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Stephanie Surratt

Posted at giovedì, 20 ottobre 2016 22:16 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
While looking at possibilities of pool builders, you'll want to verify their credentials by checking the company's references in addition to client testimonials. Another thing to ensure is in such case whereby the company is insured and licensed.
 
Jenine Vandell

Posted at giovedì, 20 ottobre 2016 20:48 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
For being U.S. Small Business Administration Preferred Lender, MCCU is proud to offer quite a lot of services for entrepreneurs within the Houston community. To learn more Members Choice Credit Union can help you with your whole checking and savings needs, auto and private loans, credit cards, and homes equity value loans, visit our convenient locations or get in touch with us today.
 
Marianela Ally

Posted at giovedì, 20 ottobre 2016 19:44 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Our Freeform or Natural pool designs are an item of beauty. Freeform or natural shaped pools seem to flow with the form of your front yard in a whimsical free form style. The perfect feature to produce a freeform or natural shaped pool this is usually a rock waterfall or grotto, creating a tropical feel in the backyard.
 
Leonia Sabo

Posted at giovedì, 20 ottobre 2016 19:31 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Professional pool builders try to fulfill you and make it possible for what you wish might be achieved. Regardless how small or big the area is and what type of pool you wish installed, reputable companies may have answers for you.
 
Cole Cardinas

Posted at giovedì, 20 ottobre 2016 17:21 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
You can also ask folks that you know if they'll reccommend a pool contractor. Try groups comparable to builders' associations, a beach or related association.
 
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Jenny Lewis's VO Genesis
 
Maureen Kanosh

Posted at giovedì, 20 ottobre 2016 14:23 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Fall fashion is incomplete without a few radical and domineering trends that no one can get enough of. Animal prints being one of the obvious picks from this category. Always oozing out intensity and giving a rather slick and sultry look, Animal prints are a wide ranging choice.

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A very hip trend that is never run off the rails, animal prints makes one look rich, posh and poised. This also covers well and gives a rounded and well fit appeal to curvy women and speaks class and spice at the same time.
 
Marceline Stright

Posted at giovedì, 20 ottobre 2016 14:16 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0

One of the most old yet pristine techniques to invoke potential customers to hit the website, is that of Email Marketing. Holding the key to many problems online marketeers face, Email marketing is still as effective as ever before.

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Jason Searcy

Posted at giovedì, 20 ottobre 2016 14:16 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Vibrational Manifestation by Matthew Norman
 
Bennie Uranga

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Ellsworth Alberti

Posted at giovedì, 20 ottobre 2016 14:07 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
As technological advancements keep changing the world every second, firms and businesses need to be ever ready to adapt to this dynamic environment and embrace the opportunities that such changes and technical upgrades offer.
Pnormatics is here to ease this tension of handling change by yourself. a national research and consulting firm, Pnormatics works closely with its clients, so that together they can strengthen their capacity to carry out their missions, make better decisions, and deliver more effective services.

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Cesar Hardimon

Posted at giovedì, 20 ottobre 2016 14:01 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Business Process Outsourcing results that stand at the tip of your fingers, with not just problem solving techniques but also growth and enhancement capabilities for your firm that help in skyrocketing revenues and profits, all available with Bizzbuster.

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Thurman Montierth

Posted at giovedì, 20 ottobre 2016 14:00 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Luther Gesick

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Elidia Partee

Posted at giovedì, 20 ottobre 2016 13:51 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Widely known for building awesome mobile applications, E tech Solutions is the best place to be for assistance, consulting and hands on experiencing for creating the sharpest and the most striking featured applications for your mobile phones.

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Tara Klemencic

Posted at giovedì, 20 ottobre 2016 13:46 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Joline Novotny

Posted at giovedì, 20 ottobre 2016 13:28 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Gary Zuckerwar

Posted at giovedì, 20 ottobre 2016 13:19 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Alesha Rauser

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Juana Gutzmann

Posted at giovedì, 20 ottobre 2016 13:05 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Allyson Willougby

Posted at giovedì, 20 ottobre 2016 12:57 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Roman Burries

Posted at giovedì, 20 ottobre 2016 09:19 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
All carpet cleaning firms are not the exact same. You should see to it that they are approved appropriately which their cleaning services are certified in the areas they execute.
 
Sherell Winterling

Posted at giovedì, 20 ottobre 2016 03:03 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Your pool builder must be up-to-date on local building codes governing pools in your neighborhood, but it is often a wise decision to double-check before construction begins. Local building codes may even regulate the size or placement whatever the pool.
 
