Create a 5-10 minute video transcript of yourself as a presenter in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

Remote Collaboration and Evidence-Based Care Video Script

Hello. This video recording discusses developing an evidence-based care plan for a remote patient through telemedicine. According to the article by Davis published in 2020, the Money Follows the Person (MFP) initiative by the federal government aims to increase the use of home-based and community-based services to provide care for patients with chronic diseases and those with disabilities. Long-term care requires multidisciplinary interventions that range from patient education, effective communication between caregivers and patients, developing therapeutic relationships that specify care goals, and implementing evidence-based care models. Reaching patients living in rural areas may be challenging due to barriers to access, inadequate access to specialists, and inappropriate timeliness to care. According to an article by Davis et al. published in 2020, the adoption of telehealth and telemedicine interventions provides an evidence-based approach to ensuring cost-effective continuity of care. In this video, I will discuss a similar case scenario of Caitlyn and attempt to propose an evidence-based, safe, achievable, and favorable care plan.

Now, let me share some information about Caitlyn.

Ms. Caitlyn is two years old, admitted for pneumonia, and has a history of breathing difficulties. This is the second time she has been admitted in the last six months, and she had meconium ileus at birth. The initial examination determines that she has a respiratory rate of 32 breaths per minute, a temperature of 101 degrees, 20.7 pounds, reduced subcutaneous tissue in her extremities, diminished breath sounds in the suitable lung base, and scattered rhonchi in the upper lobes. A nebulized aerosol was administered to manage her thick secretions. Her mother reports that Caitlyn tastes salty when she kisses her, and a sweat chloride test found that she had 65 milliequivalents per liter. The doctor suspects cystic fibrosis and starts her on empirical intravenous piperacillin. The diagnosis was later confirmed, and the doctor added Pancrease enzyme, a high-protein and extra-calorie diet rich in A, D, E, and K vitamins, to her care plan. Caitlyn lives with her mother in McHenry, an hour away from the hospital in Valley City, North Dakota. The journey can be challenging, especially during winter and because her parents are separated. Caitlyn is at high risk for respiratory distress and developing another episode of pneumonia. Our homework help will you tons of energy and time required for your homework papers.

Evidence-Based Plan

The peer-reviewed article published by Davis et al. in 2020 highlighted how telemedicine provides a platform for evidence-based care delivery to patients through communication and linking them to healthcare teams. This electronic resource helps increase access to high-quality care by removing barriers such as inadequate knowledge and transport difficulties. Caitlyn’s case highlights how telemedicine intervention for families and patients living with long-term conditions can empower them with information to promote self-awareness of their health status and self-monitor. Modalities for Caitlyn include the risk of complications of cystic fibrosis and associated mortality.

In addition, there is the risk of respiratory tract involvement manifesting as airway infection with pathogenic microbes. The result is airway hyper-inflammation and reduced respiratory function. Malnutrition is also prevalent in cystic fibrosis, predominantly in adult patients. However, young children may experience this, and it accompanies vitamin deficiency. Distal intestinal obstruction syndrome is another prevalent in people with cystic fibrosis and commonly arise from intestinal obstruction (Marks, 2021). The multidisciplinary team’s initial examination and patient assessment of Caitlyn were consistent with these possible complications. Accordingly, I will adopt the use of the Knowledge-to Action (KTA) framework as an evidence-based approach for this case scenario.

The KTA approach aims to create knowledge and integrate this knowledge into practice through seven phases. The first phase is identifying the problem and locating evidence around it. The patient, in this case, has been admitted for pneumonia on two occasions within two months. Patient history collected suggests a diagnosis of cystic fibrosis, and these inform the multidisciplinary team on investigations to be ordered. An article published by Chen et al. in 2021  identified the clinical features of cystic fibrosis to include increased salt concentrations in sweat, increased risk of airway infection, dyspnea, tachypnea, weight loss, and high production of sputum, amongst other signs and symptoms.