Telerehabilitation
Michelle Turner, BSN, MSN, RN
Introduction
Telerehabiliation
How is telerehabilitation used?
What is telerehabilitation?
Legal and Ethical Concerns
Advantages and Disadvantages of telerehabilitation
References
Introduction to Telerehabilitation
Telerehabilitation (TR) is a way to deliver rehabilitation services over telehealth devices through telecommunication networks and the internet.
Telerehabilitation includes a ranges of rehabilitation services that can include "evaluation, assessement, monitoring, prevention, intervention, supervision, education, consultation, and coaching" (Shem et al., 2022).
Telerehabilitation can be delivered by many healthcare professionals, which may include physicians, nurses, physical therapists, psychologists, occupational therapists, respiratory therapists, dieticians, social workers, speech pathologists, and language pathologists (Shem et al., 2022).
What is Telerehabilitation?
Telerehabilitation (TR) is not used only for physicial therapy! That is the easy image in minds when telerehabilitation is mentioned. Telerehabiliation definitely includes physical therapy; however, it also includes any form of rehabilitation, such as stroke rehabilitation, psychological rehabilitation, respiratory rehabilitation, and cardiac rehabilitation. The list of possibilities is endless. Telerehabilitation was in its infancy just 8 short years ago. In a video created by Hartford HealthCare in 2016, telerehabilitation was just a pilot program used as a way for patients to communicate with physical therapists from their homes. COVID created a unique situation where the safety of patients and caregivers was an issue. This is when the boom of telerehabilitation happened in other healthcare fields. Telehealth, in general, became a very effective tool. During the pandemic, telerehabilitation was able to provide patients with continuity of care and was adopted fairly quickly in order to protect patients and providers (Roy et al., 2023).
How is telerehabilitatioin used?
Consultation, Evaluation, and Assessment
Monitoring and Prevention
Education and Coaching
Intervention and Supervision
Telerehabilitation
Advantages / disadvantages
01
01
Lack of technology and lack of technical literacy
Convenience for patients and providers
02
02
Lower costs for patients, insurance companies, and providers
Cost of telehealth for low-income people
03
03
More consistent management of medical conditions
Privacy issues
(Bence, 2024)
Legal or ethical concerns of telerehabilitation
Ethical and legal concerns in relation to any type of telerehabilitation includes universal accessibility, patients' free choice, respect of privacy, and professional confidentiality (Guy et al., 2021).
Patients' concerns over privacy is a large hurdle to overcome, especially with elderly patients. Patients do not know exactly what personal medical information may be shared or stored. There is also the question of the security level placed on their medical information in order to keep it secure ("Telemedicine's Potential Ethical Pitfalls," 2014).
(Clements, 2020)
References
Bence, S. (2024, March 14). Telehealth, what it is, and its pros and cons. Verywell Health. https://www.verywellhealth.com/what-is-telehealth-5115712#:~:text=The%20advantages%20of%20telehealth%20include,income%20people%2C%20and%20privacy%20concerns. Clements, J. (2020, January 9). Check out these legal issues related to telemedicine. MOS Medical Record Reviews. https://www.mosmedicalrecordreview.com/blog/know-these-legal-issues-related-to-telemedicine/ Guy, M., Blary, A., Ladner, J., & Gilliaux, M. (2021). Ethical issues linked to the development of telerehabilitation: A qualitative study. International Journal of Telerehabilitation, 13(1). https://doi.org/10.5195/ijt.2021.6367 Muñoz-Tomás, M., Burillo-Lafuente, M., Vicente-Parra, A., Sanz-Rubio, M., Suarez-Serrano, C., Marcén-Román, Y., & Franco-Sierra, M. (2023). Telerehabilitation as a therapeutic exercise tool versus face-to-face physiotherapy: A systematic review. International Journal of Environmental Research and Public Health, 20(5), 4358. https://doi.org/10.3390/ijerph20054358 Roy, A., Duruflé, A., Piette, P., Fraudet, B., Lofficial, V., & Gallien, P. (2023). Telerehabilitation during the covid-19 pandemic, what are the determinants of satisfaction for chronic diseases? a retrospective study. Frontiers in Rehabilitation Sciences, 4. https://doi.org/10.3389/fresc.2023.1108087 Shem, K., Irgens, I., & Alexander, M. (2022). Getting started: Mechanisms of telerehabilitation. In Telerehabilitation. Elsevier. https://doi.org/10.1016/b978-0-323-82486-6.00002-2 Telemedicine's potential ethical pitfalls. (2014). AMA Journal of Ethics, 16(12), 1014–1017. https://doi.org/10.1001/virtualmentor.2014.16.12.msoc1-1412
Telerehabilitation
Michelle Turner
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Transcript
Telerehabilitation
Michelle Turner, BSN, MSN, RN
Introduction
Telerehabiliation
How is telerehabilitation used?
