InContext User Manual:
Contents
1. Briefcase 8 9 C Care Plans 18 Change Password 4 20 Chart Examples 2 18 20 Children 6 Clipboard 13 14 Commented files 14 D Document Summary 7 8 Down Loading Files 9 10 Downloading Multiple Case notes 9 E Extracting Multiple Files 10 F Fluid Balance 18 Home Page 4 14 Images 11 13 InContext administrator 4 InContext web site 3 6 11 12 14 16 K Keyword 6 7 8 11 20 L Learning Disability 6 M Mandatory fields 3 Mental Health 6 O Organisation drop down list 3 P Password 1 3 4 5 11 PDF file format 11 PowerPoint 13 Prescriptions 18 Q QAA Benchmark Statement 14 R Registered User Login 4 5 S Search 3 6 8 9 11 Staff 3 11 top level bookmark 13 TPR Charts 18 Tutor prompts 14 Upload facility 16 Username 3 Page 20 of 22 Table of Figures Figure 1 Registering User LIGIANS jsnosiiatacdadda dass ladancdedan anus tinsaitedamiaidveuansiats dnnpadsduniesdifuaneidadangses 4 Figure 2 Logging On As a Registered User ccccecccccssseecceeseeeceeseeecseaeeessageeessaneeeessaeeeeses 5 Figure 3 Changs Password Facili css sacsiucscomperassanconahacnsnasesanscnes tea aweuesdeageedoenanniey weashbataniewemets 5 Figure 4 Changing Your PASSW OVO isccincaceatisiscatvnascdasaneetadibereadaniicdaadinedsesdthewacdssdaasaneivednciasiegnic 5 Fig r S E mail From MIN Sth Ol sissies r eneee iai ee N 6 Figure 6 Request Screen f2. pl s results amp a search amp search_category amp search_subject pain not chest amp x 15 amp y 5 Eco Links gt i ez 4 In FEN IDDERSHIELD C i 7 a y y 7 Category gt Na o gt z i la ji m3 Briefcase Upload Comments All Sections Adult Mental Health Children oo swo Learning Disabilities o Feedback To search the database enter a keyword into the Subject box and select search Placing the keyword in speech marks will search the database for an exact match e g a search for chest pain will find examples of records that contain chest pain Searching for chest pain without the speech marks will find examples in the records of chest or pain Figure 8 Entering a Keyword in the Subject Box In Context Microsoft Internet Explorer e x File Edit view Favorites Tools Help ay Ou O h A AA fmm OOo wa LE Address http incontext intrica netfindex pl s results amp a search amp search_category amp search_subject Diabetes x 51 amp y 9 FE co Links gt if Usiversity of HUDDERSFIELD Category X All Sections kA Subject SEARCH assword gt Log Out Briefcase Upload Comments Feedback O change The keyword and the number of hits for the keyword are shown at the top of the list of displayed records The keyword is highlighted within the context of t
3. save The download process will automatically start and close down when the download process has completed Downloaded files need extracting before they can be viewed Go to the directory where the files where downloaded to and locate the file case_ studies with the associated icon illustrated below Figure 13 Case Studies File And Icon eer l iY doy Pes mReader Mosso_error Double click the file and select Run when prompted If prompted to verify the publisher select run and then Extract Downloaded files will be extracted to the chosen directory and on completion the prompt All files extracted OK will be displayed select Ok to continue The files can now be viewed in the normal way using Adobe Acrobat Reader Page 11 of 22 Working With the Case Files in Adobe Acrobat There are two types of case files in the InContext web site files with comments and ones with no comments Files with comments can only be viewed where Staff position was chosen on registration Files without comments can be viewed by all registrants Not all features are supported in the commented files and where this is the case it is indicated by not available in commented files All case files in the InContext web site are in the PDF file format requiring Adobe Acrobat Reader 5 or above to view the files All case files are password protected to prevent users from making any changes Text and images can be copied for inclusion into handbooks or othe
4. to Case Studies Remove All Download All Home About Us Hews FAQS Exemplar Contact Copyright 2005 Huddersfield University All rights reserved Site designed by Centrical and built by Intrica Individual files or the entire contents of the briefcase can be downloaded to the user s computer for inclusion as course materials or for posting to VLE in support of student learning Another search can be started by selecting the Back to Case Studies icon Downloading an Individual File Download individual files by selecting the Download Button located to the far right of the appropriate file with options presented to Open Save or Cancel the download If the Open option is selected the file will be opened on screen for viewing the file can be saved later by using the save options available in Adobe Acrobat Downloading All Files From the Briefcase All files in the briefcase can be downloaded as a single operation and this might be useful when all the files are in the same or similar topic area Select Download All located at the bottom of the list of files currently held in the Briefcase The multiple case notes are compressed to help reduce transfer time some files are quite large 20mgb in some Page 10 of 22 instances and require extracting before they can be viewed Users will be given the options of Run Save or Cancel The Save option is recommended select the directory to which the files are to be saved to then click
