Lecture 7: Telehealth Revision Exam Questions And All Correct Answers.
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Course
CEU - Telehealth
Institution
CEU - Telehealth
1. Improved outcomes/efficiency in patient care
2. Less travel—use of specialists for patients in remote areas
Provides opportunities for patient education as well as continuing education for nurses. - Answer advantages of telehealth:
1. Payers have focused on acute medical care, not tel...
Lecture 7: Telehealth Revision Exam
Questions And All Correct Answers.
1. Improved outcomes/efficiency in patient care
2. Less travel—use of specialists for patients in remote areas
Provides opportunities for patient education as well as continuing education for nurses. - Answer
advantages of telehealth:
1. Payers have focused on acute medical care, not telehealth services; improving
2. Underserved areas that could be helped by telehealth services have experienced disease progression
to more costly stages. - Answer disadvantages to telehealth:
Telemedicine: "The electronic exchange of patient information between two sites for improving the
patient's health status." (text. p. 353) - Answer describe telemedicine:
B. Telehealth
1. Often used interchangeably with telemedicine
2. technical difference between the two
3. More than just "clinical services"—involves consultations, home care via special monitoring,
electronic referrals, etc.
4. Enhanced pt health at a distance - Answer describe telehealth:
C. Telenursing:
1. uses telecommunications in nursing practice for the improvement of patient care. Often homecare
2. Many facets -- often in telehomecare - Answer telenursing:
A. Store and Forward (S&F)—digital images (e.g. wound) are stored and then sent electronically to a
medical specialist for analysis. Includes xrays, imaging studies, anything shared electronically.
1. Asynchronous - not sent at the same time. - Answer describe store and forward:
, B. Synchronus (two-way communication)—interaction between specialist and remote patient occurs at
the same time through interactive (two-way) communication by video (began w/telephone → video-
conferencing now)
1. Intermittent
a. Email
b. Digital images - Answer describe synchronus:
C. Real time
1. Pt/physician interaction
2. Robotics and telesurgery
Also includes robotics (e.g. telesurgery and or telepresence - using tech to simulate appearance of a
person). - Answer describe real time:
A. Telehomecare: Continuous health-monitoring devices and delivery of care in the home setting to keep
track of patient's health status (e.g. cardiac rhythms; vital signs...). Information sent via telephone or
broadband connection to the patient's own EHR.
1. Concept of medical home: comprehensive, coordinated care provided in home setting that is patient
centered, yet high quality and safety
2. Chronic conditions (CHF, DM, CKD): Identifies problems before they become significant.
1) Diabetic monitoring of glucose and insulin pumps
a. Advantages:
1) Improved accessibility to healthcare
2) Reduced ER and hospital and readmission rates by half
3) Improved care and reduced costs
3. Portable telemonitoring devices: store information that can be transmitted digitally via telephone or
Internet.
1) Central monitoring station - telephone or wireless connection
2) BP cuff, scales, ECG, pulse ox, PT/INR monitor, Pea - Answer telehomecare:
B. Telemental health—Use of telehealth to provide psychiatric healthcare in the care of mental health
conditions.
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