Continuous Diagnosing

A remote patient monitoring system provides physicians as well as other caregivers the means to view their patients’ medical statuses at any time. These wearable devices monitor a patient’s vital signs, including his or her heart rate, oxygen saturation, blood pressure, glucose levels and weight. Remote patient monitoring of chronically ill patients can lower hospital readmission rates: Healthcare providers receive the critical information they need to recognize problems before such issues become life threatening.

Innovations in mobile technology have brought remote healthcare management to the forefront of advanced medical care. The ability to record the cardiac activity of a patient at home has been available for some time. But that method utilized a recording device worn by the patient, which needed to be brought in to a hospital or doctor’s office for a healthcare professional to analyze. Today, real-time monitoring in the patient’s home is a reality.

I completely agree with you when you said having Diagnostic teams is important in providing quality healthcare. A holistic approach should be taken in treating patients instead of just independently working to find the diagnosis. It is important to acknowledge every profession that is involved in caring for a patient. In the ever changing world of health care, it is becoming very difficult for one individual to properly treat and care for individuals independently. These is because of the complex nature of some treatments.

Your presentation underscored the importance of the ability of a PT to effectively suggest an appropriate diagnostic test to a patient’s primary care doctor. In the first place, physical therapists are educated users of diagnostic imaging. As McKinnis (2014) aptly stated that the decisions to recommend diagnostic imaging should always be anchored on clinical evidence gathered during the evaluation. The physical therapists by virtue of their pedagogy and training in diagnostic imaging is knowledgeable on the diagnostic strengths and failings of each imaging technique.

This technological advancement facilitates the potential use of a \ac{WHTD} as a solution to relieve the burden on the health care system. The \ac{WHTD} refers to the devices which are capable of monitoring the physiological signs (e.g., heart activity, \ac{ECG}, \ac{EMG}, blood pressure, body temperature, oxygen saturation, etc.) of the human body and its surrounding environment (e.g., light, humidity, temperature, etc.) using a number of sensors located on or/and in the human body using \ac{BAN} \cite{movassaghi2014wireless,bangash2014survey,jovanov2011body}. This has been employed in various applications, such as military and sports training, \ac{HCI}, entertainment (interactive gaming), home and office automation, environmental monitoring, and \ac{VR}. It has also shown a tremendous potential as a personal healthcare system, which can provide services such as remote patient and elderly people monitoring, activity monitoring, rehabilitation, and disability assistance services as these devices can monitor health status seamlessly in real-time without disturbing users daily life. Consequently, major \ac{ICT} companies are introducing various wearable devices and services with Personalised Health Data management systems. Apple iWatch with HealthKit, Samsung Galaxy fit and Samsung Digital Health, and Google Fit are some of the

One positive of diagnosis, as evidenced through research, is that it provides individuals with the ability to seek early interventions. For example, early and timely diagnosis is essential in clients with dementia (Mitchell, McCollum, & Monaghan, 2013). Internationally, there is a high number of individuals with dementia who have not received a formal diagnosis. The government aims to raise professional and public awareness in order to increase rates of timely diagnosis. The benefits if a timely diagnosis include, early access to medication and the availability to plan future care. The authors state that without a diagnosis, personal care, proper medical interventions, and other supports are more difficult to establish for this population (Mitchell, McCollum, & Monaghan, 2013). Additionally, Wakefield (2013) explains the change in the diagnosis when the DSM 5 came out. It controversially added a new category, “Mild neurocognitive disorder,” which is a less severe cognitive impairment. They added this because it is a less stigmatizing diagnosis and allows for early interventions to be established. In this way, clinicians are not under-diagnosing dementia, but they now have a more specific

After completing module six, the most important concept I find is “diagnosing”. I believe it is the first step as a leader to develop and inspire my followers to be more effective. Diagnosing requires that I understand the situation of my organization and my subordinates. In order for me to be an effective leader, I must recognize that diagnosing is a cognitive skill for me to understand my flight’s current situation and what future expectation of my Airmen. In my work center, I am the Flight Chief and Non-commission Officer in Charge so I supervise two Staff Sergeants (SSgt). Therefore, I know what my subordinate are capable of and I know what my subordinates potential for growth are. In addition to knowing the situation, I must know the “status of my people” and then later the “status of my environment” to effectively use diagnosis.

