Showing posts with label utility. Show all posts
Showing posts with label utility. Show all posts

Tuesday, November 27, 2012

iPad/iPhone App: Micromedex Drug Information (Free)

Micromedex Drug Info App
Micromedex Drug Information on iTunes (free)

A database of medications (generic and trade names) that includes information on 4500+ search terms. Once downloaded to your device, you can access the information offline (don't need an internet connection/wifi).

This is a great resource for information we could use, such as precautions, contraindications, common and serious adverse effects, drug interactions and loads more. It's hard to believe this app is free!

I've been using this app as a basic quick check of medications' effect on swallowing function. For example, a dysphagia pt of mine was recently put on an antidepressant that has xerostomia listed as one of its side-effects. I had noticed a slight increase in stasis, and now I have at least one explanation for why, along with a good idea of how to treat it. It's not making me an expert on medications by any means, but this information came in useful for my clinical decision making. Over time, I'm sure I'll just have a basic idea of which class of meds is relevant to my scope of practice... but for now, I can look stuff up quickly and easily on my iPhone.

Saturday, August 4, 2012

Free Utility Apps: ICD-9 Codes (several apps)

ICD-9 LITE App
Some free ones from iTunes: ICD-9 LITE, ICD9 Search, ICD9 + HCPCS, and ICD9 Consult 2012. There's a free Android one also: ICD9.

Look up ICD-9 Codes quickly. Look up by categories, search by diagnoses or by codes, etc. If you don't know what ICD-9 codes are for, then you probably don't need these apps. If you do and you use them regularly, you will surely benefit from having them at your fingertips.

There are additional apps like these, and paid versions as well. I've been using the free ICD-9 LITE and ICD9 Consult 2012 for iOS and each has worked pretty well for me so far

Sunday, July 8, 2012

Word List Generator (a quick update)

In March I wrote a post titled "App Wishlist: Word list Generator". Until "there's an app for that", here is a web version: Word List Generator (part of the Free-Reading project, www.free-reading.net). This engine allows you to generate a word list by selecting various parameters. The ones relevant to us include word length (or number of syllables), CVC form, and initial sounds. I would have liked to also control medial context and specific phoneme parameters, but until there's something better, this can help.

I would use this to create word lists for word-level (obviously) tasks for voice practice, fluency, exercises for coordinating speech and breathing, and especially to practice intelligibility strategies.

Sunday, May 13, 2012

Dropbox Free App for Any Device

Dropbox free app
Free app for your iOS devices via iTunes, Android device via Android Market, Kindle from Amazon App store, Nook from Barnes & Noble, and your computer or mobile device (including Windows, Mac, Linux and Blackberry) from dropbox.com.

What it is: Dropbox is cloud storage. That means your files sit on a server accessible to you from your computer, phone and other devices via the Dropbox software or the web (you can just as easily view and manage your Dropbox files using a web browser by going to www.dropbox.com and signing in). Anyone who signs up gets free 2GB of space, and it's expandable up to 18GB via referrals (500MB per referral). If you create an account using a referral (for example, using this link which would be a referral from me: Get Dropbox) you get an extra 500MB free, as does the referring party. You can also have a paid account, starting with 50GB for $10/month (& a lot more per referral). I think most users find the free account sufficient (you can have more than one account if you need, but you can only link one account at a time to a device or computer; you can access as many accounts as you want if you're using a web browser). Your files are password protected and safe. You can also share specific files or folders with other Dropbox users, or make them public to share on the web (or via, say, Facebook).

Why would you need cloud storage? Here are my main uses for it:
1. Backing up files
2. Archiving files
3. Sharing files
4. Accessing files

I use it to backup up files quickly (in case something happens to my computer), archive files off my phone (e.g., photos if want to remove them from the phone but don't want to delete them and haven't had a chance to copy them to my PC yet), share files with others, and most importantly, make some of my files accessible to myself at any time from anywhere.

One of the beautiful things about Dropbox is its amazing integration into a variety of applications for Android and Apple devices. There are a ton of 3rd party applications that include export to or save to Dropbox options.

There's also a ton of 3rd party programs that integrate with Dropbox and let you CREATE, EDIT, export as PDFs, and EMAIL your Dropbox files. It's like having a portable hard drive that you can access from anywhere without having to actually port it.

