Introduction

Hello, welcome to my presentation. The presentation is on Remote Collaboration and Evidence-Based Care. My name is Jane Doe. Our discussion today shall be focusing on care and management to a newly diagnosed patient with distance problems hindering access to specialized health care using remote collaboration. The presentation shall also include supporting evidence based on the utilization of remote learning.

Caitlyn Bergan, our patient, is a two-year-old gal. She has a diagnosis of pneumonia, and this is the second admission in the last six months. After the second admission, Caitlyn was diagnosed with cystic fibrosis. The diagnosis was secondary to her mother’s observations, Janice. She reported that Caitlyn’s skin had a salty taste which probed a further investigation. Investigating the health history reveals that during the postpartum examination, she had a meconium ileus. On examination, she exhibited thick mucus secretions accompanied by malabsorption signs.

Further investigation revealed a weight of 20.7 pounds suspected to be due to malabsorption, a temperature of 1010F, and a respiration rate of 32 that were shallow. Caitlyn had rhonchi, and the breath sounds were hardly audible. Dr. Benjamin is Caitlyn’s primary care physician. The care of Caitlyn shall involve the collaborative efforts of her primary care physician, Dr. Copeland, Pediatrician, Virginia Anderson, Pediatric Nurse, and Respiratory therapist Rebecca Hello.

The main challenge facing Caitlyn’s care is the distance to a specialty care hospital. It is made worse due to Dr. Benjamin’s lack of access to telemedicine. Dr. Benjamin, Dr. Copeland, and Virginia held a meeting to plan the care. The decision made is to use Skype as an alternative to telemedicine. Management of Cystic Fibrosis is quite complex, and the complexity is made worse by the inaccessibility of specialized care. Khairat et al. (2020) state that Telehealth offers effective communication and counseling in such cases with difficult access to healthcare.

Caitlyn’s care involves several interventions. These include pancreatic enzymes and fat-soluble vitamins supplementation, a high protein and calorie diet. It shall also include chest physiotherapy and aerosol treatments. These interventions require medical support, and considering the effort and resources used in accessing healthcare, in this case, Telehealth is the better option. Telehealth improves access to services for patients with difficulties accessing healthcare (Khairat et al., 2019). Caitlyn’s parents work long hours and hardly have time off their duty.

It would be difficult for them to ensure their child gets the necessary help in the required time. Telehealth offers them a better opportunity to provide their child quality care and avoid stress. The parents can be monitored for consistency, correct process, answer questions promptly, and, most importantly, get adequate access to jealthcare. Close monitoring is often associated with better health outcomes, decreased hospitalizations, and improved quality of patient life (Blin et al., 2020).

Evidence-Based Care and Patient Safety

Caitlyn’s plan of care includes medical, nursing, and pharmacologic interventions. The medical interventions shall include growth and development monitoring, diet, and vaccines. Pharmacologic interventions shall include administration of bronchodilators and supplementation of pancreatic enzymes and vitamins such A, D, E, K, biotin, niacin, pantothenic acid, B3, B6, B9, B12, and vitamin C. Nursing interventions shall include taking a comprehensive health history and health assessment, assessing caregiver knowledge, taking vitals, and assessing skin conditions for complications from frequent cupping therapy (Blin et al. 2020).

With the distance problems, it’s hard to achieve desired health outcomes. However, care was delivered with much ease using telemedicine. Dr. Benjamin and the initial care team collaborated to provide quality care by availing the initial team’s management strategies. The social workers were also not left behind in the provision of care. They offered support to Janice by overseeing a telemedicine conference between her and the respiratory therapist.

A study by Pourmand et al. (2021) states that telehealth links scattered healthcare professionals with shared goals to offer evidence-based interventions, patient education, and efficient, effective communication. Another study  (Khairat et al., 2019) supports Telehealth by claiming that it provides easier access to medical specialists, improves health outcomes through early


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