5. CT abdomen Sputum for cytology PSA tumour markers Auto antibiotics MSU Monitor urine output Page 15 of 138 Fund for the Development of Teaching and Learning Y Tp sect fij Q 3 4 of Search Web Y fas Page 8 number 1 Keith Ward ject Note Date 08 12 2005 13 57 31 gafot for pericarciocentesis at present unless he deteriorates ci 18 x Tutor prompts What does the term pericardiocentesis mean Why may a pericardiocentesis be carried out How may functioning this procedure improve the patient s cardiovascular What equipment is required to perform this procedure Where would the procedure be carried out What clinical features would suggest to you that the patient was deteriorating What is the nurse s role during the procedure C2 3 1 Tutor prompts How would you explain the purpose of pericardiocentesis to a junior student nurse C2 3 2 Tutor prompts How would you explain to a patient the purpose of having a pericardiocentesis carried out How would you prepare them for the procedure How would you care for them after the procedure B11 Tutor prompts Where might you find more information about this subject B36 Tutor prompts How wa Daughter in law Pt has not asked re possibility of malignancy A34 Tutor prompts Given that the patient has not asked above malignancy how could the daughter in law be prepared receive news about the possibility Consider how
6. Password been changed i Page 5 of 22 University of i HUDDERSFIELD Copyright University of Huddersfield 2007 Return to the Home Page by selecting home from the bottom of the screen An e mail from InContext Administration will confirm that the password has been changed along with information on what steps to take if someone else changed the password without the user s knowledge Figure 5 E mail from Administrator This 1S an automated notification that your password has changed Your password has been changed to anything you like If YOU have NOT changed your password then it is possible that you left your account logged on at a shared public computer and someone has mistakenly changed it Please proceed as follows logon to your account using the new password above change your password again always remember to log off from shared public computers Incontext Admin Services Forgotten Password If the username and password are forgotten the registered user can request a reminder by selecting the Forgotten Password link below the Registered User Login box and selecting Go follow the on screen instructions Figure 6 Request Screen for New Password Z In Context Microsoft Internet Explorer la x File Edit View Favorites Tools Help ae Q sak X 7 x E TN JO Search Se Favorites Ol 6 ax 4 rel Address http Hfincontext intrica netsindex pl dc 60 E Links g
7. The InContext Web Site User Guide In Context Creating the balance in the nursing curriculum CONTENTS PAGE REGISTERING AND FIRST TIME ACCESS OF THE INCONTEXT WEB SITE Registering User Details Logging On For The First Time Changing Your Password Forgotten Password SEARCHING THE INCONTEXT WEB SITE More Information THE BRIEFCASE Adding to Briefcase Added to Briefcase Downloading an Individual File Downloading All Files From the Briefcase WORKING WITH THE CASE FILES IN ADOBE ACROBAT Locating the Key Word in the File Using Bookmarks to Navigate Around the Case Notes Expanding Bookmarks Capturing Text or Images Files with Comments UPLOADING COMMENTS AND FEEDBACK NEWS EXEMPLARS FAQ AND CONTACT CHART EXAMPLES 10 10 12 12 13 14 14 15 17 19 19 In Context Creating the balance in the nursing curriculum Welcome to the InContext Web Site http incontext intrica net The InContext project team extends a warm welcome to you and hopes that you find this user guide helpful The purpose of the InContext web site is to provide academics and students if authorised with easy access to a comprehensive stock of real patient s case notes over 200 drawn from Medical Surgical Mental Health Learning Disabilities and Paediatrics specialities The intention is that the case notes are used by academics to develop case based learning materials to engag
8. a Registered User In Context Microsoft Internet Explorer x File Edit View Favorites Tools Help ae iA ai gt gt yA Q sxx x x E TN search 5 Favorites vay lt w La rel Address http fincontext intrica netsindex pl dc 47 In ai J i Registered User Login DA us ser Sa Forgotten Passworc Home AboutUs News Register Details FAQs Exemplar C A Changing the Password Select the Change Password menu item by pointing and single left clicking Figure 3 Change Password Facility Z In Context Microsoft Internet Explorer B i laj x Fie Edit view Favorites Tools Help ae Q sax Md T x E FN JO Search Te Favorites Ol R X I Address g http Hincontext intrica net index pl s results amp a search amp search_category amp search_subject Diabetes amp x 51 amp y 9 mey 2 In Context HUDDERSELD A7 AN 1A 9 Category rr X All Sections M Subject Ej co Links gt SEARCH change Password 2 Log Out lipiond Comments Faadbad Briefcase Figure 4 Changing the Password Enter and re enter the new Change Password password and select Change Password To change your password please fill in the form below Enter New Password o lt lt lt The Change Password screen will Re Enter New Password lt lt display Your password has Change
