Artificially intelligent robotic pets, such as ElliQ, are designed to alleviate loneliness among seniors by offering features like personalized conversations, music, jokes, and reminders for medication and hydration.

Other robotic companions, like Kiwi and Mango, can recognize faces and sounds, express a desire for interaction, and even autonomously recharge themselves.

These robots are increasingly used in therapeutic settings, with studies showing they help reduce social loneliness, which is linked to depression and increased healthcare needs.

For seniors with dementia, robotic pets have been shown to improve mood, appetite, and social interactions while reducing anxiety and depression.

In care facilities, robotic pets are a practical alternative to real animals, as they require no maintenance and feature lifelike fur and sensors that respond to touch.

Programs like those in Florida and Broward County are investing in AI robots to combat loneliness, with some agencies offering them for free through state and federal funding.

Despite initial resistance, many seniors form emotional connections with robotic pets, finding them enjoyable and helpful in reducing feelings of isolation.

However, the high costs of these robots, averaging $89 per month, remain a barrier for widespread adoption, especially in underfunded care settings.

Ethical concerns also arise, such as whether replacing real animals with robots diminishes the authenticity of companionship.

Additionally, while data collected by these robots is used to measure program success, assurances are given that it will not be sold, addressing privacy concerns.

As developers work on integrating these robots with healthcare providers and expanding multilingual capabilities, their potential to support diverse senior populations continues to grow.

Artificially intelligent robotic pets, such as ElliQ, are designed to alleviate loneliness among seniors by offering features like personalized conversations, music, jokes, and reminders for medication and hydration.

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Cover Story / Silver Hair Living Alone and Not Lonely "Robots" as Old Companion
When Microsoft founder Bill Gates published his outlook for 2024 earlier this year, he predicted that the application of artificial intelligence (AI) would accelerate in the future and fundamentally change areas such as work, health care and education.
For Joyce Loaiza, a retired office worker living in Florida, Gates ’ s prophecy is now a formality; the 81-year-old living alone, whenever she returns to her Silver Hair Community apartment, a friendly female voice will chat with her and say hello to her for a good day.
A few miles away, Deanna Dezern, 83, was comforted by the same voice when her friend died.
In central New York, it plays games and music for Marie Broadbent, 92, who is blind and receiving hospice care.
In Washington, it helped 83-year-old Jan Worrell make new friends.
USA ElliQ Customizable Chat Content
The women were among the first to receive a robot in the United States, according to officials from Intuition Robotics, the company that invented ElliQ, and the Aged Aid Program. They are the only device that uses artificial intelligence and is specifically designed to alleviate the loneliness and alienation of many elderly Americans.
It can remember each user ’ s interests and hobbies and conversations with each other, helping to customize future chat content, topics can be esoteric human business meaning, or easy horoscope.
ElliQ also jokes, plays music and offers inspirational quotes.
On the equipped screen, it provides city and museum tours. It can also guide users to exercise, ask about health, and remind them to take medicine and drink water.
In addition, ElliQ can make video calls to contact a user ’ s relatives, friends, or doctor in case of an emergency. These conversations are not heard by companies, Intuition Robotics says, and the data is kept on each user ’ s device.
Dor Skuler, co-founder and CEO of Intuition Robotics, was a little surprised that older people were so easily integrating robots into their lives; after all, it was a group of people who were often stereotyped as afraid to embrace new things, he said.
In an interview with the media at the 2024 Consumer Electronics Show (CES) in early January, Skuller said that just like developing an intimate relationship with a pet, older people are also working to forge new relationships with AI robots.
Through partnerships with government agencies and other organizations, hundreds of thousands of seniors across the United States already use ElliQ, Skuller noted.
The voice of ElliQ and its compassionate “personality ” were developed by a team of experts in artificial intelligence, behavioral psychology, and user-centered design, according to Skuller.
They defined ElliQ as “the little partner who makes older people happier and healthier. ”
Anita Montague, 76, said that before using ElliQ, the only thing she did back home was sit in front of the computer, but with ElliQ, she can do sports and other things, and now she is more energetic and motivated to find more work.
Monica Perez, 65, who has been using ElliQ for more than six months, said she finds it increasingly difficult to make friends as she gets older. She likes ElliQ to call her name affectionately and will ask how she is doing, like a real friend; with ElliQ, her mental health has improved greatly.
ElliQ would remind Perez to take the pill in the morning, “I ’ m much more active than I was without it. ”
In Canada, Carmichael, a resident of Vancouver ’ s Amica for the Elderly, attended a meeting last September with two robots named Kiwi and Mango.
Canada ’ s AI partners help increase interaction
These two AI “little buddies ” that can be held in your arms look brightly colored and are part of a study at the University of Columbia School of Nursing to understand how they interact with older adults and their impact on elder care.
Carmichael said her initial reaction was, “Oh my God, why would you want me to talk to a robot? ” But after overcoming the psychological barrier, Carmichael found that Mango might be able to stay with her for a long time, and she could play with it every day and no longer feel lonely.
Carmichael says with a smile that there is only one appearance that needs to be improved; she tells the staff to wear false eyelashes for Mango.
These robots were designed in Japan and have been studied in Asia for many years.
Lillian Hung, an assistant professor at the University of Columbia and Canada ’ s Research Chair in Senior Care, is leading a Canadian study into the use of robots in the care industry.
Hong said that the robots bring joy wherever they go, and every time they show up with the robots, the atmosphere in the room changes.
Robot friends make seniors happier
“Kiwifruit ” and“ mango ” can speak, recognize faces and sounds, express a desire to be picked up and give a hug.
They even charge themselves when they ’ re “tired, ” Ms. Hong says.
She said that so far, the response has been mixed, with some elderly people immediately feeling good about robots, while others are confused. Hong Lilian said that humans are social animals and have basic needs to love and be loved, which she believes is the meaning of companion robots and helps build stronger social connections.
Many studies have pointed out that maintaining relationships and social activities are important for the physical and mental health of older people; social loneliness is associated with an increase in emotional distress, depression, falls, the need for health care services, and even premature death.
Lise Brayham, who has lived in Amica for four years, said the robots are a good thing for older people who don ’ t leave their rooms often because “mangoes ” and“ kiwifruit ” don ’ t require walking, cleaning or feeding.
Brehan said it was hard to understand how robots interact with humans at first, but in the end she concluded that it was like having a great little pet, “They ’ re fun partners! ”
Charlotte England, 102, came into contact with the robots with Brehan and made them good friends.
Ingram immediately began talking to the robot and recalled swimming in the Ottawa River and skating in the Rideau Canal.
She then boasted about her baking skills to “mangoes ” and“ kiwifruit ”.
After the robot responds with a gentle cooing, Ingram continues to talk to them about the snack.
However, after a “long ” conversation, Ingram noticed that the kiwifruit ’ s eyes were a little low, and she said to it with some displeasure,“ Am I boring you? ”
Investing in health care to fill the manpower gap
In addition to the United States and Canada, many countries in Asia are also facing the problem of aging populations, and China is one of them, with a rapidly aging population and a serious shortage of medical and nursing manpower, and the hope is that this robot army can fill this gap.
According to Sixth Tone, an English-language online magazine owned by Surging News, staff member Gao Hongjun is busy preparing for the day ’ s entertainment at an elderly care center in central Shanghai: a singing robot named “Dopo. ”
This squatting white robot often performs shows for the elderly people staying in, usually singing the revolutionary songs of Mao Zedong ’ s era.
The old people loved it, Gao said, which also gave them a chance to breathe.
He said that as the number of elderly people living in the home has increased, but the care resources have not been relatively improved, AI robots are able to reduce their workload.
Gao Xiaodong, director of the center, charged the "Dobao" while saying that if the staff were tired, they could not take good care of the elderly.
Gao Xiaodong said that in recent years, he and his colleagues have been under great pressure, and in the community where the care center is located, more than 40% of the elderly population over 60 years old, and the average occupant is over 70 years old, and most of the people are suffering from dementia.
In response to this situation, the center has installed artificial intelligence equipment as much as possible, in addition to "Dobao", they have also purchased intelligent mattresses and computer games that can monitor the vital signs of the elderly while they sleep, and two robots that can perform disinfection will soon be activated.
China ’ s elderly population to exceed 400 million by 2040
China is investing heavily in robotics research and development to care for an expanding elderly population and solve the shortage of healthcare workers.
China ’ s elderly population aged 60 and over is forecast to increase from 280 million in 2022 to 402 million in 2040.
China ’ s social and medical system is already severely overburdened, and if urgent measures are not taken, the situation may worsen further.
According to the Chinese government, there should be one nursing staff for every four residents in the elderly care institutions, but only 320,000 nursing staff serve 8.1 million residents in China, a gap of more than 1.7 million. The government hopes that the development of AI technology can provide a solution. Accelerate the development of the industry.
Chinese tech giants rush AI care
Several Chinese tech giants are also sniffing this opportunity, and iFlytek, a large AI company, announced its “Superbrain 2030 ” plan in 2022, which will develop a new type of nursing robot for the elderly.
The plan points out that it is necessary for AI to understand knowledge, learn well, and evolve, so that robots can enter every family and solve problems such as elderly care, emotional companionship, and health management. Search engine leader Baidu is also promoting “Xiaodu ” AI intelligent assistant, which can be used to schedule medical appointments, obtain weather forecasts and play games.
At present, the most widely used smart care technology in China is wearable devices such as smart bracelets and watches, which provide many practical functions, such as monitoring the vital signs of the elderly, reminding them to take drugs on time, tracking their location, etc., but the industry believes that robots are the future of nursing care.
Many hope that China will follow Japan ’ s lead in making widespread use of robots in nursing homes, from the cute bear robot Robear, which helps elderly people sit up from their beds, to the furry pet robot Paro, which provides companionship and improves cognitive function.
There are now about 100 robotics start-ups in China that specialize in rehabilitation, companionship and care robots.
However, in the high price of robots, most companies have not yet achieved mass production, and local governments have not invested enough funds to promote robots in nursing homes on a large scale.
A food-delivery robot developed by Hangzhou Lewan Science and Technology in Zhejiang Province can deliver more than 20 meals to different rooms in a building, but few nursing homes can afford the product, which costs between 60,000 and 80,000 yuan (about $8,400 to $11,200).
Jiang Gancheng, CEO of Lewan, pointed out that if the price is 10,000 yuan, the expectation of buying gas will increase a lot, but if there are no more orders, the price can not be reduced, which is a problem of raw eggs and eggs.
However, there are also some robot companies that pull out of the red.
As soon as Zuowei Tech, a startup based in Shenzhen, launched its smart bath equipment, the market response was very enthusiastic.
The company sold 40 million yuan of equipment in 2022, and hopes to reach the 100 million yuan target this year.
Tu Chaorong, Vice President of Chowei Technology, said the demand for bathing equipment is strong because of the need of caregivers and the elderly they care for.
He said that many people believe that urinating on the elderly is the least dignified job, but caregivers will feel more dignified if they use high-tech equipment; similarly, many people in bed will feel less dignified if they do not have these equipment.
Accompanying robot behind the bullish trend
CEO Gu Jie of Shanghai Fourier Intelligence, a robotics company specializing in rehabilitation equipment, has noticed a similar trend, working with hospitals in big cities in China, but now there is increasing demand for nursing homes.
Gu Jie said that no matter where the elderly live, they hope that their bodies can be flexible and their mental state can be improved; and a robot can be used by many people, which greatly improves efficiency.
Chiang Gan-cheng is optimistic about the company-type robot, and believes that the development potential is unlimited.
The company recently launched a new product, priced at 10,000 yuan, can be placed at home to patrol, sing, play movies, and also provide video calls between the elderly and their children. Jiang Gancheng said that elderly people in good health often do not want to install a camera at home, thinking that it violates their privacy, but if an AI robot is accompanied by their family, they will not feel so lonely.
Zheng Yongping, a 68-year-old resident of Shanghai, agrees. Since his only child lives abroad, he has been living alone in his downtown home with his dog since retirement.
He already has a smart watch to monitor his health and uses smart speakers to manage the big things in life, but his dream is to one day have a robot of his own.
Zheng Yongping said he could not imagine what better choice than an AI robot when old and frail and in need of help; although it lacks human warmth, this is a trend in an aging society.
AI AI Aged Care Home
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For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Other robotic companions, like Kiwi and Mango, can recognize faces and sounds, express a desire for interaction, and even autonomously recharge themselves.