Clyde Babine

Posted at giovedì, 20 ottobre 2016 02:37 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Contractors will be found many different places, and a few could be as easy as opening a phone book. However, any potential companies must always be checked with the better business bureau and the neighborhood chamber of commerce.
 
Tracee Aschbacher

Posted at giovedì, 20 ottobre 2016 01:45 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
There are different varieties of things you can design with gunite swimming pools. You can have the builder create different shapes. Or you will have him install small stones or multi-colored tiles. The gunite does not come with being a neutral color.
 
Sun Stuble

Posted at mercoledì, 19 ottobre 2016 22:08 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
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Conrad Burglin

Posted at mercoledì, 19 ottobre 2016 21:59 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Many pool contractors offer a wide range of pool packages so that you can choose from. It is vital to ask what is included through these packages to stay clear of any hidden costs.
 
Philip Kniffin

Posted at mercoledì, 19 ottobre 2016 21:27 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Hair Extensions classes are needed for the beautician or hair artist who wants to find out the ability of applying hair extensions also to be certified as a Professional.
 
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Posted at mercoledì, 19 ottobre 2016 17:47 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
Trying to take your invention from idea to market takes work, time, and money. Even with putting your full time and effort into developing your idea, it may still be difficult to make ends meet.
 
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Posted at mercoledì, 19 ottobre 2016 03:17 Visit posters website Mozilla/5.0 (Windows NT 6.3; WOW64; rv:28.0) Gecko/20100101 Firefox/28.0
The Assignment Will Demonstrate How Assistive Technology Is Used In Health And Social Care
The assignment will demonstrate how assistive technology is used in health and social care
The Assignment Will Demonstrate How Assistive Technology Is Used In Health And Social Care
Unit 20
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The Assignment Will Demonstrate How Assistive Technology Is Used In Health And Social Care
Introduction
The Assignment Will Demonstrate How Assistive Technology Is Used In Health And Social Care
SUPPORTIVE INDEPENDENT LIVING
The Assignment Will Demonstrate How Assistive Technology Is Used In Health And Social Care
Independent living simply means all people with disabilities having the same freedom, choice, dignity and control as other citizens (normal) at home, at work, and in the community. It does not mean living on your own or by yourself or fending for yourself it means our rights as citizens to practical assistance and support from the state to participate in society and live an ordinary or near normal life.
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The seven needs of independent living
• Peer support
• Personal Assistance
• Housing
• Technology
• Access
• Information
• Transport
Techno Aid is a company specialising in technology that can help individuals to access health and social care services and live independently. As more people access independent living funds and become employers of their own personal assistances, the balance is shifting from dependency towards independence.

