Questions relating to case study I did
Questions relating to case study I did
Complete the following steps:
Read the case study.
Analyse existing pain points for the patient and the need for the virtual care model.
Identify the different perspectives (clinical, psychological, etc.) in the design considerations of the virtual care model.
Identify the limitations and restrictions of the virtual care model.
Review the frameworks introduced in Weeks 34 of the subject and identify a framework suited to evaluate the care model in the case study (THE FRAMEWORKS ARE ON THE SECOND PAGE AND THIRD PAGE PLS LOOK AT THEM DEEPLY)
THIS IS ONE THE QUESTIONS (QUESTION NUMBER) 5 I GOT FEEBBACK IN, SAYS THAT I DIDNT DISCUSS THE FRAMEWORK FOR EVALUATING IT
(talk about MODEL OF ASSESSMENT OF TELEMEDICINE)
EXAMPLE OF HOW TO EDIT AND WRITE THE Framework and evaluation bit (TALK ABOUT MAST) in the paragraphThe most suitable framework to use to evaluate Digital Health to extend Victorias first specialised ambulatory pleural service (SAPS) would be the Model for Assessment of Telemedicine (MAST). This is because the study is focused on evaluating a telemedicine solution that involves video calls, symptom monitoring and teleultrasound of the chest as a means of managing malignant pleural effusion (MPE) in the community. The MAST framework provides a comprehensive approach to evaluating telemedicine solutions that include eight domains: clinical, technology, user, organisation, economic, societal, ethical and legal. These domains cover all aspects of telemedicine implementation and evaluation, making it an appropriate framework for assessing the feasibility and potential effectiveness of the SAPS model of care.
In conclusion, the extension of Victoria's first specialised ambulatory pleural service (SAPS) using digital health solutions has the potential to improve the management of Malignant Pleural Effusion (MPE) in the community. The use of telehealth, real-time remote pleural ultrasound and symptom monitoring can offer an innovative, flexible and responsive model of care that supports patients with MPE and avoids costly, prolonged or unplanned hospital admissions. The virtual care model design includes considerations from multiple perspectives, including clinical, psychological, technological, financial, patient-centred and public health. However, there are potential limitations and restrictions that need to be addressed, including technical issues, limited physical assessment, reimbursement models, and legal and ethical concerns. The Model for Assessment of Telemedicine (MAST) is the most suitable framework to evaluate the feasibility and potential effectiveness of the SAPS model of care, providing a comprehensive approach to telemedicine implementation and evaluation. Ultimately, the use of digital health solutions to extend SAPS can improve the quality of life for patients with MPE and reduce the fragmentation in MPE care models across health services, translating research into clinical practice and improving outcomes for individuals with MPE.
(DO NOT COPY THIS PIECE.. THIS IS SOMEONE ELSES)
Add references too
Harvard referencing
This essay was completed by me,
I got feedback:
Read feedback pls:
i, your report is well structure, and the analysis is detailed but there are some elements missing to make it complete. The condition is well described including the patients experience, that is, the symptoms they experience. Existing pain points are discussed. You mention that the surgical method is the only management mode currently available. However, there are other management modes including the indwelling pleural catheter (IPC) mentioned in the proposal. The surgical method is more preferred by clinicians but has more adverse effects. The proposed model incorporates virtual care tools with IPC in management of malignant pleural effusion. You, however, clearly discussed the need for this virtual care model.You analysed different perspective including technological, clinical and financial. Try to be more systematic to ensure more perspectives are covered including psychological, regulatory etc. This will also help the reader to follow your thought process. This could be done by sign-posting a perspective being analysed, for example by using bullet points.You analysed limitations and restrictions including lack of technical skills and access to technology. You also point out that not all patients are suitable for the proposed model, which is an important consideration. I would suggest you provide evidence on your claim that patients acceptance of virtual care model may create challenges in scope of people accepting virtual model.In discussing evaluation framework, you discussed the proposed model and did not discuss the framework for evaluating it. I would recommend reviewing week 3 and 4 material for ideas. Take into considerations the projects aim of evaluating health-related quality of life and patient experience.(MAST model) look at the sample paragraph In conclusion, you covered most of requirements by the rubric except for the evaluation framework. Consider more perspective to ensure that the analysis is comprehensive. Finally, research and select a framework that can be used to evaluate the project.