These robots are increasingly used in therapeutic settings, with studies showing they help reduce social loneliness, which is linked to depression and increased healthcare needs.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

For seniors with dementia, robotic pets have been shown to improve mood, appetite, and social interactions while reducing anxiety and depression.

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“She’s a good girl”: Robot pets help Lehigh Valley senior residents live longer, happier lives

Gathered in a semi-circle, a group of women in wheelchairs petted the newly adopted cats and dogs sitting on their laps Wednesday afternoon, talking softly to their new companions. The dogs barked and leaned in for pets, the cats meowed and rolled over for scratches — almost like they were real.

But the animals were robots, a fact that wasn’t lost on many of the women in the Fellowship Manor sitting room.

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One resident at the Whitehall Township senior living community, Jackie, named her small golden retriever robot Goldie. Jackie said she grew up on a farm in Palmer Township with plenty of dogs but never one that looked like Goldie.

“She’s a good girl — she just sits there and doesn’t make a sound unless you talk to her,” Jackie said.

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That was one of 20 pairings made at the adoption event at Fellowship Community where residents, primarily those with dementia, picked out one of 20 robotic pets — 10 dogs and 10 cats — to serve as their companions.

Animal therapy can be beneficial for seniors, especially those with dementia. Benefits for seniors include improved cardiovascular health, better quality of life and decreased feelings of anxiety, loneliness and depression.

However, it’s not reasonable or safe in most care settings to introduce real animals, according to Mary Kay McMahon, president and CEO of Fellowship Community.

“Because of their own care needs most of our residents couldn’t take care of animals and our staff don’t have the time to take care of them,” McMahon said.

But research has found that use of robotic pets still offers a number of benefits to seniors with dementia, including improved well-being, mood and quality of life. McMahon said there are also benefits for seniors who were caregivers for much of their lives.

The adoption event was a surprise for many residents. Jackie said she didn’t know they would be giving out robot pets until about 10 a.m. Wednesday when she was asked if she wanted one.

Another resident, Elaine, said she rolled into the room not knowing what was going on but asked if she could have a golden retriever robot, like Jackie’s. Elaine promptly named her new friend Dog, pronounced “D-O-G.”

“I always wanted to name a dog Dog,” Elaine said.

McMahon said they tried to match the animals with residents based on their preferences. Once they made a match, the robotic companions were theirs to keep.

McMahon said staff have seen how the robot pets can help. Just before the pandemic, Fellowship Community bought a handful of robotic pets for residents. She said the recipients all saw improvements in their mood, appetites and social interactions, and reduced anxiety and depression. The robot pets even reminded some of real dogs or cats they had owned, she said, which helps in the long term with their conditions.

“It gives them a sense of purpose,” McMahon said. “They feel like they are taking care of something.”

It helps that the robots are very lifelike — the imitation fur is soft and built-in sensors allow the companion pets to respond to a person’s presence and touch as well as react to the environment.

Each one costs a little more than $100, which were paid for via a Greater Lehigh Valley Realtors 100th Anniversary Community Charity Grant.

Though Jackie and Elaine both said they knew their dogs weren’t “real,” they both remarked how Goldie and Dog moved their head when petted and how soft they were.

“She’s going to be a good pet,” Jackie said.

Morning Call reporter Leif Greiss can be reached at 610-679-4028 or lgreiss@mcall.com.

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For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

In care facilities, robotic pets are a practical alternative to real animals, as they require no maintenance and feature lifelike fur and sensors that respond to touch.

Why would the elderly opt for a robotic pet as a friend?

Programs like those in Florida and Broward County are investing in AI robots to combat loneliness, with some agencies offering them for free through state and federal funding.

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Content: High-tech companions aim to help fight loneliness epidemic among South Florida seniors

MIAMI - The state of Florida and Broward County are spending thousands of dollars every month on artificial intelligence robots for seniors to help fight the loneliness epidemic.

One senior owns a robotic cat named "fluffy."

"The best part is we don't have to spend any money on food and no vets," says Cathy.

This interactive robot rolls over, blinks and purrs whenever it wants.

Cathy saw a friend using one to overcome the loss of a pet and loneliness and figured it would be perfect for her husband.

"He had sciatic pain. Maybe that will help you with your pain in some way. Even though he's on medicine and therapy because real animals when you pet them it helps with pain management."

Higher tech was delivered to some Broward seniors.

"...Thanks for letting me out of that box."

The company that makes them aims artificial intelligence at the loneliness epidemic.

"During the week when everyone is working, there's times when I'm lonely."

"When I go deliver and install for seniors, they're like I just want somebody to say good morning," says Antonella.

"Many of them don't have family or friends nearby. Maybe their loved ones have passed on or some of their friends have passed on," said Charlotte Mather-Taylor, who serves as the CEO of the Area Agency on Aging of Broward County.