How is it relevant to ST? While this app is not involved in any direct Tx, it is where I keep a backup of all my materials; if I do need to print a worksheet, I can access these files from any web browser and print to an attached computer. I don't have to plug in a flash drive or configure printing from my device. As long as there is a computer attached to a printer, and it has a web browser, I can log in to my Dropbox account, print any file, and log out.

In a previous post I described how I carry all my materials using a Nook Tablet, and that I have a copy of all these materials on Dropbox (here's a link to that post: Device: Nook Tablet). It's one of the fastest ways to get my documents into a device like Nook, iPad or a smartphone. Between the device I carry that is loaded with the PDFs I use in treatment, and nearly universal access to my materials via Dropbox, I have ALL of my resources at my fingertips.

Examples: There's not really specific examples of how I use this in Tx because this is about access to all my materials. But here are some examples of where I've benefited from having all my materials on Dropbox:

1. In one of my facilities, the only way to print is via the tech's laptop, and she's the only one with access to it. So when I need something I access Dropbox via my iPhone app, find the files I need and email them to the tech. This creates minimum interruption in the tech's work flow to get my materials printed.

2. I like to have all my materials on my Nook. I had made an updated document for a cogn eval I was using, and saved it to the folder where I keep these resources on my PC--a Dropbox folder. I forgot to hook my tablet up to the PC to transfer the file, and needed it at work the following day. Logged into dropbox in a room that has wifi, and copied to my local files on the Nook. Ready to use in pt's rooms (where there's no access to wifi).

3. I needed some materials printed, and the only computer attached to printer at one of my facilities is really old, slow, and its USB port is broken. But it has a browser, so I logged into Dropbox using the browser, and printed my files. Even if I could have used my flashdrive (which I also carry everywhere; I'm a bit OCD) it would have taken longer. But as such, I don't really need my flashdrive or have to worry about keeping its files synched.

4. I have a folder on Dropbox I share with other SLPs, and we use it as a convenient way to share resources with each other.

Well, you get the picture. No matter what device you use if any, if you have files on Dropbox, you can always access them from any computer or device with internet connection.

Thursday, March 22, 2012

App Wishlist: Word List Generator

There are a few dedicated apps for speech therapy, most of which are too expensive for me to consider for their one dedicated use. I prefer random FREE apps that I can utilize to address a variety of goals. But there are a few dedicated apps I'd consider paying for. One such app would be a WORD LIST GENERATOR.

What it would be: I'd like to see an app that would let me input parameters (inclusion/exclusion of certain sounds or clusters of sounds, their location in the word such as word-initial, medial, intervocalic, final, and syllable numbers) and spit out a list of, preferably common, words. I'd like for this app to use the built in dictionary in iPhone/iPad so that I wouldn't be tied to a WiFi connection to use this app (I'm not sure if there is such a thing in Android devices, but if yes, then the same requirement).

What I would use it for: I would use it to address intelligibility and voice goals mostly, for PD patients and any other dysarthrias. If there were semantic parameters included, I could also generate words to use for language goals.

Is it possible there is already such a thing and I don't know about it? If so, let me know!

Saturday, March 17, 2012

Device: Nook Tablet

Barnes & Noble Nook Tablet

Time to look at something other than apps that target a limited selection of goals. Most of the apps I've discussed so far have been for the iPad or iPhone, but what I carry with me every day to work is my Nook. It is a good tablet, at $200 for 8GB and $250 for 16GB much cheaper than the iPad3 (even with the iPad2 dropping to $400 for 16GB), but it's clunky and slower. I use it mostly for its ability to display and notate PDF files and pictures.While it's nice to have additional apps that can target specific goals in a variety of useful and creative ways, I use the Nook for the bread and butter of my clinical practice: all my materials. Let's start with an overview of this device:

Features: The Nook Tablet is Barnes & Noble's fastest tablet. It has a color 7" touch screen that is extremely clear and very high resolution (iPad is closer to 10", and I believe iPad2's resolution was less than Nook Tablet's, but iPad3 wins over all the rest); the Nook Tablet weighs 14.1 oz (iPad is 1.44 lb), and its battery lasts for 11.5 hrs of reading or 9 hrs of video. It has wireless (802.11b/g/n), and free in-store (B&N) tech support (that can come in handy I imagine). There is no camera, but the Nook Tablet has a microphone and expandable memory in the form of a microSD card slot (the other tablet on the market that it most resembles, Amazon's Kindle Fire, does not have a microphone or SDCard capabilities).

