Telehealth was associated with a reduction in all-cause 30-day readmission for one mid-sized Medicare-certified home health agency. A description of the program is presented as well as lessons learned that have significantly contributed to this program's success. Future expansion of the program is planned. Telehealth is a promising approach to caring for a chronically ill population while improving a patient's ability for self-care.
Recommended practices for the management of surgical smoke Recommended practices for the management of surgical smoke and bio-aerosols for perioperative nurses in Thailand and bio-aerosols for perioperative nurses in Thailand Usavadee Asdornwised
Limited functional status is a common health problem in patients living with heart failure (HF), which often requires rehospitalization.Home-based transitional telehealth programs (TTPs) focused on health monitoring, education, promotion of self-management, and multidisciplinary team consultation have been shown to improve functional status and satisfaction with care while reducing rehospitalization rates in this population. Nonetheless, these variables and outcomes have yet to be assessed in a Thai patient with HF. Thus, the aim of this study was to investigate the effectiveness of a TTP on functional status, rehospitalization, and satisfaction with care in Thai patients with HF. Eligible participants (N = 146) were randomly assigned to either the control or TTP group. The TTP included in-hospital discharge planning and 6-week telemonitoring via a mobile phone application to provide follow-up home care. Data on the outcome variables were collected at 6 and 8 weeks post-enrollment and analyzed by descriptive statistics, independent t-tests, repeated measures ANOVA, and Z-tests. Functional status and satisfaction with care scores in the TTP group were significantly higher than those of the control group, and rehospitalization rates in the TTP group were significantly lower than those of the control group at 6 and 8 weeks post-enrollment. Thus, the TTP effectively improved functional status, increased satisfaction with care, and reduced rehospitalization rates in Thai patients with HF. TTP implementation could be considered to improve the quality of transitional care in Thailand.
Coronary artery disease (CAD) is a significant health problem in Thailand and worldwide (World Health Organization, 2018). When the conditions cannot be controlled by optimal medication therapy, further treatment is based on coronary artery bypass graft (CABG) surgery (Neumann et al., 2019). The international guidelines recommend that the people with stable CAD who are likely to benefit from undergoing CABG for revascularization should have CABG performed within 6 weeks (Neumann et al., 2019). In Thailand, more than 5,000 CABG operations are carried out each year, and the demand for surgery continues to increase
Recommended practices for the management of surgical smoke Recommended practices for the management of surgical smoke and bio-aerosols for perioperative nurses in Thailand and bio-aerosols for perioperative nurses in Thailand Usavadee Asdornwised
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