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May 2012

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Telehealth Use in Canada Grew by More Than 35 Per Cent Annually Over the Past 5 Years: National Study

Saved Patients Nearly 47 Million km in Travel Last Year

TORONTO, ONTARIO--(Marketwire - May 30, 2011) -
Editors Note: There is a photo and video associated with this press release.
With more than 5,700 telehealth systems in at least 1,175 communities across the country, Canada is a global leader in improving access to care by connecting patients and care providers in different, and frequently remote locations, according to a new national study released today, announced Dr. Jennifer Zelmer, Senior Vice-President, Clinical Adoption and Innovation, Canada Health Infoway.
Canada Health Infoway (Infoway) commissioned the study, which was conducted by Praxia Information Intelligence and Gartner, in order to gauge the current use and benefits achieved from Telehealth investments made by the federally-funded organization, provinces and territories, the federal government, and others.
"Across the country, use of telehealth is growing rapidly, bridging the distance between patients and their care providers," said Dr. Zelmer. "Canadians do not have to travel as often to receive care, and the study reports improvements in access to care, quality, and productivity valued at millions of dollars last year."
Telehealth is used for a wide range of clinical services, from mental health to cancer and stroke care. It can include linking patients to health care providers through live videoconferencing or having equipment in a patient's home that transmits vital information such as blood pressure and respiratory function to a patient's health team for frequent monitoring. Health professionals also have the ability to transmit images of wounds or other health images to specialists for assessment and advice.
Every province and territory in Canada is using Telehealth today to bring care closer to Canadians in their communities, and even within their homes. The study, entitled Telehealth Benefits and Adoption – Connecting People and Providers Across Canada, indicates that almost 260,000 Telehealth sessions were held in 2010, supporting services such as remote care, education for health providers and administrative meetings. Nearly half of the clinical Telehealth sessions delivered care to patients from rural and remote communities, which are home to 21 per cent of Canadians. The report estimates that Canadians who received care via telehealth rather than travelling to other communities for care saved about $70 million in personal travel costs in 2010. In addition, there were benefits to the health system valued at $55 million per year (e.g. because of avoided federal or provincial subsidized travel costs or reduced hospitalizations for patients with chronic diseases).
The report's findings are based on utilization data provided by the Canadian Telehealth Forum of COACH: Canada's Health Informatics Association, the organization representing Canada's telehealth community. Also informing the findings are more than 20 evaluations of telehealth projects from across Canada, one-on-one interviews with telehealth experts, a review of more than 200 documents on the effectiveness of telehealth, and other data.
"Canada is a global telehealth leader. We have the potential to further its use until it becomes a standard tool for health professionals to deliver care in remote, rural and urban settings," said Liz Loewen, Director, Coordination of Care, Manitoba eHealth, who also serves as Chair/COACH Board Member for the Canadian Telehealth Forum. "We are well on our way, however, as noted in the report, critical success factors including change management and adoption must be addressed in order to fully realize Telehealth's potential."

Source: http://www.marketwire.com/press-release/telehealth-use-canada-grew-more-than-35-per-cent-annually-over-past-5-years-national-1520178.htm

Insight:

This article is about the effect of telehealth in Canada. TeleHealth technology  allows patients, nurses and doctors to talk as if they were in the same room. During consultation, the doctor and patient can use TV or computer screen, a small camera, microphone and special telephone line. It is very benificial for the client, community and doctors. Some of the patients benefits are: less time away from home and fewer travel-related expenses. For the community it improves health care quality, through the ability to access specialists when they're needed. And for the doctor communication among health care providers in remote areas. This system also reduces the expenses that are used for traveling. And even the people who are sick in remote areas, can be cured with the use of Telehealth. I hope that this system will continue to touch the lives of the people that needs medical attention.


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South Korea's Ubiquitous Health Program Extends Beyond EHR

Big Brother?

A Growing Healthcare Industry

Challenges Ahead

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source: http://go.galegroup.com/ps/i.do?id=GALE%7CA233077413&v=2.1&u=phspuqc&it=r&p=AONE&sw=


 Insight:

   Today, computers, along with Internet technology are being introduced into hospitals to enhance the performance of the medical facilities that are dispensed. Nurses as a healthcare provider should be computer literate. Computer Literate is defined as the knowledge and ability to use computers and related technology efficiently.  The article above,  shows the different factors that affects the nurses of South Korea and Taiwan are: personal innovativeness in IT, computer education, and age. This study can help the hospital administrators and clinical instructors to improve the skills and educate their nurses more on how to technology. ****************

Precautions

•  Perform hand hygiene
• Organize equipment
• Verify client
• Prepare medication adhering 10 rights of drug administration
• Put on gloves
• Position the patient
• Pull ear up and down for adults
• Pull ear down and back for children
• Administer orderd number of drops
• Wipe excess medication using cotton balls
•  Let patient stay in position for 5 minutes

****************

Eye Medications 

Eye medications are used to diagnose, treat and prevent eye diseases. Most eye medicines need a prescription. However, artificial tears (to lubricate the eye) and ocular decongestants (to decrease redness) are available as over-the-counter eye drops.
Eye drops and ointments are the most common ways to medicate the eye.

Why Are Eye Medications Needed?
The most common therapeutic uses for eye medications include glaucoma, eye infections, allergy and inflammation of the eye. Eye drops are also used for diagnostic purposes to dilate  the pupils or to dye the ocular surface for eye examinations. Additionally, there are anesthetic eye drops to numb the eye. These are used for some diagnostic tests or for removing foreign objects from the cornea

Proper Use of Eye Medications?

•  Perform hand hygiene
• Organize equipment
• Verify client
• Prepare medication adhering 10 rights of drug administration
• Put on gloves
• Position the patient
• Tell patient to look up
• Lower lid down by using cotton balls
• Use dominant hands in holdng the medication
• Instill ordered number of drops into lower lid and inner corner
• Instruct patient to close lid and roll eyes
• Wipe excess medication using cotton balls
• Replace the cap of the medication
• Instruct patient to remain in position for 5 minutes

**************** Sublingual and buccal medications are administered by placing them in the mouth, either under the tongue or between the gum and the cheek. The medications dissolve rapidly and are absorbed through the mucous membranes of the mouth, where they enter into the bloodstream.

Procedure:

•  Perform hand hygiene
• Organize equipment
• Verify client
• Prepare medication adhering 10 rights of drug administration
• Put on gloves

  for sublingual

• Have the patient open his or her mouth and raise the tongue
•  The tablet should then be placed under the tongue

  for buccal

• tablet should be placed between the gum and the wall of the cheek

 With the mouth closed, the tablet should be held in this position for five to 10 minutes, or until it has dissolved.

Precautions

Sublingual medications should not be administered if the gums or mucous membranes have open sores or areas of irritation. Rather, the physician should be notified, and medication held. The patient should be placed in a sitting position to prevent accidental aspiration of the medication. Buccal or sublingual medication should not be used when a patient is uncooperative or unconscious. The patient should not eat, drink, chew, or swallow until the medication has been absorbed; swallowing the medication must be prevented, as it will decrease the drug's effectiveness. The patient should not smoke while taking sublingual or buccal medication


Sublingual medication
 Buccal administration **************** hellooo :) ****************