Project Artturi Kotikunnas was a project completed by Vivago in co-operation with the Finnish City of Turku outpatient services. The goal of the project was to support elderly individuals at home for as long as possible. Vivago watches were given to those in need of more safety, in particular to the elderly living alone at home. The watches were also used to collect data about the sleep of the residents, functional ability and wellbeing.
During the project, several home visits were made to the customers wearing the watch. Particular attention was paid to service, care, supporting, listening and the role of relatives.
The Automatic Alarm Brought Help to an Unconscious Person
A diabetic taking insulin treatment who had a poor sugar balance and, at times, used alcohol heavily, went unconscious because of her low sugar level. She could not call for help herself. The Vivago Watch noticed the abnormal immobility and called for help.
On day four at approximately 4:30pm, the customer's mobility was unusual for that time of day, which is where the alarm was triggered. Note that the periods underlined in red and showing no curve represent the wearer being out of the house.
Vivago in the Case of Infarction
The customer had a severe coronary disease and heart malfunction. He had a stroke at home and the Vivago Watch sent an alarm automatically.
When help arrived, the person was still conscious but died later. The daughter of the customer was grateful that they had tried to save her mother and that she had not been alone at the time of her death.
The customer's daughter had been planning to visit her mother the next morning and without intervention she would have found her mother dead.
Vivago Helped in Palliative Care
A cancer patient wanted to be treated at home during Palliative Care. The Vivago watch was part of the treatment and made it possible for the patient to live at home. The home care staff visited during the daytime and Vivago guaranteed safety during the night-time, when the customer was alone at home.
The Vivago system was in use almost to the very end of the customer's life, shortly before which the customer's relative informed the care team that they would remove the watch from the patient as they would be with him from that moment on until his death.
A Grandmother Was Helped by the Watch When She Had a Seizure
The customer had Alzheimer's disease as well as a heart malfunction. Her youngest grandchild was visiting and he helped his grandmother to the toilet. While doing so, the patient had a heart attack.
The patient's grandchild naturally realised the urgency of the situation and called for help using the Vivago manual alarm on the watch. After this the child called Kotikunnas by phone in order to receive additional instructions. The ambulance arrived and took his grandmother to the hospital.
Later, the patient's grandchild called Vivago and Kotikunnas to thank them for the help and support given to his grandmother.
Looking at the chart below, it is clear that the patient suffered from fragmented sleep, frequently waking during the night-time. On the right-hand side of the graph, one can see that the patient's sleep-wake rhythm worsens significantly on day three - identified by a move to the right - and remains that way for the following days.
Vivago Helped a Fallen Patient
The patient suffered constant dizziness. One day, she fell in her own home and broke her hip.
She was unable to get up herself so she called for help using the Vivago manual alarm.
Vivago's Activity Curves Added Credibility to a Customer's Story
The wearer had Alzheimer's disease and it was sometimes difficult for her to speak clearly. She complained about hip pain, saying that she was uncomfortable during movement. Her relatives were not convinced at first. Tarja Norrbacka, head of the Artturi Project, printed out activity curve documentation for the previous two months and took them with her to a home visit when the relatives were also visiting.
As seen on the first graph, the customer was able to function as normal with frequent high-activity levels. In the second graph taken a few months later, however, it is clear that her activity had significantly decreased. In the third graph, taken a further two months later, when the patient began to communicate her discomfort, one can see a clear, significant decline.
The customer went to see her doctor for examination with her relatives and received physiotherapy to relieve her suffering.
A Person Who Regularly Fell Was Able to Stay at Home
The watch wearer had cancer and rheumatism as well as several other conditions, regularly falling over. However, she wanted to remain in her home for as long as possible. After one such fall, the customer hit her head and fell unconscious. The Vivago Watch called for help automatically.
The customer was able to stay in her home for a long time, even though she was falling up to three times a day. Without the device it would not have been safe for her to remain at home for so long.
Security and Peace of Mind with the Help of Vivago
The customer had Alzeimer's disease and was worsening. She also suffered from spells of dizziness. She had no friends or relatives in the district she was living in. She was restless, scared and often called the doctor's practice.
She heard about Vivago and had the device installed in her home. She calmed down due to an increased sense of security, even cancelling all supporting help including home care and the help from the local Deaconess centre.
The device made her feel comfortable because she knew that, with the help of automatic alarms, she would be safe at all times. She told Vivago that she wasn't afraid of death but of lying on the floor, unable to call for help and nobody knowing she was there.
Vivago Helped Avoid Unnecessary Doctor's Appointments and Hospital Admissions
The customer had coronary artery disease and chest pain was frequent. She would go to the emergency department often.
She herself said that within a short period of time of wearing the watch, she had had at least three cases in which she had felt the pain starting. However, she hadn’t gone to the emergency department but instead taken her medication and stayed at home to wait for them to take effect.
The patient said that without this device she would not have dared to stay at home and wait, but would have gone immediately to hospital. These would have been unnecessary appointments.
Activity Level Decreased; Vivago Reported It
The customer had epilepsy and, among other conditions, symptoms of heart disease.
According to her own wishes, her sleeping medication was ended in order for her to have a glass of wine at night. As a result of this, her activity fell dramatically: during the daytime she was nearly motionless, which is clearly visible on the graph below. This triggered automatic alarms from the Vivago watch.
During home visits the staff went through, together with the customer, the activity curves, which showed the consequences as a result of the medication change.
Without Vivago, the activity change would most certainly not have been detected, but thanks to mutual understanding the customer resumed her medication.
Customer's Awareness was Inhibited; Vivago Called for Help
The customer had a difficult coronary artery disease and suffered from depression. She accidentally overdosed on medication, inhibiting her awareness. She was unable to call for help herself.
Vivago informed care workers and relatives of the abnormal immobility and the customer received help from hospital.
A Night-time Wanderer was Identified Using Vivago's Activity Graph
The customer had Alzheimer's disease, among other diseases. Her diurnal rhythm was severely confused; something which is quite common in dementia patients. She wandered around in the corridors of the assisted living home during the night-time and used the elevator constantly.
Other inhabitants spoke of night-time voices but nobody had seen the wanderer. When studying the activity curves, staff were able to identify the person wandering the assisted living accommodation during night-time hours. The curve indicated that she was up all night.
In a staff meeting, the customer's activity curves were analysed and arrangements were made which would help her to balance and maintain her rhythm. With the help of different kinds of support actions, she was able to live in the sheltered home for another year.
Two customers in a sheltered home had passed away. In both cases, Vivago sounded an 'abnormal immobility' alarm which alerted staff who were able to go to them immediately rather than discovering them potentially much later.