Chapter 36 Assistive Technology Overview Assistive technology AT

Chapter 36 Assistive Technology Overview • Assistive technology (AT) and assistive medical technology • Types and examples of rehabilitative and medical AT • Types of conditions with need for AT • Assessment, acquisition, training; universal design • Funding; durable medical equipment (DME), limitations on purchase Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

https: //www. youtube. com/watch? v=Y 5 CEeqt 4 kv. I https: //www. youtube. com/watch? v=Ic. U Nnnw. Fm 4 g Chapter 36 materials in Children with Disabilities, Seventh Edition, Online Course Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Definitions and Overview Assistive technology Medical assistive technology 1. Assistive devices: alleviate impact 2. Adaptive/alternative technology: substitutes/makes up for loss of function 3. Augmentative devices: increase area of functioning Three Types: 1. Low tech 2. Mid tech 3. High tech Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Technology for Medical Assistance • Replace or augment a vital body function; examples: • Respiratory technology assistance • Monitoring/surveillance • Nutritive assistive • Intravenous (IV) therapy • Augment/protect kidney function • Respiratory support for 1. Lung or heart problems 2. Problems with neurological control of breathing and/or weakness of the muscles • Examples: supplemental oxygen, continuous positive airway pressure, chest physiotherapy, nasal cannulae, positive end expiratory pressure Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Technology for Medical Assistance (continued) • Monitoring/surveillance devices • Pulse oximeters • Cardiorespiratory monitors • Nutritional (gastrointestinal) fluid assistance • Nasogastric tube • Nasojejeunal tube • Gastrostomy tube (G tube), jejunostomy tube (J tube), G-J tube • IV fluid assistive devices • Catheter (central line), peripherally inserted central catheter, subcutaneous infusion port Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Assistive Technology for Disabilities: Principles and Examples • Universal design • Design for all people (e. g. , wheelchair ramps) • Technology for physical disabilities • Low-tech: ankle-foot orthoses, hand splints, spinal braces • Mid-tech: functional electrical stimulators, treadmills with support frames, dynamic braces • High-tech: personal computers • Technology for sensory impairments • Low-tech: magnification devices • Mid-tech: alerting systems, laser canes, taped books • High-tech: personal computers, cochlear implants Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Assistive Technology for Disabilities: Principles and Examples (continued) • Technology for communication impairments (augmentative and alternative communication [AAC]) • Low-tech: picture cards • Mid-tech: scanning communication device • High-tech: i. Pad • Technology for cognitive, attentional, and learning disabilities • Computer-based instruction • Individualized • Software programs • Distance learning Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Assessment for Assistive Technology Interdisciplinary team: • Specialists, child, family, social worker, others • Begin with low tech • Functional evaluation of the individual • ICF (WHO, 2001), Wee-FIM (Wong et al. , 2005) • Ensure good match/usefulness: MPT (Scherer, 1998 a; Scherer & Craddock, 2002), QUEST 2. 0 (Demers, Weiss. Lambrou & Ska, 2002), PIADS (Day, Jutai, & Campbell, 2002; Jutai et al. , 2005) • Training in the use of the device • Pre-use training: demos, simulators • Monitoring See the textbook Children with Disabilities, Seventh Edition, for full citation and reference information. Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Effects of Assistive Technology on Family and Community • Increases self-worth, improves functioning • Social isolation risk • Prolonged use (> 2 years) of some significant AT devices can lead to family stress/depression • Home care option depends on multiple factors • Arrange therapy before discharge • Develop individualized family service plan or individualized education program Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.

Effects of Assistive Technology on Family and Community (continued) • Funding Issues 1. Payment for home nursing care 2. DME and supplies • • • Primary funding: insurance; “approved DME listing” School: Individuals with Disabilities Education Improvement Act (IDEA) of 2004 (PL 108 -446), Technology-Related Assistance for Individuals with Disabilities Act (Tech Act) of 1988 (PL 100 -407) Coordinate payment for AAC devices • Advocacy information • Tech Act sites, Able. Data, Council for Exceptional Children Chapter 36 slides in Children with Disabilities, Seventh Edition, Online Companion Materials. Copyright © 2013 Paul H. Brookes Publishing Co. , Inc. All rights reserved.