Telehealth Adoption
Why has telehealth adoption taken so long in the health-care industry when Skype, cell phones, and other video conferencing applications have been used in personal and business interactions for decades?
Introduction to Informatics (nursing)
CMP105: Week 4 Assignment Page 4
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Case Study: Telehealth
Assignment Overview
This assignment is intended to demonstrate your comprehension of how using efficient eHealth tools and expert system applications assists health professionals in decision-making.
For this assignment, you will read a case study that describes the steps taken to help an elderly woman remain independent in the comfort of her own home. Based on the scenario described in the case study, you will create a set of interview questions to ask the Telehealth Director.
Assignment Details:
Perform the following tasks:
· Complete the reading assignment and the interactive lesson before attempting this assignment.
· To complete this assignment:
· Read the case study located in the Assignment Worksheet section below.
· Assume the role as the Public Relations Director for Purple Cross of North Carolina.
· The CEO requests that you interview the Telehealth Director about the use of Telehealth with Mrs. Smith. The CEO requests that you create one thought-provoking question for each of the following topic areas:
· Meeting the health needs of Mrs. Smith
· Decision-making process for technology selected for Mrs. Smith
· Benefits and risks in using Telehealth technology for Mrs. Smith
· Cost and staff involved in using Telehealth technology for Mrs. Smith
· Note: Your questions must be original; not copied or modified from any source, including your textbook. Your questions cannot simply rephrase the above criteria.
· For each question, the CEO requires that you provide your rationale. Describe how the question will yield a thorough response, and not simply a “yes” or “no” answer.
· Any cited sources to support your rationale statements must be identified, using APA formatting.
· Prior to submission, review your responses to ensure that they contain no spelling or grammatical errors.
· Submit the Week 4 Assignment via Blackboard by clicking on the “Week 4 Assignment” link.
· Include the proper file naming convention:
· CMP105_wk4_assn_jsmith_mmddyyyy.
Grading:
| Grading Criteria | Points Possible | Points Earned |
| Created unique thought-provoking question for each topic area. | ||
| · Meeting the health needs of Mrs. Smith | 5 | |
| · Decision-making process for technology selected for Mrs. Smith | 5 | |
| · Benefits and risks in using Telehealth technology for Mrs. Smith | 5 | |
| · Cost and staff involved in using teleheath technology for Mrs. Smith | 5 | |
| Provided valid rationale for each question, supported by research | ||
| · Meeting the health needs of Mrs. Smith | 5 | |
| · Decision-making process for technology selected for Mrs. Smith | 5 | |
| · Benefits and risks in using Telehealth technology for Mrs. Smith | 5 | |
| · Cost and staff involved in using teleheath technology for Mrs. Smith | 5 | |
| Questions are original, requiring a thorough response. | 5 | |
| No spelling or grammatical errors. | 5 | |
| Total Points | 50 |
Assignment Worksheet
· Case Study
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure. Her two children live in California, while she lives in North Carolina in a small family home on 10 acres of land in the Blue Ridge Mountains. Mrs. Smith has been in the hospital four times in the last year due to congestive heart failure. As her eyesight and mobility get worse with age, she has found it a challenge to stay on her medical plan and to do her shopping for the right foods she knows she should be eating. Mrs. Smith’s health plan, Purple Cross of North Carolina, assigned a nurse case manager to address her situation. Purple Cross provided a digital scale and a remote monitoring device that recorded Mrs. Smith’s condition every day by uploading her weight and transmitting the answers to a series of questions on a touch screen kiosk. The case manager also coordinated delivery of Meals on Wheels, providing low-sodium, diabetic-compliant dinners to Mrs. Smith on an ongoing basis. The case manager calls Mrs. Smith twice a week, taking the time to educate her about her medications, her activities, and the disease-specific elements that will keep her healthy and out of the hospital. When the case manager identifies that Mrs. Smith can no longer organize her daily medications, a digital medication dispenser will be provided that will keep her on her medication regimen. The medication dispenser will be preloaded with Mrs. Smith’s medications and will issue a subtle doorbell tone when it is time to take them. With the combination of remote and real-time (telephonic) support persons and technologies, Mrs. Smith can remain in her home and avoid further inpatient admissions.
