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MidReal Story
Remote Diagnosis: A TytoCare Medical Breakthrough
Anonymous
May 14
Scenario:Título: Avaliação Remota de Pacientes com utilização dispositivo exame físico e sinais vitais a distância
Autor : Dr. Marcon Censoni de Ávila e Lima.
3 grupos pacientes
1. Oncológicos internados
2. , Pós-Operatórios cirurgias oncológicas cabeça e pescoço e aparelho digestivo
3. pacientes de internavam Clínica
Utilizando o Dispositivo ( TytoCare / Tuinda )
para Diagnóstico Precoce e Intervenção Terapêutica adequada precoce.
-> Resumo
Este estudo visa avaliar a eficácia do dispositivo de exame remoto ( TytoCare ) na monitorização e diagnóstico precoce de condições críticas em três grupos de pacientes:
internados em hospital oncológico
em alta pós-operatória de cirurgias de cabeça e pescoço e aparelho digestivo
e em altas clínicas.
A hipótese é que o uso do TytoCare permitirá a detecção precoce de alterações vitais e a implementação de terapias precoces, reduzindo assim as taxas de morbidade, mortalidade e reinternações.
-> Introdução
O monitoramento contínuo de pacientes críticos e pós-operatórios é crucial para a detecção precoce de complicações.
A tecnologia de telemedicina, representada por dispositivos como o TytoCare, oferece a possibilidade de monitorar pacientes à distância, facilitando intervenções rápidas e precisas.
Este estudo se concentra na aplicação do TytoCare para monitorar pacientes em diferentes contextos clínicos, com o objetivo de avaliar sua eficácia na melhoria dos resultados clínicos.
-> Revisão da Literatura
A telemedicina tem sido amplamente estudada como uma ferramenta para melhorar o acesso aos cuidados de saúde e a qualidade do monitoramento de pacientes.
Estudos anteriores demonstraram que o monitoramento remoto pode reduzir as taxas de reinternação e melhorar a satisfação do paciente.
No entanto, há uma necessidade de mais pesquisas sobre a eficácia de dispositivos específicos, como o TytoCare, em diferentes populações de pacientes.
-> Objetivo
Avaliar a eficácia do dispositivo ( TytoCare)
na detecção precoce de alterações vitais e na implementação de terapias precoces para reduzir as taxas de morbidade, mortalidade e reinternações em três grupos de pacientes:
1. Pacientes internados em hospital oncológico.
2. Pacientes em alta pós-operatória de cirurgias de cabeça e pescoço e ap. Digestivo
3. Pacientes em internação clínica
-> Metodologia
Desenho do Estudo
Estudo prospectivo, observacional e multicêntrico, envolvendo três grupos de pacientes:
1. **Grupo Oncológico**: Pacientes internados em um hospital especializado em oncologia.
2. Grupo Pós-Operatório: Pacientes em alta após cirurgias de cabeça e pescoço e aparelho digestivo
3. Grupo Clínico: Pacientes clínicos em alta hospitalar.
-> Coleta de Dados
- Ferramenta: Dispositivo TytoCare para monitoramento remoto.
- Parâmetros Monitorados: Sinais vitais (frequência cardíaca, pressão arterial, temperatura), sons respiratórios e cardíacos, e outros dados clínicos relevantes.
- Frequência: Monitoramento a definir em casa grupo
- internados : qdo mews >= 3
- após alta cirúrgica : 1 avaliação a cada 2 /3 dias até o retorno em ambulatório
- alta após internação clínica : 1 avaliação on line a cada 2/3 dias até retorno ambulatório
- Dados Complementares:
Histórico médico, medicações em uso, e eventos adversos.
-> Análise de Dados
- Estatística Descritiva:
Características demográficas e clínicas dos pacientes.
- Análise de Sobrevida:
Taxas de morbidade, mortalidade e reinternações.
- Modelos de Regressão:
Para identificar fatores associados a desfechos clínicos.
-> Resultados Esperados
- Diagnóstico Precoce:
Aumento na detecção precoce de condições críticas.
- Intervenção Terapêutica:
Implementação mais rápida de terapias apropriadas.
- Desfechos Clínicos:
Redução nas taxas de morbidade, mortalidade e reinternações.
-> Discussão
A telemedicina representa uma inovação significativa na gestão de cuidados de saúde.
Este estudo contribuirá para o entendimento de como o TytoCare pode ser utilizado em diferentes contextos clínicos para melhorar os resultados dos pacientes.
A discussão abordará as implicações dos achados para a prática clínica e possíveis aplicabilidade em Josefa escala , melhora custo efetividade , e limitações do estudo.
-> Conclusão
A utilização do dispositivo TytoCare tem o potencial de transformar o monitoramento e o manejo de pacientes oncológicos, pós-operatórios e clínicos, possibilitando intervenções terapêuticas precoces e potencialmente melhorando os desfechos clínicos.
