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Andrich R, Gower V, Milo A,
Albert, age 23: autonomy in writing and communicating
Portale SIVA Fondazione Don Gnocchi - Banca Dati dei Casi di Studio
Alberto is a young man with a complex clinical situation. During the rehabilitation program at our center we worked at meeting his main needs related to mobility, writing, communication and environmental control. In the course of the prgram, thanks to the assistive products available in our Assistive Technology Unit (which were properly configured according to his motor and cognitive impairments), Alberto gradually developed the skills needed to effectively use them. In the meanwhile his life situation changed due to external circumstances. He had the possibility to start attending a Day Centre (sheltered workshop) and thus spend the majority of his time away from home. At the end of the occupational therapy programme we suggested a list of assistive products, which the family agreed to but and place in the Day Centre. After a while we visited the Day Centre and had the opportunity to check the equipment and fix a number of mistakes that had been done in the installation stage. We could also discuss with the family and the Centre staff how to best exploit the potential of the assistive technology provided to Alberto. In the final assessment all the actors involved (Alberto, family, educators) expressed satisfaction with the work done and the choices made.
Year of publication: 2015
Type of document: Case studies/experiences
Last update: March 2016
Bertocchi C
Emanuele, age 20, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Comprehensive intervention for home reintegration of a young man after a coma as a consequence of brain concussion. A special bed, an antidecubitus mattress and assistive aids for the seated posture and for the shower were used.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: April 2003
Cacciatori B
Andrea, 45 years old. Autonomy in daily life for a person with Multiple Sclerosis
Portale SIVA FondazioneDon Carlo Gnocchi
Andrea is a man aged 47, who in 1991 was diagnosed with multiple sclerosis; in 1998 there was a worsening of clinical conditions that forced him to walk with the aid of Canadians crutches. He had to leave work (receiving pension for incapacity for work) and in 2005 he moved into an apartment with no architectural barriers. This project aims to highlight the path followed by both Andrea and the various actors involved to allow him to have an independent life at home, despite the progression of the disease. The hardest thing was, and still is, accompanying Andrea during the deterioration of functional capacity, trying to propose and implement strategies (aids and services) to enable him to have his own autonomy while maintaining a good quality of life.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Castellano G
Alessio, 33 years old. Autonomy in daily life for a person with spastic quadriplegia.
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Alessio is a young man aged 33 with severe spastic quadriplegia, expressive aphasia, nystagmus, as results of a perinatal damage. This study aims to document the path of Alessio and of team of professionals who followed him: this experience involved Alessio’s parents, his caregiver and the whole team of the Centre. Considering the severity of the clinical situation, a multiprofessional approach was needed, in order to improve Alessio situation and to make him more independent, in particular as far as communication was concerned. Alessio has maintained a good level of symbolic cognitive ability, slightly below the norm: although he can’t use verbal language, he has a high understanding and an overall good cognitive functioning. Thanks to his character, his availability and his will, he was able to self determine not only the choice of technological solutions, but his future in general.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: July 2011
Cernigoi G
Gaia, age 72, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Gaia's severe impairment of both vital and motor functions, the cognitive ones excluded, was caused by an acute cerebral vascular accident. This experience deals with the patient's home reintegration and home care, aimed to assure her a good quality of life within her family. It is extremely important searching for a solution together with Gaia's family, that will take care of her in the daily life. Besides, a solution must be found out shortly because of the forthcoming discharge of the patient. The global evaluation of the domestic environment, the provision of the early assistive devices and Gaia's family training are only the first step in her life reorganization process, that will be extended, checked and improved according to the future needs.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Clemente C
Andrea, 6 years old. Autonomy in daily life for a person with cerebral palsy
Portale SIVA FondazioneDon Carlo Gnocchi
Andrea is a child aged 6, suffering from cerebral palsy and his mother is his main caregiver. In 2007 he started attending the kindergarten, although not constantly, because of the considerable difficulties of displacement, with his mother carrying him in her arms. At home Andrea used a seating system far too small (prescribed 2 years before), while the kindergarten used the same stroller used outdoors because the school did not have any seating system. Our work was therefore focused on finding solutions aimed at improving the situation, in order to lighten the burden of care of the mother and offering to Andrea a better posture, thus opening a new outlook. The solutions adopted at the end of the evaluation focused on the posture aids, autonomy in food, reduction of the burden of care and prevention of stabilized leg deformities.
Year of publication: 2007
Type of document: Case studies/experiences
Last update: July 2011
Colantoni M F
Bruna, 60 years old. Autonomy in daily life for a person with mental retardation
Portale SIVA FondazioneDon Carlo Gnocchi
It was 1959 when Bruna, at that time only 10 years old, the eldest daughter of a family of humble origins, was admitted to a charity with a diagnosis of "severe oligophrenia." Bruna spent 30 years at the Institute. At the age of 55 a Herpes zoster appeared, which tended to become chronic and evolved in algoneurodistrofia of the left lower limb. The continuous and unbearable pain forced her in a short time on a wheelchair and to continuous hospital treatments and rehabilitation programs. This papers explains the reorganization plan of care to ensure a good quality of life for Bruna at the Institute. Research and implementation regarded both structural solutions (access ramps, bathroom adaptations, etc..) and aids provision(wheelchairs, orthopedic shoes).
Year of publication: 2008
Type of document: Case studies/experiences
Last update: July 2011
D'Amato C
Filomena, age 102, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) Filomena has exceeded the 102 years. After a working life (she has been collaborating domestic servant in a family of which he has known five generations) during which he does not have the accused never serious problems of health, widow and without sons, to the age 98 years old, he has left the house in which he had withdrawn itself from retired in order moving itself in in young of the family which had always worked. This work regards the put project of life to point for Filomena, from shared she, which considered in relation to expectable the progressive degradation of the motor functions in the biological process of ***senescenza and to manifesting themselves, in the time, also of cognitive deficits you. ***Sensibilizzata the family that had meant to have treatment of the old to the problems which meeting would have gone, has been necessary to adopt of the practical sagacities us on the ***sistemazione of the new habitat and to supply some essential assistive devices. The indicated assistive devices have been: the height-adjustable orthopedic bed to two hinges, the antidecubitus mattress to compressed air, the wheelchair to ***autospinta, then equipped with antidecubitus pillow, the chair to comfortable and, subsequently, the stool for the shower cabinet and the support in order to raise ***dal the bed
Year of publication: 2005
Type of document: Case studies/experiences
Last update: December 2005
De Marchi C
Ermanno, 61 years old. Autonomy in daily life for a person on hemodialysis
ESPERIENZE
Ermanno has been on hemodialysis for about 25 years and has experienced two kidney transplants. Although in the last ten years the motor situation has worsened, he never lost his nerve and he used several strategies in order to improve his functions and make the environment more likely to have social interaction. By now, Ermanno has been using the manual wheelchair for three years. The adaptation of his house particularly enhanced the use of the bathroom. Outdoor spaces in the district have been partially modified to allow the passage of a wheelchair on the sidewalk after a request to the Local Authority. This project is aimed at further improving home accessibility and activities related to daily living (ADL). Moreover, in order to promote Ermanno’s need for autonomy when moving outside, we will proceed to the prescription of a power wheelchair. Currently, only part of this project has been realized, but the changes made so far have already led to an improvement of his quality of life and a lower burden of care.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: July 2011
Diozzi L
Mario, 63 years old. Autonomy in daily life for a person with ALS
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
In March 2004, Mario was diagnosed with Amyotrophic Lateral Sclerosis. From the moment the diagnosis was announced, Mario and his wife took initiative using the facilities of the National Law abatement barrier 13/89, thus installing a platform lift, and changing and partially renovating their apartment . Mario used both aids provided by the National Health System and creative and smart devices. Thanks to these solutions, Mario succeeded in fulfilling his desire of living comfortably at home and in the neighbourhood, until his death, occurred in July 2006.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: July 2011
Farina E
Fabrizio, age 31, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) Fabrizio is 31 years old, is paraplegic from four, is independent, works and to short tu will go alone to living… would want something more. It wishes in fact to put themselves to the test, to try again the taste of the competition of the physical exercise. This job introduces a experience of professional assessment supported from a relationship of esteem and mutual confidence, that progressive grip of conscience of new developed needs of personal independence around the proposed sport activities has then carried Fabrizio to one: the Monoski and the ***Handybike. To the aim to answer adequately to the demands that came to me placed it has been important to follow a methodological path that it has previewed, in succession, the examination of the residual activity, the analysis of the needs and the expectations, the location of the activities more ***consone, the definition of a path of performance of the project and I use of the assistive devices characterized, the verification at a distance of the activities and theirs fallen back on the quality of life by means of questionnaires which the ***Q.U.E.S.T and the P.I.A.D.S.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: December 2005
