I don’t know if anyone already produces this – but wouldn’t it be great if there was a nationwide / worldwide chart of telehealth projects with clickable links.
Each project could be presented in a vertical column with key aspects of the projects listed down the side.
For each project we could indicate if it is uses remote monitoring ,video or telephone communications. ( or email, SMS etc)
A vertical column could indicate what parameters are being measured ; bp , pulse oxygen Sats from finger probe, temp, weight, peak flow ( for asthma) bm etc
Could list project start & end date & link to a review / interim report on the progress.
Continue reading Telehealth wiki? Or Spreadsheet
Remote monitoring in COPD ; how much & how often ?
As a GP associated with the East Lancs COPD Telehealth Project I have been considering what evidence there currently is for the model of Telehealth which is being proposed.
I was asked to join this project in spring 2012. The choice of providers & type of teleheath technology had already been agreed. The aim was to explore how the technology could be used in East Lancashire COPD patients, and shed some light on how much impact this could have on the patients experience of COPD and what impact it had on the healthcare workload.
We are planning on using remote monitoring technology to enable remote recording of the patients blood pressure, pulse oximetry and temperature. These readings are taken by the patient ONCE a day and sent to a remote monitoring hub which effectively aims to spot significant changes and decides if the patient needs to have contact with a clinical team member.
Patients will be selected on the basis of those at high risk of needing a medical admission in the following year using the Blackpool NHS Predictive Risk Tool. This tool is being incorporated into the GP patient record systems of practices which signup to working with the project.
Continue reading COPD Telehealth in East Lancashire
Self-care for patients with COPD – Formal Proposal of the Pilot
An estimated 3 million people have chronic obstructive pulmonary disease (COPD) in the UK. Most people are not diagnosed until they are in their fifties. However more people are being diagnosed with COPD at a younger age – from their late thirties to their early fifties. COPD is a condition that makes breathing difficult. COPD is a broad term that covers several lung conditions, including chronic bronchitis and emphysema. It usually develops because of long-term damage to the lungs from breathing in a harmful substance (such as cigarette smoke or chemical fumes). The treatments available for COPD help people to breathe more easily, but they don’t repair the damage to the lungs.
Continue reading COPD Proposed Pilot to Facilitate SelfCare in East Lancashire
We are knocking about with some ideas for a COPD self-care project. I would appreciate some feedback before getting the idea worked up in more detail. This is the more patient friendly version. The more formal proposal is here ;
Please comment by clicking on the speech bubble.
I am a GP ( family physician ) in Lancashire . I set up a weight loss challenge last year that was a pilot for combining health promotion with an element of competition to make it more fun, and try out some gamification concepts. I have been wondering what we could try next. COPD is another health issue that we are not short of in Lancashire.
COPD is a breathing disease that is much more likely to affect you if you smoke. It starts off as a mild irritating cough but can progress to life limiting dependence on piped oxygen. The only thing that stops the progress of the COPD is stopping smoking. Exercising more can help people with COPD regain some of their quality of life. The “pulmonary rehab” tends to be offered to the patients with more severe disease, once they have had a couple of hospital admissions for chest infections. The patients with more mild COPD may not realise that they have it – attributing their cough to their smoking habit. A special breathing test called spirometry is used to help diagnosis. It is available in many GP practices.
Continue reading COPD Selfcare Proposal