CHAPTER 1

Introduction

Elderly care, as our elders get older and prone to any kind of disease and have a higher risk of

Dizziness or Vertigo. They need some kind of care that will help them maintain their health such

as when to take their medicine and when they need to visit their doctor. Mostly they didn’t get to

have the attention that they needed.

Technology in its own has a widespread of ideas or systems that makes living easier. Some of the

existing application are in Japan wherein robots are the one who is assisting the elders. Here in

the Philippines robot is not obtainable to our elders due to poverty, mostly the fortunate one can

acquire the robot assistant.

As per the HelpAge Global Network, the quantity of senior natives in the Philippines is rising quicker

than the complete populace. "In 2000, there were 4.6 million senior residents (60 years or more

established), speaking to around 6 percent of the all-out populace. In multi decade, this developed

to 6.5 million more established individuals or about 6.9 percent of the all-out populace. The National

Statistics Office extends that by 2030, more established individuals will make up around 11.5

percent of the absolute populace," the system said in its profile on maturing in the Philippines. The

United Nations Population Fund (UNFPA) and HelpAge International said in a report distributed in

2015 that the senior populace in the Philippines is required to hit 23.63 million by 2050 or 15.3

percent of the populace.

Elder people generally will experience health issues such as becomes weak, prone to disease,

decreased vision ability etc. Therefore, health attention is needed for them especially from the

family, doctor/specialist or nurse. GABAY aims to develop an application on mobile phone for ABC

Hospital that could be helpful for the elderly people.

Mainly the objective of the proposed application is to help our elders on maintaining their health

and for reminding them when to take their medicines and reminding them when and where is their

doctor’s appointment. Also, we propose this application for the safety, accessibility and assistance

of the elders. Strengthen coordination and collaboration with our client involved in the

implementation of the application.

Statement of the Problem

The main problem of the study is how to help the elderly people specially those who have health

issues to maintain their health. Specifically, this study aims to address the following problems:

What the mobile application will offer:

 Reminders and monitoring of their health concerns?

 Contact person in case of emergency purposes?
 Do they still have time or guide to exercise?
 Will it entertain or help the elders to relax through music?
 What is the level of conformity of GABAY in terms of the standards set by ISO (ISO 25010)?
 How is GABAY system deployed and implemented in order to maximize its benefits?
Objectives of the study:

Objectively the study focuses on designing and developing a mobile application that will help the

elderly to maintain their health and if they have health issues it can help them to monitor it.

Specifically, it aims to answer:

Design and develop a mobile application that is capable of:

 Reminding them on when and what medicine they will take. Reminding them their scheduled Doctor’s
appointment.
 Providing a “Emergency” button where the relatives will be contacted when there is an emergency.
 Providing a “Exercise” button for if the elder wants to exercise.
 Providing “Music” button for the entertainment of the elder.
 To evaluate the level of conformity of GABAY in terms of standard set by ISO(ISO25010); and
 To outline, implement and plan on how to deploy the GABAY system for its maximum benefits

Significance of the study

The proposed mobile application will be significant to the following:

To the elder people, the proposed mobile application will benefit elder people that need assistance

in terms of reminding their medicine when they need to take it so they will be aware.

To the sick people, the proposed mobile app will benefit the people who have illness to monitor the

patients health state and provide with valuable recommendations patients must at least be ready

to follow the recommendations in the mobile app properly.

To the relatives of the patients, the proposed mobile app will benefit the relatives of the patients,

the app will guide them when the patients have an appointment or medical checkup with their

doctors. The application will increased the awareness of the relatives because the app will always

remind them in time when the patients need to take the medicines. Not only the taking of the

medicine will remind the relatives the app also remind when its time for therapy or exercise.
Scope and limitation

The scope and delimitation of the study focuses on the features that the system can provide which

are the following:

Emergency Button where shows the contact information and automatically alerts the emergency

contact person.

Exercise Feature it plays a video of exercise routines for elders where the elders can follow it.

Music Feature it plays a music for the relaxation of the elders.

Reminder Feature it will give prompt message to take your medicine in the right time and will remind

them to check up with his/her doctor.

The limitation of the study focuses on the features that the system cannot control or provide which

are the following:

Need to be connected to the internet,

You cannot interact with the mobile application through voice control and the

mobile application can’t track your blood pressure and heart rate per minute.

There’s no medical record to view

Need to have load balance for sim carrier

Definition of terms

GABAY - is an mobile application that helps elders on maintaining their health and alerts the elders

for their doctor’s appointment.

 CHAPTER 2

Drivers of Healthcare Globalisation and Their Effects on Medical Tourism.

Content: Globalisation has intensified in many parts of the world, becoming an important challenge

for public health institutions and policymakers. Although many studies have been conducted on the

role of globalization in healthcare, no consensus has been reached on its effects. In this

commentary, we attempt to evaluate the drivers of healthcare globalization and their effect

on medical tourism destination selection. The focus of the commentary is the effects of

globalization on patients, whose primary purpose is to travel for planned treatment

for health reasons. People from developed countries look for alternative healthcare services and

travel to developing countries for cost-effective medical care. Factors which foster medical tourism

include demographic changes, remodeling of the healthcare industry, modern technological

changes and advanced medical practices, including cost and quality considerations. This

commentary presents a list of key factors related to globalization and their effects

on medical tourism.