Festi C
Roberta, 43 years old. Autonomy in daily life for a person with Multiple Sclerosis
Portale SIVA Fondazione Don Carlo Gnocchi
Roberta is a young woman suffering from multiple sclerosis, characterized by hypertension, with tetraparesis, dysarthria and dysphagia. Roberta can’t express herself well and family members considered the proposal for a possible program aimed at improving communication: we have thus undertaken in collaboration with the Regional Centre for Assistive for AT a project aimed at evaluating a system of alternative communication. In parallel, the area of intervention has gradually expanded to include mobility and posture, in order to find solutions designed to lighten the load of assistive care and to improve comfort. Roberta is currently dependent in all activities of daily life and is no longer able to cooperate during transfers, thus totally charging her husband and the personal assistant. The seating system is no longer appropriate and Roberta prefers to remain lying on the sofa for most of the day: in this regard we have proposed a wheelchair with postural system in order to allow her to stay seated for several hours. The aim of this paper is to illustrate the path taken with Roberta to enhance her social participation and, if possible, prevent the risk of isolation. Through the integration of different skills and the service network, we would like to propose a global approach, not only oriented to the provision of services, but to the maximum autonomy as possible.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Ghirardelli M
Gio, age 61, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Several problems concerning motion and coordination were left by a pair of surgical interventions. The use of special assistive aids allowed a gradual but steady recovery of several domestic and social activities.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Lazzarich C
Emanuele, 10 years old. Autonomy in daily life for a person with Duchenne Muscular Dystrophy
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Emanuele is a child, aged 10, suffering from progressive muscular dystrophy type Duchenne. He lives with his mother, a physiotherapist, that until now has coordinated on her own all professional interventions (physicians, pediatric neurology, pulmonologist, cardiologist, orthopedic technicians, etc..), as a response to the needs of her son. Now Emanuele’s mother is no more able to manage the situation by herself, as it has turned more difficult. We intervened in order to try to support her, focusing on five major issues concerning the autonomy of her son: the power wheelchair, the renovation of the bathroom, the accessibility of the home garden, the environment control and accessibility to personal computer. For each topic a specific project was formulated, each identifying needs, objectives and expected results.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: May 2016
Marrocco F
Laura, age 23, motor disability: improving independence in mobility
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) Laura is a girl 22 years old, in 1992 them has been diagnosed the Ataxia of ***Friedreich. The progressive worsening of the symptoms has caused in 1996 the loss total of the deambulation and the necessity to use one wheelchair. In October 2004 it has begun the treatment in Occupational Therapy with the scope to estimate of the independence degree, tu given to the visible postural necessities the primary objective has become the substitution of the wheelchair and the location of an adapted system of posture. ***Dalle the motor assesments and ***dalle the functional assesments are emerged problematic postural that regard the trunk, the pelvis and the limbs are inferiors that advanced. The choice of a wheelchair and a postural system is assumed therefore that can resolve or compensate these problematic ones, that they are easily manageable from Laura and you give to its assistants and that they answer to the ergonomic principles. Once reaped all the necessary information the moment has been introduced to choose the more suitable assistive device. Beyond the personal knowledge and the obtained slight knowledge from several searches, in order to render possible most satisfactory and responsible the choice, the collaboration has been asked for SIVA (Service of Information and Assesment Assistive devices) of the Don Carlo Gnocchi Foundation of Milan. After a series of assessments and it encounters characterized from various tests, modifications and new evidences, one is arrives you to a solution and the indicated assistive device has been demanded through the direct supply of National the Sanitary Service. After the supply of the assistive devices it is proceeded to the training to the use and the management of the system by Laura and its Assistants. The obtained result have been demonstrated more than satisfactory tu the job cannot be considered concluded. It will be necessary to continue the training work in order to find always new such strategies from being able to use and to manage in optimal way the system. Control assesments are previewed that they verify in the time the effectiveness of the system in terms of functionality and independence. It is also important to verify that ***vanga carried out a careful maintenance in such way that the assistive device can always answer to requirement of emergency, effectiveness and stability and is fundamental to verify that, in the time, the expectations of Laura and its assistants regarding the entrusted system remain satisfactory.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: September 2006
Martinelli M
Paola, age 38, motor disability: improving independence in mobility and communication
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
After a severe car accident that caused a severe brain concussion, aids for seated posture and for communication were chosen to facilitate the patient's home reintegration.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Proverbio L
Lando, age 35, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Despite a progressive and severely disabling disease it was possible, through the choice of special aids and the training of the family and the caregivers, to avoid hospitalization and assure an adequate home reintegration.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: June 2003
Roggiani N
Emiliano, age 19, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
After a car accident, that caused a brain concussion and a spinal cord lesion, an evaluation of the most suitable aids for the seated posture was undertaken in order to maintain the patient's autonomy.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
Russolo F
Gabriella, 51 years old. Autonomy in daily life for a person with an outcome of cerebral aneurysm
Portale SIVA FondazioneDon Carlo Gnocchi
Gabriella is a woman of 50 years. In October 2007 she was stricken by a cerebral haemorrhage due to rupture of aneurysm. This event led to very serious motor and cognitive damages: Gabriella remains paretic in all 4 limbs, with significant psychomotor slowing, at first carried a PEG.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: July 2011
Sanrocchi S
Francesco, 50 years old. Autonomy in daily life for a person with an outcome of stroke
Portale SIVA Fondazione Don Carlo Gnocchi
Francesco is aged 50 and in 2005 had a cerebral hemorrhage, that damaged both the motor abilities, resulting in hemiplegia, with aphasia and cognitive abilities, with aphasia, attention and body image disorders. This project aims to bring attention to the path that was made by Francesco, his family and all professionals who followed him. The hardest part of this work was the family’s acceptation of an unexpected situation, leading to a sudden new planning of life in general. Thanks to a close collaboration with the family and especially a strong motivation by Francesco, the solutions adopted granted a better quality of life for him. The main objectives of this project were the provision of aids and then the return home of Francesco, more and more the protagonist of his own choices.
Year of publication: 2007
Type of document: Case studies/experiences
Last update: May 2013
Tisot M
Tato, 18 years old. Autonomy in daily life for a person with epidermolysis
Portale SIVA Fondazione Don Carlo Gnocchi
This paper concerns a case of a 18 years old boy, diagnosed with severe dystrophic epidermolysis, requiring a prescription for a new power wheelchair. Tato attends high school, supported by a teacher for assistance. Tato benefits of home care (nursing), and is followed by various specialists, but there is no meeting point between these various health and social figures. During counselling sessions Tato highlighted the need to have a more active social life outside the family and greater autonomy from the teacher at school. The project, will deal not only with the choice of the wheelchair and its customization, but also with manipulation aspect, the independent use of computer and the evaluation of devices already in use both at home and at school. The aim is also to create a multidisciplinary team of professionals, working in synergy.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Tovo B
Roberta, age 61, motor disability: improving mobility and seating
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Despite the severe motor problems of the patient, the use of suitable assistive devices allowed a good level of autonomy and pressure sore prevention. A less demanding level of assistance was also possible.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
Vannini R
Nicoletta, age 20, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
A car accident caused a tetraplegia and required lower limbs amputation. A global rehabilitation program that allows home reintegration and a good level of autonomy in everyday life activities is required. The evaluation of suitable aids and prostheses is fundamental for home reintegration with a reasonably demanding level of assistance.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
AAATE
AAATE position paper: A 2003 view on Technology and Disability
AAATE
This document presents an official view of AAATE (Association for the Advancement of Assistive Technology in Europe) on the current situation of research, development and availability of assistive technologies. It points out priority areas for the various stakeholders involved in the assistive technology domain, such as policy makers, funding agencies, researchers, industry, public service delivery systems. It also discusses the new challenges put by today’s quick pace of technology innovation, whose impact on the people’s lifestyle may even require a re-definition of the concept of assistive technology. The document is divided into 6 chapters: 1) Introduction 2) Role and relevance of Assistive Technology 3) Priority areas within the assistive technology domain 4) New challenges ahead 5) A key player: industry and 6) AAATE in brief. AAATE is the European interdisciplinary Scientific Society specifically focused on assistive technologies.
