An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
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In our PICU environment we also use these 'make do' options plus:
- Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained
- Picture based communication books / boards for our younger or non-literate patients
- BigMack switch with simple 'Help!' message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
I now this is all common sense basic stuff but hope it's useful anyway.
Lesley
________________________________
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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I would have thought the iPAD is amongst the solutions now available and if dexterity is affected fitting a keyguard would offer the added support.
I also have some experience of MegaBee being used in this environment when accessibility is compromised. It has the advantage of being designed for a sterile environment
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Baker Lesley Sent: 17 April 2012 16:45 To: cm-aac-forum@googlegroups.com Subject: RE: [AAC Forum] AAC in ITU
In our PICU environment we also use these 'make do' options plus:
- Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained
- Picture based communication books / boards for our younger or non-literate patients
- BigMack switch with simple 'Help!' message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
I now this is all common sense basic stuff but hope it's useful anyway.
Lesley
_____
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
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1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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-- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
2. This email group must not be used for advertising or promoting goods or services.
3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
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> An ITU department have approached us regarding options for improving > communication for some of their patients with tracheotomies who are > temporarily unable to communicate. Up to now they have 'made do' with lip > reading, alphabet boards and writing.
> I have a number of thoughts about a range of AAC possibilities for this kind > of environment (and know about the Dundee ITU-AAC research project) and can > imagine a kind of 'booklet/tool kit' of options that the nurses could use.
> Does anyone else have experience of this to share? Are there any resources > specifically designed for this environment around?
> Thanks in advance.
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
> This message may contain confidential information. If you are not the > intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail or > take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful.
> Thank you for your co-operation.
> NHSmail is the secure email and directory service available for all NHS > staff in England and Scotland > NHSmail is approved for exchanging patient data and other sensitive > information with NHSmail and GSi recipients > NHSmail provides an email address for your career in the NHS and can be > accessed anywhere
> -- > GUIDELINES - COMMUNICATION MATTERS AAC FORUM
> 1. The purpose of this email group is for people to share experiences and > information about Augmentative and Alternative Communication (AAC). The > views and opinions expressed are those of individuals and do not represent > the views of Communication Matters.
> 2. This email group must not be used for advertising or promoting goods or > services.
> 3. * COMMERCIAL INTERESTS * > If you are a supplier or have commercial interests, you must preface each of > your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
> Although this group is not actively moderated, Communication Matters > reserves the right to remove messages and members considered offensive, > libellous, or not following the above guidelines.
> To post to this group, email: cm-aac-forum@googlegroups.com > To unsubscribe from this group, email: > cm-aac-forum+unsubscribe@googlegroups.com > For more options, visit: http://groups.google.com/group/cm-aac-forum
-- Barney Hawes Sensory Software International Ltd
I would worry about the potential for electrical interference from an ipad which has the ability to produce wifi or 3G signals in close proximity to external pacers & other kit. Insisting it's turned off isn't foolproof.
Barry
Barry Taylor, Clinical Scientist Medical Physics Service Tulley Medical Physics Building, Hull Royal Infirmary Anlaby Road, Hull HU3 2JZ
[mailto:cm-aac-forum@googlegroups.com] On Behalf Of Sandra Hartley Sent: 17 April 2012 17:19 To: cm-aac-forum@googlegroups.com Subject: RE: [AAC Forum] AAC in ITU
Commercial interest declared
I would have thought the iPAD is amongst the solutions now available and if dexterity is affected fitting a keyguard would offer the added support.
I also have some experience of MegaBee being used in this environment when accessibility is compromised. It has the advantage of being designed for a sterile environment
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Baker Lesley Sent: 17 April 2012 16:45 To: cm-aac-forum@googlegroups.com Subject: RE: [AAC Forum] AAC in ITU
In our PICU environment we also use these 'make do' options plus:
- Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained
- Picture based communication books / boards for our younger or non-literate patients
- BigMack switch with simple 'Help!' message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
I now this is all common sense basic stuff but hope it's useful anyway.
Lesley
________________________________
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] <mailto:%5bmailto:cm-aac-forum@googlegroups.com%5d> On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere
The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.
Unless otherwise specified, the opinions expressed herein do not necessarily represent those of Guy's and St Thomas' NHS Foundation Trust or any of its subsidiaries.
The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and any replies cannot be guaranteed.
Any review, retransmission,dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.
