Dementia and monitoring Activities of Daily Living

Jennifer McLeod


Impairments in ADL are the everyday manifestation of cognitive and behavioural deficits in AD that relentlessly change the lives of patients and their caregivers.(Source)

Activities of daily living (ADL) are typically "subjectively" assessed through observation. Caregivers will notice changes in behaviours or shifts in routines. A professional may administer a cognitive test. Initially these manifest as mild cognitive impairments (MCI).

MCIs can be difficult to observe in instrumental ADLs such as meal preparation and household chores. Caregivers are not always present to note the change. The caregiver's presence is enough to change the routine so the MCI is not observed.

The goal is to identify at the earliest possible moment shifts in the activities of daily living. Non-intrusive sensors provide objective data to support the observation of mild cognitive impairments. The sensors blend into the background to not alter routines.

The sensors collect data to visualize a pattern of life (POL). POL can be used to identify MCI and where additional observation is required. Early detection offers the opportunity for coaching and altering routines to accommodate the MCI.

The data is useful when caregivers are discussing a plan with healthcare professionals. What are the best options today and if it gets progressively worse?

Unlike a person, sensors work 24/7.