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

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

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

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

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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).

References

Ashwood JS, Mehrotra A, Cowling D. Uscher-Pines. Direct-to-consumer telehealth may increase access to care but does not decrease spending.  Health Aff. 2017;36(3):485-491. doi:10.1377/hlthaff:2016.1130

DeBlois, D., & Millefoglie, M. (2015). Telehealth: enhancing collaboration, improving care coordination. Nursing Management, 46(6), 10–12. https://doi.org/10.1097/01.NUMA.0000465402.45956.99.

Department of Health 2017, Telehealth psychological services for people in rural areas, http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-ba-telehealth

Telehealth in the state of Alaska has become an extremely useful tool. With so many living off-grid or in small villages without physician-level medical support, having telehealth gives patients a resource they have never had before. Services have been brought to many rural regions through the Alaska Native Tribal Health Consortium (ANTHC) and the Alaska Federal Health Care Access Network (AFHCAN).

           The elder population of Alaska is one of the most vulnerable. Discharging them home to their village is costly for both the family and the organization if not done correctly. Patients going home may have to take a flight by commercial and by small village plane transport just to get there. It is essential to have everything in place so that once discharged; the patient has a way to communicate with healthcare and the things they need to stay healthy. These extended travel periods are stressful, and the elder population is at high risk without that issue.

One of the most valuable devices will be the AFHCAN network telehealth system with over 253 locations. The patient will be able to go to the village clinic and receive a complete medical exam with the health aide’s assistance. The system supports video-assisted devices such as the otoscope. Vital signs and ECG tracings are seen in real-time by the provider. The physician is able to listen to the lungs and abdomen through the device stethoscope. (Hudson, n.d.) The patient can receive a thorough exam with a qualified provider through this device.

           Over the last two years, we have seen a significant uptake in the use of telemedicine. This has given the elder population and those who have little access to healthcare a useful and necessary option. Studies have concluded that both patients and providers have positive reviews on the use and found it very effective. This is most significantly seen in those with chronic illness where transport is difficult. (Jordan et al., 2021)

References

Hudson, H. (n.d.). Rural Telemedicine and Telehealth: The Alaskan Experience. Institute of Socal and Economic Research. http://www.akleg.gov/basis/get_documents.asp?session=29&docid=52439

Jordan, D., Jessen, C. M., & Ferucci, E. D. (2021). Views of patients and providers on the use of telemedicine for chronic disease specialty care in the alaska native population. Telemedicine and e-Health, 27(1), 82–89. https://doi.org/10.1089/tmj.2019.0284