An Asynchronous Tri-Node IoT Architecture for Real-Time Environmental Mitigation in Bedridden Patients
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How to Cite

Daniel, Nitin Babu, Sebastian Terence, and Jude Immaculate. 2026. “An Asynchronous Tri-Node IoT Architecture for Real-Time Environmental Mitigation in Bedridden Patients”. Journal of Trends in Computer Science and Smart Technology 8 (2): 413-28. https://doi.org/10.36548/jtcsst.2026.2.011.

Keywords

Internet of Medical Things (IoMT)
Edge Computing
Asynchronous Architecture
Multi-Modal Biosensing
Real-Time Anomaly Detection
Automated Mitigation

Abstract

Although IoT has enhanced health monitoring among immobile subjects, conventional cloud computing-based frameworks are riddled with perilous network latency, separating biometrics from environmental settings and hindering timely physical intervention. This paper discusses a unique tri-node, asynchronous edge-computing structure that shifts from passive monitoring to proactive, local intervention. Biometric abnormalities are constantly detected by the Smart Glove (Telemetry Node), which includes an ESP32-S3 microcontroller, an MPU-6050 gyroscope, and a CJMCU-6701 galvanic skin response sensor. Concurrently, the Dispenser Node, based on Arduino Nano, evaluates environmental factors using DHT22, GY-302, and MQ-135 sensors and operates as a robotized emergency pillbox driven by servos. The system then initiates a physical mitigation operation by activating exhaust fans, emergency LED lights, and window servos to improve air quality when biometric and environmental anomalies overlap, with an Automation Box, based on Arduino Nano ESP32, serving as the central processing unit. In order to maintain clinical documentation, all data is permanently stored in a centralized database. As a result, the bi-modal paradigm attains a 96.0% detection rate and a latency of only 72 milliseconds.

