Medical Alert and Loss of Autonomy: What the SMAF Tells Us
Used in Quebec only
Every year, thousands of senior’s experience falls, forget to take their medications, or leave their homes without being able to find their way back. For caregivers, it’s a source of worry. For professionals, it’s a signal: autonomy is fragile.
How can we know when a medical alert system becomes necessary? And which type should be chosen based on real needs? That’s where the SMAF (Functional Autonomy Measurement System) becomes a key tool in Quebec’s healthcare system.
What is SMAF?
The SMAF is a comprehensive assessment grid used by professionals to determine a person's level of autonomy in five key domains:
- Activities of Daily Living (bathing, dressing, eating)
- Domestic activities (cooking, cleaning, managing money)
- Mobility (moving indoors and outdoors)
- Communication (hearing, speaking, understanding)
- Mental functions (memory, judgment, orientation)
To you, caregivers and families:
If you've ever thought, “I hope she's okay...”, or “He could use a little something extra”, then maybe it's time to ask the question: what if a medical alert could make the difference?
Medical alert systems are no longer reserved for “extreme cases”. Today, they are:
- discreet (watches, pendants, smart bracelets)
- automated (fall detection without manual support)
- connected (GPS and two-way voice calls)
The Link Between SMAF and Medical Alerts*
ISO-SMAF Profile
Examples of needs
Recommended alert type
1 to 4
High functional autonomy, but possible isolation
Basic system (bracelet or button pendant)
5 to 8
Help with hygiene, limited mobility, frequent forgetfulness
Alert with automatic fall detection
9 to 11
Moderate dependence, cognitive confusion, disorientation
GPS-enabled alert with geolocation and two-way voice calls
12 to 14
Severe dependency, non-verbal, bedridden or in CHSLD
Presence sensors, intelligent bed, passive surveillance
* The information is provided for guidance only and does not constitute any form of diagnosis regarding your state of health or your needs. If in doubt, please consult a healthcare professional.
Real-Life Examples
Ms. Ellen, 82 years old — ISO-SMAF Profile 6
Lives alone, mobile but with poor balance.
- She received a bracelet with a fall detector. Since then, two alerts have been automatically triggered and sent to a 24/7 connected control center.
- His daughter is then immediately alerted, and in the event of absence, first responders are notified.
Mr. John, 78 years old — ISO-SMAF Profile 10
Has moderate cognitive impairment
- A GPS device with a safety zone was installed.
- His son receives a notification if his father exceeds a defined perimeter.
Assessment: CLSC and staff from partner establishments (Retirement Homes, CHSLD) can help you
In many cases:
- They can carry out a home assessment for loss of autonomy
- The need is identified during the SMAF assessment
- The alert then becomes a service included in the intervention plan
SOS-MEDIC can help you!
We offer the following medical alert solutions:
- SOS Home with or without fall detection: bracelet or pendant with button (with or without landline)
- SOS Watch with fall detection: GPS connection with two-way voice calls
- SOS Mobile, panic button with fall detection, GPS connection with two-way voice calls
Key Takeaways
A medical alert is not a sign of weakness - it's a tool for empowerment.
When combined with a SMAF assessment, a medical alert system becomes a valuable tool for maintaining safety, autonomy, and peace of mind at home.
Families and family caregivers: talk to your loved ones' caregivers. It's possible to take action before the next emergency.
