ARE YOU PLUGGED IN TO THE TOOLS THAT ELECTRIFY YOUR WORK

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ARE YOU PLUGGED IN TO THE TOOLS THAT
ELECTRIFY YOUR WORK?

• Using Handheld Devices

Ruth Kilness RD, CD Eau Claire County Department
on Aging Resource Center
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WHAT IS A PDA?

• Personal Digital Assistant
• Handheld computers
• Pocket computers
• Palm Pilot

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YOUR PERSONAL COMPANION

• Planning and Organizing
• Reference Information
• Gathering and Analyzing
• Learning and Self Improvement
• Communicating
• Teaming and Collaborating

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CHOOSING YOUR PDA

• Identify your needs
• Organizer
• What do your colleagues use
• Internet access
• Note taking
• E-mail
• Light
• Springboard capabilities

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PIM

• Personal Information Management
• Address
• Calculator
• Datebook
• Expense
• Graffiti
• To do list
• Memo pad

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Operating Systems

• TWO TYPES
• Palm OS (operating system)
• Pocket PC

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Palm OS (Operating System)

• Smaller, less expensive
• Quick start-up time
• Longer battery life, easier to use
• Thousands of freeware, shareware, software
• Better capabilities with add-ons
• Can not multi-task

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Pocket PC

• More memory and function
• Larger and heavier
• More expensive
• Similar to Windows desktop
• Multi-task
• Better on screen keyboard

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BEAMING CAPABILITIES

• Transfer information from one PDA
• to another
• Some programs are unbeamable

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PDA-Personal Digital Assistant

• Synchronizing
• HotSync
• Uses the Palm desktop
• software and your cradle to exchange data between
  your handheld and your computer

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SIZE

• Palm Size Fits in the palm of your hand
• Large Notebook size- has more memory space

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A DAY IN THE LIFE

• 600-Alarm goes off
• 900-Work
• SynchronizeWith a push of the button updates all
  features of the palm
• Date book
• List of all appointments for the day
• Automatically goes to the current date
• 100 Sally 888-8888

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A DAY IN THE LIFE

• Avantgo www.avantgo.com
• This will give me directions to Sallys house
• Expense
• Input destination under mileage.

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CASE STUDY

• September, 1998
• 77 year old female
• Weight 144 Height 55
• Chief complaint Back Pain, colon surgery
• No Appetite
• Receiving MOW 5 days a week
• Noted that medications could be causing poor
  appetite

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CASE STUDY

• Medications
• Claritin (Allergy) dry mouth, nausea
• Trazodone (Depression) dry mouth, bitter
  taste, numerous side affects
• Pepcid (Stomach/Ulcer)
• Prednisone (Inflammatory disorder) caution if
  CHF, HTN, osteoporosis, decreased appetite, mood
  swings, nausea

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CASE STUDY

• Medications
• Xanax (Anxiety) caution in elderly,
  vomiting,dry mouth, nausea, depression
• Vicodin (Pain) Caution in elderly, numerous
  drug interactions, vomiting
• Norvasc (Angina/ HTN) Caution with HTN,
  arrhythmia, bradycardia, nausea, edema

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CASE STUDY

• Medications
• Fosamax (Osteoporosis) back pain, nausea,flu
  symptoms
• Lanoxin (CHF/Arrhythmia)-anorexia
• Aspirin
• 2 inhalers

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CASE STUDY

• Summary
• 9 medications
• 6 interactions
• 2 caution with elderly
• Numerous ones interfering with appetite

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CASE STUDY

• December, 1998
• Weight unknown
• Complains of no taste
• New Medication Trazadone (depression)
• Low-Fat diet

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CASE STUDY

• December, 1999
• Weight 140
• Complains of hip and leg pain
• New Medication Ultram (pain)-anorexia
• Low-Fat diet

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CASE STUDY

• February, 2001
• Weight 125
• Complains of more pain and upset stomach
• Developed HTN, having angiogram done
• Moved her bed to the living room because of pain
• NAS, Low-Fat

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CASE STUDY

• August, 2001
• In April she had a quadruple by-
• pass
• June, 2001 pacemaker
• Complained of dry mouth so
• increase in fluids
• Depressed, continued pain
• Was put on Baycol then Pravachol (nausea)
• NAS, Low-Fat, Low-Cholesterol

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CASE STUDY

• February, 2002
• Weight 126
• Continued pain-having a back
• and bone scan done
• No appetite, forcing herself to eat
• Began to go to senior dining once a week
• Continued MOW 4 days a week

