Grid for iPad

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Grid for iPad is an app designed to assist with speech, so that users can not only use it as their voice to communicate and express themselves to those around them, but also to build on language skills and personalize vocabulary.

Grid for iPad is Smartbox's answer to having the Grid 3 software, which normally runs on windows devices, now available for touch/switch/mouse assisted use on an iPad instead.  The app emulates much of the same symbol based and text to speech vocabulary packages as its Windows based predecessor, and although there are a few differences in setting functions and programming, it allows users to access most of the same vocabulary packages should an iPad be found to be the best device for their assessed access needs, for example in terms of screen size, portability and keyguard needs.

The following set of videos has been created to outline several different uses of the app to assist in confident use of the Grid for iPad app. Some of the videos in this suite are focused on organizing and personalizing the settings, whilst others will give practical programming help as to how to personalize vocabulary, add pictures and create new pages.  There is also a section on some of the hardware usage, such as connecting the speech case for volume, and how to operate guided access if needing to lock the iPad down into the app itself.

Grid Explorer grid for iPad

 

Guided access grid for iPad

 

 

How to connect a Chatwrap case - grid for iPad

 

 

How to create a jump cell - grid for iPad

 

 

Settings - grid for iPad

 

 

Grid Explorer grid for iPad - Text alternative

This video will demonstrate various aspects of the grid explorer screen in Grid for iPad, where you can add and delete grid sets, copy existing gridsets and rearrange items. The grid explorer screen can be thought of as the ‘desktop’ of Grid, because it displays all the gridsets on your account. For example, you may have your vocabulary gridset, a games gridset and an accessible app gridset. It is usually the first screen to appear when you turn on your device, however if this is not the case, you can always navigate to grid explorer by selecting the compass icon at the top left hand side of the screen. Grid explorer is an important screen for organising your gridsets, as well as adding and any new items or deleting. If you need to add any new grid sets, this is done by selecting the three dots button in the top right of the screen, and the first option “add grid set”. Here you can select from Smartbox’s pre-set gridsets. Add one from the online options or add one that you have saved in your device or a USB stick. A very useful function here is to copy an existing gridset. For example if you wanted to practice doing some editing without the fear of changing something in the original vocabulary, you could copy the vocabulary gridset, rename it and then you would be free to edit as you please. Then when confident, you could do this editing within the original. To try this, access the “add gridset” option and select “copy gridset”. Select the vocabulary gridset you want to practice with and select “add”. You will see this appear in the grid explorer screen with the label stating that it is a copy. It is always best to alter this label to be very clear it is the one you can practice in, and to do this you go to the 3 dot button, then “arrange grid sets”. You will see the screen change accordingly with little crosses appearing, and if you tap on the label of the copied gridset, you will be given the option to change the name. Labelling it something like "My Practice” and adding the date is often recommended for making it clear that this is the one you can alter as much as you wish without causing problems to the original. When you have chosen a new name, select “done” from the top left of the screen, and again to return to the normal grid explorer screen. If you wish to delete any gridsets, you can also do this by going to the “arrange gridsets“option. You will again see the screen change and all the little crosses appear on the top right hand corners of each gridset. To delete, simply select one of the crosses and confirm, and then done to return to the normal grid explorer screen. Be careful when deleting however, because anything that is deleted cannot be returned unless it has been saved elsewhere or is an unaltered Smartbox pre-set example.

Guided access grid for iPad - Text alternative

How to start/ end “Guided Access”

This is a video on how to start guided access. Guided access should be on all the time. If the device runs out of battery or is shut down completely then guided access will need to be put back on. To start guided access, triple click on the home button. You will then be asked to enter the passcode. After that, a message will appear saying “Guided access is now started”. You can also see that now the menu bar is all grey. That means, even if I click on it, nothing works. If you want to go out of guided access, triple click on the home button again. You will have to put in your passcode. 1 5 9 7 5 3. Now you have two choice, you can go out of guided access, if you click “end”, or go back into guided access if you click “resume”. You can also tweak some of the settings about “sleep” screen and if you want the screen to rotate ect. To go out of guided access, click on “end” and a message will appear saying “guided access ended”. You can also see, that the menu bar is not grey anymore. That means, guided access is now off and you have access in all the options on the menu bar.

