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The WWRC Smart Cottage

Funded by Grant #08-201 of the Commonwealth Neurotrauma Initiative Trust Fund, administered by VA Department of Rehabilitative Services. The WWRC Smart Cottage. Environmental AT for People with Disabilities Tony Gentry, PhD OTR/L. Funded by Grant #08-201 of the

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The WWRC Smart Cottage

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  1. Funded by Grant #08-201 of the Commonwealth Neurotrauma Initiative Trust Fund, administered by VA Department of Rehabilitative Services. The WWRC Smart Cottage • Environmental AT for People with Disabilities • Tony Gentry, PhD OTR/L

  2. Funded by Grant #08-201 of the Commonwealth Neurotrauma Initiative Trust Fund, administered by VA Department of Rehabilitative Services.

  3. Why Smart Homes? • We live there. • Safety & Security. • Health. • ADL/IADL. • Functional independence begins at home.

  4. Technologies: • Low-tech environmental organizers • Mid-tech appliances (alarm clock, kitchen timer) • Electronic Aids to Daily Living (lighting/appliance control) • Safety features (fire, smoke, water, injury alarm) • Task Cueing (PDA, pc, pillbox, lighting cues) • Cognitive Remediation (Wii and pc games)

  5. Living Room

  6. Study

  7. Kitchen

  8. Bedroom

  9. Bedroom Sink

  10. Bathroom

  11. Medications

  12. Safety options • Bathroom tub bench, rails, hot water control • Stoveguard - turns off stove if kitchen unoccupied • Water leak alarms • Medic-alert bracelet • Voice-prompt fire alarm • Motion-controlled lighting • Telephone and calling schedule • Training in emergency management

  13. Task Cueing Options • PDA calendar alarm • Reminder pillbox • PC onscreen prompt • Kitchen timer/alarm clark • Automated light blink

  14. Environmental Management • De-clutter -- “a place for everything...." • Drawer dividers • Closet dividers • Divided clothes hamper on wheels • Washing machine directions • Refrigerator file • Food expiration tag

  15. Costs • Equipment Total: $3200 • pc and EADL software: $600 • Motion-controlled lighting: $500 • Low-tech/mid-tech appliances: $500 • Insteon pc-controlled lighting: $400 • Video-cam for front door: $400 • Stoveguard: $360 • Nintendo Wii and Brain Age: $310 • Palm z-22 pda: $100

  16. Other Costs: • Electrician to install motion-controlled lighting and Insteon wall switches (8 hours) • Therapist to assess client needs, collaborate with client in selection, installation, training and follow-along (will vary widely) • Replacement and upgrade costs of products (estimate over ten years)

  17. Comments: • “That Stoveguard saved my life!” • “The Palm pilot really keeps me on schedule.” • “I feel safe here, even though I’m by myself.” • “Having the lights turn on and off saves energy and helps me see when I come home after dark.” • “At first it was a little spooky, but I got used to it.” • The water alarm went off and kept me from flooding the basement when I was washing my clothes.” • “I used the pillbox to schedule my blood pressure tests, too.” • “The Wii games are fun and keep me using my brain.”

  18. OT Comments: • “We are learning the equipment, too, which takes time.” • “The safety alarms have saved the house at least 3 times already.” • “I wish they had more time in the house, to experiment with different strategies and really get the hang of it.” • “This house is like a lab, where we can try out stuff that may work at home.” • “These things will work for our spinal cord clients, too.”

  19. Next Steps: • Smart Suites in new wing of WWRC • Smart apartment and suites at McGuire Veterans Administration Medical Center • Smart apartments at Faison School for Autism • Collaborate with “Blue Roof” and other smart technology teams to provide service to Virginians • Include passive-monitoring options for aging in place and off-site caregiver communication

  20. Monitoring Options: • Quiet-Care (www.quietcaresystems.com) • Wireless motion sensors/changes in routine noted • e-Neighbor (www.healthsense.com) • motion sensors/telehealth/medic-alert • Grandcare (www.grandcare.com) • set-top box on tv acts as communicator and control center for remote sensors

  21. Resources • www.vcu.edu/partnership/pda • www.vacni.org • www.smarthome.com • www.epill.com • www.insteon.com • www.independentliving.com • www.abledata.org

  22. References Cook, A.M. & Hussey, S.M. (2002). Assistive Technologies: Principles and practice. St. Louis, MO: Mosby. Gentry, T. (in press). Smart homes for people with neurological disability: State of the art. NeuroRehabilitation.

  23. Tony Gentry, PhD OTR/LAssistant ProfessorDept. of Occupational TherapyDirector, Assistive Technology for Cognition LaboratoryVirginia Commonwealth UniversityRichmond, VA 23298logentry@vcu.edu(804) 828-3397Paula Martin, OTWoodrow Wilson Rehabilitation CenterDepartment of Occupational TherapyPO Box 1500Fishersville, VA 22939Paula.Martin@wwrc.virginia.gov

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