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Before the Next Shift
V20 Ultimate Zero-Placeholder Edition

A Digital Care Handover Passport for Elderly Stroke Survivors

面向中风后老人的数字照护交接护照。
Preserving personal context across rotating caregivers.

Project Documentation

Before the Next Shift

Service DesignHealthcare UXAphasia Accessibility

"The goal is not to make the resident easier to manage. The goal is to make the resident harder to misunderstand."

1. Background & Problem

In long-term care communities, shift handovers transfer medical tasks but often lose the person. Stroke survivors, particularly those with aphasia or hemiparesis, have nuanced ways of expressing discomfort or consent that disappear in clinical logs.

2. Empathy Map

To break the "Medical Gaze", I mapped the cognitive and sensory experience of a stroke survivor in a nursing home.

User
Think & Feel

"I am losing my dignity. I wish they understood my silence means 'no'."

Hear

Medical jargon, rushed footsteps, monitors beeping.

See

Different faces every shift. Personal items moved out of reach.

Say & Do

Turns head away when offered food. Grips bedsheets tightly.

3. User Journey Map

Tracking the emotional friction of a caregiver during a 15-minute handover cycle.

Phase
1. Shift Prep (30s)
2. In-Room Care (10m)
3. Post-Care Exit
Emotion
Pain Points
Too much text in EMR. No time to read.
Accidentally moving objects causing resident panic.
Forgetting to log subtle behavioral changes.
Design Opp.
3-Signal limit UI.
Visual Radar Blueprint.
Voice dictation logger.

4. Information Architecture

The system is designed as a linear "Task Flow" rather than a database, forcing accountability at each step.

App Entry (Select Resident)
Clinical Context
Vitals & Body Map
Priority Signals
Spatial Config
Radar Scanner
Lock Hotspots
In-Room Mode
Glance Signals
AAC Board

5. Wireframes Iterations

Concept 1: Radar Blueprint
Map Area
Concept 2: In-Room AAC
CareSync Terminal
Window: 14:59

01. Select Resident

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Mr. Lin / \u6797\u5148\u751f
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Mr. Chen / \u9648\u5148\u751f
Biographical Identity
Medical Proxy
Voice Context

02. Clinical Context & Signals

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03. Behavioral Guidelines

Anxiety Triggers
    Calming Strategies
      Privacy: Open to team
      Privacy: Ask first

      04. Spatial Safety Anchors

      05. Scenario Response

      06. Auth & Sign-off

      Shift Check-in: How are you feeling before entry?
      Caregiver Digital Signature (Draw below)
      Slide to Sign Handover \u279E
      NEXT-SHIFT PASSPORT
      \u25CF Signed & Active
      Priority Care Signals
        Locked Safe Zones
        Privacy
        Glance View
          Resident Communication Board