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CASE STUDY

• Medications
• No longer taking the Vicodin, Norvasc, and
  Lanoxin
• Added Pravachol(cholesterol)-nausea
• Ultram (Pain) Caution in
• elderly
• Cardizem (Angina) Caution in
• elderly

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CASE STUDY

• Atacand (HTN) Caution with CHF, musculskeletal
  pain
• Neurontin (Seizures) Caution in elderly
• Atenolol (HTN, MI, Angina) nausea
• 12 medications total

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INTERACTIONS

• AtenololCardizem
• CardizemXanax
• TrazodoneUltram
• TrazodoneXanax
• UltramXanax

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ePocratesRx

• www.epocrates.com
• Up-to-date accurate drug information
• Very simple to install and easy to use
• Wonderful website with step by step directions
  with PICTURES.
• Compact-doesnt take up a lot of space

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ePocrates Rx

• Features
• Adult and pediatric dosing
• Contraindications
• Drug interactions
• Adverse reactions
• Pregnancy/lactation
• Mechanism of action
• Package pricing and information

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ePocrates RX

• Multi-check
• Regimens and tables
• Doc Alerts
• Auto Update
• 49.95

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A DAY IN THE LIFE...

• 200-230
• Return to the office
• Record mileage in the Expense Report

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Why I love my PDA

• Ive had mine for two years and Love It!!I was
  going nuts with paper calendarsit simplified my
  life because my e-calendar and my Palm
  synchronized and I was up-to-date without the
  paper.
• I use the expense featurefor meals, mileage
  etc,when Im on the road and then upload to my PC
  when I return.
• Once you get use to it, the address book is also
  a God send when you are on the road and need to
  get in touch with someone.
• Gail Schwersenska

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PROGRAMS

• FREEWARE-Download off the internet
• SHAREWARE-Beam from another PDA or internet
• SOFTWARE-Purchase

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HIGH TECH NUTRITION.COM
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NUTRITION Rx

• Adult and pediatric assessment
• Enteral and parental
• BMI
• DBW
• Nitrogen Balance
• Meal Pattern for Diabetes and Renal
• 149.00

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HIGH TECH NUTRITION.COM

• NutritionRx
• Computer software designed for the dietitian
  and nutritionist to optimize medical nutrition
  therapy

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Software

• Calorie king

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Software

• Nutrition
• Assistant

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Software

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Software

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Software

• RMRDiet
• Self help program
• Monitor food intake, weight, and exercise as part
  of a combined weight loss program.

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Software

• ATPlll cholesterol Management Implementation Tool
• ATP III classification of lipid levels.
• ATP III CHD risk assessment.
• Therapeutic Lifestyle Changes (TLC).
• Drug therapy for lipid lowering.
• Information on the metabolic syndrome.
• Issues for special populations.

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Software

• Gerimenu.com
• Likes and dislikes changes
• Weight input
• BEE and BMI calculations
• Status change
• Level of care
• Traynote additions/deletions
• Much More!

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Software

• DocumentsToGo.com
• WORD TO GO
• EXCEL
• POWERPOINT
• (Pocket PC only

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Software

• DIET AND EXERCISE ASSISTANT
• Set nutrtion and weight goals
• Track nutrtient intake
• Serarch for food items
• Calculate calorie intake and calories burned
• 19.95-29.95

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Software

• NUTRITION-TOOL BOX
• Adult and pediatric assessment
• Lab values
• Diabetic and renal meal plans
• 179.00

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Software

• NutriCalc
• Track diet analyze nutrient content of foods and
  meals
• Customize database
• 14.99

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Freeware

• STAT Growth Charts
• Automates the June 2000 revision of the CDC
  Growth Charts
• Input sex, weight, height and head
  circumference, if indicated
• Rapidly calculate exact growth percentiles,
  z-scores and new BMI-for-age scores 
• Download and use free of charge

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Software

• FAST FOOD FINDER
• Contains over 700 entries for 20 of the most
  popular fast food restaraunts
• Complete details on calories, fat grams,
  percentage of calories from fat, saturated fat,
  cholesterol, sodium, carbs, sugars, fiber, and
  more.
• 14.95

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Software

IntelliGolf Birdie Upgrade
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Software

• Italiano-Spagnolo Dizionario Parlat 1.6
• Translates English to Spanish and Spanish to
  English
• 19.95

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THANKS!