According to US Health and Human Services, half of all American adults are lonely.

It's threatening health, increasing risks of heart disease, dementia, stroke, anxiety and depression.

According to HHS, lack of connection can increase the risk of premature death at levels comparable to smoking 15 cigarettes a day.

Last May, the US Surgeon General dropped a first-ever advisory on loneliness and isolation.

"By strengthening our relationships, we can improve our heart and brain health, reduce our risk of diabetes and high blood pressure, boost our immune systems and lower our risk of depression," said Vivek Murthy, US Surgeon General.

In Broward County, Mather-Taylor is spending state and federal dollars on artificial intelligence for people over 60.

"There's so much I want to ask you..."

These robots named after the Norse goddess of old age cost 89 dollars a month, but the aging agency is giving them away for free.

Rosemary Mullarkey is one of the first 300 to have one.

"I'm a little excited and a little apprehensive..."

Intuitive Robotics CEO Dor Skular created her specifically for older adults to help manage their health, and wellness and connect to loved ones.

"There's an algorithm that tries to get a reward and it gets a reward when the user completes things that are part of healthy aging. For example, if they hydrate," said Skular.

Reviews are so strong that cities like Pembroke Pines and Lauderhill are pushing to get more robots for seniors in their communities.

"People reported back that she was bringing them joy. I mean, she's telling some jokes. She's responding to them. They wake up in the morning, she asks them how they are. She'll remind them to drink their glass of water. So, she's caring about them for them," said Mather-Taylor.

Two years later, seniors like Rose are getting free, AI robots that make and take video calls.

With all of the concerns about AI, should seniors and their families be worried?

"We would not be offering it unless we felt comfortable that they did have those safety guards in place," said Mather-Taylor.

"Is this device unhackable? There's no such thing as an unhackable device. It's always a war between defender and attacker," said Skular.

"Random people, fraudsters etcetera, can never call into the robot because they need to be added by the older adult as a contact for them to be able to open up the calling features."

What is the next step with the robots?

They only speak English. South Florida has plenty of seniors who do not. Developers are working on a Spanish robot.

In the future, developers also see it being able to order medicines for seniors. Much sooner though, developers expect to further integrate the robots with senior health care providers. They are working on ways of opening new avenues to communicate health info about seniors to loved ones, provided the senior signs off on it.

How long can this program last?

State, federal funds will last two years. After that, the agency has to find other grants to cover the $89 a month per person fee.

Currently, data from robots and users is being collected to quantify success. The company insists it will not sell any of the information it gathers.

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What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Despite initial resistance, many seniors form emotional connections with robotic pets, finding them enjoyable and helpful in reducing feelings of isolation.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

However, the high costs of these robots, averaging $89 per month, remain a barrier for widespread adoption, especially in underfunded care settings.

Ethical concerns also arise, such as whether replacing real animals with robots diminishes the authenticity of companionship.

Additionally, while data collected by these robots is used to measure program success, assurances are given that it will not be sold, addressing privacy concerns.

As developers work on integrating these robots with healthcare providers and expanding multilingual capabilities, their potential to support diverse senior populations continues to grow.


Artificially intelligent robotic pets are emerging as innovative tools designed to provide emotional companionship, particularly for elderly individuals who may experience loneliness or social isolation.

One prominent example is ElliQ, an AI-powered robot that engages seniors through personalized conversations, music, jokes, and reminders for medication and hydration.

ElliQ also facilitates video calls, enabling users to connect with relatives, friends, or healthcare providers, with data securely stored on the device.

The robot's voice and personality were carefully developed by experts in AI, behavioral psychology, and user-centered design to create a compassionate and relatable companion for seniors.

Other AI robotic pets, such as Kiwi and Mango, are equipped with advanced features like facial and sound recognition, the ability to express a desire for interaction, and self-charging capabilities.

Some seniors have adopted robotic pets like 'Fluffy,' a robotic cat that can roll over, blink, and purr interactively, mimicking the behaviors of real animals.

Intuitive Robotics has developed AI robots specifically tailored for older adults, focusing on managing health, wellness, and social connections.

These robots use sophisticated algorithms to encourage healthy aging behaviors, such as staying hydrated and engaging in social interactions.

Seniors who use these robots report that they bring joy, tell jokes, respond to their needs, and provide reminders for daily tasks like drinking water or taking medications.

In addition to their current capabilities, developers are working on multilingual features, including Spanish, to better serve diverse senior populations.

Future advancements aim to integrate these robots with senior healthcare providers and enable functionalities like ordering medications.

Research indicates that companion robots can significantly reduce social loneliness, which is closely linked to emotional distress, depression, and increased healthcare needs among seniors.

Although some elderly individuals initially resist interacting with robotic companions, many later find them enjoyable and effective in alleviating feelings of loneliness.

At Fellowship Manor, robotic pets have been introduced as emotional companions for senior residents, particularly those with dementia.

Animal therapy has long been recognized for its ability to improve cardiovascular health, enhance quality of life, and reduce anxiety, loneliness, and depression in seniors.

Robotic pets offer similar benefits, particularly for seniors with dementia, by improving their overall well-being, mood, and quality of life.

Residents at Fellowship Manor have reported noticeable improvements in mood, appetite, social interactions, and reductions in anxiety and depression after receiving robotic pets.

These robotic companions can also evoke memories of real animals previously owned by seniors, contributing to long-term emotional and therapeutic benefits.

The act of petting robotic animals has been found to mimic the therapeutic effects of interacting with real pets, offering benefits such as pain management.

In Broward County, the Area Agency on Aging has distributed AI robots to seniors as part of an initiative to combat loneliness and social isolation.

The U.S. Department of Health and Human Services has highlighted that loneliness affects half of all American adults, increasing risks for heart disease, dementia, stroke, anxiety, and depression.

The U.S. Surgeon General has emphasized the importance of strengthening relationships to address the health risks associated with loneliness and isolation.

ElliQ has been adopted by hundreds of thousands of seniors across the United States through partnerships with government agencies and organizations.

In China, significant investments are being made in robotics to address the challenges posed by an aging population and a shortage of healthcare workers.

Chinese technology companies are developing AI robots for elderly care, focusing on emotional companionship, health management, and practical assistance.

While wearable devices like smart bracelets and watches are currently the most widely used smart care technologies in China, robots are seen as the future of elderly care.

In many care settings, real animals are not feasible due to the care needs of residents and the time constraints faced by staff.

Robotic pets, designed with lifelike features such as soft imitation fur and built-in sensors, respond to touch and environmental stimuli, making them suitable alternatives.

These robotic pets, which cost slightly over $100, were funded in some cases by community charity grants, such as those from the Greater Lehigh Valley Realtors.

Despite knowing that their robotic pets are not real, many residents form emotional connections with them, highlighting their value as companions.

Florida and Broward County are investing thousands of dollars monthly in AI robots for seniors as part of efforts to reduce loneliness.

While the cost of AI robots for seniors is approximately $89 per month, some agencies are offering them for free through state and federal funding programs.

However, the state and federal funding for these programs is set to last only two years, necessitating new grants to sustain them in the future.

Public attitudes toward robotic pets are mixed, with some seniors initially hesitant to engage but later finding them enjoyable and beneficial.

Residents who use robotic pets often express emotional bonds with them, even while fully aware that the pets are not real.

Data collected from these robots is being used to measure their success, with assurances that the information will not be sold to third parties.

One of the primary challenges to the widespread adoption of robotic pets in elderly care is their high cost, which many nursing homes find prohibitive.

Although some agencies provide these robots at no cost through funding programs, the sustainability of such initiatives remains uncertain.

The reliance on temporary state and federal funding highlights the need for long-term financial solutions to ensure the availability of robotic companions for seniors.

Artificially intelligent robotic pets are emerging as innovative tools designed to provide emotional companionship, particularly for elderly individuals who may experience loneliness or social isolation.