We make every effort to keep our network free from viruses. However, it is your responsibility to ensure that this e-mail and any attachments are free of viruses as we can take no responsibility for any computer virus which might be transferred by way of this e-mail.
________________________________
-- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
2. This email group must not be used for advertising or promoting goods or services.
3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
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-- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
2. This email group must not be used for advertising or promoting goods or services.
3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
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-- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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We have had very preliminary discussions with NHS on using JayBee on a tablet computer. Advantage is that touch, mouse, camera mouse, Face Mouse, Switch or Carer Switching can be used. Either the delivered database of phrases etc could be delivered or specific database for given situation.
Cheers
Ian S
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
2. This email group must not be used for advertising or promoting goods or services.
3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
To post to this group, email: cm-aac-forum@googlegroups.com To unsubscribe from this group, email: cm-aac-forum+unsubscribe@googlegroups.com For more options, visit: http://groups.google.com/group/cm-aac-forum
At frenchay we are currently involved in a research project looking into the viability and effectiveness of providing each ward which contains critical care beds (including itu and icu) a communication pack.
Findings to date are suggesting that low tech devices are the most appropriate as experience has shown that pt's are generally too Ill/ drowsy to learn new equipment, equipment regularly goes walkies on wards and there is the massive ongoing issue of training for both staff and pt's - this is tricky enough for low tech!
Hope this gives some insight into our experience
Sent from my iPhone
On 17 Apr 2012, at 17:20, "Ian JayBee" <i...@jaybee.org.uk> wrote:
> We have had very preliminary discussions with NHS on using JayBee on a tablet computer. Advantage is that touch, mouse, camera mouse, Face Mouse, Switch or Carer Switching can be used. Either the delivered database of phrases etc could be delivered or specific database for given situation.
> Cheers
> Ian S
> From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) > Sent: 17 April 2012 16:36 > To: cm-aac-forum@googlegroups.com > Subject: [AAC Forum] AAC in ITU
> Hi all,
> An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
> I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
> Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
> Thanks in advance.
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
> This message may contain confidential information. If you are not the intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful.
> Thank you for your co-operation.
> NHSmail is the secure email and directory service available for all NHS staff in England and Scotland > NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients > NHSmail provides an email address for your career in the NHS and can be accessed anywhere
> *************************************************************************** ***************************************** > -- > GUIDELINES - COMMUNICATION MATTERS AAC FORUM
> 1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
> 2. This email group must not be used for advertising or promoting goods or services.
> 3. * COMMERCIAL INTERESTS * > If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
> Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
> To post to this group, email: cm-aac-forum@googlegroups.com > To unsubscribe from this group, email: cm-aac-forum+unsubscribe@googlegroups.com > For more options, visit: http://groups.google.com/group/cm-aac-forum > -- > GUIDELINES - COMMUNICATION MATTERS AAC FORUM
> 1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
> 2. This email group must not be used for advertising or promoting goods or services.
> 3. * COMMERCIAL INTERESTS * > If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
> Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
> To post to this group, email: cm-aac-forum@googlegroups.com > To unsubscribe from this group, email: cm-aac-forum+unsubscribe@googlegroups.com > For more options, visit: http://groups.google.com/group/cm-aac-forum
As well as the 'kit options' , I'm more interested in the resources and previous 'kits' of techniques/methods/devices that people have tried/succeeded with.
The particularly characteristics of this group (in reply to Barney) are, I think: - they are likely only 'temporary AAC users' - they probably have some other methods for some things - they are in a specific medical environment (and thus there are issues of sterilisation, EMG etc to consider) - they may well be very ill and potentially medicated some often tired/ill/unmotivated etc (and thus, potentially, need systems with low learning/training demand). - staff may have little time to be partner-assisting the communication and/or may have to prioritise other urgent medical needs. - equipment will be multi-user and need to be quickly re-commissioned - high value/desirable equipment may disappear (i.e. be stolen).
? Probably more, but this is my current list (based only on limited input so far and starting with 1 case patient).
-----Original Message----- From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Baker Lesley Sent: Tuesday, April 17, 2012 4:45 PM To: cm-aac-forum@googlegroups.com Subject: RE: [AAC Forum] AAC in ITU
In our PICU environment we also use these 'make do' options plus:
- Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained
- Picture based communication books / boards for our younger or non-literate patients
- BigMack switch with simple 'Help!' message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
I now this is all common sense basic stuff but hope it's useful anyway.
