Peer Responses-Telemedicine

Peer Responses-Telemedicine

Hello Tiffany,

This is an interesting post, Tiffany. From your experiences so far, you have understood that telemedicine uses electronic and telecommunication technologies to share health information irrespective of distance. In one of the experiences with telemedicine, the patient’s relative could consult in the comfort of their own home. At the same time, telemedicine enables the healthcare provider to persuade and encourage the patient to be more responsible for their health and care. Subsequently, this means that telemedicine can help avoid delays in passing medical information and delivery of care services and care costs related to travel, with a substantial effect on care outcomes and patient experiences. Research has shown that telemedicine has improved the quality of long-term care through improved quality liaison, which impacts patient satisfaction and care outcomes (Cheng et al., 2020).

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References

Cheng, O., Law, N. H., Tulk, J., & Hunter, M. (2020). Utilization of Telemedicine in Addressing Musculoskeletal Care Gap in Long-Term Care Patients. JAAOS Global Research & Reviews, 4(4). https://doi.org/10.5435/JAAOSGLOBAL-D-19-00128

Hello Riley,

This is a great post, Riley. Telemedicine has proved to be a critical tool for health care delivery that supports the continuity of care service delivery and can help overcome most of the global barriers to health access. Although the use of telemedicine may come with some concerns, the pros of telemedicine outweigh the cons. Besides overcoming obstacles such as distance and other health care delivery restrictions, such as the need for social distancing during the COVID-19 pandemic, telemedicine can be used to improve physician-nurse-patient collaborations and overcome the issues of shortages in the workforce for health, such as in nursing. However, the issue of concern today is the factors that influence the adoption of telemedicine in care delivery. Research has shown that existing policies influence the adoption of telemedicine, the culture of the users, and concerns over the security and privacy of the users (Luciano et al., 2020).

References

Luciano, E., Mahmood, M. A., & Mansouri Rad, P. (2020). Telemedicine adoption issues in the United States and Brazil: Perception of healthcare professionals. Health Informatics Journal, 26(4), 2344–2361. https://doi.org/10.1177/1460458220902957/ASSET/IMAGES/LARGE/10.1177_1460458220902957-FIG2.JPEG

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Tiffany
I often think of telemedicine as more of a video chat. However, even a phone conversation is considered a telemedicine visit. Today, I was asked to take a telemedicine phone call while at clinical. The daughter of a patient called, saying her mother’s sciatica pain had increased immensely, and she wanted to know if we could see her today. I began to ask the daughter what makes her believe the sciatica is her mother’s concern and what symptoms she has been experiencing. The daughter proceeds to say her mother’s pain has been so bad that she is now using a cane, and she found her on the ground because her pain was so bad she felt and could not get up. The daughter stated she now has to do more care for the mother. I explained to the daughter that her mother’s increased pain was a cause for concern and that she should go to the ER for a possible scan. The daughter was very reluctant as the mother refused to go to the ER. She said she would bring her in for us to see. I explained to the daughter that her mother’s issue had changed drastically since her last visit, and it was inappropriate for her to come to the office. Given our limited abilities, the patient’s condition warranted more than an office visit. The MA informed me that the daughter called back and said the patient reluctantly went to the ER and was diagnosed with an L4 and L5 compression fracture.

Peer Responses-Telemedicine

Telemedicine can be challenging as you must take the patient’s word. My preceptor has a lot of older patients, and it is common for their children to call. A more embarrassing telemedicine call for me was when a son called saying his father had recently been discharged from the hospital. He explained that his father was on his deathbed and needed a hospital bed. He said they needed help at home to care for their ailing father and were unsure what to do. He repeatedly expressed that his father was dying, and they did not want to take him back to the hospital as they tried to manage his care at home. Based on his story, it sounded like the family needed Hospice. They said all the right words in my mind. So, I ordered Hospice. The embarrassing part is that my preceptor had just seen the patient in the hospital a few days before, and the patient was nowhere near death. The family was overly dramatic and needed the hospital bed they were told would arrive but had not yet. Thankfully, my preceptor corrected me before I set up Hospice.

Although today’s story was far less embarrassing than my first one, I learned that phone conversations would need to elicit more information before making a decision. My incident could have been prevented if I had also video-chatted with patients. However, I am most excited for patients to feel they can easily connect with their providers without leaving their homes. Numerous advantages of telemedicine include better access and quicker patient engagement at lower costs (Nittari et al., 2020). Quick access to today’s patients allowed immediate care and the patient to get the care she needed in the hospital.
2. Riley
Telemedicine has changed the patient care experience, especially since COVID-19. It has helped many patients access health care during the pandemic, during busy days, and not have to wait in clinics or leave their homes when sick. Telemedicine has helped control the spread of sickness by giving less exposure to other patients, assisting immunocompromised patients to be away from illness, helping with mental health assessments, decreasing stress with busy scheduled people who can’t get child care or leave work, and much more (Kichloo et al., 2020).

My experience with using telemedicine in the clinical setting has been amazing. It decreased the number of visits and patients in the office, especially patients who need medication refills and do not have to come into the clinic every single time. Other benefits I have witnessed are older patients, and it’s harder for them to get into the clinic, as well as people feeling sick and unable to come in. The cons to consider are being unable to listen to the heart and lungs or giving a full head-to-toe assessment. An assessment can be given over the phone, but it’s not as thorough as an exam, and things can be missed (Kaplow & Zellinger, 2021). Telemedicine can lower healthcare costs and offer better healthcare assessments to patients, but it is limited to physical touch, and potential technical issues can arise (Shah et al., 2021).

Pros and cons can arise with both telemedicine and in-person healthcare visits. Telemedicine has greatly benefited patients, giving them other options and opportunities to improve their health without compromising other patients.

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