Assistive Technology, Senior Safety And Aging-in-Place Hidden Risks

Our senior population will rely more and more onassistive aids recommended are often not medical
mobility aids to Age-in-Place. After an injury ordevices. They likely should be due to the intended
surgery and during rehabilitation assistive devices willuser and use. Too many companies want the senior
play a role in recovery. Some if not many bypassmedical market without the regulations that go with
FDA regulations in a gray area as assistive technologyit.
(AT) devices. At first glance it seems like it's no bigThe real patient and user safety issue comes into
deal because everyone assumes they are harmless.play when all the products are seen as consumer
Many in healthcare consider assistive aids harmlessproducts. The safety issues are not disclosed and
with no idea what healthcare issues or secondaryadverse events like injuries and death are not
issues they create. It's time to take a closer look atreported partially due to this gray area. Fall prevention
the hidden and overlooked patient safety and userprograms have relied on many of these assistive aids
issues.without knowing about the injury risks. For example
The, need for assistive aids and home modificationthe most commonly used slide under the mattress
have grown dramatically in recent years and willwhich use the box spring and mattress for support.
continue to grow. Freedman, Martin, and SchoeniDoes anyone know what happens to the sleep
(2004): state that the number of commerciallysurface when you put something under the
available AT products has grown from 6,000 in 1992mattress?
to over 20,000 in 2002. The rapid shift in enablingWe measured the degrees in which 4 products
people to live at home and in their communities haschanged the sleep surface. From head to foot and
created a need for more assistive technology. Theside-to-side it was 1 to 3+ degrees different. In short
question is at what cost to safety and howyou end up sleeping on an uneven bed with plywood
effective are they.or metal bars somewhere under your hip and
Attention has been on cheap cost withoutshoulders. If, you have any type of chronic condition
consideration for effectiveness which is another wordsuch as arthritis, osteoporosis or back problems you
for safety issues when it comes to mobility. Anotherwould likely be on your way to a worsening of those
area of concern is a lack of basic labeling or a clearconditions and not even know it. The question is
intended use of the product. A bigger issue isdoes your healthcare provider know it. Hitting the
marketing verses intended use. Often the marketingvertical rails getting in and out of bed can create
materials show a much broader use than the userinflammation in the thigh or hip area increasing your
instructions that's if there are any user instructions.risk of bursitis. Has anyone thought of this, probably
You can buy a storage container that has morenot!
information than most assistive devices. TheLooking at the safety and effectiveness of assistive
difference between a storage container and anaids is part of prevention and patient safety. We
assistive aid is that the user will depend on theneed to pay more attention to secondary and safety
assistive aid as a means of fall and injury prevention.issues that go unreported giving everyone a false
One of the main mobility issues for seniors is gettingsense of security.
in and out of bed. Some of the most commonly used