Synthesis: Our thesis proposal aims for the health alertness for elderly that experience health

issues as becomes weak, prone to disease, decreased vision ability etc. who will need help for

their health and to alert their daily medicine or exercises.

Reference: http://web.b.ebscohost.com/ehost/detail/detail?vid=30&sid=048a5383-02fc-4380-

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sessmgr04&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=131493940&db=hjh
Health Care Information Technology, Work Organization, and Nursing Home Performance.

Content: The authors investigate whether electronic medical record (EMR) systems are associated

with higher levels of nursing home performance. Their difference-in-differences analysis is based

on a survey of health care information technology (HIT) use in approximately 304 New York State

nursing homes, combined with regulatory data from the Center for Medicaid and Medicare Studies

(CMS) Nursing Home Compare database and the New York State RHCF-4 financial reports. For

nursing home owners, the authors find a positive effect of EMR-system implementation, on the

order of 1% higher productivity, 3% greater efficiency, but approximately 2.7% higher cost. They

also find that EMR systems amplify the returns to modern workplace organization. Facilities that

are one standard deviation higher on a work-organization scale—composed of practices that

encourage employee collaboration, decision making, suggestions, and problem solving—have no

adverse cost impact of adoption of HIT, and adoption of HIT is associated with a productivity

increase of 1.5% or more. They find no evidence of an impact on health care quality.

Synthesis: Health Care Information is like our thesis because GABAY shows the database of your

medical records and and the health reminders and showing the history of past medical records.

Reference:http://web.b.ebscohost.com/ehost/detail/detail?vid=28&sid=048a5383-02fc-4380-

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sessmgr04&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=bth&AN=116673885
SUPPORT FOR ASSISTANCE PROGRAMS DECLINES WHEN IT IS FRAMED AS WELFARE.

Content: Framing effects can alter responses to a question based on how the question is presented.

The present study examined framing effects in response to questions regarding participants'

support for welfare (a general frame) or for specific assistance programs such as assistance for

needy families (specific frame). Undergraduate students (n = 363) rated their support for general

and specific governmental assistance programs. Programs framed as assistance received greater

support than those programs labeled as welfare. Moreover, specifically

labeled assistance programs (e.g., food stamps) received more support than programs given

general labels (e.g., assistance programs). Programs specifically helping children and

the elderly received more support than programs designed in order to support other groups.

Results demonstrated framing effects in participants' support for eligible people utilizing

aid programs. These results imply that the social stigma associated with the term "welfare" may be

reduced if other specific assistance terms are used.

Synthesis: GABAY is comparison of the assistance programs because of it’s mobile app that assist

eldery through mobile that notifies elderly for their medicine and to check their sick and health.

Reference:

http://web.b.ebscohost.com/ehost/detail/detail?vid=4&sid=e1a66399-ee02-40b0-92b7-

9946ecd8ae6a%40pdc-v-

sessmgr04&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=139304584&db=a9h
 'Having to learn this so late in our lives...' Swedish elderly patients' beliefs, experiences,

attitudes and expectations of e-health in primary health care.

Content: The elderly are an increasing group and large consumers of care in Sweden.

Development of mobile information technology shows promising results of interventions for

prevention and treatment of chronic diseases. Exploring the elderly patients' beliefs, attitudes,

experiences and expectations of e-health services helps us understand the factors that influence

adherence to such tools in primary care. Material and methods: We conducted focus group

interviews with 15 patients from three primary health care centers (PHCCs) in Southern Sweden.

Data were analyzed with thematic content analysis with codes and categories emerged from data

during analysis. Results: We found one comprehensive theme: 'The elderly's ambivalence towards

e-health: reluctant curiosity, a wish to join and need for information and learning support'. Eight

categories emerged from the text during analysis: 'E-health - a solution for a non-existing

problem?', 'The elderly's experiences of e-health', 'Lack of will, skills, self-trust or mistrust in the

new technology', 'Organizational barriers', 'Wanting and needing to move forward', 'Concerns to be

addressed for making e-health a good solution', 'Potential advantages with e-health versus

ordinary health care' and 'Need for speed, access and correct comprehensive information'.

Conclusions: Elderly patients in Sweden described feelings of ambivalence towards e-health,

raising concerns as accessibility to health care, mistrust in poor IT systems or impaired abilities to

cope with technology. They also expressed a wish and need to move forward albeit with reluctant

curiosity. Successful implementation of e-health interventions should be tailored to target different

attitudes and needs with a strong focus on information and support for the elderly. Key points:

Exploring the elderly patients' beliefs, experiences, attitudes and expectations of the fast

developing e-health services helps us understand the factors that influence adherence to such

tools in primary care. Elderly patients in Sweden reported ambivalence and different experiences

and attitudes towards e-health, raising concerns as accessibility to health care, costs and mistrust
in poor IT systems or impaired abilities to cope with technology. They also expressed a wish and

need to move forward albeit with reluctant curiosity. Successful implementation of e-

health interventions should be tailored to target different attitudes and needs with a strong focus

on information and support for the elderly.

