Technology Moving Us Forward

In this ever changing world we have the ability to multi-task on so many levels. Often this is because of the use of technology. This could be utilizing an app for directions and another to order your food at a restaurant so that it is ready when you arrive. But how often do we consider the use of technology for those we support. Recently I was able to participate in two technology conferences in PA. It was wonderful to see all the ways that people are thinking “outside of the box” to improve the lives of people with intellectual disabilities. One such item, that I heard mentioned at a meeting recently, was a robotic arm that is being utilized to assist a person in eating. So as my interest was piqued, off to Google I go!

The name of this robotic arm is Automatic Dexterous Arm or ADA. According to an article from the University of Washington, a 2010 census indicated that approximately 1 million Americans need assistance to eat. I don’t know if any of you reading this have had the experience, in adulthood, of having another person assist you to eat. I have, and to say the least it is an awkward and humbling experience. A few years ago I had neck surgery which left me in a hard collared brace for several weeks. During that time, especially in the beginning, I needed the assistance of others to eat as it was difficult to swallow and to actually visualize the plate. My need for assistance was only for a brief period of time. For someone who needs daily assistance I can only imagine the frustration that may arise. That is why this robotic arm was interesting to me.

The robotic arm utilizes a specialized fork as well as sensors and a camera. The camera enables the robot to “see” the size and shape of the food. The sensors help to determine the best ways to pick the food up, as well as how much pressure to utilize. It then brings the food up to the person’s mouth where the camera is utilized yet again. In this instance it views the person’s mouth to determine the best way to present the food. The goal in this development is to increase a person’s independence. Is this to say that this robotic arm would replace a caregiver? No. It is a means to accommodate as much independence as possible, while maintaining safety. Some people may always need the assistance of another person to help with activities of daily living. But for a person who needs the assistance because of dexterity issues, such technology as this may open the world up for them.

As a system I think it is always important to look “outside the box.”  This can mean medically or behaviorally. Doing things the way we always have just because its how it’s always been done isn’t good enough. People with intellectual disabilities have the same wants and needs as each of us. If we can foster independence, growth, and success through trying new and innovative ways while maintaining health and safety is that not the dignity of risk?

Kelly Fisher, RN

Kelly is the Clinical Supervisor at Milestone HCQU West.

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