Year of publication: 2003
Type of document: Not published
Last update: May 2013
AAATE
Socio-economic assessment of assistive technology in service delivery practice
Proceedings of the AAATE 2008 International Workshop (Milano, 25-26/09/2008)
Nowadays, there is an increasing demand for evidence of the cost-effectiveness of assistive technologies. Policy makers and financing agencies need such information to properly allocate resources, control how efficiently they are used, stimulate the market, identify priority areas for research, understand possible wider implications at an overall societal level; professionals working in health care and social services – within today’s climate of accountability calling for evidence based practice - need to know whether their AT choices have proved effective within the rehabilitation programme, useful for the client, and efficient in using resources; industrialists need evidence of the added value their products or services may offer in comparison to those of other competitors; users and user organisations require to be fully involved in decision making processes and bring their expertise in this discussion. Studies on this subject started to appear in literature quite recently. Most of them are still struggling with fundamental research questions; others work at developing, field-testing and validating specific instruments or methodologies; overall, knowledge has greatly advanced on this topic in the recent years. However, it seems that transfer of such knowledge into policy development and service delivery practice is still in the early stages. The AAATE 2008 International Workshop offered a significant contribution on this issue. It brought together experts from all over the world that have developed expertise in this subject or are carrying out significant field experiences. The workshop included invited speakers, round table and discussion sessions. It gave the opportunity to all participants to learn from each other’s experience, to investigate how socio-economic assessment mechanisms could be integrated into service delivery practice, and discuss possible roadmaps for all actors involved, including the AAATE, to promote advancement on this topic.
Year of publication: 2008
Type of document: Not published
Last update: May 2013
AAATE, EASTIN
Service Delivery System in Europe: Position Paper 2013
AAATE (Association for the Advancement of Assistive Technology in Europe), EASTIN (European Assistive Technology Information Network)
The purpose of this paper is to indicate a framework for exploiting the role of assistive technology (AT) in supporting care and participation of people with disabilities and elderly people through appropriate service delivery systems (SDS). The first chapter (Background) discusses the reasons why the Scientific Society AAATE and the EASTIN Association deemed useful to produce a position paper on this issue, based on the findings of an international workshop held in Copenhagen in 2012. The second chapter (The scope of an AT SDS), discusses the concept of assistive solutions – intended as individualised interventions providing users with appropriate environmental facilitators (AT products, personalised environmental modifications, personal assistance) to overcome disability and enable participation in all aspects of life – and the mission of a SDS – ensuring that all people with disabilities can access appropriate assistive solutions that are able to support autonomy in their life environment. The paper also points out that AT service delivery policies should be well coordinated with accessibility policies i.e. those related to infrastructural interventions ensuring that the mainstream environment, products and services are usable by all people, including those with reduced function or who depend on assistive technology. The third chapter (Basic features of an AT SDS) discusses why public SDS are needed for AT, what the main AT SDS models are, and how a SDS process can be described and monitored in terms of quality. The discussion is organised into answers to eight research questions. The last chapter (Some recommendations) provides a number of useful recommendations for those who are engaged in the design, development and implementation of AT SDS policies. The recommendations are clustered round the six SDS quality indicators suggested by the European HEART Study: Accessibility, Competence, Coordination, Efficiency, Flexibility, User Influence.
Year of publication: 2012
Type of document: Not published
Last update: May 2013
Andrich R
Cost analysis of assistive technology and other enviromental facilitators: the SCAI (Siva Cost Analysis Instrument)
Milano: Fondazione Don Carlo Gnocchi
The SCAI instrument was designed to help clinicians estimate the economic aspects of the provision of assistive technology (AT) solutions to individual users. Use of the instrument involves three steps: 1) describing the objectives of the individual AT programme 2) establishing the sequence and the timing of all the interventions that form the programme 3) compiling a cost calculation table for each AT solution. The last distinguishes between social costs (the sum of all material and human resources mobilised by the intervention) and the financial plan (the actual disbursement of money over time by all actors involved). The social cost is the main indicator of the economic significance of the AT solution: alternative solutions should be compared in terms of their social cost. The financial plan identifies the expenditure, i.e. the cash that should be dispensed by the funding actors during the programme lifecycle. The SCAI is not primarily intended as a decision-making tool; it ought to be looked at as an informative tool that adds to clinical assessment so as to make clinicians and users aware of the economic consequences of their decisions.
Year of publication: 2011
Type of document: Not published
Last update: November 2011
Andrich R
Fundamentals of assistive technology
Portale SIVA
(text automatically translated from Italian) Leaving ***dalla the definition of the concepts of technical assistive device and accessibility, a classification of the assistive devices based on their role in the rehabilitation process is proposed and of social inclusion of the person with disability, distinguishing them between ***protesici, ***ortesici assistive devices, adapted to you, it acclimatizes them, charitable, therapeutic and ***cogniti to you. The aspects are analyzed therefore to consider for one correct assesment of the individual needs of the person, in relation to the choice of the appropriated technological solutions more for the personal independence and the charitable support, in relation to the objectives to pursue (activity of the daily life, school, job, free time etc…), to the familiar context and alive the physical environment where the person. From this analysis they gush proposed methodological and instruments of job on like organizing the job of assesment, chosen and prescription of the assistive devices in the within of the rehabilitative process.
Year of publication: 2011
Type of document: Not published
Last update: September 2011
Andrich R
Fundamentals of outcome measurement for assistive technology
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Year of publication: 2008
Type of document: Not published
Last update: April 2013
Andrich R, Pilati G (a cura di)
Assistive Technologies in the individual empowerment programme of persons with disabilities
Documento di Lavoro Seminario di Ricerca “Tecnologie, ausili e soluzioni professionali per l’autonomia possibile delle persone con disabilità” (Malosco, 20-23/07/2008). Fondazione Zancan Onlus e Fondazione Don Gnocchi Onlus, 2008
(text automatically translated from Italian) In the face of a technological development that provides people with disabilities even more powerful tools for functional recovery, for personal autonomy, to the education and job placement, the organization of health services effort to accommodate such opportunities in their processes. Interventions that should be synergistic and coordinated by its very nature as the provision of assistive technology, the works of improvement of the living environment, the assignment of personal assistance, follow channels legislative and organizational aspects, often leaving the user the to extricate themselves knocking at various "gates" to more without the certainty of finding the appropriate skills to develop effective responses. On these issues, he has experimented with the interdisciplinary group of experts gathered at the Seminar of Research, "" Assistive Tecnology and professional solutions for the possible independence of people with disabilities ", held in Malone (TN) 20 to 23 July 2008 for a joint initiative Foundation Zancan of Padua and the Don Gnocchi Foundation in Milan. During the seminar, we analyzed how it could be possible to integrate these interventions into a single project, formalized and it may be known at all times the case manager, and how the unity of the project is essential to make the 'effective intervention - from the point of view of the citizen witnessed - and efficient - in accordance with the optimal use of the resources allocated to the health system. Precisely in terms of effectiveness and efficiency , scientific research has shown extensively as assistive technologies, if provided in an appropriate manner, allowing to achieve important economies on interventions, sometimes measurable on one or two orders of magnitude. The current national system of prosthetic assistance has not been properly organized to detect these economies.
