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What arrangements can be made to enable elderly people to remain safely at home?

90% of elderly people want to grow old at home, and this is a major challenge, as homes are often no longer suitable for elderly people who are losing their independence.

Keeping older people at home is a key factor in well-being and ageing well. Being able to maintain one’s lifestyle is an advantage for preserving mental health in elderly people, as Dr. Homehr of the Toulouse Teaching Hospital testifies: “As an EHPAD coordinating doctor, this is something I know very well. This morning I was doing an entry for a 92-year-old gentleman, who lived alone in his home, 6th floor with lift, and he had a stroke. His children were not exactly close by; it was getting complicated. He found himself institutionalised because of course he was afraid of walking and afraid of falling, and as soon as he came in, he said to me: “You know, Doctor, I was so happy at home! I’ve been living in retirement for 25 years, I had my little habits, I was comfortable at home. But I understood, I have to… ” He decided, he said to himself “I have to”. He’s got all his wits about him, he used to be a weather engineer.”

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A new role for the EHPAD at home, the “Autonomy Advisor”

“In France, the EHPAD has been based on a very industrial model of organisation for the last forty or fifty years, and the human approach has been eroded over time. The aim is to put the individual back at the heart of the organisation, to break the industrial mould and organise the work to suit the person and not the other way round,” says Ladislas de Cours, whom we interviewed in his capacity as Director South, SGMR Les Opalines.
The home EHPAD is undergoing a major transformation, and the organisation and coordination of everyone involved must be embodied in structures. Through a call for projects, Ladislas de Cours is trying to create a new position in the home care sector, known as the Autonomy Advisor.

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It is an ethical company that makes an impact

“Telegrafik offers connected solutions for making the process of ageing comfortable, whether at home, in an old people’s home or in an EHPAD […]

Our job is to inform families or carers if something happens. It is an ethical company that makes an impact […] More globally, our shareholders are affected. This is what drives us every day.”

The challenges and key points of home care

Directeur des opérations - Les Opalines Sud
Directeur des opérations - Les Opalines Sud

The EHPAD is undergoing a major transformation, it must reinvent itself in order to be adapted to new diseases and guarantee better care”, explains Ladislas de Cours, Operations Director South at SGMR Les Opalines. In particular, in order to respond to the need for groups of EHPADs to set up more and more services geared towards care at home.

Why home care supported by an EHPAD resource?

To get a better understanding of the issues raised by these new approaches, we interviewed the Operations Director South of SGMR Les Opalines in Nîmes. Specialising in traditional EHPADs, its vision is one of rapid rediscovery of independence for elderly people and a return home after a stay in am EHPAD: Read more

83% of elderly people report that they feel more reassured.

“83% of elderly people report that they feel more reassured. The loved ones gain peace of mind on a daily basis. […]

Mentalities are changing, the younger old people of today will be the old people of tomorrow, and they are people used to all the new technologies and thus more likely to demand this type of solution”.

The device has allowed a 47.9% reduction in costs incurred

“The Otono-me EDAO & EHPAD solution is based on a video monitoring device installed in residents’ rooms. It is the only solution validated by a Hospital Clinical Research Programme: […]

The device has allowed a 15% reduction in the incidence of serious falls and a 47.9% reduction in costs incurred”.

The project demonstrated the reliability of the ‘end-to-end’ platform

“This project is […] one of the most successful technology projects followed through in recent years. The solution was very well accepted by the patients who felt safe. The project demonstrated the reliability of the ‘end-to-end’ platform, from the processing of sensor data in the home to the remote assistance service .

The success of this clinical study means that a larger cohort can now be planned in the coming months.”

The three phases of life: robustness, fragility, dependence

“There are three phases of life: robustness, i.e. people like you and me, who are completely independent either cognitively or physically; frailty, during which we start to have slight problems in carrying out actions and thinking about certain subjects; and then we reach dependency”, explains Dr Homehr, President of the South Toulouse CPTS and expert in digital health.

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How to reconcile old age and independence

greve-ehpad-jura-aides-soigantes-personnes-agees-une
In 2060, loss of independence will affect 2.45 million people in France, compared to 1.6 million in 2030.

“The ageing of our population raises a […] challenge, […] namely that of old age, of dependence, a subject that makes us uncomfortable. Dependency is here to stay, and this new vulnerable age of life is taking hold”, said French President Emmanuel Macron in a speech to the Congress of the Mutualité Française in 2018.

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