OS and apps: The Nook Tablet is an Android device. Barnes & Noble do not give you access to the Android Market; you have to buy all apps and books through their store. Amazon's Kindle Fire has the same story (no access to Android Market, and you have to purchase apps and books through Amazon). So you only have access to the content these manufacturers approve. This is of course the same story with apple's devices, it's just that apple's store IS the equivalent of Android Market because no other manufacturers run iOS; there's plenty to whine about with Apple's often strict monitoring of what apps they'll allow to be sold, but the benefit is that anything released will work on the devices because there is no difference in the hardware. When it comes to Android devices the hardware is very different among them. Some have microphones and cameras, some don't, some have text-to-speech capabilities, some don't (Nook Tablet doesn't), and so on. If you do find a way to purchase apps from Android Market (for example if you root your device, which is the Android equivalent of "jailbreaking" an iDevice) you will not be limited to only those that work with your hardware and may find yourself disappointed in some cases.

Content: Just a quick note on ways you can get your own files onto your Nook Tablet. You can attach it via USB to your computer and just drag and drop files directly into either the internal memory or the SD card (if you have one inserted). You can email them to yourself and set up your email on the Nook Tablet, or you can use cloud storage (like DropBox). I'm a huge fan of DropBox and will certainly discuss it in future posts (if you link through the link I provide here, and create an account, you will get extra free space for being referred by me, as will I for referring... what, it's a win-win).

How I use it in Tx: On my Nook Tablet's SD card I have set up all my materials in PDF form. I have the following main directories: Memory, Puzzles, Problem Solving, Directions, Scanning, Sequences, Language, Voice, Fluency, Evals, Dysphagia, and Resources. Some of these materials I need printed (for example the scanning activities, and some of the word puzzles) but almost everything else I can use right off the device. Through a third party $3 PDF reader (called ezPDF) I can set up a directory structure where I copy (not move) the files I want to use for specific pt's to their own directories, and annotate those files as I use them (keeping track of when I did what, % accuracy, and whatever else I want). I use a stylus to write on the screen, but a finger would do the job as well.

Examples: Most of my materials can be used in one of two ways: I either read stuff off the Nook for the pt, or I let the pt view something on the Nook's screen. I then mark it (with the device facing me, usually) and move on to another page. The Nook lets you zoom in on any parts of the page and view thumbnails. The screenshots here are from my actual notes from doing the tasks with pts.

(1) The screenshot on the left is an example of a word-list task I created myself of homographs and homonyms, where I asked the pt to define each word and then use it in a sentence, then marked accuracy. In the green rectangles I notated the date of when I did each part (I spread it over several sessions so it wouldn't get too tedious). For this task there was no reason for the pt to view the screen at all.

(2) There used to be a screenshot on the right of an example where I actually show my patient something on the Nook; it was a problem-solving in pictures task from Therasimplicity. They have complained, apparently, that showing a screen image of one page of their resources is an infringement of copyright, so I have removed it. All the removed screenshot was meant to illustrate was that there are tasks that require the patients to view the screen; I show each problem-solving picture and ask to identify the problem, and can keep track of accuracy identifying the problem right on the screen. Once the problem is established, I can also rate whether it was solved directly on the screen. Then I sift through the pictures quickly (one picture per page) to count accuracy. I can also keep track of cuing levels right on the screen.