A.C 1.1
How technology can be used to support users of health and social care services in living independently?
What is assistive Technology?
Assistive Technology is defined in the Technology-Related Assistance Act (Tech Act) as "any item piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities" (Tech Act, 1988). Assistive technology can be made at home and designed specifically for an individual, purchased in a local store, or ordered out of a catalogue that is targeted toward people with disabilities and their families. Technology can be high tech or low tech. Examples of low tech are ramps, switches, switch-operated toys, communication boards, car door openers, Dyce (non-skid material), preachers, roll-in showers, and Velcro. Some high tech examples include computers, software, extended keyboards, electronic communication devices, power wheelchairs, and van lifts for wheelchairs.
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Assistive technology will not make the disability go away; it can only lessen the impact of the disability stated by (Moore, 1991). Hopefully assistive technology will increase independence and improve an individual's outlook on life. Assistive technology can help students access their education, as well as enable adults to secure a job. Individuals with disabilities can become an integral part or their community – from education to leisure activities to work – with the appropriate technology.
However, assistive technology is not without its problems or barriers. Many times the devices that are needed are very expensive and resources are not readily available; or the equipment is purchased and no training or support system is in place to show the individual how to use it
Effectively; or the device simply breaks down and needs to be repaired (Moore, 1991).
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The three technology devices are, power recliner chairs for the disabled, and Braille books for blind people.
Tele careis used to describe sensors or detectors (for example movement, flood, gas, smoke or fall detectors) that automatically send a signal via a base unit connected to a telephone line (‘tele') to a care, community alarm or monitoring service and which can call for assistance (‘career') when it is needed. The person with dementia does not have to press a button or dial a number to raise an alarm states by the Royal Commission on long term care, (1999). For example, if a sensor detects gas, smoke, water or a fall, it can automatically send a signal to a community alarm service who will respond accordingly. This might be by providing reassurance, contacting an agreed key holder such as a relative, friend or warden to provide help, or contacting the emergency services. A loud speaker on the alarm base unit lets the call center talk to the person and they can talk to them. Even if they are unable to talk or are too far away from the loud speaker the service will still send help.
According to Louis Braille (1809-1852) work changed the world of reading and writing forever for the blind people. He became blind by accident at the age of 3 years old. At the age of 12 years old Charles Barbier visit the school were Louis attend and share his invention called the ‘night writing' a code of 12 dots that led soldier share top secret information on the battlefield without even having to speak. Unfortunately the code was too hard for the soldiers, but not for Louis. Louis trimmed Barbier's 12 dots into 6, ironed out the system by the time he was 15, then published the first- ever braille book in 1829. But he didn't stop there. In 1837, he added symbols for math and music. But since the public was skeptical, blind students had to study braille on their own. Even at the royal Institution, were Louis taught after he graduated, braille wasn't taught until after his death. Braille began to spread worldwide in 1868, when a group of British men, now known as the Royal National Institute for the Blind, took up the cause. Now practically every country in the world uses braille. Braille books signs help blind people get around in public places. And most importantly blind people can communicate independently without needing prints. Even if some people are blind or visually impaired, the development of assistive technology has brought many possibilities for them in the areas of education and employment. The use of latest technology and other devices, the blind and visually impaired can do more daily tasks alone now especially in reading and learning stuffs.
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Analysis of barriers of the use of technology to support users of health and social care services in living independently?
Blind people use braille book to read. Ithas a code of small raised dots on paper which the blind can read by running their fingertips over the dots. The system uses the 63 possible combination of six dots in a ‘cell' (three dots high and 2 dots wide) to form the alphabet, punctuation marks and numbers.
The two key priorities for investment in tele care are falls from prevention and mental health services for older people.Other considerations were to use technology as a contributory factor in helping to avoid residential care and avoidable hospital admissions.An example of tele care assistive technology in my place of work, is Mr and Mrs B an elderly couplewho lived within a sheltered housing scheme for years. Mr B has been his wife's carer for almost all of this time after she was diagnosed with Parkinson's disease. Mrs B's mobility has deteriorated over these years, as has her memory. Mr B has found it increasingly difficult to care for his wife and many of his and her social activities have had to be curtailed. Mr B was becoming increasingly ill at ease leaving his wife for any length of time for fear of her falling when left alone. The consequence of this was that he was feeling trapped and isolated, without the means to ‘re-charge his batteries'. Although living in sheltered accommodation which is well equipped with emergency pull cords and access to pendant alarms, Mrs B's memory problems are such that she is not able to use them.Mrs B was assisted to complete the fall questionnaireand she was assessed by an Occupational Therapist. It was identified that Mrs B was at high risk of falling, particularly if trying to rise from her chair independently. A number of options were discussed, and the preferred one was to use a falls detector. This device is worn on the waist band of a skirt, trousers or in a specially designed pouch if the recipient prefers to wear a dress.
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A.C1.3
Explanation of the benefit of these technology to health and social care organisations and their users.