Synthesis: Base on my understanding they have similarities especially in health service through

electronic devices, also they have the same objectives that wants to help sick people but this topic

only focuses on elderly people and our project is for everyone who have sick or need some guide.

Reference:

http://web.b.ebscohost.com/ehost/detail/detail?vid=9&sid=0f3c8bea-8b8e-4d72-adb3-

5f2f45d8f85d%40pdc-v-

sessmgr04&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=135671644&db=pbh
 Mobile Behavioral Therapy for Headache: Pilot Study.

Content: Background: Frequently recurring tension headaches, migraines, and orofacial pain affect

over 2.4 billion people worldwide, representing the second most prevalent medical condition in the

world. In-office behavioral therapy (ie, relaxation and mindfulness exercises) has been shown to

be one of the most effective treatment options for these patients. However, it has been underutilized

due to stigma, cost, and accessibility. Mobile health apps may be one way to provide accessible,

lower cost care in a nonstigmatized environment. As a result, apps are becoming an increasingly

popular method for delivering behavioral therapy interventions and may provide an effective means

to reach this population. Objective: The aim of this study was to assess the feasibility and

acceptability of delivering a clinically validated behavioral therapy for

migraine/headaches through a mobile app. Methods: Twenty-one migraine or headache sufferers

met the criteria for severe migraine disability determined by the MIDAS test. Participants completed

a two-week baseline period in which they kept a daily headache diary through the Halo app. They

then began a four-week intervention period. During this period they were instructed to complete

ten minutes of relaxation training exercises provided by the app each day, as well as monitor

headaches via the daily headache diary. Relaxation training exercises consisted of various

breathing techniques, progressive muscle relaxation, and mindfulness. Headache frequency was

tracked throughout the intervention period, and further assessments, such as an in-person

interview and posttreatment MIDAS test, were completed at the end of the four-week intervention

period. Results: Analysis of data showed that there were significant differences between baseline

scores (Headache Frequency Average=11.47/mo, MIDAS average=25.4) and postintervention

follow-up (Headache Frequency Average=6.63/mo, MIDAS average=11.7, Frequency P<.01,

MIDAS P<.01). Postintervention interviews revealed that more than 90% of the participants felt that

the Halo beta app was easy to use and provided a benefit to the user. More than 85% of

participants enjoyed using a daily headache diary and felt it gave them greater insights into their
condition. More than 90% of the patients felt that the relaxation training had helped reduce the

frequency of their headaches or headache related disability. Conclusions: We found that

mindfulness and relaxation-based interventions administered through the Halo beta app was a

feasible and acceptable treatment for people suffering from frequently recurring headaches and

migraines or disability associated with headaches and migraines. The pilot demonstrated the

potential feasibility and usability of a mobile health app in delivering behavioral therapy for

headache and migraine as an adjunct or alternative to in-office behavioral therapy for headache

and migraine.

Synthesis: Their similarity of the topic to our study is that they have the same way to help the people

who needs to be guided when they are in time that they have different kind of headache, like

migraine. Like our study they both have a Instructions, Guide and therapy to help the people who

have headache or migraine

Reference:

http://web.a.ebscohost.com/ehost/detail/detail?vid=12&sid=3a9c64b6-0de0-4544-a1d0-

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 CHAPTER 3

Designs and Methodology

This chapter explains and presents the system and its processes in the form of diagrams and

charts. This chapter will illustrate the system into a graphical representation that will show the

difference between the current and the proposed system.

Current System

This app comes from one of the most notable names in elderly care. AARP Caregiving is an app

that empowers caregivers with information on how to effectively care for an aging loved one.

The app allows users to monitor symptoms, coordinate care with other family or caregivers, and

keep track of appointments and medications. It also features a help center, where caregivers can

find answers to urgent or commonly asked questions.

Proposed System

Our proposed app is also an elderly care or assistance. This app aims to monitor the medications,

doctor’s appointment, etc. this app also has exercises and relaxing features. The emergency

feature also exist on the proposed system.

GABAY: Mobile Application (Requirements)

Software

Software Uses

Android Phone (Kitkat 4.4) To run the application to its full

capabilities

Python (Pycharm) To run the application to its full

capabilities

Wi-Fi To have a connection to the cloud

server

Firebase Realtime Database To store and sync data on cloud

database

Conceptual

Input Process Output

Knowledge Requirements:  Plan GABAY
 Java  Design
 Database  Develop A mobile
 HTML  Test application that
 CSS
 Launch helps elders on
Software Requirements:  Feedback maintaining their
 My SQL After receiving the health and alerts
 MS Access feedback/comments the elders for their
 Dreamweaver we will do changes doctor’s
Hardware Requirements appointment.
 Desktop/Laptop

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