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A voice activated PERS would have helped in my father's case, since he fell by his bed.  To work in the home, it would need to be installed in each room and be inobtrusive.  It might need to be invisible to the elderly, which is very difficult in their own home, for people who don't want any monitoring system.  It would not work at all when outside the home shopping, for example.  For this it may be posible to get the elderly to care a cell phone.  There will need to be a range of options.  I doubt one solution can handle every case.