Fun with fall detection

I can get longwinded so I am going to try and keep this brief and educational. My office is getting more and more calls asking about fall sensors so I decided to use this forum to help people to understand the technology

First of all, fall detection is not and never will be perfect. I would say that of all the fall sensors I have seen the best ones predict falls somewhere in the 90-95% range. 90-95% is great unless you are part of the 5-10% then it's not so great.

Fall sensors come in two types of technology, the first and most basic is a tilt switch. A tilt switch is best worn on the belt and will send a signal for help if the pendant tilts past a certain degree. This unit is good because 100% of the time it will send a signal when it tilts past that degree mark, bad if for some reason a fall occurs and the client doesn't fall to that degree i.e. passing out and falling against a wall or into a chair. The second technology is more advanced as it will detect a change in altitude as well as the speed of that change. A quality fall sensor will be able to tell the difference between somebody passing out and subsequently falling to the floor and somebody bending over to tie their shoes. With this technology there are more false positives along with a higher chance of a slow fall failing to register and send a signal.

Any fall sensor should have a panic button with it as well so that the client can summon help in the event they are still conscious. Most fall sensors will allow a 30 second to 4 minute window to allow the client to get up and start moving around. Some will even send two signals, one that says the client has fallen, and one that says the client is not moving.

The technology is getting better every year and I get excited to see where it will be in 5-10 years, I know, I know, I'm a dork. Contact me or any of your local providers to see the latest systems, they might just save a life.



We recently received a new fall sensor that I had the pleasure of testing. The results were impressive and the girls thought it was funny to watch me fall repeatedly (see photo). Another good thing that came from my practice fall was a discovery of the dirty carpet. I had the carpet steamed cleaned the next day.

Get Smart About Senior Care Costs

There are a variety of options available for any budget.

It's never too early to plan care for an aging loved one.
Before their health begins to decline, you and your family
need to agree on the kind of care they need, and how it will
be paid for.

To get an idea of the average costs of popular senior care
options, see below. And keep in mind that while your loved
one may be fine with occasional care now, they could need
more serious and expensive care in the future.

So, How much does it cost?

In-Home Technology
Personal Emergency Response (Medical Alarm)
Allows your loved one to age in place while having the ability to summon help 24 hours a day in the event of an emergency.
Cost:$37 per month.

Medication Management via a monitored medication dispenser
Dispenses medication up to 4 times per day. In the event of a missed dosage the unit notifies a live operator who then notifies family members or caregivers of the missed dosage.
Cost :47 per month.

In-Home Care
Enables your loved one to stay at home throughout every stage
of aging.
Cost: $29 per hour on average, but costs vary. (Source: U.S.
Department of Health and Human Services).

Assisted Living
Offers your loved one an independent lifestyle, with trained
personnel on the premises to attend to their needs.
Cost: $36,372 per year (Source: MetLife Market Survey of
Nursing Home and Assisted Living Costs).

Nursing Homes
For elders who cannot care for themselves or have
significant medical issues that require round-the-clock
care.
Cost: Private room, $77,380; semi-private room, $69,715
(Source: MetLife Market Survey of Nursing Home and
Assisted Living Cost).

Occasional Care
Periodic assistance with lawn care, transportation, and
grocery shopping. Cost varies according to need.

Thank you ElderCarelink

A little humor to kick off our weekend.

An elderly gentleman...
Had serious hearing problems for a number of years. He went to the doctor and the doctor was able to have him fitted for a set of hearing aids that allowed the gentleman to hear 100% .
The elderly gentleman went back in a month to the doctor and the doctor said, 'Your hearing is perfect. Your family must be really pleased that you can hear again.'
The gentleman replied, 'Oh, I haven't told my family yet.
I just sit around and listen to the conversations. I've changed my will three times!'

Texas Legislative: Telemonitoring Bill Continues Progress Toward Passage

Thanks to the Texas Association for Home Care & Hospice for the following update and all their hard work on the telemonitoring bill.

Texas Legislative: Telemonitoring Bill Continues Progress Toward Passage
The TAHC&H initiated bill that would create a telemonitoring program for Medicaid home health patients has gained momentum in this final week of the legislative session. SB 293 is moving up the House calendar on this final day- Tuesday, May 24th-in which senate bills can be heard on second reading by the House. The session ends on May 31st.
In addition, key lawmakers in the House have worked with TAHC&H to add the telemonitoring program to SB 23 which contains several programs supported by the leadership. SB 23 has already passed the House and is being sent to a conference committee to work out differences between the House and Senate versions of the bill. TAHC&H will be encouraging conferees to retain the telemonitoring program in SB 23 for final passage.

