She weighs 20.7 pounds and subcutaneous tissue was observed in her extremities. Based on their discussion and observation from sweat chloride test results, it was diagnosed that she has cystic fibrosis. Dr. Copeland, nurse Anderson, and respiratory therapist Helgo determined that her case is complex and as a result, it is important to monitor her condition and plan a care plan. However, Caitlyn lives in McHenry, which is over an hour drive and as a result, it is not recommended to travel especially due to winter. The doctor recommended Pancrease enzymes and high-protein, extra-calorie diet was recommended along with huff breath treatment, aerosol treatment, and dornase alfa to manage her condition by collaborating with pediatrician.
She cannot perform huff breaths and at a risk for respiratory distress and impaired gas exchange, which might result in anxiety and increased distress. Thus, it was recommended to discuss with pediatrician and parents of the patients even though they are busy and married, but separated to educate them to monitor the patient and manage the condition. It was also discussed that to make use of telemedicine, skype consultation and education, and social service consultant to collaborate remotely.
The very first part of the plan is to provide literature, pamphlet, videos, or any other articles related to the condition and treatment through email to both the parents to increase their knowledge. After that it is critical to schedule a skype collaboration meeting with parents and pediatrician after the working hours to explain the possible challenges, plan to care for each challenge, and the ways to make use of the telemedicine and telehealth services to monitor the patient (Ohannessian et al., 2020).
The plan is to implement patient monitoring system, which includes pulse monitor, oxygen saturation, and other vital signs monitor connected to remote monitoring and telehealth system to monitor the patient continuously on mobile devices or web help in tracking changes in breathing pattern and other conditions. (Whillans et al., 2021) As both the parents will be busy, such system reduces stress and anxiety among parents and nurses can track the patient and alert parents even if they fail to monitor the patient or vice versa. This reduces failing to provide service during emergency condition. Chiridza (2019) in the article about use of patient monitoring identified that it reduced risk factors and improved quality outcome.
The telehealth service increases collaboration and communication between everyone involved as they can make use of audio and video communication to monitor the patient (Lee et al., 2020). If needed, the monitoring can be done in real-time. Further, it helps in communicating with social service helpers to provide assistance if there is a need. As Caitlyn suffered from pneumonia twice in last six months, the monitoring system help in maintaining good health post recovery as the data recorded by monitoring system help in predicting the emergency need or worsening health conditions (Jong et al., 2020).
The system combined together provides quick assistance button at patient’s end for any assistance, event monitoring, and real-time monitoring prevent adverse effects as early treatment will be possible. Sasangohar et al. (2018) concluded that patent monitoring in real-time prevented adverse effects and enables nurses and health professionals to track the patient’s recovery from remote places. The purpose of implementing is found to be effective in reducing unnecessary emergency visits and also, it is found that telehealth system reduces health care cost as parents of the patients need not travel to the hospital as nurses, pediatrician, and respiratory therapist assist them through video calls (Chu et al., 2021).
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