DNP 805 Topic 6 DQ 1 Post the technology your patient will use at home and how will you connect with the patient using this technology

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A patient of your choice is being discharged to home and will use telehealth technology. Post the technology your patient will use at home and how will you connect with the patient using this technology.

REPLY TO DISCUSSION

Telehealth systems provide a way for patients to receive care from nurses, specialists, or other healthcare professionals without traveling to a hospital (Mohammed et al., 2019). This paper describes how my patient of choice will use telehealth at home and how to connect with the patient.

The telehealth technology to be used by a patient with hypertensive heart disease is the remote health monitoring system. The system uses a web-based service that enables automatic measuring and recording of information such as vital signs, blood glucose reading, and others. Therefore, the use of remote monitoring technologies will enable the nurse to review the patient’s vital signs and make treatment decisions. According to Mohammed et al. (2019), home health monitoring systems typically use internet connectivity to allow doctors and nurses to monitor patient’s health remotely.

To connect care providers and clients, the patient will have the wearable devices in place to ensure connectivity to technology in the nurses’ devices. The system aims to monitor activity, vital signs, exercise compliance, and other parameters. This process provides a connection and a model for health care delivery where the patient and nurse are connected by timely health monitoring, dissemination, and presentation of accurate, secure and pertinent information (Aldahmash et al., 2019). The remote monitoring systems embedded in wearable devices will wirelessly transmit information about heart rate, tremors, sleep patterns, and vital signs to the nurse if the patient is connected.

In a recap, remote health monitoring will enable the nurse to work from their comfort, reducing the need to commute and providing more time for them to spend on other responsibilities. While using the system, the nurse will choose the specific patient, check graphs of vital signs, and check responses to current complaints to decide on the treatment plan.

References

Aldahmash, A. M., Ahmed, Z., Qadri, F. R., Thapa, S., & AlMuammar, A. M. Aldahmash (2019). Implementing a connected health intervention for remote patient monitoring in Saudi Arabia and Pakistan: explaining ‘the what’ and ‘the how’. Globalization and health, 15(1), 20. https://doi.org/10.1186/s12992-019-0462-1

Mohammed, K. I., Zaidan, A. A., Zaidan, B. B., Albahri, O. S., Alsalem, M. A., Albahri, A. S., … & Hashim, M. (2019). Real-time remote-health monitoring systems: a review on patients prioritisation for multiple-chronic diseases, taxonomy analysis, concerns and solution procedure. Journal of medical systems, 43(7), 1-21. https://doi.org/10.1007/s10916-019-1362-x

Thanks for sharing your post with us. In addition, the readings from the remotely monitored blood pressure can be uploaded to the EHR and the trends in the patient’s blood pressure with decide whether or not the clinician will adjust or start a new medication to control the blood pressure or discontinue medication due to therapeutic ranges. Also the readings will be available for future reference.

Telehealth has been an excellent addition to healthcare today as it opened the opportunity for patients to communicate with healthcare providers from the comfort of their homes. According to Castner et al. (2022), telehealth have given patient access by utilizing their mobile phones, tablets, laptops, and other compatible devices. Telehealth is beneficial for various types of patients including those discharged from the acute setting. An example is a patient discharged after being treated for diabetic ketoacidosis. This particular patient may utilize telehealth services such as video calls via Zoom with their healthcare provider. At my current organization, an app was developed for patients to access lab results, appointments, and pertinent information. As part of the app, patients are able to access their telehealth appointments with a click of a button and initiate video calls when appropriate. Especially with the ongoing pandemic, telehealth has been a safe alternative to limit exposure of the COVID 19 virus.

Reference:

Castner, J., Bell, S. A., Hetland, B., Der-Martirosian, C., Castner, M., & Joshi, A. U. (2022). National estimates of workplace Telehealth use among emergency nurses and all registered nurses in the United States. Journal of Emergency Nursing, 48(1), 45–56. https://doi-org.lopes.idm.oclc.org/10.1016/j.jen.2021.07.001

Thanks for your post.

