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Hello! My name is Hypo. I will discuss how remote collaboration tools have become an essential aspect of healthcare. They provide a flexible way for healthcare professionals to work together on virtual patient cases. In the case of Caitlyn, a 2-year-old patient with cystic fibrosis, remote collaboration tools can help improve her access to healthcare services and support her treatment plan. Telehealth has rapidly risen because it reduces healthcare costs, improves patient access to healthcare services, and enhances patient outcomes (Kichloo et al., 2020). 

By using telehealth technologies, healthcare professionals can remotely monitor Caitlyn’s health and communicate with her and her family about her treatment plan. Additionally, electronic health record (EHR) portals have made it easier for healthcare professionals to collaborate remotely and share important patient information (Gajarawala & Pelkowski, 2020). With these remote collaboration tools, healthcare professionals can create a comprehensive treatment plan for Caitlyn, improving her quality of life and helping manage her cystic fibrosis effectively (Kichloo et al., 2020).

Scenario for Remote Collaboration

Caitlyn, a 2-year-old girl, was hospitalized twice within six months due to pneumonia. Recently, her symptoms led to a diagnosis of cystic fibrosis, and her healthcare plan requires working closely with her parents. Unfortunately, Caitlyn’s parents live too far from the hospital, and their divorce further complicates their situation. To meet these challenges, Nurse Anderson and Dr. Copeland have carefully assessed Caitlyn’s medical records and developed a care plan that considers the family’s unique circumstances. The aim is to provide the family with practical, achievable strategies to ensure Caitlyn receives the care she needs with minimal obstacles. The plan includes identifying and leveraging additional resources to help parents care for their children.

Evidence-Based Care Plan

Cystic fibrosis is a genetic disease that primarily affects the lungs and digestive system, leading to complications such as recurrent lung infections, breathing difficulties, and poor weight gain (Blanco et al., 2022). As Caitlyn is a two-year-old child suffering from cystic fibrosis, remote care through telemedicine can be an effective approach for managing her condition. Here is an evidence-based remote care plan for Caitlyn:

This care plan aims to help Caitlyn manage her condition and prevent exacerbations by utilizing a comprehensive and evidence-based approach. This care plan will rely on telehealth and remote collaboration to support Caitlyn’s care. Interdisciplinary collaboration is critical in managing cystic fibrosis effectively. Caitlyn’s healthcare team will consist of a pulmonologist, respiratory therapist, dietitian, and physiotherapist working together to ensure comprehensive care (Blanco et al., 2022). They will collaborate remotely and use telehealth to communicate with Caitlyn and her parents. 

Virtual pulmonary rehabilitation and physiotherapy will be utilized to support Caitlyn’s rehabilitation. During virtual sessions, the physiotherapist will guide Caitlyn through exercises that will help improve her lung function and strength. The exercises will be tailored to her needs and goals (Darabseh et al., 2023). The pulmonologist will monitor Caitlyn’s respiratory function and prescribe appropriate medications and therapies. The respiratory therapist will provide education on airway clearance techniques and support Caitlyn’s pulmonary rehabilitation. The dietitian will assess Caitlyn’s nutritional status and develop a personalized diet plan to meet her needs. The physiotherapist will guide Caitlyn through exercises to improve her lung function and strength.

Educational resources and online workshops will be provided to Caitlyn’s parents to support her care outside of appointments. These resources will include information on cystic fibrosis management, airway clearance techniques, nutrition, and exercise (Albon et al., 2022).

Overall, this care plan emphasizes the importance of interdisciplinary collaboration, health, and remote collaboration in managing cystic fibrosis effectively. By utilizing these modalities, Caitlin can receive comprehensive care while minimizing the risk of infection exposure. The care team will continuously monitor Caitlyn’s progress and adjust the care plan to ensure optimal outcomes (Albon et al., 2022).

The care plan for Caitlyn should be tailored to her specific needs and adjusted as necessary based on her response to treatment. The evidence-based care plan should include timely and effective treatment of cystic fibrosis (Corbera et al., 2022). This should include administering antibiotics and bronchodilators as prescribed, providing chest physiotherapy, monitoring lung function, and providing adequate nutrition and vitamin supplements. Family involvement is also essential, with education and support provided to Caitlyn’s parents (Corbera et al., 2022). Further information on the parents’ ability to understand and implement the care plan and access necessary resources could be useful in developing the plan.

Further Information

Caitlyn can benefit from telemedicine as it provides access to appropriate medical care without having to leave home. This innovative approach can enhance the quality of Caitlyn’s treatment and mitigate the possibility of errors or misunderstandings in the medical diagnosis or treatment. Besides, regular interaction and teamwork among healthcare providers can improve patient outcomes and increase satisfaction (Kichloo et al., 2020).

