic Monitoring

Biosensor Patch

ILLNESS, CHRONIC DISEASES

HIGH RISK

52

Withings

Kenko

DUO LI

Familyar

BitBite

Withings

Belly Bean

Thermometer

Blood Testing

Finger Pulse Oximeter

Family Monitoring

Eating habit monitoring

Activity & Sleep Tracking

Baby Monitoring

Dr AI

Hicare

Astrim Fit

Garmin

Elli-Q

Withings

Biovision

Physician App

Telehealth

Health Analyser

Running Watch

AI - Communication

Smart Home monitor

Health Tracking

Mole Mapper

Withings

Scanadu Scout

Ulla

Fineck

Ray

Thread

Mole Analysis

Blood Pressure

Urine Analyser

Hydration Reminder

Movement & Posture

Baby Monitoring

Parent & Baby Monitoring

Measurement

BE SAFE (OCCASIONALLY LIGHT SYMPTOMS / (GENETICALLY) AT RISK)

Tracker

PREVENT NO SYMPTOMS (WANTS TO TAKE CARE, LIVE HEALTHIER LIFE)

INDEPENDENT HEALTHY LIVING (MONITORING GADGET)

04 / focused research

focus on seniors & healthcare

53

04.02 / 01

MARKET HOME MONITORING

SAFETY & CARE

DIGITAL THERAPY

TELEMEDICINE

SLEEPIO (APP) CBT (Cognitive behavioural Therapy) app to fight

STARTUPS

insomnia. Suggests behavioural changes and assists day and night.

Provides a quiz for the user to check his/her knowledge FAMILYAR (APP)

about sleep. Subscroption

NURX (SERVICE)

Connects family with elderly to check up on lifesigns,

based (33$ per month)

Telemedicine Service for reproductive

manage appointments through calendar, call & video

(www.sleepio.com)

healthcare. Users interested in birth control get

call (family.ar.com)

advice through an online messenger or through an app. Subscription based. (app.nurx.com)

EMERALD (PRODUCT) Monitors elderly at home via WiTrack (MIT) can detect fall and heartbeat. (www.emeraldforhome. com)

ADA (APP) Telemedicine App to find out what is wrong when you are not feeling well. Implementation MYNDYOU (APP) Analyzes activity of people with the need of cognitive care to inform caregiver & doctors and to adapt care & treatments. (www.

AERIAL (PRODUCT)

myndyou.com)

Home monitoring via analyzing existing

ARYSME (APP) Digital Therapy for physical rehabilitation.

For people who suffered a stroke or just had surgery. Motivates to be active and indicates

for doctors. Database of symptoms (medical knowledge) combined with AI. (https://ada.com)

changes and improvements. (www.ybandtherapy.com/de)

DR. AI (APP) Telemedicine App to find

WIFI signal network. (www.aerial.ai)

out what is wrong when you are not feeling well.

Implementation for doctors.

Database of symptoms (medical knowledge) ECHOCARE (PRODUCT) Monitors elderly with the help of RF sensors and analyzes respiration & senses falls at home. (www.echocare-tech.com)

combined with AI. (medium.com/@HealthTap/ dr-a-i-80b4cf06be30)

54

HEALTH COMMUNITY

CONVENTIONAL LIFESIGN SYSTEMS PHILLIPS LIFELINE GO SAFE HELIA LIFESIGN SENSORS (www.helia.online)

(www.lifeline.philips.com)

2 x sensors, 1 x receiver device

1 x cube, in-home (power supply) 1 x pendant (7 days battery)

FUNCTIONS

•

Motion sensor & Warning Notification

198,00€ / once + 11,95 / MONTH

FUNCTIONS

• • •

Fall detection Location technology (GPS, WIFI) Voice communication (call center)

PATIENTSLIKEME (WEB)

54,96$ / month

(America) Community of people with chronic

149,00$ once

illness. Everyone has a detailed health profile,

FALL DETECTOR (www.fallingdetector.com)

where problems and treatments are listed over a

1 x beacon (900mAh Lithium-Battery, 3-7 days)

long-term period. (www.patientslikeme.com)

ZEMBRO WRISTBAND (www.zembro.com) FUNCTIONS

1 x wristband (10 days battery)

• • •

Fall detection (3D G-Sensor)

FUNCTIONS

Voice communication (call center)

• •

A-GPS & GSM Location Location technology (GPS) Voice communication (call center)

about 195,00€ / once + costs for Sim card & contract

29,00€ / month 39,00€ / month (call center)

KRANKHEITSERFAHRUNGEN (WEB) (Germany) Database of people showing their

VITATEL (www.vitatel.ch)

progression of disease. No real community, but

1 x cube, in-home (power supply), 1 x fall detec-

“HAUSNOTRUF” DEVICES

platform that records process with the help of

tion (2 years battery, exchanged by provider after

(www.brkua.de/hausnotruf.html)

interviews of patients about their experience and

2 years)

1 x Device 1 x pendant

treatments. (krankheitserfahrungen.de) FUNCTIONS

• •

Fall detection

FUNCTIONS

Voice communication (call center)

• •

Fall detection Emergency Call (call center)

94,00CHF / once 49,00chf / month

17,90€ / month (call)

+ 10,00CHF / month (fall detection)

+ 8,00€ / month (wrist sensor) + 36,00€ / once (installation)

04 / focused research

focus on seniors & healthcare

55

04.02 / 02

MONITORING & FALL DETECTION TECHNOLOGY Falls are a great risk in high age. They do not only

another barrier of accepting and being open for this

occur relatively more often, but mostly also lead to

technology or product, which leads to the fact that

MAGNETIC FIELD

ULTRASOUND

dangerous fractures and wounds. It is estimated

most of these devices are ordered by the family

Some animals rely on the earth’s magnetic

Ultrasound signal location works with

that about 28-35% of all people older than 64 are

members who care for the elderly.

field to find their way. This was the inspiration

microphones that are positioned in a room and

experiencing at least one fall per year (Sachiyo, 2013).

In the following I want to give an overview about the

for having a position technology through the

receive reflected ultrasound waves. This system

With increasing age and morbidity also the risk for a

systems and their technologies used in products on

magnetic field. It requires no second tracking

is already in use in hospitals to track patients and

fall is rising. Consequences as bone or hip fractures

the market.

device, but enables a smartphone to easily

provide information about caregivers and doctors

react to the magnetic fields of a building.

visiting the patient. (Greenemeier, 2008)

are following. About 50% of people who had a fall will not be able to rehabilitate fully, about 20% will be

LIFE SIGNALS STICKERS Thereby a product can

This is possible through the structures of the

dependent on care (Turner, Kisser, Rogman, 2012).

sense a motion of the elderly to notify the family

building, which use of materials affect the usual

It is also critical to react instantly, as if it is a fall on

whether the person is moving or not.

mangnetic field system of the earth. (Opus

the head, internal bleeding has to be investigated as

Research, 2014)

soon as possible. The reason of falls are various, can

EMERGENCY CALL SYSTEM The emergency

be related to the health of the individual person as

phone provides safety for the elderly with the help

well as situation-related objects that trigger a fall. To

of an emergency button that immediately calls the

evaluate the risk of a fall, there is a test to analyzes

ambulance and/or notifies family members.

walking speed and mental fitness.

EMERGENCY CHECK-UP This emergency system

TECHNOLOGY

TECHNOLOGY

There are many surveillance, observing and fall

demands the elderly to push a button a day to

ultrasound waves through a sender,

ultrasound waves through a sender

detection systems on the market. It is obvious,

confirm well-being.

floor map needed. 0,1-2m accuracy

that most of them are dedicated to the caregiver, not the elderly or patient him or herself. Which

FALL DETECTION & GPS There are many fall

automatically leads to the perception of the product

detection systems, via camera, infrared or wearable

as a tool for surveillance and not to protect one’s

devices that can detect a fall and immediately call

health. It also takes the control and responsibility of

the ambulance and/or notify family members.

MEASURING

MEASURING

a person’s life and gives it to a family member. Many

Additionally a gps signal will tell the helping party

•

•

of the systems need to be installed or ordered via

where to find the patient.

location

location

phone or personal contact. As the key of the front door must be submitted in the case of emergency.

This preparedness of an emergency case causes RANGE

RANGE

everywhere

one room

56

INFRARED

WEARABLE SENSORS

WIRELESS SIGNALS

BLUETOOTH BEACONS

Via Infrared, people can be located in a room

Wearable sensors can be used to locate a person

The CSAIL (Computer Science Artificial Intelli-

Bluetooth beacons are already used to track

as well as signal when a person has fallen. This

with the help of a reference station but also de-

gence Laboratory) developed Wi-Track, a technol-

customers inside stores. They can be used to

was prooven by a study of the Kingston Univer-

tect falls with accelerometer, gyroscope and other

ogy which is able to track the walking speed of a

send notifications to a user when nearby, though

sity London. It is already less disruptive than a

sensors. (Uest NV, 2017)

person by using specialized radio waves similar to

it is not possible to locate a costomer precisely

camera, though it has similar limitations when it

WiFi signals. Another similar technology, used by

through this technology. (Opus Research, 2014)

comes to the range of the technology. As it works

Aerial (previous page) is locating a person not by

through vision, it can only cover a view of a room.

sending out signals but just by analyzing the exist-

(Mastorakis G., Makris D., Kingston University

ing WiFi network and it’s changes in structure. By

London, 2012)

not sending out own signals, this method is not as accurate as the one described above. (Conner-Simons A., Gordon R., CSAIL, 2017)

TECHNOLOGY

TECHNOLOGY

TECHNOLOGY

TECHNOLOGY

infrared

accelerometer, gyroscope

analyzing/sending wireless signals

bluetooth beacon as a sending station, customers

(other wearable sensors)

phone as a receiver, 10cm accuracy

MEASURING

MEASURING

MEASURING

MEASURING

•

• •

• • •

•

gesture, falling

gesture, falling (heartbeat, breathing, etc.)

breathing, heartbeat

location

walking speed gesture (limited), falling

RANGE/ACCURACY

RANGE

RANGE

RANGE

one view/one room

everywhere

10m

bluetooth related

57

04 / focused research

focus on seniors & healthcare

analyze healthcare needs.

04.03

CHRONIC DISEASES IN HIGH AGE CHRONIC DISEASES (12 MONTHS STATISTIC)1

By getting older, the human body gets more and more vulnerable to illness and chronic disease. Nearly a fourth of seniors above 65 are suffering from psychological issues like dementia or depres-

MULTIMORBIDITY IN AGE GROUPS

sion. (Robert-Koch Institut, 2009, S.31) Often people have more than one illness at the same time, which is called Multimorbidi-

back pain

ty) Sometimes the individual illness has to be treated to delay and

allergies

not get in a bad situation with another one. Here it is most critical to monitor each illness regularely to watch possible declines. Also

40-54

high blood pressure

none

medication has to be coordinated and matched in between.Most of

neck pain

1

them are hardly to treat or heal as the aged human body has more

arthrosis

2-4

difficulties to regernerate. An additional difficulty is that a lot of diseases are chronic, which means they are not detected at once but over a longer period of time. (web care LBJ GmbH, 2017) Mul-

chronic headache

timorbidity also demands the challenge of right medication. With

diabetes

increasing age the effect of medication can change. This means monitoring by a doctor is fundamental (Robert-Koch Institut, 2009,

chronic bronchitis COPD, Emphysem

ity will grow, as does the demand for a convenient solution to deal

incontinence

few of the statistically most common chronic diseases relevant to

55-69

asthma

S.172). While we have more seniors in the future also multimorbidwith it (Destatis, 2015). In the following chapter I want to analyze a

5+

depression

none 1 2-4 5+

stomach ulcer

the concept. Additionally important diseases to mention - loss of

coronary heart disease

eyesight, loss of hearing, incontinence, parkinson, cancer

chronic kidney disease

70-85 none

heart attack

1

stroke

2-4 5+

liver cirrhosis 0

10

20

30

0

20

40

in% woman

illness count per person

men (Statistik Austria, 2014)

(DZA, 2002)

60

58

03 DEPRESSION Having a depression means having a disorder of feelings that changes the mood of a person

SYMPTOMS. unspecific symptoms as headache and

in a negative way. Mostly depression in high

back pain, dizziness and gastrointestinal

age also has side symptoms like physical com-

complaints. mood changes rises slowly, often,

plaints, or unspecified symptoms like headache

unconsciously.

and dizziness. Often depression is rising slowly, so detection is very difficult. Reasons of getting

DIAGNOSIS.

a depression are various. Though it is obvious

difficult diagnosis (happening over longer time

that with high age comes a lot of emotional dif-

period), talking with doctor

ficulties to handle that resembles a high risk of getting depressive. To mention the switch into retirement from a long-term job or being seperated from the kids. Also decreasing contact to friends as well as rising limitation of body functions are additional reasons. Difficulty with depression starts with the family not taking it serious enough, so it is never detected or treated as an illness. (Monks - Ärzte im Netz GmbH, Dr. Drach L.M. , PD Dr. Haupt M. , 2017)

THERAPY (MEDICAL TREATMENT)

SYMPTOMS OF HIGH-AGED DEPRESSION

HOW TO REDUCE THE RISK HIGH-AGED DEPRESSION

• • • • • • • • • • • • • • • • • •

• •

general listlessness lost joy indifference of friends and family loss of social environment

Training of physical and mental abilities Check eyesight and hearing regularely to ensure life quality

•

Structurize daily life, build up routines, have fixed

sudden crying

mealtimes and sleeping cycles, plan daily activities

feeling worthless, self-doubt

like grocery shopping and phone calls

thoughts about death, suicide headache, backpain

• •

go outdoors daily Check your weight/BMI (obesity leads to limited mo-

gastrointestinal disorder (constipation)

bility, while not getting the right/enough food leads to

cardia arrythmia

a higher risk of infections and falls)

problems with breathing dizziness misleading feelings (itchyness) loss of apetite, loss of weight sleep disorder regular fatigue problems to concentrate and remember things self harm

04 / focused research

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59

04

02

DIABETES When suffering from diabetes a regular check is essential. That means controlling blood sugar levels and blood pressure. This is important to see whether a treatment is efficient or changes

SYMPTOMS.

