Changes in the way that health care is delivered during this pandemic are needed to reduce staff exposure to ill persons, preserve personal protective equipment (PPE), and minimize the impact of patient surges on facilities. Healthcare systems have had to adjust the way they triage, evaluate, and care for patients using methods that do not rely on in-person services. Telehealth services help provide necessary care to patients while minimizing the transmission risk of SARS-CoV-2, the virus that causes COVID-19, to healthcare personnel (HCP) and patients (CDC, 2020).
Write a paper describe your conversation/discharge planning education with a patient being discharged from the hospital after having a stroke (CHF, Asthma, COPD) who is going to be monitored using telehealth technology. Assume this patient has never heard of telehealth before today and that the patient either is a member of a vulnerable population or lives in a rural location lacking transportation and resources for continued care. Identify how nurses can use telehealth to provide care. Consider the following in your assessment:
a) What is your HCS’s telehealth policy?
b) What monitoring technology are you currently working with and what will you need for this patient?
c) Who will you collaborate with for community and home assessment to determine the patient’s ability to use telehealth technology
d) What other options are available if the patient is unable to use telehealth
e) When will you start discharge planning?
f) What technology will the patient require?
g) What will you have to teach the patient?
h) Is the patient Health literacy
i) What will you monitor? note using ADPIE
j) Will you need Informed consent?
k) What are the risks and safety issues you should be aware of?
1. What information would be important for this patient to know about telehealth? (King’s theory of goal attainment focuses on perceptions, communications, interactions, and transactions between nurses and clients as part of the process of mutual goal setting to achieve a state of health).
2. Using King’s model describe an aspect of patient care with telehealth that will address the specific needs of this patient.
3. Create a nursing telehealth strategy that could be implemented to address this patient’s specific needs using patient monitoring technology within the nursing process (ADPIE) format
4. Include the principles of QSEN to address safety concerns in your nursing process