How to connect a chatwrap case - grid for iPad - Text alternative

This video will show you how to connect your iPad to a chatwrap case via bluethooth. The first thing you will need to do is make sure that both your iPad and the chatwrap case have enough charge. If the case is not charged ( or not charged enough) it will not appear in available devices for connection options. After everything is charged, go to your iPad's settings. From there, find the bluetooth option form the menu on the left side of the screen. Tap to turn the bluetooth "ON" . From the drop down menu of available devices choose the one that says “Chatwrap“. After a few moments a message will appear next to the speechcase’s name saying „connected“. You can also test if it worked by opening grid and "speak" a sentence to see where if the sound is coming from the iPad’s or the case’s speaker.

How to create a Jump cell grid for iPad - Text alternative

This video will show you how to create a jump cell that jumps to a new page. In this video we will also show you how to copy a template page which will include all action cells. For the purpose of this video we are using Supercore 50. We are going to add a new topic, to do this we are going to go on to our “topics” page. To edit the grid you must be in editing mode, to do this press the 3 dots in the top right corner of the screen, and select “edit mode” You will notice that now we are in editing mode there is an orange border around the screen, and a label at the top telling you which page you are on. We are going to add a jump cell in a new row, to do this we select the cell and press “jump to another grid” this will bring up all of the pages available in the Supercore 50 gridset. As mentioned earlier, we are going to copy a template to ensure we have all of the action cells and sentence bar at the top of the screen, to do this we are going to select the “copy grid” option. We are going to search for “template”, when we find the “topics template” we select it. You will notice that this will bring up an option to name the grid, we rename this to “TV”. Notice that we are only taking the words “template” and “copy” out of the name, we keep the beginning as the TV page is being placed on the topics page. We then press “done” when we have named our page. We remove “15 – Topics” from the label, so that the text on the cell just says “TV”. To add a picture to the cell, we press the bottom box and select a symbol available from the options. We then press the “follow jump” option on the menu of the right side of the screen, this takes us through to our new page we have just created, we know we are on the correct page because the label at the top tells us. To see how we begin to populate content on this page, you can watch the video on write cells.

