Patient Mobility Issues: A Case Study

Improved Essays
Problem Statement

The negative impact to a patient with mobility issues as it relates to access to care is a significant problem for health maintenance. The elderly are generally considered over the age of 65, and in 2006 made up 12.4% of the United States population (Horton, & Johnson, 2010). According to Horton, and Johnson (2010), by 2030 they will make up at least 20% of the population. In addition, the elderly on average deal with at least one chronic medical condition.
On the other hand, increasing numbers of elderly want to remain independent. Yet, by the year 2000 over four million elderly individuals will live below the poverty line, according to the United States Census (Rittner, & Kirk, 1995). Access to care for many elderly individuals who lack resources to gain care is difficult. In their self-sufficiency the elderly often does not want to impose upon family to get to and from medical
…show more content…
The authors conducted a telemedicine trial at a senior living community (SLC) in Rochester, New York. The purpose of the trial was to deliver acute care to patients requiring evaluation prior to their next regular doctor visit, but did require in an Emergency Department (ED). Three hundred eighty-eight residents participated in the trial, with a median age of 85 years old. The results of this trial showed that the residents of the SLC benefited from the telemedicine project. Over a two-year period, 281 out of 301 telemedicine visits occurred (Shah et al., 2013). Further, if telemedicine were not available, 48.1% of the participants would have gone to an ED, 27% to urgent care, and 24.4% would have scheduled an outpatient visit. This program demonstrates that telemedicine is a viable alternative to connect patients to primary care, and other services that they need. Besides, these patients were able to maintain independence, did not have to navigate public transportation, and resolved a medical issue before it became a true

Related Documents

  • Improved Essays

    According to Hebda (2013), “is the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients” (p. 505). This type of technology could truly benefit those that are healthcare professionals take better care of their clients. Especially, those that lack access to the care they need for those in rural or disadvantage groups, maldistribution of specialist services, and to those that need a straight-forward method of delivering care to homes in the aging population with chronic diseases (Wade, 2014, p. 1). Telehealth delivers its tools in a unique way that we basically know how to do it already with the technology we use from…

    • 536 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Hilda is an 85-year-old Hispanic senior citizen who suffers from arthritis, high blood pressure and diabetes type 1. When Hilda was younger, she enjoyed cooking, cleaning and working. As of now, Hilda is no longer able to do all these things because her advanced arthritis prevents her from going outside. Many senior citizens like Hilda are homebound, incapable of cooking or taking proper personal care. Homebound elders feel helpless because they are isolated from society and depend on home-based care programs.…

    • 1823 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    The weakness of the article is that data taken are not a random sample of the country, which puts a restrain on the generalization of the results. Also, there is a lack of discrepancy in respondent age, as over 98% of the Wisconsin Longitudinal Study (WLS) were born between 1938 and 1940. The strength of the article is the authors promoting the essential piece of optimal patient-centered care for older adults, and the inclusion of gender, cognitive ability, multiple personality traits, rural or farm origins, education, and wealth as an integral part of personal and health care decision…

    • 99 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Telehealth Case Study

    • 220 Words
    • 1 Pages

    Therefore, the health care providers is looking to innovative technologies to facilitate access to healthcare for these patients. Telehealth is the use of telecommunication…

    • 220 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Thank you for the opportunity to discuss the benefits of S. 1016, the CONNECT for Health Act of 2017 (CONNECT), and virtual care/telemedicine in general. We greatly appreciate Senator Wicker’s support for this important piece of legislation. Virtual care technologies that encompass digital, as well as broadband, tools are quickly becoming recognized as a necessary component in providing more efficient, more convenient, quality healthcare at a time of increasing healthcare resource constraints. Inconsistencies, however, in nomenclature, reimbursement, and geographic restrictions, still create barriers to the full utilization and potential of virtual care.…

    • 306 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Telehealth Essay

    • 540 Words
    • 3 Pages

    Telehealth Telehealth is a collection of means or methods to enhance all aspects of healthcare through support using telecommunications technologies. Telehealth uses electronic information to support and promote long-distance clinical health care, patient and professional videoconferencing, the internet, store-and-forward imaging, streaming media, and wireless communications. The use of telehealth brings with it some benefits such as provider flexibility, patient satisfaction, and staff efficiency. Although, with beneficial products also follows a few challenges. Some examples of these challenges would be the difference between your selling price and your cost, utilization and misdiagnosis.…