References

  1. Hasan, Nowshad, and Mohammad Faisal Ahmed. "Wearable Technology for Elderly Care: Integrating Health Monitoring and Emergency Alerts." Journal of Computer Networks and Communications 2024, no. 1 (2024): 5593708.
  2. Ucar, Mustafa Hikmet Bilgehan, Arsene Adjevi, Faruk Aktaş, and Serdar Solak. "Utilizing IoMT-Based Smart Gloves for Continuous Vital Sign Monitoring to Safeguard Athlete Health and Optimize Training Protocols." Sensors 24, no. 20 (2024): 6500.
  3. Harrison, Amy, Andrea Jester, Surej Mouli, Antonio Fratini, and Ali Jabran. "Systematic Evaluation of IMU Sensors For Application in Smart Glove System for Remote Monitoring of Hand Differences." Sensors 25, no. 1 (2024): 2.
  4. Tseng, Chin-Kun, Shi-Jia Huang, and Lih-Jen Kau. "Wearable Fall Detection System with Real-Time Localization and Notification Capabilities." Sensors 25, no. 12 (2025): 3632.
  5. Paramasivam, Alagumariappan, M. Jenath, T. S. Sivakumaran, and S. Vijayalakshmi. "Development of Artificial Intelligence Edge Computing Based Wearable Device for Fall Detection and Prevention of Elderly People." Heliyon 10, no. 8 (2024).
  6. Valenti, Simone, Gabriele Volpes, Antonino Parisi, Daniele Peri, Jinseok Lee, Luca Faes, Alessandro Busacca, and Riccardo Pernice. "Wearable Multisensor Ring-Shaped Probe for Assessing Stress and Blood Oxygenation: Design and Preliminary Measurements." Biosensors 13, no. 4 (2023): 460.
  7. Assaad, Rayan H., Mohsen Mohammadi, and Oscar Poudel. "Developing an Intelligent Iot-Enabled Wearable Multimodal Biosensing Device and Cloud-Based Digital Dashboard for Real-Time and Comprehensive Health, Physiological, Emotional, And Cognitive Monitoring Using Multi-Sensor Fusion Technologies." Sensors and Actuators A: Physical 381 (2025): 116074.
  8. Volpes, Gabriele, Simone Valenti, Giuseppe Genova, Chiara Barà, Antonino Parisi, Luca Faes, Alessandro Busacca, and Riccardo Pernice. "Wearable Ring-Shaped Biomedical Device for Physiological Monitoring Through Finger-Based Acquisition of Electrocardiographic, Photoplethysmographic, and Galvanic Skin Response Signals: Design and Preliminary Measurements." Biosensors 14, no. 4 (2024): 205.
  9. Karagiannis, Dimitrios, Konstantinos Mitsis, and Konstantina S. Nikita. "Development of a Low-Power IoMT Portable Pillbox for Medication Adherence Improvement and Remote Treatment Adjustment." Sensors 22, no. 15 (2022): 5818.
  10. Nasir, Zara, Amina Asif, Muhammad Nawaz, and Muhammad Ali. "Design of a Smart Medical Box for Automatic Pill Dispensing and Health Monitoring." Engineering Proceedings 32, no. 1 (2023): 7.
  11. Dayananda, P., and Amrutha G. Upadhya. "Development of Smart Pill Expert System Based on IoT." Journal of The Institution of Engineers (India): Series B 105, no. 3 (2024): 457-467.
  12. Pv, Saikishen, K. S. Sana, Thushara Thampi, Tummala Adithya Reddy, Tarun Sudheer Kartha, and K. R. Jayasree. "MediMate: Smart Pill Dispenser Powered by ESP32." In 2025 International Conference on Electronics and Renewable Systems (ICEARS), IEEE, 2025, 133-139.
  13. Parkavi, A., B. J. Sowmya, Sini Anna Alex, S. Supreeth, G. Shruthi, S. Rohith, Sudipta Chatterjee, and K. Lingaraj. "Air Quality and Dust Level Monitoring Systems in Hospitals Using IoT." Discover Internet of Things 5, no. 1 (2025): 23.
  14. Saini, Jagriti, Maitreyee Dutta, and Gonçalo Marques. "Indoor Air Quality Monitoring Systems Based on Internet of Things: A Systematic Review." International journal of environmental research and public health 17, no. 14 (2020): 4942.
  15. Ghorbani, Fatemeh, Amirmasoud Ahmadi, Mohammad Kia, Quazi Rahman, and Mehdi Delrobaei. "A Decision-Aware Ambient Assisted Living System with IoT Embedded Device for In-Home Monitoring of Older Adults." Sensors 23, no. 5 (2023): 2673.
  16. Irugalbandara, Chandra, Abdul Salam Naseem, Sasmitha Perera, Sithamparanathan Kiruthikan, and Velmanickam Logeeshan. "A Secure and Smart Home Automation System with Speech Recognition and Power Measurement Capabilities." Sensors 23, no. 13 (2023): 5784.
  17. Baek, Jaeho. "Smart Predictive Analytics Care Monitoring Model Based on Multi Sensor IoT System: Management of Diaper and Attitude for the Bedridden Elderly." Sensors International 4 (2023): 100213.
  18. Sinchai, Ananta, Chanatip Thippakdee, Chalesuan Theeranukul, Chissanupong Sri-Utaiwong, Torkiat Phasujit, and Pornpawee Malithong. "A Real-Time Web-Based Application of Healthcare Monitoring and Notification System Using IoT technology." In Proceedings of the 2023 5th World Symposium on Software Engineering, 2023, 104-112.
  19. Ali, Amir, Teodoro Montanaro, Ilaria Sergi, Simone Carrisi, Daniele Galli, Cosimo Distante, and Luigi Patrono. "An Innovative IoT and Edge Intelligence Framework for Monitoring Elderly People Using Anomaly Detection on Data from Non-Wearable Sensors." Sensors 25, no. 6 (2025): 1735.
  20. Seo, Na Jin, Kristen Coupland, Christian Finetto, and Gabrielle Scronce. "Wearable Sensor to Monitor Quality of Upper Limb Task Practice for Stroke Survivors at Home." Sensors 24, no. 2 (2024): 554.
  21. Bayar, Dilara, Ceren Aridici, Yağız Sedat Metin, Oğuz Za, and Rifat Edizkan. "Elderly Fall Detection System with ESP32 Module and Edge Impulse Studio." In 2023 7th International Symposium on Innovative Approaches in Smart Technologies (ISAS), IEEE, 2023, 1-6.
  22. Srivastava, Priyanshu, Namita Shah, and Kavita Jaiswal. "Microcontroller-based EdgeML: Health Monitoring for Stress and Sleep via HRV." Engineering Proceedings 78, no. 1 (2024): 3.
  23. Hizem, Moez, Leila Bousbia, Yassmine Ben Dhiab, Mohamed Ould-Elhassen Aoueileyine, and Ridha Bouallegue. "Reliable ECG Anomaly Detection on Edge Devices for Internet of Medical Things Applications." Sensors 25, no. 8 (2025): 2496.
  24. Pancholi, Sidharth, Thomas H. Everett IV, and Bradley S. Duerstock. "Advancing Spinal Cord Injury Care Through Non-Invasive Autonomic Dysreflexia Detection with AI." Scientific Reports 14, no. 1 (2024): 3439.
  25. Manual, Training. "Pulse Oximetry Training Manual." World Health Organization (WHO), Geneva, Switzerland (2011).
  26. Wang, Fu-Tai, Hsiao-Lung Chan, Ming-Hung Hsu, Cheng-Kuan Lin, Pei-Kuang Chao, and Ya-Ju Chang. "Threshold-based Fall Detection Using a Hybrid of Tri-Axial Accelerometer and Gyroscope." Physiological measurement 39, no. 10 (2018): 105002.
  27. Bourke, Alan K., J. V. O’brien, and Gearid M. Lyons. "Evaluation of a Threshold-Based Tri-Axial Accelerometer Fall Detection Algorithm." Gait & posture 26, no. 2 (2007): 194-199.
  28. Boucsein, Wolfram. Electrodermal Activity. Springer science & business media, 2012.
  29. Janssen, John E. "Ventilation for Acceptable Indoor Air Quality." (1989).
  30. Jacklitsch, Brenda L., W. Jon Williams, Kristin Musolin, Aitor Coca, Jung-Hyun Kim, and Nina Turner. "Criteria for a Recommended Standard: Occupational Exposure to Heat and Hot Environments." (2016).