Gadgets on guard

Monitoring devices help elderly maintain their independence

August 14, 2011|By Marion Davis, Globe Correspondent

Aldona Robertson has high blood pressure and an irregular heartbeat. She has had strokes that weakened her legs and upset her balance. Recently, she was hospitalized with congestive heart failure. But Robertson, 82, is able live on her own because of monitoring devices and testing kits that allow her - and her doctors - to track her health from her Boston home. Every day, Robertson weighs herself and takes her blood pressure and heart rate, and once a week, tests her blood to ensure the blood thinner she takes, warfarin, is working properly.

It’s a chore, but it spares her many trips to the doctor and hospital. “When you’re [testing] yourself,’’ she added, “you know what is happening, so you can have your medication adjusted immediately.’’

An explosion in health and wellness technology in recent years has vastly expanded options for aging residents, like Robertson, who want to remain independent and manage their health. Many blood pressure cuffs now have built-in analytics that track readings. Some scales communicate with computers, which can chart weight gains and losses, and connect to wellness programs for advice. Inexpensive finger clips can test blood oxygen.

There are specialized home blood test kits like Robertson’s, and advanced systems that can monitor patients from remote locations.

Such tools, said Dr. Suzanne Salamon, Robertson’s geriatrician at Beth Israel Deaconess Medical Center, can not only improve health, but also avoid crises. Warfarin, for example, is great for preventing strokes, but too much can lead to hemorrhaging. Regular blood tests to monitor levels of the blood thinner are crucial.

For seniors with congestive heart failure, she said, weighing themselves daily is essential because they’re prone to retaining water that can get into their lungs. A sudden five-pound jump is a sign of trouble, but if they notice quickly and take more diuretics to eliminate the water, they’ll be fine.

“I think these home monitoring devices are really life-saving,’’ Salamon said.

A particularly fast-growing segment of the market is telemonitoring, which many seniors first experience through visiting nurse services. Prices have dropped significantly: Lifestyle Health Systems of Salem, or example, offers home monitoring devices starting at $400, or $25 per month for a leased unit. The simplest systems involve taking vital signs at home and calling them in. But many devices now transmit data automatically; some wireless systems can be worn outside the home.

The Philips Lifeline has added capabilities, with built-in sensors that track a person’s movements and signal for help if they detect a fall, and the wearer doesn’t get up within 30 seconds.

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