NR 706 CCN Telehealth for Social Justice Discussion

Week 3

Consumer Informatics/Telehealth Case Study

Discussion

Purpose

The purpose of this discussion is for you to investigate telehealth and technology relationships to social justice principles.

Case Study Scenario

Watch the following video.

Consumer Informatics/Telehealth Case Study (1:55)

Launch External Tool

Instructions

Review the case scenario above and address the following:

1. 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.
2. Compare and contrast how each patient in the video may benefit from telehealth services and the ethical considerations from the viewpoint of the nurse.
3. Propose barriers that must be removed to achieve well-being, sufficiency, and healthcare access for all.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

• Link (webpage): Graduate Discussion Grading Guidelines and Rubric

Program Competencies

This discussion enables the student to meet the following program competencies:

1. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

1. Appraises current information systems and technologies to improve health care. (POs 6, 7)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

1. Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PC 4; PO 7)

1. Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the impact on patient safety, quality of care, and outcome measurement. (PC 4; PO 7)

1. Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PC 4; PO 7)

1. Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PCs 2, 4; PO 6)

   Video [MUSIC] Mr. Kasich is a 77-year old
   who was recently taken to the emergency room after he fellwhen trying to get out of bed. There, he was found to have a bloodglucose level of 35 milligrams per deciliter and was diagnosed withuncontrolled type 2 diabetes mellitus and hypoglycemia despite many years ofwell-maintained the blood glucose levels. After further assessment, Mr. Kasich was transferred toa medical room in the hospital. His background includes diagnosedwith type two diabetes mellitus, advanced congestive heart failure andlung cancer. Has Medicare parts A and B. Lives with wife in a remote area thatis 40 miles from the closest healthcare provider. Is proficient using his home computer. Mr. Lane is a 42-year old who was admittedfor exacerbation of heart failure. His background includes hasdiabetes mellitus type two. Is a long-haul truck driverwith a large trucking company. Is privately insured. Is single andprimarily lives in his truck. Both Mr. Kasich and Mr. Lane are goinghome with telehealth consisting of a telemonitoring device thattransmits weight, blood pressure, blood glucose levels and pulseoximetry to a remote telehealth nurse. Even though the use of telehealth doesnot often include hands on interaction, the goal of keeping patients outof a hospital is consistent with quality nursing practice. Telehealth applications are designedto enhance the patient experience and improve clinical outcomeswhile providing care for patients in their home environmentrather than an institutional setting. Telehealth supports self-careby empowering patients, which is a central tenetof nursing practice.