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NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

NUR 514 Topic 8 DQ 2

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

Re: Topic 8 DQ 2

Telehealth is the use of telecommunications technology to collect, transmit, and communicate health data between providers and patients. This allows patients to receive care from a distance, no matter where they are. According to Frey and Chiu (2021), telehealth can be used in four ways: synchronous or live video, store-and-forward, remote patient monitoring, and mobile health (mHealth) (mobile health). Synchronous or live video allows a doctor and a patient to communicate in real time.

When a provider obtains information and a patient’s history, it stores it and then makes it available to another provider via a secure platform. Remote patient monitoring entails using digital or electronic tools to record a patient’s health information, such as blood sugar and blood pressure, which is then automatically transmitted to a provider for review. The use of mobile devices such as cell phones, tablets, personal digital assistants, and wireless infrastructure to aid in medicine and public health is known as mobile health (Innovatemedtec, 2021).

Doctors, nurses, physical therapists, and other healthcare professionals communicate with their patients via virtual care. It is the patient’s genuine virtual visit with the healthcare team (MD, nurse, PT, etc.). Virtual care requires communication tools such as video, chat, or the phone. This allows patients to receive high-quality care when they need it the most (Synzi, 2018).

When patients’ care needs to be coordinated, telehealth can be useful. For example, surgery patients who require care both before and after the procedure. Nurses can contact patients by e-mail, video conferencing, or phone to schedule appointments, teach patients what to do after surgery, or check in on how they’re doing once they’ve been discharged. According to McGonigle and Mastrian (2017), a nurse may organize and carry out 12-16 telehealth visits with virtual care, whereas a regular home health care nurse can only complete 7 visits.

A disadvantage of telemedicine is that a nurse cannot perform a thorough physical examination. There may be instances when a full physical exam must be performed by hand, which requires the patient to come to the office or a nurse to come to the patient’s house. Telehealth appointments may potentially be impacted by the necessity to collect blood or perform imaging tests on the patient, as well as technological issues.NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

Nurses need to be mindful of HIPPA regulations and remember they can only treat patients within the state they are licensed in when participating in telehealth (Frey & Chiu, 2021).NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

References

Frey, M.B. & Chiu, S.H. (2021). Considerations when using telemedicine as the advance practice registered nurse. The Journal for Nurse Practitioners, 17 (2021), 289-292). https://doi.org/10.1016/j.nurpra.2020.11.011

Innovatemedtec. (2012). What is mHealth? NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nursehttps://innovatemedtec.com/digital-health/mhealth

McGonigle, D., Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13:9781284121247

Synzi, L. H. (2018, June 8). Why virtual care is the “new” telehealth. NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nursehttps://www.healthitoutcomes.com/doc/why-virutal-care-is-the-new-telehealth-0001

 

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Hello, NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

I agree with you that the use of telehealth and virtual health platforms have resulted to increased access to healthcare. This came in as a very crucial alternative in the wake of the covid-19 pandemic where movement was restricted and patient had to continue with their medication and clinical procedures online (Monaghesh & Hajizadeh, 2020). The use of these technologies is advantageous in the sense that it saves time since the patient does not need to travel to the healthcare facility but can still access the required expert information and medical assistance from the comfort of the home. There major disadvantage of telehealth is lack of continuity of care especially where the client is using on-demand telehealth services, he or she maybe linked up at random to a healthcare provider who does not have history of the previous medical conditions or medication of the patient.

This lack of coordinated care may prove to be dangerous to the patient as it can result to either omission or duplication of medical procedures (Kho et al., 2020). I do agree with you that the advanced practice nurses have a responsibility to ensure that they practice according to their areas of specialization and licensure. Additionally, the state mandated regulations should also be adhered to.

Read also: NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse NUR 514 Topic 8 DQ 1 Discuss the way communication technologies can enhance coordination of care by inter-professional teams 

References

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09301-4

Kho, J., Gillespie, N., & Martin-Khan, M. (2020). A systematic scoping review of change management practices used for telemedicine service implementations. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05657-w

Re: Topic 8 DQ 2

Telehealth and telemedicine are terms that refer to real-time audio-video communication tools that connect providers and patients in different locations; store-and-forward technologies that collect images and data that can later be transmitted and interpreted; and remote patient monitoring tools such as home blood pressure monitors (Balestra, 2018). The rules that define and regulate telehealth are evolving and vary greatly across states, to the point where health care organizations are issuing conflicting guidelines about the standard of care that applies in telehealth encounters.

The time and distance between patients and care providers can limit access to care. Telemedicine has the potential to break down geographical barriers to healthcare, especially for specialized providers. Telemedicine can be especially beneficial for patients in underserved communities and rural areas with a shortage of clinicians.NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse

Telemedicine has the potential to improve the quality of care for patients with medical and mental health problems. Patients who used telemedicine had fewer hospital admissions and readmissions, spent less time in the hospital, and were more involved in their healthcare (Care Innovations, n.d.). Telehealth can help nurse practitioners (NPs) who work with patients in a variety of settings improve healthcare delivery to underserved communities.

