The world of Second Life is AMAZING, challenging and overwhelming at times...
I have been in to view different areas and each time I feel like it is my first time through.
I can imagine the amazing potential that this could bring to a multitude of patients with anxieties and phobia's. As well as those that are wheelchair bound, have physical handicaps, amputations and severe scarring that has an impact on their physical ability.
A concern I have is who would be assisting the new user in creating an account, signing in, building an Avatar and navigating to different areas...would this happen during a face to face meeting with the patient and their physician? Would it be via a web ex or video conference? How would you know if they had the computer capabilities to run the program at home? If not at home then where?
How would the Clinician and patient know when and where to meet?
Would there be a meeting invite to a place that is "safe, calming, relaxing and a haven" for the patient? or would it be an office simulation?
What is the expectation of the patient and clinician for these excursions into Second Life?
I would be concerned about the first couple of visit for a patient as I remember my first attempt to meet up with the class for our lecture and I experienced anxiety/disorientation when I first enter the Second Life world..."How am I going to find where I need to be? Where would I look for the invitation that is waiting for me? Did I get my invitation?How will I know if I am in the right place once I get there?????- and I like to think that I don't have any anxiety issues or that I an out of control....Imagine a patient who has either anxiety or panic attack issues and what they would be experiencing.
I was amazed when I watched the You Tube on Virtual Hallucination tour.
The potential for helping patients and their families with Psychiatric conditions- like Schizophrenia- is amazing and limited only by your imagination.
Using the above example to show a family member what their loved one goes through on a daily basis..how the simplest of things like walking past the mirror or a paper can have devastating impact.
The patient who fears the hospital but needs to have an operation can be taken on a tour of a virtual hospital to "see" what will be happening to them during the admission process, surgery suite and what it looks like.
The potential for the clinician to "train" for upcoming procedures in the virtual ED or OR without the fear of "doing harm".
What type of meaning do you or could you place on the type of Avatar that the patients chooses to design? Age, sex, race, build, what type of clothing and hair color they choose. Is this something that should be notice or taken into account during or before the session begins...how will the ongoing treatment and potential changes to their Avatar be viewed and is it relevant to their care?
What kind of protections would be put in place for the financial well being and safety..yes being on line is a wonderful place to meet people but is it always a safe place? How do you know that the person who starts a conversation with you is someone you should be cautious about sharing your information with.
I think that the potential is amazing, limits are boundless......Security for me is a potential issue.
I have enjoyed my time in Second Life and know that even after this class is over that I will continue to visit .....even if it is just to see what is new.....or to be able to make myself FLY!
Friday, November 11, 2011
Friday, October 21, 2011
Flu Shots
I was wandering around in various health care blogs and reading about social media and how it has changed Health Care and how it could be used to improve patient/clinician relationships....Then I saw the blog on "Health care Professions need to have the annual Flu shot" title and I had to stop and do a quick glance as this is a debate that goes on in the hospital that I work at...
Over a year ago I was helping to facilitate the go-live of our chemotherapy protocol based computer based program and it was while the H1N1 outbreak was going on....It was required that anyone who was in a patient care area had to be vaccinated...I ended up receiving 2 shots and one live nasal injection as the first 2 shots were "compromised"- didn't help that I hate needles to begin with....
This article talks about how we interact daily- patients, visitors, co-workers- and we should protect our selves as well as our patients.
The CDC is attempting to have over a 90% vaccination rate by the end of 2011 for Health care workers...and it goes on to give some research on why we should be vaccinated....The 3 reason is what truly caught my attention and is the reason I am commenting here....
1-Prevent Disease Spread to Patients- I agree and support the idea to become immunized if your job is at the bedside.
2-Decreases Health Care workers risk of Infection- I am ambivalent about this one...there have been multiple co-workers and myself included who have been feeling just fine and productive until we receive our flu shot. by the end of our 12 hour shift we are aching, chilling, having runny noses and low grade fevers- (We are Oncology RN's and take care of Immuncompromised patients ) and are sick for up to 3 or more days after....We also are talked to if we use too much of our sick time, call in 3 days in a row and must have an MD's release to be off or work or return to work...there have been years that I didn't take the shot and wasn't sick at all that year and then there are those years that I allow myself to be talked into receiving the vaccine and I end of being sick directly after as well as a few more times until summer is here.
