Technology Related Research @ Bruy�re Continuing Care

							Bruyere Continuing Care: BIGR Rounds

             2012/06/14
Ontario Telemedicine Network 2009 Annual Report
At Bruyère Continuing Care, technologies are being researched that address
important issues for our patients, such as, computer access, continence
management, effectiveness of mobility aids, falls risk assessment, home safety
monitoring, recovery following stroke, and support to caregivers.
See a demonstration video of the Nouse at:
http://www.nouse.ca/Shop/
For the following questions, please use the scale below:
5=Without any difficulty; 4=With a little difficulty; 3=With some difficulty; 2=With much difficulty; 1=Unable to do
Dr. Jeff Jutai
   jjutai@uottawa.ca

Research lab located at:
Saint-Vincent Hospital,
Annex B, 3rd floor

Lab phone (SVH):
613-562-6262 x2245
Bruyère Hospital,
Study
                                          Patient admitted to
                                          Élisabeth Bruyère Hospital
                                          and assessed for medical
                                          suitability


                                    YES           Suitable for         NO
Primary care nurse obtains verbal                 the Study?
consent from patient to meet                                                Routine care and
VRRASS research associate                                                   therapies



 Patient contacted by VRRASS
 research associate who details
 the study to the patient and
                                           Consent form signed and
 provides written information
                                           clinical outcome measures
                                           initiated
                                    YES

   Patient consents to
   participate in the study?

                                    NO
                                              Routine care
                                              and therapies
α
→
                             Hip pressure region
                                      1




                                      Hip




                        Hip and hand pressure regions
                                      4




                                     Hip
                                     Hip

                            RH
                    1
                    3
                    2                           LH




Bed Exit Position            Hand pressure regions
                                                              Hip
                       1                                      LH
                                                              RH

                      0.8
Normalized Pressure




                      0.6



                      0.4



                      0.2



                       0
                            0.5   1   1.5       2   2.5   3
                                       Time (sec)
                                                  P1269 Older Stroke-3                                                                                P1269 Older Stroke-2
                                 1                                                                                               1
                                                                             Bed Pressure                                                                                        Bed Pressure                                                                          Bed Pressure
                                0.9                                          Shuffle                                            0.9                                              Bounce                                              1                                 Unsuccessful Transfer

                                0.8                                                                                             0.8
Normalized Pressure - 1=17429




                                                                                                Normalized Pressure - 1=18109




                                                                                                                                                                                                    Normalized Pressure - 1=15110
                                0.7                                                                                                                                                                                                 0.8
                                                                                                                                0.7

                                0.6                                                                                             0.6
                                                                                                                                                                                                                                    0.6
                                0.5                                                                                             0.5

                                0.4                                                                                             0.4
                                                                                                                                                                                                                                    0.4
                                0.3                                                                                             0.3

                                0.2                                                                                             0.2
                                                                                                                                                                                                                                    0.2
                                0.1                                                                                             0.1

                                 0                                                                                               0                                                                                                   0
                                      0   1   2       3        4         5       6          7                                         0   1   2   3         4      5         6   7     8        9                                         0   1   2                3         4            5
                                                      Time (sec)                                                                                           Time (sec)                                                                                 Time (sec)
                         1=Young Healthy, 2=Older Healthy, 3=Stroke, 4=Hip
           9

           8                                                OS
           7
                                                                      OHip
           6

           5
time (s)




           4

           3
                          YH            OH
           2

           1

           0
               0   0.5      1     1.5     2     2.5     3     3.5     4      4.5   5
                                               group
• For each transfer, the
  sagittal CP was
  observed over time
  and its deviation was
  measured
± 0.23   ±   p < 0.001