Assistive Technology  as a reasonable adjustments for healthcare students in healthcare settings

Assistive Technology as a reasonable adjustments for healthcare students in healthcare settings


Hello my name is Kerry Pace I’m the
founder of Diverse Learners. I’m a specialist Dyslexia tutor I specialised
in supporting nurses and healthcare students in HE and staff in the
workplace who have disabilities particularly Dyslexia and Dyspraxia. So
today we’re going to look at Assistive Technology. Assistive Technology is a
common reasonable adjustment both in academia and in healthcare settings.
It’s very standard and recommended in most Assessment of Needs documents for
Disabled Students Allowances which your students will be funded by and through
Access to Work, so none of these should be really challenged in any way for
placement support. It’s a very reasonable adjustment and it’s a precedent in the
NHS and the fact that lots of people are using it across the NHS. Right so here we
go, we have grouped them together here into overview for you so here we have
text-to-speech software. So this is software that takes the text and makes
it speak out loud to you. So you might have heard that on Google Maps for
example or a sat-nav where it says “Turn left”. It’s that kind of idea. It’s very
useful for people who have Dyslexia and Dyspraxia or visual impairment. It can also
be good for people with English as a Second Language we often have a higher
listening rate of accuracy than a reading rate of accuracy. So we have
Claro, read/write gold, jaws which also magnifies the text as
well as reads out for those people are visually impaired or blind. A screen
ruler which colours a certain amount of text so it makes it much easier for you
to read or to track across and not make any errors. Then we have some mind
mapping software, the most commonly identified as useful for students in
their packages for DSA is Inspiration here and Mindview there. We’ve got some
examples of that coming up. Note-taking software, really versatile it’s more
than just putting on a Dictaphone this does extra
tasks for you and extra tools for you on here. So there’s Audionotetaker
here which is by Sonocent and Notetalker here. We’re going to talk about those a
bit later as well. Then we have Dragon which is speech to text software or
voice recognition software or sometimes dictation software it might be called. So
you speak and it talks, so if anybody’s ever used
Siri for example to search the internet sometime or phone
somebody and say phone I don’t know Joe Bloggs it will often come up as
phone Joe Bloggs before it asks you before it does it. So it’s
originally identified for people with disabilities but we’re using it very
much mainstream now and this is the idea I want you to get hold of today’s is that
this software is actually really useful for everybody. Now ,we have Medincle
which is a medical spell checker I’m bringing this up because a lot of
medical spell checkers are USA based which makes it quite difficult in terms
of spelling for s’s and z’s and different spellings from USA to UK
spellings. Also it has generic drug names which a uk-based and brand names which
of course are different in the US. It was created by two medical students, one
who had dyslexia and one who had English as a second language. And they got fed up with
the red wiggly lines on Word for things that were spelt wrongly but actually
we’re spelt correctly they were just medical terms. So they created their own
dictionary and you can have that running in the background and it will increase
accuracy for everybody and save so much time because only you the red wiggly lines will come up when it’s spelt incorrectly. So what we’re going to do
now is have a quick look at a mind mapping software which this one is
called Inspiration. I created this with a student in order for them to become, have
a template for learning their drugs for their drug calculation exams. So we put
things and indications, contraindications cautions, side-effects and dose but you
could put any drug in the middle there. It was a real visual way for them to
learn the information, they got very lost in pages and pages of information on
each drug and this is the way that they presented it that was done very simply
on mind mapping software. This is also mind mapping software called Inspiration, it’s
a really useful inspiration because it gives you a template so
does Mindview as well. So I did a template here and filled it in. So we had
paper versus software in terms of assistive technology software and here
we have the differences and the similarities in the middle, you can
import pictures as you can see you, can dash your arrows, you can make them fat, put
