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Professional Practice and its Relationship to Telehealth
By: Claire Gora, Emma Van Lieshout, Evan Dhaliwal, Hana Marmura, Mikayla Strukoff, Nadya Shamji, and Rachel Goldenberg
Permission for something to happen, or agreement to do something.
9 Requirements: autonomous, voluntary, informed, capacity, treatment specific, provider specific, format, documented, right to refuse
Challenges
Solutions
Assessments and interventions were not all designed to be used online
Need to ensure we are actually assessing what we are asking the client to consent to
The health care provider is a custodian of the patient’s personal health information and must make efforts to safeguard it. This is key to maintaining a trusting therapeutic relationship. This can be challenging over the internet and when it is harder to control who is in the room.
Challenges:
*Who is in the room?
*Protecting electronic information.
*Secure sessions.
Solutions:
*Private room settings.
*Offer to show room to client.
*Encrypt documents.
*Use initials or pseudonyms
rather than patients’ names.
*Delete files and recordings
in a secure manner.
Therapeutic Relationship: the professional relationship between a regulated health professional and a patient, goal of the therapeutic relationship is to foster trust and respect to help better provide successful treatment, and to increase patient satisfaction
Suggested Solutions to Strengthening Therapeutic Relationship over Telehealth:
Patients’ Perception of Therapeutic Relationships While Using Telehealth
1) Receptive Listening = being present, providing careful attention
2) Exploratory Listening = active dialogue, gain info, clarification
3) Consensus- & Action- Oriented Listening = brainstorming, shared goals, plan
Challenge:
Lack of physical presence leading to feelings of disconnectedness and increased distractions.
Solution:
Utilize the 3 types of effective listening with the 3 S's
Silence
Summarize
Shared decision-making
Interprofessional practice: collaboration of health professionals from multiple disciplines working together to provide high quality client centered care.
4 Key Competencies:
Barriers in Telehealth:
Solutions:
Diversity: attending to human differences that have been deemed to matter
Social Inclusion: when different groups of people feel valued and respected within a society
Barriers
Solutions
Telehealth
Offering telehealth can promote equity oriented care. It does have barriers, but can also be one solution.
You can reach a vast population of patients that may not otherwise be able to access that service or specialty.
Compassion is a "virtuous and intentional response to know a person, to discern their words and ameliorate their suffering through relational understanding and action.”
Challenge:
Solution: