Remote Collaboration and Evidence-Based Care
Remote Collaboration and Evidence-Based Care
Providing care to individuals living in remote areas has been an issue for healthcare providers for a long time. Fortunately, the emergence of new communication technologies, such as messaging and the Internet, has removed some barriers to healthcare access. Telemedicine, which is the use of communication technologies in healthcare, is a novel approach to providing care to patients. According to Kruse et al. (2021), it solves the problem of limited access to medical services in rural communities and patients with restricted mobility. In this video, I will describe a case of one patient living in a rural area and the ways in which telemedicine helped healthcare professionals to collaborate with each other and develop an appropriate care plan for this patient.
First, I will introduce the patient and describe the evidence-based care plan that has been developed. Caitlynn is a two-year-old girl who has been admitted to the pediatric unit in Valley City Regional Hospital for pneumonia, which was her second admission for this diagnosis in the last six months. Based on her symptoms, vital signs, and test results, the pediatrician concluded that the patient had cystic fibrosis. The diagnosis was confirmed, and the healthcare team had to develop a care plan based on the information that the patient lived in a rural area, over one hour away from the hospital. The team also had to take into account that the patient’s condition required significant parental involvement.
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An evidence-based care plan for this patient included the education of the parents, which started at the hospital and continued via Skype after the discharge. Further, since the local hospital had difficulties providing the patient with the necessary medications and pancreatic enzymes, it was decided that the Valley City Regional Hospital would give assistance. The hospital also arranged for the social worker to provide the parents with access to groups dealing with grief. Finally, the local pediatrician was asked to provide the parents with the information resources necessary for treating their child’s difficult condition. During remote educational sessions, the respiratory therapist responded to the parent’s concerns about the treatment and assessed whether the parents performed the prescribed procedures correctly.
Now, I will explain how an evidence-based practice model was used in care plan development. According to Tucker et al. (2021), different evidence-based practice models possess common elements: an assessment of the situation, the search for the best evidence, selection of the most relevant evidence-based practices for implementation, and evaluation of outcomes. In this scenario, healthcare professionals assessed the patient’s situation and found that remote communication and coordination were necessary to ensure the patient’s safety and improved health outcomes. Further, the hospital used the best available evidence about providing care to patients in remote areas. As Kruse et al. (2021) point out, telemedicine is a viable option in this case because it increases the communication between the patient and the provider, gives cost advantages, and improves health outcomes. Upon reviewing the available options, the hospital chose to communicate with the patient’s parents via Skype and coordinate care with the help of Skype, phone calls, and text messages. Finally, the healthcare provider evaluated the outcomes of this intervention by arranging video calls with the patient’s parents and assessing the patient’s condition.
Next, I will reflect on the evidence that appeared to be most relevant in the decision-making regarding the care plan. Research findings synthesized by Kruse et al. (2021) reveal that the use of telemedicine improves the quality of care and patient outcomes. Therefore, the healthcare team’s decision to use telemedicine for patient-provider communication was informed by evidence. Further, the study conducted by Farber et al. (2018) showed that parents needed healthcare professionals to tell them the truth about the diagnosis of cystic fibrosis and help them with managing the disease. In this regard, the healthcare team made the right decision in reassuring the patient’s mother and asking the social worker to find a grief recovery group for the parents.
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