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A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting

Muhammad Javed, John Dingley, William Dickson, Kayvan Shokrollahi

Annals of Plastic Surgery, Volume: 72, Issue: 2, Pages: 135 - 137

Swansea University Author: John Dingley

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Abstract

INTRODUCTION AND AIMS:Ventilated patients in ITU (intensive treatment unit) tend to be challenging to communicate with, especially patients who are being weaned. These patients usually have tracheostomy in situ and use means such as writing or letter boards to communicate. The situation becomes comp...

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Published in: Annals of Plastic Surgery
ISSN: 0148-7043
Published: 2014
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URI: https://cronfa.swan.ac.uk/Record/cronfa27464
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spelling 2018-06-29T19:49:56.5345988 v2 27464 2016-04-26 A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting 1283ffdd09b091ec57ec3e235a48cfcc John Dingley John Dingley true false 2016-04-26 PMSC INTRODUCTION AND AIMS:Ventilated patients in ITU (intensive treatment unit) tend to be challenging to communicate with, especially patients who are being weaned. These patients usually have tracheostomy in situ and use means such as writing or letter boards to communicate. The situation becomes complex in patient groups that have burn injuries with bulky dressings and restricted upper limb function. We demonstrate a low cost, easy to use, potentially disposable system that can display words on any television screen via patient input device for such patient groups.MATERIALS AND METHODS:The system consists of input device incorporated with Arduino microcontroller (an open-source electronics prototyping platform based on easy-to-use hardware and software intended for creating interactive environments) and 4 generously oversized control buttons. These are used to control the cursor movements (up, down, left, right) while a fifth has a "select" function. These are large enough to be pressed by an entire bandaged hand using gross upper limb movements only. A standard television is used to display menu containing the 26 letters of the alphabet and a flashing cursor. The patient selects the required letters/icon by moving the cursor and the words so created are displayed along the lower part of the screen for the carers to read. It is envisaged that anyone with basic craft skills should be able to construct this device.CONCLUSION:This device is a self-contained, cost-effective, simple, and open-source system that can be used effectively to bridge the communication gap with significant potential for patient care globally. Journal Article Annals of Plastic Surgery 72 2 135 137 0148-7043 31 12 2014 2014-12-31 10.1097/SAP.0b013e318228e2f0 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2018-06-29T19:49:56.5345988 2016-04-26T22:38:23.7074131 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Muhammad Javed 1 John Dingley 2 William Dickson 3 Kayvan Shokrollahi 4
title A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
spellingShingle A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
John Dingley
title_short A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
title_full A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
title_fullStr A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
title_full_unstemmed A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
title_sort A Cost-Effective and Simple Electronic Solution to Communication With Patients With Tracheostomy in a Burns and Intensive Care Setting
author_id_str_mv 1283ffdd09b091ec57ec3e235a48cfcc
author_id_fullname_str_mv 1283ffdd09b091ec57ec3e235a48cfcc_***_John Dingley
author John Dingley
author2 Muhammad Javed
John Dingley
William Dickson
Kayvan Shokrollahi
format Journal article
container_title Annals of Plastic Surgery
container_volume 72
container_issue 2
container_start_page 135
publishDate 2014
institution Swansea University
issn 0148-7043
doi_str_mv 10.1097/SAP.0b013e318228e2f0
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description INTRODUCTION AND AIMS:Ventilated patients in ITU (intensive treatment unit) tend to be challenging to communicate with, especially patients who are being weaned. These patients usually have tracheostomy in situ and use means such as writing or letter boards to communicate. The situation becomes complex in patient groups that have burn injuries with bulky dressings and restricted upper limb function. We demonstrate a low cost, easy to use, potentially disposable system that can display words on any television screen via patient input device for such patient groups.MATERIALS AND METHODS:The system consists of input device incorporated with Arduino microcontroller (an open-source electronics prototyping platform based on easy-to-use hardware and software intended for creating interactive environments) and 4 generously oversized control buttons. These are used to control the cursor movements (up, down, left, right) while a fifth has a "select" function. These are large enough to be pressed by an entire bandaged hand using gross upper limb movements only. A standard television is used to display menu containing the 26 letters of the alphabet and a flashing cursor. The patient selects the required letters/icon by moving the cursor and the words so created are displayed along the lower part of the screen for the carers to read. It is envisaged that anyone with basic craft skills should be able to construct this device.CONCLUSION:This device is a self-contained, cost-effective, simple, and open-source system that can be used effectively to bridge the communication gap with significant potential for patient care globally.
published_date 2014-12-31T03:33:17Z
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score 11.012678