SAMPLE ASSIGNMENT HELP EXPERT:
EDIT THE FRAMEWORKS AND EVALUATION SECTION (TALK ABOUT MAST) (look at the sample paragraph I gave you you)
Look at the feedback and edit my essay based on teachers feedback ^ (each and every bit)
You can cut words, delete words, paragraphs, add words, make sure its 1500 words though and not less like I have done.
ALSO PLS PUT REFERNCES IN ORDER AT THE END
HARVARD REFERENCING
JOB IS TO ADD/CLEAN 600 WORDS (EDIT, CLEAN, ADD, MAST MODEL) MAKE SURE WHOLE ESSAY IS 1500 WORDS THOUGH.
Existing pain points
In the case study, it is shown that malignant pleural effusion is a medical condition that would build up fluid and cancer cells that collects between the chest and lung. This results in breathlessness, pain, and reduced physical activity leading to discomfort. For the management of malignant pleural effusion, the surgical method is the only current management model and also, and it often gets difficult for patients to access medical assistance pots surgical complications. The surgical method is expensive and painful, and the post-surgical complications lead to hospitalization needs again. This invasive procedure has a mortality rate of 3% and the treatment procedure often only reduces the symptoms of malignant pleural effusion. This often calls for an additional surgical procedure in the future making it a more complicated, expensive, and painful procedure for the treatment. The lack of resources and expertise in this field further creates issues and limitations for hospitals to treat the complications post-surgical intervention for malignant pleural effusion. In addition to this, it poses a massive challenge for the patients at the same time to find the relevant clinics and healthcare (especially a challenge during COVID-19) that can ease the problem of the post complications and the ongoing severity of the medical condition. indwelling pleural catheter is a less invasive procedure for treatment that have several advantages over the traditional method (Skok et al 2019). These include lowered complications, shorter hospitalization, low pain scale, and lower mortality rate. However, since the efficacy is still under research and evaluation, the need for the development of this procedure needs adoption and integration into the existing healthcare models in the future. Thus, the pain points for patients need to be reduced along the treatment procedures for this condition (Jones et al 2020).
Need for virtual care modelA virtual care model is needed to integrate innovation into medical science treatment procedures that will aid in responsive treatment with fewer hospital visits and complications. A care model that is virtual in nature like the national health (NH) care model assists patients with telehealth, teleultrasound, and symptom monitoring support. With the virtual model, patients can avail of counselling services and consultation by doctors who could help in reducing the complications with support from family (Li et al 2021). It also avoids patients from traveling to hospitals that could be miles away and, in such circumstances, it would be easier for the patients to seek immediate medical help. This innovative digital health solution would aid in getting immediate Tela-ultrasound which is a technique wherein ultrasound is being done in one location while the images get transferred to another location where the ultrasound setup exists. This would help the doctors with any complications while the patient continues to stay at home and stabilize before the need for hospitalization occurs. Telehealth calling can reduce traveling time and even costs or the need for hospitalization as doctors could prescribe medicines by examining the patient over a video call. This would help in carrying out several clinical diagnoses for malignant pleural effusion (Vrtis, DeCesare, and Day 2021).
Different perspectives
The research on finding the best solution for healthcare is through the incorporation of technology. Considering the advantages of the virtual care model, it saves treatment time, especially from the patient's perspective. However, the access to technology in several regions and the education or awareness level for the use of Tele-calling, teleconsultation, and other features is limited. Additionally, the concern over cyber security in handling patient data and access to technology could be a challenging road towards digitizing the healthcare world. Hence, the dilemma of whether the technology would be a boon or an advantage to the healthcare industry (Hincapie et al 2020). The current proposal for a specialized ambulatory pleural service (SAPS) model of care involves community support (Jones et al 2020). This would incorporate the elements of video calls, symptom monitoring, and teleultrasound of the chest with support from the nursing community. Apart from this, there are instances when these virtual care models would also require additional funding for the educational content to be prepared for patients and their families. As the number of patients is increasing from time to time, it would be important to reduce the traffic in hospitals and avoid overcrowding. This would also overcome nursing fatigue due to the increasing number of patients often helping hospitals better manage conditions that may not require hospitalizations (Vrtis, DeCesare, and Day 2021).
