Introduction

• Telehealth is the use of electronic information and telecommunications

technologies to support long distance clinical health care, patient and
professional health related education, public health and health
administration.

• Telenursing is a subset of telehealth in which technology is used to deliver

nursing care and conduct nursing practice. It is specific to nursing as
professions.

• Telenursing not is a new mode of health care delivery rather it is an

evolving mode of health care delivery that begun from the advent of
telephone use in 1876.
 Objective

Explain the concept of telenursing

Discuss the ethical/legal issues surrounding telenursing

Discuss of the benefit of utilizing telenursing

State of the role of nurses in the utilization of telenursing for

quality nursing care

Discuss the challenges associated with the utilization of telenursing

Concept of Telenursing

Methods of
Type of
delivering
Telenursing
Telenursing

Applications of
Telenursing
 Types of Telenursing
1. Remote Monitoring

- The Nurse monitors the patient remotely from

his/her house.
- Patient collect and transmit data to nurse s; the
nurse plans the intervention.
- Used for the handling chronic disease like heart
disease, diabetes, asthma etc.
2. Interactive telenursing services

It involves series of interactive sessions with client

via phone conversations and online
communication.
Used to obtain history, physical tests, psychiatric
assessments, ophthalmology evaluation.
3. Store of forward Telenursing

Used to obtain medical images, audio or video

data that can be forwarded to a nurse at a suitable
time for evaluation offline.

Areas utilized are dermatology, radiology abd

pathology.
4. Specialist and primary care consultations

Patient see a nurse over a live video connection or

using diagnostic images/video along with patient
data to a specialist for viewing later
5. Imaging service

Used in radiology, pathology and cardiology

Methods of delivering Telenursing

Pont to point
Web based a
connection Networked
health patient
using private programme
service site
network

Connections to Primary or
monitoring speciality care to
centre from home
home connections
Applications of Telenursing

Home care

Patient consultations

Telephone triage

Remote monitoring

Chronic disease
management
 Rule of nurses in telenursing

Ensure proper and accurate documentation

in electronic or paper format

Ensure the privacy,

Carry out only the activities you are
security of patient
competent and authorized to perform
information

Take into account client’s

Establish client – nurse spiritual and
relationship so as to psychosocial needs and
establish a duty of care preference as
everybody's unique