NUR109 M5.8: ATI-Nurses Touch: The Communicator- Video Interaction, Client Care through Telehealth
Gathering health data and using technology for the communication process. Transition from telemedicine to telehealth to E-health (all means the same thing).
Questions and Answers:NUR109 M5.8: ATI-Nurses
Q1: What is the difference between telemedicine, telehealth, and E-health?
A1: Telemedicine, telehealth, and E-health all refer to the use of technology for healthcare communication. Telemedicine traditionally focused on remote clinical services, while telehealth encompasses a broader scope, including non-clinical services. E-health emphasizes digital technology and the convergence of technologies, offering health information and services online.
Q2: Can you provide a historical background on telehealth?NUR109 M5.8: ATI-Nurses
A2: Telehealth evolved through different eras, starting in the telecommunication era (1970s-1980s) with broadcasting technologies. The digital era (late 1980s) integrated computerized information for voice and video transmission, while the internet era (1990s +) brought video conferencing, remote patient data access, and rapid communication. NASA and the Department of Defense were early adopters.
Q3: What are the funding sources for telehealth?NUR109 M5.8: ATI-Nurses
A3: Funding for telehealth can come from government agencies, private sources, or personal funding. This funding promotes knowledge exchange and the use of evidence-based practices in telehealth.
Q4: Can you provide examples of successful telemedicine services in the United States?
A4: Maine Telemedicine Services is one of the largest telemedicine systems, operating since 1998 with over 2,000 sessions annually. Arizona Telemedicine Service, established in 1996, provides healthcare to underserved and correctional populations, integrated throughout the state.
Q5: What are the driving forces behind the expansion of telehealth services?
A5: Driving forces for telehealth expansion include patient safety, engaging patients as partners in healthcare, managing chronic diseases, preventive care, improving access to care, and addressing specialty shortages.
Q6: What are some current applications of telehealth?NUR109 M5.8: ATI-Nurses
A6: Telehealth applications include referrals to healthcare specialists, patient consultations, remote patient monitoring, allied health education, and providing consumer-oriented health information. It is also used for monitoring vital signs, rehab services, speech therapy, and more.
Q7: What are the benefits of telehealth?
A7: Telehealth increases collaboration among professionals, improves decision making, enhances accessibility to specialty care, centralizes health records, provides continuity of care, and involves the patient in the healthcare team. It can also lower costs.
Q8: What legal and privacy issues should nurses be aware of in telehealth?
A8: Nurses must uphold patient privacy and confidentiality in telehealth, following HIPAA laws. Patients have the right to refuse telehealth. Transparency about who is involved and how their information is used is essential.
Q9: How do ethics come into play in telehealth?NUR109 M5.8: ATI-Nurses
A9: Telehealth should not adversely affect the patient-provider relationship or cause unnecessary stress. Ethical considerations remain crucial in maintaining the patient’s overall well-being.
Q10: What licensure requirements apply to telehealth?
A10: Telehealth is considered a practice of nursing, and nurses need a license for each state where they practice. The Nurse Licensure Compact allows nurses to practice across state lines if their state is part of the compact, but they must adhere to each state’s practice act.
Q11: What are some limitations in telehealth?NUR109 M5.8: ATI-Nurses
A11: Limitations in telehealth include licensure issues, network errors, lack of standards, patient safety concerns, accreditation and regulatory challenges, inadequate funding, and the need for technical support.
Q12: How can a telehealth link be established?
A12: Establishing a telehealth link involves using the nursing process (Assess, analyze, implement, plan, evaluate) and requires sufficient funding to support the necessary technology and infrastructure.
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