them different colours, change your background colour so it’s very, very
flexible. Now the nicest thing of all is there’s
this outlining button out here. Which will change it and convert it into a bullet
point list so it takes all the information on screen and transfers it
into bullet point list which you can transfer onto word. So again if different
people like working in different ways. So I love my mapping, my husband hates it. So I
convert my mindmap into outline linear list, a bullet point list if you
like and send it to him. We also have this the presentation. So I plan all
my documents and a lot of my students plan their presentations for their
assignments in mind mapping software, click the button and it automatically changes
it to a PowerPoint presentation without any jiggery-pokery at all. So here we go,
outlines. That’s what it looks like on outline you can see that we’ve added
notes and audio notes down here so it’s very flexible. And here we have a
presentation, so we press the presentation button it converts it into
a PowerPoint straight away so here you could I see it as a linear list and here
you can see all the options you’ve got as parts of your mind map. So a
very useful, interactive, multi-sensory way of producing your powerpoints with
mind maps and with a linear list to meet lots of people’s needs so that’s more
inclusive but also much less planning because you’re only planning once and
then converting. So this is software that reads text to you. Here we have it on
a device just for an example where it’s highlighting each word but you don’t
have to have it like that you could have with no highlighting, different colons,
highlighting sentences, paragraphs for example. You can also really excitingly
take papers or articles or agendas or meeting notes and convert them into mp3
or mp4 so it means you can actually listen to them in the car or if you’re
travelling or if you just learn better that way you could actually listen to
all the information being read to you so it’s a really nice interactive way of
working and also meets lots of people’s different needs. This is the button you
might have seen on PubMed or SONAL where papers can be read to you as well
but have a look for that it’s all sorts of places you won’t necessarily look for
it, see it if you’re not looking for it. Claro is software that is specializes in
I think specializes in making the voices really good so they’ve got female and
male voices as most software has, that speaks to you. However they’ve gone
for accents as well, so they’ve got English with a Scottish accent, English
with a Welsh accent, English with an Irish accent, English with an Australian
accent, Indian accent and all sorts of things. Which when you think about the
nationalities in the NHS there should be an accent that suits everybody.
I particularly Scottish one because I was brought up in Scotland so it makes
it a lot more effective for me. Readwrite gold also has male and female voices but
has specialized in the tools that go along side. There are dictionaries with
definitions, Thesaurus with alternatives so you make sure you choose
the right word. Also it has a toolbar with study tools that can highlight for
example. So same software but different extras. Then we have inbuilt software so
not a lot of people know that actually on your computer if you do the
windows key which is this key + ctrl + N it will read anything to you that’s on
the screen and it’s free. Here is Google Live transcribe on Android phones, great
for deaf people. If you’re working with deaf people, 1
you can talk into it and then show the deaf person what you’re saying. So as
we’ve 8.3 million deaf people in the country and 65,000 BSL users or British
sign language users, it’s very useful to communicate in this way or if you’ve got
a person who can speak to you with a good voice who is deaf but can’t hear,
they can speak to you and then you could use Google Live transcribe to talk
into it and then show them what you’ve said. A really versatile tool.
So here we have Sonocent audio note-taker. A really handy piece of kit
with lots of extras in it. So originally you might have seen if you’ve
used a Dictaphone for example, you’ve seen this sound in blocks like this
coming out so the gaps are where people would take breaths. Well this allows you
to do is colour code that audio. Also delete the audio that you don’t want and
so a two-hour meeting if you’re just looking for your agenda points for
example could be really cut down into maybe ten minutes of useful stuff. Of
course meetings are very useful but the ones that are relevant to you. Here
we have the image so this could be agenda point one or meeting page one and
then you put the text or the notes in between the two so to link the two.