Lesley
________________________________
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere
The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.
Unless otherwise specified, the opinions expressed herein do not necessarily represent those of Guy's and St Thomas' NHS Foundation Trust or any of its subsidiaries.
The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and any replies cannot be guaranteed.
Any review, retransmission,dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.
We make every effort to keep our network free from viruses. However, it is your responsibility to ensure that this e-mail and any attachments are free of viruses as we can take no responsibility for any computer virus which might be transferred by way of this e-mail. ________________________________
-- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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Brilliant - this sounds very interesting (and along the lines I was guessing). Is this pack and/or paper available (I guess not or you'd have linked to it)!
-----Original Message----- From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of vicky rogerson Sent: Tuesday, April 17, 2012 5:38 PM To: cm-aac-forum@googlegroups.com
Cc: cm-aac-forum@googlegroups.com Subject: Re: [AAC Forum] AAC in ITU
At frenchay we are currently involved in a research project looking into the viability and effectiveness of providing each ward which contains critical care beds (including itu and icu) a communication pack.
Findings to date are suggesting that low tech devices are the most appropriate as experience has shown that pt's are generally too Ill/ drowsy to learn new equipment, equipment regularly goes walkies on wards and there is the massive ongoing issue of training for both staff and pt's - this is tricky enough for low tech!
Hope this gives some insight into our experience
Sent from my iPhone
On 17 Apr 2012, at 17:20, "Ian JayBee" <i...@jaybee.org.uk> wrote:
Commercial Interest Declared
We have had very preliminary discussions with NHS on using JayBee on a tablet computer. Advantage is that touch, mouse, camera mouse, Face Mouse, Switch or Carer Switching can be used. Either the delivered database of phrases etc could be delivered or specific database for given situation.
Cheers
Ian S
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
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I think one easy to use low-tech equipment might be SpeakBook (http://www.speakbook.org/). It is easy to use and free. For people with no visual problems could Mediwrite be an option to communicate. It works a single switch. There is a demo video at https://vimeo.com/25575437.
Regards
Julius
Am 17.04.2012 17:36, schrieb Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST):
> Hi all, > An ITU department have approached us regarding options for improving > communication for some of their patients with tracheotomies who are > temporarily unable to communicate. Up to now they have 'made do' with > lip reading, alphabet boards and writing. > I have a number of thoughts about a range of AAC possibilities for > this kind of environment (and know about the Dundee ITU-AAC research > project) and can imagine a kind of 'booklet/tool kit' of options that > the nurses could use. > Does anyone else have experience of this to share? Are there any > resources specifically designed for this environment around? > Thanks in advance.
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
> This message may contain confidential information. If you are not the > intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail > or take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful.
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I use an iPad with Proloquo2go as my communication aid so if I had to go into hospital do they have a right to take it away if its my voice?.. and how am I meant to tell them what my symptoms are etc if they have confiscated it in case it interferes with equipment?
Having to point to each letter individually(on a low tech letterboard for instance) to say entire sentences is going to much harder when already ill than using my own device with all sentences pre-stored etc.
> Sandra > I would worry about the potential for electrical interference from an ipad which has the ability to produce wifi or 3G signals in close proximity to external pacers & other kit. Insisting it’s turned off isn’t foolproof.
> Barry
> Barry Taylor, Clinical Scientist > Medical Physics Service > Tulley Medical Physics Building, Hull Royal Infirmary > Anlaby Road, Hull HU3 2JZ
> -----Original Message----- > From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Sandra Hartley > Sent: 17 April 2012 17:19 > To: cm-aac-forum@googlegroups.com > Subject: RE: [AAC Forum] AAC in ITU
> Commercial interest declared
> I would have thought the iPAD is amongst the solutions now available and if dexterity is affected fitting a keyguard would offer the added support.
> I also have some experience of MegaBee being used in this environment when accessibility is compromised. It has the advantage of being designed for a sterile environment
> From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Baker Lesley > Sent: 17 April 2012 16:45 > To: cm-aac-forum@googlegroups.com > Subject: RE: [AAC Forum] AAC in ITU
> In our PICU environment we also use these ‘make do’ options plus:
> - Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained > - Picture based communication books / boards for our younger or non-literate patients > - BigMack switch with simple ‘Help!’ message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
> I now this is all common sense basic stuff but hope it’s useful anyway.
