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Abstract: Loss of consciousness and fall-induced injury is one of the leading problems faced by the elderly. They are the
leading cause for the transfer of senior citizens from the comfort of their residence to assisted care environments. They also
account for 40% of injury related deaths and lack of timely action can prove fatal. On the personal side, such sporadic
events stifle the independence of the individuals, requiring a caretaker to maintain constant surveillance. Our aim is to
design a system to sense and alert doctors and nearest of kin of falls and other related incidents of distress. It is also to
provide the functionality of a pedometer, to constantly monitor and relay the activities of the individual. The device mustn’t
be cumbersome, but rather wearable, so as to remove any social stigma related to the possession of such a device. It must
have a high degree of reliability and differentiate activities of daily life from genuine falls. This would require a signal
plotting and thresholding based approach to arrive upon a fall-detection algorithm. With the dawn of the IoT (Internet of
Things) era, it is ideal that such a device be constantly relaying data via such a wireless network. This ensures seamless
connectivity between the patient, doctor and relatives – and swift response.
II. FALLS AND ITS IMPACTS We have highlighted the fall-detection algorithm that
we shall use in the previous section. This has been translated
Falls are o1ne of the most prominent causes of
into code (as you will see in the code section) and burned
unintentional injury. They are coded as E880-E888 in
into the microcontroller. The other modules and components
International Classification of Disease-9 (ICD-9), and as
are integrated with the MCU.
W00-W19 in ICD-10, which include a wide range of falls
ADXL 335:
including those on the same level, upper level, and other
Connected to the analog pins 0, 1, 2 and 3 of the
unspecified falls. For the sake of it, we shall even define it
Arduino. They receive the analog values of acceleration and
according to WHO literature-“Inadvertently coming to rest
necessary computation is performed on them. The unit is
on the ground, floor or other lower level, excluding
powered with the +5V and the GND pins. The unit is
intentional change in position to rest in furniture, wall or
position perpendicular with the ground and fixed onto the
other objects”.
inside of the wearable unit. It is calibrated in accordance to
Falls are responsible for 40% of all injury related deaths
this position.
and need immediate Medical attention. The reason for a fall
1.HC-05 Bluetooth Module:
may be heart problems, loss of consciousness, fatigue,
It is connected to the pins 10 and 11, which function as
exhaustion, diseases and loss of balance. Although falls
software serial pins of the Arduino. One line transmits data
occur through all age groups, the major chunks of incidents
to the module while the other line receives data. The module
are those of senior citizens.
is powered by 3.3V pin and the GND.
The major talking point is the need for swift medical
To connect the Bluetooth module for serial
aid. 50% of all injury-type hospitalizations for the concerned
communication, we must identify and open both the
age group are fall related. Thirty-two percent of elderly
incoming and outgoing ports. For this project I have opened
people aged over 75 years have ever fallen at least once a
the outgoing port with Tera Term while the Processing
year, and among them, 24% have been seriously injured.
sketch handles data from the incoming port.
Approximately 3% of all fallers lie unattended for
2. RGB 3-color LED:
periods greater than 20 minutes, leading to insufficient
It consists of 4 pins, with one being a common cathode,
medical action. An upsetting figure is that 40% of nursing
while the other three power the red, green and blue LEDs
home admissions are directly linked with incidents of falls.
respectively. We connect digital pin 2, 4 and 5 to R, G and B
This highlights two major points
respectively. By using the digitalWrite functions we can
Falls require immediate medical attention- and the change the colour of the LED based on the state. Thus it is
only way one can establish that is by conceiving a green when the user is table, blue when fall is sensed and red
sensing method. when fall is confirmed.
Falls greatly limit the independence of an individual. 3. Piezo Buzzer:
He or she will not have the confidence to venture or stay The buzzer is connected between the pin 9 and ground.
alone for extended periods of time. This is primarily due We use the tone () function to generate a pwm pulse of
to the fear of medical complications surfacing. specified frequency at that pin. When a fall is first sensed,we
III. WORKING OF SYSTEM activate a 250Hz pulse and when confirmed, a 4000Hz
pulse.
4. Push Button:
It is wired between pin 12 and ground, and pulled up by r)
default. When it is pressed, the pin is grounded- triggering
an event. The event in this case is the false alarm signal.
FIG.6.1.Confirmation of Falling
REFERENCE