9. ay One suggestion has been for cases to be categorised by medical diagnosis allowing cases of a particular diagnosis category to be browsed Another way might be to build a site index that includes for each file a document summary location and associated key words This index might be able to be extended to include associated key words for learning outcomes learning triggers For example search for breaking bad news include the speech marks and you will find a file sections of which might be used to trigger a learning activity on this important topic You would need to know that this key word existed before you could search for it What structure would you like to see included in the browsing index Keith James Turner Staff Sheffield Hallam University have been trying to look at case studies of psychosis depression personality disorder and bi polar but when click on the briefcase accept the case study it does not seem to be depression instead psychosis wonder wheter there is an easier way for me to scroll through the case studies Thansk for your help a B OS Usiversity of py f HUDDERSPIELD 4 7 Category All Sections Subject SEARCH gt Log Out Chart Examples Use the drop down list below to select specific examples of datasets for download TPR Charts gt aTa For best results we recommend that you view the PDF files using the latest version of Adobe Reader Please click o
10. briefcase The contents of the briefcase can be viewed at any time by selecting the Briefcase icon from the menu bar Figure 11 The Briefcase Icon and Added to Briefcase A In Context Microsoft Internet Explorer 18 x Fie Edit View Favorites Tools Help ae Q sxx X x a TN JO Search 5 Favorites O 2 Va oe wl a LJ rel Address http Hincontext intrica net index pl s resultska searchkadd 998search_category amp search_subject Diabetes amp p1 0 r A 4 i gt g In Context ci gt HUDDERSFIELD amp Category NI w a SS All Sections X a A N Ne a Bo Links amp Subject CSEARCH gt Log Out Chart Examples ae Feedback Briefcase By pload Comments Your sea or Diabetes returned 78 matches iF cienpe Password Use the drop down list below to select specific examples of datasets for download TPR Charts gt Profile of Adult Patient Case 00 002 GO Anaemia Smoking Neurological Deficit Diabetes MS CYA Motor Sensory Deficit Paraplegia 8 5 5 2 1b Indicate any areas already discoloured or broken Use For best results we recommend that Hide Added to Briefcase you view the PDF files using the Document summary latest version of Adobe Reader No admission notes Unclear why or where from admission took place Diagnosed as suffering from a carcinoma of the lung confirmed as being an undifferentiated small
11. c key on the keyboard To capture an image to the clipboard select the Snapshot Tool and select the image in the usual way by pointing and holding down the left sided mouse button while drawing a box around the image to be captured When the left mouse key is released the image is copied automatically to clipboard Copy the image or text to the desired location in the usual way by pointing at the location in the file where the image or text is to be placed and right clicking and selecting Paste or Edit Paste or pressing and holding the Ctrl key and press the letter v key on the keyboard Files with Comments A number of case files on the InContext web site have been indexed by including tutor prompts Only staff registrants can view files with comments The tutor prompts are included to give academic staff some examples of the ways in which the case file can be used to support student learning The number of commented files is set to expand considerably in 2007 2008 as the InContext project team works towards indexing the entire stock of case notes Commented files are structured to include side by side pages with the case file on the left of the screen and associated tutor prompts located to the right Tutor prompts include a reference number that equates to the corresponding QAA Benchmark Statements for Nursing and this document can be viewed by selecting the link from the InContext web site Home Page or visiting the URL Or clicking the