Why this works for me: In my facility I don't have a lot of space to leave my materials, and even if I did, I wouldn't have them available when I'm doing rounds. So I used to carry all my handouts and copies of everything in a bag. Ouch. Now I have everything in the Nook, and if I want to prepare materials for pts in advance I can, and if I want something else I have all my materials on this device and can select what to use at POS. Up goes productivity, down goes weight I have to carry, and I greatly reduce the time I spend at home thinking about it. A nice benefit is also that I have access and record of pretty much all the materials I used with each pt (but without any identifying information, using only initials for pt folders). It did take a few very busy evenings of getting all my materials set up as PDFs. Some I scanned (most scanners will save as PDF files), some I retyped and then printed to PDF (although the Nook will just as easily let you work with Word or Text files), and some I downloaded as PDFs. Now when I create something new (like the homographs/homonyms task pictured above) I just PDF and copy to the Nook instead of printing and making copies for each pt (I also keep a copy of everything on dropbox for safekeeping and easy access for printing if needed). As an aside, making all the PDFs gave me the opportunity to create variations of materials the way I like them (e.g., I had bedside cogn evals from 3 different hospitals which I drew on to make my own that I like best).

Summary: Having all my materials on the nook allows me easy access to all my resources without having to break my back or spend time searching. I can go to any new facility and be just as ready as I am at my home one. I can select resources at point of service, which doesn't only increase productivity but also allows me flexibility if something I thought would work didn't. And the nook is just not attractive enough (like the iPad) where everyone wants to touch it and look at it... I know that doesn't sound like a benefit, but it is.

Sunday, March 11, 2012

iPhone app: Appzilla (90 apps in 1), free app

Appzilla free app
Appzilla! 90 apps in 1 in iTunes

What it is: A utility app with a little bit of everything... it's almost easier to sum up what it isn't. There are 90 mini apps in Appzilla, each does just one thing, and don't expect all of them to be useful. But some of them are rather good, which is amazing for a free app. Herein I will comment on the mini-apps that may be useful for ST, but to be sure there's quite a few utilities included that are useful to anyone, just not relevant to therapy (like area code look-up, currency converter, and battery life gauge). Since there are so many of these utilities, and most have limited uses, the format of this post will be a little different than usual. I briefly sum up the basic uses and goals that can be addressed by each utility rather than have a separate heading for goals and treatment suggestions as I usually do. But I'll try to give examples, especially for those utilities that seem far fetched as useful :-). Expect to constantly be amazed that this collection of utilities is free!

List of utilities included in Appzilla that may be useful for Speech Therapy:

Note: Some of these utils that gather information from the internet (like dictionary and news related ones) will need a server connection to work (if you use your iPhone you're fine, if you use iPod-touch or iPad, you'll need to be connected to wifi). Most of the utils don't need it though. I'll try to note which do below.

1. Bleep button (no, really): Just a button that you touch and it bleeps. Can be useful as part of a host of activities that we already do. For example, a memory/focus/attention task where a pt has to react to a specific suit or number or card in a deck: this bleep could be used as the manifestation of said reaction (i.e., pt presses the bleep button every time they see a red card or a spade as the cards are drawn one at a time). Another example is for a sorting/categorizing task, where the pt shuffles through cards with common pictures on them, and presses "bleep" for pictures that belong to certain categories (I like to have household items in pictures, and ask the pt to name each item--working on word-finding--and also pick out the ones that belong in a particular room in the house, say the kitchen).

2. Buzzer: Basically the same as the bleep one, but with a red button for buzzer sound and a green one with a ding. I wouldn't use them for their seemingly intended purpose (red for wrong and green for right) but a variation of the tasks I mention above could work: if a pt is looking for red cards in a deck, press the red buzzer for black and the green ding for red. This would be an easier task than just pressing one "bleep" button for red because having to respond to each card would make it easier to remember to respond... so it can be implemented for the simpler versions of the same goals.

3. Coin flip: I haven't thought of anything yet, but I *know* there's something I can do with it in Tx.

4. Cook timer: This thing is awesome: it has a picture of 4 electric stove burners and 2 oven doors. You activate each and a timer starts for that cooker. I love time-management games (you know, where you play the cook and customers ask for specific foods and you have to put them together in a certain order, taking care of all the customers... like the free and super fun iPad game "Order up" or the iPhone game "Bonnie's Brunch") and I think they would be useful for a host of cogn-comm goals, but they tend to be difficult and complicated. Using this utility is not as fun, but it can be a lot less stressful: the task would be to pretend you're cooking a meal and have to cook 2, 3 or 4 different things that each take different times to prep and cook. It would be great to have hard copies of pictures of foods... so for example you have to get the buns ready then you can put the hamburger on the stove and cook for 3 minutes, and in the meantime get the pasta ready and cook that for 4. That's a lot of directions to sort through (problem-solving, sequencing, direction following, reasoning) and would require some extra prep of materials, but once ready it can be adjusted to a lot of goals and a lot of deficit levels (make it simpler, make it more complex).

