Tag Archives: patienteducation

Telehealth Nursing: Supporting Patients from Home

Our technology has advanced over the years, allowing nurses to manage patient care not only in hospitals but also via telephone and home visits. With the global pandemic, telehealth nursing has become more important than ever.

As an independent nurse consultant, I provide essential medical information to patients and their family caregivers via telephone and telehealth. This requires strong communication skills and the ability to identify concerning signs even from a distance. Telehealth has grown significantly in recent years. According to the American Academy of Ambulatory Care Nursing (AACN), telehealth practice began when RNs were available by phone to ensure patients had access to healthcare, triaging them to the appropriate level of care.

Many people ask what I do for work. I educate and assess my patients about medications, symptoms, and chronic conditions. I ensure they follow up with their primary care doctors or specialists and develop care plans tailored to their needs. I also work with injured workers, navigating treatment and coordinating light-duty work with their employers.

Telehealth nurses allow doctors to monitor patients who cannot visit the office frequently. This team-based approach promotes autonomy, engagement, and active participation in one’s healthcare. Telehealth is especially beneficial pre- and post-surgery, providing guidance, reassurance, and follow-up care for patients during these stressful times.

During emergencies like Hurricane Dorian, preparation is key. I assess patients’ needs for special-needs shelters, create disaster plans, and ensure each patient is safe during and after the event. Telehealth and home visits help maintain continuity of care even in difficult circumstances.

Most of my patients receive both in-person and telehealth visits to keep communication lines open. While COVID-19 has extended my workdays to 16+ hours, 6 days a week, I am grateful to continue providing essential care safely.

Recently, someone left a sign at my door that read: “Praying for healthcare heroes and first responders.” I am honored to be part of the profession supporting patients at home during this pandemic. Every telehealth visit includes COVID-19 guidance, and my patients know they can reach me with any questions.

Today, find a healthcare worker and show your appreciation with a kind word. We are working tirelessly for the health of our country.

(P.S. Pardon the garden—we planned to plant flowers, but COVID-19 has kept us too busy!)

 

 

 

 

 

From NICU to Home: Supporting Parents of Premature Babies Through the Transition

Going home from the NICU can be one of the most stressful moments for parents of premature babies, especially without proper guidance. Families often face the challenge of caring for a baby who requires more attention than a full-term infant, and without a structured transition program, the stress can quickly become overwhelming.

The implications of current discharge practices are significant. Parents of premature babies may experience depression and anxiety due to the high level of responsibility and uncertainty. While in the NICU, families endure the emotional roller coaster of whether their baby will survive. Once the infant reaches a stable point, planning for home care begins. If the baby requires tube feedings, oxygen, a tracheostomy, or monitoring devices, major family adjustments are necessary. One parent may leave work to provide care, and missed home health visits can create unsafe situations, placing the primary caregiver under intense stress and extended hours of vigilance.

A multidisciplinary team—including nurses, doctors, occupational therapists, child life specialists, and nurse educators or consultants—should support families during this transition. The bedside nurse is particularly critical, as they develop the closest relationship with the family and understand the baby’s daily needs.

Parents benefit from clear, step-by-step instructions, demonstrations, and written reference materials that they can consult at home (Ronan et al., 2015). Current educational resources often use full-term infants, which does not realistically reflect the challenges of premature babies with medical complexities. Future research should include infants of varying gestational ages and medical conditions to better guide transition programs.

By implementing structured transition programs, NICUs can help reduce parental stress, promote family safety, and improve long-term outcomes for premature infants.

Reference:
Ronan, S., Liberatos, P., Weingarten, S., Wells, P., Garry, J., O’Brien, K., & Nevid, T. (2015, March/April). Neonatal Network, 34(2), 102. http://dx.doi.org/10.1891/0730-0832.34.2.102