Yes, telehealth has been a great addition to the traditional patient care delivery, especially during the Covid pandemic. Patients and providers have benefitted from this technology. This patient-centered technology has afforded patients to communicate with their healthcare providers in the comfort of their homes. It is timely, efficient, feasible, and suitable for enhancing patient outcomes. It will continue as the patients and their providers become proficient with the technology.

Thank you for your post. I agree with you when you indicated “telehealth has been an excellent addition to healthcare today as it opened the opportunity for patients to communicate with healthcare providers from the comfort of their homes.” Nowadays clinics and hospitals are encouraging patients upon discharge to create an account in the website for them to view anything that occurred during their hospital stay. For instance, for certain laboratory and imaging results and perhaps even the discharge summary. It is convenient knowing that data can be retrieved and accessed easily through technology. Stay safe.

Hello Audimar, diabetes ketoacidosis is one of the most prevalent short-term complications of type 1 diabetes that clinicians manage

dnp 805 topic 6 dq 1 post the technology your patient will use at home and how will you connect with the patient using this technology — DNP 805 Topic 6 DQ 1 Post the technology your patient will use at home and how will you connect with the patient using this technology

in routine care. Post-discharge, telemedicine interventions will allow providers to help patients from their home environment without having to deal with logistic challenges of scheduling in-person visits. Besides, telemedicine increases access to care in wider geographic regions since patients won’t have to travel to receive care. Lee, Ooi & Lai (2017) note that, since it is an affordable intervention, it can be utilized in conjunction with the usual diabetes care to improve blood glucose control. However, it is also important for healthcare providers to be informed of the precautions that come with utilizing telemedicine such as confidentiality and data security and interoperability.

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Reference

Lee, S., Ooi, L., & Lai, Y. K. (2017). Telemedicine for the Management of Glycemic Control and Clinical Outcomes of Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Studies. Frontiers in pharmacology, 8, 330. https://doi.org/10.3389/fphar.2017.00330

Beverly Quiza

replied toAudimar Bugayong

May 24, 2022, 10:04 AM

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Replies to Audimar Bugayong

HI Audimar,

Thank you for your post. Zoom has been one of the telehealth that is been used for most of the communication in healthcare and meetings throughout the world. In our organization we use VVC connect which means VA video conference through our vA mobile app. Through this both clinicians and providers are able to communicate.

Alicia Allen

Posted Date

May 21, 2022, 8:45 PM

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Replies to Asiatu Seisay

Telemedicine existed prior to the Covid 19 pandemic. It was a convenience, but not used as frequently. The pandemic propelled it forward as it became a necessary way to have safe medical evaluations for patients and caregivers. One specific patient population that can benefit from utilization of telemedicine is that with Chronic Obstructive Pulmonary Disease (COPD). It is very important that this population of patients do not contract Covid 19 because it will greatly increase their mortality due to their underlying pulmonary disease. Smaradottir et al. (2017) do a study. Here they trained the patients to be able to obtain an accurate SPO2. Daily they update an online form of SPO3 reading as well as a couple of questions about their symptoms. This then communicates to the provider as a triaged green, yellow, or red status. Green means there are stable symptoms, and yellow is worsening. Red is a concern for significant decline in breathing. This prompts an immediate connection for a telemedicine evaluation.

This allows for ongoing monitoring that is patient driven, but has oversite by a provider to tracking and trending disease stability or progression. This can also help the patient in identifying triggers as well. This allows for quick follow up on changes in condition. This is just one example of how telemedicine cab be used with disease specific processes.

Reference

Smaradottir, B. F., Fensli, R., Aas, I.-A. N., & Gallefoss, F. (2017). Telemedicine Follow Up of Chronic Obstructive Pulmonary Disease Integrated into a Patient-Centered Health Care Team-Setting Impacts on Patient Empowerment and Safety. 2017 International Conference on Computational Science and Computational Intelligence (CSCI), Computational Science and Computational Intelligence (CSCI), 2017 International Conference on, CSCI, 1779–1781. https://doi-org.lopes.idm.oclc.org/10.1109/CSCI.2017.311

Cassandra Turner-Donegal

replied toAlicia Allen

May 21, 2022, 11:52 PM

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Replies to Alicia Allen

HI Alicia,

Thanks for sharing your post with us. In addition, patient who are oxygen dependent are at risk for low oxygen saturation at any time throughout the day and this is an excellent way of monitoring how to increase or decrease the amount of oxygen that is required daily. It also helps the clinician to identify trends and adjust treatments accordingly.