12. cell carcinoma from biopsies taken at the time of bronchoscopy Nursing care issues predominantly relate to care of the terminally ill patient and palliation Marked weight loss associated with nausea a key case feature Patient ultimately discharged to care of District Nurse McMillan nurse and GP Adobe Reader for palm held and pocket PCs enables the case notes Please click on the icon below Get Adobe Reader Added to Briefcase Users can add as many files as they like to their briefcase for later viewing or download The contents of the briefcase persist until the user decides to Remove individual files or Remove All files by selecting the appropriate button Before the delete command is carried out a Message Box prompts users to confirm that they want to remove the file from the Briefcase As an Aide m moire to users when the More button is selected in the briefcase view the document summary has additional information appended that includes the keyword the category and date time that the search was completed Page 9 of 22 Figure 12 More Information in the Briefcase View A In Context Microsoft Internet Explorer ee E l x File Edit view Favorites Tools Help Gr j i x B FR J search Se Favorites B w LJ a Address http fincontext intrica netfindex pl s briefcase i ii iG g University of HUDDERSELD A d Bo in amp Category All Sections M Sub
13. core Weight Chart 2 TPR Charts E ECG E Biochemistry F F B Report Abdomen D Day 31 Chest X Ray DB Report Chest DS Day 23 Barium Enema 1 Regular Prescriptions 1 ad Dro cg Diabetic Record Chart Back Cover E Attachments N 20 996 x 29 700 cm v 4 a a g M al r O 6 G Eo Capturing Text or Images Users can capture text or images to clipboard for copying to PowerPoint presentations or inclusion into other support materials Where text or images from the InContext materials are used this must be acknowledged in the usual way through citation entry and referencing In Adobe Acrobat Text is captured using the Select Tool and images by the Snapshot Tool Page 14 of 22 Figure 18 Select Tool and Snapshot Tool Adobe Reader 00 008 pdf 12 x nS File Edit Yiew Document Tools Window Help 16 x SB H Save a Copy gt a rit Search i gt Select i A al 116 ae f Help X Search Web Select Tool Snapshot Tool To capture text to the clipboard select the Select Tool and identify the text to be copied in the usual way by pointing and holding down the left sided mouse button while dragging across the text Save to clipboard by right clicking and selecting save to clipboard or Edit Save to clipboard or pressing and holding the Ctrl key and press the letter
14. e learners in learning within a rea patient care context The value to student learning that a context based approach brings is well documented Less well documented is how to develop further the case based learning materials to provide a bridge between theory and practice enabling students to develop problem solving thinking and information skills within a context of patient care Exploration of the above is the major thrust of our research and development in 2007 2008 The InContext web site is being developed to include case notes from Physiotherapy Midwifery and Operating Department Practice disciplines and these will be available to users before the end of 2007 please pass on this user guide to as many of your colleagues from these disciplines as you are able to The InContext sister project Penfield Virtual Hospital provides the service delivery context for many of the InContext patients Students using Penfield Virtual Hospital explore patient care and service delivery issues in a virtual environment in preparation for working in the real world of practice Visit the Penfield Virtual Hospital web site by clicking on this Link or visiting http www hud ac uk hhs departments nursing penfield_site default htm Keith Ward July 2007 k ward hud ac uk Telephone 44 0 1484 473419 Registering and First Time Access of the InContext Web Site Registering User Details Before a person can log on and search the InContext web site they wil
15. er your details below Fields marked with an asterisk are mandatory Implicit within registration and use of the materials is the expectation that educators will upload for sharing how the materials were used and what their experiences were good or not so good We aim to develop a Community of Users for the case materials Your feedback is important to such a community as it strengthened by the knowledge your feedback provides Your Details Mandatory fields Title Full Name Email Address Organisation Position Address City Post Code Home About Us Hews Register Details FAQs Exemplar Contact Copyright 2005 Huddersfield University All rights reserved Site designed by Centrical and built by Intrica Page 4 of 22 When the registration details have been processed the user will be sent an e mail containing their allocated username and password The username is fixed but the password can be changed to something more memorable See below for details on how to change an allocated password Logging On For The First Time Log on to the web site by entering the allocated username and password into the appropriate fields in the Registered User Login box located at the top right of the screen It is important that the username and password are entered exactly as supplied in the e mail received from the InContext administrator on registration The username and password are both case sensitive Figure 2 Logging On As