Telemedicine can increase efficiency of care delivery, reduce expenses of caring for patients or transporting to another location, and can even keep patients out of the hospital. A strong doctor-patient relationship is the foundation for high-quality patient care and reducing health care costs.

Virtual and telehealth technologies in healthcare have truly come a long way over the last decade, however I believe that it has rapidly evolved over the last couple years due to the covid pandemic. “The evolving roles of the Internet, electronic and personal health records, mobile health, health information exchanges, and telehealth all will support a more integrated healthcare model (McGonigle & Mastrian, 2022).” I have witnessed pros and cons with the technologies. For example, during the pandemic our ED deployed the use of telemedicine for some specialty consults and for some hospitalists.

This allowed the provider to not have to come to the ED and potentially be exposed and to prevent spread to other patients. Another pro I have experienced was when my grandmother had a stroke and there was not a comprehensive stroke center nearby to get her to in time to start a thrombolytic if needed, but they had a neurologist on virtual/telehealth call 24/7 for stroke consults. After this telehealth bedside consult, the decision was made by the neurologist to administer thrombolytics.

This decision saved her life, she made a full recovery after having a severe CVA. One con with telehealth is the fact that you cannot have a hands-on experience. Sometimes this is necessary to get a full picture as to what is going on with the patient, such as skins, etc. One negative experience I have seen with telehealth was a patient with complaints of chest pain, who was scared to come into the ED due to the covid pandemic. The patient instead had a telehealth visit with their primary physician where the patient’s wife had shared with us that the physician felt the patient did not need to come to the ED.

The patient coded at home shortly thereafter and was brought in via EMS in full arrest. Unfortunately, the patient was unable to be revived. This was a point early in the covid pandemic that really broke me down as a nurse, as this patient might have been someone who if had come to the ED, we might have been able to quickly identify a STEMI, medicate and go to cath lab and save him. The point is, if the patient had been in person, you would’ve likely performed an EKG, rapid troponin or chem 8, checked skins, peripheral pulses and other vitals and this would have led you down a different diagnosis path.

McGonigle, D., & Mastrian, K. G. (2022). Nursing Informatics and the foundation of knowledge. Jones & Bartlett Learning.NUR 514 Topic 8 DQ 2 Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

Telehealth is a healthcare technology that implies that a patient access healthcare services away from where the hospital or the nurse is. Such can be done using remote patient monitoring and store and forward. There are advantages and disadvantages of telehealth in patient care. For instance, it enhances the convenience of health care for patients.

Patients can access healthcare services in their homes without having to travel to acquire them. Such are accessible through remote patient monitoring, live video conference, and medical education. Additionally, it is cost-efficient for patients and healthcare providers (Breton., et al., 2021). Because both parties incur costs during visits, telehealth accessing patients and accessing healthcare services does not need traveling costs; instead, getting such at home or the office.

Telemedicine is a convenient technology for accessing healthcare as it helps in engaging patients and provides better health results. The use of telehealth helps in checking the patient virtually. Thus healthcare providers may decide to strengthen treatment adherence. Such is applicable as it impedes unnecessary admissions at the hospitals (Breton., et al., 2021). Notably, when patients want to shift from a particular treatment procedure, with telehealth, the patient can make a quick inquiry on the same and get answers without traveling.

Disadvantages of telehealth

Telehealth requires expensive equipment and technology to provide health services to patients with serious health problems. For instance, people with chronic illness. Such is costly because all the details regarding the patient’s health information are channeled into software and hardware, which are expensive (Breton., et al., 2021). Additionally, there is a limitation to a physical examination; for instance, some diagnoses and treatments cannot be offered via video conferencing. Such makes it challenging to provide quality care that satisfies the patients.

The role of the advanced registered nurse

The advanced registered nurse plays a significant role in diagnosing and treating illnesses. Additionally, an ARN is trained to provide decisions to the public concerning health issues that may be encountered. In managing chronic diseases, ARN plays a significant role in ensuring that people with chronic conditions are well taken care of and get quality healthcare services (Sánchez-Gómez., et al., 2019). ARN can also educate patients regarding their needs and provide referrals to other specialists.

 

References

Breton, M., Deville-Stoetzel, N., Gaboury, I., Smithman, M., Kaczorowski, J., Lussier, M. T., Haggerty, J., Motulsky, A., Nugus, P., Layani, G., Paré, G., Evoy, G., Arsenault, M., Paquette, J. S., Quinty, J., Authier, M., Mokraoui, N., Luc, M., & Lavoie, M. E. (2021). A Portrait of its Rapid Implementation during the COVID-19 Pandemic: Telehealth in Primary Healthcare. Healthcare Policy | Politiques De Santé, 17(1), 73–90. https://doi.org/10.12927/hcpol.2021.26576

Sánchez-Gómez, M., Ramos-Santana, S., Gómez-Salgado, J., Sánchez-Nicolás, F., Moreno-Garriga, C., & Duarte-Clíments, G. (2019). Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context. International Journal of Environmental Research and Public Health, 16(5), 680. https://doi.org/10.3390/ijerph16050680