Instructions: The response is a substantive interaction that builds on the ideas of others, delving deeper into the discussion question and course content in response to a colleague. The response includes one reference from a professional peer-reviewed scholarly journal.
Topic: Locate the three The Commonwealth Fund links found in Modules/Week 6. (Telemedicine Falls Short, Benefits of Telehealth During a Pandemic, and Telehealth Services)
· Scroll down and chose one topic from the Topics section. The Tools and Data Resources provide the data analyses.
· Explain how the advanced practice nurse can use this data to develop an educational program to reduce health risks.
Links needed for assignment:
Reply to Genesis A-J
According to Vilhelmsson and Ostergren (2018), decreasing health risks in healthcare involves educating individuals about their overall well-being including physical activity, dietary intake, and mental health. About 20 years ago Medicare, introduce the service of telemedicine. However, it was rarely used due to restrictions that prohibited provider from providing services across the United States. As a result of the pandemic, some of the restrictions have been lifted so that patients have more freedom to see their healthcare provider of their choosing.
The advanced practice nurse can use this data to develop an educational program to reduce health risks. The data provided by the Commonwealth Fund highlights important information that the APN can use to his or her advantage toward the educational program. According to Kichloo et al. (2020), telemedicine provides cost-effective services to individuals in rural locations, who otherwise would not be able to gain healthcare access. In the educational program the APN can teach patients how to monitor their own blood pressure and heart rate, in turn patients can report any high diastolic or systolic numbers. Gathering information from patients values allows the APN to intervene much quicker and inform patients of any steps they should follow.
Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R., Kanugula, A., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic and the future: A narrative review and perspectives moving forward in the USA. Family Medicine and Community Health, 8(3), e000530. https://doi.org/10.1136/fmch-2020-000530 (Links to an external site.)
The Commonwealth Fund. (2020). The benefits of telehealth during a pandemic — and beyond. https://www.commonwealthfund.org/blog/2020/benefits-telehealth-during-pandemic-and-beyond (Links to an external site.)
Vilhelmsson, A., & Östergren, P.-O. (2018). Reducing health inequalities with interventions targeting behavioral factors among individuals with low levels of education – A rapid review. PLOS ONE, 13(4), e0195774. https://doi.org/10.1371/journal.pone.0195774 (Links to an external site.)
Reply to Sheika
Where Telemedicine falls short
Telemedicine usage has been around for a little while now, but the recent COVID-19 pandemic has upsurged its use. Health providers relies on technological data like monitoring blood pressure, blood glucose or weight for better patients’ chronic care management. Evolving technologies also enable patients to receive care remotely via telemedicine applications, which provide opportunities for patients who are housebound, live in rural or underserved areas, or face other barriers to care (Chaet et al., 2017). However, it almost seems like that it could replace physical assessment. It is unacceptable for healthcare providers to assist prospective patients with virtual care. Blumenthal (2020) wrote that patients with more comorbidities will better benefit from face-to-face encounter; additionally, a virtual meeting is insufficient to generate proper diagnoses because thorough physical assessments is automatically eliminated. Advance practice nurses can use telehealth to reach out to a greater number of patients especially the ones who lack access to care while avoiding the pitfalls of electronically mediated care by sorting out which patient would benefit the most from this kind of care.
Blumenthal, D. (2020). Where telemedicine falls short. Harvard Business Review. Retrieve from https://hbr.org/2020/06/where- (Links to an external site.)
Chaet, D., Clearfield, R., Sabin, J., Skimming, K., & Sabin, J. E. (2017). Ethical practice in Telehealth and Telemedicine. JGIM: Journal
of General Internal Medicine, 32(10), 1136–1140. https://doi.org/10.1007/s11606-017-4082-2
Reply to Sharon U
Telemedicine Falls Short
Telemedicine has been defined as using medical information to be exchanged from one location to another through electronic communication to aid in the improvement of the overall health status of a patient (Raingruber, 2017). Telemedicine and telehealth were created as a means to provide care to individuals that are limited in physically getting to a healthcare provider. These individuals include those in rural communities, those that are homebound, those that reside in areas with limited specialized care, and those that reside in areas that have limited healthcare providers (Raingruber, 2017). Even with providing this promising advantage to patients, telemedicine still has its shortcomings. Some barriers that exist for telemedicine include privacy issues, licensing laws, and electronic record access (Mahoney, 2020). Another barrier is that technological infrastructures may lack the ability for electronic medical record systems to communicate across healthcare organizations and systems (Mahoney, 2020). Reliable internet connectivity in rural areas is another barrier to telemedicine (Hosseini & Yilmaz, 2019). The advanced practice nurse (APN) can create an education program by teaching patients on the use of telemedicine and the importance of follow up care. The APN could also help to create programs that provide reliable access to the internet to allow the usage of telemedicine.
Hosseini, H., & Yilmaz, A. (2019). Using telehealth to address pediatric obesity in rural Pennsylvania. Hospital Topics, 97(3), 107-118. https://doi.org/10.1080/00185868.2019.1629365
Mahoney, M. F. (2020). Telehealth, telemedicine, and related technologic platforms: Current practice and response to the COVID-19 pandemic. Journal of Wound, Ostomy & Continence Nursing, 47(5), 439-444. https://doi.org/10.1097/won.0000000000000694
Raingruber, B. (2017). Contemporary health promotion: In nursing practice (2nd ed.). Jones & Bartlett Learning.