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My 87-year-old MIL can't speak due to cancer surgery ten years ago. Her current alert company has no provision for her to respond when her alert accidentally goes off. She is alone through the day and has had the ambulance show up when her necklace sent an alert. The company calls her, even though they have it in their records she can’t speak, and when she doesn't vocally respond, an ambulance is sent. She does answer the phone, but they can't understand her.

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It's been a while since my mom had Philip's Lifeline but they were set up to call a list of contacts before resorting to an ambulance if none of those were available, so for my mom her neighbours, then family, then local EMS. Plus the base for the unit had a button on top that could reset the unit, so I assume that could be used to confirm that your mother is OK if she was asked to hit the reset.
Another solution would be to use some kind of prerecorded message that she could play for the call centre.
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Isthisrealyreal Jan 2023
Great ideas!
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Yes, Willie is correct. There should be where a contact is listed and called before an ambulance is called. My Moms had a fall sensor so an ambulance was called automatically if she did not answer. Mom also used Phillips.

Do the newer ones still need a landline? If a cell can be used then she can text she is ok. Call your County Disabilities Dept and see if they can help.
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If your MIL can operate a smart phone, tablet, or computer she can use a free translation app to speak for her, such as Google Translate. Select the option to translate English to English and then type in what she would normally want to say ("I cannot speak. I pressed the button by mistake. Do not send an ambulance") and then hold the phone receiver to the smart phone, tablet, or computer speaker so the medic alert company can hear what she has typed. I worked in vocational rehab for 28 years before retiring 2 years ago and this was a widely used method by our students that had trouble speaking.

There are special devices for people with aphasia, too, you can do a web search for those. They are basically small tablets with keyboards that do the same thing as a translation service. Your MIL's insurance may even help with the cost. Our state has a 'lending library' of assistive devices for people with disabilities that I used to provide technical support for as needed so know such devices exist.

Another possibility is that If MIL can operate a phone or tablet but finds the translation service a bit too much someone can prerecord a message and put it on the device so all she has to do it open it and let it play for the medic alert company (you could even use an old school tape recorder and do the same thing). It could include anything you want it to say including a number for them to call someone (you, neighbor, friends, etc.) so they can check on her without sending an ambulance. The problem with this is that if the medic alert company starts asking questions, she won't be able to answer (might want to state that in the recorded message).

For your MIL's needs it doesn't look like there is any solution that isn't going to involve some kind of technology, so I hope you find a solution for her. Good luck.
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She is a vulnerable senior adult whose disability makes her (mostly) unable to call for help. It makes me uneasy that no one is with her during the day. She should have a sitter at least.
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cwillie Dec 2022
My mom was legally blind and lived alone for well over a decade before her health declined at around age 90, having a physical disability doesn't necessarily equate to being unable to function safely.
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No answer. Became an issue for my mom when aides were leaving before they should because they'd ask and she'd say OK even though we told them not to. She was in a wheelchair from stroke, couldn't manipulate phone/button on alert. We worried the next aide wouldn't show and she'd have no way to let anyone know. We looked into cameras, ended up insisting aides were never to leave without next aide there. She died in October. I don't miss this piece of her care. ❤ Even though most of the aides were adequate at best, we were able to keep her home. She went quickly in the end. Less than 2 weeks...
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Isthisrealyreal Jan 2023
Patsy, I am so sorry for your loss. It is a blessing when the end is not prolonged.

May The Lord give you comfort, peace and strength for this new season in life.
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My 89-year-old mother has aphasia. I recommend you do what I did. Contact your fire department and ask for their input and recommendations. With their help, Mom and I decided on LIFE ALERT. We also had an emergency "lock box" put on the house so that EMTs, the FIRE DEPARTMENT and POLICE could have access "BEFORE" a family member arrived and could start investigation of whatever emergency had arisen. Life Alert was excellent from our perspective. My only problem was getting Mom to remember her "remote" button when she went outside to take a walk, get the mail, etc. The pendant she wore only worked a short distance outside the house doors. Again, talk to those people who would respond to emergency alters (and even physicians) on what best suits your mom.
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This isn’t going to help you and I don’t know if this will ever come to fruition. Although I don’t work in the home automation market, I’ve been a user of home automation for at least 30 years. Rarely have I seen anything offered by that market, for elder and medical care, even with the Aging of America. I don’t know if it is legalities, disinterest, or ignorance. But it seems it might be a huge boon for that market. The only 2 things I’ve seen were a horribly-designed button necklace offered by a home automation system Lowe’s used to offer and system called Mother (or something like that, that couldn’t seem to get off the ground.

I was looking for something like that in my 30s and I’ll soon be 60. The closest I’ve come, is having an Apple Watch, that will detect a fall — maybe. I used to work for Apple. So, they’ve been able to move into this market a bit.

Perhaps like the rest of the tech market, they’re looking at the youth geographic and trying to make whatever’s cool, forgetting that a lot of people who grew up with tech are getting older, live alone and can’t afford in-home healthcare, let alone a nursing home. If they even have children, those children are often working 2+ jobs and are not going to be providing eldercare, when they can’t even afford to save for their own retirement and eldercare.

So this might be a win/win, for both home automation companies and families. But there has remained a crevasse in this market, even with neighbors who need help, medical care, and eldercare going after their neighbors, to force them into service. Trust me, I know. I have such a neighbor. She retired early and her family lives in-state, but she feels entitled to my life and has smeared me to others, to get me to comply with what she wants.
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Candyapple Jan 2023
Ur response is great. I believe they just don’t care about ageism. They sure forget they’re heading in the same direction one day. U would think they would look at their families . Do they love there and grandmas and grandpa’s. They only see it when it’s too late when they’re actually in their elderly age. When they say should’ve could’ve would’ve stages.
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I’m wondering if the deaf community would be able to offer any ideas.
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Maybe 911 can be alerted that she cannot speak and can set up a system (of
maybe sos) if she need help or yes/no
maybe they could call her handicap phone ? I believe she can type in a message ?
my brother got one free.
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It’s it possible u can have it like blind ppl do for braille. This way it could be typed once she picks up. Get in touch with a company for the blind and see how they do it. It’s good they still come out bc u never know.
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