To help bring our of solutions to life we’ve applied them to real-life challenges within the healthcare system.
We’ve created a set of characters who represent a patient, family, and also health professionals to show some example use cases and how Connexin Health solutions can be used to solve and mitigate against the problems that they face.
Ethel is 83 years old and beginning to show signs she may need some help. She lives alone and her family lives out of town. She has a regular routine but has started to become a little more frail and forgetful.
Ethel has a carer, Maddie, who visits each morning, to clean and shop. Maddie is a great help and respects Ethel’s independence.
Maddie sometimes spends more time with Ethel than she is allocated – just to make sure she is coping. This can often mean her shifts are overrun and she can be late for other appointments. This frustrates Maddie, she simply does not have enough time to give Ethel the support she needs.
This is Paula, Ethel’s daughter. She worries a lot about her Mum living alone. She lives a 2-hour drive away from her Mum but tries to visit every weekend. She does a big shop for her Mum and relies on Maddie picking up fresh produce during the week. She’s noticed her Mum is losing a little weight and her shopping seems to be lasting longer than it has in the past.
This is Petra, the Heart Failure doctor, from the hospital, who leads the Heart Failure at Home Monitoring team. At Ethel’s last appointment she was showing some worrying signs that her heart failure was unstable.
She’s concerned about Ethel but wants to help her maintain her independence safely and be closely monitored at home due to the heart failure team already very stretched and busy with more “at risk” patients.
Use Case Scenarios
The time has come for Paula and Ethel to discuss the possibility of Ethel going into full-time residential care, which Ethel is passionately opposed to. However, there are other ways of supporting independent living.
To allay some of Paula’s and Maddie’s concerns, Paula organises the installation of some technology into Ethel’s home, which give her more reassurance that her Mum is looking after herself properly, or to determine if she needs more help.
The first thing on Paula’s list is an emergency helpline, which also acts as a fall detector.
Fall Detection/Emergency Call Out
The fall detector is equipped with a 2-way communication device, which has an instant alert to a customer helpline, in the case of an emergency.
Paula is now assured if her mum has a fall, or requires urgent help, she will receive immediate assistance. Paula will also be alerted to these situations so she can check in with her mum.
Smart Home Device
Paula has also deployed a smart device that can be used to:
- Set reminders to avoid missing or repeating regular medications
- Play her favourite playlists to reduce loneliness and isolation – she has always enjoyed listening to country music, which always cheers her up
- Set reminders to avoid missing important appointments – she recently forgot to attend one of her heart failure appointments.
- To store family, friends contact details
These devices can link to other technology in the home e.g. to manage smart home lighting, door access etc.
Heart Failure Monitoring
At Ethel’s last appointment she was showing some worrying signs that her heart failure was unstable.
Petra has arranged Ethel to be monitored from home. The HF Nurse Specialist will deploy devices to monitor Ethel’s blood pressure, blood oxygen levels, heart rate, weight, and activity. The data is encrypted and transmitted to the HF team and if there are any significant readings that require changes in medication, or further investigation, the team contact Ethel directly.
This gives Paula reassurance that should her symptoms change for the worse and become unstable, this will be picked up by the Heart Failure team at the hospital. The NHS benefits too by avoiding unnecessary appointments. Monitoring for changes can also avoid symptoms exacerbating that can lead to hospitalisation, through earlier intervention, which are prompted by the early warning of changes.
Heart Failure Monitoring
Using clinically accredited devices data on key indicators such as Blood Pressure, Heart Rate, Weight, Pulse Oximetry and Activity is collected from Ethel to inform Petra’s team’s decision making.
Ethel can also provide direct feedback to Petra’s team via the heart failure mobile app by indicating how she feels each day.
The motion detectors in Ethel’s home show Paula what time her Mum retires to bed and wakes in the morning. She can check if Ethel is coping with cooking her own meals – is the reason for her shopping not being used as much as usual down to skipping meals? The motion detectors will show Ethel’s movements.
Paula has also noticed an increase in the number of visits to the toilet Ethel is making. She makes a mental note to ask her Mum if she thinks she is experiencing yet another urinary tract infection. Last time she ended up in hospital for a couple of nights as the infection required treatment with IV antibiotics.
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