STROKE / HEART ATTACK Most important issue when suffering from a

SYMPTOMS.

unhealthy body weight, mood changes,

stroke is rapid action. Every second counts to

listlessness, vulnerable to diseases

ensure the best chance of rehabilitation af-

Hanging corner of the mouth

terwards. Reason of a stroke or a heart attack

Limitations of sight

are often blocked vessels through blood clots

Sudden paralysis of limbs

have to be made by the doctor. The main goal of

DIAGNOSIS.

the therapy is usually to strive for a healthy diet

blood sugar level

Sudden problems to speak

or calcifications. After a needed surgery the

and remain a normal body weight. Through the

patient goes through a rehabilitation process

effect of medication in diabetes is only short-

related to his or her needs. (Strรถer Digital Pub-

DIAGNOSIS.

lishing GmbH, 2017)

Computer tomography or CT

term, patients usually do not take them regularely when they do feel well. There is a high risk to have follow-up diseases from diabetes, so regular chep-ups are important. (AstraZen-

MEDICATION

scan, afterwards surgery

THERAPY

eca GmbH, 2017), (Apotheken-Umschau, 2017)

SURGERY REHABILITATION (CARE HOME?) first 3-6 months: change lifestyle, nutrition, fitness

next 3-6 months: medication, regularely controlled by doctor

combination medication, controlled by doctor

medication & insulin

60

07 DEMENTIA / ALZHEIMER Alzheimer is the most common disease form of dementia. About 60 to 80 percent are suffering from alzheimer. About 6-9% of people be-

WHAT TO DO AS A PERSON SUFFERING FROM DEMENTIA

SYMPTOMS. forgetting or losing things very often, having

•

problems to come up with words.

ing older than 65 are suffering from dementia worldwide. (Robert Koch-Institut, 2015, S.413)

•

Find hobbys, or try to keep your current ones

DIAGNOSIS.

comes with the diseases, which is the reason

a physical, neurological exam, mental status

why many people try to avoid a diagnosis early.

tests, other laboratory tests that could lead to

People with dementia have special needs that

other cause of problems.

mental fitness and happiness.

•

Keep a strict, daily routine to provide better

can be helped with very well, when the disease

•

is accepted by the patient. Families are a im-

2017)

• •

CARE HOME

•

take on their tasks. Stay friendly and patient,

•

waiting for them

• • •

Try to give up car driving at the right moment.

Remain the same location to put your everyAlways have important documents with you as like phone numbers, your adress etc. indoor as well as outdoors on the go.

Have a weekly calender and ask friends & family for help to not forget the important appointments. Regularity will help to remember

MILD DEMENTIA (INDEPENDENT)

MODERATE DEMENTIA (ASSISTANCE NEEDED)

SEVERE DEMENTIA

loss of memories, changing personality,

increasing confusion / poor judgment

further mental and

difficulty with solving problems, not able

rising of memory loss, start to need daily assis-

physical decline: needs

to do complex tasks, getting lost easily,

tance, changes in personality, behaviour and

full time assistance

problems with self expression.

sleep patterns.

appointments and meetings

•

Try to use the right light at day and night to keep the night & day orientation.

•

Stay especially active during the day, to reduce the problem falling asleep at night.

(WebMD, 2017)

Let them help with daily tasks Talk about it, when they did something good Ask questions that can be answered with yes/no (when it is about getting information)

•

day-things, like keys etc.

•

Remind them gently what they wanted to do, do not

Stay fit through regular exercise, walks,

and mobile for a longer time.

PROFESSIONAL CAREGIVER

Let them try to do things on their own. Do not over-

put pressure on them by standing at their side while

muscleforce as well as staying independent

FAMILY ASSISTANCE

tia financially as well as a caregiver. (WebMD,

Use individual capacities & skills of the person

avoid drought and hunger. sports. It will help to raise coordination and

portant part when having a person with demen-

events & close friends and family...)

• •

orientation and avoid stress. It will help to have regular eating and drinking times to

Trigger memories. Try to talk about memories while doing activitys (music, photoalbum of important

as long as possible. It will help to remain your

One of the main problems is the stigma that

(Reed-Guy, 2016)

HOW TO TREAT SOMEONE SUFFERING FROM DEMENTIA

Ask simple questions, contact them with their name to feel that they still mean something

• • •

Avoid irony, sarcasm.

Repeat your sentences in the same way Let them choose between options, do not ask them difficult long questions (Web Care LBJ GmbH, 2017)

04 / focused research

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61

10

11 ARTHROSIS

HYPERTENSION Blood pressure is measured in mmHg. It measures two values. The value of blood that is

DIAGNOSIS.

People suffering from arthrosis have a non-in-

SYMPTOMS.

measured by systole & diastole value,

flammatory joint disease. This is caused by the

self-test blood pressure

degeneration of the joint cartilage through

in joints, limited mobility. Can

contracted and the value when the heart is filled

natural abrasion with time or special stress on

be sudden or rising slowly

with blood. It is said that a healthy blood pres-

the joints. Another reason of Arthrosis can be

with time.

measured in the phase when the heart gets

sure creates values of about 120/80. Thereby a low blood pressure is usually not that difficult as a high blood pressure, where organs or the brain can be harmed. (Strรถer Digital Publishing

NUTRITION & FITNESS MEDICATION

GmbH, 2017)

cracking sounds and/or pain

overweight or even malposition of body regions.

Besides pain in joints, symptoms are cracking sounds in the joint region or limited mobility.

DIAGNOSIS.

(Erlacher, 2012)

examination through radiography, in special cases even magnetic resonance tomography

MEDICATION MILD headache, sleeplessness, fatigue (can be treted by nutrition & fitness)

MODERATE (treated by additional therapy with medication)

SEVERE can damage organs and inner systems (should be treated immediately by a doctor)

PRODUCT ASSISTANCE SURGERY (ARTIFICIAL JOINT)

62

PREVENTIVE HEALTHCARE

(RP Digital GmbH, 2017) (Euro-Informationen, 2017)

MAMMOGRAPHY every 2nd year

PROSTATA every 2nd year

SKIN CANCER every 2nd year (depending on individual, genetics) SCHILDDRÜSE every 5 years

BMI & WHR daily/weekly

BLOOD PRESSURE every 5 years with increasing frequency DARMKREBS every year, every 10th year colonoscopy GEBÄRMUTTERHALSKREBS every 3 year

INTRAOCULAR PRESSURE every 2 years, every year

BLOOD SUGAR every 3rd year

CHOLESTERIN every 5th year

every 5th year

30

40

50

60

70

80

90

100

63

04 / focused research

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how ill am I? 04.04

MEASURE THE NEEDED DEGREE OF CARE 06

The degree of care decides what health care support is needed for a person. This helps to under-

BEHAVIOUR & PSYCHOLOGY. This analyzes if there are depressions, or (irrational)

stand what a person is able to do and how much

fears. It also decides on whether the person acts

independence for this person is possible. This is

normal or shows abnormal (auto) aggressive behaviour

thoroughly tested by a person/institution with the help of several criteria. Thereby the patient gets a

05

7,5%

defined amount of points (1-100) which results in the suitable care level. (Schleicher, 2017)

COGNITIVITY & COMMUNICATION. To what extend is a person able to make their own decisions, handle complex situations and

7,5%

tasks. This analyzes if a person is still able to recognize others as well as communicate.

The degree of care in Austria depends on the hours of care needed per month. This scale goes from 60 hours per week to 180h+ per month. It

40%

depends also on whether the person has an additional special need caused by illness (e.g. high degree of visual impairment, blind, deaf, paralyzed,

CRITERIA TO DECIDE ON DEGREE OF CARE

10%

04

whether the person can sit upright, stand, walk short or long distances.

amputation of both legs, genetical muscle distro-

Also if a person is able to change

15%

their position in bed.

03 20%

01

is able to live independent.

EVERYDAY LIFE. Is it possible for the person to decide on their everyday life and

SELF SUPPLY. to which extend a person

To what extend a person is still mobile or not. It will be analyzed

(Germany)

phy, multiplen sklerose) (Berger, 2017)

MOBILITY.

02

THERAPY & ILLNESS. To what extend a person is

Whether they can

able to handle their illness,

groom their hair, wash

if there is additional help

themselves, dress and

needed for their individual

undress and handle their

healthcare regarding

nutrition on their own.

an illness/disease (medication, etc.)

to react on spontanous changes. Is a social life possible for the person.

64

MEASURE FRAILTY FRAILTY INDEX (FI)

1.

Hospitalization in past year

34. Stooping/kneeling/crouching

67. Orientation

(European Version, SHARE)

2.

Heart attack

35. Manageing money

68. Mathematical performance

3.

Chronic lung disease

36. Lifting/carrying weights >5 kg

69. Delayed recall test

A frailty index is used to determine the health

4.

Osteoporosis

37. Getting in or out of bed

70. Verbal fluency score

5.

Parkinson disease

38. Walking across a room

of an individual person. This is not only important in long-term statistics but also can predict morbidity or mortality in some cases (Adams, Ghanem, Stachler, 2013). The Frailty Index shown on the right is the European version. Most questions are answered with “yes”, where one point is noted or “no” where zero points are noted (BMC Geriatrics, 2014).

6. Stroke or CVD

39. Making telephone calls

7.

40. Sitting for about two hours

Asthma

8. Cancer

41. Walking 100 meters

9. Cataracts

42. Getting up from a chair

10. High blood cholesterol

43. Preparing a hot meal

11. Long-term illness

44. Taking medications

12. High blood pressure

45. Bathing or showering

13. Diabetes or high blood sugar

46. Reaching or extending arms

14. Arthritis

47. Picking up a small coin from table

15. Stomach or duodenal ulcer

48. Using the toilet

16. Hip or femoral fracture

49. Shopping for groceries

17. Heart trouble or angina

50. Doing work around house/garden

18. Falling down

51. Appetite and eating

19. Stomach or intestine problems

52. Suicidality

20. Difficulty biting on hard foods

53. Lack of enjoyment

21. Dizziness

54. Trouble sleeping

22. Breathlessness

55. Fatigue

23. Sleeping problems

56. Fear of falling down

24. Incontinence

57. Felt depressed

25. Swollen legs

58. Pessimism

26. Require dentures

59. Interest

27. Persistent cough

60. Concentration

28. Pain in any joint

61. Limitations with activities

29. Climbing several flights of stairs

62. Frequency of vigorous activities

30. Pulling/pushing large objects

63. Frequency of moderate activities

31. Dressing

64. Problems with eyesight

32. Eating

65. Hearing problems

33. Using a map to get around

66. Self-rated health

65

04 / focused research

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lessons learned.

04.05

LESSONS LEARNED > PROBLEM / LOSING RESPONSIBILITY OF ONESELF By looking at the market a lot of products adress not the elderly but the caregivers, which does not only exclude the elderly from not being able to use a product because of their physical abilities but also because they are simply not included in taking care of themselves in the marketing and society. It seems as they lose their responsibility over their own lives. Giving them back control and empowering themselves to live a self-determined life will be the core goal of this project.

> USE OF MODERN TECHNOLOGIES FOR THE FUTURE ELDERLY GENERATION Elderly are generally excluded from healthcare products that are using current technology. These technology is more often dedicated to the family of the elderly to monitor them. Through generations also elderly will be easily handle smartphones, apps and modern technology, so a future product should adress this change.

> FALL AS A MAIN PROBLEM In high age, the risk of falling is increasing dramatically. Not only because of physical changes as like problem with balance and coordination but also by the fact of living alone. Fall detection or emergency phone products are thereby the most prominent products for elderly on the market.

> HIGH EFFORT OF HEALTHCARE With high age many people suffer from more than one disease. That means daily planning of medication as well as doing regular check-ups at the doctor. So the effort of healthcare is rising, but at the same time people get less mobile through physical decline. This combination of facts makes them less independent and healthcare as a core challenge of high age.

66

05

CONCEPT

set core idea & develop concept 05.01 / CORE IDEA 05.02 / TARGET GROUP 05.03 / SCENARIO 05.04 / PRODUCT CONCEPT 05.05 / TECHNICAL CONCEPT 05.06 / LESSONS LEARNED

67

05 / concept

set core idea and develop concept.

core idea.

05.01 / 01

CORE IDEA SUMMARY

TACKLED PROBLEMS

TACKLED TRENDS

As telemedicine and home-care are trending, elderly are still treated like children who have to be observed and controlled by their “parents” 24h a day. The goal of this project will be to empower seniors to live a self-determined life by taking

ELDERLY BEING TREATED AS CHILDREN

HANDLE VOLUME OF

control over their environment, the care and ob-

Today there are services for

HEALTH CONDITIONS

servation they need. To make sure of a neutral

familys to observe “their

Getting older is often

perspective on their healthcare, an AI will assist

elderly” as if they were pets

connected with the need

to gather healthcare data, give suggestions for

or children. Elderly not only

of taking daily medication

behaviour change and take a significant role in

lose control but complete

and doing regular check

emergency cases.

responsibility over their lives.

ups. (Olson, 2017)

ELDERLY HIDE THEIR ILLNESS Most old people are ashamed or do not see the relevance of their health condition and thereby risking not getting the help they really need.

(Sharbach Ladew, 2017)

ELDERLY ARE AFRAID OF CALLING HELP Often seniors do not recognize critical situations and avoid asking for help even in moments of accidents.

ELDERLY LIVING ALONE OR ON COUNTRYSIDE Related to the longer life

RISING CONSCIOUSNESS OF HEALTHY AGEING through change of generations and society RISING CHRONIC DISEASES through rising elderly population

expectancy, about 40% of all woman and about 20% of all men above 65 are living alone in Europe (Eurostat, 2015)

COPE WITH LOSS In high age, cope with loss is ubiquitous. Losing not only friends but also independence and abilities.

TREND HEALTHCARE MONITORING

TREND TELEMEDICINE

68

CORE IDEA

DISCIPLINES

MOTIVATION & GOALS AMBIENT ASSISTANCE & REMAIN DIGNITY

E

O

GE FA

D

self-determined and longer in confidence without the fear of sudden

NG LIVI

emergency. By keeping the handling and dataflow in control of the patient,

1 THE PRODUCT

UT

UR

not only empowers, but supports independence and the possibility to live

TH

EF

HEALTHCARE HOME MONITORING

physical product(s) that keeps track of your

AI ASSISTED HOME-CARE

health and behaviour with the help of sensors/ video/voice tracking

privacy is remained and thereby the dignity of the elderly ACCEPTANCE when it comes to healthcare products, privacy is an important issue. Making the healthcare invisible and early adaptive rises the acceptance. Thereby it does not force, but enables having a choice to use it voluntary.

DETECT MENTAL & PHYSICAL ILLNESS

2 THE SERVICE

how to help elderly live

reliable diagnosis is often relative on personal statistics gathered over a longer time period. monitoring these can be used to detect not only illnesses but also slower rising chronic disease.

HEALTHCARE PROFILE

a self-determined life

personal healthcare database that contains data

HEALTH MANAGEMENT

measured from sensors and connected to the re-

The longer we live, the more we are susceptible to major and minor pain.

sponsible care person/doctor

Health management helps to keep on track of medication, appointments and healing process of needed operations.

1 observe

2

gather data

inform

evaluate data

control

3

suggest, inform, consult, remind

3 THE EXPERIENCE

CONSCIOUS & HEALTHY AGEING A) physically: builds a healthy relationship to handle your body (healthy

ARTIFICIAL INTELLIGENCE

ageing!)

Having a neutral perspective on things, an artifi-

B) mentally: an important step to cope with loss & change in high age

cial intelligence will help to interact, understand worries and suggest behavioural changes in an

FUTURE READY

respective and motivating manner

Focuses on the root of problems, with the help of future technology, considering the needs and attitude of the next generation INCLUSIVE DESIGN not only elderly could profit from it, by early adoption also families, pregnant or people who suffered from a stroke can be supported by the product.

