Remote Collaboration and Evidenced-Based Care Sample Paper

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 identification and intervention, and optimizes healthcare resources.

Evidence-Based Practice (EBP) Model

Integration of telemedicine into the delivery of healthcare is alone not enough in the care of Caitlyn. All health care providers involved must work collaboratively to ensure accessibility of the available resources. Studies claim that for effective collaborative efforts, the team must have shared decisions making and goals and must ensure accountability of each professional involved during the provision of care (Khairat et al., 2019). Telemedicine also requires the dedication of every professional involved to quality care delivery. Effective collaboration can be fostered through effective communication. This means that communication has to be easy without any ambiguity for easier interpretation.

Communication through online meetings in the care of Caitlyn shall be essential in determining needed adaptations, discussing further treatment, education lapses, and reassuring the parents that they have full support in caring for Caitlyn. Cystic fibrosis is a chronic illness that requires palliative care, and the main focus of the care is sustaining and improving the quality of life (Blin et al., 2020). Inaccessibility to healthcare, in this case, can lead to Janice neglecting healthcare for her child. The care plan adapted for Caitlyn should include Janice’s needs, and by doing so, the plan shall be suitable for the sustainability of care.

The Most Relevant and Useful Evidence in Making Care Plan Decision

The care plan adopted must be relevant and must contain attainable goals of care. Teach-back is a tool used to educate caregivers and is useful in enhancing learners’ understanding and enhancing the teacher’s efforts to ensure the learner understands (Badaczewski et al., 2017). The care of this patient is holistic, requiring the collaboration of many professionals, and thus teaching should involve relevant professionals to ensure effective learning and effective teaching strategies (Doull, 2020).

It is easy to identify areas in which the learner is not proficient using teach-back, and thus, it becomes easier to educate the learner effectively. Throughout Caitlyn’s care, telemedicine shall be essential and shall inform the success of the care. Telemedicine shall play the role of providing support, seeking and relaying information, providing feedback, and relieving anxiety (Khairat et al., 2019).

Benefits and Strategies to Mitigate the Challenges of Interdisciplinary Collaboration

Caitlyn and her family are faced with myriad challenges that can have detrimental effects on the healing of Caitlyn if not addressed. The challenges are long distances to access specialized healthcare, parents long working hours, parent-child separation, and lifestyle changes that accrue from the advent of a chronic illness (Bregnballe et al., 2017). With the effective collaboration of all care providers, Caitlyn can positively impact her life. The involvement of her parents in her care and access to available healthcare resources would also play a big role in the recovery of Caitlyn.

Provision of quality healthcare to pre-scholars presents with several difficulties. Studies show that care of the young is complicated due to the complex treatment modalities, treatment administration procedures, and treatment considerations. The parents are required to have enhanced knowledge concerning the care of their child, receive support and at the same time provide and receive feedback. Telehealth is, thus, an integral role during the care of Caitlyn.

With the diverse professionals involved in the care of Caitlyn, the parents can support their child during care and also provide the best medical interventions utilizing the vast experiences and knowledge of these professionals involved. Telehealth is the best option in today’s practice as it avails all necessary and available resources leading to an effective healthcare approach (Crump, 2020). Telehealth, in this case, provides the best and most accessible way of accessing the healthcare team and thus effective monitoring of Caitlyn’s progress.

From the above illustrations, Telehealth is an effective method of monitoring patients even when they are away from the hospital settings. Evidence-based practice thus continues to be the preferred/gold standard for informing patient care. Telehealth aids in learning, consultation, and patient monitoring leading to desirable health outcomes. As an evidence-based practice, Telehealth is the method of choice to care for patients with difficulties accessing healthcare. Healthcare providers and healthcare institutions should embrace and utilize telemedicine in the provision of healthcare. Adequate training our healthcare providers in telemedicine is vital for safeguarding the future of our healthcare (Pourmand et al., 2021).

References

Badaczewski, A., Bauman, L. J., Blank, A. E., Dreyer, B., Abrams, M. A., Stein, R. E., … & Sharif, I. (2017). Relationship between Teach-back and patient-centered communication in primary care pediatric encounters. Patient education and counseling, 100(7), 1345-1352. https://doi.org/10.1016/j.pec.2017.02.022
Blin, T., Flament, T., Mankikian, J., Vibet, S., & Chaumier, F. (2020). Palliative care in cystic fibrosis. BMJ Supportive & Palliative Care, 10(3), 341-342. http://dx.doi.org/10.1136/bmjspcare-2019-002068
Bregnballe, V., Boisen, K. A., Schiøtz, P. O., Pressler, T., & Lomborg, K. (2017). Flying the nest: a challenge for young adults with cystic fibrosis and their parents. Patient preference and adherence, 11, 229. doi: 10.2147/PPA.S124814
Crump, W. J. (2020). Telemedicine: Has the Time Really Finally Arrived?. The Journal of Rural Health. doi: 10.1111/jrh.12435
Doull, I. (2020). Cystic fibrosis 2019: Year in review. Paediatric respiratory reviews. https://doi.org/10.1016/j.prrv.2020.04.001
Khairat, S., Haithcoat, T., Liu, S., Zaman, T., Edson, B., Gianforcaro, R., & Shyu, C. R. (2019). Advancing health equity and access using telemedicine: a geospatial assessment. Journal of the American Medical Informatics Association, 26(8-9), 796-805. https://doi.org/10.1093/jamia/ocz108
Pourmand, A., Ghassemi, M., Sumon, K., Amini, S. B., Hood, C., & Sikka, N. (2021). Lack of telemedicine training in academic medicine: are we preparing the next generation?. Telemedicine and e-Health, 27(1), 62-67. https://doi.org/10.1089/tmj.2019.0287