Use of home telemedicine for critical illness rehabilitation: an Indian success story

One-fifth of healthcare beneficiaries in developed nations get discharged from hospitals to physician supervised skilled nursing care facilities. In low-income and middle-income countries like India, postdischarge skilled nursing facilities are at a very nascent stage and largely underequipped in te...

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Published inBMJ case reports Vol. 12; no. 2; p. bcr-2018-227779
Main Authors Unnikrishnan, Dileep, Raman, Dileep, Joshi, Dhruv, Ajaikumar, B S
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.02.2019
BMJ Publishing Group
SeriesCase Report
Subjects
Adult
Cameras
Caregivers
Case reports
Cost-Benefit Analysis
Critical care
Critical Illness - rehabilitation
Delirium
Evidence-Based Medicine
Global Health
Health Services Research
Home Care Services
Hospitals
Humans
India
Intensive care
Internet
Male
Mortality
Muscular dystrophy
Muscular Dystrophy, Duchenne - rehabilitation
Neuromuscular diseases
Ostomy
Patients
Physical therapy
Public health
Rehabilitation
Sepsis
Telemedicine
Treatment Outcome
Ventilator Weaning - methods
Ventilators
India
chronic disease / disability nursing
rehabilitation medicine
intensive care
public health
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Summary:One-fifth of healthcare beneficiaries in developed nations get discharged from hospitals to physician supervised skilled nursing care facilities. In low-income and middle-income countries like India, postdischarge skilled nursing facilities are at a very nascent stage and largely underequipped in terms of infrastructure, skilled nursing and physician staff to manage complicated patients. Hence the responsibility of management of such patients lies largely with their families. We present a case where a 26-year-old man with Duchenne Muscular Dystrophy who became ventilator dependent following major surgeries was weaned off his ventilator and rehabilitated back to his prehospital state. This was done at his home with visiting nurses and rehabilitation services under telemedicine supervision by a critical care specialist. Use of telemedicine services could be a viable and cost-effective option to ensure adherence to evidence-based medicine and standardisation of care in resource limited countries such as India.
Bibliography:ObjectType-Case Study-2
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-227779