NR706 Week 3 Discussion Consumer Informatics/Telehealth Case Study
Watch the following video.
Consumer Informatics/Telehealth Case Study (1:55)
[MUSIC] Mr. Kasich is a 77-year old who was recently taken to the emergency room after he fell when trying to get out of bed. There, he was found to have a blood glucose level of 35 milligrams per deciliter and was diagnosed with uncontrolled type 2 diabetes mellitus and hypoglycemia despite many years of well-maintained the blood glucose levels. After further assessment, Mr. Kasich was transferred to a medical room in the hospital. His background includes diagnosed with type two diabetes mellitus, advanced congestive heart failure and lung cancer. Has Medicare parts A and B. Lives with wife in a remote area that is 40 miles from the closest healthcare provider. Is proficient using his home computer. Mr. Lane is a 42-year old who was admitted for exacerbation of heart failure. His background includes has diabetes mellitus type two. Is a long-haul truck driver with a large trucking company. Is privately insured. Is single and primarily lives in his truck. Both Mr. Kasich and Mr. Lane are going home with telehealth consisting of a telemonitoring device that transmits weight, blood pressure, blood glucose levels and pulse oximetry to a remote telehealth nurse. Even though the use of telehealth does not often include hands on interaction, the goal of keeping patients out of a hospital is consistent with quality nursing practice. Telehealth applications are designed to enhance the patient experience and improve clinical outcomes while providing care for patients in their home environment rather than an institutional setting. Telehealth supports self-care by empowering patients, which is a central tenet of nursing practice.
Review the case scenario above and address the following:
- Examine concepts such as equity, respect, self-determinism, health literacy, cyclic disadvantage, and healthcare disparities among marginalized populations or groups and how they affect patient outcomes.
- Compare and contrast how each patient in the video may benefit from telehealth services and the ethical considerations from the viewpoint of the nurse.
- Propose barriers that must be removed to achieve well-being, sufficiency, and healthcare access for all.
Solution: NR706 Week 3 Discussion Consumer Informatics/Telehealth Case Study
In the case scenario, the concepts of equity, respect, self-determinism, health literacy, cyclic disadvantage, and healthcare disparities significantly influence patient outcomes. Equity in healthcare ensures that individuals like Mr. Kasich and Mr. Lane receive care suited to their specific needs, regardless of geographic or socioeconomic limitations (Swan et al., 2021). Respect involves acknowledging patients’ backgrounds and preferences, essential in preserving their dignity and encouraging engagement in their care. Self-determinism empowers patients to participate actively in decisions, such as choosing telehealth to maintain independence (McGonigle & Mastrian, 2022). However, disparities can arise from limited health literacy, particularly in understanding chronic conditions or using telemonitoring devices (Nutbeam, 2008). Additionally, cyclic disadvantage—such as Mr. Lane’s transient lifestyle or Mr. Kasich’s rural isolation—can perpetuate limited healthcare access and poorer outcomes if not addressed through adaptive care models like telehealth.
Telehealth offers tailored benefits for both patients. For Mr. Kasich, a rural resident with multiple comorbidities, telehealth minimizes the burden of traveling 40 miles to access care and allows real-time monitoring, reducing the risk of acute complications. His comfort with technology supports effective self-management. Mr. Lane, a mobile truck driver, benefits from continuity of care while on the road, helping manage his diabetes and heart failure despite an unpredictable schedule. From a nursing ethics perspective, issues such as autonomy, privacy, and access must….Click the paypal icon to purchase full solution for $5
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