The Impact of Telehealth among Diabetes Type 2 Patients in the Home Health Setting

The Impact of Telehealth among Diabetes Type 2 Patients in the Home Health Setting. (The PICOT is: For adult home health patients diagnosed with type 2 diabetes, does the implementation of telehealth monitoring following the ADA Standards of Care, compared with usual practice, impact patient-reported estimated average glucose, in 10 weeks?). I ALREADY STARTED WORKING ON THIS DNP PROJECT/PROPOSAL AND MY PICOT IS ALREADY ESTABLISHED. THE EVIDENCE SYNTHESIS SECTION IS A LITTLE CHALLENGING, THE DRAFT FOR THE SYNTHESIS IS BELOW BUT THE PROFESSOR WANT A DETAILED SYNTHESIS. THE MINIMUM OF 10 ARTICLES ARE NEEDED FOR THIS SECTION AND I ALREADY SEARCHED FOR THESE ARTICLES, PLEASE REVIEW ACCORDINGLY. I WILL UPLOAD THE SAMPLE OF THE SYNTHESIS PER THE PROFESSOR, THE LITERATURE SYNTHESIS TABLE (not completed yet), AND REFERENCES WITH THIS ORDER. PLEASE CONTACT ME VIA EMAIL IF NEEDED. ([email protected]). MANY THANKS!!! The PICOT is: For adult home health patients diagnosed with type 2 diabetes, does the implementation of telehealth monitoring following the ADA Standards of Care, compared with usual practice, impact patient-reported estimated average glucose in 10 weeks?The Impact of Telehealth among Diabetes Type 2 Patients in the Home Health Setting.  Telehealth has been proven to facilitate structured and educational sessions among patients and health caregivers.

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  Tele-coaching provided via telehealth devices is an effective tool and is instrumental in decreasing HbA1c levels among participants. Several telehealth mediums allow clinicians to motivate patients and enable patients to access structured and routine diabetes health education sessions. Patients could communicate with health care providers when the need arises (Alharbi et al., 2016; de Vasconcelos et al., 2018; Heitkemper et al. 2017; Lee et al., 2018). The telehealth implementation facilitates human interaction with the aid of personalized video sessions with an educator. Telehealth is a measure that fosters close patient monitoring, patient-centered approaches, and promote patient teaching on effective self-management measures among this patient population (Heitkemper et al. 2017; Wild et al., 2016). Additionally, studies report that telehealth aids proactive measures centered around patient engagement activities and diabetes self-management education, leading to better patient outcomes. The utilization of personal tracking and reviewing personal monitoring of daily blood glucose and keeping food diary values also promotes positive results (Heitkemper et al. 2017). The benefit of close patient monitoring and effective self-management measures among affected individuals, prevent potential diabetes-related complications (Fountoulakis et al., 2015; McGloin et al., 2020). The telehealth intervention aids automatic transmission of self-monitored blood glucose data as the health care members are directly and automatically able to receive data via provider portal (Alharbi et al., 2016; Lee et al., 2018; Wild et al., 2016). Automatic transmission prompts collaborative care, feedback, and ensures that needed intervention is provided to patients. The Impact of Telehealth among Diabetes Type 2 Patients in the Home Health Setting. After obtaining, observing, and analyzing patient data, the healthcare staff collaborated as a team in the decision-making process and offered appropriate interventions for abnormal blood glucose levels (Fountoulakis et al., 2015; Greenwood et al., 2015; Wang et al., 2019). Telehealth allows users to set alerts for blood glucose levels higher than 300mg/dl and lower than 70mg/dl. It aids patient data storage, effective documentation, enhancing care collaboration among patients, and the health care team (Fountoulakis et al., 2015). The telehealth intervention reflects the empowering effect among patients, and it has the propensity for safer and more effective care among patients on insulin administration. Over-the-phone follow-up via weekly phone calls to patients facilitates care collaboration as providers were able to promptly discuss improvement and glucose values with the patients (de Vasconcelos, 2018; Fountoulakis et al. 2015; Lee et al., 2018; McGloin et al., 2020). Additionally, the intervention provided via telephone effectively controls metabolic variables and is also cost-effective by reducing outpatient visits, hospital admissions, and laboratory test expenses for monitoring the disease (de Vasconcelos, 2018). The relationship of these evidence-based findings is that to improve patients’ glycemic control effectively, there must be the synergistic effort of telehealth remote glucose monitoring and diabetes education provided by the multi-disciplinary team (Odom et al., 2019; McGloin et al., 2020). Telehealth is an effective measure to improve patients average blood glucose level (Alharbi et al., 2016; de Vasconcelos et al., 2018; Fountoulakis et al. 2015; Greenwood et al., 2015; Heitkemper et al. 2017; Lee et al., 2018; McGloin et al., 2020; Odom et al., 2019; Wang et al., 2019; Wild et al., 2016). The Impact of Telehealth among Diabetes Type 2 Patients in the Home Health Setting.