Guest Speaker Notes PDF

*assistive device program website - provides financial assistance to individuals with long-term physical disabilities to help cover the cost of assistive equipment and supplies. This program supports a variety of devices, including prostheses, wheelchairs, hearing aids, visual...

*assistive device program website - provides financial assistance to individuals with long-term physical disabilities to help cover the cost of assistive equipment and supplies. This program supports a variety of devices, including prostheses, wheelchairs, hearing aids, visual aids, insulin pumps for children, respiratory devices, and orthoses - Eligibility excludes individuals already receiving funding from the Workplace Safety and Insurance Board or Veterans Affairs Canada for the same equipment. The program covers up to 75% of the cost of approved devices for most applicants, while Ontario Works or ODSP recipients may qualify for 100% coverage. - Applications involve an authorization process where a health professional assesses and prescribes the necessary equipment. The device must then be purchased from an ADP-authorized vendor. Dexcom not covered under ODB Freestyle is covered under ODB - Patient must be on insulin Accu chek - Test strip container spill proof Contour - Light indicators Contour - Emojis Inhalers - Does it have an auditory cue to show its empty - Rattling Sound: With MDIs, if shaken, an empty canister may not produce the same sound as a full one. However, this is not a precise measure. - MDI only one Know different strengths for compression socks - Over the counter vs behind the counter compression socks - How would you measure them? - OTC by shoe size - behind/rx: need to get measures from knee to ankle - 3 things needed on rx to get compression - Length (thigh high, knee high, etc), strength, diagnosis - Does doctor need ankle and calf measurement size? NO - Mild, moderate, severe - Compression strengths: refers the to the compression at the ankles - 15-20 mmHg (not covered by insurance, based on shoe size, less expensive)  - 20-30 (most common medical grade, need a rx script to be covered by insurance - 30-40 (DVT, harder to put on, not suitable for patients with poor dexterity , closes ulcers in the leg - 40+ not common Sensor - Dexcom sensor: 10 days - Freestyle sensor: 14 days Lancing device - Clean hands with soap and water not alcohol wipes Eye, ear drop - Ear bulb syringe: used for flushing ear, does not help patient put in ear drops (not assistive devices) - After use, wash and dry thoroughly to prevent bacterial growth. Insulin pumps - Different brands of pumps - Some require tubing, some don’t - Dont: Omnipod: - Do: Tandem (CGM compatibility (Dexcom), Medtronic MiniMed - Tubing is usually replaced every 2–3 days along with the infusion set. - Have often to change tubing infusion sets - What insulin is used in pumps - Short acting - NovoRapid (Insulin Aspart). - Humalog (Insulin Lispro). Blood pressure machine - Heart check symbol meaning? - Approved by hypertension canada, its reliable - Didn't matter if gold or silver Leave insulin in car and it freezes - Throw it out even if it looks fine when thawed What devices need to be primed before using them? - MDI (flovent, symbicort, ventolin)  - DPI (dry powder) - Respimat - Most nasal do - Flonase, nasonex, nasocort Tens machine? (Transcutaneous Electrical Nerve Stimulation) - device used to manage pain by delivering mild electrical impulses through electrodes placed on the skin - Typically 20–30 minutes - Do not use - If you are pregnant - Near the eyes or over the throat. - On broken or irritated skin. - Over the chest or heart, especially if you have a pacemaker. - - Benefits - Non-invasive. - Drug-free pain relief. - Portable and easy to use. - Block pain signals: - Stimulate endorphin release: Endorphins are natural painkillers produced by the body. - Uses of a TENS Machine: - Chronic Pain: Conditions like arthritis, fibromyalgia, or chronic back pain. - Acute Pain: Post-surgical pain, sports injuries, or labor pain. - Muscle Pain: For tension, soreness, or spasms. - Neuropathic Pain: Such as diabetic neuropathy or sciatica. Glucometers - Next one vs next gen - Next one is smaller (thin small oval glucometer) Compression stocking - Take off end of day - Do not wear while sleeping - Need to be standing and applying pressure for it to work Naloxone, after finding someone and shaking them for unconsciousness - First step: call 911 Braces are not covered by ODB ODB: generally if not a drug, not covered by ODB Nasal sprays: most need to prime Blood pressure machine: multiple can use the same machines, some machines can store separate readings Glucose monitor: individually use Which inhalers have the dose counters? - Respimat - Diskus - Turboinhaler - Ellipta