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The Tele-Rehabilitation Services - PDF

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Tele-Rehabilitation for Discharged Patients1Tele-Rehabilitation for Discharged PatientsBy [Name]CourseProfessors’ NameInstitutionLocation of InstitutionDate
Tele-Rehabilitation for Discharged Patients2IntroductionTele-rehabilitation is the process of giving rehabilitation services to patients throughcommunication and information technologies (Jackson et al. 2012, p.1088). In the clinicalfield the term tele-rehabilitation comprises of many variety of rehabilitation services thatinclude intervention, monitoring, assessment, education, supervision, counselling andconsultation (Laver et al. 2013). The tele-rehabilitation services are usually done to childrenand adults who have acquired injuries, developmental disorders or delays, and diseases by awide range of healthcare practitioners in the healthcare field (Piqueras et al. 2013, pp.392-396). The professionals consists of the following of but are not limited to speech languagepathologist, physical therapist, rehabilitation physicians, nurses, occupational therapist,rehabilitation engineers, audiologists, assistive technologists, dieticians, psychologists, andteachers. The tele-rehabilitation has power to delivers rehabilitation services across all themedical or healthcare areas and across all the lifespan. Tele-rehabilitation has a brad andwide range of professionals, similarly, it has many types of services it can offer to all peopledespite their ages (Koh et al. 2015, p. 151).The services of tele-rehabilitation falls under two class according to Cook et al.(2013) andAmbrosino et a. (2016)which include the clinical therapy and clinical assessmentwhich asses the ability of the patient to function in his or her own ecosystem (pp.1038-1047).Tele-rehabilitation can provide rehabilitation services to patients who cannot go to the centresdue to factors like physical or mental disability, or because the time of travel is long and topatients who have been already discharged from the hospitals. The discipline of tele-rehabilitation services is rare and not many scholars have done research about it (Ambrosinoet al. 2016). There are two important areas to note in tele-rehabilitation which include comingup with the system which has new data that can help the professional deliver rehabilitation
Tele-Rehabilitation for Discharged Patients3services online (Avila et al. 2014, pp. 1-5). Second, giving rehabilitation services which arein line with the code of conducts of rehabilitation field (Avila et al. 2014, pp. 1-5).Implementation of Tele-Rehabilitation for Patients after being discharged fromHospitalThe technological innovations in the healthcare field have allowed the medicalpractitioners to come up with new ways of administering health services to patients both athome and in the hospital (van den Berg et al. 2016, pp.1885-1892. The discharged patientscan also get medical attention and rehabilitation services through new technologies. The tele-rehabilitation services are one of the many healthcare technological innovations. AsSiemonsmaet al. (2014) reported, many patients who were placed in the intensive care unitsdue to the chronic diseases, disorders, or fatal accidents recover and go home (pp.2019-2030).However, these patients do not recover completely, they always require rehabilitationto enable them pass the emotional stress of what they suffered. Some of the patients may notbe able to go back for rehabilitation in the hospital facility because of reasons like insufficientmoney and time (Kairy et al. 2016, pp.201-206). Therefore, tele-rehabilitation can come tothe aid of these kinds of patients. In the hospital I am working as an occupational therapist weuse tele-rehabilitation platform which comprise fine-grained and mature services whichsupport the online/real-time and off the internet connections between the hospital healthcareworkers and the patient. When there is an online or real-time interaction, a large hall is usedwhere a group of up to ten patients are rehabilitated with one medical professional that iseither me or my colleagues. For those that are online a high definition webcam is used toconnect the healthcare worker and the patient. The offline platform is where one of the
Tele-Rehabilitation for Discharged Patients4medical professional records a rehabilitation processes with a camera and the hospital poststhe information in the internet either YouTube or Facebook for patients to view laterespecially those who missed the online session (Artz et al. 2015, p. 15).Tele-rehabilitation service can be implemented by many healthcare workers in thehospital are at home (Gregersen et al. 2016, p. 809). Personally I administer tele-rehabilitation services at my house through my YouTube channel. For example, when I amshowing my patient who needs rehabilitation to walk properly, I record the details of what thepatients need to do by showing example using my assistant show all the steps to be followedand then post the recording in my YouTube channel where my patients will get and watch thevideo. At the hospital in my work place, the exercise is done online where the practitionersshow the patients what they need to do in the live feeds. The advantage of using live tele-rehabilitation, there is immediate feedback from the patient. In other words patients and themedical professional interact in real-time.The tele-rehabilitation service can be implemented through many channels forexample, blogs and websites (Agostini et al. 2015, pp.202-213; Gregersen et al. 2016, p.809). I use blog to write to my patients on what they need to do to overcome certain problem.My hospital also has an official website where they post any information that can helppatients recover from emotional and physical stress; the data also help in the rehabilitationprocess. The gadgets that can be used to implement the tele-rehabilitation services include thesmartphones, tablets, laptops and desktops and using the internet connection (Bernocchi et al.2016, pp.106-115).Artz et al.(2015, p. 15) suggest that the new technological advancementshave improved the healthcare services.
