Sandy Walker 17/9/2015 Commercial in Confidence “Providing people with dementia and other conditions, with a safe, secure and dignified way to maintain their independence”. COLLABORATIVE DEVELOPMENT PROJECT PROPOSAL SENTeNEL TM

Pain Points:  With most medical Alarm Systems, patients need to remember to wear their pendant or watch for it to be usable/accessible.  Many elderly won’t wear these devices, as they forget or just don't think they need them or they represent a badge of incapacity which they reject. Many elderly can’t use them, because they simply can't push the panic button due to arthritis or some other form of manual incapacity.  Most devices need to be recharged and the user needs to remember to recharge the device, in order to keep it operational. The device may also be confusing in an emergency situation. Some elderly don't even think to press the button after they fall, or they just don't want to create a fuss.  A patient with dementia will simply push the button on an alarm system, simply because it's a button. Also, as dementia patients experience greater cognitive impairment, they are likely to become more disoriented when accidents happen and less capable of activating an alarm on their own.  Automatic Medical Alarm Systems are prone to false alarms, as the devices are not sensitive enough to separate many normal everyday routines from actual falls. There are many instances where the alarms go-off without an actual fall taking place.  Automatic Medical Alarm Systems often also fail to detect “sliding falls”, when the wearer slides down onto the floor from a chair/wheelchair. SENTeNEL TM Sandy Walker 17/9/2015 Commercial in Confidence

Potential Market Segments:  Elderly with dementia living independently in their own homes (long-term).  Elderly with dementia living independently in their own homes (short-term).  Elderly living independently in their own homes.  People with disability (such as Autism and Asperger's) living independently in their own homes.  Elderly with dementia in residential age care.  Other markets where work, health and safety monitoring is a necessity. SENTeNEL TM Sandy Walker 17/9/2015 Commercial in Confidence

User Centred Research:  Dementia is the term used to describe the symptoms of a large group of illnesses which cause a progressive decline in a person’s functioning. It is a broad term used to describe a loss of memory, intellect, rationality, social skills and physical functioning.  There are many types of dementia including Alzheimer’s disease, vascular dementia, fronto temporal dementia and dementia with Lewy Body disease. Dementia can happen to anybody, but it is most commonly seen in people after the age of 65.  Dementia affects each person differently, however symptoms such as confusion, memory loss and disorientation are usually present, and problems with mobility and co-ordination may also affect safety.  It is important that family, friends/community, carers and health professionals help the person with dementia feel and be as secure as possible, therefore adaptable, customisable solutions matched to the changing specific needs of each individual are required.  The best living environment for a person with dementia is one that is familiar and helps them to be as happy and independent as possible. Familiarity with environment and routines is important for a person with dementia.  Many people with dementia therefore normally want to live at home for as long as possible, however, it can be difficult managing everyday situations with dementia, particularly as the dementia progresses. As a result, some people may not be as safe at home as they used to be.  The person with dementia should, where possible, be involved in decision-making in regard to their personal safety and their consent sought and given about changes. If this is not possible, it is important that those making the decision do so in the person's best interests. SENTeNEL TM Sandy Walker 17/9/2015 Commercial in Confidence

Future Research and Development Possibilities: Ongoing collaborative research would be required, in order to develop future enhancements/versions of the SENTeNEL system. Future functionality may potentially include:  Bio-sensing: skeleton tracking for gate analysis, joint rotation, heart rate, muscle and force model analysis, skin temperature monitoring and room temperature monitoring (hypothermia or heat stress risk).  Analysis of stride-to-stride gait variability by passively using depth imagery, in a home setting. This may provide the ability to assess the fall risk of elderly individuals. Studies have shown that measures of stride-to-stride gait variability are predictive of falls in older adults.  Human gait is also an important indicator of health, with applications ranging from diagnosis, monitoring, and rehabilitation.  Speech recognition.  Gesture recognition.  Service business model. Extend the period of time that a user can remain safely at home through the provision of temporary installation model and home monitoring.  The creation of "caring communities" through data sharing, to create interdependent, social health networks, rather than a purely medicalized aging system. SENTeNEL TM Sandy Walker 17/9/2015 Commercial in Confidence