Implications of Telehealth
This paper explores the scenario in which I am a Nurse Practitioner working in St. Theresa emergency dept. A patient is bought to the emergency room after he was found wandering through the streets. Upon assessment, he states that the government is plotting against him watching him through the TV. He claims that the government is also listening to his conversations through the cellphone. Furthermore when he goes to sleep the government people are coming to his room watching him why he sleeps. He is unkempt, disheveled and appears dehydrated. He is combative and refuses all medication; he thinks that the staff is trying to kill him. After he is assessed it is decided that he needs a psychiatric consult. The nearest psychiatric department is one hour away, where St. Theresa has tele health links with the regional hospital which has a Psychiatric department. A teleconference is needed.
According to the American Telemedicine Association, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients’ health care. The Association also notes that telemedicine is associated with telehealth which is used to encompass a broader definition of remote healthcare that does not always include clinical services. This may include video conferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth. Hebda and Czar states that telehealth can be done via teleconferencing, video conferencing and desktop video conferencing. Hebda and Czar notes that video conferencing is a real time encounter that uses special equipped personal computer with telephone line hookup, DSL or cable connections to allow people to meet face to face, view papers and images simultaneously. It is less expensive and so for this patient a...
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