Rationale: Nurses are required to provide health care for persons with chronic diseases. These are often vulnerable populations within communities, and many require interdisciplinary team management. Telehealth has become an integral component of providing accessible care for all communities. As a Registered Nurse you will be required to promote engagement for your patients within health services (including the use of telehealth). It is critical that the services enable empowerment for the clients and their health. PART A: Essay question 1400 words Telehealth is becoming an integral part of treating the health of people in the community. Please write a 1400-word essay answering the following questions: 1. What is telehealth and what does it encompass (i.e. types of telehealth)? 2. What are the benefits of telehealth? 3. What are the disadvantages of telehealth? 4. Which health care professionals would Avis (from the case study below) benefit from speaking with, using telehealth. Please justify your answers using a minimum of ten (10) peer-reviewed journal articles which have been published within the last ten (10) years. Patient Avis Neal Avis is a 23-year-old female who was diagnosed with cystic fibrosis (CF) at the age of 3 months. She has had multiple hospital admissions for CF related complications, the most recent for a bacterial lung infection, for which she has been hospitalised for the last week, with a possible discharge planned for within the next 48 hours. During this recent hospital admission, the respiratory consultant discussed the possibility of Avis requiring a double-lung transplant in the future, if her lung function continued to decrease. Avis was not agreeable to having that surgery, and did not want further information. Avis additional past history include an appendectomy at age 6, and a car accident at age 18 (in which she was the driver) which included a fractured sternum, R) sided haemopneumothorax, and R) humerus fracture including cubitus instability and nerve damage causing tingling/numbness in her R) hand (which has since completely resolved). Her recent lung function tests show: FEV1 -- 48% FVC -- 56% FEV1 / FVC --0.56 PaO2 mmHg 81% PaCO2 mmHg 39% Other pathology results are as follows: Hb (g/dL) 10.3 Platelets (x109/L) 253 WBC (x109/L) 8.3 INR 1.12 ALT (U/L) 3.7 Albumin (g/L) 38 ALP (U/L) 152 Creatinine (mg/dL) 1.18 Urea (mg/dL) 21.4 Medications are as follows: Trikafta two tablets mane, one tablet nocte PO Dornase alfa 2.5 mg nebulised BD Hypertonic saline 6% 5 mL nebulised BD Tobramycin 120 mg nebulised BD Salbutamol 200 mcg inhaled prn Pancreas (Creon 24000) 3 tablets with meals and 1 tablet with snacks PO Glucolyte 2 sachets BD PO VitABCDECK 2 tablets mane PO Esomeprazole 20 mg mane PO Avis lives in a self-contained flat at the back of her mother and step-fathers house. She works from home as a website developer. She does not have a partner at present but has a strong friendship group. She considers herself spiritual rather than religious and believes in a combination of Western and Eastern therapies. She regular sees a healer who is trained in both Reiki and Kinesiology.

Attachments:

NCI-tele-heal....docx

NSG3NCI-Asses....pdf