Biomedical subjects

P Guerette

Publications and source records attributed to P Guerette.

4 recordsLinked to original sources

PubMed1999

Cognitive predictors of young children's readiness for powered mobility.

Independent mobility in early childhood has been associated with the development of various cognitive and psychosocial skills. However, children with physical disabilities are not always able to move independently and may be at risk for delays in these areas. Early provision of powered mobility can offer young children an opportunity for independent mobility. Despite this, there is little information to help determine when a young child has the cognitive skills necessary to operate a powered wheelchair safely. This current research aims to identify these skills. A cognitive assessment battery and a wheelchair mobility training and assessment program were developed. Twenty-six children with physical disabilities between the ages of 20 and 36 months were evaluated on the cognitive assessment and participated in the wheelchair training and assessment program. A stepwise regression analysis was used to determine which of the cognitive skills predicted wheelchair mobility performance. The cognitive domains of spatial relations and problem solving were found to be significant and accounted for 57% of the variance in wheelchair skills. Developmental cut-off points on these scales as they relate to wheelchair skills are presented and clinical applications are discussed.

Child Development↗

PubMed1995

Teleform scannable data entry: an efficient method to update a community-based medical record? Community care coordination network Database Group.

Community-based multi-disciplinary care of chronically ill individuals frequently requires the efforts of several agencies and organizations. The Community Care Coordination Network (CCCN) is an effort to establish a community-based clinical database and electronic communication system to facilitate the exchange of pertinent patient data among primary care, community-based and hospital-based providers. In developing a primary care based electronic record, a method is needed to update records from the field or remote sites and agencies and yet maintain data quality. Scannable data entry with fixed fields, optical character recognition and verification was compared to traditional keyboard data entry to determine the relative efficiency of each method in updating the CCCN database.

Chronic Disease↗

PubMed1994

Integrating control of multiple assistive devices: a retrospective review.

Advances in technology now allow individuals to operate multiple assistive devices through a single, integrated control. A retrospective review of clients at the Center for Applied Rehabilitation Technology (CART) was conducted to determine the factors that support the recommendation of integrated controls. A total of 290 client charts were reviewed; data from 87 clients met the study criteria and were included in the review. For each individual, information was obtained on available access sites, types of assistive technology controlled, and types of input devices used. Meetings were held with CART therapists to determine reasons for recommending specific access configurations for each individual. Twelve reasons falling into four general categories (i.e., performance, functional abilities, subjective, and external) were identified and used to code responses. The findings indicated that integrated controls may be useful in the following cases: 1) when an individual has a single, reliable access site; 2) when the optimum access method for each assistive device is the same; and 3) when the individual prefers integrated control for personal reasons (e.g., aesthetics). Integrated controls may not be appropriate in the following cases: 1) when performance on one or more assistive devices is severely compromised by integrating control; 2) when the individual wishes to operate an assistive device from a position other than from a powered wheelchair; 3) when physical, cognitive, or visual/perceptual limitations preclude integrating; 4) when it is the individual's personal preference to use separate controls; and 5) when external factors such as cost or technical limitations preclude the use of integrated controls.

Persons with Disabilities↗

PubMed1994

A practice-based information system for multi-disciplinary care of chronically ill patients: what information do we need? The Community Care Coordination Network Database Group.

Primary care physicians provide longitudinal care for chronically ill individuals in concert with many other community-based disciplines. The care management of these individuals requires data not traditionally collected during the care of well, or acutely ill individuals. These data not only concern the patient, in the form of patient functional status, mental status and affect, but also pertain to the caregiver, home environment, and the formal community health and social service system. The goal of the Community Care Coordination Network is to build a primary care-based information system to share patient data and communicate patient related information among the community-based multi-disciplinary teams. One objective of the Community Care Coordination Network is to create a Community Care Database for chronically ill individuals by identifying those data elements necessary for efficient multi-disciplinary care.

Chronic Disease↗