Christina Atkins Whyte

replied toAlicia Allen

May 23, 2022, 9:40 AM

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Replies to Alicia Allen

Hello Alicia

Your post is informative. Yes, telehealth has been around before Covid-19 but was never utilized as often as now. Telehealth helps to prevent the transmission of the Covid-19 virus during the enforcement of social distancing by the World health organization and the Centers for Disease Control. I have seen the devastation of the Covid-19 virus in the COPD population and other comorbidities. Thanks for telehealth that assisted in the facilitation of healthcare delivery. I hope that we will not have another surge of the virus- as in the past 2 years. Telehealth allows patients to interact with their healthcare providers for the enhancement of their care.

Asiatu Seisay

replied toAlicia Allen

May 24, 2022, 2:44 AM

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Replies to Alicia Allen

Great post Alicia! Another important area that providers can utilize telemedicine in the care of COPD patients is in self-management and health education. Collectively, both areas focus on empowering patients for both long-term and short-term benefits. Barbosa et al., (2020) explain how telemedicine impacts positively on the quality of life (QoL), treatment adherence, and symptom management in regards to self-management and health education by decreasing unplanned all-cause hospitalizations and visits to the primary care physicians. Vitacca, Montini, & Comini (2018) add that, in the care of COPD patients, telemedicine results in changes in work practices, organizational, and cultural attitudes that directly and directly affect all individuals involved in healthcare delivery.

References

Barbosa, M. T., Sousa, C. S., Morais-Almeida, M., Simões, M. J., & Mendes, P. (2020). Telemedicine in COPD: an overview by topics. COPD: Journal of Chronic Obstructive Pulmonary Disease, 17(5), 601-617.

Vitacca, M., Montini, A., & Comini, L. (2018). How will telemedicine change clinical practice in chronic obstructive pulmonary disease? Therapeutic advances in respiratory disease, 12, 1753465818754778.

Elsie Nlerum

Posted Date

May 21, 2022, 7:48 PM

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Replies to Asiatu Seisay

Telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health, and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications. Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. Some clinicians may provide virtual appointments that enable the patient to see a doctor or a nurse via online videoconferencing. These appointments enable patients to receive ongoing care from their physicians when an in-person visit is not required or possible. Other virtual appointments include web-based visits with a doctor or nurse practitioner. These services are generally for minor illnesses, like the services available at a drop-in clinic. Some large companies provide access to virtual doctors’ offices as a part of their health care offerings (Ashwood JS, Mehrotra A, Cowling D. Uscher-Pines).

On discharge, patients are educated to log into a web-based service, they are guided through a series of questions. The doctor or nurse practitioner can prescribe medications, suggest home care strategies, or recommend additional medical care. Similarly, a nursing call center is staffed with nurses who use a question-and-answer format to provide advice for care at home. A nursing call center does not diagnose an illness or prescribe medications (DeBlois, D., & Millefoglie, M. (2015).

A variety of technologies enable doctors or health care team to monitor patient’s health remotely. These technologies include. Web-based or mobile apps for uploading information, such as blood glucose readings, to the doctor or health care team. Devices that measure and wirelessly transmit information, such as blood pressure, blood glucose or lung function. Wearable devices that automatically record and transmit information, such as heart rate, blood glucose, gait, posture control, tremors, physical activity, or sleep patterns. Home monitoring devices for older people or people with dementia that detect changes in normal activities such as falls. Technology has the potential to improve the quality of health care and to make it accessible to more people. Telehealth may provide opportunities to make health care more efficient, better coordinated, and closer to home. Telehealth includes video visits, phone calls, online communication, and storing patient data. Your practice may provide telehealth services using email or sharing lab results in a secure patient portal (Department of Health 2017).

DNP 805 Topic 6 DQ 1 Post the technology your patient will use at home and how will you connect with the patient using this technology