5. VU meter: Amazing that it is part of a free package! Visual feedback to sound levels... what can't you do with it in speech therapy?! For specific ideas see one of my previous blog entries, about the Bla | Bla | Bla app.

6. Dice roll: A few weeks ago I bought a game on Amazon called "math dice" (actually, I bought the Math Dice Jr. version, linked here, because it came with bigger dice and a carrying pouch). In this game you roll the 12-sided target die to get a number, and then roll the other 5 dice and try to reach the target number using addition and subtraction only; the more dice you use in your calculation to reach the target number, the more spaces you get to move on the progress board. I've used it in Tx for memory (to recall rules), problem-solving, reasoning, sequencing and more specific math-related goals if called for. If I don't have the game with me, I can make a virtual version of it using this utility. And loads of other game-like tasks could use this utility if you don't have dice available (I don't know about you, but my phone is always with me while my lucky dice I don't tend to bring to work...).

7. Dictionary: There's always a reason to have one around... I believe this one needs a server connection to function.

8. Drum pad: I don't know what I'm gonna do with it yet, but I'm sure it'll come in handy... eventually.

9. Grill timer: Variation of the cook timer but with only 4 burners (and link to cooking times for various foods). Could be used similarly to what I wrote in #4 above.

10. Hearing test: You'd think it's useful (if not particularly clinical) but it's mostly for high frequency sounds. Still, it's relevant to our field so I figured I'd mention it.

11. Facts, GoogNews, Horoscope, Hot Topics, Lyrics: These are examples of included utils that can be used to generate conversation topics if needed. Sometimes you just need free-style open-ended conversation (to address anything from pragmatics to focus to memory to voice and fluency). I think all of these require a server connections to function.

12. Match it: 4 x 5 card memory game with a choice of themes for the pictures. It keeps track of time, but doesn't limit players in how much time they can use, which makes it much more accessible for memory-impaired pts. It's super cute, and likely the only memory game you'd need.

13. Metronome: I can't believe there's a free one included! I was looking for one for an SLP friend a few weeks ago and couldn't find a good free one... and here it is in this generous collection of utilities. Its uses are obvious for pacing and fluency.

14. Reaction time: A simple game where you have to tap the screen as fast as you can when the light turns to green (options are green, yellow and red). I don't know if I'd use it all that much, but I can see it coming in handy at some point... Even if just as a memory/focus/attention task (goal for pt to remember to tap the screen when the green light comes on).

15. Rhymes: Give it a word and it'll look up rhymes (needs network connection or wifi to function). There's plenty that can be done with this... I used it with a pt when we were composing a simple poem together (honestly, it was a functional task and very appropriate for that pt... but this post is already getting long so you'll just have to trust me on that hahaha).

16. Tally: You can keep track of up to 4 tallies, where you just touch the screen for each tally to add to it. You can use it to keep track of just about anything; for example, if you want to keep track of % correct items on a task, you can select 2 items to score, keep track of correct ones on the first, and of all items on the second, and at the end see what percentage the first is from the second count. When I do problem solving scenarios, I keep track of % problems ID'ed and % solutions provided; with this tool I'd choose 3 tallies to keep track of, make the first ID, the 2nd solving, and the 3rd total scenarios. At the end of the task I'd have a very quick idea of task accuracy. If you're doing a stuttering eval you can keep track of disfluencies; pretty much anything, this tool will let you count it faster than keeping track on paper, and without alerting the pt to what you're keeping track of (or how many they got right or wrong). Very simple and efficient.

17. Translator: English/Spanish only; may need server connection to function.

18. Trip Wire: Sound activated where you select the trigger threshold, and it sounds a buzzer if there is sound louder than the threshold. Yet another visual feedback to sound tool that can be used for pts with voice or fluency goals.