> Lesley
> From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) > Sent: 17 April 2012 16:36 > To: cm-aac-forum@googlegroups.com > Subject: [AAC Forum] AAC in ITU
> Hi all,
> An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
> I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
> Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
> Thanks in advance.
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
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I am writing from a personal perspective. As you maybe aware my Mum had a radical neck resection and was without a voice a total of 8 weeks. Then afterwards a slow process to produce some intelligible speech. During some of this time she felt very isolated and alone.
I feel as you will be aware that all patients feel differently and AAC implementation is a personal choice to a patient coping with their loss of speech. As for my Mum she did not feel like writing (this was due to a flap being taken from her arm and shoulder) and the thought of a communication board was not an option as this did not give her a voice. A VOCA was the answer for my Mum, but also what was important to her was the content of vocabulary being available to her, it had to be individual , functional, frequently used vocabulary that could be used in many different ways to enable her to structure her own phrases to spontaneously communicate.
She realised during her experience that how lonely you feel when you do not have a voice, even though she could write, it could not replace her voice.
The patients on Head and Neck Units are all placed in wards where they are all sharing the same experiences, if these wards could have basic packages of AAC (VOCA), maybe there experience may not have to be so lonely.
There are many support groups that my Mum attends, if you wish for patients views on their experiences, I will gladly pass details onto you.
Helping you support communication, inclusion & independence.
From: cm-aac-forum@googlegroups.com [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
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1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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Hi I did a stint in ITU many years pre the arrival of my AAC user. Some patients have trachies as a result of head/neck surgery or injuries - this group often have a planned admission and the stay in ITU is often short.For those with a planned admission I would like to think that they were been given information on the use of a low tech book/board before hand. Many of the staff I worked with were very skilled at communicating with pateients.The other main group is those who are going to be requiring longer term ventalition. I can think of the very occasional patient that for whom a more high tech device would be helpful but on the whole think well designed low tech would be more useful. A selection of simple low tech books or laminated boards for both eye pointing , finger pointing and auditory scanning. Picture and text based with a well chosen set of vocabulary. Along with a quick tips guide on how they might be used. Simple message devices like a Big Mac for "starting" the conversation would be useful - the nurse may be in your bed space but needs a prompt. For those using eye pointing a sign on the wall that they can eyeball to indicate "I want to tell you something". Liza Clements
________________________________ From: Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) <simon.ju...@nhs.net> To: "cm-aac-forum@googlegroups.com" <cm-aac-forum@googlegroups.com> Sent: Tuesday, 17 April 2012, 16:36 Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
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1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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I did some 'rolling training' at Gloucester and found that staff tended to stick to the low tech stuff which was provided-I made up and variety of low tech laminated charts with instructions on the back which were kept on ITU. The benefit of the training was that call bells with switch access were requested more frequently. I did however have to spend time trying to find all the components once the person moved on! For people who were able I did use the good old Lightwriter as at least it could be cleaned with Cliniwipes following use. One of the main ongoing issues was infection control.
Other attempts to introduce alternative high tech options were not very successful as there were issues over power sources, charging, and just the amount of equipment already out.
Hope this adds to the discussion. Cathy Harris
On 17 April 2012 17:37, vicky rogerson <rogersonvi...@hotmail.com> wrote:
> At frenchay we are currently involved in a research project looking into > the viability and effectiveness of providing each ward which contains > critical care beds (including itu and icu) a communication pack.
> Findings to date are suggesting that low tech devices are the most > appropriate as experience has shown that pt's are generally too Ill/ drowsy > to learn new equipment, equipment regularly goes walkies on wards and there > is the massive ongoing issue of training for both staff and pt's - this is > tricky enough for low tech!
