Debbie FINAL Flashcards
Read and Write Software are good for?
clients with learning disabilities and developmental disabilities
What is a DRAGON
a computer speech recognition program that allows people to talk to their computer and have their speech turn into text
what is Kurzweil 3000? who is it often used by?
scanning, reading and studying tool often used by people who have learning disabilities
Name some Assistive Technology for Communication
communication books or boards talking photo albums levelled communicators: step by step single message devices talking pockets, buttons tech/ speak go talk, cheap talk
What are examples of assistive tech
low mid high
what is a low tech assistive tech ? provide an example
Low Tech AT are devices or equipment that DO NOT REQUIRE MUCH TRAINING, LESS EXPENSIVE AND IS NOT COMPLEX
ex: magnifiers large print text canes/ walkers pencil grips paper and pen to communicate
what is a mid tech assistive tech ? provide an example
Mid Tec AT devices or equipment that range in the MIDDLE of the continuum that may have SOME complex features, ELECTRIC OR BATTERY, SOME TRAINING, MORE EXPENSIVE THAN low tech devices.
ex: talking spell checkers manual wheelchair captions for televisions books on CD's alternate mouse or keyboard
what is a hightech assistive tech ? provide an example
High Tec AT refers to the MOST COMPLEX, DIGITAL or ELECTRONIC, COMPUTERIZED, most likely require TRAINING, COST the MOST.
Ex: power wheelchairs digital hearing aids bluetooth hands-free devices voice activated phones
why does INFORMATION TECH EXIST ? (IT)
FSEE
functioning
skills
the environment
expereinces
Why does TECHNOLOGY AND PHYSIOLOGICAL FUNCTIONING EXIST?
Manage HEALTH PROBLEMS
Controls ones’s BODY
Improve MUSCLE TONE
Promote HEARING
How does IT help with skill enhancement ?
HINT : 3 monkey signs and move
move better ex: wheel chair
speak better ex: communication systems
hear better ex: hearing aids computerized eye glasses
see better ex: magnifiers, reading scanners
How can IT help with the control of the environment ?
environmental control units: increases safety, control lights, electrical doors, appliances, detect intruders
smart homes: remote controlled doors/ windows and motion lighting
navigation: to help people find their way around - with hearing and visual options
interactive computer programs: touch screen
what is tongue technologies ?
This is a new technology where it allows people with severe disabilities to control their environments with their tongue. Movements of the tongue can then be translated into manipulation of a computer mouse, control of a wheelchair, and other interactions with the surrounding environment.
*mall magnet implanted in the tongue
how can assistive technology expand experiences?
increase socialization
write better - computers that respond to speech
create better - outlet for creative expression
learn and remember - text, video and audio cues
recreate better - assistive equipment
Why do people use IT for adaption/ accommodation ?
limited knowledge and awareness of assistive technology
misconceptions - persons with disabilities cannot function properly in society, cannot be productive
raise awareness of how assistive technology can include PWD
what is “ THE HUMMER” ?
the hummer converts vocal cord vibrations into a digital signal. The message is then fed to a computer tray deciphers the noise as if it were to click of a mouse ,allowing users to type works and complete sentences.
where was “ the hummer” developed? and who for?
Holland Bloorview Kids Rehabilitation hospital
to help youth who have complex disabilities but can still “hum”
what is administrative technology
involves tools that exist in our field to administer, score, assessment, results and evaluate service outcomes
what is Low Tech administrative technology
simple devices that have few mechanical parts and do not require power source.
ex: fidgets, wiggle seats, therapy balls and bands
reader trackers, timers, jumbo anything
Manipulatives- Push, pull, twist, turn and learn ***
what is mid Tech administrative technology
relatively complicated mechanical devices that may require a power source but can not contain sophisticated electronic systems
ex: smart/ mobile phones personal digital assistants trackballs talking calculator tablet/ computer handheld devices or wearables
what is High Tech administrative technology
Information technology systems are composed of:
People Hardware Software Data Procedures
The management of these information are called INFORMATICS - designed to deliver the right information, to the right person, in the right place, at the right time, in the right way
what are 2 informatics systems in Canada?
ehealth Ontario
Alberta Netcare
These allow healthcare professionals to have access to a clients DEMOGRAPHIC data, prescribed/dispensed drugs, allergies/intolerances, laboratory test results, diagnostic imaging reports, and other medical reports
What are some of the drawbacks identified in using paper form documentation?
- charting, how can you analyze
- lost
- mistakes
- no time
- cost
What are some of ways that healthcare informatics has addressed some of the lags (drawbacks) in healthcare information collection?
- digital software, computerized information , creating electric health records, helps enhance productively,
- the process has now became faster
- reduce cost by being quicker and more efficant
- when charting online; gives the best result getting patient the best treatment and best outcomes with the least cost
what does eHealth look like for the TR ?
Hospital care setting: eHealth refers to electronic patient administration systems; ASSES, DOCUMENT and EVALUATE + message interdisciplinary team.
