early detection of a change in condition

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Case Study: The Role of a Home Telehealth Nurse Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily telemonitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart rate, oxygen saturation, and weight. In addition, the patient will answer customized questions about her disease on a daily basis. This information will then be transmitted daily to the home care agency, where the telenurse can determine appropriate clinical actions based on the data trends and preset baseline alerts that indicate when set parameters have been exceeded.

Develop a (5 pages), following proper APA format, answering the questions below, and including a synopsis of the case study above. You should also provide a minimum of three in-text citations and associated references when answering the questions, being mindful of the standards of care and scope of practice for nursing informatics, HIPAA, the Joint Commission, and other regulatory agencies.

  1. Discuss the possible outcomes for this patient had she not been on a home telemonitoring system.
  2. Imagine that you are in the position of justifying home telemonitoring to an insurance provider. Using this case scenario, identify potential costs and costs savings for home telemonitoring.
  3. As telehealth and telenursing continue to be integrated into healthcare, what are the advantages and disadvantages from a patient’s perspective?
  4. As telehealth and telenursing continue to be integrated into healthcare, what are the advantages and disadvantages from a nurse’s perspective?

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