Assignment: Care Plan: Mobile App Technology and Telehealth Case Study

Assignment: Care Plan: Mobile App Technology and Telehealth Case Study

Assignment: Care Plan: Mobile App Technology and Telehealth Case Study

Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth and defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation, and maintenance of function across the health-illness continuum.

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Develop a case study and a plan of care, incorporating current mobile App technology:

Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need. Apply concepts learned in course to identify healthcare needs specific to the population and access to care (Utilize your textbook Chapters 1-25, and identified Websites). Also use at least two references within the five years.
Develop a case study for a patient in your chosen population.
Define a provider level of care that includes telehealth, alternative therapies, and mobile App technology discussed in this class. Describe how telehealth could impact the care delivery of this patient.
Hint: Concise, condensed information, with specifics and details about population and unique needs with a plan for meeting these needs should be considered. Incorporate the content you have learned in this course.

Expectations:
Length: 3 pages not including the title page and references page
Format: APA, 7th edition format is to be observed (12 pt., 1” margins, Times New Roman)
Research: Two references within the last five years

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Case Study and Care Plan: Mobile App Technology and Telehealth

Prevention of diseases is the best approach to care in any healthcare system. It is cheaper and pre-emptive compared to treating diseases when they have already developed a foothold on populations and communities. Giving health education and health promotion to specific population demographics depending on the epidemiological picture that defines them is one of the best strategies nurse practitioners use to assure the health of the populations they care for. However, traditionally this is done during in-person clinic visits where the patient has to physically present themselves to the healthcare facility or clinic. With the eruption of the Covid-19 pandemic towards the end of 2019 and early 2020, guidelines that were quickly developed as the characteristics of the virus became known soon included avoidance of face-to-face contact and self-isolation at home. All of a sudden, it became impossible to easily visit a healthcare provider for care since this would pre-dispose one to contracting Covid-19 or spreading it. This is where the importance and usefulness of telehealth and its accompanying mobile applications started becoming apparent (McGonigle & Mastrian, 2017).  According to Seiguer and Miron-Shatz (2022), between February and April 2020 there was an exponential increase in the use of telehealth from a paltry 0.1% to a whopping 43.5% as a result of the impact of Covid-19. There was a corresponding drop in n-person clinic visits by patients. The purpose of this paper is to discuss the dissemination of preventive and promotional health messages by providers using telehealth technology about reproductive health to adolescents and young adults from the ages of 13 years to 25 years.

The Population Demographic of Target, Healthcare Needs, and Access to Healthcare

The population demographic of target in this discussion is that of adolescents and young adults aged 13-25 years old. According to Shannon and Klausner (2018), this is the population demographic most affected by the problem of sexually transmitted infections or STIs. According to the authors, they account for about half of all new STI diagnoses within the United States every year. It is for this reason that they are a prime target for health education and promotion using telehealth technology to realise effective prevention.

The population of adolescents and young adults targeted shows that females are the most affected by STIs. The ethnicity profile indicates that most victims come from minority marginalized communities such as Hispanics and African Americans. The reasons for this are the disproportionate effect of social determinants of health (SDOH) on them compared to others such as the Whites. These SDOH that make them more vulnerable include low socioeconomic status or poverty, low educational achievement, inadequate access to quality healthcare services, and poor living conditions (WHO, 2022). It is clear how these affect them and make them vulnerable.For instance, because of poverty the females in the affected demographic will engage in unsafe sexual practices in order to earn money and provide for their families. Also, low educational achievement makes the majority of them unable to understand how they are putting themselves at risk of STIs by engaging in unsafe sex. The healthcare needs of this demographic are therefore immense since they usually do not have health insurance and also the money to afford primary care. As a result they often do not have a primary health care provider. Affected by all this, the spiritual needs of the teenagers and young adults are high as they need encouragement and motivation to adopt a safe and healthy lifestyle.

Case Study, Telehealth with Mobile Apps, and Alternative Therapies

The case study for the population demographic identified above is for health education and health promotion to lower the incidence of STIs among teenagers and young adults. To achieve this, an organized program of synchronized messaging through text and video will be formed and delivered through mobile applications. The mobile apps will be video apps and telehealth apps such as ‘Doctor on Demand’, Zoom, and Skype amongst others (Seiguer & Miron-Shatz, 2022). The provider level will be that of primary care provider as achievable through the services of a nurse practitioner.

Because almost every teenager and young adult has a smartphone, they will be required to download an app for telehealth such as ‘Doctor on Demand’ and another for video communication such as Zoom. The team of healthcare professionals made up of registered nurses and nurse practitioners will then draft messages aimed at helping the youngsters prevent themselves from contracting STIs. The messages will include what to do to avoid getting infected, the effects of STIs on the lives of the affected, and the complications that come with infection with STIs including infertility. The health messages will include occasional texts as well as interspersed video messages that are interactive and allow the recipients to ask questions and engage the provider.

The alternative therapies that would also be considered in the preventive messages will be exercise and diet. Physical activity and a healthy diet will be encouraged in the messages as they are also important in helping a person remain healthy. Telehealth could impact the care delivery to these young people due to the convenience of not having to go physically to the provider (Fedele at al., 2017; Islam et al., 2018; Kim & Zuckerman, 2019). Because of the shame and fear for confidentiality that also prevails among teenagers and young adults concerning sexuality, telehealth will provide the confidentiality and anonymity they need to open up and ask questions.

Conclusion

Preventive health education and health promotion are important in ensuring that various population demographics remain healthy. One of these population demographics is that made up of adolescents and young adults. A problem that they face that is of concern for public health is that of sexually transmitted infections or STIs. Telehealth as delivered by mobile phone applications presents a promising intervention to deliver preventive messages that could help reduce the incidence of STIs among these young people.

References

Fedele, D.A., Cushing, C.C., Fritz, A., Amaro, C.M., & Ortega, A. (2017). Mobile health interventions for improving health outcomes in youth. JAMA Pediatrics, 171(5), 461. https://doi.org/10.1001/jamapediatrics.2017.0042

Islam, M.M., Poly, T.N., & Li, Y.-C. (2018). Recent advancement of clinical information systems: Opportunities and challenges. Yearbook of Medical Informatics, 27(01), 083–090. https://doi.org/10.1055/s-0038-1667075

Kim, T., & Zuckerman, J.E. (2019). Realizing the potential of telemedicine in global health. Journal of Global Health, 9(2), 1-4. https://doi.org/10.7189/jogh.09.020307 

McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge, 4^th ed. Jones & Bartlett Learning.

Shannon, C.L. & Klausner, J.D. (2018). The growing epidemic of sexually transmitted infections in adolescents: A neglected population. Current Opinion in Pediatrics, 30(1), 137-143. http://dx.doi.org/10.1097/MOP.0000000000000578

Seiguer, S., & Miron-Shatz, T. (January 17, 2022). Using a telemedicine app on android and Apple. https://www.telehealth.com/telemedicine-app-for-android-and-apple/

World Health Organisation [WHO] (2022). Social determinants of health. https://www.who.int/social_determinants/sdh_definition/en/