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Karen Wilkinson
Amanda Gildea
Define and describe Telehealth (TH). List and describe TH hardware and
software. Identify, describe and review TH. Describe advantages/disadvantages of
using TH Examine legal and ethical issues related
to the use of TH. Describe technology-related
competencies needed by the professional nurse working with TH.
Describe functions of the informatics' nurse working with TH.
Delivery of health-related services/information via telecommunications
An expansion of telemedicine Gives advice on prevention of diseases Promotion of health by patient
monitoring and followup Provides nursing assessment without
person-to-person contact. Telehealth--delivery of health-related
services and information via tele-communications technologies.
Weight scale
Blood pressure monitor
Pulse oximeter
Thermometer
Spirometer
Touch screen self reporting device (communication hub/Turtle 400)
Known as the communication hub Organizes data Encrypts to assure confidentiality Has a digital readout Installs easily in patient’s home Transmits organized data to
telehealth RN via wireless network
ViTel Telecommunications Network, Inc. ViTel Net
E-Telehealth Carematrix HomMed LLC Viterion TeleHealthcare LLC Stryker
Disease specific education modules Automatically captures the medical
readings from the devices Triages abnormal readings Trending and statistical analysis using
scoring results Minimizes patient navigational process Health assessment questions displayed
individually and accompanied with audio.
Ease of using an applicationAutomatically capture medical readings
from devicesSoftware is loaded when Turtle powered on
Ease of learningTouch-screen buttons
Menu Question Education Clear Send
Ease of remembering interaction methodsTouch-screenAudioReadings entered directly from devices
User satisfaction with system useSet up and user friendly
Efficiency of usePatient enters yes or no questionsProvides disease specific education
Error-free and error-forgiving interactionsPatient’s entered responses are able to be
clearedPatient’s entered responses submitted by
touching send buttonRecords recent submission data including
time and dateConfirms data sent.
Realistic measure of vital signs Improve timeliness of clinical decision
making Access to patient trend data Instant identification of pertinent
changes in patient’s condition Allows chronically ill patients to be
maintained in the home Reduces unnecessary acute care costs
Non-compliance of patient use Fear of using new technology (patient
and family) High cost of repairing the equipment No follow through after abnormal
patient data submitted Obtaining buy-in from nurses Staff not educated on telehealth
Education on technology Education of installation Communication skills while conducting visits
Computer and Turtle400 literacy
Investigate the latest trends with the use of telehealth
Educating nurses/administration on the use of telehealth
Evaluate the effectiveness of the different hardware/software systems with telehealth
Nursing care through distant technology is becoming more popular
Factors highlighted throughout this presentation have identified the need of this popular trend
With the cooperation of doctors and nurses working as a team along with informatics education, it is evident telehealth medicine will be a success with the future informatics healthcare system
Express MD Solutions. (2005, December). Express MD Solutions (p. 1). Retrieved from http://www.expressmdsolutions.com/pdfs/expressMD_data_sheet.pdf
Lorentz, M. M. (April 2008). Telenursing and Home Healthcare. Home Healthcare Nurse , 26 (4), 241-242.
McGonigle, D. & Mastrian, K. ( 2009). Nursing informatics and the foundation of knowledge,267. Boston: Jones & Bartlett Publishers.
Telehealth Vendors. (2005, April). Telehealth Vendors (p. 1,3). Retrieved from http://www.hce.org/Education/ToolKits/Telehealth_Toolkit/09_VENDORS/06-TelehealthVendors.pdf
Vasquez, Monica S., RB-C. (May 2008). Down to the Fundamentals of Telehealth and Home Healthcare Nursing. Home Healthcare Nurse , 26 (5), 284.
ViTel Net. (2006). ViTelCare™ Standard and Likert Health Assessment, (¶ 1,3). Retrieved from Vital Net: http://www.vitelnet.com/HM/vitelcare_pu_sw.htm
Wikipedia (2010). Telehealth,(¶1-3). Retrieved from http://en.wikipedia.org/ wiki/Telehealth