Caregiving

High-Tech Aids for Aging in Place

Apple Watch and other technology provides fast feedback, comfort for older users, and a powerful assist for caregivers.

Heidi Wilson, 69, loves to watch British television shows with her husband, but the accents and her hearing impairment made it difficult to catch all the dialogue. “I was always interrupting to ask him to repeat what the characters said or to turn up the volume,” she says in an email. 

Then several months ago, Wilson, a retired lawyer in Wayzata, Minn., got a pair of Starkey Livio Edge AI hearing aids that she controls with her smartphone. An app helps her filter out background noise and adjust volume to hear better. 

“Now I usually hear the accents well enough to understand, and if I can’t, I use the app to turn up the volume,” she says.  

For older adults willing to embrace it, wireless technology is a game changer, making a bevy of sophisticated products—from smartphone-managed hearing aids to home sensors that communicate with distant caregivers—possible. In many cases, the technology is helping older adults live independently at home longer, with baby boomers a rich consumer market for the devices. Boomers are interested in the technology not only to improve their own quality of life but also to help care for elderly parents, who are just as adamant about remaining in their own homes. 

Technology, of course, is no substitute for human caregivers, but it can stretch a budget for in-home care with remote monitoring and other safety devices.  

“They don’t replace the capabilities you get in assisted living,” says Laurie Orlov, principal analyst with Aging and Health Technology Watch in Port St. Lucie, Fla. But “some of these technologies can be useful for people who cannot afford $4,000 a month.” 

The six products that follow are a sampling of the range of devices, some of which are tied to subscription services or may only be obtained through a third party, like a physician or home care agency.

■  Apple Watch Series 6 ($399). Think of this digital wristwatch, which has a built-in electrocardiogram, as a ticker for your ticker. The watch’s ECG feature has Food and Drug Administration approval and monitors a person’s heartbeat for irregularities, like those associated with atrial fibrillation. Users hold their finger to a sensor on the watch to get a reading. 

The ECG feature needs an iPhone 6s or later to work and a health app that can be downloaded free. The ECG results can be saved or shared with a doctor.     

The watch also detects falls and automatically dials 911 if the wearer is unresponsive after 60 seconds. 

■  MedMinder ($49.99 per month for pillbox rental and refill service). At first glance, this pill dispenser looks like any other, with 28 compartments for medication dosages organized by day of the week for one to four weeks of medications. A MedMinder pharmacist fills the prescriptions with customized trays that slide into the dispenser to match the user’s medication schedule. Flashing lights, beeps, phone calls or text messages remind users it’s time to take the pills.

Refill trays are automatically mailed to the recipient; five or more prescription medications are needed for the monthly refill service. MedMinder works with most insurers, including many Medicare Part D plans, and requires a cellphone or WiFi connection.  

■  Starkey Livio Edge AI hearing aids ($5,000-$6,500 per pair including audiologist service). Using an app and a smartphone, these rechargeable hearing aids customize sound for the wearer. In “edge” mode, the hearing aid isolates certain sounds, like a companion’s voice, so that users can hear better in noisy settings like restaurants. The app also streams phone calls, music, podcasts and audio books directly to the hearing aid. 

The hearing aids come with a fitness app and use artificial intelligence to monitor a person’s activity level and detect falls. Starkey Livios are only available through an audiologist who tests the user’s hearing and fits the device. Most insurers and traditional Medicare don’t cover hearing aids or exams for adults, though some Advantage plans do as an extra benefit. 

■  True Link Prepaid Visa Card ($10 per month). This customizable debit card and subscription service offers older adults with a mild cognitive disability some financial freedom for ordinary daily purchases at a coffee shop or grocery store while alerting caregivers to big expenditures. The card is linked to an existing bank account for recurring transfers. A trusted family member sets the amount for triggering an alert and selects criteria for blocking payments, such as those to telemarketers, charities and TV shopping. The alerts can be sent to more than one person.

“You have situations like two sisters; one of them wants to keep an eye on mom and the other wants to keep an eye on the sister,” says True Link’s CEO Kai Stinchcombe. 

■  SmartSole ($299 for insoles and $24.98 monthly subscription). Keeping track of a loved one with dementia who wanders off and gets lost is a full-time job that typically falls to family members. More than 5.8 million Americans suffer from Alzheimer’s, the most common type of dementia, according to the Alzheimer’s Association.

With built-in GPS, this smart insole fits inside most shoes to make tracking the person easier from any computer, tablet or smartphone. The device pinpoints the person’s whereabouts on a map, supplying addresses and outdoor locations to within 15 feet every five minutes.

The SmartSole uses a small rechargeable 2G cellphone-style battery and generally lasts one or two days on a single charge. The product works in connection with a monthly subscription monitoring service.

■  envoyatHome ($99 to $399 per month depending on agency and level of monitoring; installation may be separate). This remote caregiving service was designed for older adults who can’t afford a full-time health aide and live alone, like envoyatHome CEO Rob Blatt’s mom. Newly widowed, she was living in another state when Blatt, an engineer, devised the service that later became envoyatHome.

There are no cameras, but the service uses smart-home sensors and is purchased through a partnering home care agency to monitor the person’s wellness and safety. Reports and alerts are issued in real time so that remote caregivers can close a forgotten garage door or check if a home health aide is rifling through a drawer where valuables are kept. The sensors also monitor activity that can help spot health issues. One customer’s frequent trips to the bathroom led to a diagnosis of a urinary tract infection.

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