Frail seniors embrace home monitoring

When John Fowlkes’s adult daughter suggested installing an electronic monitoring system in his apartment to oversee his well-being from afar, “I was very skeptical,” he says. To Fowlkes, 86, who has an active social life including an 80-year-old girlfriend, the idea evoked thoughts of Big Brother.

Mindful that a younger friend had fallen at home and lain on the floor for hours before anyone came to help, Fowlkes, of Raleigh, N.C., gave in. To his surprise, he found the setup “makes you feel more secure.”
Overseeing the aged from afar is a hot issue for working caregivers, and the technology needed to do so is available. But policy makers and others have long fretted that seniors would resist electronic monitoring as an invasion of privacy.

Now, Big Brother has arrived — and seniors are rolling out the welcome mat. As vendors make in-home monitoring systems widely available, seniors are mounting little resistance, and many are embracing the gadgetry as an aid to remaining independent.

Home-monitoring customers total a few thousand nationwide, according to half a dozen monitoring companies I surveyed. The most common systems use wireless motion or contact sensors on doorways, windows, walls, ceilings, cabinets, refrigerators, appliances or beds to track seniors’ movements. Temperature sensors gauge heat and air conditioning. If an elderly person enters the bathroom and doesn’t come out, or other typical activity patterns aren’t recorded in the home, word can be sent to family members, 24-hour response workers or both. The systems also offer hand-held or wearable “panic buttons.”

The QuietCare system used by Fowlkes is monitored by response workers. His daughter, Alisa Washington, who lives nearby, receives e-mail updates several times a day at work. She says it gives her “much greater peace of mind.”

Seniors draw the line at some kinds of surveillance. Many protest against the presence of video cameras, says DR. Majd Alwan, who conducted several small studies of monitoring systems as a professor at the University of Virginia. They see motion and contact sensors as less invasive, says Alwan, now director of the Center for Aging Services Technologies, Washington, D.C., a nonprofit research group.

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