Referências
1. Revisão sistemática sobre telemedicina e monitoramento remoto.
2. Estudos de caso sobre o uso do TytoCare em populações específicas.
3. Diretrizes clínicas para monitoramento de pacientes críticos e pós-operatórios.
-> Anexos
- Protocolo de uso do dispositivo TytoCare.
- Formulários de consentimento informado.
- Exemplos de relatórios gerados pelo TytoCare.
- Este trabalho pretende fornecer uma base sólida para a implementação de tecnologias de telemedicina no monitoramento de pacientes, destacando a importância da inovação tecnológica na prática médica atual.
Create my version of this story
Patient John Doe
short cut, thin, hospital gown
Nurse Elena Torres
ponytail, medium build, scrubs uniform, blue
Dr. Marcon Censoni de Ávila e Lima
slick back hairstyle, slim body type, white lab coat, dark gray suit, light blue shirt, navy tie
The TytoCare device is a remote examination tool that allows patients to perform medical exams at home, with the results sent to a healthcare provider.
This study aims to evaluate the efficacy of the TytoCare device in remote patient monitoring across oncology and postoperative care settings.
The study will assess the device’s ability to detect early signs of complications and allow for timely intervention in critical patient groups.
The study will also evaluate the device’s impact on patient outcomes, including hospital readmission rates and length of stay.
The study will be conducted at Hospital São Paulo, a 500-bed tertiary care hospital in São Paulo, Brazil.
The study will include 100 patients in the oncology unit and 100 patients in the postoperative care unit.
Patients will be monitored remotely using the TytoCare device for a period of six months.
Data will be collected on vital signs, symptoms, and other relevant clinical information.
Data analysis will be conducted to evaluate the device’s efficacy in remote patient monitoring and its impact on patient outcomes.
After a long flight, I was finally back to São Paulo and Hospital São Paulo.
I had just left the nurse’s station when someone called my name.
I turned around to see a young woman in a scrubs uniform.
“Good afternoon, Dr.Lima,” she said with a smile.
“My name is Elena Torres.
I’m one of the clinical nurses assisting you with the remote patient monitoring study.
I’m very excited to be part of this project, and I believe it has the potential to improve the quality of care we deliver to our patients.
Would you mind giving me an overview of the TytoCare device and how it works?”
I was impressed by her enthusiasm.
“It’s nice to meet you, Elena,” I replied.
“Let’s talk after lunch.
After finishing my meal, I found a quiet corner in the hospital cafeteria and sat down with Nurse Torres.
She was carrying a notebook and a pen, ready to take notes.
“The TytoCare device is an all-in-one tool that performs medical exams on your patients,” I began.
“It allows them to take their own temperature, heart rate, lung sounds, and more at home.
The results are sent to you through a smartphone app, so you can review them no matter where you are.
The app also provides guided instructions for the patient during the exam.”
Nurse Torres nodded.
“I see,” she said.
“So how does it work?Do we need to train our nursing staff to use this device?Or do we give it directly to the patients?”
she asked with a furrowed brow.
“You’ll be responsible for overseeing patient monitoring on this unit,” I explained.
“You and your nursing staff members will work directly with the patients to collect data and provide care.
So, yes, I’m going to train you on how to use TytoCare for vital sign assessments and data collection.”
“That’s great!” she replied with a big smile.
“I can’t wait to try it out myself.”
Nurse Torres is one of our clinical nurses working on this study.
She and her colleagues will be responsible for overseeing patient monitoring on the oncology unit, where we are testing the TytoCare device in oncology patients to determine whether it can help detect early signs of complications and improve outcomes in this population.
This study aims to evaluate the efficacy of remote patient monitoring with TytoCare within critical patient groups, including oncology and postoperative care settings.
It was Friday afternoon, and Nurse Torres and I had just finished lunch when I remembered that I had to catch a flight in two hours.
“I need to leave for the airport soon,” I said with a sigh.
“I’ll have to get through this quickly,” she replied hurriedly, as if she hadn’t eaten yet.
Handing her the device, I said excitedly, “This is the TytoCare device that you’re going to use on your patients.
It’s an important part of our study, so please take care of it.”
“I will,” she reassured me, accepting it gingerly.
She clutched it in her hands as if it were a precious treasure.
She was eager to start working with TytoCare, and she was ready to teach her staff how to use it as well.
“By the way, do you have time to train my nursing staff members today or tomorrow?”
she asked as she put away her pen and notebook after writing down what I had already told her about TytoCare.
“They’re all going to be here on this unit during these two days.”
Her eagerness made me feel guilty that I couldn’t train her right away.
“Unfortunately, my schedule is very tight today,” I replied apologetically.