The Falls Detector was of particular benefit to Mrs B as it did not require any intervention from the user. If Mrs B fell then the detector would sense the tilt of her body, and this would automatically set off the alarm at the call centre. The call centre staff would alert Mr B on his mobile telephone following a trial of some months, Mr B was asked to give his views on the Falls Detector and whether it had made any difference to his circumstances. He described it as "brilliant", adding that "I can go out, have a game of cards with friends, or go to the shops without worrying". If Mrs B does fall Mr B now feels that he can respond quickly to the needs of his wife. He says "it has given me real peace of mind". Mr B also went on to say that it means that he can continue caring for his wife, without feeling socially isolated himself.Using tele care to make real improvements to the way older people are supported, helping them and their carers to feel safe, confident, able to have control over their day-to-day lives and minimise the risks that threaten independence.This strategy will ensure the consideration of Tele care throughout the customer pathway, from the earliest point of contact right through to complex, care-managed cases, with the aim of supporting people to maintain or improve on their level of independence and avoid hospital or residential/nursing care admissions. The service offered to service users will depend on their individual.
Electric powered indoor wheelchair (EPIC) this is an electric powered wheelchair to be used within the client's home. The client must be unable to effectively walk or effectively self-propel in a manual wheelchair within their home. There must be adequate space for the wheelchair to move, including footplates and a suitable space with a power supply for charging the batteries overnight. The client must practically demonstrate they are able to independently and effectively control the wheelchair within the internal environment, taking into account hazards and/or risks.
Braille books are available in many libraries (like the Library of Congress) and schools for the blind. The production of Braille books used to use metal plates. Characters are stamped on both sides of the paper where the dots on one side do not interfere with those on the other side. But now, computers tremendously help in the publishing of Braille books. The text is typed into the computer and, with the help of a software program; it is translated automatically into Braille. Then the computer transfers the output onto printed paper or metal plates. Braille reading helps blind people to socialise with other people for example, going to restaurant with friends and finding a restaurant that has braille menu book encourage the service users to select what he would like to eat for his own choice.
A.C.2.1
Explanation of health and safety considerations in use of technology in health and social care
All new homes, public and private, and all refurbished social housing, will be fitted with the capacity for care and health services to be provided interactively via broadband from day one of occupation.A number of recent studies suggest that fragmented and inaccessible clinical information adversely affects both the cost and quality of health care as well as compromises patient safety. Information technology has been proposed as an essential tool in solving these problems and promoting better health care. When used in social and health care, technology contributes to supporting a good life, human dignity, right of self – determination, inclusion, and human care and caring.
The three technology equipment are available and they can be used by service users. The use of technology is agreed on together with the user when drawing up the service user plan.For example, an elderly woman living alone, the plan was for her to use the wheel chair for her own independence and also the alarm for her safety. Because she is an elderly person, a technology must be suited to the person's everyday life.The disadvantages and the risk related to its used should be assessed also, and how to use the information guided appropriate.Within the health and social care sectors, there is huge potential for information technology (IT) to support practitioners to practise more safely. So many things can go wrong when information is missing or incorrect or if bugs and glitches in the system interfere with business processes such as prescribing medication. When something goes wrong in health and social care, this can lead to harm to patients and clients. The use of safety standards for IT used in health and social care means that potential risks are identified in advance and can then be dealt with before the product is in use. Organisations, such as NHS Trusts, that purchase and use systems are also required to take measures that lead to an understanding of system risks and to take action, such as staff training, to ensure that systems are operated safely in the live service.
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A.C.2.2The ethical considerations in use of technologies in health and social care.
Equipment [that] is provided to support the individual in their home and tailored to meet their needs. It can be as simple as the basic community alarm service, able to respond in an emergency and provide regular contact by telephone, Department of Health (2005). Tele care can also be used in a preventative way by monitoring an individual's health or wellbeing (for instance, by using bed sensors programmed to record how many times a person leaves their bed during one night).
The technology involved in tele care services has been used for many years to support older people, most commonly in the form of pendant alarms. Tele care has great potential to benefit people who use services by improving their confidence and helping them to remain independent in their own homes. By monitoring people's safety, tele care can also free up the time of friends and family carers so they can focus more on providing social support. For example, how can practitioners ensure that monitoring people through tele care does not threaten their choice and privacy? How can practitioners support potential users to make decisions about whether to use tele care and what type of service would best meet their needs.Like many new ideas or inventions, assistive technology including tele care has the potential to benefit people, but there is also a chance it could be misused or have unintended effects. Although assistive technology can offer people greater independence and potentially free up carers' time, there are some aspects of its commissioning and provision that could compromise people's privacy, autonomy and wellbeing. Particular attention should be paid to aspects of care planning including assessment, installation and obtaining consent so that the beneficial effects of the technology are realised.
Some people with dementia may feel stigmatised by assistive technology, it is important that they are consulted as to whether they are happy to use it.
Practice points for an ethical approach to tele care
• Pre-installation phase the principal ethical concern during the pre- installation phase is that services should be tailored to the individual and that when considering appropriate tele care the risks of the person coming to harm should be balanced against their right to autonomy.
