Table 1 Problems and solutions for the three barriers to implementation the home smart-care system
Barrier | Problem | Solution |
|---|---|---|
Incompatibility | Internet set-up | Installation of service for those without a provider Application for a fixed IP address Stable telephone carrier for those needing a mobile hotspot |
Unstable internet system | Change of carrier Re-set of IP address | |
Dysfunctional sensors | Switched from wireless to hard-wired | |
Transmission errors | Sensor accuracy | Reset sensor parameters for hip-fracture patients |
Battery durability | Installed longer-life batteries Timely battery changes Disconnected sensors not in use | |
Loss of electrical power | Remotely rebooted system; Rechecked the system | |
Accidental disconnection | Visited home to determine cause; rebooted the system | |
Smart vest not connected | Nurse researcher alerted caregivers | |
Smartphone APP error | Engineer reconnected | |
Data inaccuracies | Alarm thresholds | |
Persons with hip fracture | Created a formula to reset threshold during recovery | |
Persons with dementia | Adjusted threshold to indicate levels of high and low activity | |
Adherence to wearing vest | Explained importance of wearing the smart-vest to provide 24-h data | |
Improper use of alarms | ||
Emergency button | Emphasized the importance of using the button for emergencies only | |
Door alarm | Despite explaining the importance of the sensor, this was not resolved. |