TELEMEDICINE

R. BHAKIALAKSHMI,
M. SC. NURSING,
1ST YEAR,
PSG COLLEGE OF NURSING
 TELEHEALTH

Telehealth is an important component in the delivery of health services. The use of

communication and information technology to deliver health and health care services and
information over large and small distance
It may include the following:
 Consultation
 Assessment
 Diagnosis
 Treatment
 Transfer of information
 Client education and professional development
 TELEHEALTH

Telehealth technologies range from simple- telephone, email to complex-

live, two-way video conference, remote control surgical instrumentation.

Nurses in all practise settings can use telehealth to deliver care, provide
education monitor client progress, assess client records, obtain information
and foster communication and collaboration among themselves, their
colleagues and their clients.
 TELEMEDICINE

Telemedicine is the delivery of health care services, where distance is a critical

factors by healthcare professionals using information and communication
technologies for the exchange of valid information for diagnosis, treatment and
prevention of disease and injuries and for continuing the education of health care
providers as well as research and evaluation, all in the interest of advancing the
health of individuals and their communities.
TELEMEDICINE

Telemedicine offers solutions for emergency

medical assistance, long-distance consultation,
administration and logistics, supervision and quality
assurance, education and training for healthcare
professionals and providers.
 TELEMEDICINE

Telemedicine is not new and has been practised since antiquity, using
primitive communicative technologies. Simple devices such as bells,
flags and signs were used for this purpose in the past. Ships carrying the
plague flew yellow flags to indicate their ship was in quarantine and to
keep other ships away.
 TYPES OF TELEMEDICINE

 STORE AND FORWARD TELEMEDICINE:

It involves acquiring medical data and then transmitting this data to a doctor or
medical specialist at a convenient time for assessment offline. Eg. Dermatology tele
dermatology, tele pathology, tele radiology.
 TYPES OF TELEMEDICINE

 REMOTE MONITORING:
Remote monitoring, also known as self-monitoring or testing, which enables
medical professionals to monitor a patient remotely using various technological
devices.
 TYPES OF TELEMEDICINE

 INTERACTIVE TELEMEDICINE:

Interactive telemedicine services provide real-time interactions between patient

and provider, to include phone conversations, online communication and home
visits.
 TELEMEDICINE IN INTERNATIONAL SCENARIO

A number of telemedicine projects are being undertaken by NASA, the US

universities, Australia, Europe, International Space University Strasbourg, France
and various other organizations and countries.
The internet, email, websites, chatlines, multimedia presentations and occasional
opportunities for synchronous communication via Internet phones and video
conferencing provide an opportunity for medical education and medical care.
 TELEMEDICINE IN INDIAN SCENARIO

 Apollo Hospital group has set up a 50-bed telemedicine center at Aragonda

village (Andhra Pradesh, South Indian). These centres are equipped with facilities
like CT scan, X-ray, ECG integrated laboratory are linked to Apollo’s specialized
hospitals at Hyderabad.
 It has a web portal.
 Escorts Heart Institute and Research Center, Delhi utilises telemedicine in
establishing prompt contact with patient in distress. Its subscribers can record
their ECG report at the time of discomfort through the cardiac beeper provided
and transmit them through a telephone to the “heart alert center”.
 TELEMEDICINE IN INDIAN SCENARIO

 Telemedicine project by Bharat Electronics Limited links a General Hospital in

Chennai with a government rural hospital in Wallajah about 100km away.
 PRACTICE OF TELEMEDICINE

 TELECARDIOLOGY
 TRANS TELEPHONIC ELECTROCARIOGRAPHIC MONITORING
 TELE ECHOCARDIOGRAPHY
 TELEPATHOLOGY
 TELERADIOLOGY
 TELEPSYCHIATRY
 TELE NEUROLOGY
 TELEDERMATOLOGY
 TELEMEDICINE AND ARMY
 RURAL TELEMEDICINE
 BENEFITS OF TELEMEDICINE

 BENEFITS TO PATIENTS:

Benefits to patients include faster diagnosis and treatment;

reduction of additional examination; seamless care; avoidance of the
inconvenience of traveling to another hospital or physician; easier
scientific and statistical analysis; better management of the
population’s health by government .
 BENEFITS OF TELEMEDICINE

 BENEFITS TO CLINICIANS:
These include new opportunities to consult experts, broader base for decision
making, avoidance of the inconvenience of travelling, improved image quality and
the opportunity to manipulate images.
 BENEFITS TO HOSPITAL:
It include reduced risk of images getting lost, faster and more precise
diagnosis and treatment, better communication between transport sites, transport
savings, more efficient use of equipment.
 BENEFITS OF TELEMEDICINE

 Reduce travel cost of specialists

 Reduce the travel cost of patients
 Saves hospital accommodation of patient who can be treated remotely
 Offers opportunity for second opinion
 Reduces waiting time
 Improved overall healthcare management
 Increased collegial support to medical personnel working in rural areas
 Improved teaching and learning possibilities and opportunities
 CHALLENGES FACED BY THE PRACTISE
OF TELEMEDICINE

 Infrastructure
 Quality of transmission
 Hardware and software compatibility
 Costs
 Dispersion of liability
 Privacy and confidentiality
 Acceptance
 Reimbursement
 TELENURSING

 Telenursing refers to the use of telecommunications and IT for providing nursing services in
health care whenever a large physical distance exists between patient and nurse, or between
any number of nurses
 Tele nursing refers to the use of tele communication technology in nursing to enhance patient
care.
OBJECTIVES;
 To deliver care and expertise
 For curative, preventive and rehabilitation
 For training and information
 TELE NURSING

It enables the nurse to,

 Actually view the healing wounds
 Access physiological monitoring equipment to measure physical indicators such
as vital signs
 Provide routine assessment and follow-up care without the client having to travel
to the healthcare agency for an appointment
 New technologies have added a visual component to the interaction that
augments the historic audio exchange.