INDIVIDUALITY individuality plays an important role in healthcare of high age. making sure the service fits the exact needs of the user by having an intuitive machine learning functionality as well as the influence of the user himself.

05 / concept

set core idea and develop concept.

69

SYSTEM, WHICH EMPOWERS ELDERLY TO CONTROL THEIR SAFETY & MANAGE THEIR HEALTH. CORE IDEA

70

conscious and healthy ageing

CONSCIOUSNESS

getting assistance with healthcare management HEALTH being safe in case of emergency having the control & taking

SAFETY

responsibility for oneself CONTROL, EMPOWERMENT

71

05 / concept

set core idea and develop concept.

set goals.

05.01 / 02

GOALS PRODUCT

SERVICE

EXPERIENCE

“NON - MEDICAL” PRODUCT DESIGN non medical / non emergency -

ABLE TO “GROW” OR ADAPT FUNCTIONALITIES

COMFORTING & LIFE GUIDING AI

like appearance and experience.

to adapt to the needs of the user, the product has to be able to unlock or grow (modularity) in its functionality/ service

IN-HOUSE ATTACHABLE OR MOBILE FOR INHOUSE REACH

COMPATIBLE WITH OTHER DEVICES providing a

to capture the whole house

platform or system to let other

the product must be mobile or

existing apps & devices import

modular

health data

TOTALLY EFFORTLESS, NATURAL & INTUITIVE

ABLE TO CONNECT TO DOCTOR & CARE PERSONAL

intuetively & easy to install, completely effortless handling

for evaluating data and intensive patient consulting, the doctor or care person responsible for the user should be able to receive information via the system

contacting the user when there is important information. Responding to concerns and questions in a sensitive way. Guides user in his/ her individual ageing process

MOTIVATING AI knowing the users mood, activity and needs, the AI can remind or suggest events or meetups with friends/other people

72

05.02 / 01

TARGET GROUP In the following section I want to determine the target group in terms of abilities, as well as creating personas to analyze the needs and additional requirements for the product.

TARGET GROUP I people who are fit but want to be

01 - VERY FIT

people who are robust, active, energetic and motivated

prepared for later life.

02 - WELL

no disease symptoms, but are less fit, occassionally active

TARGET GROUP II people who already have a disease,

03 - MANAGEING WELL

beyound routine walking

want to manage and keep an eye on its development.

controlled medical problems, are not active

04 - VULNERABLE

not dependent, symptoms limit activity (e.g. “tired during the day�)

TARGET GROUP III

05 - MILDLY FRAIL

people who are already in need of

need help with activities like finances, housework etc. influences shopping, walking outside etc.

assistance with daily activities.

The product would mostly ensure safety in time when the user is

06 - MOD. FRAIL

need help with all outside activities and household. Often problems with stairs, bathing.

alone and support the user in

Often minimal assistance needed.

disease management.

07 - SEVERELY FRAIL

dependent on personal care (can be caused by physical or mental illness) Are stable and not in risk of dying

08 - VERY SEV. FRAIL

completely dependent, approaching end of life.

Not being able to recover

09 - TERMINALLY ILL

Approaching the end of life (< 6months) without being frail otherwise

Clinical frailty scale (Mimocare, 2017)

73

05 / concept

set core idea and develop concept.

understand target groups.

05.02 / 02

CUSTOMER ANALYSIS A

“I want to be prepared.”

ANNA, 54 THE WORRIED Anna is still working as a tax consultant. She is living in a small house near Frankfurt. She has two children who live 500km away from her, are already grown up and have their own kids. In her spare-time she loves to be creative and meet up with friends. Being already in her 50s she is slowly noticing health decline. She often visits her mother in the care home. As her grandmother and mother were both suffering from Alzheimer Anna is expecting to have similar mental decline by getting older. She also wanders if she can do anything to prevent it. > HIGH RISK OF DEMENTIA

BE PREPARED declining health condition

cautious

talkative

WHAT PROBLEMS DOES SHE HAVE?

HOW HAS SHE HEARD ABOUT THE PRODUCT?

WHAT WOULD SHE EXPECT?

• • • • •

forgetting tasks, appointments, location of objects

as she is searching a lot on the internet about

She is worried about her future due to genetics risk.

insomnia

dementia she was confronted with the product through

Long-term detection will be most important to her. She

dementia related depression

advertisement.

does not want to have a lot of smalltalk.

uncertain/unable to fulfill tasks

> ONLINE ADVERTISEMENT AS A “SELLER”

> LONG-TERM BEHAVIOUR DETECTION

HOW WILL THE PRODUCT HELP HER?

WHY WOULD SHE BUY THE PRODUCT?

WHAT WOULD SURPRISE HER?

•

assistance for remembering everyday tasks, appoint-

Because dementia is very common in her family

Worrying about the future can be exhausting and

ments & meetings, location of objects

throughout generations, she realizes her risk for it and

stressful. Having someone that can understand and

healthy ageing & counteract on dementia risk

wants to be prepared. She not only whants to detect but

help her finding her way through the process would be a

safety & warnings in case of doing unaware things

also be guided through the process

perfect fit.

emergency call in case of unusual behaviour

> MOTIVATION: CHRONIC DISEASE

> UNDERSTANDING & CALMING, PREPARE HERSELF

consulting & helping to make decisions

> MOTIVATION: BEING PREPARED

FOR ACCEPTING THE FUTURE

help to build up routines

> MOTIVATION: BEING GUIDED THROUGH AGEING

personal care needed

health monitoring safety companion/guide/mentor health feedback

• • • • •

PROCESS

74

B

“I want to stay healthy.”

SANDRA, 69 THE TOUGH & AMBITIOUS ELDERLY Sandra is living alone in a small apartment in the inner city of Berlin. She is and was always a happy person although she had a hard time when her wife died 25 years ago on cancer. This gave her reason to strengthen the body and health to be prepared for the later life. She is a very ambitious and self-confident person, though she also is high-aged and therby suffers from a few diseases. A few weeks ago She tries to make the best out of her life and loves to try out new things. Her calender is full of appointments, though sometimes she feels a bit lost. She does not feel lonely, but she also loves to have someone to talk to. > STILL VERY FIT > CONSCIOUS AGEING: TAKES CARE ABOUT HER OVERALL HEALTH AND DIET

IMPROVE HEALTH support healthy ageing

cautious

health monitoring safety companion/guide/mentor health feedback

talkative

WHAT PROBLEMS DOES SHE HAVE?

HOW HAS SHE HEARD ABOUT THE PRODUCT?

WHAT WOULD SHE EXPECT?

•

has many tracking devices, wants one

Sandra is a very active person, she is eager to stay fit as

As she always was an active person, physical decline will be a big

solution that combines all

long as possible. She would buy the product to get feed-

topic by getting older. Having a person to talk to enables her to

wants to have an overview of her health

back of her health status and improvements

accept changes more easily

status and see improvements

> MOTIVATION: HEALTHY AGEING

> A MENTOR AND GUIDE

HOW WILL THE PRODUCT HELP HER?

WHY WOULD SHE BUY THE PRODUCT?

WHAT WOULD SURPRISE HER?

• • • •

combine all analytics in one product

Sandra is a very active person, she is eager to stay fit as

Sandra is already using a lot of activity tracker and health

gain knowledge about improvements

long as possible. She would buy the product to get feed-

monitoring apps. The product would surprise her by not just im-

ensure to call for help when needed

back of her health status and improvements

plementing this data but also evaluate and interpret her activity.

long-term health monitoring to see changes

> MOTIVATION: HEALTHY AGEING

Based on this it could suggest new challenges and motivate her to

•

& improvements

reach them. > EASY DATA FUSE & EVALUATION > GENERATION OF GOALS

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05.02 / 02

CUSTOMER ANALYSIS C

“Would anyone notice if I have a stroke in my living room?”

DIANA, 78 THE LONELY Diana is living alone in a suburban flat. Since her husband died she is feeling lonely and a bit forgotten by her friends. She never had children, so there is nobody to take care of her needs and interests. As she is ageing she is getting more worried about her health. What happens if she has an accident in her home? Would anyone worry about her? She would love to be more active and get involved into social activities. > LONELY > LIMITED MOBILITY THROUGH ARTHROSIS (HIGH RISK OF STROKE, FALL)

BE SAFE living alone

WHAT PROBLEMS DOES SHE HAVE?

cautious

talkative

• • •

HOW HAS SHE HEARD ABOUT THE PRODUCT?

fall (high risk caused by limited mobility)

She started to worry about her safety and discovered

stroke (high risk caused by limited mobility)

the product through advertisement at her doctor.

loneliness

> MARKETING AT HOT SPOTS (DOCTOR)

WHAT WOULD SHE EXPECT? Someone to talk to about her worries, also someone to give advice what to change or give suggestions about local events > CALL DOCTOR/AMBULANCE IN CASE OF EMERGENCY > MENTOR & SOCIAL ASPECT

health monitoring safety companion/guide/mentor health feedback

WHY WOULD SHE BUY THE PRODUCT? HOW WILL THE PRODUCT HELP HER?

To feel safe at home, and be prepared for age-related

• • •

help to change lifestyle

changes in the future.

help to encourage to call for help when needed

> MOTIVATION: SAFETY

help to detect critical health status (stroke)

> MOTIVATION: CHANGE LIFESTYLE

WHAT WOULD SURPRISE HER? As she is interested to get more active and social she would be surprised by smart suggestions regarding her mood and health status. > SUGGEST ACTIVITIES/EVENTS THAT SHE LIKES AND THAT FIT TO HER ACTUAL MOOD

76

D

“I do not want to be monitored & controlled by anyone.”

WALTER, 85 THE CAUTIOUS Walter is living alone on the countryside. He lived there with his wife for 50 years, before she passed away a few years ago. His daughter and son are living both with their families 20km away in the nearest city. Walter is suffering from diabetes and hypertension and thereby has to take a lot of medication as well as having a frequent visit at the doctor to check his health condition. Besides doctor visits he also has to check his blood sugar and blood pressure daily. When he recently suffered from a stroke luckily there was a neighbour who called the ambulance immediately. Though Walter had no problems after regenerating from the stroke, his children are very worried about him and and want him to change to a more secure living situation, install security systems or family apps to keep them posted about his health status. He recognizes the danger of living alone on the countryside, but he wants to be responsible for his own life and not being dependent on care personal or being monitored 24/7 by his kids.

MANAGE HEALTH

> LIVING ALONE ON THE COUNTRYSIDE > JUST HAD A STROKE AT HOME (WORRYING FAMILY MEMBERS) > HIGH EFFORT OF HEALTH CONTROL (SUFFERING FROM DIABETES, HYPERTENSION)

multimorbidity

WHAT PROBLEMS DOES HE HAVE?

cautious

talkative

• • •

HOW HAS HE HEARD ABOUT THE PRODUCT?

high blood pressure, blood sugar

Doctor has suggested to use the product due to high

medication management / health check

morbidity.

regular checks at the doctor

> DOCTOR AS A “SELLER”

WHAT WOULD HE EXPECT? That he gets support and information about medication, that the emergency service is realiable and easy and safety guaranteed. > MEDICATION & DOCTOR MANAGEMENT > ALERTING IN CASE OF DECLINING HEALTH > SAFETY IN CASE OF EMERGENCY

health monitoring safety companion/guide/mentor health feedback

HOW WILL THE PRODUCT HELP HIM?

• • • • •

WHY WOULD HE BUY THE PRODUCT?

help to call for help when needed

To manage his health conditions and reduce effort. To be

help to detect critical health status (stroke)

safe and not dependent on others in case of emergency.

long-term health tracking

> MOTIVATION: SELF CONTROL, NO EXTERNAL MONI-

medicine management

TORING

doctor - data - transfer

WHAT WOULD SURPRISE HIM? As he has a high effort in taking care of medication and issues with his illness it would be a great help if the product will be simple and easy to use, but does not influence his already established routines. > EASY & SIMPLE PRODUCT THAT CHANGES DAILY LIFE

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analyze target groups.

05.02 / 03

ADAPTING HEALTHCARE For reaching the goal of a growing healthcare level, the needs of the created personas were analyzed together with the possible functions of the

product. Comparing and matching them to each other, it is clear that usually every person has his/

adapt to every individual person and their needs.

TARGET GROUP I BE PREPARED (CONSCIOUS AGEING)

To understand the target group the four personas

People that are generally healthy but want to be prepared

her individual needs, so there can not be a growing in healthcare levels, but the product must

represent a large customer group that would buy the product. Starting with a young persona that would buy the product to prepare herself for high

for the future, be guided through the process and see

01 HEALTH PROFILE

06 MONITORING

changes when they happen. Those people might also have a high risk due to genetical illness.

07 FALL & EMERGENCY DETECTION/HELP

age, having the fear or genetically related risks and ending with a persona that already suffers

02 HEALTH ANALYTICS

from several diseases, dependent on medicine and having an high effort to deal with check-ups and other health related issues.

TARGET GROUP II STAY HEALTHY & SAFE (HEALTHY AGEING) People that are very ambitious, want to prevent illness, set their own goals and do not want to be

03 HEALTH CHECK MANAGEMENT

04 THIRD PARTY DEVICE CONNECTIVITY

reminded of their age.

05 HEALTHY AGEING PROGRAM

TARGET GROUP III COPE WITH ILLNESS (HEALTHCARE)

09 HEALTH REPORT

10 HEALTH THERAPY (DIGITAL THERAPY)

People, that are already suffering from one or more diseases.

11 MEDICINE MANAGEMENT

interaction with AI

interaction with Display/Interface

sensibility configuration possible

78

persona I

persona II

persona III

persona IV

“I WANT TO BE

“I WANT TO BE SAFE,

“I WANT TO STAY

“I DO NOT WANT TO BE

PREPARED.”

BUT NOT NEED TO

HEALTHY AND LIKE TO

CONTROLLED BY ANYONE.”

THINK ABOUT MY

DO EVERYTHING TO

HEALTH ALL THE

REACH IT.”

TIME.”

always on

always on

always on

always on

yes

yes

yes

yes

yes

yes

yes

yes

yes

no

yes

yes

occasionally

regularely

occasionally

regularely

not used

not used

yes, sports

yes, medical

not used

occasionally

regularely

not used

not used

not used

for self use

yes

not used

not used

not used

occasionally

not used

not used

not used

yes

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set up scenario.

05.03 / 01

SCENARIO OVERVIEW

SETUP DEVICES UNPACK user unpacks devices,

with the help of the AI, the user installs

ADD GOALS

the devices at home.

add personal goals to

gets instruction

INFORM

through packaging.

user can ask questions,

can support the user

review health status

in achieving them.