Year of publication: 2008
Type of document: Not published
Last update: April 2013
Andrich R, Vincenti S
The Italian assistive technology provision system: a summary of the core regulations
Portale SIVA Fondazione Don Carlo Gnocchi
Responsibilities for AT provision in Italy reside mainly with the National Health System (NHS), but there are also regulations at regional level and other benefits and sector-specific provisions, thus leading to a complex legislation regulating this domain. This document is therefore intended to provide an overall reference frame, offering guidance on regulations in force and on opportunities to apply for funding. The different settings “home, everyday life”/”employment” and “education” are analysed separately, providing indications on the main pieces of legislation, as well as on the system of delivery, according to national regulations and regional policies.
Year of publication: 2012
Type of document: Not published
Last update: May 2013
Salatino C, Andrich R, Desideri L
Assistive technology outcome measures: a literature review.
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Objectives: Identifying outcome measures for individual assistive technology (AT) interventions, applicable to any kind of assistive products. Study design: Literature review. Methods: Three investigators searched and reviewed scientific papers published in sector journals in the past 13 years in relation to AT outcome measures. Results: 53 papers met the inclusion criteria. Overall, they describe 86 measures. 37 of them were found to be related to the outcome of the whole rehabilitation process rather than to AT purposely. 41 are restricted to specific categories of AT products. Only five are actually applicable to any AT products: FIATS, IPPA, PIADS, QUEST, and SCAI. In addition, three further measures were found that - although unable to fully capture the AT outcome if used alone - can add useful information on the quality of the AT intervention (KWAZO, SATS) and the individual predisposition to AT use (ATD-PA). Conclusions: A careful monitoring of the achieved outcome is an essential aspect of any individual AT interventions. This study provides a list of measures that help monitoring the intervention effectiveness and cost.
Year of publication: 2018
Type of document: Not published
Last update: June 2019
Organizzazione Mondiale della Sanità
WHO Priority Assistive Products List
World Health Organization, Geneve 2016
The WHO APL (which stands for "World Health Organization Assistive Products List") includes 50 categories of assistive products that are considered "priority" or "essential" by the Worls Health Organization (WHO): those products that are highly needed, an absolute necessity to maintain or improve an individual’s functioning and which need to be available at a price the community/state can afford. The List has been adopted by the WHO Assembly on May 24, 2016, and will be probably updated in the future.
Year of publication: 2016
Type of document: Fact sheets
Last update: June 2016
Andrich R
Fundamentals in Assistive Technology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
Lecture providing on overview of assistive technologies and their role in individual programmes related to rehabilitation, autonomy and social integration. On the ground of the ICF classification of the World Health Organisation and of recent findings in scientific literature and clinical practice, this lecture helps classify the various types of assistive technology against their function and their impact on the organisation of daily life activities. It also suggests criteria for judging their appropriateness, effectiveness and utility in relation to each individual case.
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
Andrich R
Cost-Outcome analysis of assistive technology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
An assistive solution can be considered appropriate when it meets two criteria: effectiveness (achievement of the expected outcomes) and efficiency (making optimal use of resources). The most appropriate efficiency indicator is the additional social cost, i.e. the overall amount of the costs incurred by all stakeholders (user, service, health, entities etc ...), minus the overall amount of costs that same actors would bear in the absence of the assistive solution. The purchase price of the assistive products is just a part of the total investment, hence is not a valid cost indicator. The additional social cost must be measured considering the entire life cycle of the equipment, in view of the results that we intend to achieve (outcome) and the cost of the "non-solution" (i.e. the social cost which would be incurred in case no assistive solution were implemented). The social cost of "non-solution" is often higher than the social cost of the solution, as the latter decreases the burden of assistance and provides the users (and their family or network) with greater autonomy. The lecture ends with illustrating an instrument able to measure of the additional social cost of assistive solution: the SCAI (Siva Cost Analysis Instrument), developed by the Don Gnocchi Foundation within a research programme funded by the Ministry of Health.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
User education for independent living: methods and instruments
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture suggests methodologies and tools for the education of persons with disabilities to autonomy, intended as the ability to take control over their own lives and their own choices, to enter into relationships with others, and to become protagonists in society. The path that leads from the recognition of a need for the implementation of its solution is discussed, highlighting the need to help the users develop assistive-technology-related knowledge and basic skills by means of appropriate educational programs. In this regard the European study EUSTAT (Empowering Users Through Assistive Technology) developed a set of educational materials guidelines for building inclusion culture in the community.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Assistive technology provision in Italy: the legislation and regulatory framework
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture provides a systematic overview of the current regulations on the provision of assistive technology at national and regional level. It also illustrates the related procedures, and the fiscal benefits for those who purchase assistive technology products at their own expenses. The regulations are clustered round five categories: the National Health Service Prosthetic Assistance Scheme; the fiscal benefits eligibility scheme (reduced Vat and deductions in the Annual Tax Declaration); the contributions for removal of architectural barriers; the contributions for cars adaptation; the independent living budget schemes, available in some Regions; and the reimbursements by private Insurance Companies.
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
Andrich R
Organizing Assistive Technology Centres
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture analyzes the assistive devices assessment/choice process and the fundamental role of Assistive Technology Centres within the process. Criteria and instruments are suggested that can be useful in various stages of the process (competences/skills needed within the team, logistics, assistive products exhibition, intake methods and work protocols). Examples of good practice are presented from foreign assistive technology centres as well as from the Italian AT centres network (GLIC). The lecture proceeds with illustrating the major informative resources available in Italy SIVA Portal, Essediquadro, other Web Sites) and worldwide (EASTIN and the connected national databases) and the scientific Societies that are active in this sector (AAATE, RESNA etc.). Finally, the lecture suggests some quality indicators (accessibility, competence, coordination, flexibility, efficiency, user infuence), as basis for comparison between the Italian service delivery system and the systems of other European Countries.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Assessment and certification of assistive devices
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture provides a general framework for assistive technology assessment. The first part discusses various aspects of functional and technical assessment, such as safety, quality, functionality, usability, referring to regulations and certification standards issued by national (UNI), international (ISO) and European (CEN) standadization Bodies. Some assessment checklists are described, such as the 17 criteria proposed by A.Batavia and G.Hammer (1990), the 7 criteria proposed by the European Institute on Design and Disability (1998) and the European handbook USERFIT (1996). In the second part, the lesson discussed the fundamentals of individualized assessment, based on three concepts: competence (whether the assistive solution achieves the goals) reaches the target), consonance (whether the user is comfortable with it) and contextuality (whether it fits the context). In the third part, the lesson investigates socio-economic aspects, such as effectiveness (objectives achieved), usefulness (user-perceived value) and cost-efficiency.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Fundamentals of outcome assessment for assistive technnology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The appropriateness of an assistive solution can be estimated on the basis of its effectiveness in answering to the objectives for which it has been chosen, of its usefullness or significance for the quality of life of the customer, of its efficiency in relation to the economic investment. After describing the fundamentals of assistive technology outcome analysis - based on the ICF paradigm (International Classification of the Disability, the Operation and the Health), the lecture presents three validated outcome instruments: the QUEST, the PIADS and the IPPA.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Individual assessment of assistive products within rehabilitation programmes
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture discusses the issue related to the assessment and selection of assistive solutions within individual rehabilitation programmes. It suggests a methodology that helps to schedule the assessment in the various stages of the programme in order to achieve a clinically valid and user-accepted choice, with a verifiable long-term outcome. As a matter of fact, assistive technology is too-often carried out too late, at the end of the programme or even later, withoug adequate time for trials, familiarization and training. The lecture illustrate some tools that prevent that risk, by carrying out preliminary assessments in earlier stages of the programmes and facilitate the definition of the objectives to be achieved. Finaly, the lecture suggests a self-administered quality assessment grid that helps understand how well the local assistive technology service delivery system works.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R (a cura di)
Course “Assistive Technologies for independent living and participation”
Dispense Corso "Tecnologie per l'autonomia e la partecipazione delle Persone con Disabilità"
This postgraguate Course provides a comprehensive knowledge on assistive technologies for persons with disabilities, related to all major areas of life such as independence at home, mobility, communication, relationships, participation in society, school and work. The educational programme includes both theoretical and hands-on laboratory sessions. The intended audience mainly includes rehabilitation (physicians, physiotherapists, occupational therapists, prosthetists/orthotists, etc.), education and social professionals.