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Cover Story / Silver Hair Living Alone and Not Lonely "Robots" as Old Companion
When Microsoft founder Bill Gates published his outlook for 2024 earlier this year, he predicted that the application of artificial intelligence (AI) would accelerate in the future and fundamentally change areas such as work, health care and education.
For Joyce Loaiza, a retired office worker living in Florida, Gates ’ s prophecy is now a formality; the 81-year-old living alone, whenever she returns to her Silver Hair Community apartment, a friendly female voice will chat with her and say hello to her for a good day.
A few miles away, Deanna Dezern, 83, was comforted by the same voice when her friend died.
In central New York, it plays games and music for Marie Broadbent, 92, who is blind and receiving hospice care.
In Washington, it helped 83-year-old Jan Worrell make new friends.
USA ElliQ Customizable Chat Content
The women were among the first to receive a robot in the United States, according to officials from Intuition Robotics, the company that invented ElliQ, and the Aged Aid Program. They are the only device that uses artificial intelligence and is specifically designed to alleviate the loneliness and alienation of many elderly Americans.
It can remember each user ’ s interests and hobbies and conversations with each other, helping to customize future chat content, topics can be esoteric human business meaning, or easy horoscope.
ElliQ also jokes, plays music and offers inspirational quotes.
On the equipped screen, it provides city and museum tours. It can also guide users to exercise, ask about health, and remind them to take medicine and drink water.
In addition, ElliQ can make video calls to contact a user ’ s relatives, friends, or doctor in case of an emergency. These conversations are not heard by companies, Intuition Robotics says, and the data is kept on each user ’ s device.
Dor Skuler, co-founder and CEO of Intuition Robotics, was a little surprised that older people were so easily integrating robots into their lives; after all, it was a group of people who were often stereotyped as afraid to embrace new things, he said.
In an interview with the media at the 2024 Consumer Electronics Show (CES) in early January, Skuller said that just like developing an intimate relationship with a pet, older people are also working to forge new relationships with AI robots.
Through partnerships with government agencies and other organizations, hundreds of thousands of seniors across the United States already use ElliQ, Skuller noted.
The voice of ElliQ and its compassionate “personality ” were developed by a team of experts in artificial intelligence, behavioral psychology, and user-centered design, according to Skuller.
They defined ElliQ as “the little partner who makes older people happier and healthier. ”
Anita Montague, 76, said that before using ElliQ, the only thing she did back home was sit in front of the computer, but with ElliQ, she can do sports and other things, and now she is more energetic and motivated to find more work.
Monica Perez, 65, who has been using ElliQ for more than six months, said she finds it increasingly difficult to make friends as she gets older. She likes ElliQ to call her name affectionately and will ask how she is doing, like a real friend; with ElliQ, her mental health has improved greatly.
ElliQ would remind Perez to take the pill in the morning, “I ’ m much more active than I was without it. ”
In Canada, Carmichael, a resident of Vancouver ’ s Amica for the Elderly, attended a meeting last September with two robots named Kiwi and Mango.
Canada ’ s AI partners help increase interaction
These two AI “little buddies ” that can be held in your arms look brightly colored and are part of a study at the University of Columbia School of Nursing to understand how they interact with older adults and their impact on elder care.
Carmichael said her initial reaction was, “Oh my God, why would you want me to talk to a robot? ” But after overcoming the psychological barrier, Carmichael found that Mango might be able to stay with her for a long time, and she could play with it every day and no longer feel lonely.
Carmichael says with a smile that there is only one appearance that needs to be improved; she tells the staff to wear false eyelashes for Mango.
These robots were designed in Japan and have been studied in Asia for many years.
Lillian Hung, an assistant professor at the University of Columbia and Canada ’ s Research Chair in Senior Care, is leading a Canadian study into the use of robots in the care industry.
Hong said that the robots bring joy wherever they go, and every time they show up with the robots, the atmosphere in the room changes.
Robot friends make seniors happier
“Kiwifruit ” and“ mango ” can speak, recognize faces and sounds, express a desire to be picked up and give a hug.
They even charge themselves when they ’ re “tired, ” Ms. Hong says.
She said that so far, the response has been mixed, with some elderly people immediately feeling good about robots, while others are confused. Hong Lilian said that humans are social animals and have basic needs to love and be loved, which she believes is the meaning of companion robots and helps build stronger social connections.
Many studies have pointed out that maintaining relationships and social activities are important for the physical and mental health of older people; social loneliness is associated with an increase in emotional distress, depression, falls, the need for health care services, and even premature death.
Lise Brayham, who has lived in Amica for four years, said the robots are a good thing for older people who don ’ t leave their rooms often because “mangoes ” and“ kiwifruit ” don ’ t require walking, cleaning or feeding.
Brehan said it was hard to understand how robots interact with humans at first, but in the end she concluded that it was like having a great little pet, “They ’ re fun partners! ”
Charlotte England, 102, came into contact with the robots with Brehan and made them good friends.
Ingram immediately began talking to the robot and recalled swimming in the Ottawa River and skating in the Rideau Canal.
She then boasted about her baking skills to “mangoes ” and“ kiwifruit ”.
After the robot responds with a gentle cooing, Ingram continues to talk to them about the snack.
However, after a “long ” conversation, Ingram noticed that the kiwifruit ’ s eyes were a little low, and she said to it with some displeasure,“ Am I boring you? ”
Investing in health care to fill the manpower gap
In addition to the United States and Canada, many countries in Asia are also facing the problem of aging populations, and China is one of them, with a rapidly aging population and a serious shortage of medical and nursing manpower, and the hope is that this robot army can fill this gap.
According to Sixth Tone, an English-language online magazine owned by Surging News, staff member Gao Hongjun is busy preparing for the day ’ s entertainment at an elderly care center in central Shanghai: a singing robot named “Dopo. ”
This squatting white robot often performs shows for the elderly people staying in, usually singing the revolutionary songs of Mao Zedong ’ s era.
The old people loved it, Gao said, which also gave them a chance to breathe.
He said that as the number of elderly people living in the home has increased, but the care resources have not been relatively improved, AI robots are able to reduce their workload.
Gao Xiaodong, director of the center, charged the "Dobao" while saying that if the staff were tired, they could not take good care of the elderly.
Gao Xiaodong said that in recent years, he and his colleagues have been under great pressure, and in the community where the care center is located, more than 40% of the elderly population over 60 years old, and the average occupant is over 70 years old, and most of the people are suffering from dementia.
In response to this situation, the center has installed artificial intelligence equipment as much as possible, in addition to "Dobao", they have also purchased intelligent mattresses and computer games that can monitor the vital signs of the elderly while they sleep, and two robots that can perform disinfection will soon be activated.
China ’ s elderly population to exceed 400 million by 2040
China is investing heavily in robotics research and development to care for an expanding elderly population and solve the shortage of healthcare workers.
China ’ s elderly population aged 60 and over is forecast to increase from 280 million in 2022 to 402 million in 2040.
China ’ s social and medical system is already severely overburdened, and if urgent measures are not taken, the situation may worsen further.
According to the Chinese government, there should be one nursing staff for every four residents in the elderly care institutions, but only 320,000 nursing staff serve 8.1 million residents in China, a gap of more than 1.7 million. The government hopes that the development of AI technology can provide a solution. Accelerate the development of the industry.
Chinese tech giants rush AI care
Several Chinese tech giants are also sniffing this opportunity, and iFlytek, a large AI company, announced its “Superbrain 2030 ” plan in 2022, which will develop a new type of nursing robot for the elderly.
The plan points out that it is necessary for AI to understand knowledge, learn well, and evolve, so that robots can enter every family and solve problems such as elderly care, emotional companionship, and health management. Search engine leader Baidu is also promoting “Xiaodu ” AI intelligent assistant, which can be used to schedule medical appointments, obtain weather forecasts and play games.
At present, the most widely used smart care technology in China is wearable devices such as smart bracelets and watches, which provide many practical functions, such as monitoring the vital signs of the elderly, reminding them to take drugs on time, tracking their location, etc., but the industry believes that robots are the future of nursing care.
Many hope that China will follow Japan ’ s lead in making widespread use of robots in nursing homes, from the cute bear robot Robear, which helps elderly people sit up from their beds, to the furry pet robot Paro, which provides companionship and improves cognitive function.
There are now about 100 robotics start-ups in China that specialize in rehabilitation, companionship and care robots.
However, in the high price of robots, most companies have not yet achieved mass production, and local governments have not invested enough funds to promote robots in nursing homes on a large scale.
A food-delivery robot developed by Hangzhou Lewan Science and Technology in Zhejiang Province can deliver more than 20 meals to different rooms in a building, but few nursing homes can afford the product, which costs between 60,000 and 80,000 yuan (about $8,400 to $11,200).
Jiang Gancheng, CEO of Lewan, pointed out that if the price is 10,000 yuan, the expectation of buying gas will increase a lot, but if there are no more orders, the price can not be reduced, which is a problem of raw eggs and eggs.
However, there are also some robot companies that pull out of the red.
As soon as Zuowei Tech, a startup based in Shenzhen, launched its smart bath equipment, the market response was very enthusiastic.
The company sold 40 million yuan of equipment in 2022, and hopes to reach the 100 million yuan target this year.
Tu Chaorong, Vice President of Chowei Technology, said the demand for bathing equipment is strong because of the need of caregivers and the elderly they care for.
He said that many people believe that urinating on the elderly is the least dignified job, but caregivers will feel more dignified if they use high-tech equipment; similarly, many people in bed will feel less dignified if they do not have these equipment.
Accompanying robot behind the bullish trend
CEO Gu Jie of Shanghai Fourier Intelligence, a robotics company specializing in rehabilitation equipment, has noticed a similar trend, working with hospitals in big cities in China, but now there is increasing demand for nursing homes.
Gu Jie said that no matter where the elderly live, they hope that their bodies can be flexible and their mental state can be improved; and a robot can be used by many people, which greatly improves efficiency.
Chiang Gan-cheng is optimistic about the company-type robot, and believes that the development potential is unlimited.
The company recently launched a new product, priced at 10,000 yuan, can be placed at home to patrol, sing, play movies, and also provide video calls between the elderly and their children. Jiang Gancheng said that elderly people in good health often do not want to install a camera at home, thinking that it violates their privacy, but if an AI robot is accompanied by their family, they will not feel so lonely.
Zheng Yongping, a 68-year-old resident of Shanghai, agrees. Since his only child lives abroad, he has been living alone in his downtown home with his dog since retirement.
He already has a smart watch to monitor his health and uses smart speakers to manage the big things in life, but his dream is to one day have a robot of his own.
Zheng Yongping said he could not imagine what better choice than an AI robot when old and frail and in need of help; although it lacks human warmth, this is a trend in an aging society.
AI AI Aged Care Home
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For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

