Innovation technology and life-course approaches

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This document discusses innovation, technology, and life-course approaches to health and well-being. It highlights several initiatives in Kuopio, Finland that take a holistic view of using technology across an individual's life from birth to death ("womb-to-tomb") to promote health, including the Kuopio Health Account, eHealth and eSocial Strategy 2020, Kuopio Open Data, and the 2015 eHealth Innovations Challenge. The document emphasizes being open-minded and preparing for changes brought about by new technologies.

Healthcare

INNOVATION TECHNOLOGY AND
LIFE-COURSE APPROACHES
Arto Holopainen
Senior Advisor
Technology and Business Foresight
Kuopio Innovation Ltd.
Kuopio 26/JUN/2015
WHO Healthy Cities Network
Annual Business and Technical Conference

Wooden rowing boat
Ground
level
Underground
Parking hall
Source: Savon Sanomat
5.12.2013

YLE News, East-Finland 24th June 2015
Minister ice fishing in the middle of Kuopio marketplace
Source: YLE News, East-Finland 24th June 2015

Make health fun!
Source: Tweet #whokuopio by @JyriWuorisalo 25.6.2015

Valteri Centre for Learning and Consulting
Valteri School, Mäntykangas

Finnish eHealth and
eSocial Strategy
2020
Source: Information to support well-being and service renewal. eHealth and eSocial
strategy 2020. Publications of the MSAH 2015
“Information to support
well-being and service
renewal”

Source: Better health through genome information. National genome strategy. Working
group proposal. Reports and memorandums (MSAH) 2015:24 (only in Finnish)
“Genomic data will be
effectively used in
healthcare and in the
promotion of health
and wellbeing”
Finnish Genome Strategy
Vision 2020

Information systems
support my work
eServices are part
of my work
Information
helps my work
I’m working with
information security
Life management
Freedom of choice
My data
Citizen
Doing it myself
Professional
Smart systems for
capable users
Source: Information to support well-being and service renewal. eHealth and eSocial strategy 2020. Publications of the MSAH 2015

Kuopio Health Account
Source: www.kuopio.fi/terveystili

Prepare for change from
teaching to learning

Make information available
as open data
Source: Kuopio Open Data

Innovation technology
“Womb-to-tomb”
Source: Kuopio Innovation Ltd. ICT for Health

CHALLENGE
2015
eHealth
Innovations
Gamification
Wild
cards
2
categories
Real
needs
Start
2-JUN-15
www.gamesforhealthchallenge.fi
#gfhchallenge

THANK YOU – KIITOS!
arto.holopainen(at)kuopioinnovation.fi
@ArtoHolopainen

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Digitaalisuus on vallannut alaa terveydenhuollossa pienin askelin jo muutaman kymmenen vuoden ajan. Nyt on edessä mullistus. Teknologian valtavan nopea kehitys, Big Data -tiedon räjähdysmäinen kasvu, robotisaatio ja keinoäly haastavat terveydenhuoltoa. Digitalisaatio sosiaali- ja terveydenhuollossa, Arto Holopainen, asiantuntija, Kuopio Innovation Oy Uudistuva lääkeala 2016 - Lääkkeitä sosiaali- ja terveydenhuollon uudistukseen, 18.5.2016, Finlandia-talo, Helsinki

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When a patient uses a bedpan, promote comfort and normalcy and respect the patient’s privacy as much as possible. Be sure to maintain a professional manner. In addition, provide skin care and perineal hygiene after bedpan use Regular bedpans have a rounded, smooth upper end and a tapered, open lower end. The upper end fits under the patient’s buttocks toward the sacrum, with the open end toward the foot of the bed . A special bedpan called a fracture bedpan is frequently used for patients with fractures of the femur or lower spine Fracture bedpan - used for patients with fractures of the femur or lower spine. The fracture pan has a shallow, narrow upper end with a flat wide rim, and a deeper, open lower end. The upper end fits under the patient’s buttocks toward the sacrum, with the deeper, open lower end toward the foot of the bed. Ordinary Bedpan EQUIPMENTS Bedpan (regular or fracture) Toilet tissue Disposable clean gloves Additional PPE, as indicated Cover for bedpan or urinal (disposable waterproof pad or cover) ASSESSMENT Assess the patient’s normal elimination habits. Determine why the patient needs to use a bedpan (e.g., a medical order for strict bed rest or immobilization). Assess the patient’s degree of limitation and ability to help with activity. Assess for activity limitations, such as hip surgery or spinal injury, which would contraindicate certain actions by the patient. Check for the presence of drains, dressings, intravenous fluid infusion sites/equipment, traction, or any other devices that could interfere with the patient’s ability to help with the procedure or that could become dislodged. Assess the characteristics of the urine and the patient’s skin Assisting With Use of a Bedpan When the Patient Has Limited Movement Patients who are unable to lift themselves onto the bedpan or who have activity limitations that prohibit the required actions can be assisted onto the bedpan in an alternate manner using these actions

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Defecation Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool. Normal defecation is painless, resulting in passage of soft, formed stool CONSTIPATION Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces IMPACTION Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon. DIARRHEA Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration HEMORRHOIDS Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal. FLATULENCE As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus) FECAL INCONTINENCE Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY, An enema is the instillation of a solution into the rectum and sig

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Innovation technology and life-course approaches

1. INNOVATION TECHNOLOGY AND LIFE-COURSE APPROACHES Arto Holopainen Senior Advisor Technology and Business Foresight Kuopio Innovation Ltd. Kuopio 26/JUN/2015 WHO Healthy Cities Network Annual Business and Technical Conference

4. Wooden rowing boat Ground level Underground Parking hall Source: Savon Sanomat 5.12.2013

5. YLE News, East-Finland 24th June 2015 Minister ice fishing in the middle of Kuopio marketplace Source: YLE News, East-Finland 24th June 2015

6. Experimentation culture

7. Make health fun! Source: Tweet #whokuopio by @JyriWuorisalo 25.6.2015

10. Be open-minded

11. Valteri Centre for Learning and Consulting Valteri School, Mäntykangas

12. Technology for promoting health

13. Finnish eHealth and eSocial Strategy 2020 Source: Information to support well-being and service renewal. eHealth and eSocial strategy 2020. Publications of the MSAH 2015 “Information to support well-being and service renewal”

14. Source: Better health through genome information. National genome strategy. Working group proposal. Reports and memorandums (MSAH) 2015:24 (only in Finnish) “Genomic data will be effectively used in healthcare and in the promotion of health and wellbeing” Finnish Genome Strategy Vision 2020

15. Smart garments - Already here

16. Information systems support my work eServices are part of my work Information helps my work I’m working with information security Life management Freedom of choice My data Citizen Doing it myself Professional Smart systems for capable users Source: Information to support well-being and service renewal. eHealth and eSocial strategy 2020. Publications of the MSAH 2015

17. Kuopio Health Account Source: www.kuopio.fi/terveystili

18. Prepare for change from teaching to learning

19. Make information available as open data Source: Kuopio Open Data

20. Innovation technology “Womb-to-tomb” Source: Kuopio Innovation Ltd. ICT for Health

21. CHALLENGE 2015 eHealth Innovations Gamification Wild cards 2 categories Real needs Start 2-JUN-15 www.gamesforhealthchallenge.fi #gfhchallenge

22. THANK YOU – KIITOS! arto.holopainen(at)kuopioinnovation.fi @ArtoHolopainen

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