Evidence-Based Practice Model to Develop Care Plan

The evidence-based model used to guide the remote care plan for Caitlyn was the Johns Hopkins Nursing Evidence-Based Practice Model (Tsistinas, 2020). This model involves three processes for implementing evidence-based practice, i.e., PET (Practice question, Evidence, and Translation)

  • Practice question: The first step involves identifying a clinical or healthcare practice question. This question should be relevant to the patient or population of interest, specific, and answerable (Tsistinas, 2020). It could be related to diagnosis, treatment, prognosis, or any other aspect of healthcare.
  • Evidence: The second step involves searching for and critically appraising relevant evidence to answer the practice question. This may involve conducting a systematic review and looking for randomized controlled trials, observational studies, or other research studies (Liza & Kaiser, 2021). The quality of the evidence should be assessed based on factors such as study design, sample size, and risk of bias.
  • Translation: The final step involves translating the evidence into practice. This may involve developing and implementing clinical guidelines, protocols, or algorithms based on the evidence. It could also involve training healthcare professionals on using evidence-based practices or changing organizational policies and procedures to support the implementation of evidence-based practices (Liza & Kaiser, 2021).

By following the PET process, healthcare professionals can make informed decisions based on the best available evidence, leading to improved patient outcomes and quality of care. The model emphasizes using the best available evidence to inform clinical decision-making and improve patient outcomes (Tsistinas, 2020). The Johns Hopkins Model model involves formulating a practice question, searching for and appraising the relevant evidence, and translating the evidence into practice (Tsistinas, 2020)… PET is a valuable tool for biomedical research that can provide valuable insights into the mechanisms underlying human health and disease. The Johns Hopkins Research Model provides a framework for using this and other techniques to advance our understanding of these complex processes.

How to Evaluate Positive Benefits for Patient Outcome

Patient satisfaction surveys can be conducted to evaluate the positive benefits of Caitlyn’s cystic fibrosis telehealth and patient health outcomes tracked over time. The healthcare staff will monitor the frequency of her hospital visits and gather feedback from her parents on the effectiveness of the plan and our healthcare services (Lukewich et al., 2022). Additionally, they will track Caitlyn’s medication routine, lung function, and overall health condition to evaluate the outcomes of the telehealth plan. By evaluating these factors, we can determine the effectiveness of telehealth in managing cystic fibrosis and improving patient outcomes (Lukewich et al., 2022).

Reflection on the Relevance of the Evidence

In developing the treatment plan for remote collaboration, the study on medicine and virtual rehabilitation in managing cystic fibrosis in children was the most relevant and crucial evidence. According to information from reputable sources such as Google Scholar, PubMed, and CINAHL, medicine has increased access to care, reduced hospitalizations, and improved patient outcomes for children with cystic fibrosis (Ferro et al., 2021). The study by (Vagg et al., 2021) demonstrates that virtual treatment significantly enhances the quality of life, activity level, and lung function in children with cystic fibrosis. Telemedicine has proven to be a highly effective alternative to traditional in-person treatment methods, allowing for more frequent and convenient sessions tailored to each child’s specific needs, reducing the burden of managing their condition and leading to improved overall health outcomes. The use of telemedicine and virtual rehabilitation in treating cystic fibrosis in children is a promising approach that should be integrated into the care plan for remote collaboration (Ferro et al., 2021).

The Rationale to Determine Relevance

When determining the relevance and usefulness of evidence for a specific situation, it is important to use a framework or set of criteria to guide the evaluation process (Central Michigan University, 2022). One such framework is the CRAAP test, which stands for Currency of source, Relevance of information, Authority of source, Accuracy of information, and Purpose of findings (Kurpiel, 2023). The currency of the sources used to develop the treatment plan is essential because new research is constantly emerging in cystic fibrosis treatment (Central Michigan University, 2022). 

Strategies and Benefits of Interdisciplinary Collaboration

Interdisciplinary collaboration is important for healthcare professionals to provide comprehensive and personalized patient care. By working together, professionals from different healthcare disciplines can share their knowledge and expertise, coordinate their efforts, and ensure that patients receive holistic care that meets their unique needs (Bendowska & Baum, 2023). Remote collaboration through telehealth has become increasingly popular and offers many advantages for healthcare providers. In Caitlyn’s case, her care team includes nurses, doctors, a physiotherapist, and a social worker, who can collaborate remotely to provide the best possible care for her (Bendowska & Baum, 2023). However, there can be challenges in remote interdisciplinary collaboration. For example, team members may have difficulty defining and understanding their roles and responsibilities, leading to miscommunications and misunderstandings. 

Strategies to Mitigate Challenges

To mitigate these challenges, healthcare providers can promote a culture of care and coordination, create a culture of collaboration, and leverage teamwork and team expertise. Promoting a culture of care and coordination involves creating an environment where all team members understand the importance of working together and communicating effectively (Bendowska & Baum, 2023). This can be achieved by providing regular training and opportunities for team members to build relationships and understand each other’s roles and responsibilities.

