Opinion you: Sociological Approach To The American Frontier
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Sociological Approach To The American Frontier Video
Chapter 1 - The Sociological PerspectiveA practical approach to meet this need is the use of telemedicine TM in clinical activities, for instance in sleep medicine 3.
Indeed, sleep TM provides a source number of opportunities and can be utilized during the COVID outbreak, promoting optimal health care and uninterrupted access to medical services for patients with sleep disorders 3. Sleep TM refers to Sociological Approach To The American Frontier exchange of sleep-related medical information using various communications aiming at improving patients' health 4. Sleep TM services can be offered either in a synchronous or asynchronous manner, principally formed in the following modalities: telediagnostics, teletherapy, telemonitoring, and teleconsultation 4. The American Academy of Sleep Medicine has recently published a position paper, in which an analysis of the terminology and the opportunities given by the sleep TM advancements are displayed 4.
In addition, we recommend a comprehensive review on the topic 5. Regarding the management of patients with obstructive sleep apnea OSA during the outbreak, sleep TM can reduce long waiting lists for patients, created due to the delays attributed to the necessary infection control and prevention practices. Moreover, several in-person medical visits that can be avoided [e. In order Summary Of By Nick outline the necessary steps for sleep physicians regarding the practice of TM in the diagnosis and treatment of OSA patients and other sleep-related breathing disorders, we have created a simplified checkpoint list Table 1.
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Approach to sleep telemedicine practices in patients with obstructive sleep apnea during the COVID pandemic. Discussion In general, a stepwise approach, for the assessment of patients with suspected or previously diagnosed OSA, using sleep TM services and customized to each sleep center's practices, is suggested.
In other words, evaluation of the interested individual should be divided into a the initial and b the follow-up visit. Finally, our perspective for adopting this algorithmic approach beyond the COVID era is briefly discussed. Initial Evaluation Checkpoint 1 First Sociological Approach To The American Frontier foremost, general medical information should be the first step of the suggested checkpoint list. Specifically, in order to obtain medical history and record other related medical issues, all patients must be interviewed with a synchronous televisit, preferably via a clinical video telehealth CVT in order to have interactive communication and direct feedback from the patients. Checkpoint 2 Screening for OSA symptoms will follow the general medical history taking.
When necessary, and taken into consideration the patient's ability, the standardized medical history and all related material e. Thereafter, patients' medical documents can be transferred electronically e.
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Checkpoint 3 OSA diagnosis with a sleep study is recommended, as it is the most important part of the present algorithm. The sleep center, staff should be responsible for dispensing its HSAT device along with instructions depicted in a standard brochure on how to wear it, start its use, and end up its recording. This would allow knowledge of the subjects that have recently used the HSAT device ensuring appropriate time intervals for effective disinfection.
Checkpoint 4 In the context of OSA diagnosis, an interactive televisit will inform the patient for the results of the sleep study and the various treatment options.
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After completing this virtual visit, the results can be electronically communicated to patients via an email. Additional video links and supplementary Sociologifal for the treatment options can be also sent. Before PAP titration, another videoconference is also necessary to explain the PAP trial procedure, answer to patients' questions, and offer live instructions on how to customize the device and mask, according to the patient's requirements and preferences.
Another CVT, following the night of the therapeutic trial and after accessing the PAP device data, should inform the patient regarding the results of this trial and their device use and related information, as well as inform on various technical parameters on the PAP device. Although several barriers at these important steps would normally arise, a practical approach to overcome them is to perform a live demonstration of both the HSAT and the PAP trial by the sleep technologist and under the supervision of the sleep physician.
For instance, referral for mandibular advancement device or initiation of positional therapy and schedule follow-up visits according to the sleep center's routine are alternative treatment suggestions at 1 week, 3 months, 1 year, etc. Special attention with telemonitoring should be offered to PAP-treated patients in order to optimize their PAP adherence 8. Follow-up of patients under PAP treatment is usually standardized according to each sleep center's practices. Nevertheless, unplanned visits can be immediately arranged in the context of low adherence to PAP therapy when automatic alarms by the provider software are set on. Advanced wireless models of the novel PAP devices, which include cloud-based platforms and aid in improved PAP adherence and efficacy monitoring, can be helpful 59.
Additionally, several educational TM tools can also lead in improved patient—provider interaction and result in efficient patient's adherence to PAP without the need for face-to-face consultations 9 Moreover, general issues Sociological Approach To The American Frontier also be addressed via routine televisits, such as technical demands i. Checkpoint 7 The sleep centers are often called to provide consultation on matters that are addressed click OSA diagnosis and treatment.]
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