Year of publication: 2018
Type of document: Lectures
Last update: September 2019
Caracciolo A
Guidelines for individual assistive technology assessment
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The lecture examines the various aspects of the intended evaluation work aids such as specialist service "focal", ie in which the user does not? taken over in a rehabilitation program, but consults during a single session to get an indication of the most assistive technologies? appropriate to their case. Using various case studies related to DAT Service (Home Automation, Products, Occupational Therapy) Don Gnocchi Foundation in Milan, the lecture examines the working methods, the modalities? communication with the user and mode? Reporting (drafting of Aids Evaluation Report).
Year of publication: 2018
Type of document: Lectures
Last update: April 2018
Occhi E
Rehabilitation clinic and assistive technology
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The rehabilitation process is a bio-psycho-social aims at promoting disabled person in the best possible quality of life through a specific intervention directed on the same subject (rehabilitation medicine) and an intervention on the context, targeted killing of those physical and psychological barriers that may hinder market integration (environmental adaptations). Aids, "set of tools and tricks that allow you to do what otherwise would not be possible to do because of their own limitations, or to do so with less effort, more safely, faster and acceptable" constitute a means of rehabilitation, inserted at the right time and integrated with other therapeutic tools available (therapeutic exercise, drugs, surgery, functional, etc.). allows you to achieve autonomy would otherwise be impossible. After a general introduction about the relationship between rehabilitation and aids, and after a general overview on the different categories of aids, describes the process that, starting from a detailed assessment of the problems presented by the person with disabilities, leading to the identification, and then to prescription of 'aid, emphasizing the importance of education and to verify the use of the same short-term and long-term efficacy and utility.
Year of publication: 2013
Type of document: Lectures
Last update: April 2013
Pigini L
Examples of use of SIVA and EASTIN Portals in assessment and choice of Assistive Technologies.
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The lecture illustrates the main funcionalities of SIVA and EASTIN Portals useful in the assessment and choice of Assitive Technologies. SIVA portal is presented in its parts with didactic examples through a path that takes the learners to be able to use it as a guide for AT assessment, prescription and supply. EASTIN Portal (European Assistive Technology Network www.eastin.eu) is introduced, european information network on Assistive Technologies, able to offer an overview on products present on european market. The Portal SIVA database of products let the user carry out searches through different modalities, depending on the information in possession and on contingent necessity. Siva Portal, besides to the database containing Assistive Technologies, Companies, Centers, makes available a wide archive of documents connected to the tipologies of products present on the database, such as deepening sheets, case studies and ideas, and others more general such as articles, lectures, monografic sheets, work tools, thesis, manuals or books. Further instruments useful for formation, information and exchange of knowledge between operators, familiars, caregivers are vademecum, glossary, news, tele-desk, webinars.
Year of publication: 2013
Type of document: Lectures
Last update: January 2016
Redazione Portale SIVA
Webinars of the SIVA Portal 2012
Portale SIVA Fondazione Don Carlo Gnocchi
These 10 webinars scheduled for 2012 focus on the latest assistive devices, and are addressed mainly to rehabilitation professionals. The first part includes a summary of the new AT added within SIVA and EASTIN databases. Following to it, two presentations are delivered, by specialists coming from selected companies. The last minutes of the conference are devoted to participants' questions. The recordings of all the webinars are available at the following links.
Year of publication: 2012
Type of document: Lectures
Last update: May 2013
Redazione Portale SIVA
Webinars of the SIVA Portal 2013
Portale SIVA Fondazione Don Carlo Gnocchi
These 10 webinars scheduled for 2012 focus on the latest assistive devices, and are addressed mainly to rehabilitation professionals. The first part includes a summary of the new AT added within SIVA and EASTIN databases. Following to it, two presentations are delivered, by specialists coming from selected companies. The last minutes of the conference are devoted to participants' questions. The recordings of all the webinars are available at the following links.
Year of publication: 2013
Type of document: Lectures
Last update: May 2013
Andrich R
The assistive technology counselling: Organization and working methodology of assistive technology information centres
Milano: Fondazione Don Carlo Gnocchi, 1996
This book deals with organisational and methodological issues involved in setting up Assistive Technology Information / Advice centres. The model presented – framed in the Italian context – is based on several years’ experience of the SIVA service (Assistive Technology Research and Information Centre) of the Don Gnocchi Foundation (a major non-profit provider of rehabilitation services in Italy, based in Milano). Assistive Technology Information / Advice services may be part of a local Rehabilitation Unit, or stand alone organisations providing consultancy. Their mission is providing either information / guidance or individual assessment for recommending assistive technology solutions case by case. The book offers a set of guidelines on how to carry out this activities.
Year of publication: 1996
Type of document: Manuals or books
Last update: April 2003
Andrich R
Assessing, recommending and prescribing assistive technology solutions
Quaderni della Fondazione Don Gnocchi n.8, Milano 2015
This handbook is intended for rehabilitation professionals as well as for anybody working in the field of disability. It offers guidance to the world of assistive technology products, or in general to whatever technology makes available today for inproving autonomy and social participation of people with disabilities in society. The first part clarifies the role of assistive technology and other environmental facilitators (personal assistance, accessibility, etc ...) within a individualized rehabilitation, care or educational programme; it also discusses how to properly carry out the assessment of the person's needs so as to achieve effective and efficient assistive solutions. The path leading from the recognition of the need to the implementation of the solution is divided into four steps: assessment, decision, implementation and follow-up. The second part provides further details related to various categories of assistive products: orthotics and prosthetics, seating aids, mobility aids, assistive products to the home and daily life activities, environmental control and home automation, accessibility to information technology, augmentative communication, assistive products in the school and in the job context. The last part illustrates the main instruments needed by the professionals who carry out the assistive technology assessment work. The handbook features a rich iconography, maily based on original photos made with the cooperation of professionals and clients of the IRCCS Centre Fondazione Don Gnocchi in Milano, Italy.
Year of publication: 2015
Type of document: Manuals or books
Last update: April 2015
Eustat Consortium
Assistive technology education for end-users: guidelines for trainers
Milano: European Commission, 1999
This book - also known as the EUSTAT Guidelines - is intended for people who organise and carry out educational programmes for end-users of Assistive Technology (AT). These may be user organisations, self-help groups, rehabilitation or social services, mixed user and professional organisations, or AT providers. The book helps reflect about establishing priorities, focusing goals, and clarifying the role of AT in the users’ empowerment process. It also offers methods and tools for designing and implementing educational initiatives. This book is divided into six chapters. Chapter One (Guidelines in brief) clarifies the objectives of this book and the intended readership. It also offers a general overview of the concepts explored in the other chapters, so it can be used as a checklist for organisers of educational initiatives. Chapter Two (Basic concepts) clarifies some basic terms related to disability and AT that educators should know before undertaking any educational initiative. Chapter Three (Setting objectives and adopting methods) helps organisers of educational programmes to set objectives, label them according to a consistent terminology, and take decisions about priorities and critical factors. Chapter Four (Organising educational initiatives) addresses the organisation of educational initiatives, including the design process, the selection of topics to cover, pedagogical methods and styles, and practicalities. Chapter Five (Gearing to the audience) discusses factors to consider so as to meet the learning pace of trainees and ensure that the knowledge delivered will be useful in their daily life context. Chapter Six (Case studies) offers three case studies that may be useful as concrete examples of educational activities for end-users. These are based on experiences carried out by three EUSTAT partners in Belgium, France and Italy in 1998.