> Hope this gives some insight into our experience
> Sent from my iPhone
> On 17 Apr 2012, at 17:20, "Ian JayBee" <i...@jaybee.org.uk> wrote:
> Commercial Interest Declared****
> ** **
> We have had very preliminary discussions with NHS on using JayBee on a > tablet computer. Advantage is that touch, mouse, camera mouse, Face Mouse, > Switch or Carer Switching can be used. Either the delivered database of > phrases etc could be delivered or specific database for given situation.** > **
> ** **
> Cheers****
> ** **
> Ian S****
> ** **
> *From:* cm-aac-forum@googlegroups.com [mailto: > cm-aac-forum@googlegroups.com] *On Behalf Of *Judge Simon (BARNSLEY > HOSPITAL NHS FOUNDATION TRUST) > *Sent:* 17 April 2012 16:36 > *To:* cm-aac-forum@googlegroups.com > *Subject:* [AAC Forum] AAC in ITU****
> ** **
> Hi all,****
> ****
> An ITU department have approached us regarding options for improving > communication for some of their patients with tracheotomies who are > temporarily unable to communicate. Up to now they have 'made do' with lip > reading, alphabet boards and writing.****
> ****
> I have a number of thoughts about a range of AAC possibilities for > this kind of environment (and know about the Dundee ITU-AAC research > project) and can imagine a kind of 'booklet/tool kit' of options that the > nurses could use. ****
> ****
> Does anyone else have experience of this to share? Are there any resources > specifically designed for this environment around? ****
> ****
> Thanks in advance.****
> ****
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
> This message may contain confidential information. If you are not the > intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail or > take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful.
> Thank you for your co-operation.
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I think you must -also- speak to those nurses at that department to
see what their problem is, and not forget about what problems patients
and family members may have. If they use an electronic patient file,
one issue might be who enters patient's comments into that, who is
responsible for this patient's communication needs.
This doesn't really answer your question Simon(!) but I know that John Costello from the Boston Children's hospital does talk about their "Kit" in acute and ICU work e.g.: https://www.youtube.com/watch?v=qPQaW21Bpmw
If your email is a request for information made under the terms of the Freedom of Information Act 2000, please forward to: FOI Lead, Kent Community Healthcare Trust, Trinity House, 110-120 Upper Pemberton, Eureka Business Park, Kennington, Ashford, Kent. TN25 4AZ. Telephone: 01233 667940. Email: kcht....@nhs.net
From: Katilea <kati...@sky.com<mailto:kati...@sky.com>> Reply-To: "cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com>" <cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com>> To: "cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com>" <cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com>> Subject: Re: [AAC Forum] AAC in ITU
I use an iPad with Proloquo2go as my communication aid so if I had to go into hospital do they have a right to take it away if its my voice?.. and how am I meant to tell them what my symptoms are etc if they have confiscated it in case it interferes with equipment?
Having to point to each letter individually(on a low tech letterboard for instance) to say entire sentences is going to much harder when already ill than using my own device with all sentences pre-stored etc.
Kati
On 17 Apr 2012, at 17:18, Taylor, Barry wrote:
Sandra I would worry about the potential for electrical interference from an ipad which has the ability to produce wifi or 3G signals in close proximity to external pacers & other kit. Insisting it’s turned off isn’t foolproof.
Barry
Barry Taylor, Clinical Scientist Medical Physics Service Tulley Medical Physics Building, Hull Royal Infirmary Anlaby Road, Hull HU3 2JZ
-----Original Message----- From: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Sandra Hartley Sent: 17 April 2012 17:19 To: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> Subject: RE: [AAC Forum] AAC in ITU
Commercial interest declared
I would have thought the iPAD is amongst the solutions now available and if dexterity is affected fitting a keyguard would offer the added support.
I also have some experience of MegaBee being used in this environment when accessibility is compromised. It has the advantage of being designed for a sterile environment
From: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> [mailto:cm-aac-forum@googlegroups.com] On Behalf Of Baker Lesley Sent: 17 April 2012 16:45 To: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> Subject: RE: [AAC Forum] AAC in ITU
In our PICU environment we also use these ‘make do’ options plus:
- Using Lightwriter or own mobile phone to type out a message, as long as necessary manual dexterity has been maintained - Picture based communication books / boards for our younger or non-literate patients - BigMack switch with simple ‘Help!’ message to alert nursing staff to any problem (although all tracheostomy patients on PICU have one-to-one care anyway, though a patient may want to communicate with the nurse while she is looking down writing her notes)
I now this is all common sense basic stuff but hope it’s useful anyway.
Lesley
________________________________ From: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> [mailto:cm-aac-forum@googlegroups.com]<mailto:%5bmailto:cm-aac-forum@google groups.com%5d> On Behalf Of Judge Simon (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) Sent: 17 April 2012 16:36 To: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> Subject: [AAC Forum] AAC in ITU
Hi all,
An ITU department have approached us regarding options for improving communication for some of their patients with tracheotomies who are temporarily unable to communicate. Up to now they have 'made do' with lip reading, alphabet boards and writing.
