reply to these 4 discussions 1-The telehealth

reply to these 4 discussions 1-The telehealth type I decided to look at this week is remote patient monitoring. This is used to both diagnose and treat chronic conditions to track their health and their condition remotely. Using this, it is completely safe and goes with all rules of HIPPA. The provider can make custom video conferences in which cannot be recorded or transferred somewhere else. This care can be used for chronic pain, blood pressure monitoring or even things like edema. This does seem like it would invade privacy in people’s homes to use websites similar to Zoom to speak with their providers. On another note, with these meetings that can be done more often, the provider may be able to see changes faster or be able to connect with their patients more. 2-When searching for telehealth applications I came across one that stood out to me. Not only that, but it had great reviews from a variety of physicians who use this in their current practice. I researched an application called talkEHR. This application is a HIPPA-compliant practice, even during any telehealth visits and scheduling. TalkEHR is a great and easy way to organize patient records, along with that, there are some customizable components to make it your own. This way, you can see what you like and what template works the easiest for you. TalkEHR has so many benefical elements to this application, such as cloud-based patient charts, medical voice assistance, it is telehealth equipped, labs are connected, is MACRA/MIPS ready, has fast and easy reports, powerful scheduling, and seamless connection. The benefits to using this application is that it is very simple to use with a clean and updated format. It is important that you have something easy and familiar so you can find your way around as simple as possible, especially when a lot of your day is spent charting and documenting, you want to be as efficient as possible. The customizable feature really ensures as much comfort as possible to the healthcare employee. Not only is it easy to use, it is also known to be on the more affordable side for everything this app has to offer for easy and safe use. Overall, this app provides great technology and it is very interesting to see how much we are able to do in medicine with applications such as talkEHR. 3-Physican based standards would show that there was informed consent. The doctor explained the risks, benefits, precautions, and recommendations to the patient. He discussed the harmful affects of the PSA test and explained the outcome as well. The patient received this information that was given from the doctor and ultimately decided not to proceed with a colon cancer screening. Whereas patient-based standards would suggest there was not informed consent because the doctor should have ordered the PSA screening without discussing it with the patient. The court went with patient-based standards. I do not agree. It is outrageous that they wanted the doctor to put his license at risk and the patient’s health at risk without the patient knowing about the PSA order. That would have violated the patient’s rights and autonomy. The patient was clearly competent and can make reasonable decisions for himself. The doctor should have not proceeded with the PSA test without the man’s knowledge. 4- There are two standards when looking into informed consent: deliberation and voluntariness. According to page 97 of our book, deliberation has three aspects when it comes to informed consent. The first is all the specific procedures and risks and time of incapacitation. The second is any alternative treatments available. The third is the name of the responsible party conducting the procedure or treatment. Voluntariness is simply the ability to volunteer after all of the above mentioned have been explained to the patient.In the case study this week, Dr. Daniel Merenstein was a general practitioner in the state of Virginia. This doctor had access to simple blood test that could indicate whether a patient had prostate cancer. Unfortunately, this particular test resulted in many false positives and unnecessary treatments, side effects, and even death. A patient came in. There is no mention of any risk factors for prostate cancer. The Doctor explained all of the preventive measures that the patient could take for his health. The patient and doctor also discussed the blood test to prescreen for prostate cancer. According to page 106, “He also discussed with the patient all of the relevant risks and benefits regarding screening for prostate cancer via the PSA test.” In doing so, the doctor fulfilled deliberation. All of the risks and benefits were laid out for the patient. The patient, based on the information at hand, denied the test. That fulfilled the voluntariness part of informed consent. He volunteered to deny the test. After some time, the patient was found to have advanced prostate cancer that was uncurable, and ultimately died.

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