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Discussion Week #2
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Discussion Week #2
o In what ways can APRNS utilize telemedicine platforms and remote monitoring
technologies to remotely access patients' medication adherence, therapeutic responses, and
potential adverse effects? How does remote patient monitoring impact the delivery of
pharmacological interventions and APRN practice?
The patient's tendency to use the same medications helps a lot in the successful treatment
of chronic disease; specifically, the management of chronic disease largely depends on the
patient's adherence to treatment. APRNs (Advanced Practice Registered Nurses) are the major
players who ensure this adherence, monitor therapeutic responses, and identify potential adverse
effects. In the olden days, obtaining and analyzing this data evaded taking patients to the hospital
for regular visits. As a result, the span of data collection was reduced, and intervention delays
increased. Lately, telecommuting and automated supervision have helped APRNs change the
principle of medication therapy administration.
These technologies also provide APRNs with innovative methods of accessing necessary
data. Telemedicine advises frequent contacts not attainable through traditional face-to-face
appointments. Besides speaking, video petitions can be used to examine pill packaging and
discuss refill schedules visually. Furthermore, as stated by Frey & Chiu (2021), some
medications are, in fact, smart pills, and they are embedded with sensors that send data about the
opening and closing times to a secure platform that is accessible by the APRN. Healthcare
providers can have direct information about patients' adherence to their recommended
medication plans and, therefore, can take action early if they need to stick to the regimens.
Another telemedicine practice can be telemedicine consultations or education given directly to
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patients that also inform them on the significance of the medication regimen, hence improving
adherence rate.
The monitoring devices installed at a distance provide another dimension of knowledge
for APRNs. Examples may be glucometers connected via telemedicine, which directly transmit
blood sugar readings to the APRN. Thus, there is a remote monitoring of patients with diabetes.
In addition, wearable devices may give data about such vital signs as heart rate and blood
pressure in patients with heart-related diseases. This is why the CDS approach, which involves
transmitting data in real-time, is an essential tool for APRNs to make timely adjustments to
medication regimens based on observed responses (Vudathaneni et al., 2024). Suppose a patient's
blood sugar level stays high for a particular time. In that case, an APRN can modify and deliver
the insulin dosage to the patient remotely. This data-driven approach to medicine administration
results in the betterment of patients' health outcomes.
Another essential component of telemedicine is that it helps in early discovery and
surveillance of possible side effects. Patients can talk about any side effects they experience
during the face-to-face consultations, allowing APRNs to spot and deal with these reactions in
real-time. Moreover, it suggests that some remote monitoring equipment can detect side effects
by themselves. For instance, a patient's reference blood pressure values get alerted to the APRN
if the patient is out of the normal range, so this could indicate a side effect from the medication.
According to Frey & Chiu (2021), early detection permits immediate intervention that minimizes
the patient's discomfort and possible complications that adverse reactions may cause.
Beyond the scope of remote patient monitoring and telemedicine behaviors, the
communication platform enhances the well-being of the patients. Apart from these technologies'
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role in how APRNs provide medical treatment, they also display how APRNs offer
pharmacological interventions. Thus, the necessity for regular face-to-face meetings is
minimized, and APRNS can supervise a much more significant number of patients. This results
in a reduced burden of routine tasks and directly contributes to improving the quality of services
by allowing an APRN to pay more attention to complex cases and provide high-quality,
comprehensive consultations. However, telemedicine appointments are frequently cheaper than
consultations in the traditional office arrangement. Thus, the fact that in-person visits could be
reduced through remote monitoring, which would be applied to patients and providers, plays a
vital role in the overall cost-effectiveness. Moreover, Vudathaneni et al. (2024) explains
that patient data is continuously collected, and there is communication through telemedicine
platforms, creating a collaborative approach to care. Through patient participation, medication
monitoring becomes more active, which could yield better health outcomes.
In conclusion, telemedicine platforms and remote monitoring technologies are devices
that APRNs can use to remotely assess medication adherence, monitor therapeutic responses, and
identify potential adverse effects. This enhances their capacity towards improved patient care;
thereby, patients and doctors will benefit from cost-effective, efficient and patient-centered
pharmacological interventions that deliver better patient outcomes and quality healthcare.
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References
Frey, M. B., & Chiu, S.-H. (2021). Considerations when using telemedicine as the advanced
practice registered nurse. The Journal for Nurse Practitioners, 17(3), 289–292.
https://doi.org/10.1016/j.nurpra.2020.11.011
Vudathaneni, V. K. P., Lanke, R. B., Mudaliyar, M. C., Movva, K. V., Kalluri, L. M., Boyapati,
R., Vudathaneni, V. krishna prasad, Lanke, R. B., Mudaliyar, M. C., Movva, K. V.,
Mounika, K. L., & Boyapati, R. (2024). The impact of telemedicine and remote patient
monitoring on healthcare delivery: A comprehensive evaluation. Cureus, 16(3).
https://doi.org/10.7759/cureus.55534