16. he sentence it appears with the five words preceding the keyword and the ten words following it shown Highlighting the keyword in the context of the sentence in which it appears can help the user to determine if the case file is likely to be appropriate or not In the example below returns for diabetes are displayed Page 7 of 22 Figure 9 List of Returns for the keyword Diabetes Z In Context Microsoft Internet Explorer File Edit view Favorites Tools Help Q O A A GO Dave Somme OOS a IB Address http fincontext intrica netfindex pl s resultska search amp search_category amp search_subject Diabetes amp x 518y 9 4 ve a Usivessiry of 5 HuppersheLD A Category X All Sections Subject CSEARCH Q Log Out Chart Examples s rc Briefcase Upload Comments Feedback change Password Q Search Results Your search for Diabetes returned 78 matches Use the drop down list below to select specific examples of datasets for download TPR Charts GO Profile of Adult Patient Case 00 002 Anaemia Smoking Neurological Deficit Diabetes MS CYA Motor Sensory Deficit Paraplegia 8 5 5 2 1b Indicate any areas already discoloured or broken Use More Add to Briefcase Profile of Adult Patient Case 00 004 Anaemia Smoking Neurological Deficit Diabetes MS CVA Motor Sensory Deficit Paraplegia 855 2 1 Indicate any areas already discoloured or broken Use ue i a More Add to B
17. ject a Briefcase Chart Examples Briefcase Contents Use T eon list below to select specific examples of datasets for download Files in Briefcase Remove Download TEREE arts w Profile of Adult Patient Case 00 023 More L GO 5 x a Pallet ase NA For best results we recommend that you view the PDF files using the Summary latest version of Adobe Reader List case admission for AortoBifernoral Bypass He suffers from Claudication pain bilaterally at ten yards for the past twelve months or more stopped smoking one year ago Had a routine stay in High Dependency Unit HDU immediately post op and then transferred back to the surgical unit for further recovery and rehabilitation Post recovery complicated by groin and abdomen wound haematomas that ultimately caused the wounds to become necrotic requiring mechanical and chemi Please click on the icon below cet Adobe Reader Adobe Reader for palm held and pocket PCs enables the case notes Z n Usol and Faramin aie day forty four to be downloaded and viewed on antibiotics and care of the district nurse for continued management CPi your pocket or palm device for wound break down viewing anywhere anytime Searched for Diabetes in category All Sections on 0608 2007 at 14 74 Please click on the icon below i Get Adobe Reader for Palm OS Profi More Profile of Adult Patient Case 01 027 More Back
18. l require a username and password To obtain a username and password the person must first register to use the site by selecting the Register Details menu item and completing the registration process Currently the default position is that student registration is not allowed but this can be quickly changed if the subscribing institutions authorises student registrations All items marked with are mandatory fields and must be completed in order to register It is important that registrants enter their university e mail account details and select their Institution from the Organisation drop down list Failure to match the e mail to the institution will lead to non registration Make sure that the option Staff is selected from the list in the Position drop down menu as this will entitle staff users to view files with comments attached see later section on commented files Press Submit when all required registration data has been entered Figure 1 Registering User Details In Context Microsoft Internet Explorer e i 18 x Fie Edit view Favorites Tools Help Q sak v x E A JO Search 5 Favorites Ol 2 bas wi LJ rel Address http fincontext intrica netjindex pl dc 47 F Go Links rE q vy y ty of siversity HUDDERSELD Aa Registered User Login JaC COAN Home AboutUs News Register Details FAQs Exemplar Contact Register your details Please ent
19. link below when being viewed in Adobe Acrobat http www qaa ac uk academicinfrastructure benchmark health nursing pdf Page 15 of 22 Figure 19 Example of a Commented File 00 055 Adobe Reader 00 055C pdf File Edit View Document Tools Window Help B H Save a Copy pi search Creating the balance in the nursing curriculum oy HUDDERSFIELD amp r EUI Pe A Pir In Consett Ward Round Report Day 1 Nursing Entry Re admitted via clinic 13 00 hours Needs CXR CT scan Commence Clexane Comfortable on arrival Obs stable BP 136 86 Pulse 105 Temp 37 3 C Oz sats 98 on air Day 2 Nursing Entry WR Noted CT findings Pericardial effusion CT PA artero superior pericardial effusion out to RV CXR Cardiomegaly left effusion To discuss with Radiology re pericardial effusion Repeat Echo and discuss with Cardiology Day 3 Nursing Entry S B Cardiologist OIE Clinically has no signs of tamponade Echo moderate sized pericardial effusion CT localised pericardial effusion Diagnosis 1 Inflammatory 2 Neoplasm 3 Past infarct Plan Bloods Sputum C S AAFB Renal USS amp Liver USS Not for pericardiocentesis at present unless he deteriorates Please ensure monitoring of BP and urinary output D W daughter in law Patient has not asked re possibility of malig Day 6 Nursing Entry WR Feels well Slight SOB yesterday Plan Repeat Echo mid end of week Await