• Post-installation phase the main ethical concern during the post-installation phase is that tele care information should be collected for a positive purpose and with the consent of the person concerned. The risks of invading individual privacy should be balanced against independence.For example, an elderly man living in a shared residential home. He has his own flat that he can cook his own meal and look after himself.He is independent manever since his wife past away 15 years ago. He refuse to let anyone cook for him. Because his an old man, a plan was set for him by using tele care alarm to monitor his safety, and health.The cost of the alarm is not too expensive for the government. Ever since he has the alarm his care plan has been change and he now received meals on wheels food. He now has the confident not too be frighten anymore.
• However, this situation is not limited to tele care commissioning and provision. Practitioners are well accustomed to balancing the conflict between meeting policy aspirations and dealing with the realities of frontline practice.
A.C.2.3
The impact of recent and emerging technological developments on health and social care services, organisations and care worker
There is evidence that new technologies can improve the quality of care processes by enhancing communication, standardising processes, and enhancing workflow, especially when used in addition to existing care rather than as a substitution. For example, a survey of GP practices in Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom and the US found that health systems that promote new technologies and information system infrastructure are better able to address care coordination and patient safety issues and maintain the satisfaction of GPs.In England, researchers examined how electronic patient records influenced how staff interact with each other during critical care ward rounds compared with paper based records. Using video based analysis, observation and interviews, they found that the ward round team faced several difficulties when interacting with each other using the electronic record compared with paper records. The physical setup of the technology impeded consultants‟ ability to lead the ward round and prevented other clinical staff from contributing to discussions. These adopting new technology actually impeded multidisciplinary communication during the ward round instead of facilitating it.There are numerous examples of the benefits of new technologies. A literature review found that information technology supported a systematic approach to diabetes management in general practice. New information technologies have been used to support patients, enhance changes in healthcare delivery and provide clinicians with access to expertise and data about individual patients and populations. Such technologies have been associated improved diabetes symptoms and risk factors. There is extensive evidence that introducing new technologies can make a significant difference to the quality and safety of care. For instance, proactive tele- care assisted by decision support software has been found to improve clinical outcomes or reduce symptoms in people with depression, heart disease, diabetes, asthma and the frail elderly, amongst others. Similarly, telemedicine based consultations have been available for some years and more recently diagnostic services such as pathology and radiology are beginning to embrace this new technology. Tele radiology and tele- pathology allow medical services to be delivered across vast distances, including across national and international boundaries. Using technology in this way can be particularly valuable in remote communities where transporting patients and medical practitioners is problematic. Practitioners other than doctors deliver much of the healthcare in rural communities, so it has been suggested that it is essential to ensure that nurses and support staff are IT-enabled and technologically savvy. On the positive side, new technologies have an impact on how staff can be trained and updated. Examples include simulation technology, accessing information via handheld devices, interactiveDVDs and online training. Online technologies in particular mean that it is easier for staff to access information, share good practice and keep up to date with new research.
There are numerous examples of the benefits of new technologies. A literature review found that information technology supported a systematic approach to diabetes management in general practice. New information technologies have been used to support patients, enhance changes in healthcare delivery and provide clinicians with access to expertise and data about individual patients and populations. Such technologies have been associated improved diabetes symptoms and risk factors. The presence of new technologies means that there is a requirement to train staff about these technologies. Literature suggests that nurses and allied professionals think that computer skills should be taught as part of the undergraduate curriculum or as basic training and that staff are willing to undertake web based learning for continuing professional development in this area. Other useful core training may include information literacy, privacy and security of health information, and techniques for identifying and adopting new technologies. In the NHS, assessing and training teams in technical skills may be a priority200 as some studies suggest that practitioners may not have the competencies required to use new technologies appropriately.Whether or not formal training is provided, staff need enough time to learn about and practice using new technologies and this may impact on workload initially.Research suggests that cell phone applications can significantly reduce the cost of treating young people with severe asthma due to more frequent communication between patients and their medical teams, and by motivating patients to become more engaged and knowledgeable about their care.
A.C.3.1
An identification of the specific needs of an individual requiring support to live independently.
