RT Book, Section
A1 Herendeen, Neil E.
A2 Rheuban, Karen Schulder
A2 Krupinski, Elizabeth A.
SR Print(0)
ID 1153060717
T1 School and Childcare Center Telehealth
T2 Understanding Telehealth
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9781259837401
LK accessmedicine.mhmedical.com/content.aspx?aid=1153060717
RD 2024/04/19
AB Jackie  is  a  working  mother  of  five  children  who  works  as  a  teacher's  aide  and  cooks  for  the  childcare  center  that  her  youngest  two  children  attend.  Three  of  her  kids  have  asthma,  and  her  youngest  has  recurrent  otitis,  which  added  together  have  required  15  medical  visits  (pediatrician,  pulmonologist,  emergency  department)  in  a  three-month  period.  As  with  many  low-paying  service  jobs,  Jackie  does  not  get  paid  if  she  is  not  at  work  and  feels  caught  in  a  no-win  situation.  She  either  feels  guilty  for  being  a  bad  mom  if  she  doesn’t  take  her  children  in  for  their  medical  appointments  or  lets  her  family  down  by  not  getting  paid  when  she  takes  off  work  but  then  doesn’t  have  enough  money  at  the  end  of  the  month  to  pay  her  bills.  Her  childcare  center  director  appreciates  her  dilemma  and  is  excited  to  tell  her  about  a  new  telemedicine  service  that  will  allow  her  children  to  see  their  primary  care  medical  home  without  having  to  leave  school  or  the  childcare  center.  Jackie  can  now  stay  at  work  and  have  her  kids  get  the  medical  attention  they  deserve.  She  still  has  to  come  to  the  hospital  for  her  specialist  visits  and  well-child  visits  but  is  able  to  schedule  those  for  later  in  the  afternoon  after  her  breakfast  and  lunchtime  duties  at  the  childcare  center  are  completed.  So  far,  her  youngest  has  avoided  getting  pressure  equalization  tubes  with  careful  management  by  her  primary  care  provider,  and  her  older  children  with  asthma  have  improved  their  attendance  at  school  with  better  asthma  control  and  an  earlier  response  to  exacerbations.