Grid 3

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

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

 

How to Change Label

 

 

 

How to create a Jump Cell in Grid 3

 

 

 

How to create a saved phrases page in Grid 3

 

 

 

How to populate the page Grid 3

 

 

 

Video transcript - How to change the label - Grid 3

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

Miss Isabella Dash - Oncoplastic Breast Surgery

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GMC Number: 6129482

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

Specialty: Oncoplastic Breast Surgery

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

Secretary: Louise O'Leary

Telephone number: 01174147000

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

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

 

Dash

Urology Masterclass for Community Nursing Staff

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Monday 5 October 2020

A virtual course. Offering 2 sessions to chose from:

Afternoon session 13:00 - 16:30

Evening session 17:00 - 20:30

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

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

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

Learning objectives:

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

Transcutaneous Electrical Nerve Stimulator (TENS) Course

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

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

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

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

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

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

HITU Patient Information

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What is the Head Injury Therapy Unit?

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

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

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

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

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

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

Who will I see and how often?

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

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

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

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

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

What happens now?

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

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

What are goals?

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

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

What we need from you

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

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

Your first appointment

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

People who have attended the service have said:

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

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

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

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

“All of you have been absolutely incredible.”

How to find us at the HITU

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

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

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

How to contact us

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

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

 

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

Employment with Fatigue and Pain Online Course

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

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

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

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

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

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

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

The HSE also offer guidance about working from home.

 

Employment with fatigue and pain online course part 1

Employment with fatigue and pain online course part 2

 

Using a Challenges, Needs, Solutions, Resources employment analysis

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

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

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

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

Here is a worked example:

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

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

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

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

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

 

 

Dr Sandeep Buddha - Stroke Medicine

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Picture of Dr Sandeep Budda

GMC Number: 6031795                                                                                                          

Year & location of first qualification: 2001, India

Specialty: Stroke Medicine

Clinical interests: Hyper Acute Stroke Unit

Secretary: Kirsten Wilsher

Telephone number: 0117 414 7498

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

Buddha

Cytology

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

Diagnostic Cytology

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

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

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

 

Updated 01/10/2020

Cellular Pathology Results & Enquiries

Cytology

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

Histology

Tel: 0117 414 9890

Test Information

Sample vials for testing

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

Cytology

Patient Feedback

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Having someone understand why I have the problems I do and who could see where I am coming from was so helpful

These sessions weren’t just about emotional help but practical help and advice, which helped me enormously

During the sessions we have been working on noticing, reflecting and having a more positive outlook. I feel through discussion this has really helped and having the week in between appointments to input ideas very useful.

It has been great to feel like there is finally someone to listen and understand what I am going through. I was able to talk openly in a comfortable surrounding environment without judgement. Thank you so much - the sessions made a huge impact on life!

It was great to feel more able to help myself…this meant that my progress has continued even once I’d stopped the sessions

I was able to talk openly in a comfortable surrounding environment without judgement. Thank you so much - the sessions made a huge impact on life!

The sessions were flexible and adapted to my changing needs. We focused on practical changes which I could implement in my day to day life

Having someone understand why I have the problems I do and who could see where I am coming from was so helpful.

The sessions feel informal and the pace of it is within your control.

The sessions gave me the tools to help myself to realise “I can do this, nothing bad will happen if I try

A very warm, safe environment was created helping me feel secure to be open and honest about my worries.

The support has given me the confidence to have my photo taken, ask for something in a shop, go out for a meal…all baby steps to begin with butwhich have helped me put my life back together.

It was great to feel more able to help myself…this meant that my progress has continued even once I’d stopped the sessions