ORDER user gathers information, orders product,

INSTALL APP

DEFINE ACCOUNT

and analytics made by the product

HEALTH CHECK MANAGEMENT

user gets to know product, creates

user installs app,

health profile,

follows instruction

connects with doctor,

given by interface

add personal goals/

and AI

fears, changes settings

INSTALLATION

the system, so the AI

AUTO REMINDER

ADD DATA

reminds or motivates user to

add health data

achieve set goals.

through 3rd party

As the AI is connected to the doctors it can make appointments due to significant changes of

devices or doctor visits

health or regular health

and examinations

checks that are needed.

STANDBY MODE

HEALTHY AGEING (OPTIONAL)

HEALTH MANAGEMENT

80

MEDICINE MANAGEMENT Helping with high amount of medicine that often has to be taken in high age. Answers questions and reminds to take the right medication.

FALL DETECTION

IMPROVE LIFE QUALITY

When a fall is detected, the AI makes sure that the person feels well and can

Detecting an unusual

call an ambulance in case of emergency.

behaviour, the AI can assist the user with daily problems like insomnia.

EMERGENCY ASSISTANCE In cases when the user does not feel

HEALTH REPORT

well himself, he/she can find out if

Some diseases require a

anything is wrong in communication

regular health check. A daily

with the AI.

report made by the user can

DISEASE ASSISTANCE Suffering from a certain disease like dementia, the AI can support specific life sutuations with communication or therapy tips.

support this and reduce the need of doctor visits.

EMERGENCY

THERAPY & GUIDANCE

CONSULTING Getting older requires often difficult life decisions due to health. The AI can assist as a friend to guide and talk about the users feelings and can suggest ideas or next steps.

81

05.03 / 02

SCENARIO ACTIONS

stages/levels

continuous processes

vices and product handling, a short service bluenarios of interacting with the product. It is divided in internal and external steps. The internal frontstage I contains every direct and visible touch-

WEBSITE

PRODUCT (HARDWARE)

point for the user. The backstage I relates to the

uct to receive its intelligence.

filtered preferences

BACKSTAGE I Systems on- site

behaviour

monitoring

FRONTSTAGE II External Institutions

Website of the Product

Hardware parts of the product that are visible to the user

HEALTHCARE PROFILE

Current therapy & medicine, symptoms, Labor tests, past diseases, genetic risks, prediction

SOFTWARE/APP

General preferences, healthcare profile, overview of activated health bundles, 3rd party connections

AI & AI SOFTWARE

Software processing conclusions and communication with the patient

AI PROFILE

Learning history, behaviour preferences

MONITORING DATA

archive of monitoring data

DOCTOR

PHARMACY & MEDICAL COMPANIES always connected

all backstage systems that is needed by the prod-

at the user (internal)

The external systems contain the environment of

monitoring data

health

background processes needed for the frontstage.

The last system (backstage II) relates to the over-

description

CUSTOMER

FRONTSTAGE I Interfaces visible to user (touchpoints/ user experience)

print was made to analyze a few important sce-

the product as like doctors, family and hospitals.

touchpoints

ACTIONS

To have a holistic thought-through process of ser-

FRIENDS/FAMILY

CARE PERSON

external

05 / concept

set core idea and develop concept.

set up scenario.

EMERGENCY SERVICE

HOSPITAL BACKSTAGE II External Systems

artificial intelligence

medical knowledge

AI CLOUD

general AI knowledge

HEALTHCARE DATABASE & HEALTH BUNDLES WV

basic healthcare knowledge & archive of unlockable/downloadable health bundles for specific treatment

82

actions

answering questions

restless phase

time-related action

approves

detects fallen person sends health information

health report notification

ronize synch rsonal e with p nder? cale

save report

if not ok

calls emergency

asks user questions about state of health

generates report

e o sav how t orâ&#x20AC;&#x2122;s t doc on? sti sugge

act

check

save date

privacy settings

suggest

suggests to call amb.

ob new j ake t o t field reâ&#x20AC;? of a â&#x20AC;&#x153;telec on? pers

suggests daily health report use knows r , is still there human checkin g in the bg .

hospital prepares

suggest date

adds appointment

to bility possi art on take p ies? stud

doctor calender database study data & improve product

checks if person is ok picks up patient

suggests doctor appointment

accepts help

detects unusual behaviour

if ok

asks user to reply if ok

user explains problem

logging therapy

asks user if sth. wrong

inform

does not answer

check

does not answer

has fallen

inform about improvement

generates therapy

83

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set up scenario. surpris custom e er!

05.03 / 03

SCENARIO INSTALLATION CONCEPT

how does it work? how much energy does it use?

how will it connect with

surpris custom e er!

will it talk all the time?

my doctor?

can I silence it?

it is too silent. I can not

do only most important tep one s e! at a tim

understand it. what does it cost? what will I get for the money?

impatient (waiting)

curious

how can I connect with

is it very loud? is it easy to install? does

fearful (health)

what product do i need?

how can I change the settings?

uncertain

what can it do for me?

embarassed

should I keep the uncertain

individ ua up fron lize t?

packageing just in case?

excited

how do I activate it?

receiving

t AI instan se/ a purch ry? delive

01

UNBOX

• •

inform configure?

excited

03

02

ORDER

• • •

overstrained

will there be instructions? cautious

WHAT PROBLEMS ARE THERE? thoughts & feelings of the user

my data/devices? struggling

it fit in my apartment?

exhausted

INSTALL

• •

receive product unboxing experience

activation of product getting to know the AI

order/buy product l specia g in x o b un ience exper

HOW CAN THE PRODUCT REACT? HOW DOES THE PRODUCT front stage interactions

FULFILL NEEDS

•

informing

informs naturally and suggests product to the needs of the

• •

customer

convincing

shows customer needs in szenario focuses on the “empowering” experience

guiding

TRIGGER EXCITEMENT

• • •

feels like a gift speaks to your individuality tells you what will happen next

comforting

PROOF OF CAPABILITIES

• • •

comforting

informs about status of installation I greets customer asks questions to get to know

guiding careful & curious

customer personality, e r som gathe ation inform ser? u about

doctor’s suggestion?

healthcare & personal needs

understanding

84

activity motion/ lights?

where do I install which product?

when will it inform me about changes?

how to attach it? do i need anything else?

can it really detect an emergency case?

is it high enough? is this

struggling

tempted

location good enough?

how can I change the uncertain

did my health status uncertain

settings?

struggling uncertain

change?

where is the best excited

location?

is it still running?

1 min later 04

• •

MOUNT

• •

test location

• •

friendly & helpful

informs aboutstatus of installation II asks if anything

is it still running?

bed time 05

mounting of product

BUILD CONVENIENCE

excited

06

FIRST RUN

FIRST DAY

configure product

first day with product

test functionality

(making sure everyth. is alright)

BUILD TRUST

informs about changes

status of installation III asks if anything should be

explaining lets user do tests

should be changed asks for more options to customize product

changed

excited

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05.04 / 01

PRODUCT CONCEPT STRUCTURE

CHOSEN

A big challenge of the product is to com-

Several cable modules ensure security and functionality through the whole house as well as easy install.

bine the initial approach of walll attachement vs. visible cable and the functionality through the whole house even with doors closed. So several other alternative structure concepts were made and evaluated with the help of important requirements for the product. It should be a secure product, so the user should not

01 / ALL FIX INSTALLED

02 / ALL CABLE MODULES

be able to loose it somewhere or get in a

03 / SINGLE WALL MODULE WITH LOUDER VOICE

04 / 1 CABLE MODULE, + 2 WIRELESS SMALL MODULES

05 / 1 CABLE MODULE, + 1 WEARABLE (VOICE)

situation where it is not functioning due to empty batteries. It should be also made

no bathroom problem

easy installing

communicate anytime with each other.

high effort and cost of

needs & occupies

As the idea of the concept is to empow-

need to be installed in

sockets in every room

er elderly, the product should be able to

houses

sure that the user and the product can

best bath solution!

just one module needed

it is only one module

get installed very easily. The last requirement would be an aesthetical appearance

low costs & easy effort as

no self-installing possible

wearable can be lost not possible to record

high effort of charging

easily or forgotten to

voices/speak to user

manually

wear/take it with you

visible cable

in every room? (closed

everywhere?

doors? bathroom?)

(bathroom?)

which means that all visible elements should be designed.

SECURE

SECURE

SECURE

SECURE

SECURE

FUNCTION

FUNCTION

FUNCTION

FUNCTION

FUNCTION

EFFORTLESS

EFFORTLESS

EFFORTLESS

EFFORTLESS

EFFORTLESS

INSTALLATION

INSTALLATION

INSTALLATION

INSTALLATION

INSTALLATION

APPEARANCE

APPEARANCE

APPEARANCE

APPEARANCE

APPEARANCE

86

06 / LANTERN WITH CHARGER

07 / 1 CABLE MODULE, +SMART BULB

08 / 1 CABLE MODULE, +HEADPHONE

08 / SOCKET HIDER

08 / SOCKET EXTENDER

nice appearance

easy handling

just one module needed

nice appearance in bathroom

does not occupy socket

easy “install”

not strong enough as

can be lost immediately,

location is bound to sockets

cheap, old appearance

a concept? missing

what to do at night?

(not loud enough, too low?)

08 / HIDDEN CABLE (INDIVIDUALIZE)

nice appearance in bathroom

lantern can be lost easily

relation between light &

or forgotten to wear/take

health?

it with you

is not location bound for location is bound to

user gets too attached to

occupies sockets (in bath-

sockets (not loud

AI (mobile)

room?)

enough, too low?)

other rooms could be very bulky

SECURE

SECURE

SECURE

SECURE

SECURE

SECURE

FUNCTION

FUNCTION

FUNCTION

FUNCTION

FUNCTION

FUNCTION

EFFORTLESS

EFFORTLESS

EFFORTLESS

EFFORTLESS

EFFORTLESS

EFFORTLESS

INSTALLATION

INSTALLATION

INSTALLATION

INSTALLATION

INSTALLATION

INSTALLATION

APPEARANCE

APPEARANCE

APPEARANCE

APPEARANCE

APPEARANCE

APPEARANCE

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create product concept.

05.04 / 02

PRODUCT CONCEPT VISUAL APPROACH To decide about the overall appearance of the product different approach concepts were made and analyzed and evaluated with the help of the

CHOSEN

Represents biological topic, analogy. AI as a living being, house as its surrounding shell

SOUL VESSEL

HEART OF THE HOUSE

VASE APPROACH

ORGANIC APPROACH

stationary product that sits on a table/cupboard

pebble/stone shaped device that has

most improtant variables for the final shape. The

personal value for the user. Accessorizes the house

first challenge of appearance should be a non medical look, to not make a stigmatized product but rather a friend or companion that helps to age healthy. Thereby it should be also trustful for the user to accept decisions and suggestions. It should reflect the time of application as it will be about 15-20 years ahead but also integrate itself into home interiors, which means it should not be too conservative but also not too flamboyant looking. The appearance should also visualize the AI as a contained soul or living being. The final challenge would be to avoid a surveillance looking product, where the user would have a feeling to be monitored all the time.

> TOO CONSERVATIVE

NON-MEDICAL

NON-MEDICAL

TRUSTFUL (TECH & MEDICAL)

TRUSTFUL (TECH & MEDICAL)

REFLECT TIME OF APPLICATION (FUTURE)

REFLECT TIME OF APPLICATION (FUTURE)

HOMY

HOMY

SHOW LIVING BEING (AI)

SHOW LIVING BEING (AI)

NON - SURVEILLANCE

NON - SURVEILLANCE

88

HEALTH BATTERY

HEALTH BUTLER

ACTIVE SKIN

MINIMALISTIC APPROACH

INFO-SYSTEM APPROACH

DECORATIVE APPROACH

invisible device like firealarm, integrates fully into

in-house visible info-center/infodesk for own health.

interior-wall attached thin layer/device that focuses

the house interior

Focus on interaction with user.

on activity feedback

OPPORTUNITY > TOO RESERVED & ISOLATED / ANONYMOUS

> NOT SERIOUS ENOUGH

NON-MEDICAL

NON-MEDICAL

NON-MEDICAL

TRUSTFUL (TECH & MEDICAL)

TRUSTFUL (TECH & MEDICAL)

TRUSTFUL (TECH & MEDICAL)

REFLECT TIME OF APPLICATION (FUTURE)

REFLECT TIME OF APPLICATION (FUTURE)

REFLECT TIME OF APPLICATION (FUTURE)

HOMY

HOMY

HOMY

SHOW LIVING BEING (AI)

SHOW LIVING BEING (AI)

SHOW LIVING BEING (AI)

NON - SURVEILLANCE

NON - SURVEILLANCE

NON - SURVEILLANCE

89

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technical background.

05.05 / 01

TECHNICAL CONCEPT COMPONENTS HOUSING

TRACKING

POWER

COMMUNICATION

HARDCASE

ANTENNA FOIL

BATTERY

MICROPHONES

Outer hardcase to protect and fix

Foil with arrayed antennas which

Emergency battery in case of

Omnidirectional Microphones

the inner parts

can be directionally controlled

temporary power failure. Also needed to start and help the

SPEAKERS

INTERACTION SOS EMERGENCY BUTTON

Emergency battery in case of temporary power failure. Also needed to start and help the

MOUNTING AREA

DIGITAL SIGNAL PROCESSOR

user with the installation.

Speaker & Woofer for good

prepared mounting area on

Highly specialised chip to

(30h / 8.000)

user with the installation.

sound quality.

product as well as screwing

process electronic signals and

(30h / 8.000)

plate and all needed items for

track subjects.

POWER PLUG

OLED DISPLAY

All systems run with energy

supports communication aspect

VOLUME CONTROL

directly from a power plug, to

and avoids misunderstandings.

professional installation.

avoid empty batteries in any case of emergency.

COMPUTING SYSTEM BOARD System board with processor chips.

FLASH STORAGE Storage for the AI to be able to access basic healthcare knowledge and emergency behaviour.

CONNECTION BASEBAND / MODEM Electronics to ensure communication with emergency services and a continuous connection to the internet for healthcare data and AI functionality WIFI/BLUETOOTH Wifi or bluetooth chip to ensure connection of the central unit with repeater.

LED LIGHTS supports communication aspect and notifies the user

Two buttons to control the volume manually, in case there is no way of communication.

CONNECTION TRIGGER Button to activate central unit to

about unheard messages and

search for the users phone and

important issues.

be connected automatically.

90

05.05 / 02

TECHNICAL CONCEPT RESCUE SCENARIO In case a person falls or has any other emergency case there are several steps the product will follow to ensure the best and most instant rescue service.

04 Emergency Service gets

05 Sends

information about the emergency

Rescue Team ID

04 Informs care person or family member (In case the user added

case and informs a rescue team

anyone)

to get there

05 Rescue Team requests to open the door with the

06 Product

02 Product

help of their Mobile Data

compares rescue

detects fall, asks if

Terminal (MDT)

team with given

rescue is needed, reports

rescue team ID

emergency

01 Patient falls or has otherwise an emergency case, can not answer

07 Product approves door opening request and opens the door lock

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05 / concept

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technical background.