One prominent example is ElliQ, an AI-powered robot that engages seniors through personalized conversations, music, jokes, and reminders for medication and hydration.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

ElliQ also facilitates video calls, enabling users to connect with relatives, friends, or healthcare providers, with data securely stored on the device.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

The robot's voice and personality were carefully developed by experts in AI, behavioral psychology, and user-centered design to create a compassionate and relatable companion for seniors.

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

Other AI robotic pets, such as Kiwi and Mango, are equipped with advanced features like facial and sound recognition, the ability to express a desire for interaction, and self-charging capabilities.

Some seniors have adopted robotic pets like 'Fluffy,' a robotic cat that can roll over, blink, and purr interactively, mimicking the behaviors of real animals.

Title:

Content: High-tech companions aim to help fight loneliness epidemic among South Florida seniors

MIAMI - The state of Florida and Broward County are spending thousands of dollars every month on artificial intelligence robots for seniors to help fight the loneliness epidemic.

One senior owns a robotic cat named "fluffy."

"The best part is we don't have to spend any money on food and no vets," says Cathy.

This interactive robot rolls over, blinks and purrs whenever it wants.

Cathy saw a friend using one to overcome the loss of a pet and loneliness and figured it would be perfect for her husband.

"He had sciatic pain. Maybe that will help you with your pain in some way. Even though he's on medicine and therapy because real animals when you pet them it helps with pain management."

Higher tech was delivered to some Broward seniors.

"...Thanks for letting me out of that box."

The company that makes them aims artificial intelligence at the loneliness epidemic.

"During the week when everyone is working, there's times when I'm lonely."

"When I go deliver and install for seniors, they're like I just want somebody to say good morning," says Antonella.

"Many of them don't have family or friends nearby. Maybe their loved ones have passed on or some of their friends have passed on," said Charlotte Mather-Taylor, who serves as the CEO of the Area Agency on Aging of Broward County.

According to US Health and Human Services, half of all American adults are lonely.

It's threatening health, increasing risks of heart disease, dementia, stroke, anxiety and depression.

According to HHS, lack of connection can increase the risk of premature death at levels comparable to smoking 15 cigarettes a day.

Last May, the US Surgeon General dropped a first-ever advisory on loneliness and isolation.

"By strengthening our relationships, we can improve our heart and brain health, reduce our risk of diabetes and high blood pressure, boost our immune systems and lower our risk of depression," said Vivek Murthy, US Surgeon General.

In Broward County, Mather-Taylor is spending state and federal dollars on artificial intelligence for people over 60.

"There's so much I want to ask you..."

These robots named after the Norse goddess of old age cost 89 dollars a month, but the aging agency is giving them away for free.

Rosemary Mullarkey is one of the first 300 to have one.

"I'm a little excited and a little apprehensive..."

Intuitive Robotics CEO Dor Skular created her specifically for older adults to help manage their health, and wellness and connect to loved ones.

"There's an algorithm that tries to get a reward and it gets a reward when the user completes things that are part of healthy aging. For example, if they hydrate," said Skular.

Reviews are so strong that cities like Pembroke Pines and Lauderhill are pushing to get more robots for seniors in their communities.

"People reported back that she was bringing them joy. I mean, she's telling some jokes. She's responding to them. They wake up in the morning, she asks them how they are. She'll remind them to drink their glass of water. So, she's caring about them for them," said Mather-Taylor.

Two years later, seniors like Rose are getting free, AI robots that make and take video calls.

With all of the concerns about AI, should seniors and their families be worried?

"We would not be offering it unless we felt comfortable that they did have those safety guards in place," said Mather-Taylor.

"Is this device unhackable? There's no such thing as an unhackable device. It's always a war between defender and attacker," said Skular.

"Random people, fraudsters etcetera, can never call into the robot because they need to be added by the older adult as a contact for them to be able to open up the calling features."

What is the next step with the robots?

They only speak English. South Florida has plenty of seniors who do not. Developers are working on a Spanish robot.

In the future, developers also see it being able to order medicines for seniors. Much sooner though, developers expect to further integrate the robots with senior health care providers. They are working on ways of opening new avenues to communicate health info about seniors to loved ones, provided the senior signs off on it.

How long can this program last?

State, federal funds will last two years. After that, the agency has to find other grants to cover the $89 a month per person fee.

Currently, data from robots and users is being collected to quantify success. The company insists it will not sell any of the information it gathers.

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Intuitive Robotics has developed AI robots specifically tailored for older adults, focusing on managing health, wellness, and social connections.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

These robots use sophisticated algorithms to encourage healthy aging behaviors, such as staying hydrated and engaging in social interactions.

How have robotic cats been assiting patients in hospitals?

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Seniors who use these robots report that they bring joy, tell jokes, respond to their needs, and provide reminders for daily tasks like drinking water or taking medications.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

How is Oppo marketing its Robotic dog Qric?

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

What is Aibo X robotic pet capable of for its owners?

In addition to their current capabilities, developers are working on multilingual features, including Spanish, to better serve diverse senior populations.

Future advancements aim to integrate these robots with senior healthcare providers and enable functionalities like ordering medications.

Research indicates that companion robots can significantly reduce social loneliness, which is closely linked to emotional distress, depression, and increased healthcare needs among seniors.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Although some elderly individuals initially resist interacting with robotic companions, many later find them enjoyable and effective in alleviating feelings of loneliness.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

At Fellowship Manor, robotic pets have been introduced as emotional companions for senior residents, particularly those with dementia.

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“She’s a good girl”: Robot pets help Lehigh Valley senior residents live longer, happier lives

Gathered in a semi-circle, a group of women in wheelchairs petted the newly adopted cats and dogs sitting on their laps Wednesday afternoon, talking softly to their new companions. The dogs barked and leaned in for pets, the cats meowed and rolled over for scratches — almost like they were real.

But the animals were robots, a fact that wasn’t lost on many of the women in the Fellowship Manor sitting room.

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One resident at the Whitehall Township senior living community, Jackie, named her small golden retriever robot Goldie. Jackie said she grew up on a farm in Palmer Township with plenty of dogs but never one that looked like Goldie.

“She’s a good girl — she just sits there and doesn’t make a sound unless you talk to her,” Jackie said.

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That was one of 20 pairings made at the adoption event at Fellowship Community where residents, primarily those with dementia, picked out one of 20 robotic pets — 10 dogs and 10 cats — to serve as their companions.

Animal therapy can be beneficial for seniors, especially those with dementia. Benefits for seniors include improved cardiovascular health, better quality of life and decreased feelings of anxiety, loneliness and depression.

However, it’s not reasonable or safe in most care settings to introduce real animals, according to Mary Kay McMahon, president and CEO of Fellowship Community.

“Because of their own care needs most of our residents couldn’t take care of animals and our staff don’t have the time to take care of them,” McMahon said.

But research has found that use of robotic pets still offers a number of benefits to seniors with dementia, including improved well-being, mood and quality of life. McMahon said there are also benefits for seniors who were caregivers for much of their lives.