A spinal cord injury (SCI) may cause a loss of movement and feeling below the site of injury. You can get a spinal cord injury from a trauma, such as a car accident or a fall. Spinal cord injuries are either complete or incomplete. A complete injury results in no feeling or movement below the site of the injury. An incomplete injury allows some feeling and movement. People with spinal cord injuries also may have other problems, such as not being able to control urination and bowel movements. Those whose spinal cords are injured in the neck often need devices to help them breathe.Every client must be assessed as an individual, because no two clients are exactly the same. That's a wise principle when approaching any new client who needs assistive technology support. Electric wheelchairs are designed for an independent life and are available with a host of drive bases, seating systems and expandable control systems with spinal cord injuries (spinal cord injuries), there is a general set of clinical expectations based on where the injuries occurred. But in reality, patients with spinal cord injuries, even those with injuries in the same location, can have significantly different presentations. And for clients with injuries at the fifth or sixth cervical vertebra — the differences from client to client can be even greater. For these clients, electric wheelchairs custom fit to their required specifications can offer independent mobility indoors and outdoors. In addition the client should also have the ability to pronate his/her wrist as well as extend it and complete a tenodesis pattern — passive thumb adduction on the index finger during active wrist extension — which can also lead to a better, stronger push on the rear wheels.C6 injuries, if complete, "typically result in lack of finger movement, wrist flexion and elbow extension, but good control of elbow flexion and wrist extension. In a C6 injury, grasping items can be achieved via tenodesis with wrist extension leading to passive finger flexion.
The mobility requirements determining the many practical activities and errands that needs to be carried out each day? "The tasks they will perform at work must be considered. Do they have to carry items, and can they push and do this at the same time, And so on. All daily tasks, such as grocery shopping, banking, getting hair done, going out to eat, should be investigated.
A.C.3.2
Recommendation for how technologies might support the independent living arrangements.
The use of power wheel chair is the best for patient in and out door mobility, ability to move around in the environment.Indoor must learn how to use it in residential homes through staff support. It aids lot of changes in care environment and gives client the autonomy to move about in the environment they are living. For example, a client living in shared residential homes, because he is wearing tele care alarm and using his power wheel chair to shop at the local store make it easier and quicker. Because client has been trained how to use the technology device through the mass controller.People required power wheel chair as repositioning device to aid in prevention of pressure sores. Some manufacture produce 140- 180 degree power seat, this is helpful for medical condition, or to facilitate self-care medical activities. When it comes to recommendation ROVI power wheel chair can be the best when discussing with therapist through assessment. The wheel chair has got power leg where you can move your leg and also power seat elevation, this will help client to facilitate in doing things they are used to do for example cooking in the kitchen.A power chair can provide power seating functions that can ensure independence with pressure reliefs." Upcoming surgeries, medication changes, medical procedures, progression of the medical condition if applicable, etc. Clinicians and providers sometimes also have to consider recommending changes to seating & mobility equipment decisions as a client's medical condition changes. There are many changes that occurover a lifetime that can result in a change in recommendation. Some of these include changes in the patient's functional level, either continued recovery or a functional decline; changes in shoulder, elbow or finger range of motion, development of upper-extremity pain, change in dailyroutine or activities, change in life plan and, therefore, mobility goals, etc.The power chair as a vehicle to get to a destination and maintaining independence across all aspects of life.
A.C.3.3
An evaluation of the usefulness of technology for users off health and social care services.
The patient's desires should definitely be considered. It is very important to actively involve your patient in the evaluation process and have an open discussion/interview regarding their mobility goals. If they have a desire to drive, how would they like to do that? What kind of vehicle are they hoping to obtain? If they would like to travel, where would they like to go? How will they be getting there? During evaluations considers what clinically related changes could be anticipated. "Power assist requires a very careful assessment, as while the wheels add power and distance covered, there is a safety issue of control of the wheels and wheelchair, which requires upper-extremity fine motor coordination and control."
Talking with patients when they are having trouble accepting power mobility and helping them to understand the consequences of their decision can be undeniably difficult and time consuming. But Brown points out that these discussions are crucial to achieving a good outcome. Ultimately, the decision is up to the patient, and it is important that they feel that way. Pressuring them into something is not the answer. It could result in abandonment of the chair. It is important to fully understand the patient's and/or the caregiver's primary goals for the mobility device, related to all aspects of their life. Perhaps neither style of chair will make them independent with all of their mobility goals, but which type will check off the most items on their list in the safest and most efficient fashion? This decision is made on a completely individual basis.
Although assistive technology increase independence and improve individuals life. It helps individual from different group such as elderly, young ones and adult. Assistive technology device are expensive and effective equipment. Tele care alarm, Power recliner chair and Braille books are assistive technology used for different individual groups in residential homes for their own independence. The use of (IT) information technology protect information being linked out or missing concerning confidentiality in health and social care sector in NHS. The ethical consideration of tele care in residential homes for older people, protect them from danger. The impact of assistive technology of tele care improve clinical outcomes. The new assistive technology has been impacted that all staff need to be trained before using any equipment at workplace in health and social care sector. Client with spinal cord injury used power wheel chair because is very effective and easy to move about for day to day activities in terms of independent, but for the cost is expensive. The only problem of power wheel chair is the stigma that client felt lazy to exercise. The power wheel chair example (13 Maxx the Complete Solution) is the type of chair for spinal cord injury client. Braille books is very rare to find in some restaurant for blind people, for example in some restaurant not all of them have braille menu for blind people, likewise some organisation too. For blind people braille books are in special places such as blind people library or British library in Euston. This assignment has broaden my knowledge concerning the used of different assistive technologies used in health and social care settings.
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