    • 540 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Schooley et al.’s (2010) states that The survey and focus group findings suggest that many individuals favor telephone services over Internet-enabled services (56.5 percent vs. 13.2 percent). This may be explained due to age-related issues, as stated above, or because the telephone provides more suitable services for some health issues (e.g., telephone triage, communication with individuals with certain disabilities). Utilizing the benefits of telephone-based healthcare with the benefits of electronic services (e.g., telephone triage operators accessing patients’ electronic health record or personal health record) may offer not only a short-term solution until high-speed Internet access becomes more prevalent but also long-term solutions for certain individuals (e.g., those who cannot travel or are less likely to travel for healthcare services) or for those in need of specialty services (e.g., physician…

    • 7543 Words
    • 31 Pages
    Great Essays
  • Great Essays

    By increasing access to telemedicine, this will increase access to this underserved population. Telemedicine is the use of computer and telecommunications to examine, diagnose, treat, and educate patients from a distance. Patients within the program would travel to the local rural hospital or clinic for a specialist appointment, scheduled by the patient’s primary care provider within the Indian Health Service. A provider from the Indian Health Service and the specialist physicians can work together to develop the appropriate treatment plan for the patient, utilizing the telemedicine system at a local hospital or health office. Labs, x-rays, and other services can be provided by the local hospital with results being sent to the specialist and the patient’s primary care provider through the Indian Health Service.…

    • 1551 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Telemedicine and E-health technology have made it possible for patients in urban and rural communities to gain access to critical health services. Telemedicine includes remote diagnosis of patients through telecommunications technology. Telemedicine involves a variety of medical activities such as teleconsulting and virtual collaboration with multiple physicians, tele-home care, remote diagnosis, and remote surgery (Hansen 2006). The benefits of telemedicine are improved access, cost efficiency, and patient demand. Telemedicine improves access to care providing access to care through channel other than physical presence.…

    • 1073 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Adult Vulnerability

    • 392 Words
    • 2 Pages

    Throughout this discussion board I will discuss the summary from articles pertaining to the vulnerability of the older adult, what puts older adults at risk and what can be done to eliminate their risk. I do agree that the elderly throughout the world are extremely vulnerable. The changes in exposure to the climate influences the older adult’s health during extreme temperatures making them vulnerable to their environment. Decreased mobility, financial hardships, numerous illnesses and diseases which require multiple doctor visits, as well as mental impairments place the elderly at higher risk for illness and injury. According to an article by Gamble, (2013) key factors that influence their vulnerability are socio-demographic factors such…

    • 392 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    It also has many benefits such as being able to potentially save $5 billion from video office visits compare to face-to-face visits. However, there are ways in which telehealth can negatively impact the role of physicians, nurses, and other healthcare staff (Kvedar, 2014). Many of the issues concerning the use of telehealth is overprescribing patients who are seen via e-visits vs. in-person office visits. Other issues concerning telehealth services is the lack of access to a patient’s medical record, inability to document e-visits, no follow up care, HIPAA, as well as the quality of care the patient is receiving. (Quashie, 2014).…

    • 1036 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Advantages Of Telenursing

    • 813 Words
    • 4 Pages

    Telehealth nursing includes other health care professionals such as radiologist, pharmacist, and psychology. Advantages that patients may be faced with is that it will be more convenient through video, web chat, or phone. Workers are allowed to follow up on a prescription with a physician they have been working with for many years. Cost efficiency medical doctors are changing less for a telemedicine consultation than they would for an in person visit. Payers experience reduced cost when specialist are used more often to address patient conditions meaning that if the patient has direct contact with the right specialist this can eliminate increasing amount of admissions, transfers, and readmissions, and length of stays at…

    • 813 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    When they are in these situations, getting the proper medical care and pharmaceutical drugs that they need would be a challenge. This goes double for elders of color who may not have worked at very high paying jobs, so their social security income may not provide enough to ensure adequate housing, which could result in them living in permanent isolation and…

    • 673 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Health Policy Problem: The proportion of adults who are 65 years or older is growing dramatically in the United States of America. By 2030, it is expected that older population will represent almost 20% of the total population in the U.S. (Ortman, Velkoff, & Hogan, 2014). There is an increasing preference among the older adults for aging in place versus living in a nursing home or move in with a family member (Lamm, 2015). Farber, Shinkle, Lynott, Fox-Grage, and Harrell (2011) reported that almost 90% of older adults aged 65 year or above wants to age in place because they want to grow old and continue to live in their own homes and communities.…

    • 676 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The elderly person not only has the right to be treated with respect and dignity but also the right to be free of interference, pressure, discrimination, and punishment in exercising these civil rights. Marital status, sex, age, national origin, religion, race, disability or source of payment will not be an impediment to accomplish the rights of the elderly. An elderly individual may also refuse medical treatment if he or she understands the consequences of refusing treatment. The client must be alert and oriented in order to refused.…

    • 817 Words
    • 4 Pages
    Improved Essays