Browsing by Author "Irving, Helen"
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- ItemHome telemedicine for paediatric palliative care.(2010-12-30) Bradford, Natalie; Herbert, Anthony; Walker, Rick; Pedersen, Lee-Anne; Hallahan, Andrew; Irving, Helen; Bensink, Mark E; Armfield, Nigel R; Smith, Anthony CChildren with life limiting conditions require intensive complex management of the physical psychosocial and spiritual issues that evolve for the child and their family as the focus of care moves from curative treatment to palliation Optimal palliative care for children can be limited by the lack of health professionals with the necessary skills and experience to confidently and competently manage the care of both the child and the family The University of Queensland s Centre for Online Health has been working closely with the Paediatric Palliative Care Service PPCS at the Royal Children s Hospital RCH in Brisbane Australia to investigate the potential of telemedicine for the delivery of specialist support in the home or local community Research conducted in Queensland has shown how telemedicine can be effectively used to link the specialist paediatric palliative care team into the home of families caring for a child receiving palliative care regardless of their physical distance from the RCH This qualitative report describes two case studies each illustrating the value of home telemedicine for families at this vulnerable and distressing time This work should provide a useful insight for other specialty disciplines contemplating home telemedicine applications
- ItemInvestigating the cost-effectiveness of videotelephone based support for newly diagnosed paediatric oncology patients and their families: design of a randomised controlled trial.(2007-03-15) Bensink, Mark; Wootton, Richard; Irving, Helen; Hallahan, Andrew; Theodoros, Deborah; Russell, Trevor; Scuffham, Paul; Barnett, Adrian GProviding ongoing family centred support is an integral part of childhood cancer care For families living in regional and remote areas opportunities to receive specialist support are limited by the availability of health care professionals and accessibility which is often reduced due to distance time cost and transport The primary aim of this work is to investigate the cost effectiveness of videotelephony to support regional and remote families returning home for the first time with a child newly diagnosed with cancer
- ItemPaediatric palliative home care with Internet-based video-phones: lessons learnt.(2004-12-17) Bensink, Mark; Armfield, Nigel; Russell, Trevor G; Irving, Helen; Wootton, RichardWe have designed and tested an Internet based video phone suitable for use in the homes of families in need of paediatric palliative care services The equipment uses an ordinary telephone line and includes a PC Web camera and modem housed in a custom made box In initial field testing six clinical consultations were conducted in a one month trial of the videophone with a family in receipt of palliative care services who were living in the outer suburbs of Brisbane Problems with variability in call quality namely audio and video freezing and audio break up prompted further laboratory testing We completed a programme of over 250 test calls Fixing modem connection parameters to use the V 34 modulation protocol at a set bandwidth of 24 kbit s improved connection stability and the reliability of the video phone In subsequent field testing 47 of 50 calls 94 connected without problems The freezes that did occur were brief with greatly reduced packet loss and had little effect on the ability to communicate unlike the problems arising in the home testing The low bandwidth Internet based video phone we have developed provides a feasible means of doing telemedicine in the home