Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation

Undoubtedly, the identification of patient suitability for a telerehabilitation assessment should be carried out on a case-by-case basis. However, at present there is minimal discussion of how telerehabilitation systems can accommodate and adapt to various patient factors, which may pose challenges...

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Main Authors: Elizabeth C. Ward, Shobha Sharma, Clare Burns, Deborah Theodoros, Trevor Russell
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2012/132719
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author Elizabeth C. Ward
Shobha Sharma
Clare Burns
Deborah Theodoros
Trevor Russell
author_facet Elizabeth C. Ward
Shobha Sharma
Clare Burns
Deborah Theodoros
Trevor Russell
author_sort Elizabeth C. Ward
collection DOAJ
description Undoubtedly, the identification of patient suitability for a telerehabilitation assessment should be carried out on a case-by-case basis. However, at present there is minimal discussion of how telerehabilitation systems can accommodate and adapt to various patient factors, which may pose challenges to successful service delivery. The current study examines a subgroup of 10 patients who underwent an online assessment of their swallowing difficulties. Although all assessments were completed successfully; there were certain patient factors, which complicated the delivery of the online assessment session. The paper presents a discussion of the main patient factors observed in this cohort including the presence of speech and/or voice disorders, hearing impairment, dyskinesia, and behavioural and/or emotional issues and examines how the assessment session, the telerehabilitation system, and the staff involved were manipulated to accommodate these patient factors. In order for telerehabilitation systems to be more widely incorporated into routine clinical care, systems need to have the flexibility and design capabilities to adjust and accommodate for patients with varying levels of function and physical and psychological comorbidities.
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spelling doaj-art-edb8c348ad9c43fdb2f4621edb400bc82025-02-03T01:11:08ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232012-01-01201210.1155/2012/132719132719Managing Patient Factors in the Assessment of Swallowing via TelerehabilitationElizabeth C. Ward0Shobha Sharma1Clare Burns2Deborah Theodoros3Trevor Russell4School of Health & Rehabilitation Sciences, The University of Queensland, St. Lucia, Brisbane, QLD 4072, AustraliaSchool of Health & Rehabilitation Sciences, The University of Queensland, St. Lucia, Brisbane, QLD 4072, AustraliaSpeech Pathology Department, Royal Brisbane & Women's Hospital, Herston, Brisbane, QLD 4029, AustraliaSchool of Health & Rehabilitation Sciences, The University of Queensland, St. Lucia, Brisbane, QLD 4072, AustraliaSchool of Health & Rehabilitation Sciences, The University of Queensland, St. Lucia, Brisbane, QLD 4072, AustraliaUndoubtedly, the identification of patient suitability for a telerehabilitation assessment should be carried out on a case-by-case basis. However, at present there is minimal discussion of how telerehabilitation systems can accommodate and adapt to various patient factors, which may pose challenges to successful service delivery. The current study examines a subgroup of 10 patients who underwent an online assessment of their swallowing difficulties. Although all assessments were completed successfully; there were certain patient factors, which complicated the delivery of the online assessment session. The paper presents a discussion of the main patient factors observed in this cohort including the presence of speech and/or voice disorders, hearing impairment, dyskinesia, and behavioural and/or emotional issues and examines how the assessment session, the telerehabilitation system, and the staff involved were manipulated to accommodate these patient factors. In order for telerehabilitation systems to be more widely incorporated into routine clinical care, systems need to have the flexibility and design capabilities to adjust and accommodate for patients with varying levels of function and physical and psychological comorbidities.http://dx.doi.org/10.1155/2012/132719
spellingShingle Elizabeth C. Ward
Shobha Sharma
Clare Burns
Deborah Theodoros
Trevor Russell
Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
International Journal of Telemedicine and Applications
title Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
title_full Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
title_fullStr Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
title_full_unstemmed Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
title_short Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
title_sort managing patient factors in the assessment of swallowing via telerehabilitation
url http://dx.doi.org/10.1155/2012/132719
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