05.05 / 03

LIVING SITUATIONS & SIGNAL RANGE FAMILY HOUSE

BIGGER HOUSE

living with a partner - buying

Often elderly live in a family or part-

reason is chronic illness, not

ner household even when they lost

emergency. this means - no

their partner. Then it is necessary to

second module needed

have more main modules to spread the range.

0

100

500

1000

(cm)

0

100

500

1000

(cm)

92

SMALL HOUSE

SINGLE FLAT

One of the most common living situ-

Single flats will get more popular

ations is the small house. One main

as the cities grow and the trend

module will fulfill the needed range.

of megacities is rising. Also the trend of multigenerational housing will support the idea of small and practical single flats where elderly have quick access to supermarkets and the city center without losing a valuable caring neighbourhood.

0 0

100

500

1000

(cm)

100

500

1000

(cm)

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93

05.04 / 05

CONCEPT SUMMARY

01 / CENTRAL UNIT

02 / REPEATER

Monitors via wireless signals, the

extends communication

heartbeat, breathing and walking

ability of central unit

speed of the user, can detect a fall

indoors.

and changes of overall health.

MONITORING SENSORS walking speed, fall detection, heart rate, breathing

03 / MOBILE REPEATER

04 / SMART LOCK front door lock that can

05 / ACCOUNT & HEALTH PROFILE

3RD PARTY MEDICAL DEVICES

optional clip to stay informed

communicate with the central

Through the health profile the

Third party medical devices should implement a plugin

in your home through

unit to let in rescue team in case

user can keep track of his/

for the service to be able to easily import data that can be

vibration alarm and voice

of emergency.

her health status, check on

further evaluated in the health account.

communication. Also stay

medication and therapy and

safe outdoors through GPS

have insight in his latest health

and emergency button. Can

analytics and data made by

FUTURE SUSTAINABLITY THROUGH THIRD PARTY

be attached to a bag, jacket,

doctors.

DEVICES. It is essential to avoid static monopoles in

bracelet or necklace.

a medical branch where patients lifes rely on therapy and technological development. The biggest advantage of being open to third party products is the degree of innovation. As soon as there are new products, solving

COMPUTING & SOFTWARE

general or very specific medical problems on the market the patient will be able to have access to it. Through 3rd party devices, the patient does not only have the

SPEAKER &

SPEAKER &

SPEAKER &

freedom of decision, but also can have individual care

MICROPHONES

MICROPHONES

MICROPHONES

for his specific needs. Additionally, it reduces the

LIGHT INDICATOR

LIGHT FEEDBACK

LIGHT INDICATOR

ALARM BUTTON

ALARM BUTTON

VIBRATION INDICATOR

DISPLAY

ALARM BUTTON

complexity and effort to manage several healthcare monitoring devices and statistics at once.

94

HEALTH DATABASE Health database and AI basic behaviour, developed and updated by project teams of specialists, doctors, therapists.

USER The user is the central part between

monitor, guide

the system and the system environment. He/she controls what control

data is given to doctors and what monitoring is actively detecting.

PRODUCT/SERVICE The user is the central part between

inform

health profile

the system and the system

statistics

environment. He/she controls what data is given to doctors and what

examination data

monitoring is actively detecting. examination data

reports, statistics

health profile

examination data

CARE PERSON/ FAMILY

DOCTOR

SPECIALIST

HOSPITAL

INSTITUTIONS

The doctor can observe changes

The specialist can request

hospitals profit from the emergency system to

Through the health profile

The care person or family can

and improvements of his/her

certain data needed for his

access and easily find the person and know what

institutions and medical

be integrated/involved in the

patients.

analytics to evaluate illness,

is wrong. They can also improve their medical

companies could manage

information or emergency flow

treat or prescribe medication or

treatment by having limited access to the health

patient tests through the health

decided by the user.

therapy.

profile of the patient.

report if access is given by the user.

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set core idea and develop concept.

lessons learned.

05.06

LESSONS LEARNED > INDIVIDUAL, ADAPTING PRODUCT WITH OPTIMIZING SUGGESTION FUNCTION The product has to adapt to an individual person and their needs. The needs are often very mixed and unique that there is no sense in doing general â&#x20AC;&#x153;healthcare levelsâ&#x20AC;? that would fit to anybody.

The product will have several functions that should adapt to the user needs or controlled and switched on/off by the user. To avoid not receiving the best healthcare the AI will recognize the fitting needs and suggest visually the best settings for the user. Thereby the user has still the control, but is informed by a natural person about his/her state of health.

> SERVICE The service will provide healthy ageing, health management, emergency assistance as well as health therapy. Furthermore it will help the user to build up trust and help with the installation and set up.

> PRODUCT The product itself should relate to the concept topic. It should be organic and smooth, integrate to the interior design but not be too fancy, to still remain a trustful and serious appearance. Avoiding empty batteries, all products will be equipped with cable but still contain a 30h emergency battery lifetime.

> RANGE OF PRODUCTS The range of products for the user contains Central unit, Repeater, Mobile Repeater, Smart Lock and the digital Health Profile. Additionally to complete the network, the doctor will also have a digital Account to check up on patients and receive health reports as well as send suggestions to the user if unlocked by the user.

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06

DEVELOPMENT I

finalize & visualize brand and service 06.01 / BRAND 06.02 / INTERFACES WEB 06.03 / INTERFACES MOBILE

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06 / development I

finalize and visualize brand & service

establish brand.

06.01 / 01

BRAND IDENTITY

BRAND PILLARS

Brand Promise

HELP ELDERLY TO MANAGE THEIR HEALTH AND CONTROL THEIR SAFETY AT HOME Brand Mission

EMPOWER ELDERLY TO LIVE A SELF-DETERMINED LIFE BY HAVING CONTROL OVER THEIR OWN SAFETY.

EMPOWERING / SUPPORTIVE

INDIVIDUAL / ADAPTIVE

FUTURE-READY

being adressed directly.

advanced appearance

empowering slogans

personalized, individual service

Brand Vision I

TO GENERATE A POSITIVE FEELING ABOUT HEALTH & CONSCIOUS AGEING. POSITIVE & HEALTHY LIFESTYLE

RELIABLE & SAFE

NON MEDICAL FEEL

strong, minimalistic brand appearance

experience as a positive self-treatment

natural & scientific analogie

high recognition factor

rather than medical device

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06.01 / 02

BRAND NAME ATTRIBUTES elderly, healthcare, control, medicine, medical, health,

AORA

CAERE

EAIR

COR

CONTROL YOUR SAFETY.

AGEING CARE

AURA

SAIVE

HEARDT

MA’AT

THINK AHEAD.

YOUR HEALTH.

MORROW

UNIK

ELSA

360

EMPOWERED AGEING.

BE YOURSELF.

AGEAN

MEE

AGIO

AURAY

AGEING EMPOWERED.

EMBRACE AGE.

AGEON

SELF

AGEIAL

AURY

CONTROL YOUR LIFE.

WE DON’T STRIVE FOR YOUTH,

body, ageing, age, future, biology, monitor, personality, consciousness, living, life, creature, organism, aura, companion, friend, relationship, audio, consultance, guide, DNA, grow, adapt, genetics, predict, serving, communication, speaking, preventive, prepared, geriatrie, tomorrow, ahead, compass, tracking, liberty, freedom, carefree, wayfinder, alarm, protector, central, soul, heart, support, helper, care, time, safe, personal, old, invisible, calm, individual, empowering, Wireless, Air, Wave, Network, Analytics, Monitoring, Summarize, Antenna,

WE STRIVE FOR HEALTHY. AEON

ORA

AGESS

ETHAIR

ENABLED SAFETY.

OAK

OURA

ELDAIR

ORY

INDEPENDENT SAFETY.

URIO

AIRA

EAIREE

GRAY

INDEPENDENT AGEING.

AUREA

AIREA

EAREE

HEALTHY AGEING.

MYNE

AIRE

AIRFUL

PREPARED AGEING.

AELDER

AUTUMN

OWN

DECIDE ON YOUR LIFE

AERION

OTUMN

AIRTY

LIFE DECISION IN YOUR HANDS

ALYSE

AULITY

IRA

YOUR LIFE IN YOUR HANDS

AGELESS

AULITE

IRE

YOUR SAFETY IN YOUR HANDS

CAIRE

SENSE

AEVUS

POSITIVE AGEING

Sense, ray, artificial, intelligence, Silver, Grey

LATIN old - veteris grow - crescere elder - seniorem life - vitae getting older - aetate heart - cor care - curae ear - auris old age - aevus grey - griseo silver - argentum

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06 / development I

finalize and visualize brand & service

establish brand.

06.01 / 03

BRAND NAME & LOGO

CIRCLE represents the circle shaped stone body of the product. Also embodys the ubitquitous surrounding 360° aura/protection in the house.

O(H)R “Ohr” (German) meaning “ear” represents the voice communication of the concept

ORY AURAY RAY

AURA

UR

related to the ubiquitous

“Ur” (German)

representing the

artificial intelligence

meaning very old.

wireless signals that can

character.

describes ray vision,

go through walls.

100

INSPIRATION

User Experience

LIGHTWEIGHT, BRIGHT, ADVANCED, PURE, EMOTIONAL

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06 / development I

finalize and visualize brand & service

design interfaces.

06.02

WEBSITE & ORDERING ABILITIES • • •

advertise product, and lifestyle

Sign in Health Portal Landing Page

inform about functionalities and use cases consult & guide user to find the right product that fits to him/her and the apartment that it will be installed.

How it works

CONTENT • • •

use-case scenarios (mood)

empowerment slogan

how it works scenarios ordering guide

testimonies

Order

Guidance through ordering process by asking questions

Available products & services appear as marked if chosen through guidance

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06.03 / 05

DOCTOR’S ACCOUNT

Landing Page

01 / SINGLE ACCESS

ABILITIES • •

check on patients (see latest updates, read reports)

(IMPORTANT WITH DOCTOR ACCESS)

add therapy/medication tipps for patients

Sign in or create Profile

CONTENT • •

Data can be shared and added through the user’s common doctor.

Thereby a therapy can be activated or suggested as well as current data from the user input be checked by the doctor.

patients list (manage patients)

02 / TEMPORARY ACCESS

patients profile

(IMPORTANT WITH SPECIALIST)

Patients List

Data can limited by a timeframe to give a specialist temporarily last visits

access to the data he needs to analyse a specific case

03 / ANONYMISED DATA (IMPORTANT WITH STUDIES) having the opportunity to accopany a patient in their life can be a huge advantage for medical companies. To provide data but keep privacy, the data going out is completely anonymous.

04 / TRANSPARENT LOG

Patients Profile

patient data categories

(IMPORTANT WITH EMERGENCY/HOSPITAL)

request/ view data

In case of an emergency the doctor or hospital should be able to access the health profile in case the patient is not able to give

type of encryption

access. In this case the doctor/hospital will have a special digital key that is released through the emergency status of the product.

After that the patient can see who accessed the profile by viewing

last visits & notes

the log, which represents every user that accessed the health profile.

illness overview

Call

Contact/ Leave a note

06 / development I

finalize and visualize brand & service

103

A purchase assistant will help the user find their suitable products fitting to their lifestyle, health status and living situation.

104

The service is asking questions about the living situation to find out what range of products is needed to detect a person in this household. It will also ask about impairments and age.

Thereby the system can already save health data in case of a purchase and surprise the user with pre-installed preferences fitting to the users need.

The result of the questionaire will be shown in a short summary. The user is then able to personalize this suggested set of products

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06 / development I

finalize and visualize brand & service

design interfaces.

06.03

USER PROFILE (ANALYTICS & HEALTH ID) ABILITIES •

Health Profile

records health information (monitoring, manual input, patient report, 3rd party

• •

device, doctor input)

summary of current health status & motivational slogan

inform user about health (current status, see all data sources (how is my health analyzed?)

long-term prediction, past changes) share profile (optional: time limit, info-limit,

last imported data

anonymous) (+see who looks at profile)

suggestions

CONTENT • • • • • •

Medication & Therapy Progress

medication & therapy info (current, past)

current diseases

health history (examinations, laboratory results, diagnostic reports, images) genetic history (risks) contact information of current doctor/care person in charge

Health ID

Personal Information, Blood & Donor previous diseases

other info/documents (patient decree) monitoring data statistics gathered from sensors, 3rd party devices

Current Illness & Treatment Examinations & Documents

Shared with X

Examinations & Documents

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USER SETTINGS always see accoun t / kno w why pre ferenc es are rec omend ed

Landing Page

ABILITIES •

Emergency Settings Viewed Account

change behaviour (healthy ageing program, daily assistance, emergency detection, health

• • •

Sensibility

management, ) change connectivity settings (connections to calender, contacts, etc)

Sign in or create Profile

change monitoring settings (monitoring abilities) change emergency contacts (emergency contacts,

Contacts

care person)

CONTENT • • •

product ID & status (does it work properly? is the

Account Page AI Settings

range optimized?) settings (display, behaviour, connectivity,

General Behaviour mask cautious < > talkative

monitoring) contacts (emergency contact: family/friend contact, care person)

Monitoring ON/OFF

Preventive: Healthy ageing behaviour all sliders with “recommended” feature based on health profile

guiding < > supportive Current: Health bundles active Health management behaviour

3rd Party Devices

Health Profile add new

activate/deactivate / update

finalize and visualize brand & service

107

With the help of settings, the user can change AI behaviour, emergency scenario and manage third

06 / development I

party devices.

App connects with ordered devices. For the installation process, the AI will assist through voice and text.

To set up the central station and avoid tracking other people in other rooms or apartments, the user will give input of the floor measurements and tracking range.

If, due to the health status of the user, the settings are not suitable and will provide any danger, the AI will notify the user but give full control at the same time.

108

The health section will inform the user

The health profile provides

about the current health developments

detailed information about

and analytics. It will show only the most

the users health and diseases

important information.

as well as the doctor visits and medical documents. As this data is critical in terms of privacy, the access needs to be granted by touch ID or password

The health ID will be shown to the rescue team in case of emergency. This will help to provide the best treatment possible.

03 / challenges & opportunities summarize, develop ideas

109

110

07

DEVELOPMENT II

finalize & visualize product 07/01/ CHALLENGES & OPPORTUNITIES 07/02/ INSPIRATION 07/03/ IDEATION 07/04/ PROTOTYPING 07/05/ STRUCTURE & MANUFACTURING

111

07 / development II

finalize and visualize product

summarize products and requirements.

07.01 / 01

PRODUCT OVERVIEW The basic product line exists of three products. The central unit, responsible for computing and sensor technology to track and observe the user as well as inhabiting the artificial intelligence. The repeater,

03 / MOBILE

expanding the reach of communication

REPEATER

also in closed rooms like bathroom or

01 / CENTRAL UNIT

bedroom. To ensure safety everywhere, a wearable mobile repeater can be bought optional to get notifications indoor, as well as safety via gps outdoors. Additionally a smartlock (if not third party provided) can be added to let in the rescue team in case of emergency.

