The Treatment Of Liver Transplant Patients

Most of the VA’s strengths can be attributed to the advancement of medicine, technologies, and research. The integration and collaboration of web-based services throughout VA’s facilities has led to an increase in “speed, accuracy and efficiency of information exchange” (Department of Veteran Affairs, 2015). With those strengths, the VA is able to further improve upon veteran’s access to health care and the ways in which services can be delivered.

Telehealth has become a preferred method of healthcare delivery for many patients and healthcare professionals alike. Some key benefits include its convenience and cost effectiveness. It also allows patients to play a more active role in their own healthcare, which has been found to dramatically increase patient outcomes. While research suggests that the advantages of telehealth outweigh the disadvantages, it is important to note that not everyone would benefit from this form of technology. It is crucial for the patient’s healthcare team to assess if this method of healthcare delivery is appropriate for that individual patient. In today’s society, staying current on the latest technologies is extremely important. Although telehealth

The purpose of this paper is to discuss how technology has impacted the health care delivery system. Health care technology is advancing at an increasingly rapid rate in the United States, and globally. Patients and providers are witnessing these changes through the use of telehealth, and telemedicine applications. Telehealth, and telemedicine are often used interchangeably, however there is a difference between the two applications. Telehealth is the use of technology to deliver health care, health information, or health education at a distance (U.S. Department of Health and Human Services, n.d.).

This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.

For this instance, the induction of telehealth would be most beneficial for these resident’s since they get

Upgrading our documentation to information and informatics comes with many advantages for the health care team to improve quality and safe ty improvement. Also, the use of technology such as telehealth, telenursing and videoconferencing are on the rise, and will be embedded into our communities and nursing organizations so that we can reach people around the country who do not have accessibility quality health care. Using technology to educate patients and families about credible websites, and how to search for pertinent information that is relevant to his or her health is a priority. The goal is to eliminate unnecessary emergency rooms visits. These actions foster communication and minimize anxiety

In his article, Are Alcoholics Less Deserving of Liver Transplantations, Daniel Brudney explores the morality of placing alcoholics with liver damage (caused by alcohol) lower on the donor list. The idea Brudney pushes is that by promulgating the health risks of alcohol consumption there will be less people with liver damage in need of a donor. His position holds alcoholics culpable and deserving of the consequences to follow, assuming information of possible outcomes due to excessive drinking have been provided and understood. This may be true if the information is repetitively communicated to people in their early teen years, however, providing crucial information to the public does not change the power of temptation and addiction towards alcohol.

At the San Diego VAMC, we proudly offer two Store and Forward Telehealth (SFT) programs. The first SFT program offers an eye screening exam (Tele-retinal) to a diabetic Veteran at a local VA clinic. These images are then reviewed by an Eye Specialist, who determines if the Veteran needs a face to face eye clinic appointment. The second SFT program takes pictures of the Veteran's skin lesions, which are then uploaded to the electronic medical record so that a Dermatologist can best determine how to treat the lesion. Telehealth appointments save Veterans an extra office visit and create a 'one-stop shop health care'.

“Telehealth changes the location of care by connecting patients and clinicians virtually, in place of the usual face-to-face contact.” (Darkins 2012).

The home videoconference machine commonly used in the VA in 2007 was the American TeleCare LifeView machine (Eden Prairie, MN). Its cost of $11,325 came from a national contract with the VA and hence has no variation. We assumed that it lasts three years. Telephone calls and the LifeView station both use telephone land lines. Based on actual experience, we expected that 52% of individuals eligible for telehealth would have standard (land-line) telephones. No cost was assigned for them because this program does not purchase or repair telephones, and their use would not noticeably shorten their lifetimes. We assumed that the VA clinicians initiated all calls in order to eliminate any cost to the patient. Based on our assumption that transmission costs were part of the fixed overhead assigned to encounters in the SCI clinic, we did not account for their costs separately.

While rural diabetics may have additional limitations and distances to travel in order to receive medical care, all diabetics are in need of prompt treatment changes to maximize blood glucose control. Chang et al (2007) evaluated different forms of telehealth delivery among veteran diabetic patients. Some participants interacted with nurse practitioners via internet telehealth systems for daily blood glucose monitoring and symptom evaluation. Other participants chose telephone intervention interaction with nurse practitioners to report blood glucose levels and diabetes symptoms. No significant reduction in glycated

As a recent graduate in nursing informatics, I am able to better vision and understand the resources needed for the VA. I am looking forward to utilize the resource information taught in school, research articles read to integrate data, information and communication via technology to promote the health of our veterans and their families. Since graduated, my contributions started by working with the Group Practice Manager to discuss the workflow process in my area to develop a plan, which includes a new template to make my workflow more conducive for the providers, patients, staff, and myself. Since then, some changes have been made on how patients are charted and processed in in the renal department. By making these changes the new templates have created

The delivery of health care has always been influenced by technological developments and innovations. This is particularly true in modern health care professionals where they are obsessed with technology and rush to apply them. One of the most recent applications of ICT – Information and computer technology- is telehealth. Telehealth is the use of communication, diagnostic and information technology to provide health care when patients and providers are geographically separated [2], Technologies include videoconferencing, the internet, store -and-forward imaging, streaming media, terrestrial and wireless communications. Telehealth could be as simple as two health professionals discussing a case over the telephone or as

There are weaknesses in the proposed plans to improve access. In the case of telehealth nothing can replace the hands on analysis of a trained physician. Any type of trauma care will still require an airlift to a trauma center for care. Complications such as reactions to medications, or complications of child delivery, would leave the patient in the hands of under trained staff. Such a program would require an infrastructure of physicians willing to teleconference. Second it would require an internet or satellite link that could not be disrupted.

Advances in surgery and immunosuppressive therapy have improved clinical outcomes and opportunities for liver transplantation among those previously excluded (e.g., older adults) (1). During the liver allocation system prior to 2002, liver transplant recipients > 60 years old were reported to have promising graft and patient survival rates similar to younger cohorts (1-12).Other published reports have cited significant mortality and complications among older recipients (13-18), though important clinical outcomes like functional status have been infrequently studied. (7, 13).