Click here for more details on the proposed legislation.

Dealer Conference

I just returned from the annual dealer conference in Ohio and I feel excited and rejuvinated. It's always great to meet with other leaders in the medical alarm industry and visit with them about the positives and negatives of our always changing industry. I came away with great ideas on how to better serve our current clients and ways to offer our services to a broader range of users.
This year was especially beneficial due to the addition of the trade show. Home technology dealers from all over the country were brought in to show off the latest and greatest technologies. A few that impressed me were-
1. SimplyHome which is a comprehensive home monitoring system that along with basic personal emergency response it also can monitor doors, windows, oven/stoves, medicine cabinets as well as many other things. www.simply-home.com.
2. LogicMark which is pioneering the way for voice to voice pendant services. We currently offer this and have had good success with it.
3. The Care Watch or the LF500 which is a all in one two way voice watch or pendant that has GPS so a client can be located anywhere in the country. Alert Response will have this available hopefully within the next 1-3 months.

Overall it was a very informative trip and although I had to leave my new born and 22 month old boys with my wife for 3 days I think it was well worth it.

Who can help?

Resources you may not know...but you should.

One of the reasons I love this industry and the work we do is because everyone is different and every situtation is unique. All of our clients have different wants, different needs and definately different stories. Some of their needs we can meet but some we have to refer out. As part of our ongoing attempt at education, I want to provide you with a few helpful programs and agencies that may provide assistance in some of those unique situations.

First is the Low Income Home Energy Assistance Program or LIHEAP. Their mission is to assist low income households, particularly those with the lowest incomes that pay a high proportion of household income for home energy, primarily in meeting their immediate home energy needs.

Second is the The Partnership for Prescription Assistance which brings together America's pharmaceutical companies, doctors, other health care providers, patient advocacy organizations and community groups to help qualifying patients who lack prescription coverage get the medicines they need through the public or private program that's right for them. Many will get them free or nearly free.

Lastly but one of the best local agencies in this area is the North Central Texas Area Agency on Aging. The North Central Texas AAA is a program of the North Central Texas Council of Governments (NCTCOG). It plans, coordinates and delivers services to persons age 60 and over and their family caregivers who live in Collin, Denton, Ellis, Erath, Hood, Hunt, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Rockwall, Somervell and Wise counties.

In the months to come I will be adding more programs and agencies to this list. If you have any suggestions please feel free to email them over to me at matt@alertresponse.com. I would love to share them with other people from our industry.

You can visit our website you you need more information on emergency response or medication management. www.alertresponse.com

Signs that your loved one might need help

Next time you are visting a friend or relative, spend some time checking for signs that they might need help. Often times older adults in an effort to remain independent try to hide things that might cause concern for loved ones. Use the list below to help spot issues that might raise a red flag.

a. Daily housework not being performed
i. Tired
ii. Overwhelmed
iii. Forgetting

b. Mail piling up
i. Overwhelmed with amount of mail
ii. Constant letters from people asking for donations

c. Bills not being paid
i. Checking account not balanced
ii. Services being shut off

d. Weight loss
i. Shopping and food preparation not being done
ii. Eating habits changing

e. No food in refrigerator or spoiled food

f. Kitchen in disarray
i. Dishes piling up
ii. Pots with burned bottoms
iii. Water and mildew stains where water was left on
iv. Food left out

g. Poor hygiene
i. Wearing same clothing
ii. Not bathing regularly

h. Inappropriate clothing
i. Unseasonal clothes worn i.e. bathing suit in winter or sweater in the summer
ii. Clothes left off

i. Missing scheduled events
i. Church
ii. Doctors appointments
iii. Medications

j. Acting strange
i. Unusual conversations
ii. Phone calls at odd times
iii. Strange anxiety or nervousness

k. Depression
i. Sleep disturbances (difficulty falling asleep or staying asleep, oversleeping, or daytime sleepiness)
ii. Sadness
iii. Fatigue
iv. Abandoning or losing interest in hobbies or other pleasurable pastimes
v. Social withdrawal and isolation (reluctance to be with friends, engage in activities, or leave home)
vi. Weight loss; loss of appetite
vii. Loss of self-worth (worries about being a burden, feelings of worthlessness, self-loathing)
viii. Increased use of alcohol or other drugs
ix. Fixation on death; suicidal thoughts or attempts

If you have concerns feel free to contact our office, 972.318.0161, or visit us online at www.alertresponse.com.