Year of publication: 1999
Type of document: Manuals or books
Last update: June 2008
Eustat Consortium
Go for it: a user manual on Assistive Technology
Milano: European Commission, 1999
This book is a basic educational package to be used directly by end-users of Assistive Technology or as a textbook for educational initiatives. It is written in plain, easy-to-understand language. It is divided into eight chapters that progressively lead the reader from a basic understanding of Assistive Technology (AT), how to choose it and how to seek advice to a deeper insight into the implications of AT at both individual and social level. In this way, the manual is helpful to novice and expert users alike. It can also assist readers in their personal growth towards more in-depth knowledge, which can be used not only for improving personal autonomy, but also for helping others by acting as peer counsellors. After some introductory considerations, three chapters (Be prepared for the process of getting AT; Choosing and getting AT; and The service delivery system) offer methods for analysing one's own daily life activities in order to identify areas where AT can be useful; they also highlight aspects the user should be aware of when seeking external advice or accessing a public service delivery system. Concrete examples are offered by the chapter People and AT: some stories of success, that illustrate how AT could solve problems in real life for five persons with disabilities. A comprehensive description follows (chapter Knowing AT) of existing AT products and services, together with many practical examples and pictures. Chapter Information resources and personal advice on AT describes information tools, information sites, and other possible sources of advice that can be sought when choosing AT. In the chapter For you who want to know more the focus shifts from an individual perspective to a social one, so as to understand the impact of AT on society, to communicate better with professionals and other stakeholders, and to be ready to keep pace with future developments. The final chapter (The next challenge: from user to peer counsellor) offers ideas, methods and tips for those expert users who wish to make their experience available to novice users.
Year of publication: 1999
Type of document: Manuals or books
Last update: June 2008
Impact Consortium
Increasing the impact of Assistive Technology - Introductory Module
Eindhoven: European Commission
This manual provides an overview of what assistive technology (AT) is, its role and its implication for both the individual user and society. It helps the reader 1) know enough about ageing and disability to appreciate the importance of AT, 2) know the main forms of AT and appreciate the wide range of products, devices and applications, 3) recognise that the current situation regarding availability and take-up of AT for those who need it is often very unsatisfactory, 4) understand the crucial role and responsibility of all branches of the health and social services, and all of their respective caring personnel, in remedying this situation and 5) know the main elements of the role of ATI (assistive technology intermediary) that many health care professionals can and should play. This manual is the introductory module of the IMPACT courseware – a resource learning set to enable students and practitioners within social and health care to be aware of the role they can play in ensuring that older and disabled people have access to assistive technology that can improve their quality of life.
Year of publication: 1999
Type of document: Manuals or books
Last update: May 2013
Andrich R
The Siva Cost Analysis Instrument (SCAI): Worksheet in Italian and English language
Milano: Fondazione Don Gnocchi
The SCAI (SIVA Cost Analysis Instrument), freely downloadable in both PDF (paper forms) and and XLS (computer spreadsheet) format, in Italian and English language, helps estimate the social cost of the environmental facilitators (assistive technology products, personal assistance, environmental adaptations) involved in individualised programmes supporting independence and quality of life of people with disabilities.
Year of publication: 2012
Type of document: Tools
Last update: April 2013
Andrich R
SIVA Template for the individual Assistive Technology Intervention Report
Portale SIVA Fondazione Don Carlo Gnocchi
Individual assessment for assistive technology requires a detailed analysis of the user's needs, the ability to guide the user to establish priorities and define objectives, and the ability to formulate recommendations for the most appropriate solutions. In good practice, the outcome of an individual assessment should be writted down in a good assessment report that synthesises all the carried-out analyses and trials, describes the recommended solutions and enclosed all needed documentary evidence. The enclosed template - which is freely downloadable and can be used by anybody interested - is the result of many years of research and experimental trials witin the Current Research programme of the Fondazione Don Gnocchi Clinical Research Institute (under the Biomedical Research Programme of the Italian Ministry of Health). It can track the whole assistive technology service delivery process from the initial assessment (assistive technology recommandation) to the verification of the assistive solutions provided and the subsequent follow-up. TECHNICAL NOTES : the file is a fillable PDF; it was developed by means of a specialized software (Adobe LiveCycle Designer) but can be opened and filled-in by means of any free PDF reader (such as Acrobat Reader DC). Depending on your Internet browser and your Acrobat Reader version, you may experience difficulties in opening the form on-line (a typical message is "To view the full contents of this document, you need a later version of the PDF viewer". In this case you may wish to download the form onto your computer (right click > save this link with a name) and open it locally, or upgrade your Acrobat Reader to the latest version available on www.adobe.com. The filled-in data can be also exported into XML for later filing and statistical processing (to do this, some basic programming skills are needed).
Year of publication: 2018
Type of document: Tools
Last update: September 2019
Batavia A, Hammer G
The Batavia and Hammer instrument for functional assessment of assistive technology products
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) This checklist, compiled in 1990 by the American researchers A.Batavia G.Hammer and interviewing a large sample of people users of assistive technology includes seventeen useful criteria for the comparative evaluation between different products belonging to the same type. The criteria are: affordability, technical compatibility, self-repairability, reliability, durability, ease of assembly, maintenance facilitrà, effectiveness, flexibility, ease of learning, maneuverability, personal acceptability, comfort, safety, portability, durability axes, technical assistance. For each criterion, the checklist suggests to assign a rating to each aid (eg, "low", "medium", "high") and a priority, in order to build a comparative judgment overall.
Year of publication: 1996
Type of document: Tools
Last update: April 2013
Day H, Jutay J (traduz. Pedroni F, Andrich R)
The PIADS Instrument (Psychosocial Impact of Assistive Devices Scale) – Italian vesrsion
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
Italian translation of the PIADS instrument and user manual. This instrument is ment to estimate the psychosocial impact of assistive technology on user life taking into account of three main aspects: the ability of the user, its adaptability, that is the predisposition to make new experiences, and the self esteem (i.e. self confidence and self assurance).
Year of publication: 2012
Type of document: Tools
Last update: April 2013
Demers L, Weiss-Lambrou R, Ska B (traduz. Fucelli P, Andrich R)
The QUEST Instrument (Quebec User Evaluation of Satisfaction with Assistive Technology) – Italian version
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The QUEST instrument is a self-administered questionnaire - initially developend in Canada and now used in several Countries - assessing the user satisfaction with and assistive technology product and associated services.
Year of publication: 2003
Type of document: Tools
Last update: April 2013
EATS Consortium
The EATS Instrument Kit (Efficiency of Assistive Technology and Services)
CMT Department of Health and Society, Linkoping University, Sweden
The EATS Instruments Kit is a battery of instruments for rating the benefits the user/patient obtains from rehabilitation measures, particularly from the adoption of an assistive device. It was developed between 1997 and 1999 within the EU-funded project EATS (Efficiency of Assistive Technology and Services) by a Consortium of five Institution from Sweden, Norway,Italy and The Netherlands. The instruments included in the battery are generic and make comparisons possible between different measures, and between different groups of disabilities. The EATS Kit consists of two instruments: the IPPA (Individually Prioritised Problems Analysis), which is intended to measure how well the measures have succeeded in decreasing the problems encountered in daily life by a person with disabilities; and the PIRS (Problems Impact Rating Scale), which is a visual analogue scale (VAS) intended to measure how the user’s problems affect everyday life. In addition, the kit includes a five-dimensions version of the EuroQol, (EQ-5D), a standardised generic life quality instrument that has been supplemented with two additional questions.
Year of publication: 2002
Type of document: Tools
Last update: March 2014
Eustat Consortium
The EUSTAT instrument for analysing the user's needs
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The European study EUSTAT (Empowering Users Through Assistive Technology), as well as to develop a set of training materials for the education of persons with disabilities to independence through the use of assistive devices, has developed an analysis tool that helps the need user and operator, through the compilation of a couple of cards, to identify more precisely the needs of the user in order to formulate targets for intervention. The first tab (analysis of problem assets) proposes a list of 22 typical activities of daily living (that the user can freely complete adding any other activity) and asked to describe in one sentence - only for those activities that have some difficulty - in what is exactly the problem. The second tab, then be completed for each of those activities that had been identified as problematic in the first tab, asks to further deepen the description of the problem, eg by stating the place, time and circumstances, what do you expect for the future , and if you already have some idea about how to solve it.