3.Create HERD Immunity- I am sorry I didn't know that I was part of a herd as an RN...there could have been another way to describe the work climate and coworkers involved..
4.Prevent absenteeism of the workers in an outbreak
5. Set a good example on the importance of vaccinations...
we are currently attempting to comply with the Joint Commission standards for Flu Vaccinations hospital wide. Last year we were short of the mark for a multitude of reasons...one is we didn't receive the vaccine prior to the start of the JC acceptable start date. The Oncologist were not wanting the Oncology patients immunized while receiving chemotherapy treatment that required hospitalization- they wanted to wait until the patients were seen at the clinic as their counts would be stable. We pulled all patient data that was being collected for those patients who were admitted to the Oncology Service.
I guess that I was expecting a more in depth comment on how our immunization has impacted the care that we give to our patients as well as if staff immunization has improved/decreased hospital based outbreaks..
Over a year ago I was helping to facilitate the go-live of our chemotherapy protocol based computer based program and it was while the H1N1 outbreak was going on....It was required that anyone who was in a patient care area had to be vaccinated...I ended up receiving 2 shots and one live nasal injection as the first 2 shots were "compromised"- didn't help that I hate needles to begin with....
This article talks about how we interact daily- patients, visitors, co-workers- and we should protect our selves as well as our patients.
The CDC is attempting to have over a 90% vaccination rate by the end of 2011 for Health care workers...and it goes on to give some research on why we should be vaccinated....The 3 reason is what truly caught my attention and is the reason I am commenting here....
1-Prevent Disease Spread to Patients- I agree and support the idea to become immunized if your job is at the bedside.
2-Decreases Health Care workers risk of Infection- I am ambivalent about this one...there have been multiple co-workers and myself included who have been feeling just fine and productive until we receive our flu shot. by the end of our 12 hour shift we are aching, chilling, having runny noses and low grade fevers- (We are Oncology RN's and take care of Immuncompromised patients ) and are sick for up to 3 or more days after....We also are talked to if we use too much of our sick time, call in 3 days in a row and must have an MD's release to be off or work or return to work...there have been years that I didn't take the shot and wasn't sick at all that year and then there are those years that I allow myself to be talked into receiving the vaccine and I end of being sick directly after as well as a few more times until summer is here.
3.Create HERD Immunity- I am sorry I didn't know that I was part of a herd as an RN...there could have been another way to describe the work climate and coworkers involved..
4.Prevent absenteeism of the workers in an outbreak
5. Set a good example on the importance of vaccinations...
we are currently attempting to comply with the Joint Commission standards for Flu Vaccinations hospital wide. Last year we were short of the mark for a multitude of reasons...one is we didn't receive the vaccine prior to the start of the JC acceptable start date. The Oncologist were not wanting the Oncology patients immunized while receiving chemotherapy treatment that required hospitalization- they wanted to wait until the patients were seen at the clinic as their counts would be stable. We pulled all patient data that was being collected for those patients who were admitted to the Oncology Service.
I guess that I was expecting a more in depth comment on how our immunization has impacted the care that we give to our patients as well as if staff immunization has improved/decreased hospital based outbreaks..
Sunday, October 2, 2011
My First Blog
Hello,
This is my first attempt at "Blogging". I have been looking forward to this class since I started with the UC Davis Health Informatics Course last fall.
I am an RN with Kaiser Permanente NW Region here in Clackamas County, OR.
I have worked for Kaiser since 1987.
With this blog I hope to learn more about Health care/information on the Internet as well as increase my knowledge about the ever evolving internet.
I look forward to working with everyone over the next few months in our conversations.
This is my first attempt at "Blogging". I have been looking forward to this class since I started with the UC Davis Health Informatics Course last fall.
I am an RN with Kaiser Permanente NW Region here in Clackamas County, OR.
I have worked for Kaiser since 1987.
With this blog I hope to learn more about Health care/information on the Internet as well as increase my knowledge about the ever evolving internet.
I look forward to working with everyone over the next few months in our conversations.
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