Settings - grid for iPad - Text alternative

You can access the settings from any page, whether you are in Grid Explorer or within a gridset, it will be the same process. Simply select the three dots button in the top right hand side of the screen, and then “settings”. The settings section allows you to make changes to the “voice output”, “access method”, “dictionary” options and also check “remote editing accounts” among other things. The main thing the settings will be used for is to make changes to the voice. Select “speech’” from the toolbar on the left hand side of the screen and here you can change the voice if required. A list of available voices will appear, and if you are online, there will be more that can be downloaded in a list below. Test a voice by selecting the “play” button to see how it. When you have your desired voice, select “speech” from the top of the screen to return back to the speech options, so that you can now access the “configure” option to adjust speed and pitch to personalise the voice even further. When you are happy with the voice, go back to the speech options again and here you can decide if you want the voice to speak after “every word”, or if you prefer to turn this off so that it will only speak once you have formed your sentence. Next in this section, you can also add different pronunciation if the device isn’t speaking certain words correctly, for example names. To do this, select the “plus” symbol in the top right and then type in the mispronounced word into the first box, as it is currently spelt. In the second box, you need to forget about normal spelling and try to spell it phonetically as much as possible. It can sometimes help to use a space between syllables, and you can test the word to check. When you are happy with the new pronunciation, select “save” and it will be added to your pronunciation list. It may take some trial and error at first. Another section of the settings that you can alter is the “access” section. This is where you could change the colour highlights on the cell when it is being selected and visual highlights, which may be very useful for someone with visual difficulties who might need a particular contrast. If there are more complex requirements, such as adjusting settings if somebody has a tremor and needs something to counteract repeat presses, this would be altered in the “open accessibility settings” which is within the iPad settings itself, and would usually be assisted by someone from the AAC West team. The next section that is helpful to know about is the “writing” section. In the “dictionary” section you can add words, such as peoples names that you want to be part of the predictions that come up, and here you can control the spelling and prediction elements. Under “symbols” you can change skin tone, have adult symbols available or not and also add your own particular pictures that will always show in the message box for example of a family member. The “Chat History” section is where you can go to set the privacy whether you want the device to remember your phrases or not, and view/edit these particular phrases in the chat history section itself. The final section that may need attention is the “accounts” section. When there is an email address in the smartbox and dropbox sections this shows that the iPad is connected to a remote account that can be accessed from a PC at a different location, either for editing the vocabulary or saving a particular gridset onto a USB. This is usually set up by AAC West beforehand using an impersonal account, and if you select “remote editors” you can see who is able to access your vocabulary to edit. Generally, it will only be the assistants at AAC West as shown by this single email. If you are given permission to edit someone’s vocabulary and wish to be set up as a remote editor, AAC West or Smartbox can sort this out for you and this is where you would add your email address once you have been set up.

Grid 3

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Grid 3 is a complete communication solution that enables people to have a voice, control their environment and live more independent lives. It’s designed for anyone with complex communication or access needs and includes a wide range of resources that you can control with touch, switch, eye gaze and pointing devices. You’ll find grid sets for talking with symbols or text, and content for all ages and abilities.

The following set of videos has been created to outline several different uses of the software to assist in confident use of Grid 3. Some of the videos in this suite are focused on organizing and personalizing the settings, such as the access method, the voice and the writing options, whilst others will give practical programming help as to how to personalize vocabulary, add pictures and create new pages. Some of the videos are also covering the “remote editing and editors” option, where someone can remotely edit someone’s gridsets.

 

How to Change Label

 

 

 

How to create a Jump Cell in Grid 3

 

 

 

How to create a saved phrases page in Grid 3

 

 

 

How to populate the page Grid 3

 

 

 

Video transcript - How to change the label - Grid 3

This is a video on how to change a label. In this video we will show you how to make a cell write one thing but speak something different. The reason why we may want to do that, is because sometimes the whole message can be too long to write in a cell and the letters or symbols might end up being a bit too small to see. So we choose instead to only write the keywords on the cell but have the cell speak the whole message. You can change the label on any cell you want, unless the cell is part of a word list. For this example, I am just going to go to my “messages” page, and then I’m going to go to “help” and choose a cell from here. So, the first thing I need to do, in order to make any changes and edit, is go to “edit mode”. So, for that, click on the menu bar and then select “edit grid”. The cell I want to change the label on is that one – “you’re not listening to me”. You can already see that the message is a bit too long and the symbol is actually getting a bit small. After you select the cell, on the left side of the screen you can see that his menu bar has appeared. That menu bar displays the type of cell it is, which in this case is a write cell. And if you look a bit further down, it says same as cell label. If you tap there in order to turn that off – it is already off in our case, but if it was on, just tap it to turn it off. Underneath it you can see the text that the cell is going to speak. If you want you can leave it like that, or you can tweak it, or you can delete it and write a complete new message. In our case, I’m just going to leave it like that. So, in order to change the label, just click on the cell, and then click on “change label”. You can see that the text is now highlighted blue. That means you can change it. I am just going to type, “not listening”, and make sure you leave a space as well afterwards. If you want you can also change the symbol, by selecting one of the other symbols that appear. I’m just going to leave the same one because I like it. So then click anywhere outside of the cell and you can see that the text is no longer highlighted. If you are happy with the results, click on “finish editing”, and then click on “yes” in order to save the changes. You can check if that works, by clicking on the cell. You can see that the cell label is “not listening” (you’re not listening to me) but when you click on it, the cell speaks the whole message – “you’re not listening to me”.

