Telemedicine in Palliative Care: An Application which helps Caregivers and Medical Staff
DOI:
https://doi.org/10.71701/w1qqmc76Keywords:
Pain management, distance care, telemedicine, palliative careAbstract
This article proposes a solution to the public health problem associated with patients in palliative care, who are cared for by caregivers in their homes. Our objective was to develop an accessible and acceptable telemedicine application for users. The methodology used was divided into 4 phases: 1) Identification of the patients’ requirements for caregivers in palliative care, 2) application and hardware development, 3) application validation and adjustments, and 4) application implementation and evaluation. As a result, in the first phase, it was defined the essential sensor for palliative care and training topics for the caregiver, as well. In the second phase, an application was created allowing remote monitoring of the patient. In the third phase of application validation and adjustments, there were some software and hardware aspects. In the fourth phase, the application was implemented in the city of Piura for a period of 30 days. As conclusions, the functionalities recommended for an application of this type were identified as the record of pain scale, record of symptoms, record of functionalities, followup of treatment and report of the evolution of bedsores. There are very few telemedicine studies for palliative care. This development collaborates with the scientific community showing an implementation for a developing country, where there is little health personnel trained in this specialty and public health budgets are limited as well.
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Agnisarman, S. O., Chalil Madathil, K., Smith, K., Ashok, A., Welch, B. & McElligott, J. T. (2017). Lessons learned from the usability assessment of home-based telemedicine systems. Applied Ergonomics, 58, 424-434
Brennan, f. (2007). Palliative care as an international human right. J. Pain SymptomManage, 33(5), 494–499.
Gwyther, L., Brennan, F. & Harding, R. (2009). Advancing palliative care as a human right. J. Pain Symptom Manage, 38, 767–774.
Jones, B. N. (1999). Acceptance and Accuracy of Telemedicine in Geriatric Depression. The American Journal of Geriatric Psychiatry, 7, 18–19.
Kronberger, L. (2006). 189 Poster Telemedicine in oncology. European Journal of Surgical Oncology (EJSO), 32, S56.
Lau, M., Wong, R., Bezjak, A. & Levin, W. (2014). Factors that Influence the Acceptability of Telemedicine as a means to Evaluate Treatment Outcome for Patients Completing Palliative Radiotherapy. Journal of Medical Imaging and Radiation Sciences, Jun;45 (2), 169 .
Lewis, M., Choi, H., Boushell, M., Barsanti, P., Alquist, M. & Sabharwal, S. (2003). Poster 189. Archives of Physical Medicine and Rehabilitation, 84 (9), E37.
Marr, L. & Neale, D. (2012). Project ECHO: Bringing Palliative Care Consultation To Rural New Mexico Through a Novel Telemedicine Format (748). Journal of Pain and Symptom Management, 43 (2), 448–449.
North American experience in pediatric cardiology telemedicine: Summary from telemedicine users group. (1996). Journal of the American Society of Echocardiography, 9 (3), 402.
Omboni, S. & Ferrari, R. (2015). The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Current Hypertension Reports. 17, 21
Pastrana, T., De Lima, L., Wenk, R., Eisenchlas, J., Monti, C., Rocafort, J. & Centeno, C. (2012). Atlas de Cuidados Paliativos de Latinoamérica ALCP. Houston: IAHPC Press.
Peachey, M., Triplett, J. & Karlekar, M. (2017). Reaching Out to Those Who Can’t Reach Us: A Pilot Project Incorporating Palliative Telemedicine in Home Health Practice (TH368). Journal of Pain and Symptom Management, 53(2), 344
Peng, P., Stafford, M., Salenieks, M. & Wong, D. (2004). Pain services: cancer: Telemedicine in chronic pain management—a pilot project. The Journal of Pain, 5 (3), S140
Reis, A., Pedrosa, A., Dourado, M. & Reis, C. (2013). Information and Communication Technologies in Longterm and Palliative Care. Procedia Technology, 9
Salles, N., Baudon, M. P., Caubet, C., Barateau, M., Baudinet, M., Valentin, V. & Rainfray, M. (2014). Telemedicine consultation in nursing home for patients with pressure ulcers. Annals of Physical and Rehabilitation Medicine, 57(1), 213
Triantafyllidis, A., Velardo, C., Chantler, T., Shah, S. A., Paton, C., Khorshidi, R., … Noble, J. (2015). A personalised mobile-based home monitoring system for heart failure: The SUPPORT-HF Study. International Journal of Medical Informatics. 84(10), 743-753
Van den Berg, N., Schumann, M., Kraft, K. & Hoffmann, W. (2012). Telemedicine and telecare for older patients—A systematic review. Maturitas, 73 (2), 94–114.
Wootton, R. (1997). WS125 Telemedicine — An overview. Journal of the European Academy of Dermatology and Venereology, 9, S105.
World Health Organization (2017), Recuperado http://www.who.int/cancer/palliative/definition/en/
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