Up to 62% of ventricular arrhythmias may not be detected during the typical monitoring period of 48 hours 3. Implantable cardiac monitors offer a longer monitoring period and may offer a greater yield of significant arrhythmias than external monitors e.g. Holter, however, they require invasive implantation and explantation procedures that carry their own risks. To address these short falls non-invasive adhesive patch monitors such as the iRhythm Zio® XT Patch (San Francisco, CA) have been developed. These devices are low profile, moisture proof, single lead monitors that can be worn by patients for up to 14 days. The Zio XT Patch has been shown to increase diagnostic yield when compared with external monitors, partly due to an extended monitoring window 4. There are no published reports, however, comparing the diagnostic yield of Zio® XT Patch with implantable cardiac monitors. Here we present a patient with heart failure treated with an ICD and VAD, and monitored using a Zio® XT

Cardiovascular arrhythmias are common among both males and females and over a wide age range. As a former cardiac nurse, I know firsthand how often people develop new and reoccurring irregular rhythms. These patients would be ordered a cardiac monitoring device, such as the ones that were mentioned above. However, without access to advanced technology systems such as ZywiePro, there is a risk for adverse outcomes for both the providers and the patients. For example, the patient with a standard telemetry monitoring system would have to turn in the device, wait for the results to be read, and then return to the office to discuss the results and management options. This becomes time consuming, costly, and inconvenient to both the provider and the patient. In addition, it delays treatment. I believe with the evolving healthcare demands and increasing shortage of providers, we need to take advantage of the technology that has been designed to meet our healthcare needs. ZywiePro has been designed to do just that. It offers immediate diagnostic results that makes communicating and treating patients more

The monitor is a small device that you can carry in your pocket or attach to your belt. It is connected to your chest with wires and electrodes. You'll be able to sleep without difficulty because the wires are long enough that you can place the monitor on your nightstand. You'll be able to work and go about your usual activities. In fact, it's important to maintain your normal routine so your doctor can see how your heart reacts in normal daily situations.

There are several types of diagnostic techniques in classifying the types and conditions of knee injuries. Currently, the method used is diagnostic tests. The doctor uses one or more tests to determine the nature of a knee problem. In most cases, patients are given a primary diagnosis based on their medical history, physical examination, and imaging or other procedures [7]. There are several steps or process in determining the ACL diagnosis system. The process starts with a medical history, where the patient’s history is reviewed for further action.

On board diagnostics is an incredible achievement for technology in today’s society. The purpose of the On Board Diagnostics connection is for emissions testing. One application available to consumers is the scan tool or code reader. These devices are sometimes battery powered, but newer units may be powered by the electricity provided by the on board diagnostic connection itself. When a Check Engine light is present, these handheld devices connect to the on board diagnostic port and record and display any trouble code that the vehicle is sending. People can use the code to see what's wrong with the car and once the problem has been fixed they can clear the code from the vehicle's memory, deactivating the Check Engine light until the next issue arises. Most modern day technicians use an on board diagnostic tool to

Batteries are essential for the wireless heart monitors to operate. A battery is composed of electrochemical cells that convert stored chemical energy to electrical energy and consists of a cathode (the positive terminal) and an anode (the negative terminal). The battery needs to connect to the external circuits of the wireless heart monitor, and electrolytes move and cause the electrolytes to act as ions and preform work. There are two ways in which batteries can behave: a primary and a secondary battery. Primary batteries are disposable after one use and secondary batteries can be reused after being charges. In primary batteries once the electrodes have changed during battery use, they cannot b0e changed back. Secondary batteries can be recharged, and the initial make-up of the electrodes can be changed by a reverse-current. Primary batteries are mainly used in devices that require low amounts of energy and are not left on perpetually. Secondary batteries are best suited to devices that are constantly used such as hearing aids and car batteries[1].

Left Ventricular Assist Devices (LVADs) have increased durability and patient survival on the people who live with heart failure. These devices are mechanical pumps which can work as a bridge to transplantation or as destination therapy to help the heart to follow its tasks properly. Asgari and Bonde [1] presented a new totally implantable physiologic left ventricular assist device system in pulsatile and continuous modes using wireless networks. The authors [1] have proposed a great contribution to use wireless powering, monitor, communication and control in the field of implantable control of ventricular assist devices. However, many issues will appear in the result of the proposed system which needs more investigations in

Recording an electrocardiogram or ECG, is a procedure which is performed daily all over the United Kingdom by thousands of healthcare workers and in particular nurses (Jacobson, 2000). The way in which this procedure is performed varies from geographical location to location and occasionally even more so, between staff on the same ward (Amos, 2000). This reason stated by Amos (2000), formed the basis of my decision to choose this topic.