Facilitating Family and Client Involvement in the SGD Evaluation and Decision Process

2015 ◽  
Vol 24 (4) ◽  
pp. 135-141 ◽  
Author(s):  
Pamela R. Mitchell ◽  
Robin Alvares

There is general consensus that client and family involvement in the augmentative and alternative communication (AAC) evaluation and decision process is associated with positive outcomes (Angelo, 2000; Bailey, Parette, Stoner, Angell, & Carroll, 2006; Parette & Angelo, 1996). This paper explores the importance of client and family involvement, summarizes research-based strategies that have been associated with improvements in family involvement and team collaborations, and presents clinically applicable strategies that may be used to foster client and family engagement and empowerment in the AAC decision-making process.

2014 ◽  
Vol 23 (2) ◽  
pp. 104-111 ◽  
Author(s):  
Mary Ann Abbott ◽  
Debby McBride

The purpose of this article is to outline a decision-making process and highlight which portions of the augmentative and alternative communication (AAC) evaluation process deserve special attention when deciding which features are required for a communication system in order to provide optimal benefit for the user. The clinician then will be able to use a feature-match approach as part of the decision-making process to determine whether mobile technology or a dedicated device is the best choice for communication. The term mobile technology will be used to describe off-the-shelf, commercially available, tablet-style devices like an iPhone®, iPod Touch®, iPad®, and Android® or Windows® tablet.


Author(s):  
Elizabeth K. Hanson

The purpose of this article is to provide speech-language pathologists with a systematic decision-making process to guide evaluation and implementation of augmentative and alternative communication (AAC) systems and strategies for persons with dysarthric speech. Three cases are described, which are combined profiles of different clients with similar etiologies and communication challenges. Clinicians are guided to consider whether the underlying condition is temporary or permanent and the prognosis for improved speech. Prognoses may be chronic and stable, improving, or there may be an expectation of deterioration of speech and overall health. Clinicians are guided to consider the communicator's attitude and motivation and to identify communication partners and their motivation to achieve better communication. The contributions of various speech intelligibility and effectiveness measures are considered, as well as the specific need to evaluate language, literacy, and symbolic understanding. The decision process leads to high-tech and low-tech AAC strategies for each case.


2013 ◽  
Vol 756-759 ◽  
pp. 504-508
Author(s):  
De Min Li ◽  
Jian Zou ◽  
Kai Kai Yue ◽  
Hong Yun Guan ◽  
Jia Cun Wang

Evacuation for a firefighter in complex fire scene is challenge problem. In this paper, we discuss a firefighters evacuation decision making model in ad hoc robot network on fire scene. Due to the dynamics on fire scene, we know that the sensed information in ad hoc robot network is also dynamically variance. So in this paper, we adapt dynamic decision method, Markov decision process, to model the firefighters decision making process for evacuation from fire scene. In firefighting decision making process, we know that the critical problems are how to define action space and evaluate the transition law in Markov decision process. In this paper, we discuss those problems according to the triangular sensors situation in ad hoc robot network and describe a decision making model for a firefighters evacuation the in the end.


2020 ◽  
Vol 26 (7) ◽  
pp. 1949-1977 ◽  
Author(s):  
Sarra Dahmani ◽  
Xavier Boucher ◽  
Didier Gourc ◽  
Sophie Peillon ◽  
François Marmier

PurposeThe paper proposes an innovative systemic method helping decision-makers to control servitization transition process, through decision process risk diagnosis.Design/methodology/approachThe proposed method is based on the modeling of decision processes and risk identification and analysis. This method was based on an action-research approach, in close relationship with two companies (SMEs). The paper develops the feasibility experiment at Automelec company.FindingsThe method was successfully implemented and delivered concrete diagnosis results.Research limitations/implicationsThe generalization of the applicability of the method needs to be tested on several different cases.Practical implicationsThe first practical implication is related to the efficiency of the method to help decision-makers in a servitization context to limit uncertainty and get a global view of the weaknesses of their decision-making process, it raises their awareness about servitization transition for their companies. Furthermore, the method also helps to explain the strategy of a servitization transition. It enhances the level of maturity of the decision process of the company, and can be used as a training/learning tool for managers.Social implicationsThe results brought by the research contribute to give the decision-making boards for organization living a servitization transition and especially SMEs a better control over the servitization decision process and related risks, which will increase the economic stability of the company and its vision over long, medium and short horizons. This will bring positive impact on the overall economic and social environment and networks of the servitized SME, and enhance the confidence of coworkers, subcontractors and clients.Originality/valueThe first originality of the paper is related to the new way of considering risk, not only as an analysis criterion but as the central driver in steering a strategic transition for the company, such as servitization. The second originality of the study is about assessing risk occurrence over a decision-making process through decision reliability and decision confidence.


Symmetry ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 364 ◽  
Author(s):  
Shahzaib Ashraf ◽  
Saleem Abdullah ◽  
Florentin Smarandache ◽  
Noor Amin

Recently, neutrosophic sets are found to be more general and useful to express incomplete, indeterminate and inconsistent information. The purpose of this paper is to introduce new aggregation operators based on logarithmic operations and to develop a multi-criteria decision-making approach to study the interaction between the input argument under the single valued neutrosophic (SVN) environment. The main advantage of the proposed operator is that it can deal with the situations of the positive interaction, negative interaction or non-interaction among the criteria, during decision-making process. In this paper, we also defined some logarithmic operational rules on SVN sets, then we propose the single valued neutrosophic hybrid aggregation operators as a tool for multi-criteria decision-making (MCDM) under the neutrosophic environment and discussd some properties. Finally, the detailed decision-making steps for the single valued neutrosophic MCDM problems were developed, and a practical case was given to check the created approach and to illustrate its validity and superiority. Besides this, a systematic comparison analysis with other existent methods is conducted to reveal the advantages of our proposed method. Results indicate that the proposed method is suitable and effective for decision process to evaluate their best alternative.


