Design and evaluation of a device worn for fall detection and localization: Application for the continuous monitoring of risks incurred by dependents in an Alzheimer’s care unit

• The Homecare system improved the daily surveillance of the medical staff.
• The ADL criteria with histogram visualization make the system user friendly.
• The identification function enables monitoring of the subjects around the clock.
• The localization function allows the location of subjects in the hospital.
• The preliminary results of fall detection function are encouraging.

The Homecare project, which is part of a research project funded by the French National Research Agency (ANR), aims to define a new multi-sensor monitoring system for the elderly with cognitive disabilities in a care unit. Two subjects were recruited to participate to experimental trials. The main objective of this project is to design and test a complete monitoring system at a real site. It is a new clinical and technical approach which is complex to implement: Homecare is intended to propose a possible technical solution, demonstrate its feasibility and illustrate its use working at a protected site. The system consists of a motion sensor network deployed on the ceiling to monitor motion and an electronic patch worn by the subjects to identify them and detect falls. In order to locate tagged subjects inside the care unit, a network of anchor points is used. From these positions and movement data, an analysis algorithm detects an abnormal situation and alerts the nursing staff in real time. A Web application allows the medical staff to access movements and alarms. The complete monitoring system has been functioning for several months and continuously monitors two patients around the clock. In this paper, we present the implementation of the system, the method of localization inside the care unit, and the characterization of the fall detector, and we show certain results relating to activity data.