Analyze new technologies and virtual environments that foster innovative home care technologies to monitor and self-manage co-morbid chronic health conditions.

Self-management of chronic health conditions via healthcare technology has demonstrated to be beneficial to both the patient and the healthcare provider. Hospitalizations are less frequent, quality of life is improved, and patients are empowered to make decisions regarding treatment of their chronic illness (Radhakrishnan, Xie, Berkley, & Kim, 2016).  Management of Chronic Childhood and Adolescent Asthma Essay Example

Today, it is estimated that up to 15-20% of adolescents in the United States have one or more chronic illnesses (Jin, An, & Wang, 2017). Some of the most common chronic illnesses in children are:

Asthma
Assignment Description:

Search for an innovative technological device or program that will assist in the self-management of one of the above mentioned chronic illnesses in children and teenagers. Prepare a document instructing a child (school age or adolescent) and family regarding the features of this technology and its use. Some things to be included in this teaching document are:

How will this technology or device assist with medication management? Give examples.
How will this technology or device assist in early detection of symptom changes? Give examples.
How will this technology or device assist in disease management education?
Will younger clients be able to use this technology independently, or will assistance from parents or guardians be needed?
Will this technology follow the child throughout the teenage years, or will a change be needed as the client ages and develops? Give an example.
When creating this teaching document:

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· Create a document that considers a child’s level of understanding.

· Do not use medical terms a child and the family might not understand.

· Individualize the document to a child’s needs and style of communication.

· Use evidence-based nursing practice to support your teaching.

Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources to make sure you have included everything necessary;
utilize spelling and grammar check to minimize errors;
review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.  Management of Chronic Childhood and Adolescent Asthma Essay Example
Your teaching document should:

Be up to two pages in length;
Use at least two scholarly nursing articles or resources to support your work;
Follow the conventions of Standard American English (correct grammar, punctuation, etc.);
Be well ordered, logical, and unified, as well as original and insightful;
Display superior content, organization, style, and mechanics; and
Use APA 7th edition format for crediting sources.
Jin, M., An, Q., & Wang, L. (2017). Chronic conditions in adolescents (Review), Experimental and Therapeutic Medicine, 14(1), 478-482. DOI: 10.3892/etm.2017.4526

Radhakrishnan, K., Xie, B., Berkley, A., & Kim, M. (2016). Barriers and Facilitators for Sustainability of Tele-Homecare Programs: A Systematic Review. Health Services Research, 51(1), 48-75. doi:10.1111/1475-6773.12327

Application of Mobile Phone Technology (Asthma Management Apps) in the Management of Chronic Childhood and Adolescent Asthma 

There are a number of novel innovative technologies available for use in the management of chronic diseases or conditions. One of these chronic conditions that benefits from these new technologies and technological applications is asthma. Asthma manifests as the narrowing of airways through bronchospasms that make it difficult for the victim to breath. It is usually precipitated by allergens that are more often than not environmental in nature. These cause inflammation of the airways, bronchospasms, increased mucus secretion, and impaired mucociliary clearance (Suau & DeBlieux, 2016). Lack of proper management of chronic conditions outside the healthcare setup has been resulting in preventable rehospitalizations and avoidable mortality (Radhakrishnan et al., 2015). According to Messinger et al. (2018), patents with pediatric asthma are some of the patient demographics that are prime candidates for the use of technology in the management of the condition. This paper identifies mobile smartphone technology in the form of asthma management apps as the technology of choice for managing pediatric and adolescent asthma (Alquran et al., 2018). The following is a narrative of the document instructing the child or adolescent with chronic asthma as well as their family on the features of this technology.

Teaching Document for Child, Adolescent and Family

1. This technology that operates through a smartphone application will help in the medication management of the child by use of an electronic tag laced on their salbutamol inhaler or any other type of inhaler. The child or an adult just needs to open the app and scan the electronic tag on the inhaler when they are about to take the medication. This way, the provider is informed electronically that there is medication adherence and that symptoms will be controlled.
2. This technology will also assist with the early detection of symptoms. This will be achieved by having the child or adolescent take the electronic asthma control test or ACT laced in the application found in the smartphone. The patient will be prompted by a reminder installed in the app to take the AC at the time that the provider wants. The results of this test are relayed electronically to the clinician immediately after the test is completed. The test shows the symptoms status of the patient and the results allow the clinician to plan for the immediate management of the exacerbation of symptoms based the test scores.

The technology will also help in the early detection of symptom changes because it has in-built interactivity that will facilitate communication between the patient and the clinician or provider. When the patient feels that they are about to have an exacerbation, therefore, they can directly engage the clinician who will then advise in real time the next course of action. The patient can text, video chat, or send a voice message directly to the provider. Using the video chat capability in particular, the clinician can get valuable objective information by observing the patient remotely through this video. This increases the speed of interventions (clinical decisions) since the patient does not have to take time travelling to the location where the provider is for medical attention. Interventions are therefore quicker, timely, patent-centered, and effective. There is also the element of cost-effectiveness as there is no money spent on transportation of the patient from the hoe environment to the hospital.    Management of Chronic Childhood and Adolescent Asthma Essay Example

3. This technology will assist n disease management education in a number of ways. First, the provider will be able to dispatch personalized messages to the client based on the severity of their condition and the effectiveness of the management of their condition. These messages can be in the form of short text or short videos. Apart from these, the provider can also upload to the app educational materials about chronic asthma and its management. These will be chosen based on the child’s level of development and learning. This way, educational messages will not be time-barred or constrained to the healthcare setting. The child and adolescent will have access to health education about their condition at all times. Last but not least, there is functionality in the app that also allows the patient to ask the provider pressing questions that they may have about their condition.
4. Younger patients will be able to use this technology with the assistance of parents and guardians. This is because the applications use Internet connectivity and may thus require adult monitoring to prevent access by the minor to undesirable content.
5. This technology will follow the child throughout their childhood and teenage years without requiring to be replaced. The reason for this is based on the fact of the technology being a mobile application. Just like all other applications, this Asthma Management Application (AMA) will be updated periodically through the application store from where it was purchased. Updating it will ensure that it incorporates new developments and features constantly. The applications can be purchased and downloaded onto the smartphone from either the Google Apps store or the Apple sore.

References

Alquran, A., Lambert, K.A., Farouque, A., Holland, A., Davies, J., Lampugnani, E.R., & Erbas, B. (2018). Smartphone applications for encouraging asthma self-management in adolescents: A systematic review. International Journal of Environmental Research and Public Health, 15(11), 2403. https://doi.org/10.3390/ijerph15112403

Messinger, A.I., Deterding, R.R., & Szefler, S.J. (2018). Bringing technology to day-to-day asthma management. American Journal of Respiratory and Critical Care Medicine, 198(3), 291-292. https://doi.org/10.1164/rccm.201805-0845ED 

Radhakrishnan, K., Xie, B., Berkley, A., & Kim, M. (2015). Barriers and facilitators for sustainability of tele-homecare programs: A systematic review. Health Services Research, 51(1), 48–75. https://doi.org/10.1111/1475-6773.12327

Suau, S.J. & DeBlieux, P.M.C. (2016). Management of acute exacerbation of asthma and chronic obstructive pulmonary disease in the emergency department. Emergency Medicine Clinics of North America, 34(1), 15–37. https://doi.org/10.1016/j.emc.2015.08.002

Management of Chronic Childhood and Adolescent Asthma Essay Example