Breaking down the barriers to heart failure patient self-care.
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Biomedical subjects
Publications and source records attributed to Ann K Frantz.
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Physiologic monitoring is no longer confined to the critical care unit. Home monitors connect patients with clinics, physician offices, disease management programs, and home care agencies for the purpose of streamlining care delivery, maintaining a close patient connection, and promoting early identification of patient status changes. The advent of telehealth technologies offers a wide range of options for home monitoring. The goal of home monitoring is to promote patient comfort and avoid disruption of daily activities. To accomplish this, however, nurses must address issues such as, technology compatibility with patient capabilities, compatibility with nurses' practice beliefs, cost of home monitoring of overall care, and the physiologic parameters that will measure early decompensation.
Just as American pioneers imagined a future in the West, telehealth visionaries envisioned a new way of delivering healthcare. Four home care telehealth innovators share their experiences including the support and barriers associated with this new technology. Each of the users interviewed in this article were pioneers in using the LifeSigns telehealth monitor, which consists of a monitor that measures a patient's blood pressure, pulse, ECG, and oxygen saturation in the home. Each user adopted the technology in various ways that would meet their specific needs, making their experiences both similar and unique. Their responses will assist home care organizations, clinicians, and clinical managers in recognizing how telehealth can be efficiently implemented in their settings. Survey participants were Baptist Home Care (BHC), New Brunswick Heart Center in Canada (NBHC), University of Tennessee Medical Center (UTMC), and Cardiovascular Home Care (CHC), Fort Worth, TX.