Review the case scenario above and address the following.
[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 patient’s in their home environment rather than an institutional setting. Telehealth supports self-care by empowering patients, which is a central tenet of nursing practice.
- Discuss how telehealth can assist to address equality of health care resource distribution. What barriers must be removed to achieve well-being, sufficiency, and health care access for all?
- In your discussion, consider concepts such as equity, respect, self-determinism, health literacy, cyclic disadvantage, and health care disparities among marginalized populations or groups.
- Compare and contrast how each patient may benefit from telehealth services and the ethical considerations from the viewpoint of the nurse
Please read the question carefully to understand all the components. Then respond in a scholarly manner following the Graduate Discussion Grading Guidelines and Rubric while adhering to APA guidelines. Our interactive discussion addresses the following course outcomes:
CO 3: Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PO7) (DNP Essentials IV; DNP/C: I-III)
CO 4: 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. (PO7) (DNP Essentials IV; DNP/C: I-III).
Consider your own experiences as well as the literature. I am looking forward to your discussions.
Reflective inquiry allows for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals. Each week, you will reflect upon what you have learned and complete a reflective journal assignment: Reflection on Learning. Each weekly reflection is placed in one document, which will be submitted for grading at the end of Week 7. There is no weekly reflection in Week 8 because a reflection is incorporated into the discussion question. Please review the Reflection Guidelines and Rubric for complete assignment requirements. Create a document where you will keep your weekly reflection.
Reflect upon your Week 3 learning journey in NR706 and consider the following in two paragraphs:
As you assess your learning, provide one specific example of how you achieved the weekly objectives.
What new skills or competencies should you consider after the learning this week? What do