Tele-Rehabilitation for Discharged Patients5Roles of some of the Tele-rehabilitation StaffImplementation of the tele-rehabilitation programs for patients require work forcefrom different levels in the healthcare which include the medical professionals, informationtechnology personnel, and the marketing department (Bernocchi et al. 2016, pp.106-115).The marketing department advertises the services offered by the tele-rehabilitation facility tothe discharged patients and give them links on how to join the program. In term of medicalservices there is the doctor, nurse, ergophysiologist, physiotherapist, and psychologist (Jin etal. 2015, p. 61; Vloothuis et al. 2015, p. 193; Kairy et al. 2016, pp.201-206).The doctor has numerous roles in tele-rehabilitation which include one, preservingthe patients’ medical records and hi/her history (Kairy et al. 2016, pp.201-206). Second, thedoctor is also responsible for performing the clinical evaluation of the patient after and beforethe tele-rehabilitation services. The doctor is also obligated to prescribe the medicine thepatient will use during rehabilitation program. Third, evaluation and assessment of thecapacity and which the patient can exercise and prescribe the tele-rehabilitation program andexercise each patient can do in a day until they recover. Fourth, the doctor educates thepatients on what to do during rehabilitating and managing any emerging emergencies in thehospital. Fifth, communicate with the patients frequently through phone to monitor how thepatient is doing and lastly the doctor is the one to recommend if the patient needrehabilitation program or if the patient has recorded.Nurses have also important roles in the tele-rehabilitation centre which include one, ,preserving the patients’ medical records and hi/her history and providing patients witheducation about the disease or disorder they are suffering from (Morales-Vidal & Ruland
Tele-Rehabilitation for Discharged Patients62013, pp. 101-107; Miller et al. 2014, pp. 1-5). Second, the nurse do follow up and contactpatients either through telephones or any other means of communication to see and assesshow the patients are reacting to medication and solve any problem about the tele-rehabilitation that may arise. Similar to doctors, nurses also have the obligation to attend toemergencies. Third, nurses ensure that the patients are qualified for the tele-rehabilitationprogram by checking all necessary forms provided by the service users. Fourth, the nurses arein charge of the technological fitness equipment. They monitor the equipment to make surethat they are functional and record any arising problem. Lastly, the nurses conduct and takeanthropometric measurements after the rehabilitation program is over and before the programstarts.Ergophysiologists are important in that they evaluate and do assessment of thephysical ability of the patient to determine if they are qualified for tele-rehabilitation (Sarfo etal. 2017, p. 203; Kizony et al. 2013; Miller et al. 2014, p. 1; Adinolfi et al 2016, p. 40). Theergophysiologists also prescribe the quantity of exercise the patient will undergo and alsoeducate the patients on how to go about the prescribed training program. Lastly, theergophysiologists monitor how the patients are training and record and recommend the nextstep for the patients. The psychologist in tele-rehabilitation service gives the patientpsychological support and advice. They also recommend if the patient can enrol inrehabilitation program. The psychologists also assess and evaluate the psychologicalbehaviour of the patient and prescribe drugs for him or her.The psychotherapist synchronises the therapy programs the patients are undergoingand maintain the medical records of the patients (Chen, Xiao & De Bellis 2016, p. 74). Thepsychotherapist reads the patients’ medical report and selects appropriate therapy for themand then adds the therapy exercises in his YouTube account or that of the hospital. The
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