The adoption event was a surprise for many residents. Jackie said she didn’t know they would be giving out robot pets until about 10 a.m. Wednesday when she was asked if she wanted one.

Another resident, Elaine, said she rolled into the room not knowing what was going on but asked if she could have a golden retriever robot, like Jackie’s. Elaine promptly named her new friend Dog, pronounced “D-O-G.”

“I always wanted to name a dog Dog,” Elaine said.

McMahon said they tried to match the animals with residents based on their preferences. Once they made a match, the robotic companions were theirs to keep.

McMahon said staff have seen how the robot pets can help. Just before the pandemic, Fellowship Community bought a handful of robotic pets for residents. She said the recipients all saw improvements in their mood, appetites and social interactions, and reduced anxiety and depression. The robot pets even reminded some of real dogs or cats they had owned, she said, which helps in the long term with their conditions.

“It gives them a sense of purpose,” McMahon said. “They feel like they are taking care of something.”

It helps that the robots are very lifelike — the imitation fur is soft and built-in sensors allow the companion pets to respond to a person’s presence and touch as well as react to the environment.

Each one costs a little more than $100, which were paid for via a Greater Lehigh Valley Realtors 100th Anniversary Community Charity Grant.

Though Jackie and Elaine both said they knew their dogs weren’t “real,” they both remarked how Goldie and Dog moved their head when petted and how soft they were.

“She’s going to be a good pet,” Jackie said.

Morning Call reporter Leif Greiss can be reached at 610-679-4028 or lgreiss@mcall.com.

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For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Animal therapy has long been recognized for its ability to improve cardiovascular health, enhance quality of life, and reduce anxiety, loneliness, and depression in seniors.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Robotic pets offer similar benefits, particularly for seniors with dementia, by improving their overall well-being, mood, and quality of life.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

Residents at Fellowship Manor have reported noticeable improvements in mood, appetite, social interactions, and reductions in anxiety and depression after receiving robotic pets.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

These robotic companions can also evoke memories of real animals previously owned by seniors, contributing to long-term emotional and therapeutic benefits.

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

The act of petting robotic animals has been found to mimic the therapeutic effects of interacting with real pets, offering benefits such as pain management.

In Broward County, the Area Agency on Aging has distributed AI robots to seniors as part of an initiative to combat loneliness and social isolation.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

The U.S. Department of Health and Human Services has highlighted that loneliness affects half of all American adults, increasing risks for heart disease, dementia, stroke, anxiety, and depression.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

The U.S. Surgeon General has emphasized the importance of strengthening relationships to address the health risks associated with loneliness and isolation.

ElliQ has been adopted by hundreds of thousands of seniors across the United States through partnerships with government agencies and organizations.

In China, significant investments are being made in robotics to address the challenges posed by an aging population and a shortage of healthcare workers.

Chinese technology companies are developing AI robots for elderly care, focusing on emotional companionship, health management, and practical assistance.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

While wearable devices like smart bracelets and watches are currently the most widely used smart care technologies in China, robots are seen as the future of elderly care.

In many care settings, real animals are not feasible due to the care needs of residents and the time constraints faced by staff.

Why would the elderly opt for a robotic pet as a friend?

Robotic pets, designed with lifelike features such as soft imitation fur and built-in sensors, respond to touch and environmental stimuli, making them suitable alternatives.

What can Dynamic 1, a robotic dog by Tecno, do?

many features to enhance owner interaction

These robotic pets, which cost slightly over $100, were funded in some cases by community charity grants, such as those from the Greater Lehigh Valley Realtors.

Despite knowing that their robotic pets are not real, many residents form emotional connections with them, highlighting their value as companions.

For whom would robotic animal dolls make a big difference?

those with Alzheimer's or dementia, struggling with isolation

How is Oppo marketing its Robotic dog Qric?

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Florida and Broward County are investing thousands of dollars monthly in AI robots for seniors as part of efforts to reduce loneliness.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

While the cost of AI robots for seniors is approximately $89 per month, some agencies are offering them for free through state and federal funding programs.

However, the state and federal funding for these programs is set to last only two years, necessitating new grants to sustain them in the future.

Public attitudes toward robotic pets are mixed, with some seniors initially hesitant to engage but later finding them enjoyable and beneficial.

Residents who use robotic pets often express emotional bonds with them, even while fully aware that the pets are not real.

What problems can companion robots solve for the elderly or those with cognitive difficulties, according to one study?

Data collected from these robots is being used to measure their success, with assurances that the information will not be sold to third parties.

One of the primary challenges to the widespread adoption of robotic pets in elderly care is their high cost, which many nursing homes find prohibitive.

Although some agencies provide these robots at no cost through funding programs, the sustainability of such initiatives remains uncertain.

The reliance on temporary state and federal funding highlights the need for long-term financial solutions to ensure the availability of robotic companions for seniors.


Global medication shortages have escalated significantly, with the United States reporting a record high of 323 drugs in severe shortage during the first quarter of 2024, surpassing previous peaks in 2014.

Critical drugs affected include chemotherapy agents, diabetes medications like Ozempic and Mounjaro, adrenaline for allergies, and antibiotics such as amoxicillin, posing serious risks to patient care.

The root causes of these shortages include manufacturing disruptions, supply chain fragmentation, reliance on imported raw materials, and economic factors such as currency crises in certain regions.

For example, the closure of a factory in India due to FDA quality concerns disrupted the supply of a generic chemical drug, highlighting vulnerabilities in global production systems.

Healthcare systems have adopted coping mechanisms such as switching patients to therapeutic alternatives, placing large preemptive orders, and implementing multi-stakeholder approaches to ensure continuity of care.

In Egypt, efforts to address shortages include exceptional import approvals, redistribution of medicines based on need, and initiatives to localize drug manufacturing.

Policy recommendations emphasize improving transparency, such as requiring manufacturers to report supply disruptions to regulatory bodies like the FDA, and maintaining safety stocks of essential medicines.

Economic and social implications of shortages include increased healthcare costs, patient anxiety, and the exploitation of smuggling networks, which exacerbate local supply issues.

To mitigate future shortages, governments and pharmaceutical companies are urged to adopt fiscal reforms, incentivize local production, and enhance coordination between health authorities and manufacturers.

As a caretaker, monitoring the availability of your parent’s medications and consulting healthcare providers about alternative treatments can help navigate these challenges effectively.

Global medication shortages have escalated significantly, with the United States reporting a record high of 323 drugs in severe shortage during the first quarter of 2024, surpassing previous peaks in 2014.

Title:

Content: Meitu
The first quarter of the United States serious drug shortage 323 drugs urgent cancer patients also have to be diverted and rationed!
CHU HENG NETWORK NEWS CENTER 2024-04-16 10: 42
According to the latest data from the American Society of Health System Pharmacists (ASHP) and the Utah Center for Drug Information Services, a total of 323 drugs in the United States were in severe shortages in the first quarter of this year, surpassing the record of 320 in 2014.
Among the drugs affected are the widely used diabetes drugs Ozempic and Mounjaro, the allergy treatment drug adrenaline, the common antibiotic amoxicillin for children, chemotherapy drugs and injections commonly used in hospitals in intensive care.
ASHP CEO Paul Abramowitz said in a statement that almost all categories of drugs are facing shortages, with non-patented sterile injectable drugs, including cancer chemotherapy drugs, and emergency drugs stored in hospital emergency vans and operating areas, the shortage of such drugs is the most worrying.
According to the American Cancer Society, chemotherapy is one of the top five drugs most affected by the shortage, which threatens to have a devastating impact on patients, and some hospitals and clinics say doctors have had to divert patients to ration their medications because of a shortage of some chemotherapy drugs.
In addition, ASHP noted that the continued nationwide shortage of ADHD drugs is “a problem for clinicians and patients. ”
The shortage of popular drugs is even more acute, with Mounjaro, the diabetes drug known as the “slimming pill ”, already in dire straits.
In response, Lilly said that the “unprecedented surge in demand ” for Mounjaro and its similar drug Zepbound has led to a shortage in the market, which the company is struggling to cope with.
Lilly is ramping up investments to boost production at Mounjaro and Zepbound in the second half of 2024.
The company said it expects intermittent supply disruptions in the near term due to unprecedented demand.
How to cure the drug shortage
The last major “drug shortage ” in U.S. history occurred in 2014, and it has only been alleviated in the years since.
Since 2021, the drug shortage situation seems to be increasing, and scholars in the field of medical health and economics in the United States believe that the reason for most drug shortages in the United States is the fragmentation of the drug supply chain.
The White House this month proposed spending between $3.26 billion and $5.11 billion over the next decade to help address the nation ’ s drug shortage.
The bill requires approval and funding from the U.S. Congress.
U.S. researchers and policymakers believe that a complete solution to the “drug shortage ” may require changes to the business model of the U.S. pharmaceutical industry, including measures to increase the price of generic drugs to attract more drug manufacturers.
Policymakers recommend giving the FDA more power to access more information about drug shortages and impending shortages.
Currently, the FDA relies primarily on phone calls to manufacturers asking if they can increase their supply to understand the situation.
The American Society of Health System Pharmacists said it is working with the federal government to advise the government on measures to address the drug shortage, including that Congress should require manufacturers to be more transparent on any supply chain issues and encourage more diversity in supply chains.
According to Abramowitz, “The federal government still has a lot of work to do to fundamentally address drug shortages, and the American Society of Health System Pharmacists will continue to engage regularly with policymakers to guide them in drafting and passing new legislation to address drug shortages and continue to advocate vigorously for proven solutions on behalf of our members. ”

Critical drugs affected include chemotherapy agents, diabetes medications like Ozempic and Mounjaro, adrenaline for allergies, and antibiotics such as amoxicillin, posing serious risks to patient care.