Miss Isabella Dash - Oncoplastic Breast Surgery

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GMC Number: 6129482

Year & location of first qualification: 2005, University of Southampton

Specialty: Oncoplastic Breast Surgery

Clinical interests: Oncoplastic Breast Surgery, Breast Cancer in Young Women

Secretary: Louise O'Leary

Telephone number: 01174147000

Miss Isabella Dash is a member of the Royal College of Surgeons (England), Association of Breast Surgeons ( Regional Representative) and British Association of Surgical Oncologists.

I want great care profile: http://iwgc.net/ehjxo

 

Dash

Urology Masterclass for Community Nursing Staff

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Monday 5 October 2020

A virtual course. Offering 2 sessions to chose from:

Afternoon session 13:00 - 16:30

Evening session 17:00 - 20:30

An interactive virtual masterclass, aimed at Community nursing teams who would like to update their urology knowledge and gain links with the NBT Urology team. This course will run over 3 and half hours and has two sittings. The faculty include BUI Urology Consultants and Urology Specialist Nurses. There will be presentations from the NBT team and video streaming on tricky topics, but also opportunities for interactive discussion.

Course facilitators – Miss Kate Warren and Miss Helena Burden (Consultant Urological Surgeons), Engela Otto and Bernadette Plenty (Urology Sisters), Rachel Skews (Urology Specialist Nurse)

To book contact karen.evely@nbt.nhs.uk

Learning objectives:

  • By the end of the session, learners will:
  • Understand strategies to reduce catheter associated UTIs
  • Understand best practice TWOC process
  • Understand how and when to refer to NBT TWOC service
  • Understand specific issues for neurological patients with a catheter
  • Understand alternatives to catheterisation
  • Understand principles of intermittent catheterisation
  • Understand techniques for coping with difficult catheterisation
  • Understand strategies in managing catheter bypassing and blockages
  • Understand strategies to deal with difficult supra-pubic catheter issues
  • Understand principles of nephrostomy management

Transcutaneous Electrical Nerve Stimulator (TENS) Course

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We have provided this short course to help you with using your TENS machine at home.

There is a "voice over" on each slide that explains how the machine works and how you can use different settings to get the best from your TENS for you as an individual.

If you are having any difficulty using your TENS we are happy to discuss this with you. If you are a patient at North Bristol NHS Trust Pain Clinic you can telephone the Pain Clinic nurses on 0117 414 7380, or email painclinicteam@nbt.nhs.uk for advice.

There is a TENS Personal Record below the video which you might find helpful, and you can also read our TENS patient information.

To watch and listen to the course, please click on the "Play" button below:

We have made a TENS "Personal record" which you can download and fill in as you try out your TENS machine. The Personal Record will help you to choose different situations to try TENS in, and you can keep a record of the different settings and pad positions you used, and whether they were helpful in each situation. 

HITU Patient Information

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What is the Head Injury Therapy Unit?

The Head Injury Therapy Unit (HITU) is a rehabilitation service for people who have had a traumatic brain injury. We are based at the Frenchay Beckspool Building in Bristol.

We see clients at our base in Frenchay, at home, at work, or in community facilities. Where we see you will depend on your own needs and abilities.

Brain injury can result in physical, thinking, emotional, and communication difficulties. Some of these difficulties may not always be obvious but can affect a person’s ability to return to their work, social and family life, and reduce participation in their community.

The aim of rehabilitation is to help you lead a life that is as full and independent as possible.

We see people who have recently been discharged from hospital, as well as people who may have had their brain injury many years ago but are in need of further support from a specialist team.

The HITU offers: brain injury education; individual and group sessions; specialist brain injury assessment and rehabilitation and support and advice to family, friends, and carers. 

