Using Telehealth and Mobile Applications to Reduce Asthma Exacerbations in Young Adults

You have been assigned as one member of a 3-4-member nursing IT team at the local community hospital. The hospital is in a rural area with the closest Tier-1 hospital (trauma center) three hours away. In the past four years, there has been a noticeable increase in the incidence rate of young adults with asthma “attacks.” The nursing unit managers have performed research on the issue and have determined that asthma patients readmitted within 30 days with asthma exacerbations occurred most noticeably during the winter months and on the weekends. Further investigation showed that additional potential factors to the asthma exacerbations appear to be brought on by the use of e-cigarette’s and hookah smoking, and for patients with allergies.
 
 The nursing managers have expressed a desire to incorporate Telehealth measures and phone applications as a means of educating the young adult populations on ways to control asthma outbreaks. The team has researched the literature and noted that Telehealth was introduced at other facilities with great success and helped to improve outcomes for patients with the signs and symptoms of asthma exacerbations. The nursing IT team will be required to create and present a PowerPoint presentation to nurse administration about the proposed plan.

This is a group project. The group is expected to create a voiced- over PowerPoint presentation on using Telehealth technology and/or phone applications to educate patients and improve on the incidence and/or readmission rates of patients presenting with asthma exacerbations through the emergency room.  The presentation should be approximately15 minutes long. Please note: ONLY ONE person in the group is to submit the PowerPoint presentation for the group.

 

 

The group presentation needs to include thorough answers to the following questions:

1. A summary of the key issues. 2. Discuss the implications the technology would have on

health promotion (both positive and negative). 1. How will the use of the technology address the key

issues? 3. Identify the proposed telehealth technology. Research real

solutions or propose a solution for technology that may not yet exist.

4. Describe a minimum of 5 key tasks needed to implement the proposed technology based on the system life-cycle.

5. What concerns might patients express about using the described technology? What policies might the IT team propose to address these concerns?

6. Discuss the usefulness of the proposed Tele health technology to increase patient education and to monitor for patient readmissions.

7. How would training for the proposed solution be conducted for patients and nursing staff?

8. What are potential issues with developing and sustaining a tele-health program?

9. Conclusion Rationale for Group Work

The rationale of the group work provides us with an opportunity to navigate the challenges we face with technology. Think of this project as if you were and interdisciplinary team but you all work on different units at the same facility. There are barriers associated to working on different units. Health care providers are also creative critical thinkers. We often are able to see through the barriers to see to the solutions. This, in essence, is the

 

 

foundation of this assignment. Working on a team without having to be in the same room to bring technology to a patient without them having to be in the same room to reap the benefits from it.

 

Further, the group project is the type of activity that you will see at some point in a Bachelor’s degree program, as it is an accreditation requirement and also an activity that meets the American Association of the College of Nurses’ Essentials of Baccalaureate Education, Essential VI, Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. More and more you will see an integration of group work in advancing degree programs because interprofessional collaboration and communication has become vital to the improvement of patient outcomes. Hospitals and other health care facilities are being incentivized, via Medicare and Medicaid reimbursements related to improved outcomes directly associated to improved caregiver communication and collaboration (Nester, 2016).

 

References

American Association of the College of Nurses (AACN). (2008). Essentials of Baccalaureate of Education: Essential VI – Interprofessional communication and collaboration for improving patient health outcomes. Retrieved from http:// www.aacn.nche.edu/education-resources/BaccEssentials08.pdf

Nester, J. (2016). The importance of interprofessional practice and education in the era of accountable care. The North Carolina Medical Journal, 77 (2), p. 128-132. doi. 10.18043/ncm.77.2.128

IMPORTANT – Group Guidelines:

 

 

• An automatic assignment of three or four members in a group will be performed by the faculty member

• Please choose one leader to submit the final presentation • Responsibility and task assignment should be shared evenly

among all group members • The group needs to establish communication methods used

for this project. IMPORTANT – Policy for Non-Responsive Group Members – Project Guidelines for Students

1. All group members must participate 2. By the end of week 4, members of the team must report to

the faculty member if there are members in the group who are not responsive or are not working in the group activities via the identified means of communication (email, text, phone, etc.) identified on Quiz 1.

3. Upon initial notification from students that there is a non- responsive student in the group, an email from the instructor will be sent to the group as a means of identifying the issues.

4. If the non-responsive student does not respond within week 4, the faculty will contact the student independently.

5. If the student is still not responsive after discussion with the faculty member, the student will be removed from the group and a requirement to submit a full presentation as an individual will be requested.

