Denna presentation kommer att finnas på: under Documents & Files

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1 Denna presentation kommer att finnas på: under Documents & Files 1

2 Disposition Allmän betraktelse - IKT/vård & omsorg Egna projekt - GPCC - Global RUN - Stroke Home Film, frågor och diskussion 2

3 Det personliga ställningstagandet! Onsdagen den 12 mars

4 Vård och omsorg Traditionellt top -> down PCC Patientcentrerad vård down -> up Balans önskvärd PCC-angelägenheter: bemötande tillgänglighet information kunskap delaktighet medbestämmande val m.m. Martin Rydmark 2007 i Guide till det virtuella samhället (Bengt Wahlström), SNS förlag, s

5 Dator / IT / IKT / Internet För oss inom vård & omsorg är det frågan om verktyg, för IT-folk är det frågan karaktärsämne/-vetenskap. Här finns ett dilemma... Historisk utveckling av verktyget : Räknemaskin, bokningsverktyg, register Text, databaser och ritverktyg Bilder, ljud och video Kommunikation, brev och telefon Sociala och informativa nätverk och portaler Cyberspace... Stor verktygslåda, patienter/närstående och vi inom vården måste bestämma applikationen!!! 5

6 Kartan This work is licensed under a Creative Commons Attribution- NonCommercial 2.5 License. This means you're free to copy and share these comics (but not to sell them). 6

7 Kartan 2.0 7

8 Begrepp MMORPG Text is available under the Creative Commons Attribution- ShareAlike License 8

9 Sammanfattning IKT Vård & omsorg IKT användas i behandling, vård och omsorg för att stärka patienters och närståendes hälsa, egenvård, kunskaper och makt över sin egen situation! Teknik- och leverantördriven utveckling och implementation Ingen bryr sig Ingen gör något 9

10 The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. University of Gothenburg centre for Person-Centred Care (GPCC) Göteborgs universitets centrum för personcentrerad vård Board of Governors: Styrgrupp Representatives from SA, SU and County of VG Scientific advisory board: Vet. Ref. grupp Strategic research input Scientific quality assurance e.g. top scientists The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. Stakeholder assembly Patient organizations, HTA repr., Gothia Forum, industry Scientific core committee: Kommittén för teoretisk grund inom PCV Ensure the conceptual integrity of PCC in in research programs Steering committee : Styrkommittee Center director : Centrumf öreståndare Executive committee: Ledningsgrupp Strategic and operative responsibility Research and Education domains: Forsknings och utbildnings domäner Symptom Research Symptomforsk ning Health Care Org. Hälso- och sjukvårdens org. Supportive research domains: Stöd forskningsdom äner Methodology Metodologi Utilization and Implementation Nyttiggörande- - verksamhet Informatics & Learning Informatik och lärande Support functions: Adm. stab External relations General administration Economic administration Director of studies: Studierektor 10

11 Remote University Networks (RUN) -for human performance Use of a Virtual Human Performance Laboratory to Improve Integration of Mathematics and Biology in Sports Science Curricula in Sweden and the United States A Collaborative Effort Between Goteborg University & Stanford University Martin Rydmark, MD, Ph.D., Associate Professor, Mednet, Inst. Biomedicine, The Sahlgrenska Academy at Göteborg University, Göteborg Jacob Lindh, School of Sport Science, Göteborg University 11 EC-TEL, Cannes, 2009

12 Academic Education Scaffold Matrix GU/Stanford L e v e l Undergraduate studies Research studies Advanced (Master) studies Curriculum Matrix: Context & Content ICT & Pedagogy Ethics & Gender Culture & Society to: Learn Present Use Do/Skills Research University entrance Various Educational Programs in Health Care & Medicine 12

13 RUN-Course - Process Map Examination Bases Key Note Lectures Examination: Examinators Verdict Main Core Project Documentation, Poster and Oral Presentation Individual Self-assessment Storyboards Work Process Group Assessment Oral Group-seminar Criteria Optional Resources Introduction ICT - Resources Evaluation of Project Staff Consulting Experts Reflective Blog Summary 5 Weeks 13 [Lindh J, Rydmark M: ] VR Conference KTH 2006

