Patient Education With a PDA: Interested Beginners

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Patient Education With a PDAInterested Beginners

• Matt Lewis, MD Carol Cordy, MD
• 2002 Conference on Patient Education Ft.
  Lauderdale

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Topics

• PDA Basics
• Finding and Installing Applications
• Applications for Patient Education
• drug reference
• cardiac risk calculator
• graphic viewer
• Q and A

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What the heck is a PDA?

• Personal Digital Assistant
• (Handheld computer,
• Palm-top computer)
• an organizer
• a computer
• portable (wireless)
• pocket-sized

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PDA Basics - Palm vs. Pocket PC
Palm VX - Palm OS
iPAQ 3600 - WinCE

• simple
• market share
• more apps
• needs converters

• powerful
• PC desktop portability
• power-drain
• relatively expensive

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PDA Basics - Palm

• Personal Digital Assistant
• Handheld or Palm-top computer
• Runs applications
• Stylus-driven
• Connectivity
• IR Beaming
• HotSync to PC

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Palm Desktop
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Getting Palm Applications
Palm App
Personal Computer
Web Servers
Palm App
Palm PDA
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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

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Downloads Keeping Track
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Install Review Palm Desktop
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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

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Medical Application Archive
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PDAs for Patient Ed?

• Exam room access to information
• saves time
• can prevent medication errors, drug/drug
  interactions
• Meets patients 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

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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

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Group Participation

• Hands-on with Handhelds

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Applications to Try Out

• MedRules
• Breast Cancer Risk (Gail)
• Successful VBAC
• Bishop Score
• UTI Diagnosis
• MMSE
• MedCalc
• BMI
• Ideal Body Weight
• Pregnancy Calculator

• ePocrates Rx
• STAT Cholesterol
• STAT GrowthCharts
• FireViewer
• ATP III Guide
• Obesity Guide
• NSI Nutrition in Chronic Disease

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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. Johns Wort

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Case 2 Growth 2

• 3 yr 3 mo old boy
• Ht 42 in, Wt 38 lb
• Mom wants to if hes too fat
• Mom also wonders how big hell be
• Moms Ht 66 in
• Dads Ht 74 in

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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

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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

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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

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Fireviewer - Graphics
www.firepad.com
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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

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Review

• PDA Basics
• Finding and Installing Applications
• Applications for Patient Education
• ePocrates
• STAT Cardiac Risk
• Fireviewer
• Q and A

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Questions and Answers