Interdisciplinary Collaboration as Leverage for Improved Care

Firstly, promoting a culture of care can help better leverage coordination. The essence of interdisciplinary collaboration is working together and communicating effectively, which can be achieved by establishing a culture of care that emphasizes the importance of collaboration and teamwork (Bendowska & Baum, 2023). Secondly, creating a culture of coordination can help better leverage collaboration among the interdisciplinary team (Bendowska & Baum, 2023). Finally, leveraging teamwork and team expertise can be a useful strategy to leverage better interdisciplinary collaboration among healthcare professionals (Bendowska & Baum, 2023). 

Conclusion

Telemedicine can benefit Caitlyn in tackling cystic fibrosis. It reduces the need for in-person visits and improves access to specialists. Transportation and time management issues are also mitigated. Interdisciplinary teams can better collaborate, leading to more personalized care information. Telemedicine prioritizes Caitlyn’s unique needs and preferences, potentially improving her health outcomes.

References  Hypo 4030 Assessment 4 Remote Collaboration and Evidence-Based Care

Albon, D., Thomas, L., Hoberg, L., Stamper, S., Somerville, L., Varghese, P., Balasa, E., Roman, M., Britto, M. T., Miner, M., Gehring, E., Gammon, C., Amin, R. S., Seid, M., & Powers, M. (2022). Cystic fibrosis learning network telehealth innovation lab during the COVID-19 pandemic: A success QI story for interdisciplinary care and agenda setting. BMJ open quality11(2)https://doi.org/10.1136/bmjoq-2022-001844 

Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by Polish medical students. International Journal of Environmental Research and Public Health20(2)https://doi.org/10.3390/ijerph20020954 

Blanco, P., del Corral, T., Martín-Casas, P., Ceniza-Bordallo, G., & López-de-Uralde-Villanueva, I. (2022). Quality of life and exercise tolerance tools in children/adolescents with cystic fibrosis: Systematic review. Medicina clínica. https://doi.org/10.1016/j.medcle.2022.05.001 

Central Michigan University. (2022). Research guides: Website research: CRAAP test. Cmich.edu. https://libguides.cmich.edu/web_research/craap 

Corbera, M. A., Atteih, S. E., Stransky, O. M., Weiner, D. J., Yann, I. M., & Kazmerski, T. M. (2022). Experiences and perspectives of individuals with cystic fibrosis and their families related to food insecurity. Nutrients14(13)https://doi.org/10.3390/nu14132573 

Darabseh, M. Z., Aburub, A., & Davies, S. (2023). The effects of virtual reality physiotherapy interventions on cardiopulmonary function and breathing control in cystic fibrosis: A systematic review. Games for Health Journal, 12(1). https://doi.org/10.1089/g4h.2022.0137 

Ferro, F., Tozzi, A. E., Erba, I., Dall’Oglio, I., Campana, A., Cecchetti, C., Geremia, C., Rega, M. L., Tontini, G., Tiozzo, E., & Gawronski, O. (2021). Impact of telemedicine on health outcomes in children with medical complexity: An integrative review. European Journal of Pediatrics180(8). https://doi.org/10.1007/s00431-021-04164-2 

Gajarawala, S., & Pelkowski, J. (2020). Telehealth benefits and barriers. The Journal for Nurse Practitioners17(2)https://doi.org/10.1016/j.nurpra.2020.09.013 

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic, and the future: A narrative review and perspectives moving forward in the USA. Family medicine and community health8(3)https://doi.org/10.1136/fmch-2020-000530 

Kurpiel, S. (2023, February 17). Research guides: Evaluating Sources: The CRAAP test. Benedictine university. https://researchguides.ben.edu/source-evaluation 

Liza, P. I. M., & Kaiser, C. I. L. (2021). The Johns Hopkins evidence-based practice (EBP) model: Weinberg perianesthesia interventions for a healing environment. Journal of PeriAnesthesia Nursing, 36(4)https://doi.org/10.1016/j.jopan.2021.06.064 

Lukewich, J., Martin-Misener, R., Norful, A. A., Poitras, M. E., Bryant-Lukosius, D., Asghari, S., Marshall, E. G., Mathews, M., Swab, M., Ryan, D., & Tranmer, J. (2022). Effectiveness of registered nurses on patient outcomes in primary care: A systematic review. BMC health services research22(1), 740. https://doi.org/10.1186/s12913-022-07866-x 

Tsistinas, O. (2020). Subject guides: Johns Hopkins nursing evidence-based practice: Johns Hopkins EBP model. Guides.upstate.edu. https://guides.upstate.edu/c.php?g=1023176&p=7411252 

Vagg, T., Shanthikumar, S., Morrissy, D., Chapman, W. W., Plant, B. J., & Ranganathan, S. (2021). Telehealth and virtual health monitoring in cystic fibrosis. Current opinion in pulmonary medicine27(6). https://doi.org/10.1097/MCP.0000000000000821  

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