Practical Considerations in Telehealth

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The ubiquitous nature of technology in our daily lives has paved the way for the development of alternative methods of healthcare delivery. Teleheath has been found to be an effective "next-gen" solution, and helps clients to receive equivalent if not better care. In order to ensure the most effective delivery of physiotherapy services in a safe and responsible manner through the means of telehealth or video-consultation, the following prerequisites need to be met.

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