PART A: Telehealth is becoming an integral part of treating the health of people in the community. answering the following questions: 1. What is telehealth and what does it encompass (i.e. types of telehealth)? 2. What are the benefits of telehealth? 3. What are the disadvantages of telehealth? 4. Which health care professionals would Avis (from the case study below) benefit from speaking with, using telehealth. Please justify your answers using a minimum of ten (10) peer-reviewed journal articles which have been published within the last ten (10) years. PART B: ISBAR handover to a telehealth organisation – no longer than 5-8 minutes – 600 word equivalent Please create an audio file (saved in an MP3 or WAV format) giving an ISBAR handover of Avis to Betty, the registered nurse at the McKenzie Medical Centre, a centre which has both medical and allied staff who utilise telehealth as their main mode of communication with patients. As the centre’s staff are not all familiar with CF, as well as giving an ISBAR of Avis you will need to: • Briefly explain the disorder in a couple of sentences • Briefly explain the action of the medications Avis is prescribed. As the audio handover is only 5-8 minutes in length, you will need to be succinct in the amount of relevant information given. 2 | P a g e Patient – Avis Neal Avis is a 23-year-old female who was diagnosed with cystic fibrosis (CF) at the age of 3 months. She has had multiple hospital admissions for CF related complications, the most recent for a bacterial lung infection, for which she has been hospitalised for the last week, with a possible discharge planned for within the next 48 hours. During this recent hospital admission, the respiratory consultant discussed the possibility of Avis requiring a double-lung transplant in the future, if her lung function continued to decrease. Avis was not agreeable to having that surgery, and did not want further information. Avis’ additional past history include an appendectomy at age 6, and a car accident at age 18 (in which she was the driver) which included a fractured sternum, R) sided haemopneumothorax, and R) humerus fracture including cubitus instability and nerve damage causing tingling/numbness in her R) hand (which has since completely resolved). Her recent lung function tests show: FEV1 — 48% FVC — 56% FEV1 / FVC –0.56 PaO2 mmHg – 81% PaCO2 mmHg – 39% Other pathology results are as follows: Hb (g/dL) 10.3 Platelets (x109/L) 253 WBC (x109/L) 8.3 INR 1.12 ALT (U/L) 3.7 Albumin (g/L) 38 ALP (U/L) 152 Creatinine (mg/dL) 1.18 Urea (mg/dL) 21.4 Medications are as follows: • Trikafta two tablets mane, one tablet nocte PO • Dornase alfa 2.5 mg nebulised BD • Hypertonic saline 6% 5 mL nebulised BD • Tobramycin 120 mg nebulised BD • Salbutamol 200 mcg inhaled prn • Pancreas (Creon 24000) 3 tablets with meals and 1 tablet with snacks PO • Glucolyte 2 sachets BD PO • VitABCDECK 2 tablets mane PO • Esomeprazole 20 mg mane PO 3 | P a g e Avis lives in a self-contained flat at the back of her mother and step-father’s house. She works from home as a website developer. She does not have a partner at present but has a strong friendship group. She considers herself spiritual rather than religious and believes in a combination of Western and Eastern therapies. She regular sees a healer who is trained in both Reiki and Kinesiology.
Telehealth has emerged as a crucial component of modern healthcare delivery, offering various means of delivering healthcare services remotely. This section delves into the definition of telehealth, its types, benefits, disadvantages, and its relevance to Avis, a patient diagnosed with cystic fibrosis (CF).
Telehealth encompasses a range of technologies and methods that enable healthcare providers to offer services remotely. It includes various forms, such as:
1. Telemedicine: Remote consultations between patients and healthcare professionals using video conferencing, phone calls, or other electronic means.
2. Remote Patient Monitoring: Collecting and transmitting patient data from remote locations to healthcare providers.
3. Telepharmacy: Remote medication management and consultation services.
4. Teletherapy: Providing mental health services via virtual platforms.
Telehealth offers several advantages, including:
Access to Care: Overcoming geographical barriers and providing care to rural or underserved populations.
Convenience: Enabling patients to receive medical advice and consultations from the comfort of their homes.
Cost-Effectiveness: Reducing transportation costs and hospital stays for patients.
Timely Interventions: Facilitating early interventions and monitoring of chronic conditions.
Reduced Infection Risk: Minimizing exposure to contagious diseases by reducing in-person visits.
However, telehealth also presents certain challenges, such as:
Limited Physical Examination: Remote consultations may hinder comprehensive physical assessments.
Technological Barriers: Not all patients have access to reliable internet or devices for virtual consultations.
Data Privacy Concerns: Ensuring the security and confidentiality of patient data during remote interactions.
Lack of Personal Interaction: Absence of face-to-face communication may impact patient-provider relationships.
In the case of Avis, telehealth could be highly beneficial for her ongoing CF management. She could benefit from virtual consultations with a CF specialist, allowing her to discuss her condition, receive advice, and discuss treatment options remotely. Telehealth could provide her with more frequent check-ins, monitoring her lung function and overall health status.
(Audio file providing ISBAR handover to Betty, the registered nurse at McKenzie Medical Centre, discussing Avis’ CF and medications)
In conclusion, telehealth has transformed healthcare delivery by offering remote access to medical services. It holds significant benefits such as improved access, convenience, and cost-effectiveness. However, there are challenges related to limited physical examination and data privacy. For Avis, telehealth could play a vital role in her CF management, allowing her to connect with healthcare professionals and receive timely interventions without the need for frequent in-person visits.
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