Home care setting- TELE-CONSULTS and remote activity level monitoring systems
Within LTC/ Community - computer systems medical records and monitor clients goals and objectives
A FUNDAMENTAL BUILDING BLOCK of all these applications is the Electronic Health Record, which allows the sharing of necessary information between care providers across medical disciplines and institutions.
what are some examples of eHealth systems that the TR may encounter
point click care/ point of care
activity pro/ connections
Retracker
ADL DATA SYSTEMS etc
what benefits does eHealth and EHR have?
accurate information
communication for other providers
privacy
decisions are made in consultation with them
Barriers of electronic medical records EMR
Financial Technical Time Psychological Social Legal Organizational Change process Insufficient computer skills Complex HIT user interfaces Poor staff computer literacy Frustration with navigating thesystem Need for consistent input into EMR Lack of enthusiasm for efficient use Lack of interoperability with other systems Need to scan documents from non-EMR systems into patient EMRs Poor vendorsupport
what are the benefits of EMR
Improved access to patient records Improved patient care Referrals Improved access security Improved practice efficiency Record patient encounters Improved record and report preparation Improved patient safety Track patient improvement Reduced repeated tests and tasks Improved continuity of care for chronic conditions and reduced delays Monitor course of action for other members of interdisciplinary team.
Why is Canada lagging in EMR ?
rates of adoption and funding support
due to :
finical and time constraints and lack of knowledge
what are the 4 Ethical considerations for tech in TR Admin
autonomy
justice
beneficence/ non- maleficence
privacy and confidentiality
Autonomy
Allowing “individuals to make their own choices and develop their own lives in the context of a particular society and in dialogue with that society;”
Any type of EHR system or use of technology in TR must maintain respect for patient autonomy, and decisions must be made about the access, content, and ownership of the records.
what is the “conflict” in autonomy for patients
and whats the balance that is created
CONFLICT: Many patients might desire a level of control over their records’ content online
However- this leads to a conflict
Medical access versus legal responsibilities
BALANCE: Patients should be restricted from modifying or deleting any of the content entered by health care professionals; however, it should be acceptable for autonomous patients to view, annotate, or challenge the record with relative ease.
This type of access might actually result in a higher quality document because patients will act as proofreaders of their own health histories
what is Justice as a ethical consideration
Justice is commonly defined as “fairness.”
TR has a duty to provide clients with access to an adequate level of health care that fulfills basic needs.
are user-friendly, fully integrated, easily searchable, and built with well-designed hardware and software
Increased access = equitable survive
N.B mindful of digital divide
what is Beneficence/Non-maleficence as a ethical consideration
Beneficence- the duty to do only good
Non-maleficence- The duty to do no harm
Interventions
EHR
Assistive technology
Medical records contain some of the most sensitive information about an individual.
If EHR systems cannot maintain the highest level of data security, patients could suffer a variety of harms.
when delivering a tech program it is important to consider :
make sure the client is benefiting consider when how and when to terminate the use make modifications if necessary make sure its appropriate be patient
What do we need to remember when involving technology in programming?
new technology, but that gap is slowly closing of old tech
Technology may offer a means of reaching a greater number of young people (advocacy, community planning)
‘wii’ can be used as a physical activity benefits, therefore some technology can be used for exercising
Technology is always changing and advancing- professional responsibility to stay up to date
Recognize that while we can use technology to meet program, meet the needs of clients, we should always be mindful of over use
how do you set up ACTIVITY PRO
create an account through admin team
when reordering scores: activity logger- open resident (1:1) or by activity (group)
Pick the activity
then proceed to glance at the list of residents that have engaged in the activity in the last 45 days ; when needing to add a new resident click new resident, which will allow to search a new resident that attended the program
when clicking the name; RT can rate the engagement and involvement of client.
how do you go about logging or recording data to activity pro?
monitor activity and resident reports to identify what programs are working and build program successes
identify opportunities to match programs with your residents capabilities so they can experience the maximum quality of engagement
when logging and recording data simply search the resident and rate the resident on their engagement towards the activity. this rating can be a 1 as poor to 3 that is full engagement
when scoring residents RT needs to remember the activity domain and the benefit from the activity.
when scoring we want to score the quality and quantity - how well the resident engaged and how many times they have participated
while using activity PRO what are some key points mentioned regarding departmental data management systems?
allows daily, guaterly, 6 months and yearly reviews
records birthdays
department wide announcements and private messaging
easily extract the data you need to report to government or health authorities
identifies successes and challenges, then develop best practice approaches to apply across home
decides what resident needs more attention and help with domains
helps with risk alerts
protects our jobs
what are some risks associated with using EMR documentations ?
unsaved work
accurate corrections to the record
edit completely
fraud is an issue when false info submitted
agenda is needed when knew information is corrected- why did you correct work
provide proof and also record
how can you avoid risks associated with EMR
submit notes on time and correctly
take notes through out the program/ assessment
submit info truly and accurately
do not delete process notes after being submitted
submit own work
what is RECTRAC 2 ?
is eHealth software
RecTracker 2.0 shares results and discoveries and keeps everyone involved fully appraised of what is going on in sessions. Families can view summary of patient of their loved ones domains and how they were rated that day. This is a easy software that allows the TR to plug in information without having to write full progress notes, using SMART goals and objectives. Very time bound, and accurate. This program can easily identify re-assesments and the process the resident is making.
can save as a draft or submit to file.