14 DISCUSSION LEADER Auditorium at Stanford Univ. COMMENTATOR International cross country expert Middle University, Östersund Bosön experiment DISCUSSION LEADER Auditorium at the Univ. of Gothenburg AUDITORIUM Stanford University (SU) 40 students BOSÖN EXPERIMENT: MODERATOR, GU students lab. experts, Stanford tutors AUDITORIUM Univ. of Gothenburg (GU) 74 students BOSÖN Data is illustrated on a big screen countinously during the experiment Bosön: Marratech (MT) on laptop and on the big screen on demand. SU & GU: MT on big screen. MiUn: MT on laptop Equipment: Large treadmill, 3-D motion captiure, EMG, VO2, 14 puls, RQ, lactate, Borg

15 Status Global-RUN (G-RUN) HT 2009 RUN är nu en etablerad kurs vid Göteborgs universitet. Fungerar som pedagogisk modell. G-RUN har deltagar från flera fakulteter och program. Observatörer från potentiella samarbetspartners: Stockholm GIH Östersund Mitthögskolan Skidcentrum Oslo NIH Odense Brisbane Kapstaden -> Documents and files RUN-project homepage -> Promotionvideo -> 15 VR Conference KTH 2006

16 Stroke Home Vinnare av Sjukvårdens IT-pris 2007 December 2009 Martin Rydmark läkare, docent, universitetslektor i medicinsk informatik Mednet, Institutionen för biomedicin Sahlgrenska akademin, Göteborgs universitet Jurgen Broeren Daniel Goude Katharina S Sunnerhagen Christian Blomstrand Hans Samuelsson Staffan Björk m.fl. utvecklar och distribuerar kliniska bedömningsoch träningssystem, se 16

17 Bakgrund Stroke är vanligt och förekommer i alla åldrar Alla hjärnans funktioner kan skadas och måste utredas Rehabilitation är nästan alltid nödvändig och tar lång tid På sjukhus sköter man rehabiliteringen bra Träningen ska vara regelbunden och på max. kapacitet Rehabilitering/träning hemma fungerar inte alls bra Oftas håller man bara på två veckor och sedan lägger man av Det är jobbigt att åka till träningslokaler MR Kan VR/3D & haptisk bedömning och träning med telemedicinsk kommunikation HEMMA vara en engagerande/rolig och effektiv rehabilitering? 1. Individualiserad träning med serious games och andra engagerande aktiviteter ska användas! 2. Systemen ska vara billiga och enkla att använda! 3. Systemen ska vara nätbaserade och ha video/audiokommunikation! 17

18 Semi immersive workbench

19 Haptisk pekpinne 19

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21 Visualization of kinematic motion data Velocity (m/s) Force (N)

22 Taxonomy - created to bridge medical terminology and game design Game Design Paterns Games Cognitive impairments

23 Organisation för distansrehabilitering Vänner och anhöriga 23 23

24 RESULTAT: Bedömning och träning av motorik 0,25 Baseline (A) Intervention (B) Follow-up (C) 0,20 Hastighet (m/s) 0,15 0,10 0,05 P1 P2 P3 P4 0,00 Bedömningstillfälle P5

25 Träningseffekter: rörelsemönster, hastighet och acceleration Before After Follow up End point Start point 5w 12w 25

26 Neglektbedömning Patient no:4 26

27 Utvärdering och spekulationer Patienterna tycker om att arbeta med systemet Patienterna uttrycker subjektiva förbättringar av den motoriska funktionen och även av sensoriska/kognitiva funktioner VR-bedömningen fungerar minst lika bra som traditionella bedömningsverktyg Bedömningen är objektiv, kvantitativ, automatisk och presenterar kinematisk information God kostnadseffektivitet 27

28 NyTeknik Nr Film: World of Vårdkraft

29 Tack! Presentationen kommer att finnas tillgänglig under Documents & Files på: Web: E-post: 29