What I find innovative about this site are all the ways you can limit or open your searches. You can search by year, multiple years, county, state, etc

What I find innovative about this site are all the ways you can limit or open your searches. You can search by year, multiple years, county, state, etc

Reply with ½ page to each post , 1 apa per source

 

 

Post 1

I choose the number of heat wave days for Polk County, Florida. I limited my search to 2011 the last available year these days were available. I choose this resource because my best friend who has worked outdoors his whole life has multiple areas of skin cancer being treated and has had at least two periods of missed work due to his “falling out” and becoming ill from the heat. I had two limiters which were the maximum heat wave days based on daily maximum temperature (85) and days with a daily maximum heat index (23).

Ways in which I might use this information is to inform patients of ways they can protect themselves from extremes in heat and sun. As those of us in Florida now hospital admissions rise during the summer and not all of this is attributed to the snowbirds from up north. We have all had the patients who have been admitted due to heat-related distress whether it be the beach, boating, or simple yard work. I myself have been a lifelong Floridan plan my own yard work in either early mornings or take frequent breaks, hydrate, wear sunscreen, and a hat. I also like to golf and camp two outdoor activities where heat stroke, heat exhaustion, and skin cancer are prevalent. I like to find out my patients’ lifestyles and if it includes any outdoor activities, I like to remind them of these basic tenants of self-care. Everyone says they take precautions, but I rarely see anyone take precautions outdoors. Especially children too often if mom is not around there is also no sunscreen or protective clothing.

This information though older would be helpful in a telehealth situation as you can remind your patients that we typically have almost 3 months of days classified as heatwave days because of maximum temperatures and over 20 based on a maximum heat index. This information is useful for both short time residents and long-term residents. I myself now the difference humidity can make I have spent time in 90+ weather and not broken a sweat, while 80 degrees and >80% humidity can make you feel like you are dying. It is still important to take precautions on the low humidity days.

What I find innovative about this site are all the ways you can limit or open your searches. You can search by year, multiple years, county, state, etc. You can also name and export your searches if you want to save your research.

National Climate Assessment – Extreme Heat Events: Heat Wave Days in May – September for years 1981-2010 on CDC WONDER Online Database, released 2015. Accessed at http://wonder.cdc.gov/NCA-heatwavedays-historic.html on Jun 18, 2019, 11:54:19 AM

Post 2

 

Hi Professor ,

Our home care agency used a telehealth system years ago and it was a mixed bag of good and bad. I found a study about a collaborative year-long home care study in PA that reduced 30-day readmission rates from 19.3% to 5.2% (Oxford,  2016). Those results are almost intoxicating because that is exactly what everyone in the Medicare world is trying to do right now. Our team is no different which is why we have a full court press trying to reduce our hospital admission rates with the development of a comprehensive CHF cardiac program that collaborates with the 4 hospitals in our IDN.

We discovered there were some challenges with Telehealth. The age group of clients who most benefit from this service are not usually technically savvy and the technical nature of telehealth presented a barrier. Use of this system was not a complete assessment since a nurse isn’t putting ‘eyes on’ a client or listening to lungs sounds – we were working off information the patient was feeding us.  At times the reliability of the data was in question since nothing was done hands-on.  Another problem we dealt with was the telehealth systems did not share their information easily with patients primary care physicians so a physician did not have the full scope of his patients status without jumping through a lot of hoops.

While the telehealth program we used identified the patients at risk, our fail point was in the operationalizing of the program. We thought we were prepared but did not have enough manpower or the right framework in place to monitor the results, contact the physicians and get timely responses from the physician’s office. In the future, we hope to incorporate a successful telehealth program into our CHF program, but it will be with a better understanding of the amount of follow-through needed to make this program benefit our patients and our staff.

Jean

References:

Oxford Academic. (2016, November 01). USING TELEHEALTH TO REDUCE ALL-CAUSE 30-DAY HOSPITAL READMISSIONS AMONG HEART FAILURE PATIENTS. Retrieved June 19, 2019, from https://academic.oup.com/gerontologist/article/56/Suppl_3/209/2577661