clinic attendance

Nur6051n Module1(week1-2) Informatics

22 hours ago

Respond 1 to Heidi in about half a page , cite 2 reference s.

RE: Discussion – Week 1

COLLAPSE

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Mental health disorders can range from mild depression to severe psychosis. Depending on how severe the mental health disorder is can sometimes determine treatment compliance. An important part of treatment is to be consistent and comply with the providers’ recommendations, which includes attending regular appointments for medication management.  In most scenarios a behavioral health patient must attend regular provider visits in order to keep receiving medication.  The provider will not prescribe for a patient who misses numerous appointments and therefore the patient may end up going without medication and declining in health.  Behavioral health disorders have worsened as a result of poor compliance (Semahegn, Torpey, Manu, Assefa, Tesfaye, & Ankomah, 2018).  It is critical that these patients see the provider in order to not decline in health.  According to Gajwani (2014), poor medical adherence such as not seeing the provider, can lead to exacerbation of symptoms, relapse and hospitalization.  With technology available today we are able to consult and keep appointments with providers via the computer, or Telehealth, to maintain patients’ health status and medication regimen without interruption.  Non-adherence with appointment keeping has been reported as high as 50% and telepsychiatry could help alleviate that inconvenience with clinic attendance (Shulman, John, & Kane, 2017).  For patients who frequently miss appointments they could still comply via a telepsychiatry visit.  The data that could be collected would be if telepsychiatry helps with compliance by those patients who frequently cancel or no- show appointments to help with medication management and decrease risk of inpatient hospitalization.  The first data we could gather is if telepsychiatry helps with missed appointments.  The second data we could collect is if the patients’ health has stayed the same or improved due to having a virtual visit with the provider versus missing an appointment and declining in health.  The information we collect could help us to determine which patients, in the future, may benefit from a virtual visit based on their ability and willingness to show up for face to face appointments.  A nurse leader could use this information to plan and implement care based on each individual patients’ needs versus treating each patient uniformly for the best possible outcome. The behavioral health population is very unique in that they need care tailored to each specific individual and diagnoses.

References

Gajwani, P. (2014, September). Can what we learned about reducing no-shows in our clinic work for you? Retrieved from https://www.mdedge.com/psychiatry/article/86564/practice-management/can-what-we-learned-about-reducing-no-shows-our-clinic

Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2018).            Psychotropic medication non-adherence and associated factors among adult patients with      major psychiatric disorders: a protocol for a systematic review. Systematic reviews7(1),       10. doi:10.1186/s13643-018-0676-yA

Shulman, M., John, M., & Kane, J. M. (2017, March 1). Home-Based Outpatient Telepsychiatry            to Improve Adherence With Treatment Appointments: A Pilot Study. Retrieved from            https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201600244

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