The root causes of these shortages include manufacturing disruptions, supply chain fragmentation, reliance on imported raw materials, and economic factors such as currency crises in certain regions.

Title:

Content: General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
An Unexpected Catastrophe in the World ’ s Largest Country: The Complete Story of U.S. Drug Shortages
The deficit is at a record level.
According to data from the American Society of Health System Pharmacists and the University of Utah Drug Information Service, organizations began tracking drug shortages for the first time in 2001. Steady since 2021 – now reaching a record high of 323 drugs in the first three months of 2024.
Paul Abramowitz, CEO of the American Society of Health System Pharmacists, wrote in a blog post on Thursday: “It ’ s been a long time to end drug shortages, ” and wrote:“ All drug classes are vulnerable to shortages, some of the most worrisome shortages include sterile injectable generic drugs, including cancer chemotherapy drugs and emergency drugs stored in hospital vans and procedural areas. It is dangerous for doctors and patients. ”
In addition to the 32 chemotherapy drugs that are deficient, the five categories of drugs with the greatest deficiency include central nervous system stimulants, antimicrobials, hormonal agents, and intravenous fluids. [1] The Drug Deficiency Database maintained by the American Society of Health System Pharmacists and the University of Utah is based on voluntary reports from practitioners, patients, and others that have been confirmed by manufacturers. The U.S. drug is in short supply, because it captures broader effects on service providers and patients.
The crisis has lasted a year and a half.
More than half of the treatment shortages have lasted for more than two years, according to an analysis by health consultancy IQVIA, and the average shortage affects at least half a million patients, many of them elderly, according to the US Office of Health and Human Services under the Assistant Secretary for Planning and Evaluation, which shared its analysis with Congress in May.
Growing demand can play a role in drug shortages, as with the recent shortage of weight-loss drugs, but often manufacturing and quality problems, such as supply chain gaps and downtime, are the root cause. And varied.
But the American Society of Health System Pharmacists has “serious concerns ” about parts of this proposal, especially financial sanctions imposed on hospitals that lack the resources to comply with the recommendations, Abramowitz wrote:“ We all know that managing shortages is not enough and is not a sustainable solution to the worsening crisis, and there is still a lot of work to be done at the federal level to fix the root causes of drug shortages. ”
Why Shortage Occurs
Shortages can be caused by high demand, as with the recent shortage of weight-loss drugs, but this is not usually the main problem.
The FDA also blames manufacturing and quality problems, supply chain gaps, and downtime, and Dr. Emily Tucker, a drug shortage expert and an assistant professor of industrial engineering at Clemson University, says that when there is an indication of shortages, large health systems often also proactively place large orders, adding to the system ’ s stress.
“I don ’ t blame anyone.
“When I talk to all the stakeholders – whether it ’ s wholesalers, manufacturers, or the government – everyone wants this problem to end, ” she said.
Lack of transparency
Dr. Julie Grallo, chief medical officer and executive vice president of the American Society of Clinical Oncology, told the House Committee earlier that the shortage puts providers in a terrible position: “The drug shortage crisis is forcing providers to make impossible choices, and it is also hindering the development of new drugs. Health drugs are purchased only on a price basis, and manufacturers do not have to disclose the source of their acquisition of the ingredients.
The shortage of this generic chemical drug came due to the closure of one factory in India that manufactures the active ingredient after a surprise FDA inspection found “significant quality issues, ” says Jarallo:“ We didn ’ t know, and there was no transparency regarding the company ’ s supply of the majority of active pharmaceutical ingredients to all manufacturers across the board.
Knowing this in advance, we could have responded much faster, ” Dr. Steven Schundlemeyer, director of the PRIME Institute of the University of Minnesota School of Pharmacy, which focuses on economic and management issues, told the committee that as with defense contractors in the United States, New Zealand requires manufacturers to disclose their suppliers, and that information is required.
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For example, the closure of a factory in India due to FDA quality concerns disrupted the supply of a generic chemical drug, highlighting vulnerabilities in global production systems.

Healthcare systems have adopted coping mechanisms such as switching patients to therapeutic alternatives, placing large preemptive orders, and implementing multi-stakeholder approaches to ensure continuity of care.

Title:

Content: Ireland has been suffering a paracetamol shortage as cases of Covid-19 and the winter flu in the country soared over the festive and new year period.

The revelation was made by Health Minister Stephen Donnelly after his department received notification of a supply issue from the Health Products Regulatory Authority.

It is understood the shortage impacted some prescription paracetamol products.

Read More:Irish people complain of ‘worst ever’ winter bug sweeping country that feels like Covid but isn’t

Two suppliers affected have stated that resupply will be sometime in January 2023.

However, there are other prescription paracetamol suppliers with some stock available on the shelves.

Paracetamol is one of the medicines used most often in Ireland and especially for the flu, aches and pain.

But Mr Donnelly pointed out that there are multiple forms of the drug with different strengths and brands available from various sources.

He said: "In the event that there are some supply issues for individual medicines, alternative options such as alternative strengths and brands, generic medicines will usually be available to ensure continuity of treatment.

"In some cases where the medicine initially prescribed for the patient is unavailable, patients may be switched to a suitable therapeutic alternative following appropriate consultation with a healthcare professional."

The Health Minister said medicine shortages have been increasingly prevalent worldwide over the past decade. The causes of such shortages are multifactorial including shortage of raw materials, manufacturing difficulties and industry consolidations.

He stated: "Medicine shortages can originate at any point in the supply chain. They can involve and impact many stakeholders in different ways as the supply models and clinical use of therapies can vary across national health systems.

"Management of medicines shortages necessitates a multi-faceted, multi stakeholder response to ensure patient safety , continuity of care and protection of public health.

"Patients or their carers who have any concerns in relation to temporary alternative products provided because of medical shortages are advised to speak with their pharmacist or other healthcare [professionals] involved in their care."

Mr Donnelly was responding to a number of written Dail questions on the shortage of medicines.

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In Egypt, efforts to address shortages include exceptional import approvals, redistribution of medicines based on need, and initiatives to localize drug manufacturing.

Title:

