01.00 am, Wednesday May 23 2012

Hi-tech alternative to nurse home visit

06:12 AEDT Wed Mar 24 2010
By Danny Rose
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Nurse shows woman who to use unit
A device seen as a future of health care in regional Australia is beaming nurses into lounge rooms.

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A device touted as a future of health care in regional Australia is freeing nurses from long road trips, and instead beaming them into lounge rooms.

The internet-enabled unit, which looks like a cross between a television and a jaffle iron, allows the elderly and infirm to have a video conference with a nurse from their own home.

The device also guides these patients through a daily process of checking their own blood pressure, pulse and weight while automatically transmitting this vital data to a clinic for centralised monitoring.

"You could have one registered nurse monitoring maybe 50 or 60 patients in a day using this remote patient monitoring, while they can only do 10 or 15 when they do it face-to-face," said Margaret Scott OAM, who heads a community care nursing service north of Sydney.

"A lot of my nurses travel a hundred kilometres in the course of their community visits in a day ... therefore we're making real effective use of the scarce commodity called the registered nurse."

Mrs Scott, who is Nursing Director at Hunter Nursing Agencies in Toronto, is overseeing a pilot study involving up to 50 of the Intel Health Guide units which have been newly introduced to Australia.

She said while it would never replace a home visit by a nurse to perform "hands on" care like wound treatment, the device could be used for the many visits which were for monitoring purposes alone.

Elderly users involved in the trial had adapted quickly to the hi-tech alternative to a nurse home visit, Mrs Scott said.

"We have a significant number of aged and frail lone-livers in the Hunter (region); we're looking at 80 years plus and usually with a chronic disease," Mrs Scott said of those trialling the unit.

"It sometimes takes them a little while to become comfortable or to move on from thinking its a computer ... but they can see people on it and that very quickly wins them over."

The device - or similar units made by competitors - could hold the key to improving health care delivery in rural and remote parts of the country without prompting a major break-out in costs.

An Intel spokesman said while pricing was not able to be released publicly, the device used conventional technology and the internet and this made it "in the realms of commodity prices for a PC" to buy and operate.

Compared to having a registered nurse driving around the countryside to undertake routine monitoring, Mrs Scott said it was a "no-brainer" and was cost effective.

 

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