2020 ◽  
Vol 13 (9) ◽  
pp. 198
Author(s):  
Mimi Lord

University endowments with broad portfolio diversification have been correlated with performance, but committees’ decision-making process has received relatively little attention. This study is unique in postulating that the committee’s learning commitment and open-mindedness are significant contributors to a decision process that is based on the principles of Modern Portfolio Theory (or, simply, Portfolio Theory). The use of Portfolio Theory as a decision-making framework leads to greater portfolio diversification, which, in turn, leads to higher risk-adjusted returns. This study also demonstrates that greater committee expertise across multiple asset classes contributes to more diversified portfolios.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029090 ◽  
Author(s):  
Jeanette Finderup ◽  
Jens Dam Jensen ◽  
Kirsten Lomborg

ObjectiveTo evaluate the ‘Shared Decision-making and Dialysis Choice’ (SDM-DC) intervention with regard to patients’ experience and involvement.DesignSemistructured individual interviews and systematic text condensation for data analysis.SettingThe SDM-DC intervention was implemented and evaluated at four different hospitals in Denmark.ParticipantsA total of 348 patients had received the SDM-DC intervention, and of these 29 patients were interviewed.InterventionsSDM-DC was designed for patients facing a choice of dialysis modality. The available modalities were haemodialysis and peritoneal dialysis, either performed by patients on their own or with help from a healthcare professional. The intervention was tailored to individual patients and consisted of three meetings with a dialysis coordinator who introduced a patient decision aid named ‘Dialysis Choice’ to the patient.FindingsThe following were the four main findings: the decision was experienced as being the patient’s own; the meetings contributed to the decision process; ‘Dialysis Choice’ contributed to the decision process; and the decision process was experienced as being iterative.ConclusionsThe patients experienced SDM-DC as involving them in their choice of dialysis modality. Due to the iterative properties of the decision-making process, a shared decision-making intervention for dialysis choice has to be adapted to the needs of individual patients. The active mechanisms of the meetings with the dialysis coordinator were (1) questions to and from the patient, and (2) the dialysis coordinator providing accurate information about the options. The overview of options and the value clarification tool in the decision aid were particularly helpful in establishing a decision-making process based on informed preferences.


Author(s):  
Munique Massaro ◽  
Débora Deliberato

ResumoConsultoria colaborativa entre os profissionais da reabilitação e as famílias das pessoas com deficiência é essencial para o uso dos recursos de tecnologia assistiva em diversos contextos. Assim, este artigo tem como objetivo analisar as etapas de preparação e de desenvolvimento dos recursos de tecnologia assistiva durante as oficinas de orientação sobre o sistema de comunicação alternativa para as famílias das pessoas com deficiência. Participaram deste estudo cinco famílias de adultos com deficiência que usam a comunicação suplementar e alternativa. Durante a coleta de dados, foram utilizados diário de bordo e a tecnologia de vídeo. Os resultados indicaram que a sistematização dos passos para a elaboração e para a adaptação do recurso foi fundamental para a construção de adaptação de materiais. O envolvimento da família na seleção, na adaptação e na utilização de recursos de comunicação suplementar e alternativa favoreceu a compreensão da família sobre a importância da comunicação alternativa.Palavras-chave: Tecnologia assistiva. Relações profissional-família. Linguagem.Family participation in crafting assistive technology resources for people with disabilitiesAbstractCollaborative consultation between rehabilitation professionals with families of disabled people is essential for the use of assistive technology resources in different contexts. Therefore, this article aims to analyze the preparation and development steps of the assistive technology resources during alternative communication system workshops for disabled people’s families. In this study, we selected five families of disabled adults that use augmentative and alternative communication. During the data collection a logbook and video technology were used. The results showed that the systematization of steps to elaborate and adapt the resource was key to construct the adapting of materials. The family involvement in the selection, adaptation and use of augmentative and alternative communication resources favored the understanding of the family on the importance of alternative communication.Keywords: Assistive technology. Professional-family relations. Language.Participación de la familia en la fabricación de tecnología de asistencia para personas con discapacidadResumenConsultoría de colaboración entre los profesionales de la rehabilitación con las familias de las personas con discapacidad es esencial para el uso de los recursos de tecnología de asistencia en diferentes contextos. Por lo tanto, este artículo tiene como objetivo analizar las etapas de preparación y desarrollo de los recursos de tecnología de asistencia durante los talleres de orientación sobre el sistema de comunicación alternativa para las familias de personas con discapacidad. En este estudio participaron cinco familias de adultos con discapacidad que utilizan la comunicación aumentativa y alternativa. Durante la recolección de datos se utilizaron bitácora y tecnología de vídeo. Los resultados indicaron que la sistematización de medidas para el desarrollo y la adaptación de la función era esencial para la construcción de materiales de adaptación. La participación familiar en la selección, adaptación y uso de características y alternativas de comunicación adicionales a favor de la comprensión de la familia acerca de la importancia de la comunicación alternativa.Palabras clave: Tecnología de asistencia. Relaciones profesionales en la familia. Lenguaje.


2012 ◽  
Vol 20 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Ranveig Lind ◽  
Per Nortvedt ◽  
Geir Lorem ◽  
Olav Hevrøy

In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process.


Sign in / Sign up

Export Citation Format

Share Document