关键词: Alzheimer's disease Unobtrusive activity-sensing technology agitation apathy behavioral and psychological symptoms end-of-life late-stage dementia potentially inappropriate medication technology

Mesh : Actigraphy Aged, 80 and over Alzheimer Disease / diagnosis psychology Behavioral Symptoms Female Humans Male

来  源:   DOI:10.1016/j.jagp.2021.04.008   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
To show the feasibility of using different unobtrusive activity-sensing technologies to provide objective behavioral markers of persons with dementia (PwD).
Monitored the behaviors of two PwD living in memory care unit using the Oregon Center for Aging & Technology (ORCATECH) platform, and the behaviors of two PwD living in assisted living facility using the Emerald device.
A memory care unit in Portland, Oregon and an assisted living facility in Framingham, Massachusetts.
A 63-year-old male with Alzheimer\'s disease (AD), and an 80-year-old female with frontotemporal dementia, both lived in a memory care unit in Portland, Oregon. An 89-year-old woman with a diagnosis of AD, and an 85-year-old woman with a diagnosis of major neurocognitive disorder, Alzheimer\'s type with behavioral symptoms, both resided at an assisted living facility in Framingham, Massachusetts.
These include: sleep quality measured by the bed pressure mat; number of transitions between spaces and dwell times in different spaces measured by the motion sensors; activity levels measured by the wearable actigraphy device; and couch usage and limb movements measured by the Emerald device.
Number of transitions between spaces can identify the patient\'s episodes of agitation; activity levels correlate well with the patient\'s excessive level of agitation and lack of movement when the patient received potentially inappropriate medication and neared the end of life; couch usage can detect the patient\'s increased level of apathy; and periodic limb movements can help detect risperidone-induced side effects. This is the first demonstration that the ORCATECH platform and the Emerald device can measure such activities.
The use of technologies for monitoring behaviors of PwD can provide more objective and intensive measurements of PwD behaviors.
摘要:
显示使用不同的不引人注意的活动感知技术来提供痴呆症患者(PwD)的客观行为标记的可行性。
使用俄勒冈衰老与技术中心(ORCATECH)平台监测了两个生活在记忆护理单元中的PwD的行为,以及使用翡翠装置生活在辅助生活设施中的两个PwD的行为。
波特兰的一个记忆护理单元,俄勒冈州和弗雷明汉的辅助生活设施,马萨诸塞州。
一名63岁男性患有阿尔茨海默病(AD),一名80岁的女性患有额颞叶痴呆,都住在波特兰的一个记忆护理室,俄勒冈.一名89岁的女性诊断为AD,一名85岁的女性被诊断出患有严重的神经认知障碍,有行为症状的老年痴呆症类型,两人都住在弗雷明汉的辅助生活设施,马萨诸塞州。
这些包括:由床压垫测量的睡眠质量;由运动传感器测量的空间之间的过渡次数和在不同空间中的停留时间;由可穿戴活动描记术设备测量的活动水平;以及由Emerald设备测量的沙发使用和肢体运动。
空间之间的过渡次数可以识别患者的躁动发作;当患者接受潜在的不适当药物并接近生命终点时,活动水平与患者的过度躁动和缺乏运动密切相关;使用沙发可以检测患者的冷漠程度增加;周期性的肢体运动可以帮助检测利培酮引起的副作用。这是ORCATECH平台和Emerald设备可以测量此类活动的第一个演示。
使用用于监测PwD行为的技术可以提供对PwD行为的更客观和密集的测量。
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