Closing conference of SYSIASS – June 17 th 2014 The Challenge of Effective Provision of Assistive...
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Closing conference of SYSIASS – June 17 th 2014 The Challenge of Effective Provision of Assistive Technology: Increasing or decreasing quality of life? Matthew Pepper Clinical Scientist East Kent Hospitals University NHS Foundation Trust
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Transcript of Closing conference of SYSIASS – June 17 th 2014 The Challenge of Effective Provision of Assistive...
Closing conference of SYSIASS – June 17th 2014
The Challenge of Effective Provision of Assistive Technology:
Increasing or decreasing quality of life?
Matthew PepperClinical Scientist
East Kent Hospitals University NHS Foundation Trust
Closing conference of SYSIASSJune 17th 2014
The Challenge of Effective Provision of Assistive Technology: Increasing or decreasing quality of life?
Some reflections
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IntroductionThe TeamAssistive Technology
Posture managementPowered MobilityCommunication Effective Provision - Reflections/Conclusion
Closing conference of SYSIASSJune 17th 2014
IntroductionWhat is Assistive Technology?
Assistive Technology - devices or equipment for people with disabilities. Goal is to enhance quality of life;•assist, improve or restore the physical, mental and social function and well being of the user;•promote greater independence by enabling people to perform tasks that they were formerly unable to accomplish.If electronic then Electronic Assistive Technology or EAT.Two examples:
Closing conference of SYSIASSJune 17th 2014
Assistive Technology“Communication”
From a “low tech”Communication book
to a “high tech” computer with a voice output.
Closing conference of SYSIASSJune 17th 2014
Assistive Technology “Mobility”
• walker
• or a powered wheelchair
Closing conference of SYSIASSJune 17th 2014
The Team
The effective provision of Assistive Technology depends on the creation of multidisciplinary team which includes the;• User• Family• Carers• Therapists• Engineers• Suppliers• ---------
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Closing conference of SYSIASSJune 17th 2014
The Challenge of Effective Provision of Assistive Technology: Increasing or
decreasing quality of life?
• Reflect on experiences in England of providing a service to all ages and all conditions.
• Consider Examples from three interdependent areas of Assistive Technology– Posture Management– Powered Mobility– Communication Aids
Closing conference of SYSIASSJune 17th 2014
Posture Management“Custom Made Seating”
• Who is it for?• Why is this vital?
– Function & Development• Cognitive load• Access for daily living
– Comfort– Correction or containment of deformity– Key requirement for accessing assistive technology
Closing conference of SYSIASSJune 17th 2014
Independent Powered Mobility“Specialised Controls”
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Joystick with Computer and Environmental
ControlSip & Puff
Mini Joystick
Switch Scanning
Closing conference of SYSIASSJune 17th 2014
Specialised Powered Chair Controls“Posture and Access”
Closing conference of SYSIASSJune 17th 2014
Communication“Low Tech”
Switch Control of Windows Media Player
Single Message Switch
Two MessageSwitch
Closing conference of SYSIASSJune 17th 2014
Communication Mid-Tech
iPadwith
Communication Software
Closing conference of SYSIASSJune 17th 2014
CommunicationHigh Tech
Closing conference of SYSIASSJune 17th 2014
Communication Access“Switches”
Is everything OK?
Closing conference of SYSIASSJune 17th 2014
Communication Access “Eye Gaze System”
Closing conference of SYSIASSJune 17th 2014
Access by Eye Tracking
• Track Eye Position• Control the on-screen cursor• Select objects by
• Blinking• Remaining on the object
Closing conference of SYSIASSJune 17th 2014
The Promise of Independence
Closing conference of SYSIASSJune 17th 2014
The Reality?• Specialised eye gaze hardware
– Sunlight sensitive• Specialised software to track eyemovement
– Sensitive to• Glasses• Eye colour• Eye shape• Position of the user’s head
Also - Integrated with• Specialised communication softwareAlso - Integrated with• Windows operating system• The likely outcome - reliability?Communication Rate – 1 selection a second?Support Required?Be realistic in expectations?
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Closing conference of SYSIASSJune 17th 2014
Posture, Communication, Access and Mounting
If one component is incorrect – What is the possible outcome?
Closing conference of SYSIASSJune 17th 2014
Reflections• Multidisciplinary Assessment Important• User, family and Care Network are vital part of
the team• Can the User cope with the technology
demands?• Can the Care/Support Network cope?• The extra demands for users with rapidly
progressing conditions
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Closing conference of SYSIASSJune 17th 2014
Reflections: The Challenge of Effective Provision of Assistive Technology - Increasing or decreasing quality of
life?
• Training of “Expert” and Health Care Professionals as well as users and care network
• High quality suppliers with expert “help desk”• Keep it simple• Understand and learn from the reasons for rejection• Keep users and carers in the centre
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Closing conference of SYSIASSJune 17th 2014
Thank you for listeningMerci pour votre écoute
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