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HOW VIRTUAL REALITY WILL TRANSFORM
MEDICINE
TRACK 2 – VR & GAMESMONDAY 31ST OCTOBER, 2016
GAMES FOR HEALTH EUROPE 2016VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
• …CAN MAKE EXISTING TREATMENT MORE EFFECTIVE / TOLERABLE
• …IS A NOVEL THERAPEUTIC MODALITY• …CAN IMPROVE EDUCATION & TRAINING FOR PATIENTS & DOCTORS• …CAN INCREASE EMPATHY AND BREAK DOWN BARRIERS
• THE TOOLS ARE READILY AVAILABLE, CHEAP, AND IN COMMON OWNERSHIP
VIRTUAL REALITY…
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
MY LIGHTBULB MOMENT• 50’S, LOVES RUGBY, BUILT LIKE A PROP FORWARD• CHRONIC LEG ULCERS• TEARFUL AT LEVEL OF PAIN FROM DRESSINGS• “IF ONLY SOMETHING COULD DISTRACT ME FROM THE
PAIN!”• AT THAT TIME ONLY HAD GOOGLE CARDBOARD…
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
THEORETICAL BASIS: VR FOR ACUTE PAIN• POORLY UNDERSTOOD• GATE THEORY (MELZAK & WALL, 1965)• LIMITED CAPACITY FOR ATTENTION TO PAIN (MCCAUL &
MALLOTT, 1984)• MULTIPLE RESOURCE THEORY(WICKENS, 2008)
• VR IN BURN CARE – HOFFMAN (2000)• SNOWWORLD – FIRSTHAND TECHNOLOGY• COOL! - DEEPSTREAMVR
© Deepstream VR
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
DISTRACTING MARY• 30’s, recurrent pilonidal
abscess• Post operative wound
dressings• Painful, distressing• VR distraction using Gear VR• First session 9th May, 2016
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
‘I’M ADDICTED TO VR’• 4 SESSIONS WITH VR OVER 1 WEEK OF DRESSINGS• BETWEEN 50-90% REDUCTION IN PAIN• SIGNIFICANT REDUCTION IN ANXIETY• PATIENT HAS CONSENTED TO HAVING FURTHER
OPERATION• NURSING STAFF FOUND IT VERY HELPFUL
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
• IN-PRACTICE DIGITAL HEALTH AUDIT
• WOUND CARE, INCISION & DRAINAGE, AND JOINT INJECTIONS
• ‘HIGH ANXIETY’ PROCEDURES WORK BEST
• MALE GAMER - 20’S PILONIDAL ABSCESS
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
• AFFECTS UP TO 70% OF PATIENTS WITH AMPUTATION (DIJKSTRA ET AL, 2002)
• GLOBAL BURDEN 11.1M AMPUTEES -> 7.8M PLP AND RISING• DIFFICULT TO MANAGE WITH MEDICATION• MIRROR BOX THERAPY (RAMACHANDRAN, 1996)• VR CAN HELP TREAT BILATERAL AMPUTEES• 2 PATIENTS WITH BELOW KNEE AMPUTATIONS
VR & PHANTOM LIMB PAIN
© Goran Levin
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
WWW.VIRTUALANALGESIA.NET
• NHS Hack Day May’16
• Virtual Limbs in Unity• Distraction • 360 video• Mirrored 360 video• Livestream 360 video
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
POST-OPERATIVE DELIRIUM
• AFFECTS 14-24% OF ADULT HOSPITAL ADMISSIONS• UP TO 83% OF CRITICALLY ILL• CAUSES ARE MULTIFACTORIAL• PREVENTION & TREATMENT
• MEDICATION• PRE-OPERATIVE OPTIMISATION• EARLY ORIENTATION & MOBILISATION
• COULD VR HELP WITH ‘PRE-EXPERIENCING’ PATIENTS IN ICU?• COULD VR HELP WITH ICU PTSD?
© Wolfgangfoto
VR & Games, Games 4 Health Europe, 31st October, 2016 - Dr Keith Grimes - @keithgrimes
HOW DO WE OPERATIONALISE VR IN MEDICINE?
• PERSONALISING VIRTUAL ENVIRONMENT COSTLY & TIME CONSUMING• CAN WE COLLABORATIVELY CREATE?
• SOCIAL VR: ALTSPACE VR• MULTIPLAYER VR GAMING: MINECRAFT• CLINICAL CREATIVITY: TILTBRUSH
• DO WE NEED A CLINICAL VE CONSTRUCTION PLATFORM?
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