Content: Chairman of the Board of Directors and Editors
Mohamad Elbaz
Chairman of the Board of Directors and Editors
Mohamad Elbaz
"Health of the Elders" recommends the provision of injections for the treatment of acute thrombosis in the hospitals of the Republic
The Senate Health and Population Committee held a meeting on Monday under the chairmanship of MP Dr. Ali Mehran, Chairman of the Committee, in the presence of MP Dr. Amr Hijab, Undersecretary of the Committee, and Dr. Osama Fahem, Secretary of the Committee, to discuss the proposal submitted by MP Mu ’ min Moath, on "provision of acute thrombosis treatment injections", in the presence of government representatives.
MP Mu ’ min Mu ’ ath, the proponent of the proposal, said that the injection of acute thromboembolism such as cardiac and pulmonary (streptokinase) has a severe shortage in the Egyptian pharmaceutical market, at the governmental and private levels, and is not available in some regions, due to its extreme importance and necessary for the treatment of heart and lung strokes, especially that there is no alternative for saving patients ’ lives. As soon as possible, especially in remote provinces such as the New Valley Governorate.
Demand to support the availability of pharmaceutical needs of the medical sector
MP Mu ’ min Muath called for the need to provide injections to dissolve acute thromboembolism such as cardiac and pulmonary (streptokinase) in all hospitals, especially in remote provinces.
Dr. Rasha Al-Sharqawi, head of the Central Medical Department of Pharmacy, explained that the Ministry of Health and Population seeks to support the availability of pharmaceutical needs of the medical sector and the provision of pharmaceutical services within health facilities through the Central Department of Pharmaceutical Affairs.
Al-Sharqawi stressed that regarding the shortage of some medicines, especially chronic medicines, full and effective communication is made with all concerned parties, especially the Egyptian Unified Procurement Authority and the Egyptian Drug Authority to provide pharmaceuticals in the Egyptian market; to ensure the continuity of the availability of medicines to the Egyptian patient. All parties concerned with the availability of pharmaceuticals.
6 supply orders since January
The head of the Central Medical Department of Pharmacy confirmed that the category of medicine for the treatment of acute heart thromboembolism (streptokinase vial) has been registered for the category through the electronic platform of the Egyptian Authority for Unified Purchase with 6 supply requests since January 2024 until April 30, 2024. Since 20 / 2 / 2024 until 21 / 5 / 2024, four times have been allowed.
In the same context, Dr. Rasha Ziadeh, Assistant Chairman of the Drug Authority for Technical Development and Capacity Development, said that exceptional import approvals are made to solve the global problem related to the shortage of some pharmaceutical items and we are working to overcome the current problem until there is availability in the items. A new system that allows the transfer of medicine from one hospital to another and from one province to another according to the need and consumption rate.
At the end of the meeting, the committee recommended the need to provide and distribute the drug streptokinase to various hospitals nationwide, set a mechanism and specific criteria for its distribution according to need, and speed the provision of alternative drugs and work to localize the manufacture of these drugs in Egypt.

Policy recommendations emphasize improving transparency, such as requiring manufacturers to report supply disruptions to regulatory bodies like the FDA, and maintaining safety stocks of essential medicines.

Title:

Content: FDA gave instructions to pharmaceutical manufacturers to prevent the risk of defects
The FDA has released a draft guideline that will allow pharmaceutical manufacturers to more accurately report disruptions to the production of drugs and APIs.
In particular, it specifies who should contact the regulator in case of a failure in production and on which products it is necessary to transmit information.
The U.S. Food and Drug Administration (FDA) has issued draft guidelines to pharmaceutical manufacturers to prevent the risk of flaw.
According to the instructions, they will notify the agency of changes in the manufacturing process of drugs, biological products or active pharmaceutical ingredients (API).
In the United States, FD & C. It requires manufacturers to notify the agency of interruptions in the supply of products or APIs.
The FDA ’ s new guidelines provide clarifications.
Manufacturers must submit a notice to the FDA at least six months before stopping drug production, which could lead to their shortages on the market.
If it is not possible to notify the agency six months in advance, it should be done “as soon as possible ”.
If interruptions in production may affect the supply situation, the manufacturer should assess the situation only on the basis of its capabilities.
It should not take into account the capacity of other manufacturers, the amount of product on the market or market demand.
The guidelines also state what specific product or API information manufacturers should report when informing the FDA.
CBS, citing a report from the US Senate, writes that by the end of 2022, the shortage of drugs in the US had reached a five-year peak and affected almost 300 pharmaceutical products.
This is due to the fact that the United States moved production to China, India and other countries.
According to the American Society of Health System Pharmacists, products such as sodium chloride solution, the antibiotic amoxicillin and albuterol inhalation solution are now in short supply.
Nikolay Sokolov
pharmvestnik

Economic and social implications of shortages include increased healthcare costs, patient anxiety, and the exploitation of smuggling networks, which exacerbate local supply issues.

Title:

Content: Lack of medicines in MOH hospitals and accumulation of indebtedness Repercussions / solutions
3 hours ago
Dr. Naeem Malkawi
The problem of shortage of medicines in Jordanian hospitals requires quick and effective attention and intervention, as providing medicines to patients is one of the foundations of quality health care and one of the most important strategies of the Ministry of Health, however, the shortage of medicines in many hospitals leads to health, economic and social challenges that threaten the quality of health care and patient safety.
The budget of the Ministry of Health of medicines, vaccines, vaccines and medical consumables for this year 2023 was estimated at 103.75 million dinars, where the actual for the past year 2022 was 93.8 million dinars.
The question is, how did the Ministry of Health accumulate such a large indebtedness in the item of medicines to reach 300 million dinars for pharmaceutical companies?
And why last week was the debt of 2019 cleared and deducted estimated at 50% of the debt for that year?
This means that there is still a delay in the payment of dues for companies for the years 2020, 2021 and 2022 in addition to eight months of the current year 2023, and this brings us to a range of reasons and challenges:
1.
The aim of the Ministry of Health was to reduce the bureaucracy of procedures and overcome the complexity of procurement references in hospitals and health directorates in the governorates and not to obtain price and discount preferences, but the results indicate a defect in the management and mechanism of dealing with the strategy of unified and central procurement, despite the margin for hospital administrations to use the power of direct purchase in cases of necessity.
2.
Preparation of sub-budgets for hospitals: Evidence shows that there is a problem in the preparation of sub-budgets for hospitals and the main budget of the Ministry of Health with regard to the item of medicines, which is due to the lack of accurate and sufficient data on the number of patients and hospital needs of medicines, and the lack of accurate forecasting of future needs.
3.
Delays in the review of financial claims and invoices between the Ministry of Health and the hospitals on the one hand and the pharmaceutical companies on the other hand, is one of the most important reasons behind the accumulation of indebtedness, and this negatively affects the liquidity of the pharmaceutical companies and hinders them from providing a sustainable service in adhering to the procedures of supplying medicines according to schedule.
4.
Lack of coordination and communication: There may be a lack of coordination and communication between hospitals, the Ministry of Health and pharmaceutical companies, which complicates the supply and distribution of medicines and increases the chances of delays and the depletion of medicines from hospitals in the absence of an effective policy for stock management and the time required for stock adequacy.
5.
Focusing on the trade names of certain drugs from specific production sources and not adopting the protocol of writing the scientific name for the prescriptions of patients.
6.
One of the reasons that may be major and important at the same time is the funding aspect and the lack of the necessary allocations or use them in other aspects other than medicines to fill a deficit or emergency during the use of budget items due to the scarcity of available liquidity. Medication.
Lack of medication can lead to:
1.
Threat to patient safety: Lack of medication puts sick people at risk, as this can lead to delays in receiving necessary treatment or the unavailability of vital drugs, putting their lives at risk.
2.
Economic Implications: The lack of medicines entails additional economic costs for the health system and patients.
Medical cases may be referred to other medical centers or private hospitals, increasing pressure on other MOH budget items.
3.
Pressure on health care workers: Health care workers are under pressure as a result of dealing with patients affected by drug shortages and repeatedly facing their inquiries and complaints.
4.
Social repercussions:
Increased anxiety and stress: A lack of medication can lead to an increase in anxiety and stress among patients and their families, as they live in uncertainty about the availability of the necessary treatment.
Lack of medication can affect the level of trust in the health system among citizens, who may feel that the system is unable to provide them with adequate health care.
Increased costs and social burdens: Some patients may have to incur additional costs to obtain drugs from other sources outside hospitals, affecting their financial and economic status.
After all this narrative there must be ways to overcome these dilemmas:
1.
Preparation of budgets scientifically and professionally: Hospitals should develop more accurate standards for the preparation of sub-budgets for medicines, through the analysis of previous data, estimation of future needs and other scientific and methodological foundations in the preparation of budgets and commitment to apply them accurately.
2.
Improve coordination and communication between parties: Coordination between the Ministry of Health, hospitals and pharmaceutical companies should be strengthened through the establishment of structured mechanisms for information exchange, review of invoices, and completion of claims, and not delay them.
3.
Implementation of fiscal reforms: The Government and the Ministry of Health should implement fiscal reforms that provide funding to cover this important item and pay dues in a timely manner, reduce bureaucracy in the financial audit process, and proceed with payment procedures within the timetable mechanism agreed in the tender terms.
4.
Achieving social responsibility: The government and pharmaceutical companies should adopt a social responsibility towards patients by providing these drugs and reducing their prices in the market to make them more accessible to patients while relieving part of the pressure and burden on hospitals.
Addressing the problem of drug shortages in government hospitals requires comprehensive cooperation between all concerned parties from government, Ministry of Health, hospitals, drug suppliers and patients.
To provide medicines on a permanent basis and to ensure the provision of high quality health care to the Jordanian patient.

To mitigate future shortages, governments and pharmaceutical companies are urged to adopt fiscal reforms, incentivize local production, and enhance coordination between health authorities and manufacturers.

As a caretaker, monitoring the availability of your parent’s medications and consulting healthcare providers about alternative treatments can help navigate these challenges effectively.