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17.2 Personal Care

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Figure 17.4. Sketch of one type of remote barcode scanning system

17.2.2 Healthcare Monitoring

To facilitate independent monitoring of personal health and wellbeing there are a number of devices with audio and/or tactile output for measuring temperature, blood pressure and body weight. Being able to read the labels on medicines is also an important aspect of personal (health)care.

17.2.2.1 Clinical Thermometer

The Talking Ear Thermometer from Cobolt Systems has a probe that is inserted into the ear. Thirty readings can be stored and recalled at any time. The device can also be used as a talking clock with a calendar display. Two AAA batteries power this particular thermometer. MAB Community Services’ talking clinical thermometer has a digital display and a fast response time. It remembers the last measured temperature. The RNIB talking digital body thermometer reports the temperature reading and automatically switches the power off after 7 minutes. The last measured temperature is stored in the memory. It uses one 3 V lithium battery.

17.2.2.2 Blood Pressure

Combined talking blood pressure monitors and pulse measuring devices are available from both Caretec (called the SweetHeart) and Cobolt Systems. Both devices are operated by a single button, which automatically inflates the upper arm cuff, takes measurements, announces the measurements and deflates the cuff. Values of pulse rate and systolic and diastolic blood pressure are displayed. The Cobolt Systems device uses fuzzy logic techniques to ensure that the cuff inflates in proportion to the blood pressure. The previous eight measurements can be displayed and the last one spoken. The SweetHeart shows measurements on the LCD display

626 17 Assistive Technology for Daily Living

Figure 17.5. Typical features of talking blood pressure meters

in large letters and announces them several times in a choice of 25 languages. The measurements can also be shown on a Braille display. Its blood pressure measurements are claimed to be accurate to ±3 mm Hg and pulse measurements to ±3%. Typical features of accessible blood pressure meters are shown in Figure 17.5.

Cobolt Systems also distribute a small blood pressure and pulse monitor that straps to the inside of the wrist. The device is switched on at the press of a button and then inflates the wrist cuff, announces the blood pressure, deflates the cuff and automatically switches off. The device is able to record sets of 99 values. The test results, date and time are automatically stored after each test and can be accessed and announced.

17.2.2.3 Blood Glucose Level

The SensoCard Plus meter automatically stores the last 150 blood sugar test results and stamps the data with the time and date of the reading. Either the press of a button or inserting a test strip will switch on the meter so that it is ready for reading. The device is provided with a lancing device, eight disposable lancets and a check strip. Packs of test strips can be obtained from Cobolt Systems or sometimes on prescription. The meter has full UK medical approvals. The optional LiteLink can be connected to a computer RS232 serial port, allowing data to be transferred from the meter to the computer.

The AccuCheck Voicemate from Roche Diagnostics is a voice synthesiser system incorporating the AccuCheck Advantage monitor and an audible insulin vial identifier (for Lilly insulin only). It uses Comfort Curve test strips. The use of a code key system eliminates the need for sighted assistance in indexing the meter to a new batch of test strips. Large print and audiocassette instructions are available in English and Spanish. The AccuCheck Advantage monitor provides a large LCD readout.

17.2 Personal Care

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17.2.2.4 Insulin Measurement and Delivery Devices

The Palco Load-Matic from Diabetesstore.com is a tactile insulin-measuring device that accepts BD 100-unit syringes and aligns the needle with the vial stopper. There are two separate controls for single and ten unit increments respectively. There is a tactile prompt to confirm the dose setting. The Count-A-Dose Insulin Measuring Device from Medicool is a gauge calibrated for use with U-100 vials and BD 0.5-cc (low dose) syringes only. When a thumb wheel is turned clicks are heard and felt for each one unit increment measured. The device can hold one or two vials of insulin for mixing and the needle penetrates the vial stopper automatically. Instructions are provided in print and on audiocassette.

17.2.2.5 Talking Bathroom Scales

Cobolt Systems distribute talking bathroom scales. These scales are available in a number of different European language versions. They use advanced strain gauge technology and electronic calibration. All language versions give weights in kilos and some versions give weights in other units as well. The English version gives weights in kilos, stones and pounds, or pounds and can convert between these units. The American and Spanish versions can give weights in pounds and kilos. A memory function in the bathroom scales will record the weight and state how it has varied from the last weighing. Four separate memory buttons allow different individuals to weigh themselves and monitor their weights individually. The unit also displays the weight in large numerical digits.

CareTec distributes talking bathroom scales manufactured by Soehnle with a large LCD display, speech output in 16 different languages, automatic switch off and the facility to weigh in metric or imperial units. These talking bathroom scales weigh in intervals of 100 g or 10 oz (ounces).

17.2.2.6 Braille and Audio Labelling of Medicines

The European Commission has issued a directive, Guidance concerning the Braille requirements for labelling and the package leaflet (EC 2005), but it currently only applies to medicinal products approved after 30 October 2005. The directive does not state which layer of the packaging should have the Braille label.

The ScripTalk System from En-Vision America provides voice output from an electronic speech synthesizer. The Talking RX Audio Label from Millenium Compliance Corporation is a voice recording system where each ‘label’ is also a digital recorder/player. People using several different medicines will require several Talking RX devices, which are fortunately relatively inexpensive. Each ‘talking label’ can be repeatedly reprogrammed. The MedGlider is a combination pill organiser and talking timer. Up to four daily alarms can be set for the exact times to take medication. The alarm can either beep or say ‘time to take your medicine’. There are two versions, System 1, which includes one pill case and the talking medication timer, and System 7, which includes a storage tray, seven individual pill cases and the talking medication timer.