PowerPoint Guidelines:

• Application: Use Microsoft PowerPoint 2007 or versions after 2007 (no XP).

• Length: The PowerPoint slide show is expected to be no more than 15 slides in length (not including the title slide and reference list slide).

• Technical Writing: APA format (6th) is required. • Late Submission: See the course policy on late submissions.

 

 

• Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started

 

 

 

Creating a PowerPoint presentation on using Telehealth technology and phone applications to educate and reduce asthma exacerbations in young adults is a comprehensive task that requires thoughtful planning and collaboration. Here’s an outline and brief guidance for each slide to help your team address all the required components effectively:

### **Slide 1: Title Slide**
– **Title:** “Using Telehealth and Mobile Applications to Reduce Asthma Exacerbations in Young Adults”
– **Subtitle:** Addressing Readmission Rates through Technological Interventions
– **Team Members:** List of all group members
– **Date:** Submission date

### **Slide 2: Introduction**
– **Summary of Key Issues:**
– Highlight the increase in asthma exacerbations among young adults, particularly in winter and weekends.
– Mention the correlation with e-cigarette use, hookah smoking, and allergies.
– The rural setting with limited access to Tier-1 hospitals.

### **Slide 3: Implications of Technology on Health Promotion**
– **Positive Implications:**
– Improved patient education and self-management.
– Real-time monitoring and prompt intervention.
– Reduces the need for hospital readmissions.
– **Negative Implications:**
– Potential technology access issues in rural areas.
– Privacy and security concerns.

### **Slide 4: Addressing the Key Issues with Technology**
– **How Technology Will Help:**
– Continuous monitoring of asthma symptoms through mobile apps.
– Access to educational resources via Telehealth platforms.
– Personalized alerts/reminders for medication and environmental triggers.

### **Slide 5: Proposed Telehealth Technology**
– **Identified Solutions:**
– Mobile apps like AsthmaMD or Propeller Health.
– Telehealth platforms integrating with wearable devices for real-time monitoring.
– Future solutions: AI-driven predictive analytics to foresee exacerbations.

### **Slide 6: System Life-Cycle and Key Tasks**
– **Key Tasks:**
1. **Needs Assessment:** Understand patient needs and technology capabilities.
2. **Design:** Create user-friendly interfaces and integrate educational content.
3. **Implementation:** Pilot the Telehealth and mobile apps with a select group of patients.
4. **Evaluation:** Collect and analyze data on patient outcomes and app usability.
5. **Maintenance:** Regular updates and technical support.

### **Slide 7: Patient Concerns and IT Policies**
– **Patient Concerns:**
– Data privacy and security.
– Ease of use and access to technology.
– **IT Policies to Address Concerns:**
– Implementing robust encryption and privacy standards.
– Providing tech support and user training.
– Policies for data sharing and patient consent.

### **Slide 8: Usefulness of Proposed Technology**
– **Patient Education:**
– Increased awareness of asthma triggers and management techniques.
– Regular updates on environmental risks and lifestyle tips.
– **Monitoring Readmissions:**
– Early detection of worsening symptoms.
– Prevention of unnecessary ER visits through remote consultations.

### **Slide 9: Training for Patients and Nursing Staff**
– **Training Plan:**
– **Patients:** Workshops, user guides, and video tutorials on app usage.
– **Nursing Staff:** Training sessions on Telehealth platform usage, data interpretation, and patient communication.
– **Follow-Up:** Continuous support through help desks and regular refreshers.

### **Slide 10: Potential Issues with Telehealth Programs**
– **Issues:**
– Initial cost of technology implementation.
– Resistance to change from patients and staff.
– Technical issues such as connectivity problems in rural areas.
– **Mitigation Strategies:**
– Grant funding for initial costs.
– Change management strategies, including stakeholder engagement.
– Ensuring reliable internet access and alternative low-tech solutions.

### **Slide 11: Conclusion**
– **Summary:**
– Reiterate the importance of addressing asthma exacerbations using Telehealth.
– Emphasize the role of education and continuous monitoring.
– Highlight the potential for improved patient outcomes and reduced readmissions.

### **Slide 12: References**
– **APA-formatted References:**
– Include scholarly sources on Telehealth, asthma management, and technology in healthcare.

### **Slide 13: Thank You**
– **Contact Information:**
– Provide contact details for group members if there are any follow-up questions.

This structure ensures that all required aspects of the assignment are covered. Each slide should have concise bullet points and visuals where appropriate. Aim to keep the text minimal and use voice-over narration to explain each point in more detail. The presentation should be cohesive, engaging, and informative.

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