Who will I see and how often?

You will be given a timetable each month with your appointments for that month. We will try as best we can to consider days and times that work best for you. The number of appointments you have and who you see will be guided by your rehabilitation needs and goals.

The length of time we see you will be guided by your own personal rehabilitation goals. 

You will meet regularly with your keyworker to review progress. This is a member of the therapy team who will be your ‘go to’ person for any questions or concerns you have.  

Depending on your needs and goals for rehabilitation you may see all, or only some of the therapists: 

  • Physiotherapy supports with physical difficulties and mobility.
  • Support workers carry out rehabilitation programmes along with therapists. 
  • Speech and Language Therapy support with communication and swallowing difficulties.
  • Occupational therapy support with everyday activities, domestic skills, community skills, and employment.
  • Assistant psychologists carry out assessments and support the psychologist.
  • Neuropsychology/Psychology support with emotional, thinking, and behavioural difficulties. 

What happens now?

You have been invited in for an initial appointment at the unit. 
This is so we can get to know you and understand the difficulties that you are having. This will help us identify whether we are the correct service for you.
If we are the right service for you, we will:

  • Identify the members of the team that you need to see.  
  • Arrange assessment sessions with the therapists.
  • Write a report based on the assessment period.
  • Meet with you and your significant others to discuss the outcome of the assessments and make a plan for rehabilitation.
  • Help you set and work towards your goals.

What are goals?

Goals are set in the discussion with yourself and the team. 
They are central to the rehabilitation process.
Goals will be reviewed at 10 week intervals.
Goals are set around things that are important to you.
For example: 

  • Improving your ability to concentrate or remember things.
  • Increasing abilities and/or independence around the home.
  • Increasing knowledge about your brain injury.
  • Returning to work or leisure/social activities.
  • Finding ways to manage communication and swallowing difficulties.
  • Supporting emotional adjustment after brain injury.
  • Improving your mobility or physical fitness.

What we need from you

  • Motivation and willingness to participate in sessions.
  • To practice and apply what you have done in sessions between our visits.
  • To let us know as far in advance as possible if you are unable to attend sessions.

Limited or non-attendance to sessions will lead to a client being discharged from the service.

Your first appointment

Please complete the information and consent forms we have sent you with your appointment letter and bring them with you. 
If you have problems completing the forms, we can do it with you during your appointment.
Please bring a family member, carer, or friend to support you. 
Please bring your reading glasses and/or hearing aid if you use them.

People who have attended the service have said:

“I am really grateful for all the support I’ve had from HITU. The holistic approach to recovery and input from every angle is a very large part of me being able to be the person I am again. Thank you so much!”
 

“I found the care and support offered by HITU incredibly valuable to my recovery.”

“The groups and individual sessions have been very informative and have enabled me to learn and practice new coping strategies and I will use these in the future.”
 

“I have been encouraged and practically helped by a very professional team at HITU.”
 

“All of you have been absolutely incredible.”

How to find us at the HITU

By car – The postcode for HITU does not always come up with the correct location. If you enter Frenchay Village Museum on your navigation it will take you to our car park.
By bus – there are regular buses to Frenchay from all around Bristol. You can use the First Bus Journey Planner to help you a route.
By train – Bristol Parkway is the closest train station to HITU. Buses run from there regularly and taxis are available at the 
station.
Press the buzzer on the outside of the building to let us know you have arrived.

For more information about how to find the HITU please visit: 

Frenchay | North Bristol NHS Trust (nbt.nhs.uk) 

How to contact us

Head Injury Therapy Unit (HITU)
Frenchay Beckspool Building
Frenchay Park Road
Frenchay
Bristol
BS16 1LE

0117 414 3280 
Mon - Fri, 8.30am - 4.30pm 

 

© North Bristol NHS Trust. This edition published January 2024. Review due January 2027. NBT003280

Employment with Fatigue and Pain Online Course

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We have developed these two video guides to managing employment issues to support people who:

  • are finding it difficult to maintain their current work
  • are off work at present, and are looking to return to work
  • are not currently employed but who want to explore employment options in the future 

The guides are designed to help to you consider a range of approaches which can be helpful, but we hope that you will discuss any issues which you want help with, at your next appointment with us.

