Navigating

Oh, a storm is threat’ning/ My very life today/ If I don’t get some shelter/Oh yeah, I’m gonna fade away/

–“Gimme Shelter” by Mick Jagger and Keith Richards

The site has two central parts:

I. The theme

II. Digressions (anything not related directly to the theme; for the purpose of the site my daughters Joanna and Amelia [you may ask “You really regard your family as a digression?), my stories, essays, career achievements, poems, and other flights of fancy and whimsy are off message.

Now and then being a nerd, as I am, can get in the way or as the Tibetan Book of the Dead notes sometimes you (by which I mean I) become so intense that the intensity becomes “intense pride, and the pride turns into an ice-cold environment which reinforced by self –satisfaction begins to get into the system. It does not allow us to dance or smile or hear the music.” At the risk of not hearing the music, I will leave you, dear reader, to find order in Diversions as you will. Right now, the task at hand is the order the theme.

++++

Navigating the theme: No shelter from the storm

  1. Where do I want to go?

To a neighborhood which must be developed to serve as a global model for providing independent living so elderly and disabled individuals can age in place.

  1. What would the neighborhood consist of?

a)      It would consist of an experimental residence for an individual or an individual family. The example of the Blueroof Experimental Cottage in McKeesport, PA is a good example. The cottage consists of a one story residence built on inexpensive land in a downtown burned out section of town where rotting buildings could be razed and a community developed.

b)      The individual residence could be built out of factory housing (the fashionable term for mobile home) where sensors and other off-the-shelf technology can be embedded in the walls to monitor and protect the resident. Including building the foundation, each residence can be constructed in three days.

c)      Technology in the residence would include:

  • Security system to protect elderly and disabled residents in high-crime areas such as exist throughout the Rust Belt of Pennsylvania—where the neighborhood would gradually change to a family friendly area attracting economic growth.
  • Motion detectors to monitor falls throughout the residence, especially high risk areas such as the shower.
  • Computer voice simulation which combined with a wireless communication system can have, in effect, the walls of the building calling family or other emergency services for help.
  • Monitoring devices to detect, for example, whether the refrigerator has been opened and to call for help after an adjusted period of time. Example of a computer generated call, “Hello, your grandmother has not opened her refrigerator in over 24 hours. You might want to look in on her.”
  • Remote medical monitoring, including taking blood pressure and other health measurements and transmitting the results automatically to a physician’s office.
Blueroof”s trial pill dispenser which monitors whether the resident has taken each required pill and after computer simulated warnings, reports failure to do so.
  • Computer terminals and other equipment to provide the resident with job training (one is never too old to learn) and work opportunities from home.

d)      A research facility at a major university, such as Penn State, where the Immersive Construction (ICon) lab develops a 3-D model of the experimental model so stakeholders can suggest design changes.

 

Stakeholders would include:

  • Prospective residents of future neighborhood (or elsewhere) housing
  • Members of the architectural, engineering, and construction (AEC) community
  • Caregivers

The research facility would also be able to process data collected at the experimental facility, such as remote medical monitoring and activities of daily living (ADL) so future construction can benefit.

e)      Creation of an inter-generational accessible community with shopping, recreation, and other services which make a community a community.

Stay tuned for further navigational aids which link posts on this site to the issues raised here and which answers the question: Why is creation of a new kind of neighborhood (with a variety of other options to be presented) so critical to dealing with the housing shortage throughout the world as the largest generation in history begins to retire in an environment where a previous generation of elderly and disabled individuals (including, of course, veterans) are so poorly served at a great expense to society and at a loss of dignity among people whose talents are not being developed adequately.]

++++

I tell you love, sister, it’s just a kiss away/ It’s just a kiss away….