I have a number of thoughts about a range of AAC possibilities for this kind of environment (and know about the Dundee ITU-AAC research project) and can imagine a kind of 'booklet/tool kit' of options that the nurses could use.
Does anyone else have experience of this to share? Are there any resources specifically designed for this environment around?
Thanks in advance.
Cheers,I
Simon
Senior Clinical Scientist Assistive Technology Team
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1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
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3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
Although this group is not actively moderated, Communication Matters reserves the right to remove messages and members considered offensive, libellous, or not following the above guidelines.
To post to this group, email: cm-aac-forum@googlegroups.com<mailto:cm-aac-forum@googlegroups.com> To unsubscribe from this group, email: cm-aac-forum+unsubscribe@googlegroups.com<mailto:cm-aac-forum+unsubscribe@g ooglegroups.com> For more options, visit: http://groups.google.com/group/cm-aac-forum -- GUIDELINES - COMMUNICATION MATTERS AAC FORUM
1. The purpose of this email group is for people to share experiences and information about Augmentative and Alternative Communication (AAC). The views and opinions expressed are those of individuals and do not represent the views of Communication Matters.
2. This email group must not be used for advertising or promoting goods or services.
3. * COMMERCIAL INTERESTS * If you are a supplier or have commercial interests, you must preface each of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
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In conjunction with Frenchay Hospital we developed a range of alphabet boards which are immune to Healthcare associated infections and are used in ICUs and are readily available fro our agents.
The need to use them within ICUs was one of the basic requirements, so they have been designed with this in mind as well as including features such as keyguards, non-slip, washable different sizes and layouts, etc, etc. http://www.FAB.uk.com
Lyndon Owen Managing Director E2L Products Limited 19 White Swan Court, MONMOUTH, NP25 3NY
On Thu, Apr 19, 2012 at 9:05 AM, Wade Will (EASTERN AND COASTAL KENT PCT) <
will.w...@nhs.net> wrote: > This doesn't really answer your question Simon(!) but I know that John > Costello from the Boston Children's hospital does talk about their "Kit" in > acute and ICU work e.g.: > https://www.youtube.com/watch?v=qPQaW21Bpmw
> If your email is a request for information made under the terms of the > Freedom of Information Act 2000, please forward to: FOI Lead, Kent > Community Healthcare Trust, Trinity House, 110-120 Upper Pemberton, Eureka > Business Park, Kennington, Ashford, Kent. TN25 4AZ. Telephone: 01233 > 667940. Email: kcht....@nhs.net
> From: Katilea <kati...@sky.com> > Reply-To: "cm-aac-forum@googlegroups.com" <cm-aac-forum@googlegroups.com> > To: "cm-aac-forum@googlegroups.com" <cm-aac-forum@googlegroups.com> > Subject: Re: [AAC Forum] AAC in ITU
> I use an iPad with Proloquo2go as my communication aid so if I had to > go into hospital do they have a right to take it away if its my voice?.. > and how am I meant to tell them what my symptoms are etc if they have > confiscated it in case it interferes with equipment?
> Having to point to each letter individually(on a low tech letterboard > for instance) to say entire sentences is going to much harder when already > ill than using my own device with all sentences pre-stored etc.
> Kati
> On 17 Apr 2012, at 17:18, Taylor, Barry wrote:
> Sandra > I would worry about the potential for electrical interference from an > ipad which has the ability to produce wifi or 3G signals in close proximity > to external pacers & other kit. Insisting it’s turned off isn’t foolproof.
> Barry
> Barry Taylor, Clinical Scientist > Medical Physics Service > Tulley Medical Physics Building, Hull Royal Infirmary > Anlaby Road, Hull HU3 2JZ
> -----Original Message----- > *From:* cm-aac-forum@googlegroups.com [ > mailto:cm-aac-forum@googlegroups.com <cm-aac-forum@googlegroups.com>] *On > Behalf Of *Sandra Hartley > *Sent:* 17 April 2012 17:19 > *To:* cm-aac-forum@googlegroups.com > *Subject:* RE: [AAC Forum] AAC in ITU
> Commercial interest declared
> I would have thought the iPAD is amongst the solutions now available and > if dexterity is affected fitting a keyguard would offer the added support.
