Role of a telenurse

            Performance of telemonitoring, this involving monitoring of the patients symptoms who are at home by communicating through a telephone or even through the computer with the aid of communicating apps like Skype (Kaminski, 2017). The nurse will also make appropriate referrals if need be and also will attend the needs of the client as they arise through answering of questions and communicating effectively.

            Provision of education to the caregivers or the client or reinforcing the education that had been already provided to them concerning their care. The need for information can be noticed depending on the questions the client or the caregiver ask during the period of communication. Teaching the client will promote understanding of the condition.

            Provision of triage services through establishment of the needs of the caller and making decisions concerning the needs of the client for example, the need for counselling (Tuckson, Edmunds & Hodgkins, 2017). Counselling of the clients can also be done if necessary thus being a counselor if one of the roles. The nurse plays also a role in identification of the needs of the client and instituting the necessary referral to physician or to the hospital.

Telehealth tools used

Secure and dependable internet connection

            Telehealth involves communications with clients from long distances and therefore, a secure and dependable internet connection is key to facilitate effective communication, proper understanding and also a connection which is secure enough to promote the client trust (Kaminski, 2017). This is therefore an important tool I will use.

Patient privacy

            The privacy of the client needs to be kept just the way it would be during a normal hospital visit, normally prior to telehealth consultation, the patient is usually informed on how the consultation is managed and who will be able to access and how their information will be used. The client is then given a consent form to sign. The telehealth hardware are used and they have customized software encryption for patient information. The software must meet the HIPAA Federal security standards and guidelines (Kaminski, 2017). This software is an important tool for telehealth as it provides the necessary privacy for the patient

Custom-configured hardware

             The hardware that will be used in provision of the telenursing services include the telephone, desktop/laptops and also tablets and carts. Telephones are used in communicating direct to the client and report of symptoms. All the hardware are used depending on the portability and the need

Clinical and non-clinical application

            Clinically I have applied telenursing to provide care to the clients who have poor access to the facility due to the issues of distance. Through telenursing the needs of the patient can also be assessed in that the client provide information concerning their symptoms and through this the health needs of the client can be assessed and the necessary intervention recommended. Telenursing also involves communication and this can be used to build rapport between the patient and also the nurses (Tenforde et al., 2017). Provision of triage services though provision of counselling, giving necessary instructions and also encourage emergency services if there is need.

            Non-clinical application include the distance provision of education which can include the continuing nursing an medical education, administrative uses such as supervision, meeting among telehealth workers. Application on research by use of the internet and other online sorces of information and also health data management.

 

Patient requiring telehealth

            The patients requiring telehealth are those mainly who have chronic conditions like heart failure and also diabetes mellitus. For example in the case of diabetes, it provides a tighter glucose control and reduces the incidences of hospitalization and also facilitates good health outcomes. The real time notification brings closer screening and prevents development of complications. Clients with heart failure can also be monitored on their disease progress effectively and lower the risk for developing complication. Patients with chronic illnesses require continuous monitoring which has been addressed by the telehealth.

Legal, ethical and regulatory issues

            Telehealth is part of the health and therefore, there are ethical issues that govern the delivery of care for the client. The privacy of the client is always important and it must be always considered while providing care (Tuckson, Edmunds & Hodgkins, 2017). This is done by advancing the security and encryption of data. It is also important in respecting the client decision concerning there care and ensuring all the nursing principles in care delivery are all practiced. This includes autonomy, beneficence, non-maleficence and also justice.

            The confidentiality of the client should also be respected. There is also need to communicate effectively to the client and ensure that the client receives the relevant information as they need.it is also to respect the rights of the client involving right to right information, quality care and also right to change drug regimens. The telehealth systems should also meet the HIPAA Federal security standards and guidelines.

 

 

Application of the Foundation of Knowledge Model

            Telehealth requires knowledge and skill necessary in the delivery of care therefore it is very important to have the necessary information before provision of the necessary services. Thus knowledge acquisition this can be done through research from the internet. The information then can be disseminated into various areas of the care delivery. Repetition in use of the acquired information will then result in generation of knowledge as familiarity is also attained. This will allow proper assessments during the care delivery to the clients in the telenursing. The knowledge can be applied in the interpretation of the information from the clients and thus referred to as knowledge processing

 

 

           

 

 

 

References

Kaminski, J. (2017). Book Review: Telehealth Nursing. Canadian Journal of Nursing Informatics, 12(1-2).

Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585-1592.

Tenforde, A. S., Hefner, J. E., Kodish-Wachs, J. E., Iaccarino, M. A., & Paganoni, S. (2017). Telehealth in physical medicine and rehabilitation: a narrative review. PM&R, 9(5), S51-S58.