–“Gimme Shelter” by Mick Jagger and Keith Richards

http://www.youtube.com/watch?v=7nU4aiqvyt4&feature=watch_response

Virtual reality cuts costs and increases satisfaction

Put on your 3-D glasses
The following appeared in HME News, the publication for the home medical industry, on July 26, 2011. This year and last, I asked the residents of Addison Court, the low-income apartment for disabled and elderly in State College where I live, to attend a demonstration at the Immersive Construction Lab, described here. One of the participants was Lilian Hutchison, who celebrated her 87th birthday in January. No one can say for sure whether Lilian would have fallen several times in her apartment if this kind of technology were in place. However, the hope is that the future will be kinder to those of us who can benefit from design which residents are able to modify in advance. 

The projectors behind the three, 8-foot screens show a virtual reality world that can improve the environment where home medical equipment HME is used. Professor John I. Messner’s Immersive Construction (ICon) Laboratory at Penn States Architectural Engineering Department is a dark, windowless room where the healthcare facilities being viewed seem so real there is a special world for it: immersion.

When Kaiser-Permanente began constructing a medical building in downtown Washington, D.C., pharmacists traveled 140 miles to State College to see how their workplace would appear. Among their suggestions: a partition so when two patients are served simultaneously, their privacy is insured.

There is substantial growth in constructing healthcare facilities from hospitals to housing for the elderly. Previously, a model of how a building would look required physical materials like wood and nails. By comparison, virtual reality offers interactive models early in the design process. The resulting efficiency and cost savings (making changes to a building before it is built) are creating a boom in the use of virtual reality in the architectural, engineering and construction (AEC) industry. Expectations exceed the ability of the AEC industry to have virtual reality applications ready as quickly as desired.

 

Gala with residents of Addison Court at the Immersive Construction Lab


Sonali Kumar, a graduate research assistant at Penn State, is developing a 3-D model for an independent living facility for elderly and disabled individuals based on the concept of experience-based design. Experience-based design often refers to a body of academic literature, primarily health-care related. Designers are urged to consider the perspective of the individuals who build, maintain, work and reside in the facility, including patients and residents. A common example is the decision of a Philadelphia hospital to build its bathrooms closer to patients beds.

My perspective on Sonali’s effort comes from my status as a disabled resident of a primarily elderly independent living facility. For example, I look at an early version of Sonali’s model showing a bathtub in the bathroom and say, No. There should be a roll-in shower here. I show an early prototype to Travis Barr, co-owner of T & B Medical here in State College. While fixing my scooter, Travis says, “There should not be cabinet doors in the kitchen. Doors are a nuisance for people with disabilities.”

Sonali’s model is based on a Blue Roof Technologies cottage in McKeesport, Pa. Pennsylvania has a larger number of elderly people in its population than any other state except Florida. The need for elderly housing is acute. In McKeesport, where the factory for steel pipes closed down leaving a near-ghost town and an elderly population of more than 20%, Robert Walters, a retired Penn State professor, created Blueroof. The cottages are constructed of pre-fabricated housing and have special sensors inserted in the walls to remind residents when to take their medicine (the walls talk) and to call 911 if a resident falls and does not get up in a timely fashion.

Sonali’s model of a Blue Roof cottage makes use of interaction, the most significant new development in virtual reality. Look at the screen shot Sonali took of the power chair inside the kitchen of her model cottage. For those readers who have not spent their productive hours playing video games, an avatar is a virtual reality representation of an actor functioning in a 3-D environment. The avatar in the Sonali’s kitchen is a power chair. The power chair makes coffee and toast, opening the refrigerator door to get eggs and milk, and scrambles eggs on a stove the avatar has just turned on. Interactivity is key to understanding how practical people in the construction industry have come to use 3-D technology for practical purposes.

Interactivity is arrived at slowly as Sonali experiments with a wide range of software. I suggested that Sonali replace the 3-D power chair with a scooter. In my experience, a scooter is more mobile and less likely to damage walls and take bathroom doors off their hinges. I ask a manufacturer to provide a 3-D scooter file, but for reasons I cannot explain (because I do not understand), the file does not yet open. Sonali explains, “We are in the process of integrating the computer model obtained from Amigo Mobility.” Keep your 3-D glasses on and await future developments.

Joel Solkoff writes about disability issues from a customer perspective. He is an adjunct research assistant at the Department of Architectural Engineering at The Pennsylvania State University.