A Fuzzy Temporal Rule-based System for handling the Nursing Process on mobile devices

Nowadays, mobile devices offer new methods to retrieve information everywhere. In the nursing area, this technology is highly suitable due to the ubiquity in this profession. In this paper, we present a new version of Medea, a mobile system that provides storing the evolution of patients from handheld devices using the nursing viewpoint. Medea is relied on the Need Theory of Virginia Henderson, as patient valuation model, and the nursing taxonomies of NANDA, NIC and NOC, as patient care plan. In addition, the vital signs of patients have been integrated in the mobile application. The main complementary innovation of Medea is an expert system based on fuzzy temporal rules, which suggests diagnoses, interventions and outcomes from the patient valuation and the vital signs. This model takes into account the importance of the data and temporal dimension in the patient symptoms. Furthermore, the complexity of the nursing domain has been synthesized in a few concepts, which make possible the creation of rules in an easy way.

[1]  Dov M. Gabbay,et al.  Handbook of logic in artificial intelligence and logic programming (vol. 1) , 1993 .

[2]  Daniel Z. Sands,et al.  PDA vs. laptop: a comparison of two versions of a nursing documentation application , 2003, 16th IEEE Symposium Computer-Based Medical Systems, 2003. Proceedings..

[3]  H. Prade,et al.  Possibilistic logic , 1994 .

[4]  Isabel Navarrete,et al.  Temporal Constraint Satisfaction Problems , 2003, Complexity of Infinite-Domain Constraint Satisfaction.

[5]  Wen-Shan Lin,et al.  Using simulation technique and genetic algorithm to improve the quality care of a hospital emergency department , 2007, Expert Syst. Appl..

[6]  Andrew Georgiou,et al.  Review Paper: The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review , 2009, J. Am. Medical Informatics Assoc..

[7]  G. Bulechek,et al.  Nursing Interventions Classification , 2000 .

[8]  Michio Sugeno,et al.  Fuzzy identification of systems and its applications to modeling and control , 1985, IEEE Transactions on Systems, Man, and Cybernetics.

[9]  Chen Pei-bin A Mobile Nursing System Based on Barcode , 2009 .

[10]  Kristine E Keplar,et al.  Personal digital assistant applications for the healthcare provider. , 2003, The Annals of pharmacotherapy.

[11]  Javier Medina,et al.  Intelligent surveillance system with integration of heterogeneous information for intrusion detection , 2011, Expert Syst. Appl..

[12]  Chang-Chun Tsai,et al.  A two-stage modeling with genetic algorithms for the nurse scheduling problem , 2009, Expert Syst. Appl..

[13]  John Fox,et al.  Quantitative and Qualitative Approaches to Reasoning under Uncertainty in Medical Decision Making , 2001, AIME.

[14]  Cheng-Chih Wu,et al.  Wireless Handhelds to Support Clinical Nursing Practicum , 2009, J. Educ. Technol. Soc..

[15]  Sang-goo Lee,et al.  MobileNurse: hand-held information system for point of nursing care , 2004, Comput. Methods Programs Biomed..

[16]  Abdul V. Roudsari,et al.  Integrating model-based decision support in a multi-modal reasoning system for managing type 1 diabetic patients , 2003, Artif. Intell. Medicine.

[17]  Roque Marín,et al.  Computing context-dependent temporal diagnosis in complex domains , 2008, Expert Syst. Appl..

[18]  Carmen Fernández Ferrín,et al.  De la teoría a la práctica: el pensamiento de Virginia Henderson en el siglo XXI , 1998 .

[19]  G. P. Bhattacharjee,et al.  Temporal representation and reasoning in artificial intelligence: A review , 2001 .

[20]  Yelena Shneyder,et al.  Personal Digital Assistants (PDA) for the nurse practitioner. , 2002, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.

[21]  Dov M. Gabbay,et al.  Handbook of Logic in Artificial Intelligence and Logic Programming: Volume 3: Nonmonotonic Reasoning and Uncertain Reasoning , 1994 .

[22]  K. Chitty Professional Nursing: Concepts and Challenges , 1993 .

[23]  S. Moorhead Nursing Outcomes Classification (NOC) : measurement of healthoutcomes , 2013 .