Limitations and restrictions
The need for an IT setup to manage the whole functioning of the entire care model would require additional investment due to additional strategic management for this system. The divide between the traditional and virtual methods of treatment will create a massive divide in the healthcare industry. The challenge also lies in the scope of people accepting the virtual model of care and how much traffic this can generate in terms of revenue. Additionally, from the patient treatment perspective, it would be often challenging for doctors to examine patients only by assessing their physical state (Ferreiro et al 2020). In a hospital setup, the doctor has the scope of running a few tests to finally evaluate the cause or other physiological states. However, at a virtual setup, treatment may be around an assumption-based approach where poor internet connectivity can create distractions in the treatment process (Li et al 2022). Additionally, this also means that doctors would have to risk the safety and treatment procedure without the involvement of adequate nursing care for the patient while still at home. This technology would be challenging when a patient is in severe pain and reaching an unconscious state, the patient may be alone at home or living alone without family support. In such a case, the virtual model would not be able to fulfill or reach out to the patient due to such instances (Raffan et al 2021). Learning to use the various functions of the model would be limited especially among the ones who will not be acquainted with the technology. The risk of device damage is also paramount for the patients. The wrong use of the device could also create misunderstanding and mismanagement of the recorded data which could create trouble for the doctors to correctly assess the medical problem in real-time. The internet connectivity problem could also hamper the use of the features and the challenge of understanding all the features, especially among the group of people who would not be familiar with technology (Skok et al 2019).
Evaluation framework and justification
The framework designed here incorporates functions such as video calls, symptom monitoring, and teleultrasound of the chest. This would be in conjunction with community support and would be known as a specialized ambulatory pleural service (SAPS) model of care. In this model, an MPE patient irrespective of the recurrent or newly diagnosed condition is admitted to the hospital to stabilize the patient. A subsequent surgery follows and to avoid the pain of traveling back to the hospital, the patient can utilize the virtual care model set up for consecutive follow-ups. They can avail of the monitoring system which is a small ultrasound device, and the main computer system would be in the hospital. However, a major challenge would be around the efficient use of the ultrasound device by the patient or their family members to aid in the diagnostic process. This would lead to additional training for them and hence, it is a task prior to discharge within the proposed virtual care model. Alternatively, the process could continue for an entire month of observation for the patient but the risks of damage to the instrument could be very high. The families could misuse the device or taking care of the device provided by the hospital is also a challenging behavioral issue. Nevertheless, this virtual mode of diagnosis and follow-up by the patient post-MPE surgery helps in quick intervening and treating any complications that may arise for the patient while at home. This also increases the scope of handling the entire patient data which would be electronically sent using different forms of media such as emails, or an instant messaging app (Vrtis, DeCesare and Day 2021).
References
Ferreiro, L., Surez-Antelo, J., Alvarez-Dobao, J. M., Toubes, M. E., Riveiro, V., & Valds, L. 2020, Malignant pleural effusion: diagnosis and management, Canadian Respiratory Journal, 2020, https://downloads.hindawi.com/journals/crj/2020/2950751.pdfJones, M. S., Goley, A. L., Alexander, B. E., Keller, S. B., Caldwell, M. M., & Buse, J. B. 2020, Inpatient transition to virtual care during COVID-19 pandemic, Diabetes technology & therapeutics, 22(6), pp 444-448, https://www.liebertpub.com/doi/abs/10.1089/dia.2020.0206Li, C., Borycki, E. M., & Kushniruk, A. W. 2021, Connecting the world of healthcare virtually: a scoping review on virtual care delivery, In Healthcare (Vol. 9, No. 10, p. 1325), MDPI, https://www.mdpi.com/1299978Hincapie M A, Gallego J. C, Gempler A, Pineros J A, Nasner D, and Escobar M F 2020, Implementation and usefulness of telemedicine during the COVID-19 pandemic: A scoping review, J prim care community health, doi: 10.1177/2150132720980612
Raffan, F., Anderson, T., Sinclair, T., Shaw, M., Amanatidis, S., Thapa, R., ... & Haigh, F. 2021, The virtual care experience of patients diagnosed with COVID-19, Journal of Patient Experience, 8, 23743735211008310, https://journals.sagepub.com/doi/pdf/10.1177/23743735211008310
Skok, K., Hladnik, G., Grm, A., & Crnjac, A. 2019, Malignant pleural effusion and its current management: a review, Medicina, 55(8), 490. https://www.mdpi.com/516088Vrtis, M. C., DeCesare, E., & Day, R. S. 2021, Indwelling pleural catheters for malignant pleural effusion: A time for action, Home Healthcare Now, 39(6), pp 302. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575118/Bashour, S.I., Mankidy, B.J. and Lazarus, D.R., 2022, Update on the diagnosis and management of malignant pleural effusions,Respiratory Medicine, p.106802. https://www.sciencedirect.com/science/article/pii/S0954611122000671
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