Engineering Leadership Professional Program

Interactive Elder Care for Patients with Dementia : Virtual Assistant for Dementia

Periya Gopalan, Soonam Park, Amir Nissan, Umesh Kelkar

This  work  was  created   in  an  open  classroom  environment  as  part  of   the  Engineering  Leadership  Professional  Program  (ELPP)  developed  and  led  by  Prof.  Ikhlaq  Sidhu  at  UC  Berkeley.    There  should  be  no  proprietary  informaEon  contained  in  this  work.  No  informaEon  contained  in  this  work  is  intended  to  affect  or  influence  public  relaEons  with  any  firm  affiliated  with  any  of  the  authors.  The  views  represented  are  those  of  the  authors  alone.      

Cau$on  :  Overuse  of  technology  can  lead  to  “Digital  demen$a”  

Engineering Leadership Professional Program

Human  Brain  and  Cogni.ve  Compu.ng  

Human  Brain   Watson  

1.5  kg   Wt?  Occupies  3  rooms  

86  billion  neurons,  250  petabytes   2880  Power7  cores,  16  Terabytes  RAM  

10W  power  consumpEon   85kW  power  consumpEon  

1000  Petaflops   80  Teraflops  

Electricity,  chemistry,  hydraulics,  opEcs  etc.  based  on  every  field  of  science  

Si  based  

Priceless!   EsEmated  $3  million  dollars  

Dr.  John  Kelly,  IBM  talk  at  ET  Conference  in  AMAT,  2013  

Engineering Leadership Professional Program

Alzheimer’s  DemenEa  Not  Normal  Aging  

o  Memory  o  Language  o  PercepEon  o  Reasoning  o  Personality  

Cogni.ve  Impairment  

•  Currently  there  is  no  drug,  therapy  or  treatment  for  Demen.a  

Amyloid  plaques,  Neurofibrillary  tangles  

•  DemenEa  is  not  a  disease.      •  Its  a  combinaEon  of  symptoms  

called  syndrome  

Engineering Leadership Professional Program

Industry  Change  Hypothesis  

•  With  no  cure  in  near  future,  Alzheimer’s  demenEa  caregiving  will  present  economic  challenges  

•  Although  caregiving  products  and  services  industry  is  growing  there  are  opportuniEes  for  innovaEon  

•  Caregiving  services  which  include  assisEve  technology  soluEons  for  safety,  alerts,  emoEonal  and  behavioral  management  etc  will  create  maximum  value  for  caregivers  

Engineering Leadership Professional Program

Economic  Cost  of  Demen.a  

224%  Global  increase  in  Demen.a  by  2050  

In  millions  

Caregiving  •  Provide  952  M  hours  of  unpaid  care  per  year    

•  Economic  value  of  slightly  above  $10B  •  Working  families  provide  75%  of  caregiving    

•  $72B  out  of  esEmated  $102B  caregiving  cost  

Caregivers  •  21%  report  missing  work  •  8%  reduce  work  hours,    •  11%    quit  jobs  •  4%  change  jobs    

hgp://www.cdph.ca.gov/programs/alzheimers/Documents/CADataReport-­‐full-­‐corrected3-­‐2.pdf  

Engineering Leadership Professional Program

Current  Players  •  Services:  in-­‐home,  respite,  skilled  

nursing,  long  term  living  etc  •  Revenue  ~  $2.5  Billion  •  Special  memory  care  programs  •  Provides  care  for  all  stages  of  

Alzheimer’s  

•  TheraupEc  robot  product  company  •  $6000  per  robot  •  >  2000  sold  worldwide  since  2005  

Engineering Leadership Professional Program

Demen.a  Caregivers  o  Volunteers  o  Female  family  members  o  20hrs  a  week  for  4  years  

o  Greater  burden  than  other  caregivers  o  Financial  o  Social  isolaEon  o  Health  o  High  rate  of  depression  

Engineering Leadership Professional Program

Demen.a  Care  Devices  &  Caregivers  Care  Team  Navigator   iPad  Apps  Daily  remainders   Wearables   Alerts  

Care  Team  Network  (CTN)  Portals  for  communicaEon  between  the  CTN,  care  team,  and  the  paEent  and  family.    

Alerts   Online  Alerts  

Therapeu.c   Caregiver  

Engineering Leadership Professional Program

Does  Assis.ve  Technology  Help?  

Pa.ents  

Home  Safety  Devices  

Caregivers  

Assis.ve  technology  improves  pa.ent  care  &  safety;  helps  

caregivers  socially  &  financially    

Engineering Leadership Professional Program

DemenEa  Products  and  Services  

   hgps://drive.google.com/file/d/0B0UVFy0elB9HTVRUN094WVlFM00/view?usp=sharing  

Engineering Leadership Professional Program

Technology  Integrated  Customized  Service  

Personalized care / cost effective / Continuous monitoring/Specialists/medication/safety/Therapeutic

GPS/Accelerometer  MedicaEon  remainder  

Phone  Emergency  IntervenEon  

Wearable  

Safety  

Doors  Stove  

Alerts  and  remainders  AcEvity  monitoring  

InteracEve  videos  Video  games    InteracEve  Known  Voice  

Virtual  Environment  

Cogni.ve    

Assessment  &  feedback  Memory  game    Learning  tool  Memory  tracking  

PARO  TherapeuEc  robot  Reduce  paEents  stress  Reduce  caregiver  stress  RelaxaEon/moEvaEon  Improve  social  interacEon    

Therapeu.c    

Educa.onal/Help    

Movies  Books  

Personal  Videos  Help  tools  

Engineering Leadership Professional Program

Summary  

-­‐2%   -­‐8%  -­‐16%  

-­‐23%  

-­‐42%  

68%  

Heart    Disease   Stroke   HIV  

Alzheimer’s    Disease  

Breast    Cancer  

Prostate    Cancer  

•  More  diseases  have  been    diagnosed  early  and  controlled.      

•  Declining  trend    •  But  death  by  Alzheimer's    conEnue  to  increase  

•  Majority  of  demenEa  patents  are  not  diagnosed  and  treated  by  experts    

•  Most  paEents  are  diagnosed  by  PCP  with  short  visits.  •  Don’t  get  enough  care    and  osen  ignored  or  not  disclosed.  

A  need    of  “Technology  Driven    Integrated  Care”  that  provides  QOL  for  pa.ents  and  benefits  caregivers    

Technological    Challenges  •   InnovaEon,  integraEon,  stability,  etc.  •  Data  gathering,  assessing,  and  to  provide  the  clinical  

trials  •  ImplementaEon  Issues  &  business  models    

Ethical    Challenges  •  Informed  consent  •  Privacy  issues,  restricEon  of  freedom  •  Improved  autonomy  or  reduced  care?  •  Safety  risks  •  Responsibility  

Engineering Leadership Professional Program