Assisted teleconsultation at home for older adults with specialist doctors & use of connected tools
About this good practice
WHY?
>The nurse’s training in telemedicine enabled her to start carrying out teleconsultations (TLC) at the nursing home > in 2019: extension of its services to older people living at home with the opening of the LOCAL RESOURCE CENTRE.
The Local Resource Centre supports the older people:
>To prevent the risks associated with frailty as we age
>To help build relationships and combat isolation
FOR WHOM?
Older people living at home (isolated, disabled)
AREA:
Department of Gironde
WHAT IS IT FOR?
>Visiting the homes of older patients with CONNECTED and UNCONNECTED equipment and establishing links with the various HEALTH SPECIALISTS in hospitals, including in rural areas – approx. 2 TLC/week
>Support for frail older people and continuation of the CARE PATHWAY at home
>Use of digital tools throughout the TLC process
>Coordination with specialists and local healthcare professionals
HEALTH AREAS COVERED:
>Geriatrics
>Dermatology
>Wounds and healing
>Psychiatry
>Psychogeriatrics
>Odontology
>Physical medicine and rehabilitation
TOOLS USED:
• Unconnected
>Glucometer
>Blood pressure monitor
>Scale
>Pulse oximeter
• Connected
>Screen
>Amplifier
>Mobile camera
>Dental camera
>5G key
Course of a teleconsultation: (cf picture)
PERSPECTIVES:
Creation of "the E-MEDICAL CENTRE", an entity dedicated to the practice of TLC to:
>Ensure the preparation/coordination of care
>Enable investment in appropriate equipment
>Create a directory of hospital specialists who practice TLC
Resources needed
FINANCIAL
>Approx €12,000/year of the Local Resource Centre's budget is allocated to TLC at home thanks to funding from the Regional Health Agency
HUMAN
>1 coordinating nurse
>Specialist doctors & local stakeholders (healthcare prof., relatives)
MATERIAL
>Unconnected & connected equipment
>Vehicle
Evidence of success
>Home support, fighting isolation, improving ACCESS TO CARE and continuing the care pathway
>Approx. 80 TELECONSULTATIONS per year (approximately 60 in 2023)
>Access in RURAL AREAS
>Access to teleconsultations with specialist doctors
>Enables PREVENTION and avoid hospitalisation
Source: Local Resource Centre of the nursing home “Les Jardins de l’Ombrière”
Potential for learning or transfer
This practice presents several aspects that could be potentially interesting for other regions to learn from:
>By integrating VARIOUS MEDICAL SPECIALITIES such as geriatrics, dermatology and psychiatry, the project addresses the diverse healthcare needs of the seniors, ensuring COMPREHENSIVE CARE.
>The use of DIGITAL PLATFORMS for secure communication and medical record management streamlines the teleconsultation process and ensures the SECURITY and confidentiality of health data.
>The organisation into a Local Resource Centre enables the COORDINATION of teleconsultations among different stakeholders and improves SUPPORT for the older adults at home.
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Good practice owner
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