Components of the Patient’s Care

Which components of the patient’s care should be addressed by the case manager to assist the patient in safely staying in her home?

Describe whether the patient’s regimen might be augmented using telehealth and/or digital mobile health applications.

Name and describe a telehealth and/or digital mobile health type application(s) that might be helpful in the patient’s situation.

Describe any challenges or barriers that might be encountered with this patient implementing these types of applications.

What legal or ethical implications should be considered when implementing these applications?

To assist the patient in safely staying in her home, the case manager should address several components of care:

Medical Management: Ensure that the patient is adhering to her medication regimen and monitoring her condition regularly. Coordination with healthcare providers for regular check-ups and necessary interventions is essential.
Home Safety: Evaluate the home environment to ensure it is safe and conducive to the patient’s needs. This might involve installing assistive devices, ensuring proper lighting, and removing any tripping hazards.
Personal Care: Arrange for personal care aides if the patient needs assistance with activities of daily living (ADLs) such as bathing, dressing, and meal preparation.
Social Support: Facilitate access to social support networks, including family, friends, and community services, to prevent social isolation and provide emotional support.
Transportation: Ensure the patient has reliable transportation for medical appointments, grocery shopping, and other essential activities.
Emergency Planning: Develop an emergency plan that includes contact numbers for healthcare providers, family members, and emergency services.

Regimen Augmentation using Telehealth and Mobile Health Applications:

Remote Monitoring: Devices that can monitor vital signs (e.g., blood pressure, glucose levels) and transmit data to healthcare providers can help in the early detection of potential issues and timely interventions.
Virtual Consultations: Telehealth platforms enable the patient to have virtual consultations with healthcare providers, reducing the need for travel and allowing more frequent check-ins.
Medication Management: Applications that remind the patient to take medications and track adherence can improve compliance and reduce the risk of complications.

MyChart: An application that allows patients to access their health records, schedule appointments, and communicate with their healthcare providers.
Medisafe: A medication management app that provides reminders and tracks medication adherence, which can be especially useful for patients with complex medication regimens.
Teladoc: A telehealth platform that provides 24/7 access to healthcare professionals for virtual consultations.

Technological Literacy: The patient may have limited experience with or comfort using digital devices and applications.
Internet Access: Reliable internet access is necessary for telehealth services and might be a barrier in rural or underserved areas.
Privacy and Security Concerns: The patient may have concerns about the privacy and security of their health information when using digital applications.

Confidentiality and Privacy: Ensuring that the applications comply with HIPAA regulations and protect patient information from unauthorized access.
Informed Consent: The patient should be fully informed about the use of telehealth and digital applications, including potential risks and benefits, and provide consent.
Equity of Access: Addressing disparities in access to technology and ensuring that all patients, regardless of socioeconomic status, have the opportunity to benefit from these services.
Quality of Care: Ensuring that the use of telehealth and digital applications does not compromise the quality of care the patient receives.