However this could be lecture slide one, this could be the audio for lecture
slide one and in the middle could be your personal notes for lecture slide
one. You then hit return and slide two will come up with the audio for slide
two and any interesting points or information that you need to look up or
double-check or a question you need to ask can be recorded in here. It’s a
very versatile, interactive, multi-sensory way of working and really useful for
lots and lots of people. So you already have a piece of assistive technology on
your phone or device, you may not know it but again it’s looking for this symbol
here. I call it like a rat pack or a Michael Buble kind of microphone and
it’s deep speech-to-text software. Now some of you might have used it through
Bluetooth to send a text home while you’re driving for example. Some of you
might pressed on it to ask Siri a question. As we were saying “Siri can
you find me the nearest restaurant?” or “Can you phone Phoebe?” for example and it
will bring what you’ve asked it up in text and then you would click yes. So it
might be you’ve used it already and those pieces of software originally developed
for people with disabilities but as you can see writing texts and using Siri has
become very much mainstream so this software is really useful for lots and
lots of different people for lots of different reasons it’s not solely for
people who have disabilities. So here’s an activity to try on your
phone or your tablet to write a text message using your voice, using this
symbol here. It’s usually next to your spacebar. If it’s not next your spacebar
you can go into your accessibility menu first and find either voice
recognition or dictation, click that and it will then make sure that is available
on your keyboard, on your phone, on your device. So here we have software where
you speak and it talks again. I always do this,
it speaks and it writes for you so this is why I always call it you speak it
types because it’s just much easier so I always get the speech-to-text around the
wrong way. A very Dyspraxic thing to do. Okay so here we have dragon which is
free, which is fantastic as an app or on your phone or tablet. Also which is
these other three and also these are the two over here are also free. So this
dictation or speech recognition you might call it, is writing as you speak. On
Microsoft its built-in on your Windows 365 or Windows 10 so you click on the
windows logo key you hit ctrl + S and it will start reading, a little toolbar will come up and you click on it and then you start
speaking and it will start typing. Voice dictation in Google Docs is an
excellent tool, really accurate, I’ve been really impressed with it. You find it
under tools and it’s called voice typing you then click to speak, speak what you
want to, say fullstop at the end click to stop it and then it will produce it for you.
It’s really accurate and it’s free and really flexible so I really recommend
that because Dragon for a PC you have to pay for. It does like the added benefits
of reading your documents and getting to know what your specialist languages and
the way you talk is so that’s the benefit but you do have to pay for it.
Also there’s a dragon medical and additional paid-in in-app purchases so
you can add vocabulary from for a radiography for example or A&E and again
it will have some additional voices for you.
Right so there we go so mobile devices and assistive technology, the reason I
brought this up is we’re actually going to discuss this in detail in another
video but I just wanted to just very quickly run through that all of this
software is available as apps on your device. If you want a seamless approach
isn’t it you might have it on your PC at home but your student will really
benefit or your members of staff will really benefit from having it on their phone as
well. So whatever they do on their phone they can then upload to their PC and
when they upload in their PC to their phone. So Mindview for example and
a couple of the others have started doing an online version so that you
don’t get a license for your PC you actually use it in the cloud so
therefore you can use it on any desktop, any device if you buy that package. So
I’d really think about carefully what package you’re buying for the person
you’re supporting. So reading is here there’s all the Readwrite gold and Claro.
Planning and processing is your mind mapping software this is ithoughts
which is free, drug calculations heres Dragon, here’s recording meetings with
Notetalker and audio Sonocent and I’ll go through the others on a different
video more in more depth. So the reason I brought this up is because every nurse
is an e-nurse is a Royal College of Nursing campaign at the moment and NHS
are hoping to go digital much more efficiently. They’ve got NHS apps
developing and also they’re hoping to go paperless in 2020 so technology is on
its way, so we need to start embracing it and accepting it. And then this one here
is to remind you not only that is a mobile phone or device is really useful
to communicate with people with English as a second language because it’s a
translate button on it or people who are deaf but also more and more now
we’re seeing hearing aids that if you switch them to the T setting it actually
creates a virtual loop. So in old days, in the olden days, god. In times past, you had
to have a fixed loop in a specific room or a portable loop but it will then amplify
everything in that room, so it loops. Everything will become noisy, the
background noise, the birds, the chair scraping for example but this allows you
just to making very small loops. Say you’re sitting at a restaurant or a table or consultation
just between the two people which means people who use hearing aids
and there’s 8.3 million of them as I said before, will be able to get a lot
more out of the consultation or the conversation that you’re having. So
allowing devices makes a big difference not only for the patients but for you
yourselves. We’ll discuss this in more detail as I
said and there’s some other videos that you might want to look at in placement
and on policy so have a look at those. In the meantime my name is Kerry Pace I’m
the founder of Diverse Learners. You can contact me on Kerry at diverse-learners.co.uk and this is been produced in collaboration with the
University of Plymouth.

Daniel Yohans

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