20. n the icon below Get Adobe Reader Adobe Reader for palm held and pocket PCs enables the case notes to be downloaded and viewed on your pocket or palm device for viewing anywhere anytime Please click on the icon below Get AdobeReader for Palm OS zi Page 18 of 22 News Exemplars FAQ and Contact All the items above can be viewed from anywhere in the registered area of the web site by selecting the appropriate menu item from the very bottom of the page currently being viewed Figure 22 Other Menu Items Home About Us Hews FAQs Exemplar Contact Copyright 2005 Huddersfield University All rights reserved Site designed by Centrical and buit by Intrica Chart Examples Users can download examples of TPR Charts Fluid Balance Sheets Prescriptions and Care Plans by selecting the desired item from the Chart Examples drop down menu and selecting GO Figure 23 Chart Examples Chart Examples Use the drop down list below to select specific examples of datasets for download TPR Charts TPR Charts Fluid Balance Prescriptions Care Plans Copyright Notice This user guide is copyrighted to the University of Huddersfield Users have permission to distribute copies to colleagues within their own institution Keith Ward k ward hud ac uk 44 0 1484 473419 Page 19 of 22 Index A Adobe Acrobat 1 9 10 11 12 13 14 20 Adult 6 B Bookmark tab 12 Bookmarks 12
21. notes Unclear why or where from admission took place Diagnosed aes as suffering from a carcinoma of the lung confirmed as being an undifferentiated small cell carcinoma from biopsies taken at the time of bronchoscopy Nursing care issues predominantly relate to care of the terminally ill patient and palliation Marked weight loss associated with nausea a key case feature Patient ultimately discharged to care of District Nurse McMillan nurse and GP ag acer for palm held and i et PCs enables the case notes to be downloaded and viewed on your pocket or palm device for viewing anywhere anytime Profile of AR atient Case 00 004 Anaemia Smoking Neurotot aan homs Pr oensory Deficit Paraplegia 855 21 Indicate any areas already discoloured or broken Use More Add to Briefcase Profile of Adult Patient Case 00 008 Anaemia Smoking Neurological Deficit Diabetesb MS CVA Motor Sensory Deficit Paraplegia 855 2 1 Indicate any areas already discoloured or broken Use More Add to Briefcase i Please click on the icon below Get Adobe Reader for Palm OS To close the document summary select the Hide button Page 8 of 22 The Briefcase Adding to Briefcase Users can add files to the briefcase for viewing or download by selecting Add to Briefcase located to the side of the returned file Added to Briefcase signifies that this file has been saved to the
22. ocument where the keyword is located The keyword is to assist in its location on the page Page 12 of 22 Figure 16 Search Results Displayed In Adobe Acrobat J Adobe Reader 00 014 pdf e x Fie Edt view Document Tools Window Help ee la x A sense BAS Drow i o OP Ome Creating the balance in the nursing curriculum In Contex Finished searching For A hemicolectomy Total instances Found s _NewSearch Medical Notes ay and splenectomy partial pancreatectomy for Dukes B Today midday severe abdominal pain Intermittent Associated with vomiting x4 Results Prior to midday completely fine No exacerbating relieving factors Was eating and drinking well Weight variable BO 2 oF Da D No PR bleeding KL SRig a No urinary symptoms PMHx Right hemicolectomy lt 2 years prior to Day 1 gt Chemotherapy finished lt Last year gt DH Panadol when required NKDA FHx Brain tumour Mother SHx 1 child OIE Apyrexial Obs normal HS I II 0 E Done Fund for the Development of Teaching and Learning Use Advanced Search Options i J J id 4 72 Pi gt a Find a word in the current PDF document ve GG Using Bookmarks to Navigate Around the Case Notes not available in commented files Non commented case files found on the InContext web site are fully bookmarked to assist users in locating and moving to the appropriate section of
23. or New Password ccccscccccsseceeceesececsseeecseeeessageeessaseesessaeeeeees 6 Foue Calgon Salac iON essre EEEO AR T Figure 8 Entering a Keyword in the Subject BOX ccccsscccsseseeeceeseeeceeeeeeseaeeesseseeeeseeeeeses T Figure 9 List of Returns for the keyword Diabetes ccccssscecceeseeeceeeseeeseeseeecesseeeeeeseeeees 8 Figure 102 Document Summary Revealed caiiaccstediccsca dat vinivserieedigiieletaiinidvecdind nadine Restaladan 8 Figure 11 The Briefcase Icon and Added to Briefcase cccccssseeecseeeeeceeseeeceeseeeseneeeeees 9 Figure 12 More Information in the Briefcase View cccccccssssceccssseeeceeseeeceesseeseeseeessaeees 10 Figure 13 Case Studies File And ICON scssssansnssiscanopseaewasaneceneiaanseskanausnseiersnmpbiatans ieeaeienneeats 11 Figure 14 The Adobe Acrobat Download ICON cccccccseseceseseeeseseeeeeeeceaeessaeeessueeeneneeens 12 Figu ome s7s cei Oasa rey rer enter ner ene cn neers eretr ert rt ether erent cre car etn ere ner ea cere eee 12 Figure 16 Search Results Displayed In Adobe Acrobat cccccsseeeeeeeeeeeeseeseeesaeeeesaeeeees 13 Figure 17 Radiology Bookmark Expanded In Adobe Acrobat cc cccecseeeeseeeeeeeeeeeeeeeens 14 Figure 18 Select Tool and Snapshot Tool iccsivscccedasiscunaudenacansdeacvadatinasudeatastacsandaesubedlanaedasedens 15 Figure 19 Example of a Commented File 00 055 cccccccccs