Year of publication: 2013
Type of document: Tools
Last update: May 2013
Ministero della Salute
List of Assistive Products eligible for provision by the Italian National Health Service (DPCM 12/01/2017)
Gazzetta Ufficiale 18/03/2017
The "Nomenclatore Tariffario" is the list of the assistive product categories that are eligible for provision by the Italian National Health Service, upon medical prescription. It is not a stand-alone document: it is part of a Governmental Decree (DPCM 12/01/2017) which establishes the basic levels of care (LEA) due to any citizen. The enclosed downloadable file collects all sections of the Decree related to prosthetic assistance. The first part (excerpt from Official Gazette 18/3/2017) reports the articles concerning the supply of single-use medical devices (article 10/11/12) and the provision of assistive products (Article 17/18/19). The following sections report Annex 2 of the DPCM (List of single-use devices), Directory 1 of Annex 5 (List of custom-made assistive Products), Directory 2a of Annex 5 (List of off-the-shelf assistive products that need to be fitted by qualified technicians), Directory 2b of Annex 5 (List of off-the-shelf assistive products that are ready for use), Annex 11 (Provision procedures for single-use medical devices) and Annex 12 (Provision procedures for assistive products).
Year of publication: 2017
Type of document: Tools
Last update: February 2020
Redazione Portale SIVA
Regulation for the access to the structures of the Don Gnocchi Foundation of companies selling assistive technology devices
Portale SIVA Fondazione Don Carlo Gnocchi
Purpose of the regulation is to appropriately regulate the access of the companies selling assistive technology devices (ATD) to the structures of the Don Gnocchi Foundation (FDG). Concerns both companies users in care at the FDG's facilities freely choose as their own suppliers, and companies occasionally invited by FDG professionals to collaborate in identifying the most appropriate AT sol ution, bringing in view aids and offering free advice of their technicians without committing the user or FDG to the purchase. The instruction applies to all the Don Gnocchi Foundation centers, in the services involved in providing user aids, defining responsibilities and roles in order to prevent possible disputes.
Year of publication: 2018
Type of document: Tools
Last update: September 2018
Wessels R,Persson J,Lorentsen O,Andrich R,Ferrario M,Oortwijn W,VanBeekum T, Brodin H, de Witte L
IPPA (Individual Prioritised Problems Assessment) instrument - Italian version
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) IPPA is an instrument of measure of the effectiveness of the assistive devices, in the sense that allows to estimate in that degree the assistive device has allowed to catch up determines established objectives to you previously to the supply of the same one. The handbook illustrates the modalities of uses of the instrument.
Year of publication: 2012
Type of document: Tools
Last update: May 2013
Bertocchi C
Progetto di domiciliazione protetta per una persona con esiti di trauma cranio encefalico
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2001-2002
(text automatically translated from Italian) The case study regards a boy 20 years old that suffers from ***TCE outcomes (head injury) which they are continuations disability is of motor type is of cognitive type. It lives with the sister and the mother in an apartment to the Association of Bologna without elevator. Given a degree to in a hotel school, it carried out activity of bartender in a kiosk of property of the family. To the age of the hospital admission it was in one be of minimal ***responsività with neuromotor panel of tetraparesis. The objectives of the caretaking, beyond to those motor clinicians, ***infermieristici and, have been addressed to one planning of the resignations. The participation areas have been: 1. The location of a wheelchair and a system of posture 2. The location of necessary assistive devices to the domiciliation (assistive devices for ***rieducazione, force, equilibrium; for the personal treatment; for the incontinence; for the prevention of the decubituses; equipment for feeding) 3. The training of the family to the use of the assistive devices at domicile 4. The activation of the territorial services (attendance of base, ***infermieristica, rehabilitative) 5. The procedure of the prescription - authorization - supply of the assistive devices in the Local health authority of belongings 6. The modifications acclimatize them, in particular accessibility of the bath
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
Cernigoi G
Si torna a casa: il caso di Gaia
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Gaia is a old woman, hit from an acute vascular event with serious impairment of not cognitive the vital and motor functions tu. In this thesis the organization will be dealt with of at domicile re-enters of Gaia and its finalized attendance to inside guarantee them one good quality of life of its family. ***E' be fundamental to search in every studied solution of the agreement points with the familiar ones that would have managed Gaia between them walls domestic servants. The structuring of the address, initially lacking in whichever assistive device, will have to be adapted to the requirements of Gaia and the familiar ones that will be taken care then of its attendance. Moreover every thing will have to be realized in limited times, given to the imminent passage ***dall' the hospital to the address without intermediate periods of hospital admission in other which protected structures. The supply of the first assistive devices and the training of the familiar ones that assist it to the use of the same ones, beyond to a total assesment of the environment, are alone the first passage of a life project that then will go widened, see again and corrected in relation to the necessities of the moment and the clinical passed one. Therefore the assistive devices thought indispensable for I re-enter at domicile will be the height-adjustable orthopedic bed to two hinges, the antidecubitus mattress to air, the exhaust fan and the pump for parenteral nutrition (supplied beginning right now ***dal the ***infermieristico service) and still the hoist electrical worker with fastening fixed to the wall. Moreover, in the times immediately succeeded you to I re-enter at domicile, will be necessary ***to procurare one postural wheelchair with adequate antidecubitus pillow.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Dalla Mora R.
Matteo and his home
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Ghiraldelli M
L'Autonomia va Sempre Ricercata? Il caso di Gilberto
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
(text automatically translated from Italian) ***Gilberto, 61 years, suffers from outcomes of twofold participation (1986-1993) of removal of ***cervico ependymoma dorsal ***C4 - ***D2. ***Dal 1995 I follow its motor recovery and during this period they have been made various proposals of assistive devices. The job is proposed to analyze to the proposals and the adopted solutions and, to the light of the new acquired knowledge in this course, to program participations that improve the independence of ***Gilberto.
Year of publication: 2000
Type of document: Thesis
Last update: May 2003
Lategana M.
The strength to start again: Davide
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Lefosse P L
Metodologie di intervento di Terapia Occupazionale nel paziente emiplegico
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2006-2007
(text automatically translated from Italian) This didactic unit could is part of a wider program that is proposed to comprise a multitude of participations and of pathologies in which it can be of sure aid the Occupational Therapy and the training to the use of the assistive devices. Because of the vastness of the arguments, I will stop myself above all on the usefullness of the participation approached to the treatment in the hemoplegic patient. The job, after an introductory part in which the hemiplegia is defined ***cos'è and which are the participation strategies, is developed ***prettamente on technical aspects and in rather schematic way, therefore not to omit some useful rehabilitative aspect to a good associate-working re-introduction and of daily independence. To the various activities of daily life (***ADL) they will be places side by side to you to a series of assistive devices and the relative methodologies of training to the use for one maximum independence. To support of the rehabilitative plan they have been inserted cards of assesment as far as the assistive devices and short dissertations on their usefullness inside of the same one, therefore to confer one sure ***scientificità and ***oggettività to the work.