Directions:
1. To complete this assignment:
· Read the case study above.
· Assume the role as the Public Relations Director for Purple Cross of North Carolina.
· The CEO directs you to interview the Telehealth Director regarding the use of Telehealth with Mrs. Smith. The CEO directs you to create one thought-provoking question for each of the following topics:
· Meeting the health needs of Mrs. Smith
· Decision-making process for technology selected for Mrs. Smith
· Benefits and risks in using Telehealth technology for Mrs. Smith
· Cost and staff involved in using Telehealth technology for Mrs. Smith
· Note: Your questions must be original; not copied or modified from any source, including your textbook. Your questions cannot simply rephrase the topic.
· For each question, the CEO requires that you provide your rationale. Describe how the question will yield a thorough response, and not simply a “yes” or “no” answer.
· Any cited sources to support your rationale statements must be identified, using APA formatting.
· Prior to submission, review your responses to ensure that they contain no spelling or grammatical errors.
2. Submit the Week 4 Assignment via Blackboard by clicking on the “Week 4 Assignment” link.
3. Include the proper file naming convention:
· CMP105_wk4_assn_jsmith_mmddyyyy.
For each topic, write your question and rationale.
Topic: Meeting the health needs for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Decision-making process for technology selected for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Benefits and risks in using Telehealth technology for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Cost and staff involved in using Telehealth technology for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Assessing The Genitalia And Rectum
Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.
In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
GENITALIA ASSESSMENT
Subjective:
- CC: “I have bumps on my bottom that I want to have checked out.”
- HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
- PMH: Asthma
- Medications: Symbicort 160/4.5mcg
- Allergies: NKDA
- FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
- Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
- VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
- Heart: RRR, no murmurs
- Lungs: CTA, chest wall symmetrical
- Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
- Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
- Diagnostics: HSV specimen obtained
Assessment:
- Chancre
- PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
To prepare:
With regard to the SOAP note case study provided:
- Review this week’s Learning Resources, and consider the insights they provide about the case study.
- Consider what history would be necessary to collect from the patient in the case study.
- Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
- Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
To complete:
Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.
- Analyze the subjective portion of the note. List additional information that should be included in the documentation.
- Analyze the objective portion of the note. List additional information that should be included in the documentation.
- Is the assessment supported by the subjective and objective information? Why or Why not?
- Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
- Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.
CALSS RESOURCES
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 16, “Breasts and Axillae” (pp. 350-369)
This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.Chapter 18, “Female Genitalia” (pp. 416-465)
In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.Chapter 19, “Male Genitalia” (pp. 466-484)
The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.Chapter 20, “Anus, Rectum, and Prostate” (pp. 485-500)
This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 5, “Amenorrhea” (pp. 47-60)
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.Chapter 6, “Breast Lumps and Nipple Discharge” (pp. 61-72)
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.Chapter 7, “Breast Pain” (pp. 73-80)
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.Chapter 27, “Penile Discharge” (pp. 318-324)
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.Chapter 36, “Vaginal Bleeding” (pp. 419-433)
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient, as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.Chapter 37, “Vaginal Discharge and Itching” (pp. 434-445)
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
Chapter 3, “Adult Preventative Care Visits” (“Gender Specific Screenings”; pp. 48–49)Note: Download the Physical Examination Objective Data Checklist to use as you complete the Head-to-Toe Physical Assessment Video assignment.
Sabbagh, C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045
Retrieved from the Walden Library Databases.
Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.
Retrieved from the Walden Library databases.
This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.
Required Media
Optional Resources
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)
Section 2 of this chapter focuses on the anatomy and physiology of breasts. The section provides descriptions of breast examinations and common breast conditions.Chapter 11, “The Female Genitalia and Reproductive System” (pp. 541–562)
In this chapter, the authors provide an overview of the female reproductive system. The authors also describe symptoms of disorders in the reproductive system.Chapter 12, “The Male Genitalia and Reproductive System” (pp. 563–584)
The authors of this chapter detail the anatomy of the male reproductive system. Additionally, the authors describe how to conduct an exam of the male reproductive system.Review of Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)
Critical Thinking
Follow instructions in the attached file carefully
– Avoid Plagiarism
– 1 page and a half not including the cover page and the references.
– follow APA style.
– provide in-text citation
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