> I also have some experience of MegaBee being used in this environment > when accessibility is compromised. It has the advantage of being designed > for a sterile environment
> *From:* cm-aac-forum@googlegroups.com [ > mailto:cm-aac-forum@googlegroups.com <cm-aac-forum@googlegroups.com>] *On > Behalf Of *Baker Lesley > *Sent:* 17 April 2012 16:45 > *To:* cm-aac-forum@googlegroups.com > *Subject:* RE: [AAC Forum] AAC in ITU
> In our PICU environment we also use these ‘make do’ options plus:
> - Using Lightwriter or own mobile phone to type out a message, > as long as necessary manual dexterity has been maintained > - Picture based communication books / boards for our younger or > non-literate patients > - BigMack switch with simple ‘Help!’ message to alert nursing > staff to any problem (although all tracheostomy patients on PICU have > one-to-one care anyway, though a patient may want to communicate with the > nurse while she is looking down writing her notes)
> I now this is all common sense basic stuff but hope it’s useful anyway.
> Lesley
> ------------------------------ > *From:* cm-aac-forum@googlegroups.com > [mailto:cm-aac-forum@googlegroups.com] *On Behalf Of *Judge Simon > (BARNSLEY HOSPITAL NHS FOUNDATION TRUST) > *Sent:* 17 April 2012 16:36 > *To:* cm-aac-forum@googlegroups.com > *Subject:* [AAC Forum] AAC in ITU
> Hi all,
> An ITU department have approached us regarding options for improving > communication for some of their patients with tracheotomies who are > temporarily unable to communicate. Up to now they have 'made do' with lip > reading, alphabet boards and writing.
> I have a number of thoughts about a range of AAC possibilities for > this kind of environment (and know about the Dundee ITU-AAC research > project) and can imagine a kind of 'booklet/tool kit' of options that the > nurses could use.
> Does anyone else have experience of this to share? Are there any > resources specifically designed for this environment around?
> Thanks in advance.
> Cheers,I
> Simon
> Senior Clinical Scientist > Assistive Technology Team
> This message may contain confidential information. If you are not the > intended recipient please inform the > sender that you have received the message in error before deleting it. > Please do not disclose, copy or distribute information in this e-mail or > take any action in reliance on its contents: > to do so is strictly prohibited and may be unlawful.
> Thank you for your co-operation.
> NHSmail is the secure email and directory service available for all NHS > staff in England and Scotland > NHSmail is approved for exchanging patient data and other sensitive > information with NHSmail and GSi recipients > NHSmail provides an email address for your career in the NHS and can be > accessed anywhere
> *************************************************************************** ***************************************** > ------------------------------ > The information contained in this message and or attachments is > intended only for the person or entity to which it is addressed and may > contain confidential and/or privileged material.
> Unless otherwise specified, the opinions expressed herein do not > necessarily represent those of Guy's and St Thomas' NHS Foundation Trust or > any of its subsidiaries.
> The information contained in this e-mail may be subject to public > disclosure under the Freedom of Information Act 2000. Unless the > information is legally exempt from disclosure, the confidentiality of this > e-mail and any replies cannot be guaranteed.
> Any review, retransmission,dissemination or other use of, or taking of > any action in reliance upon, this information by persons or entities other > than the intended recipient is prohibited. If you received this in error, > please contact the sender and delete the material from any system and > destroy any copies.
> We make every effort to keep our network free from viruses. However, it > is your responsibility to ensure that this e-mail and any attachments are > free of viruses as we can take no responsibility for any computer virus > which might be transferred by way of this e-mail. > ------------------------------ > -- > GUIDELINES - COMMUNICATION MATTERS AAC FORUM
> 1. The purpose of this email group is for people to share experiences and > information about Augmentative and Alternative Communication (AAC). The > views and opinions expressed are those of individuals and do not represent > the views of Communication Matters.
> 2. This email group must not be used for advertising or promoting goods or > services.
> 3. * COMMERCIAL INTERESTS * > If you are a supplier or have commercial interests, you must preface each > of your posts with the words 'COMMERCIAL INTERESTS DECLARED'.
> Although this group is not actively moderated, Communication Matters > reserves the right to remove messages and members considered offensive, > libellous, or not following the above guidelines.
> To post to this group, email: cm-aac-forum@googlegroups.com > To unsubscribe from this group, email: > cm-aac-forum+unsubscribe@googlegroups.com > For more options, visit: http://groups.google.com/group/cm-aac-forum > -- > GUIDELINES - COMMUNICATION MATTERS AAC FORUM
> 1. The purpose of this email group is for people to share