02 / REPEATER

04 / SMART LOCK

112

07.01 / 02

CONCEPTUAL PACKAGE CONNECTIVITY BUTTON To instantly link the devices with your account.

Similar to a power off/on button.

EMERGENCY BUTTON For rare occasions where the user is not able to speak or intuitively searches for a button instead of talking to the AI. Ensures feeling of trust and reliability for the user.

SPEAKERS Two Speakers are built in in the back of the product

LIGHT INDICATION Notifies the user about unheard messages and warnings and emphasizes

DIRECTIONAL MICROPHONES

the communication.

Microphones will be placed in every direction to filter out noises

(

and be able to have a clear voice

VOLUME CONTROL )

input.

To control the volume of audio response of the AI. (Could be also done by gesture)

CABLE As the energy consumption of the central unit will be high, due to continuous tracking and the OLED display, the device requires a permanent supply of electricity.

113

07 / development II

finalize and visualize product

be inspired by nature and culture.

07.02 / 01

INSPIRATION CULTURAL

HAGSTONES

RITUAL EQUIPMENT / CHARM

SACRED SCARAB

HEALING GEMSTONES

Stones that have holes in them, that were

Stones have been also used as charms, as luck-

Showing the shape of a beetle, the sacred scarab

It is said that gemstones have a healing power

made by natural forces over time. Through time

bringer, like the black oval stone that protects

is probably the most important amulet in ancient

on humans or any living being. This is explained

these stones were believed to protect against

the wearer and makes him invulnerable, found in

Egypt. It is said to protect against evil and provide

through electromagnetic radiation and the

witches and evil or to heal sickness as well as

Oceania, Vanuatu. (Natural-Magics, 2017)

a good life, also affecting the life after when worn

theory of everything containing energy. There are

on the body. (McClung Museum, 2017)

various healing effects gemstones can create,

nightmares. It is said to be very lucky if one finds such a stone and that through the hole one can

related to the kind of mineral, its age, structure or

see faeries and spirits. Traditionally Hagstones

individual colouring. (Schweikart, 2017)

can be hung up with the help of a string through the hole for examble near the front door for protection. (Natural-Magics, 2014)

114

OPPORTUNITY / ANALOGIES

REQUIREMENTS

LOOK & FEEL

USABILITY

> wave shape/

01 / UNIVERSAL

01 / ADAPTIVE

net-structure

must adapt to living space

should be customizable while ordering to

WIRELESS SIGNALS

fit the users circumstance/house > user feels understood 02 / TRUSTFUL

> personalized device = support

should not be too playful

individuality

BIOLOGICAL TOPIC

03 / NON-MEDICAL

emergency elements should be obvious

> organic shape

should not look too technical

and easy to trigger.

02 / INTUITIVE SAFETY

03 / EASY TO INSTALL

COMMUNICATION > ear shaped speaker

04 / NON-INTRUSIVE FEEL

user should be able to install it himself/

should not feel like surveillance,

herself without the need of heavy

nor be a negative reminder to

machines

check your health 24h a day.

07 / development II

finalize and visualize product

115

07.02 / 02

INSPIRATION BASIC SHAPE Health Topic

ORGANIC

Future-Ready

ADVANCED

Stigmatic Topic

SIMPLE

Positive / Comfort

SOFT & FRIENDLY

116

INSPIRATION DETAILS Wellness, Soothing, Life preserving

FROSTED

Living being inside stone

CORE ELEMENT

07 / development II finalize and visualize product

117

create shapes.

07.03 / 01

IDEATION

118

119

07.03 / 02

IDEATION

B

07 / development II

finalize and visualize product

create shapes.

CHOSEN

A / SIMPLE STONE

C

120

/ EAR

C / STONE & EAR

D / ORGANIC STONE

121

07 / development II

finalize and visualize product

create shapes.

07.04 / 01

PROTOTYPING & VISUAL DEVELOPMENT

122

123

07 / development II

finalize and visualize product

create shapes.

07.04 / 02

DRAFT (STYLEGUIDE) A / FROSTED VESSEL

B / GRADIENT

Frosted shell and stone

gradient of matt finish. Up-

inside. Visualizes soul

per part translucent, dark.

(AI) inside, gives a pos-

Visualizes filled vessel and

itive wellness-like and

the process of ageing.

Two parts, connected with

high-quality style. Frosted style also represents the preservation of life.

CHOSEN

central unit

mobile repeater

central unit

mobile repeater

central unit

mobile repeater

mobile repeater

124

C / SIMPLE SPLIT Slightly transparent, darker upper part and solid lower part. Strict division between parts.

central unit

central unit

mobile repeater

mobile repeater

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07 / development II

finalize and visualize product

finalize technical concept.

07.05 / 01

STRUCTURE & MANUFACTURING To be able to manufacture the product, there

but stops before going behind it. This allows

are a few challenges to deal with. Giving that

assembly through several snaps that would

the time horizon for the product is set to 15-20

not be seen from the outside, as the frosted

years, there will be probably even more possible

surface treatment and doubled wall (because

technologies that would then allow an easier

of the radius) would avoid this. Another way to

handling, faster production, or better looking

manufacture the shell would be blow moulding.

solution. For now, I want to give an overview

This allows to create the part with undercuts but

over a few methods that can be applied in case

has its disadvantages in a visible parting line.

of manufacturing such a product in the near

The most conventional way would be to create

future. There are two main challenges that have

the outer shell through injection moulding, for

to be solved.

which the part has to devided in two seperate parts, to avoid undercuts. The parting line can

At first, the OLED Display has to be hidden as

thereby be on the outer surface (radius) of the

much as possible. This can be achieved for

shell, assembled through snaps, where they

example through microperforation treatment

would not be too easily seen, given to the frosted

on the inner core surface or attaching the OLED

surface.

foil with resin on the outer surface of the core.

Another possibility could be to implement the foil behind the surface of the inner core and treat this surface with laser so that the OLED can shine through.

The second challenge is the production of the translucent shell. The undercut shell brings its own difficoulty to manufacture and as the core part has to be fixed inside of the shell, there has to be a way to assemble them. Another requirement would also be that through interaction, the shell would be pushed towards the core part, so the two parts have to be connected and fixed. One way to do this would be to create the shell as a 3D printed part, that does just appears to flow around the core part,

126

DISPLAY

SHELL

OLED THROUGH PERFORATION

3D PRINTED SHELL

Microperforation on plastic surface hiding

(Photopolymer resin) 3D printed shell and the

the display behind.

inner part can be assembled through clips on

Low cost

the back of the assembly.

Easy assembly High quantity

Low cost

Appearance

Easy assembly

> Not for high quantities (at the moment. Could be future technology)

High quantity Appearance

OLED BEHIND SURFACE Laser treated plastic or transparent plastic, (painted on the back) surface lets the OLED display shine through.

Low cost Easy assembly High quantity Appearance

INJECTION-MOULDED SHELL (Polycarbonate) Shell will be manufactured with the help of injection moulding. Two parts needed to avoid undercuts.

Low cost

OLED WITH RESIN ON SURFACE

Easy assembly

OLED display sticking on the outer surface through one

High quantity

layer of resin.

> Visible parting line > Visible snaps

Appearance

Low cost Easy assembly High quantity Appearance

BLOW-MOULDED SHELL (Polyethylene/polypropylene) Shell will be manufac-

OLED IN CAST Combining shell and OLED with the help of recasting.

tured through blow moulding, avoiding to divide it in two parts, but having visible parting lines on the outside.

Low cost

Low cost

Easy assembly

Easy assembly

High quantity

High quantity

Appearance

Appearance

> Not high quality material (PP/PE) > Visible parting line (can be eventually erased afterwards)

07 / development II finalize and visualize product

127

07.05 / 02

TECHNICAL DEVELOPMENT

128

08 / result finalize & visualize.

129

130

08

RESULT

final product 08/01/ FINAL DESIGN & PACKAGE 08/02/ ORDERING & INSTALLATION 08/03/ INTERACTION 08/04/ OPTIONAL ACCESSORY 08/05/ WHAT WOULD BE NEXT

131

08.01

FINAL DESIGN & PACKAGE

08 / result

finalize & visualize.

products and sets.

1700

121

262

1600

1500

104

224

1400

1300

132

SMART LOCK Front door lock that can communicate with the central unit to let in the rescue team in case of emergency.

REPEATER/ EXTENDER MOBILE Option for people with higher healthcare needs, or people who do not possess any other mobile tracking device for outdoors.

Extends communication

CENTRAL UNIT Monitors via wireless signals the heartbeat, breathing and walking speed of the user, can detect a fall and changes of overall health.

ability indoors. Usually used for closed rooms like bathroom and bedroom.

133

08.01

FINAL DESIGN & PACKAGE

08 / result

finalize & visualize.

final design.

1 / Mounting interface 2 / Power button 3 / Pressure Sensor 4 / Speaker

1

2 3

3

4

5 / Computing electronics*

LID Plastics (PA), Injection moulded part

6 / OLED Display 7 / Frosted cover CORE Plastics (PA), painted transparent Injection moulded parts to implement the OLED display

5 6

7

SHELL Polymer-resin, 3D printed with surface treatment. alternative: Plastics/Polymer resin, blowmoulded.

*Battery, System board & processors, Flash storage, Antenna foil, Baseband/ modem, Wifi/Bluetooth

134

POWER BUTTON

SPEAKER & MICROPHONES

MOUNTING INTERFACE

To activate the System the first time, the button

Speakers and microphones are hidden behind

The mounting interface shows a keyhole shaped

has to be pressed once. This can also be used as

the surface. Multidirectional arrangements

opening, which is used to attach the product intuitively

an emergency stop as the central unit will still

help to analyse background noises and can

like a picture on the wall.

continue to run on battery when not plugged in.

enhance the sound system.

135

08 / result

finalize & visualize.

final design.

08.01

FINAL DESIGN & PACKAGE

136

137

08 / result

finalize & visualize.

ordering.

08.02

ORDERING & INSTALLATION

138

139

08.02

ORDERING & INSTALLATION

08 / result

finalize & visualize.

unpacking.

UNPACKING the Ory product and activating it.

INTERACTING with the Ory AI for the first time. Through smart, subconscious and quick questionaire system, the preferences will be set automatically for the individual user needs.

140

UNPACKING the rest of the delivered Ory products and install them with the help of the AI.

141

08.02

ORDERING & INSTALLATION

08 / result

finalize & visualize.

mounting.

MOUNTING the product can be easily done with screwing and hanging the product on the wall like a picture. To attach a repeater in the bathroom, without the need of screws, the mounting plate has an optional glued-surface that can be used for walls or surfaces that should not get damaged.

142

143

08.03

INTERACTION

08 / result

finalize & visualize.

user interaction.

COMMUNICATION is done purely over voice. The Ory system can

INFORMATION about the users health are usually shown as

the stone. To interact with the product, the user can touch or call

start a communication on its own or just inform the user in case

a summary once a day depending on the users preferences.

â&#x20AC;&#x153;Oryâ&#x20AC;? and start a conversation.

of important changes in health. This can be configured through

Thereby the AI assistant gives a short summary and asks if

product or doing any specific movement where fine-motoric

the AI option menu of the app or through talking with the AI.

detailed information are of interest.

interaction is necessary.

STANDBY mode of the Ory system shows a clean interface of

GESTURES allow the user to make subtle changes in the preferences without the need to stand directly in front of the

144

REQUESTING communication is shown with a little light in the

EMERGENCY can be also triggered via hand contact. When

APP services will give the user control over preferences like AI

middle of the device. This happens when the user forgot to

tapping the Ory product for a longer time period, a stronger

behaviour, emergency situations and provide an overview of

answer an important question/request. It can be triggered through vibration will occur and trigger the AI assistant to immediately go

health analytics. It will also give the user access to his/her Ory

simple touch or through contacting the Ory assistant. Manual

into the alert mode. This is necessary for rare occasions when no

health profile account.

feedback is given through a quick and subtle vibration.

voice communication is possible or the user intuitively needs to give alert via manual interaction.

08 / result finalize & visualize.

145

146

147

08 / result

finalize & visualize.

user interaction.

08.03

COMMUNICATION

MONITORING

148

EMERGENCY

149

08.04

OPTIONAL ACCESSORY

08 / result

finalize & visualize.

360° safety.

MOBILE REPEATER helps the user to stay informed wherever they are. Indoors this can be used as an extender of communication, outdoors it functions as an extra safety pendant

150

SMART LOCK will communicate with the central station in case of emergency and opens when contacted from the outside by the rescue team.

08 / result finalize & visualize.

151

152

153

08 / result

finalize & visualize.

outlook.

08.05

WHAT WOULD BE NEXT? To bring the concept to a next level, expert groups, consisting of doctors, specialists, psychologists and AI experts, have to be created to design the AI character and individual health bundles. Each expert group will then continuously deal with specific health problems and develop AI behaviour pattern as well as the medical health base to be able to serve the user.

Apart from these specific health bundles there would be a general health database where every Ory-related AI would have always access to. This contains behaviour like the emergency services and detecting general diseases from monitoring and health data analysis.

Third party companies can be contacted to offer a cooperation between their healthcare products and the Ory system. Thereby these companies can already offer a plugin or prepare a software extension for their product and apps to be able to later on communicate and send data to the Ory database. These cooperation will also help Ory to be early promoted for healthcare product users.

Apart from the software, health insurance institutions and medical organisations can be asked for support and implementation. Thereby the insurance companies can profit from early disease detection of their clients, whereas the the user would be more likely to buy the product when offered a discount from their insurance.

154

09

SOURCES

USED SOURCES 09/01/ SOURCES 09/02/ PICTURES

155

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Austrian Interdisciplinary Platform on

Bundesministerium für Familie, Senioren,

Ageing (2017).

Frauen und Jugend (2017)

DZA (2002)

Focus-Money (2016)

Der Alterssurvey. Gesundheit und

Focus Online. Die Zukunft nach dem

as a Predictor of Morbidity and Mortality

Austrian Interdisciplinary Study on the

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Gesundheitsversorgung. Retrieved from

Abgas-Skandal. Retrieved from http://

in Inpatient Head and Neck Surgery.

