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Patient Education With a PDA: Interested Beginners. Matt Lewis, MD Carol Cordy, MD 2002 Conference on Patient Education – Ft. Lauderdale . Topics. PDA Basics Finding and Installing Applications Applications for Patient Education drug reference cardiac risk calculator graphic viewer
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Patient Education With a PDA:Interested Beginners Matt Lewis, MD Carol Cordy, MD 2002 Conference on Patient Education – Ft. Lauderdale
Topics • PDA Basics • Finding and Installing Applications • Applications for Patient Education • drug reference • cardiac risk calculator • graphic viewer • Q and A
What the heck is a “PDA”? Personal Digital Assistant (“Handheld computer”, “Palm-top computer) • an organizer • a computer • portable (wireless) • pocket-sized
PDA Basics - Palm vs. Pocket PC • simple • market share • more apps • needs converters Palm VX - Palm OS iPAQ 3600 - WinCE • powerful • PC desktop portability • power-drain • relatively expensive
PDA Basics - Palm • Personal Digital Assistant • “Handheld” or “Palm-top” computer • Runs applications • Stylus-driven • Connectivity • IR Beaming • HotSync to PC
Getting Palm Applications Palm App Personal Computer Web Servers Palm App Palm PDA
Download Procedure • Find a file • Browse an archive of files & applications • Search for a title (Google) • Download the file • Keep track of where you save the file! • Desktop • Create a special folder “PDA downloads” • Install the file
General Application Archives • www.handango.com • www.tucows.com • www.zdnet.com • www.palmblvd.com • freewarepalm.net • www.palmgear.com • www.palmpilotarchives.com • www.palmspot.com
PDAs for Patient Ed? • Exam room access to information • saves time • can prevent medication errors, drug/drug interactions • Meets patient’s expectations • patients want providers to use every tool at their disposal to provide quality care - this includes information technology tools • Shared visual experience • de-mystifies technology
PDA Applications for Patient Ed • ePocrates Rx - drug reference • www.epocrates.com • STAT Cholesterol - assessment tool based on ATP III and Framingham data • www.statcoder.com/cholesterol.htm • Fireviewer - graphic viewer • www.firepad.com
Group Participation: Hands-on with Handhelds
ePocrates Rx STAT Cholesterol STAT GrowthCharts FireViewer ATP III Guide Obesity Guide NSI Nutrition in Chronic Disease MedRules Breast Cancer Risk (Gail) Successful VBAC Bishop Score UTI Diagnosis MMSE MedCalc BMI Ideal Body Weight Pregnancy Calculator Applications to Try Out
Case 1 - ePocrates • 54 y.o. depressed female with HTN, smoker, Hx DVT after knee surgery • Acute problem: Bronchitis • Meds: Coumadin, HCTZ • Clinic has Z-Pak (azithromycin) samples • Mentions she has been taking St. John’s Wort
Case 2 – Growth 2 • 3 yr 3 mo old boy • Ht: 42 in, Wt: 38 lb • Mom wants to if he’s “too fat” • Mom also wonders how big he’ll be • Mom’s Ht: 66 in • Dad’s Ht: 74 in
Case 3 – Cholesterol/BMI • 62 y.o. obese male smoker w/ FHx CAD • BP 150/96 • Ht: 5’ 10”, Wt: 250, Waist: 44 • Lipid panel: TC 230, HDL 40, LDL 170, Trig 120 • Calculate 10 year CAD risk, recalculate if quits smoking, BP treated = 125/80
Case 4 – PregPro / MedCalc • 28 y.o. G2P1 with Hx VBAC for breech • LMP March 3, 2002 • Calculate EDD • OB consult wants to see her at 36 weeks – calculate when this will be
Case 5 - MedRules • 37 G2P2 y.o. female wants to know breast CA risk • Menarche age 11 • 2 breast Bxs for benign fibroadenomas • First pregnancy at age 32, now breastfeeding • Mother & sister with breast cancer
Fireviewer - Graphics www.firepad.com
Medical Images on the Web • Google Image search • images.google.com • HONMedia • www.hon.ch/Media/anatomy.html • Medical Images and Illustrations • www.mic.ki.se/Medimages.html
Review • PDA Basics • Finding and Installing Applications • Applications for Patient Education • ePocrates • STAT Cardiac Risk • Fireviewer • Q and A