24. pecific examples of datasets for download TPR Charts GO For best results we recommend that you view the PDF files using the latest version of Adobe Reader Please click on the icon below Get Adobe Reader Adobe Reader for palm held and pocket PCs enables the case notes to be downloaded and viewed on your pocket or palm device for viewing anywhere anytime Please click on the icon below Site designed by Centrical and buit by Intrica Copright 2005 Huddersfield University All rights reserved Once processed the uploaded comments are made available via the Feedback menu Item Page 17 of 22 Figure 21 Feedback Display SA In Context Microsoft Internet Explorer File Edit View Favorites Tools Help a Que O A see erms OC vi JB Address http fincontext intrica netfindex pl de 55 In context ts Briefcase Upload Comments S Feedback Below are examples of feedback submitted by users of the materials Feedback is presented in reverse chronological order i e latest feedback listed first From time to time feedback will be archived and these archived iterns can be viewed by clicking the Archive button Anne Marie Hardie Staff Napier University it would be nice to be able to browse the database this way we have to guess which keywords will be useful It would be good to know what is there l like this idea Anne How might we browse the database in a more structured w
25. r support materials and all files can be printed in high resolution Adobe Acrobat is free to download and freely available The latest version of Adobe Reader is available for download from the InContext web site by selecting the Adobe Acrobat Icon found at various locations throughout the InContext web Site Figure 14 The Adobe Acrobat Download Icon For best results we recommend that vou views the PDF files using the latest version of Adobe Reader Please click on the icon below cet Adobe Reader Locating the Key Word in the File A number of the case files exceed one hundred pages making it time consuming to browse through the file to locate the original keyword Adobe Acrobat has a search facility that can help to quickly locate the keyword To begin a keyword search select the binocular icon or go to Edit and select Search Figure 15 Search Icon l1 x 18 x cument Jools Window Help y gt z y ile Edit View Document gioi T i r nh ma BE v aaf BD search lt 7 J ae 4 7 Help Enter the keyword and set other required parameters whole words case sensitive etc and select search All occurrences of the keyword will be listed in the order they appear in the document and each occurrence will be shown in the context of the sentence in which it appears Select any occurrence from the list to be taken to the point in the d
26. riefcase it For best results we recommend that pe you view the PDF files using the latest version of Adobe Reader Please click on the icon below More Information Each returned file has a document summary attached that sets out why the patient was admitted to hospital medical diagnosis key features of the nursing management etc To view the document summary select the More button located to the bottom left of the document summary Figure 10 Document Summary Revealed Z In Context Microsoft Internet Explorer Fie Edit view Favorites Tools Help Q x 2 FN seach Sie Favorites amp B ee w LJA Address http fincontext intrica net index pl s resultska search amp search_category amp search_subject Diabetes amp x 51ay 9 x Ea Links 4 Usivenity of HUDDERSFIELD LE 2 Category 4 All Sections X Subject CSEARCH change Password Log Out Chart Examples Use the drop down list below to select specific examples of datasets for download ON Search Results Your search ig Petes returned 78 matches Profile of Adult Patient Case 00 002 Anaemia Smoking Neurological Deficit Diabetes MS CVA Motor Sensory Deficit Paraplegia 8 55 2 1b Indicate any areas already discoloured or broken Use ean commend that Hide Add to Briefcase it sing the Document summary Reader No admission
27. se are viewed by the InContext project team prior to being made available to all users through the Feedback menu Comments can be posted using the upload facility opened by selecting Upload menu item The users name and contact details are automatically inserted into the upload form requiring the user to only enter their comments and press the Submit button Figure 20 Upload Comments Form A In Context Microsoft Internet Explorer laj x Fie Edit View Favorites Tools Help ae Q sak 7 x E TN JO search Se Favorites Ol 2 w LJ rel Address http fincontext intrica netfindex pl de 54 Eco Links amp Briefcase Upload Comments We value your feedback on how you used the case files any errors noted in the files what evaluated well or not so well Your comments will be collated and made available anonymously if you so wish to the rest of the users through the Feedback form Developing further the case materials is a primary objective and your help in achieving this is much appreciated Your Details Full Name Keith Ward Email Address kward hud ac uk Organisation University of Huddersfield Position Comments Home About Us Hews FAQs Exemplar Contact O change Password q If 4 ty of d Jaipersity HUDDERSFIELD Ls Category SS All Sections Subject gt Log Out Chart Examples Use the drop down list below to select s