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from http://www.wegweiser-demenz.de/

http://www.dza.de/fileadmin/dza/pdf/

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com/journals/jamaotolaryngology/ fullarticle/1729106 [23.08.17] Age UK (2017)

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P. 012, Street Scene

P. 012, Braintraining Woman

P. 022 Interior of a shop

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P. 012, Wearable Device P. 011, Robot

P. 011, Wheelchair

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P. 012, Exercise Devices

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P. 011, Walking Stick

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https://www.designboom.com/ wp-content/dbsub/321074/2013-04-11/

P. 011, Bowl

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P. 011, Chairs https://static.dezeen.com/up-

P. 012, Medication in Foil

P. 012, Woman with Head Device

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P. 012, Woman doing fitness P. 012, Woman in Exosuit

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P. 012, Elderly woman giving package

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P. 032 Icaros riding

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P. 032 Digits on glass

P. 034 Airbag jacket

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jpg [23.09.17] P. 032 Ball with sticks P. 032 Womans face

P. 034 Wood furniture

P. 034 Abstract bubbles

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[23.09.17]

P. 034 Wavy ruler P. 032 stone with wood part

P. 034 Smart sport shoes

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P. 032 Hands

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P. 032 Abstract shape on wall

P. 032 Asian elderly

P. 034 Cast

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P. 034 Shoe horn

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P. 034 Kitchen

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P. 034 Utensils

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[23.09.17]

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P. 034 Bench

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[23.09.17]

160

P. 034 Autonomous Sphere

P. 034 Glowing fashion

P. 036 Guy in wheelchair

P. 036 Old man doing ritual

P. 036 Walking Cane

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P. 034 Leveled furniture

P. 034 Stairs with glowing wall structure

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P. 038 Grandma with googles

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P. 036 Glowing fashion

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com/000/074/562/desk-

https://pbs.twimg.com/media/CwX-

catalog/product/cache/2/small_im-

top-1410795890.png [23.09.17]

fooAWIAAN53I.jpg [23.09.17]

age/600x/9584d58a0ae6a5dee7a3194ff248c49a/f/u/

P. 034 Wrinkles

P. 036 chest piece

fundamental_push_allgemein_03_

https://mir-s3-cdn-cf.be-

https://49.media.tumblr.com/fbca8a7d-

push_step_03_low_res_1/fundamen-

hance.net/project_modules/

6f6e73049f7abbbfbd4473ea/tum-

tal-berlin-schmuck-schale-push-so-

hd/8e267514982143.5628b86b65458.

blr_nuvefzE0Gh1qav3uso3_r1_540.gif

lo-edelstahl-214.jpg [23.09.17]

jpg [23.09.17]

[23.09.17]

P. 034 chest piece

P. 036 Barbie

P. 036 wizard

https://49.media.tumblr.com/fbca8a7d-

https://graadig.files.wordpress.

https://f.ptcdn.info/738/011/000/13835

6f6e73049f7abbbfbd4473ea/tum-

com/2009/10/barbie-at50.jp-

59764-p10123400-o.jpg [23.09.17]

blr_nuvefzE0Gh1qav3uso3_r1_540.gif

g?w=550&h=361 [23.09.17]

[23.09.17] P. 036 Robotic spider http://www.usinenouvelle.com/ mediatheque/0/4/5/000255540_image_518x345.jpg [23.09.17]

http://media.designersfriend.co.uk/ P. 036 Under skin transparent implant

sps/media/test90/uploads/work/

http://i.dailymail.co.uk/i/

media/1410x795/img-9199-web-

pix/2014/10/18/1413643290134_

site-08044.jpg [23.09.17]

wps_14_From_the_Jawbone_Up_to_ th.jpg [23.09.17] P. 038 Delphi Photo P. 036 Womans face

http://farm5.static.flickr.

https://content.4ty.gr/merchants/pho-

com/4137/4927353308_20f70ecf0d.jpg

tos/14919-YGEIA-NOSOKOMEIA-AN-

[23.09.17]

DREANIDIS-GIORGOS-14919_013.jpg [23.09.17] P. 038 Childrens story P. 036 Hands

P. 036 Pokemon scene

P. 038 Book

https://i.pinimg.com/736x/3e/

http://t1.ftcdn.net/jp-

c9/c1/3ec9c1e8885b1cf8c3d-

http://cdn.rsvlts.com/wp-content/up-

g/00/81/58/54/160_F_81585490_

6cdaa928ef213--travel-sketch-

loads/2017/03/pokemon.jpg [23.09.17]

mjuXqeaN0URwd88ChwDNXedX-

book-sketchbook-pages.jpg [23.09.17]

PE4bQqP3.jpg [23.09.17]

161

PICTURES P. 038 Man reading a story

P. 040 Cocoons

P. 040 Toys

P. 040 Data graphic

http://static3.mdhl.de/storage/scl/

https://aos.iacpublishinglabs.

https://i4.ytimg.com/vi/sNvO31Wk-

http://getapp.wpengine.com/wp-con-

mdhl/artikelbilder/lokales/rn/dolo/

com/question/aq/1400px-788px/

DH4/hqdefault.jpg [23.09.17]

tent/uploads/HEAD-Top-data-visual-

do-brackel/650145_m3w624h-

how-long-is-a-caterpillar-in-a-co-

416q75v58108_NEU_O-4494_2.

coon_095bed7c-a98c-486d-b938-

jpeg?version=1386848891 [23.09.17]

48e0b7ce39f2.jpg?domain=cx.aos.ask.

https://i.pinimg.com/236x

com [23.09.17]

/26/95/2a/26952a666a-

P. 038 Vegetables in box https://i.ebayimg.com/00/s/Mz-

P. 040 Furniture cocoon

JYMzI=/z/o0YAAOSw0cdZfFy4/$_9.

https://freshideen.com/moebel/er-

JPG [23.09.17]

gonomische-mobel-aus-filz.html][img] https://freshideen.com/wp-content/

P. 038 Garden house https://www.welt.de/img/lifestyle/

mischtes-Berlin-jpg.jpg [23.09.17] P. 038 Man doing creative work http://www.paz-online.de/var/

P. 040 Light therapy

P. 040 Robotic cat

cae5b4940d1d8d6d7a-

https://i2.wp.com/www.daily-

4da5--light-skin-light-therapy.jpg

video.watch/wp-content/up-

[23.09.17]

loads/1492211048_maxresdefault.jpg?resize=350%2C200&ssl=1 [23.09.17]

P. 040 Hand Device movable http://gajitz.com/wp-content/up-

signer-ausstellung.jpg [23.09.17]

loads/2010/11/ref-wearable-pet-3.jpg

http://www.4erevolution.com/wp-con-

[23.09.17]

tent/uploads/2015/08/Microsoft-cor-

P. 040 Field cocoons https://assets8.artprize.org/

P. 040 Artificial woman

tana.jpg [23.09.17] P. 040 Ball with sticks

works/2013/030961/030961-000005.

https://56.media.tumblr.com/00fbd-

jpeg?fit=clip&w=1000&h=1000

35daf027da7cd2505c6217428f2/

https://i.pinimg.com/236x

[23.09.17]

tumblr_o3kekyNxDQ1rka9pfo1_500.jpg

/9e/8f/90/9e8f90c85d8e53ccc84c7e-

[23.09.17]

78a244b8f3--lego-calendar-the-calen-

storage/images/paz/peiner-land/ lokalnachrichten/stadt-peine/ueberheide-bastelt-mini-armeen/10517747-

[23.09.17]

uploads/2014/10/Mรถbel-aus-Filz-de-

mobile101593601/9732508597-ci10 2l-w1024/schreber-symbol-DW-Ver-

ization-tools-for-small-business.png

P. 040 Day planner

dar.jpg [23.09.17] P. 040 Old photos

P. 040 Head device

1-ger-DE/Ueberheide-bastelt-Mini-Ar-

https://i.pinimg.com/474x/32/6f/

http://thefutureofthings.com/wp-con-

meen_pdaArticleWide.jpg [23.09.17]

fa/326ffa5684208bfd0db07b114ef-

tent/uploads/2013/11/neurocam_girl.

http://www.ecouterre.com/wp-con-

fab79--polaroid-pictures-old-photos.

jpg [23.09.17]

tent/uploads/2015/08/stefanie-posa-

jpg [23.09.17]

P. 040 Jewellery

vec-air-transformed-1-140x120.jpg [23.09.17]

162

P. 040 Dog

P. 051 Asthma kit white

P. 051 Knee bandage

P. 052 Blood testing device

http://www.paradisi.de/images_ar-

https://lemanoosh.com/app/uploads/Klau-

http://thesmartdigest.com/wp-content/up-

http://www.yankodesign.com/images/design_

tikel/1/13505_0.jpg [23.09.17]

dia-Golaszczyk-Belly-Bean-fetal-doppler-03.

loads/2017/05/Quell-02.jpeg [23.09.17]

news/2016/05/draft-kenko/kenko_mrna_de-

jpg [23.09.17] P. 051 Smart skin http://rogersgroup.northwestern.edu/images/ ephoton.jpg [23.09.17] P. 051 Symphony Diabetes Device

P. 051 Small sticker with health icon P. 051 Colorful health analysis kit

https://i.pinimg.com/236x/60/51/57/

P. 052 Finger testing

https://i.pinimg.com/736x/9d/a4/76/9da4761

605157310c56a3ea5d3bea82ce280ebf--sei-

http://www.yankodesign.com/images/design_

4a07fdd0352f3026081e759c4--health-foods-

zures-wearable-technology.jpg [23.09.17]

news/2016/11/oximeter_08.jpg [23.09.17]

health-tips.jpg [23.09.17]

https://i.pinimg.com/474x /61/70/5f/61705fc31385670a9d-

vice_1.jpg [23.09.17]

P. 051 Speaker devices grey white P. 051 Woman examining girl with telemedicine help

P. 052 Familyar

http://file.mk.co.kr/meet/

Screenshot from http://family.ar.com

3ab57754b538f5--health-care-reform-diabe-

https://cdn.asme.org/getmedia/399d3da8-

neds/2014/11/image_read-

[22.06.17]

tes-care.jpg [23.09.17]

92e3-4c8a-9f5e-e2d811ecf591/Top-5-Med-

med_2014_1399962_14153427891616395.jpg

ical-Technology-Innovations_04.jpg.aspx-

[23.09.17]

P. 051 Alert1

?width=340 [23.09.17]

https://medicalalertsystemreviews.net/ wp-content/uploads/2016/10/111.jpg [23.09.17]

https://4.bp.blogspot.com/-jvq6M023ivE/ P. 051 Life Phone Woman

Pjodq5nDms7AgP_5m1vagCLcB/s320/Medi-

products/LifeFone_Voice_in_Pendant_Wom-

cal-Alert-Devices-Review.jpg [23.09.17]

an.jpg [23.09.17]

nologia%20-%20Trattate/20141109013106-

ian.com [23.09.17]

2-kgcF-U43050295675442xdD-593x443@ Corriere-Web-Sezioni.png?v=20141208011616

P. 051 Sticker with wireless function

[23.09.17]

https://joemokblog.files.wordpress. com/2014/11/healthpatch-art-300x193.

P. 051 Emergency clip shown by hand

age/2014/12/08/Tecnologia/Foto%20Tec-

Screenshot from https://www.medicalguard-

V1h8yiq3hvI/AAAAAAAAANE/iIydPOY0xYYx-

https://www.lifefone.com/media/wysiwyg/

P. 051 Body Sensor three pinned

http://www.corriere.it/methode_imP. 051 Medical guardian Device

P. 051 Home altering system telephone style

P. 052 Showing mini device with blurred background

png?w=908 [23.09.17]

https://static1.squarespace.com/stat-

P. 052 Device with Phone https://www-assets-cdn.withings.com/front/ products/withings-go/media/go-app-en.jpg

https://i.pinimg.com/564x/dd/d2/f5/

ic/5693bb47dc5cb46e49e0ce40/57c80ddb-

ddd2f5a2647cc00fae02d7a659d3964c.jpg

8419c27c5f3273ae/580524066b-

https://www.homeandsmart.de/var/site/

[23.09.17]

8f5b9b4506e7f0/1476732355092/

storage/images/_aliases/inline_im-

Proximity_03_gallery.jpg?format=1000w

age/7/9/7/3/13797-1-ger-DE/withings-ther-

https://lemanoosh.com/app/uploads/Klau-

[23.09.17]

mo-Techno-celsius.jpg [23.09.17]

dia-Golaszczyk-Belly-Bean-fetal-doppler-03.

P. 052 Thermometer

[23.09.17] P. 052 Device for pregnancy used on woman

jpg [23.09.17]

163

PICTURES P. 052 Neck pain App on Phone https://cdn-images-1.medium.com/

P. 052 Mole finder app

P. 053 Aerial

P. 053 Neck pain App on Phone

http://s.numrush.nl/wp-content/

Screenshot from http://www.aerial.

https://cdn-images-1.medium.com/

max/2000/1*J5trcwRUQEof06IKBG-

uploads/2015/10/MoleMap-

ai [23.09.17]

max/2000/1*J5trcwRUQEof06IKBG-

Cc0Q.jpeg [23.09.17]

per-640x564.jpg [23.09.17]

Cc0Q.jpeg [23.09.17] P. 053 Familyar

P. 052 Table monitor

P. 052 Blood pressure device

https://image.slidesharecdn.

https://i.ebayimg.com/thumbs/im-

com/uahhicarehomedoctorin-

ages/g/4oEAAOSwV0RZj2Ac/s-l225.

tro-140606021209-phpapp02/95/

jpg [23.09.17]

uah-smart-integrated-home-care-device-special-

Screenshot from http://family. ar.com [23.09.17]

P. 052 Urine tester with color indicator https://nge.jp/wp-content/up-

ly-challenged-and-elderly-1-638.

loads/2015/03/Scanaflo-690x460.

jpg?cb=1407820554 [23.09.17]

jpg [23.09.17]

P. 053 Myndyou dyou.com [23.09.17]

Screenshot from http://www.echo-

P. 052 Waterbottle

img/astrim_fit.jpg [23.09.17]

wp-content/uploads/2017/06/Ulla-

https://jcsatanas.fr/wp-content/up-

at-the-Office.jpg [23.09.17]

loads/2014/10/sleepio.jpg [23.09.17]

P. 053 Sleepio App

P. 052 Garmin Smart watch on hand editor_uploads/Garmin%20Fore-

https://i0.wp.com/weararena.com/

runner%20235%20Display(1).jpg

wp-content/uploads/2015/05/

[23.09.17]

Fineck-Neck-Band.jpg?w=640 [23.09.17]

P. 052 Robotic table stand https://www.israel21c.org/wp-con-

Screenshot from https://www. ybandtherapy.com/en/ [23.09.17] P. 053 Nurx Screenshot from https://app.nurx.