What is telerehabilitation?
Legal and Ethical Concerns
Advantages and Disadvantages of telerehabilitation
References
Introduction to Telerehabilitation
Telerehabilitation (TR) is a way to deliver rehabilitation services over telehealth devices through telecommunication networks and the internet.
Telerehabilitation includes a ranges of rehabilitation services that can include "evaluation, assessement, monitoring, prevention, intervention, supervision, education, consultation, and coaching" (Shem et al., 2022).
Telerehabilitation can be delivered by many healthcare professionals, which may include physicians, nurses, physical therapists, psychologists, occupational therapists, respiratory therapists, dieticians, social workers, speech pathologists, and language pathologists (Shem et al., 2022).
What is Telerehabilitation?
Telerehabilitation (TR) is not used only for physicial therapy! That is the easy image in minds when telerehabilitation is mentioned. Telerehabiliation definitely includes physical therapy; however, it also includes any form of rehabilitation, such as stroke rehabilitation, psychological rehabilitation, respiratory rehabilitation, and cardiac rehabilitation. The list of possibilities is endless. Telerehabilitation was in its infancy just 8 short years ago. In a video created by Hartford HealthCare in 2016, telerehabilitation was just a pilot program used as a way for patients to communicate with physical therapists from their homes. COVID created a unique situation where the safety of patients and caregivers was an issue. This is when the boom of telerehabilitation happened in other healthcare fields. Telehealth, in general, became a very effective tool. During the pandemic, telerehabilitation was able to provide patients with continuity of care and was adopted fairly quickly in order to protect patients and providers (Roy et al., 2023).
How is telerehabilitatioin used?
Consultation, Evaluation, and Assessment
Monitoring and Prevention
Education and Coaching
Intervention and Supervision
Telerehabilitation
Advantages / disadvantages
01
01
Lack of technology and lack of technical literacy
Convenience for patients and providers
02
02
Lower costs for patients, insurance companies, and providers
Cost of telehealth for low-income people
03
03
More consistent management of medical conditions
Privacy issues
(Bence, 2024)
Legal or ethical concerns of telerehabilitation
Ethical and legal concerns in relation to any type of telerehabilitation includes universal accessibility, patients' free choice, respect of privacy, and professional confidentiality (Guy et al., 2021).
Patients' concerns over privacy is a large hurdle to overcome, especially with elderly patients. Patients do not know exactly what personal medical information may be shared or stored. There is also the question of the security level placed on their medical information in order to keep it secure ("Telemedicine's Potential Ethical Pitfalls," 2014).
(Clements, 2020)
References
Bence, S. (2024, March 14). Telehealth, what it is, and its pros and cons. Verywell Health. https://www.verywellhealth.com/what-is-telehealth-5115712#:~:text=The%20advantages%20of%20telehealth%20include,income%20people%2C%20and%20privacy%20concerns. Clements, J. (2020, January 9). Check out these legal issues related to telemedicine. MOS Medical Record Reviews. https://www.mosmedicalrecordreview.com/blog/know-these-legal-issues-related-to-telemedicine/ Guy, M., Blary, A., Ladner, J., & Gilliaux, M. (2021). Ethical issues linked to the development of telerehabilitation: A qualitative study. International Journal of Telerehabilitation, 13(1). https://doi.org/10.5195/ijt.2021.6367 Muñoz-Tomás, M., Burillo-Lafuente, M., Vicente-Parra, A., Sanz-Rubio, M., Suarez-Serrano, C., Marcén-Román, Y., & Franco-Sierra, M. (2023). Telerehabilitation as a therapeutic exercise tool versus face-to-face physiotherapy: A systematic review. International Journal of Environmental Research and Public Health, 20(5), 4358. https://doi.org/10.3390/ijerph20054358 Roy, A., Duruflé, A., Piette, P., Fraudet, B., Lofficial, V., & Gallien, P. (2023). Telerehabilitation during the covid-19 pandemic, what are the determinants of satisfaction for chronic diseases? a retrospective study. Frontiers in Rehabilitation Sciences, 4. https://doi.org/10.3389/fresc.2023.1108087 Shem, K., Irgens, I., & Alexander, M. (2022). Getting started: Mechanisms of telerehabilitation. In Telerehabilitation. Elsevier. https://doi.org/10.1016/b978-0-323-82486-6.00002-2 Telemedicine's potential ethical pitfalls. (2014). AMA Journal of Ethics, 16(12), 1014–1017. https://doi.org/10.1001/virtualmentor.2014.16.12.msoc1-1412