28. sseeecceeseeeceeseeeceeeeesseeseeessageees 16 Figure 20 Upload Comments FOM sutra tanplarastonat ctanayei roint tiaia xentoataepiuebaiad eiachelties 17 Foure 21 Feedback 1 0 2 Sennen tr mec rene aE a nn ern EEE E 18 Figure 22 Other Menu GINS cocaine rnietisaciccadnesuseshenit acetbepeiamenica susmndubviaeentenesenrsaniuauibaanuenbebgioescted 19 Figu re 23 Chan Examples eee ee eee nm e aaia 19 Page 21 of 22 i AN University of In Cont X HUDDERSFIELD Copyright University of Huddersfield 2007 eating the balance in Ng curriculum
29. t q F 4 dt of i aiversity HUDDERSFIELD Ls In P i te ee ay Vw i T EA E S N ih y Registerad User Login ME N eri M la E a ee A lassword kea i la d a T 4 A seo S y oe Forgotten Password GO Home AboutUs News Register Details FAQs Exemplar a Forgotten Password Please enter your email address below Your User ID and password will be sent to you at your registered email address Email Address d If you no longer use this email address please re register using your new email address Home About Us Hews Register Details FAQs Exemplar Contact Copyright 2005 Huddersfield University All rights reserved Site designed by Centrical and built by Intrica Page 6 of 22 How to Search the InContext Web Site Quick Instructions on how to search the web site are included to the left of the screen in the registered users section of the InContext web site Users can select which part of the database they would like to search Adult Children Learning Disability Mental Health or All Sections by selecting from the category drop down list this list will include Midwifery ODP and Physiotherapy by end of 2007 Figure 7 Category Selection jin Context Microsoft Internet Explorer File Edit View Favorites Tools Help ay Q Back x E A pp Search 5 Favorites amp v eo wi T rel Address http incontext intrica net index
30. the above conversation should have been structured with respect to breaking bad news to the daughter in law What would be the ideal circumstances for breaking bad news How does this compare with your experiences of how bad news is given to patients What may constitute bad news How would you respond if Mr X asked you whether or not he had cancer Who s responsibility is it to inform patients of this type of information Ai3 Tutor prompts Is it ethical to tell a relative about a patient s condition before the patient themselves A41 Tutor prompts What is the role of the nurse when a patient is given bad news In your experience how effective are health care professional at breaking bad news B16 Tutor prompts What contribution can a registered nurse make to the decision making process regarding a patient being given bad news B2 6 Tutor prompts How would you document your conversation with Mr X C2 2 1 Tutor prompts How would you plan to break bad news to a patient in a logical and coherent manner Comments from page 8 continued on next page Page 16 of 22 Uploading Comments and Feedback Comments from users of the InContext web site are particularly welcomed The Upload facility on the InContext web site gives its users an opportunity to post comments on any of the features included on the web site and to influence the direction of future development All registered users can post comments and the
31. the case notes The bookmarks are viewed by selecting the bookmark tab located at the left side of the screen see image above for location of the Bookmark Tab Where there is no bookmark tab visible this feature will need to be enabled Open up View from the menu bar Select Navigation and then select Bookmarks from the list the Book mark tab will now be visible Page 13 of 22 Expanding Bookmarks Bookmarks can be expanded to show associated bookmarks For example the top level bookmark Radiology might have several examples of radiological images taken over time associated with it Where there are associated bookmarks this is indicated by the sign To expand the bookmark view to include the associated bookmarks click on the sign and to hide the associated bookmarks click the sign Figure 17 Radiology Bookmark Expanded In Adobe Acrobat J Adobe Reader 00 008 pdf 18 x Fie Edit View Document Tools Window Help l x B RA Savea Copy z a P Search i Wi Ths e Options gt xX D 00 008 pdf RADIOLOGY Front Cover Case Summary Contents Page Care Plans Ward Round Report Medical Notes Multidisciplinary Notes E Pressure Sore Assessment Barium Enema 2 Pages fi Layers f Bookmarks Pressure Sore Assessment Chart Pain Report Nutritional Assessment Tool Nutrition Risk S
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