Transcript Case study of the work at Petach Tikva, Israel

Case Studies
Karten’s C.T.E.C Centre- Petach Tikva
November 2010
Merav & Michal- Background
• Meirav, 30 years old
• BA in political science from Tel Aviv
University, and MA in International
Relations from the Jerusalem University.
• Works at public relations office -full time.
Merav & Michal- Background
• Michal, 38 years old
• BA in Aerospace Engineering and MA in
risk management.
• Worked at the Security project at Athens
Olympics as analyst at Financial
consultant
• Since 2002 due to her medical conditionworking with her mother- owned
translation office. Working from home
Diagnosis
Hereditary neuropathy with liability to
pressure palsies
• A disorder that affects peripheral nerves.
These nerves connect the brain and spinal
cord to muscles as well as sensory cells
that detect touch, pain, and temperature.
• In people with this disorder, the peripheral
nerves are unusually sensitive to pressure.
Hereditary neuropathy with liability
to pressure palsies
• Recurrent episodes of numbness, tingling,
and/or loss of muscle function (palsy)
• An episode can last from several minutes
to several months.
• Repeated incidents can cause permanent
muscle weakness or loss of sensation.
This disorder is also associated with pain
in the limbs, especially the hands. .
Diagnosis
• Pains- constant sense of tingling
throughout the body.
• Drug treatment- Coordination impairment
• Decline in lung function - assisted
respiratory support when needed at night.
• Breathing difficulties- Memory impairment,
confusion and Insomnia .
Diagnosis- cont’
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General weakness & fatigue
Mobility - difficulty performing transitions
Uses crutches
Adjustment processes motorized
wheelchair. (Michal)
Objectives
• Directed by Rehabilitation worker from
Rehabilitation Departments of the social
security bureau
• Assistance Technology (AT) Assessment
• Workstation evaluation and adjustment
Operational objectives:
• Maximum utilization of the energy invested
• Emphasis on diversification pressures
during use of the input environment
(seating).
• Efficient use of computer input device.
Difficulties and solutions
Work environment:
• Prolonged sitting causes- pain, hyper
sensation and discomfort.
• Difficulty performing transitions sitting and
standing
Adjustable chair, built according to
customer's measurements.
Allows changes of position at the
touch of a button
Work environment: cont’
• Difficulty at working over time
• Telephone grip difficulties
• Adjustable Mobile Table
• The hand supported by the
armchair handles
• Cordless phone with built-in speaker /
wireless headset use.
Difficulties and solutionsKeyboard
• Fatigue
• Repetative movements cause pressure
and fingers loss of sensation.
• Using
the laptop keyboard- reducing range of
motion
• Connecting an external numeric pad.
• "Sticky Keys“- using shift, alt, ctrl & win logo key by
pressing one key at a time.
• Using voice recognition programmer Dragon
Naturally Speaking.
Difficulties and solutionsMouse
• Fatigue caused by moving the mouse.
• Difficult to press the mouse buttons.
•Trackball with programmable buttons
• Location- thigh or the arm chair
• Pointer option- Snap to
Background- Iris
• Iris 42 Years old
• Marital Status- married with one child two
years old
• Interpreter- Video Editor
Diagnosis
• in October 2003 - she lost consciousness,
following an asthma attack, for 10 minutes.
• Unconscious for two months.
• Metastatic brain damage
• Cortical vision impairment
• Motor skills- fine motor skills activities
Objective
• Directed by Rehabilitation worker from
Rehabilitation Departments of the social
security bureau
• Assistive Technology Assessment- part of
her vocational rehabilitation options
• Training Program
– Touch typing
– Shortcut Keys
Operative objective
• Writing a book about her experiences from
the coma.
limitation factors
• Vision– Flickering vision
– Seeing shadows and colors
• Motor
– Joint stiffness
– Tremor
– Difficulties performing activities that require
fine motor skills
– Transitions
– Unstable walking
Solutions- Keyboard
Limited range of motion and tremor
Difficulty In Identify letters on keyboard
Using a standard-sized keyboard and pasting
embossed stickers or velcro
Using filter Keys- ignoring brief or repeated
keystrokes
Training Program - Touch typing
Solution-Mouse:
Difficulty locating the mouse cursor.
Partial mouse control
• Using a standard sized mouse.
• Reducing the use of mouse by Learning to use keyboard shortcuts.
• large mouse cursor, colors opposite of Windows, showing pointer
trails
• Activation function "snap to"
Solutions- Work environment
• Difficulty performing transitions between
sitting and standing and vice versa.
• Difficulty connecting portable memory
• Tremor and joint stiffness
• Table with cut off
• Chair with hand brake
• USB connection extension that will allow
convenient connection
• Familiar and permanent environment
Solutions- Vision
Difficulties in locating objects and identifying
letters.
Glare sensitivity.
Display adjustments:
21 “ screen size
Desktop background - blue, reduce icons.
Fonts- Arial font, 200 pts.
Software:
Using Text to speach software
‫ש‬
Individualized learning program
Touch typing
Keyboard space orientation
Shortcut Keys
Using Speech to text software
Builds palaces with spoon
• Iris studied for about a year:
– Word Processing
– E-mail
• 2 month ago Iris book was published
• The book describes her experiences
when she was in a coma
Builds palaces with spoon
Using the computer seems to be impossible
because of bad eyesight and hands
paralyzed ...
Builds palaces with spoon
Then I started to learn touch typing... We
went to Petach Tikva to Karten CTEC, the
Institute that provides IT solutions for the
handicapped like me, where I learned to
use a computer voice software .........
Builds palaces with spoon
Two fingers stiff and trembling wading the
computer keyboard, I’m writing this book.
Headphones on my head from the screen
reading software can helping to achieve
the goal. My fingers stiff as Jelly sticks
groping between the marks and Scotch on
the keyboard ...