Year of publication: 2008
Type of document: Thesis
Last update: February 2008
Manfredi C
Gli ausili per la prevenzione delle lesioni da pressione in posizione sdraiata
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2006-2007
(text automatically translated from Italian) The attempt of this work is that one to face a argument a lot known, like that one of the lesions from pressure, pointing out in synthetic way the anatomo-physiological aspects and stopping themselves on the mechanisms that can take part in a prevention program. Such program must preview uses it of an associated antidecubitus surface to a personalized positioning, to obtain and to maintain in the time with it I use of pillows and supports that allow one better distribution of the pressures. In order to arrive more to an analysis deepened than what they are the assistive devices antidecubitus, understandings like all those superficial ones in a position to cancelling or reducing the pressure of the person who is placed over, and that depending on the their characteristics reduce the cut forces, of friction and the maceration. A classification of superficial the antidecubitus one will be made based on their effectiveness of prevention, using the ***Braden scale for the assesment of the risk, proposing 3 levels of intensity: lowland, average and elevated, in order to facilitating I depending on the use it of the assistive device more adequate the risk factors and of the presence or less than a lesion from pressure, of the zone in which it is present and of the conditions it generates them of the customer. ***Target. The present didactic unit is addressed to operating the sanitary ones, nurses, ***fisioterapisti, operating associate sanitary, etc, that they take part in the program of prevention of one person to risk to develop one lesion from pressure. Didactic objectives. To the term of this lesson the students must have acquired the ability to know to estimate the risk factors to develop to a lesion from pressure, using the compilation of the ***Braden card, for being able to put in action a program of positioning, associated to the choice of the antidecubitus surface more adequate.
Year of publication: 2008
Type of document: Thesis
Last update: January 2008
Martinelli M
C’è futuro nella vita di Paola
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
(text automatically translated from Italian) A street incident has changed definitively the life of ***Paola. The head injury has provoked one hemiparesis right and a moderated cognitive deficit. The oral expression is limited to little words. Familiar desire of an effective communication with and friends has been the reason that has carried to estimate uses it of a personal computer. Moreover the difficulties in the familiar management of the customer have carried to modify the bath, with an adapted plate-shower, and to propose I use it of one balancing wheelchair from transport.
Year of publication: 2000
Type of document: Thesis
Last update: May 2003
Porcella B
In un batter d’occhio...quando per parlare basta una palpebra. Il caso di Gabriele
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Looking towards the? Top to communicate assent, closed semi eyelids to express a no, shiny and sharp mind trapped in a body that does not respond to his commands, a card table with 21 yellow and green letters and Gabriel becomes ? marksman of? alphabet ?. A stroke l? Hit relegating him in? Immobility? and in a stubborn silence from which want to get out to repossess least the possibility to meet the basic need for the? human being to communicate, interact with the world, to express feelings, ideas, thoughts and anger. Pu? do so only with his eyes, the only part of the body, passing all? mutiny after injury. Eventually l? Oxymoron, paradoxically created by a syndrome that has stolen the name to the classical metric but which has the effect of silence, is defeated by the force of will ?, the great motivation of Gabriel and from? Ingenuity of those who believe in new technologies computer. L? Drafted presents the results of the trial? performed on Gabriel? a new sensor for personal computers to be used with the movement of the eyelid.
Year of publication: 2004
Type of document: Thesis
Last update: May 2016
Proverbio L
Le piaghe da decubito "vanno bene... dal loro punto di vista": il caso di Lando
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
(text automatically translated from Italian) Lando is a patient that suffers from diagnosed multiple sclerosis ***vent'anni ago. Of it I make the knowledge after an hospital admission during which an participation of intestinal resection has undergone. The work will tell the history of the relationship between the customer and the team of the Service of Attendance To domicile Integrated that it has followed it and that has formulated the project of treatment and the path of chosen of the assistive devices. The project has regarded ambles it you of the mobility, the posture and the personal treatment having like reference angle the prevention and the treatment of the decubituses, going meeting to the requirements of independence of Lando and lightening the load of job of the beloveds-givers.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
Riosa E
I'll make a new start: il caso di Dragan
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
This is the story of Dragan, a 27 year old boy, paraplegic due to a motorcycle accident. This paper illustrates his path to autonomy, both physical and psychological.
Year of publication: 2012
Type of document: Thesis
Last update: May 2013
Roggiani N
Dalla ricerca di una corretta postura alla scoperta di una possibilità di autonomia: il caso di Emiliano
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2001
(text automatically translated from Italian) The work proposes the case of Emiliano, a boy 18 years old who the past year are remained victim of a street incident in which he has brought back an head injury and one medullary lesion to dorsal level, with consequent coma and paraplegia. When, after a long period of hospitalization in several centers, the boy is reached from we, posture adapted to the consequent muscle-skeletal limitations was believed must only face the study of one the trauma. In truth, this first step has opened the road to the possibility of the attainment of the independence in the movements in house, by means of one wheelchair at least which equipped with device ***monoguides. The overcoming of the architectural barriers inside of the house has become, therefore, necessary in order to render it completely accessible to Emiliano, and ***dalla the house towards the outside, in order to allow the social re-introduction in a which protected place designated ***dalla the ***A.S.L of belongings and, if possible, in the group of friends. The objectives of this project have been: the improvement of the posture in wheelchair, the decrease of the charitable load by the parents, and the social re-introduction
Year of publication: 2001
Type of document: Thesis
Last update: May 2003
Sangiani L
Progetto per un Centro Informazione Ausili nell’AULSS 12 Veneziana, Distretto 1 Centro Storico
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) The project to institute a Center Information Assistive devices in the Historical Center of Venice is born ***dall' the analysis of the particularitity of its territory, that it opposes to the inhabitants with disability additional barriers, regarding those of whichever city of mainland. The more frequent problems for the persons with reduced motor and/or sensory abilities are the mobility, accessibility to the room and the services and the independence in the activities of the daily life. In the territory the only informative service existing is the ***Informahandicap shop of the Common one that he pursues the objective to favor integration of the persons persons with disability through the information, the guideline and the assessment for the best one I use of the services publics and private-social the presents in the Common one of Venice, with particular attention to the overcoming of the architectural barriers. The Center Information Assistive devices would relatively enrich such activity to the assessment on the technical and computer based assistive devices, in tune with foretold integration of the social services and of those sanitary ones.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Tovo B
Storia di "ordinaria" sclerosi multipla: il caso di Roberta
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
(text automatically translated from Italian) The case study regards Roberta, 61 years, that it has introduced first disturbs motor and sensory to 31 years and that ***dall' the age 43 years old is moved exclusively in wheelchair. It has conserved a discreet one I use functional of the left upper limb. It has a lively and sensitive spirit and has faced its disability with courage and good sense. In the last years, also later on to a disease of the husband beyond that to just the motor aggravation, it has lost enthusiasm and it has given up little for time to the activities that involve fatigue for she and for who it assists it. The project is proposed to improve the station seated in wheelchair, to improve the transfers, to improve accessibility to the bath, to improve external accessibility. In order to reduce the load charitable and to use the energies saved for more rewarding activities
Year of publication: 2000
Type of document: Thesis
Last update: May 2013
Vannini R
Una nuova vita a vent’anni: va tutto bene!!! Il caso di Nicoletta
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
(text automatically translated from Italian) Nicoletta is 19 years old, from six months ago the ***assicuratrice, lives in family, she is fiancèe from three years and it has a life activates and flood of friends and interests. The 03/10/01, as a result of a street incident, becomes ***tetraplegica and later on the lower limbs come to them amputate both to you. He reaches in our center of rehabilitation after five months of resuscitation. The rehabilitative participation has like objectives the stabilization of the clinical conditions, the resumption of the position seated, the search of the greater possible independence and social integration through: 1) supply of a manual wheelchair with posture system and adaptations necessary in order to allow the ***autospinta; 2) ***tutorizzazione for the upper limbs in order to correct the retraction in bending of the elbows and the attitude in ***dorsiflessione of the wrists; 3) ***protesizzazione for the lower limbs; 4) search of strategies in order to allow the activities of the daily life (***a.d.l.); 5) search of strategies in order to allow the use of the computer and the writing; 6) adaptation of the room; 7) search of strategies for the control of the sphincters.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
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ABLEDATA
US Department of Health and Human Services (HHS), National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR)
Online database of assistive tecnology products available on the north-american market
Year of publication: 2017
Type of document: Web Sites
Last update: August 2017
Info updated 18/04/2021 | Fondazione Don Carlo Gnocchi Onlus - P.IVA 12520870150 | E-mail: portale@siva.it