Practical Considerations in Telehealth

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The patient and therapist need access to the appropriate technology

  • Video: minimum requirements device with microphone and camera and a stable internet connection
  • Environment for both therapist and patient:
    • Space
    • Clear form clutter
    • Private
    • Furniture required and how it should be arranged
    • Equipment required
  • Background: preferably stationary.
  • Lighting: clearly see your patient at all times.  Above or behind computer screen.  Close curtain and turn on the lights.  Work with patient
  • Noise: eliminate background noise, radio or television.  Headset with microphone useful for therapist.
  • Clothes the patient is wearing, light plain color
  • Position relative to the camera, front on.  Face and upper chest in view.  Are you looking at the patient or the camera. When demonstrating the action, position yourself correctly.
  • Continually ask patient to reposition the camera and themselves - get the patient position right
  • Position yourself to avoid mistakes with goniometry assessment.

Resources[edit | edit source]

https://www.who.int/goe/publications/goe_telemedicine_2010.pdf

https://www.wcpt.org/sites/wcpt.org/files/files/congress/19/Presentations/WCPT-06.pdf

http://www.apta.org/Telehealth/

https://www.apta.org/Telehealth/Implementation/

http://www.apta.org/Telehealth/COVID-19/Modalities/

https://australian.physio/sites/default/files/APATelehealthGuidelinesCOVID190420FA.pdf

https://www.racp.edu.au/docs/default-source/advocacy-library/telehealth-guidelines-and-practical-tips.pdf

https://www.caot.ca/document/7171/Practical%20Considerations%20for%20OTs%20and%20Telehealth_covid19_March25.pdf

https://www.gtlaw.com/-/media/files/insights/published-articles/020810_new-york-law-journal-telemedicine-legal-and-practical-considerations.pdf

https://www.running-physio.com/telehealth