“Therefore, I must fly out tonight.
But I have some free time tomorrow morning.
I can train your staff from nine to twelve o’clock,” I offered with a hopeful look.
“That’s perfect,” she replied with a smile.
“I appreciate your help, Dr.Lima.”
With that, we both left for our own separate tasks.
I quickly ran back to my office to pack my things so that I could get to the airport in time for my flight.
Before leaving, I promised her, “I’ll complete the necessary paperwork for the study as soon as possible and send it to you right after that.
I’ll make sure you receive everything you need for this project before my departure tonight.
I’m sorry about the delay.”
“It’s no problem,” she replied with a wave of her hand.
“I’ll see you tomorrow morning.”
Nurse Torres is a clinical nurse working on our oncology unit.
She is responsible for overseeing patient monitoring and will train her staff to use TytoCare, an all-in-one tool that performs medical exams on patients.
It provides guided instructions for both patients and healthcare providers during the exam, and results are sent to providers via a smartphone app.
This study aims to evaluate whether TytoCare can help detect early signs of complications in oncology patients.
Our goal is to improve outcomes within critical patient groups, including those receiving care in oncology and postoperative settings.
This study will also assess TytoCare’s impact on patient outcomes, including hospital readmission rates and length of stay.
If successful, remote monitoring with TytoCare could be a game changer, revolutionizing healthcare delivery in these critical patient groups.
I arrived at the office at ten o’clock in the morning.
After dropping off my suitcase, I soon entered Nurse Torres’s office and took a seat in front of her desk.
“Good morning, Dr.Lima,” she greeted me with a smile.
“Good morning, Elena,” I replied with a smile of my own.
“I believe you have already received all of the necessary training materials that we have prepared for you.
I’ve also sent you a link to a video that explains how TytoCare works.”
“I did.Thank you very much for your help,” she responded with a grateful look.
“I’ve already received an email from you.
I’ll make sure my staff members watch it before starting training.”
“That’s great!”
I said with a smile.
“If you have any questions, please let me know.”
“I will,” she responded with another smile.
“I’m very excited to be part of this project.
She watched me leave and then followed me to the door before saying goodbye.
A few hours later, I received an email from Nurse Torres.
Dear Dr.Lima, I’m glad to be part of this project.
I’ve finished watching the video you sent me earlier and have reviewed all of the training materials you provided.
I’m determined to make sure everything goes as planned tomorrow morning when I hold our first meeting to introduce TytoCare to my staff members.”
Filled with determination, Elena returned to her unit and began preparing for tomorrow’s training.
She looked at her watch and saw that it was only four o’clock in the afternoon.
She still had more than enough time to prepare for tomorrow morning.
She envisioned all of her staff members learning how to use TytoCare and imagined what it would be like if they could use this amazing tool in their everyday work.
Her eyes sparkled as she thought about it.
This device could have such a huge impact on patient care and safety, especially in critical care units like theirs.
And she was proud that her unit was selected to participate in this study.
By using TytoCare to monitor patients and detect complications early, they could help patients receive appropriate treatment in time.
She quickly called all of her staff members to meet in one of her unit’s conference rooms.
After everyone arrived, she started to explain how TytoCare works, why this study was being conducted, and what she expected from them.
“Good afternoon, everyone,” Nurse Torres said with a smile.
“Good afternoon,” everyone replied.
“I would like to take a moment to introduce you to TytoCare,” she started.
“Tomorrow, we’re going to have a training session on this device.
We will learn how to check patients’ vital signs using it and how we can access exam results on our smartphones.
I’m going to conduct this training session, and I expect you to all be present.”
“We’ll be there,” they replied in unison.
“The purpose of this study is to determine whether we can use TytoCare to monitor our patients and detect early signs of complications,” she continued.
“Dr.Lima and his team will conduct a study on postoperative and oncology patients, and we are responsible for overseeing patient monitoring and collecting data using this device.”
The postoperative and oncology units were chosen for this research because many patients experience complications after surgery or during chemotherapy.
“By participating in this study, we can help improve patient outcomes and ensure that all patients receive timely interventions,” she said with a determined look.
“So I hope you understand the importance of this project and that you’ll participate actively in it.”
“We got it, Elena,” they replied in unison.
“I know that we can do this together,” she said with a smile.
“I look forward to working with all of you on this project.”
“We look forward to it too,” they said in unison.
“Before we finish, I’m going to show you how to use TytoCare to check patients’ vital signs,” she said and then demonstrated the steps for them.
“First, we are going to choose the patient’s name from the list, as you can see here.Then we press the ‘Start’ button at the bottom of the screen and begin taking measurements in the order shown on the screen.”
Nurse Torres took each of their temperatures, blood pressure readings, and heart rates and then explained everything in detail to them.