P. 053 Emarald Screenshot from http://www.emer-

botics_57636_HighRes-1168x657.

aldforhome.com [23.09.17]

jpg [23.09.17]

P. 053 Arysme

com [23.09.17]

tent/uploads/2017/01/Intuition_Ro-

P. 054 Helia sensors https://www.sanitaets-online.de/ media/image/84/44/3e/Helia_

https://thefitnessjunkieblog.com/

P. 052 Necklace

Screenshot from http://krankheit-

P. 053 Echocare

http://civil-rental.com/info/anze/

http://www.reviewrounder.com/

P. 054 Krankheitserfahrungen serfahrungen.de [23.09.17]

care-tech.com [23.09.17] P. 052 Holding hand in a device

Screenshot from https://www. patientslikeme.com [23.09.17]

Screenshot from https://www.myn-

ly-for-chronically-ill-physical-

P. 054 Patients like me

P. 053 Ada Screenshot from https://ada.com [23.09.17]

Gruppe_600x600.jpg [23.09.17]

164

P. 054 Phillips Devices

P. 055 Floor plan

P. 058 Woman

P. 067 Elderly woman in shopping cart

http://file.mk.co.kr/meet/neds/2014/11/image_re-

https://static1.squarespace.com/stat-

http://www.tlcthai.com/women/wp-content/

https://www.mimikama.at/wp-content/up-

admed_2014_1399962_14153427891616395.jpg

ic/51085b50e4b03baf27a4eb27/5806d-

uploads/2014/09/1410524443861_wps_68_im-

loads/2015/10/image339.png [23.09.17]

[23.09.17]

f8b197aeafadf7fd060/5990ed6e6b-

age001_png-300x199.jpg [23.09.17]

8f5b2f5d539b8d/1502670211806/ P. 054 Fall detector in hand

Quyang+WWTP_MP01_03_Masterplan_

P. 067 Woman sitting in front of medicine P. 059 Diabetes testing

https://sc01.alicdn.com/kf/HTB1IdPTQpXXXXb.

Site+Plan+1+to+5005.jpg?format=1500w

http://www.gyanherbal.in/blog/wp-content/up-

XpXXq6xXFXXXJ/mini-children-gps-tracker-

[23.09.17]

loads/2016/03/Bilva-patra-diabetes.jpg [23.09.17]

necklace-gps-For.jpg [23.09.17]

Polymedikation-AH.jpg [23.09.17] P. 067 Woman daydreaming

P. 056 Infrared detecting fallen person P. 054 Wristbands black and white

https://www.aerztezeitung.de/docs/2016/09/21/

P. 059 Man with heart attack

http://www.cochrane.org/sites/default/files/

https://media.licdn.com/mpr/mpr/AAEAAQA-

http://dongnhanduong.com/wp-content/up-

public/styles/news_front/public/uploads/

https://www.zembro.com/wp-content/up-

AAAAAAARlAAAAJDZmODgwMDhjLWY3YTQt-

loads/2017/05/dau-hieu-tai-bien-mach-mau-

news/elderly-woman-in-a-nursing-home-

loads/2016/05/VH_3496.jpg [23.09.17]

NDAyMS1hN2Y3LWU4ZjhiNjU3Y2RkYw.png

nao-cac-giai-doan-cach-cham-soc-phuc-hoi.jpg

483528091_1258x838_2.jpeg?itok=B7m9ulND

[23.09.17]

[23.09.17]

[23.09.17]

P. 054 Vitatel phone and wristband white and red http://www.vitatel.info/images/sim%20kleiner. png?crc=356991874 [23.09.17]

P. 056 Wristbands black and white

NEO-LifeCall-2.jpg [23.09.17] P. 055 Magnetic field shown in museum

https://cdn1.centroinformacionmedica.com/

http://www.intactwellbeing.com/assets/elder-

loads/2016/05/VH_3496.jpg [23.09.17]

wp-content/uploads/2017/07/La-demencia-y-

ly-disability.jpg [23.09.17]

sus-causas.jpg [23.09.17] P. 056 Walking man in stages http://news.mit.edu/2017/dina-katabi-csail-team-

ing-system-ips-640x353.jpg [23.09.17]

P. 067 Elderly woman fallen on the floor P. 061 Blood pressure

http://pn.bmj.com/sites/default/files/high-

develop-wireless-system-to-detect-walking-

http://www.gesundvital.org/wp-con-

wire/practneurol/7/3/158/embed/graphic-1.gif

speeds-0501 [23.09.17]

tent/uploads/2017/08/Depositpho-

[23.09.17]

https://www.extremetech.com/wp-content/ uploads/2012/07/indooratlas-indoor-position-

P. 067 Man with walking aid at home

https://www.zembro.com/wp-content/up-

P. 054 Emergency phone with buttons http://www.lifecall.at/images/samples/300x190/

P. 060 Man holding his hand

tos_11028744_m-2015-670x300.jpg [23.09.17] P. 056 Beacon with phone https://i1.wp.com/www.plakativ-magazin.de/

P. 067 Desperate elderly woman not showing her face P. 061 Hand

http://kikitimes.com/main/wp-content/

wp-content/uploads/2016/09/ibeacons-estimote.

https://thumbs.dreamstime.com/t/

uploads/2017/05/woman-1246587_640.jpg

jpg?resize=678%2C381 [23.09.17]

hand-der-rheumatischen-arthritis-42382974.jpg

[23.09.17]

[23.09.17]

165

PICTURES P. 071 Speaker on the wall

P. 071 Blue book

P. 097 Glass bottles

P. 100 Lucy interface

http://www.yankodesign.com/images/de-

http://media.designersfriend.co.uk/sps/media/

http://2.bp.blogspot.com/-V-i-kWWW6c8/

https://i.pinimg.com/736x/63/d8/e0/63d8e008a-

sign_news/2015/08/dehumidifier-in-disguise/

test90/uploads/work/media/1410x795/img-9199-

UP4COOoo-XI/AAAAAAACxZM/bfCE2LZ9fmU/

bea1fe0559360ada9bc04f0--interior-de-

bowl_05.jpg [23.09.17]

website-08044.jpg [23.09.17]

s1600/stability+and+stamina.jpg [23.09.17]

sign-website-ui-design-inspiration.jpg [23.09.17]

P. 071 colourful packaging

P. 071 Woman service center calling

P. 097 Interface

P. 100 Late Autumn blurred image

https://dspncdn.com/a1/media/692x/fd/89/

http://www.doc-Ăźberall.de/images/reisejournal/

https://i.pinimg.com/736x/0d/79/55/0d-

https://i.pinimg.com/originals/60/a9/

d9/fd89d9cb79f8fa46672d1bac4b8a8435.jpg

DU-Journal-Telemedizin.jpg [23.09.17]

7955423f07120e9b7f6de46030f070--flat-design-

a5/60a9a5c4c627b2e37de7d1a28fefe3b5.jpg

website-flat-web-design.jpg [23.09.17]

[23.09.17]

[23.09.17] P. 073 Woman with pullover P. 071 Man looking to the left

http://blogs.hoy.es/ciencia-facil/wp-content/up-

P. 097 head

P. 100 Blurred hands

https://i.pinimg.com/736x

loads/sites/63/2016/04/01.-CasiMAMI-y-viejita.

https://mir-s3-cdn-cf.behance.net/project_mod-

https://i.pinimg.com/564x/9c/c2/be/9cc2be-

/0e/6a/71/0e6a711947c1624865ef5f79dc-

jpg [23.09.17]

ules/max_1200/ae968625143559.563423f75ed0f.

73656767d85906e3aef69b2099--hand-photog-

png [23.09.17]

raphy-silhouette-photography.jpg [23.09.17]

c86d0f--joaquin-phoenix-her-world-photo.jpg [23.09.17]

P. 074 Woman in swimming pool https://bloximages.newyork1.vip.townnews.

P. 071 Stones

P. 097 yellow color

P. 100 Phone

com/richmond.com/content/tncms/assets/

http://leysaflores.com/wp-content/uploads/So-

https://i1.wp.com/psdfinder.co/wp-content/up-

https://mir-s3-cdn-cf.behance.net/project_mod-

v3/editorial/b/30/b30a0417-d3e9-57af-a3fe-

phisticatedCitrusbyLeysaFlores.jpg [23.09.17]

loads/image-1-94.jpg?fit=800%2C600 [23.09.17]

ules/fs/7baa3927626949.57cd4dd418279.jpg

32828657550c/511871f9155a6.image.jpg

[23.09.17]

[23.09.17]

P. 071 Blood pressure system green

P. 075 Woman

https://thumbs.ebaystatic.com/d/l225/m/mhheP-

https://i.pinimg.com/originals/4a/

D7ryicWLdmM1EQZ99A.jpg [23.09.17]

b9/16/4ab9166aa4bf50dc4a71e35af6596759.jpg [23.09.17]

P. 071 Glowing Fairy http://i.ytimg.com/vi/Sl90VCW3Vjs/mqdefault. jpg [23.09.17]

P. 097 business card https://i.pinimg.com/736x/f9/7c/52/

https://i.pinimg.com/736x

f97c521ee5d3ed36bc2c5255faac3f3a--identi-

/47/8b/96/478b96f5908f719b32a841e256e-

ty-branding-design-branding.jpg [23.09.17]

6ad4b--minimal-web-design-clean-web-design. jpg [23.09.17]

P. 097 package https://s3.amazonaws.com/onm/ugc/1.jpg

P. 076 Elderly man https://www.brandeins.de/fileadmin/_processed_/csm_walter_weinmann_1ca72d4fb8.jpg [23.09.17]

P. 100 Number 2

[23.09.17]

166

P. 100 Jacket

P. 114 Water circles

P. 115 grey stone product

P. 115 Four stones with labels

P. 116 White wall with glowing text

https://i.pinimg.com/origi-

https://i.pinimg.com/736x

http://68.media.tumblr.com/

https://i.pinimg.com/564x/d0/cc/d1/

https://www.designboom.com/

nals/7c/40/8b/7c408b997640d2dcb-

/5a/89/2d/5a892d6cb03159d5ecaeb-

f76e3e4209d47daacc0d1bfc30088119/

d0ccd133d6406f63f902ef4cc2f94489.

wp-content/uploads/2014/01/bu-

22d1cff449f0272.jpg [23.09.17]

bc19f24b2ed--rainy-days-photogra-

tumblr_n5g8w0iUhY1rauo8io1_r1_500.

jpg [23.09.17]

reauhub-white-space-orthodontic-clin-

phy-photography-water.jpg [23.09.17]

jpg [23.09.17]

P. 113 Stones with holes http://3.bp.blogspot.com/-5yJ14T_

ic-designboom-06.jpg [23.09.17] P. 116 Heating system device with display

P. 114 Mushroom

P. 115 White bended product

BPqg/VGXVLAZI5jI/AAAAAAAAGBA/

http://integralmeditationasia.com/

https://i.pinimg.com/564x/81/bd/

dGh9kTRwOeA/s1600/Hag-Stones.jpg

wp-content/uploads/2016/12/Mush-

fd/81bdfdbfa53b8440e88a5b69bf-

[23.09.17]

rooms-2.jpg [23.09.17]

7b5a59.jpg [23.09.17]

https://pics.computerbase. de/7/4/3/9/5/1-280.jpg [23.09.17]

P. 114 Ear

P. 115 White capsule

https://i.pinimg.com/736x/65/b8/ b4/65b8b4f7011ad6c5b3df363d-

P. 116 Clock http://www.wanduhrwelt.de/

P. 113 Black stone

P. 116 Bottle green translucent

cbd46549--pet-shampoo-label-design. jpg [23.09.17]

media/catalog/product/cache/1/

https://i.pinimg.com/236x/1a/35/

https://www.healthline.com/

https://i.pinimg.com/564x/15/

small_image/210x/9df78e-

ae/1a35ae2a945c89abaa0b7c-

hlcmsresource/images/topic_cen-

a4/0c/15a40c12cd2e88ad-

ab33525d08d6e5fb8d27136e95/l/t/

https://i.pinimg.com/564x/

fa518baa62--milagro-beach-stones.jpg

ters/732x549_Pulsatile_Tinnitus.jpg

40b6453e04e0b926.jpg [23.09.17]

lt21001_1/%EF%BB%BFMod-

bc/7f/42/bc7f4209b4d553ce-

[23.09.17]

[23.09.17]

erne-Wanduhr-hazy-LEFF-Amster-

652b5a0ce4238060.jpg [23.09.17]

P. 115 Stones with leather label P. 113 Scarab stones

P. 115 Stones

http://www.designstuff.com.au//

dam-o-35-cm-LEFF-hazy-20.jpg [23.09.17]

https://s-media-cache-ak0.pinimg.

https://mir-s3-cdn-cf.be-

media/catalog/product/cache/1/

com/736x/86/0d/da/860ddaecb4ea-

hance.net/project_modules/

thumbnail/1200x1200/9df78e-

b6e826c07007e38e64c6.jpg [23.09.17]

fs/19cd8b27626949.57cd4dd415e35.

ab33525d08d6e5fb8d27136e95/d/e/

https://scontent-sea1-1.cdninsta-

jpg [23.09.17]

designstuff-kreafunk-to-charge.jpg

gram.com/t51.2885-15/e35/1894

[23.09.17]

8028_657214231138012_578510

P. 113 Pink stones https://static1.squarespace.com/stat-

P. 115 Three coloured vase

ic/5343fe7ce4b081d168e84abd/5345a-

http://img.mp.itc.cn/up-

c2ae4b0c0d1424a8627/5894d73859cc

load/20170424/f162bec422954cfeb-

http://assets.hardwaresphere.com/

68803412e513/1504757098923/rose-

345d04a0e68952b_th.jpeg [23.09.17]

uploads/2009/11/iriver-domino-inflate-

quartz.jpg?format=300w [23.09.17]

P. 115 Domino stones with numbers

usb-flash-drive-sizes-2.jpg [23.09.17]

P. 116 Earphones

P. 116 Lamp with glass http://img.edilportale.com/prod-

P. 116 Golden back with textile cable

uct-thumbs/b_THE-LOVERS-PER-USE216451-rel186b67d2.jpg [23.09.17] P. 116 Leather detail on glossy white product

2887927414784_n.jpg?ig_cache_

https://i.pinimg.com/236x/b3/ba/2e/

key=MTUzMzE2NzU5ODYyMzUx-

b3ba2e3da047ccb54b55faa6242bd-

NTQ0Mg%3D%3D.2&se=7 [23.09.17]

3bc--diffused-light-ceramic-lamps.jpg [23.09.17]

167

PICTURES P. 131 Woman https://images.pond5.com/ma-

graphics/livemockups/white/ [23.09.17]

ture-redhead-fashion-woman-standing-photo-078102064_iconl.jpeg [23.09.17]

P. 148 Hand https://images.pond5.com/grand-

P. 135 Man listening to music https://images.pond5.com/man-pen-

mothers-hand-white-background-photo-012390807_iconl.jpeg [23.09.17]

sioner-enthusiastically-and-happily-photo-078502760_iconl.jpeg [23.09.17]

P. 150 Elderly woman with scarf https://images.pond5.com/stylish-elderly-woman-photo-072976658_iconl.

P. 136 Bedroom

jpeg [23.09.17]

https://cis01.immoscout24.ch/ bild--wo-man-sich-zu-hause-fue-

P. 150 Door

hlt-kaisten?380x285/0/90/is24me-

https://images.pond5.com/white-

dia/6e/05/1d34d67247.jpg [23.09.17]

wooden-closed-door-inside-photo-076407647_iconl.jpeg [23.09.17]

P. 137,138 Imac Template graphic templates from https:// lstore.graphics/livemockups/white/ [23.09.17] P. 142 Interior http://www.dearlittledaisy.com/ wp-content/uploads/2017/02/b7nqpoi207o-breather.jpg [23.09.17] P. 144 Phone Template graphic templates from https://lstore.

168