We have also added two worksheets which you can download and complete, which may help you to manage employment-related issues. They include:

Positive health statement which can be used to prepare for employment-related meetings.

Long term employment goal sheet which can help to identify the "stepping stones" that can be used to make progress with a longer term goal.

The Health and Safety Executive (HSE) has useful information about employment issues, for example on computer screen use, also known as Display Screen Equipment, or DSE.

The HSE also offer guidance about working from home.

 

Employment with fatigue and pain online course part 1

Employment with fatigue and pain online course part 2

 

Using a Challenges, Needs, Solutions, Resources employment analysis

To start with, list the ways in which your condition interacts with any  aspects of your working life. These are the "Challenges".

Next, list what you really need in order to overcome each challenge. These needs are not the detailed, specific solutions, but they describe the kind of changes that might need to happen: a "broad brush" approach. These are the "Needs".

Next write down the detailed, specific actions that might address those needs: these are the "Solutions".

Finally, list what help you might need: what personal or organisational resources do you have access to? Perhaps there are things that it would help to find out? These are the "Resources".

Here is a worked example:

Challenge: "Commuting in rush hour is exhausting and takes so much energy from my working day."

Need: "I need to manage how I spend my energy differently throughout each working day."

Solution: "Change my working hours to avoid rush hour and/or doing some homeworking" 

Resources: "Discussion with line manager, using flexible working policies or reasonable adjustments, and perhaps seek Occupational Health advice.

Please get in touch if you are a patient at the Service and need support to use these worksheets or to address specific employment-related issues.

 

 

Dr Sandeep Buddha - Stroke Medicine

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Picture of Dr Sandeep Budda

GMC Number: 6031795                                                                                                          

Year & location of first qualification: 2001, India

Specialty: Stroke Medicine

Clinical interests: Hyper Acute Stroke Unit

Secretary: Kirsten Wilsher

Telephone number: 0117 414 7498

Dr Sandeep Buddha is a Stroke Physician at North Bristol NHS Trust.He is a Stroke delivery research lead in Hyper Acute Stroke Unit.

Buddha

Cytology

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The laboratory component of the South West Cervical Screening Programme is based in the department. The laboratory is one of eight nationally that processes cervical screening samples.  The department was the first laboratory in the UK to undertake 100% of its primary screening using molecular techniques for detection of High Risk HPV within the Cervical Screening Programme. HPV as a primary tool for cervical screening was rolled out Nationally in December 2019.

Diagnostic Cytology

The range of specialised Histology reporting we offer includes:
• Breast pathology
• Endocrine pathology
• Genitourinary pathology
• Head and neck pathology
• Lymphoreticular disease (part of the Specialist Integrated Haematological Malignancy Diagnostic Service (SIHMDS))
• Oral pathology
• Paediatric and perinatal pathology
• Renal pathology
• Thoracic pathology
• Upper and lower gastrointestinal pathology, including liver and pancreatic pathology

We also provide a referral service in many of these specialisms for other NHS trusts and Pathology providers.
The laboratory offers the immunocytochemistry and crystals analysis.

Severn Pathology is also host to the South West Regional Cytology Training Centre although this unit is managed separately to the diagnostic laboratory.

 

Updated 01/10/2020

Cellular Pathology Results & Enquiries

Cytology

Laboratory Opening Hours:
Monday - Friday, 9am - 5pm
Tel: 0117 4149889

Histology

Tel: 0117 414 9890

Test Information

Sample vials for testing

Includes details of sample types, volumes, special precautions, turnaround times & reference ranges.

Cytology