A Telehealth Guide for Nurse Practitioners Discussion Paper
A Telehealth Guide for Nurse Practitioners Discussion Paper
OSCE Telehealth for MSN
Objectives:
By the end of this activity, students will be able to:
- Care for a client via telehealth services
- Create a telehealth checklist
- List steps to prepare for a telehealth visit
- Articulate actions that can promote health equity and reduce the digital divide
- Explain the pros/cons of telehealth in rural communities
ORDER HERE A PLAGIARISM-FREE PAPER HERE
Prebrief:
Read: TELEHEALTH FOR PROVIDERS: WHAT YOU NEED TO KNOW pg 1-21
Watch: A Telehealth Guide for Nurse Practitioners
Review: Review current or previous course lectures, lessons, and activities on diabetes. A Telehealth Guide for Nurse Practitioners Discussion Paper
Review: EHRgo activity resources.
Simulation activity:
Review the chart for Jacob Williams and prepare for his telehealth visit.
Document a note that indicates a plan of care:
ACTIVITY DESCRIPTION
Jacob is a 72-year-old male hospitalized six months ago with new onset diabetes type 2 while experiencing diabetic ketoacidosis. His blood glucose was 543 on admission and he was started on insulin therapy. He saw the Endocrinologist three months ago, and his HgbA1C was 8.8. Medications were adjusted at that time and diabetes education was initiated. A few weeks ago, he returned to the endocrinologist and still had elevated blood glucose readings, despite being adamant that he is strictly following the prescribed diet. Today, Jacob has a telehealth visit with the diabetes education clinic.
Can you figure out what is going on with Jacob? How would you manage Jacob care? A Telehealth Guide for Nurse Practitioners Discussion Paper
Debrief: (Choose questions that target course concepts) (questions from EHRgo )
Discuss the following questions in Red. “essentials for MSN”
- What is the patient’s priority problem?
- What are the subjective and objective signs and symptoms of this problem?
- What is the indicated treatment for the problem?
- What tests or diagnostics will you use to quantify or qualify the problem?
- What diagnostics in the patient’s EHR are pertinent to the problem?
- Compare and contrast the risk factors for this problem between two or more assigned patients.
- What are the potential consequences of inadequate treatment or non-treatment of this problem?
- How will you measure the effectiveness of the treatment?
- Are there any errors and/or examples of inadequate or inappropriate treatment in this record?
- What other healthcare disciplines would you involve in the patient’s plan of care, and why?
- What would you have done differently, and why?
- If there is no change in the treatment plan, what do you expect the patient outcome to be, and why?
- What change(s) would you make to the treatment plan, and why?
- How should the interprofessional healthcare team collaborate in the care of this patient?
- What is the next step or objective in this patient’s care?
- Are there multiple treatment options available? If so, what are the pros and cons of each?
- What other healthcare team members would you involve in this patient’s care, and why?
- How would you explain the problem to the patient?
- What cultural or spiritual considerations are important in this patient’s plan of care?
- What other diagnostics or screening tools should you implement in the care of this patient? A Telehealth Guide for Nurse Practitioners Discussion Paper
ORDER NOW
ACTIVITY DESCRIPTION
Jacob is a 72-year-old male hospitalized six months ago with new onset diabetes type 2 while experiencing diabetic ketoacidosis. His blood glucose was 543 on admission and he was started on insulin therapy. He saw the Endocrinologist three months ago, and his HgbA1C was 8.8. Medications were adjusted at that time and diabetes education was initiated. A few weeks ago, he returned to the endocrinologist and still had elevated blood glucose readings, despite being adamant that he is strictly following the prescribed diet. Today, Jacob has a telehealth visit with the diabetes education clinic.
Can you figure out what is going on with Jacob?
After reviewing the EHR chart:
How would you explain the problem to Jacob during his next visit?
What other healthcare disciplines and community organizations would you involve in the patient’s plan of care, and why?
Document your findings and plan of care in an Adult APRN note:
Subjective
Chief Complaint (Patient’s own words):
History of Present Illness (If applicable):
Past Medical History
Childhood Illnesses:
Adult Illnesses (Acute/Chronic/Recent):
Surgery/Hospitalizations:
Immunizations:
Accidents/Trauma: A Telehealth Guide for Nurse Practitioners Discussion Paper
Psychiatric:
OB/Gyn/Reproductive:
Meds:
Allergies:
Family History:
Psychosocial (HEEADSSSS)
Home Environment:
Education/Employment:
Eating/Exercise:
Activities/Friends:
Drugs/Smoking/Alcohol:
Sexuality:
Suicide/Depression:
Safety:
Spirituality:
Lifestyle risk assessment:
Health Maintenance:
Review of (Pertinent) Systems:
Objective
Vital Signs Reviewed (Required):
Physical Exam (Pertinent systems only for HPI):
Assessment (Each assessment must be associated with a plan)
Assessment:
Plan (Diagnostic tests, Meds, Pt Ed, Referral/Follow-up)
Plan:
Smith, Jacob 706-555-1826 (Home) 404-555-6789 (Emergency Contact) 762-555-9720 (Mobile) English Black or African American A Telehealth Guide for Nurse Practitioners Discussion Paper
Encounters
11/05/2023
08:40 Central Clinic Mary Grey, MD Checked In
Telehealth visit Diabetes education telehealth visit
10/11/2023
08:58 Central Clinic Mary Grey, MD Checked Out
Checked out RTC in 3-4 weeks
08/01/2023
09:40 Central Clinic Mary Grey, MD Checked Out
Checked out First diabetes educational visit.
07/10/2023
08:40 Central Clinic Mary Grey, MD Checked Out
Follow up in 3-months Initial endocrinology visit following diagnosis with hospitalization three months ago.
05/05/2023
08:41 General Hospital James Ferguson, MD Discharged
Discharged to home. Follow-up with outpt endocrinology. New diabetes diagnosis, hospitalized with DKA.
Alerts
05/05/2023
08:41 NKA Active Adverse Reaction/Allergy
05/05/2023
08:41 Full code Active Advance Directive
Prevention
Problems See More >>
Referred to diabetes educator Active Elevated blood glucose readings Chronic 10/10/2023 Mary Grey, MD
Resolved DKA Acute 05/04/2023 James Ferguson, A Telehealth Guide for Nurse Practitioners Discussion Paper
