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Belinda del C Carrión Chavarría, Mildred López, Yolanda Macias-Rodriguez, and Alba Elizabeth Huitrón Villegas

La evolución de los modelos de atención hacia un enfoque integral, en el que la persona está en el centro y se involucra activamente en las decisiones sobre su salud, ha reforzado al Autocuidado y sus elementos como una herramienta fundamental en el control de las enfermedades crónicas; el apoyo a la autogestión ha permitido que las personas viviendo con enfermedades no transmisibles no solamente conozcan su enfermedad, sino que aprendan de ella, se capaciten en el automonitoreo y desarrollen las habilidades necesarias para tomar decisiones para su autocontrol.

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La evolución de los modelos de atención hacia un enfoque integral, en el que la persona está en el centro y se involucra activamente en las decisiones sobre su salud, ha reforzado al Autocuidado y sus elementos como una herramienta fundamental en el control de las enfermedades crónicas; el apoyo a la autogestión ha permitido que las personas viviendo con enfermedades no transmisibles no solamente conozcan su enfermedad, sino que aprendan de ella, se capaciten en el automonitoreo y desarrollen las habilidades necesarias para tomar decisiones para su autocontrol.

La Telemedicina ha jugado un papel esencial en este proceso, y a lo largo de los últimos años se ha posicionado como una herramienta clave para fortalecer las conductas de Autocuidado contribuyendo a fomentar que la relación del paciente con el profesional de la salud se convierta en bidireccional y continúe facilitando con esto la comunicación entre ellos y se fortalezca con el apoyo de la tecnología.

La Telesalud debe ser entonces difundida como un instrumento para la enseñanza del Autocuidado a través de la capacitación en autoexploración y simulación remota, regidas por las medidas éticas y legales que se fundamentan en el respeto a la confidencialidad, siempre con la persona y sus necesidades en el centro de las decisiones.

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What's inside

Syllabus

Autoexploración y autocuidado una nueva modalidad de atención clínica
El surgimiento y alta prevalencia de las enfermedades crónicas ha impulsado la promoción del Autocuidado como parte fundamental en el tratamiento y control de las mismas, lograr que cada persona conozca su enfermedad, pueda detectar cambios en su estado basal a través del automonitoreo y tome decisiones para prevenir complicaciones, es un proceso dinámico; el paciente no solo recibe información otorgada por el personal de salud, sino que participa activamente en diversas estrategias de autogestión y autocuidado para lograr su empoderamiento y ganar confianza en su capacidad de aprender, tomar decisiones y desarrollar un comportamiento a partir del análisis de la información, y que este permanezca en el tiempo con la finalidad de mejorar su salud y lograr bienestar.
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Guías y recomendaciones emitidas por instituciones líderes en TeleSalud
La virtualidad no permite realizar en manos del profesional de Salud, el arte clínico de palpar y escuchar al enfermo. La atención clínica se apoya mucho en una comunicación efectiva y una observación más detallada. El replanteamiento de una auto exploración dirigida en la teleconsulta comprometió a las asociaciones, que promueven la medicina de cabecera, a proponer guías para asesorar a los profesionales de Salud que están brindando atención clínica remota.
Capacitación remota al paciente a través de la simulación
Capacitar a los pacientes para autoexplorarse es invaluable, pues le estamos dando cierto empoderamiento al paciente para que junto con su profesional de la salud se fortalezcan los esfuerzos para la detección temprana y monitoreo de enfermedades. Con las facilidades que existen para comunicarnos hoy en día y con la tecnología de vanguardia que progresa a pasos agigantados, las distancias no deben ser impedimento para poder capacitar a nuestros pacientes en entornos de aprendizaje muy parecidos a la realidad que permitan aprender a tener la mejor toma de decisiones y conductas a seguir ante un evento real.
Marco legal y principios éticos en la interacción médico-paciente
En este último tema revisaremos la práctica de la telemedicina que, gracias a los avances en las tecnologías de la información, ha tenido un gran auge en los últimos años, conlleva una serie de consideraciones éticas, deontológicas y regulatorias que es conveniente identificar y sobre las cuales es necesario reflexionar. Las ventajas y beneficios que ofrece el uso de nuevas tecnologías pudieran conllevar algunas situaciones en las que no se respeten los derechos de los pacientes; o se pudiera caer, también, en prácticas contrarias a la normatividad.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Explores foundational material that is a part of all nursing programs
Enriches learning by utilizing simulations that enhance this course's "learn by doing" approach
Introduces learners to ethical issues that arise from telehealth and telemedicine
Uses a multi-modal approach that includes videos, readings, and discussions
Core concepts may be foundational in the nursing field, but may not address the needs of specialized nurses

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Exploración centrada en el paciente with these activities:
Voluntariado en organizaciones que apoyan el autocuidado y la gestión de enfermedades crónicas
El voluntariado puede ampliar tu comprensión de los desafíos y recursos relacionados con el autocuidado y las enfermedades crónicas.
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  • Investiga y selecciona una organización alineada con tus intereses
  • Ofrece tus habilidades y tiempo para apoyar sus programas y actividades
  • Interactúa con personas afectadas por enfermedades crónicas y aprende de sus experiencias
Revisit basic concepts of health care and epidemiology
Go through foundational concepts of public health, epidemiology, and health care in order to refresh your knowledge base and prepare to delve deeper into the material covered in this course.
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  • Review notes and textbooks from previous courses on public health, epidemiology, and health care
  • Complete practice questions or quizzes to test your understanding
Asiste a talleres sobre autocuidado y gestión de enfermedades crónicas
Los talleres proporcionan información práctica y oportunidades de aprendizaje sobre el autocuidado y la gestión de las enfermedades crónicas.
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  • Busca y selecciona talleres que se centren en temas relevantes para ti
  • Participa activamente en las sesiones y toma notas
  • Aplica los conocimientos y habilidades adquiridos de los talleres en tu propio plan de autocuidado
One other activity
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Solve case studies on chronic disease management
Engage with case studies that present real-world scenarios in chronic disease management. Solving them will hone your critical thinking skills and ability to apply course concepts to practical situations.
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  • Read through the case study and identify the key issues and challenges
  • Analyze the data provided and draw conclusions
  • Develop and evaluate potential solutions

Career center

Learners who complete Exploración centrada en el paciente will develop knowledge and skills that may be useful to these careers:
Patient Navigator
Patient Navigators are advocates and advisors who support patients through the complex world of medical services and often help patients understand their health status. This course may be particularly helpful to Patient Navigators as it can aid in the process of patient education concerning self-monitoring, self-exploration, and other aspects of self-sufficiency. Its focus on ethics and law can also help Patient Navigators navigate their role in advocating for patients within a medical system.
Health Educator
Health Educators work in various settings, including public health, schools, workplaces, and community organizations, to promote health and wellness. The focus of this course on patient-centered care and self-management of chronic conditions aligns well with the work of Health Educators. It can help Health Educators gain a deeper understanding of how to empower patients and provide them with the skills and knowledge they need to manage their health effectively.
Registered Nurse
Registered Nurses provide direct patient care and play a vital role in promoting patient self-management. This course complements the nursing curriculum by providing a solid foundation in patient-centered care, self-exploration, and the use of technology to enhance self-care. By understanding the principles of patient empowerment and self-management, Registered Nurses can better support patients in managing their chronic conditions and improving their overall health outcomes.
Pharmacist
Pharmacists are medication experts who play a crucial role in patient care. This course aligns with the pharmacist's responsibilities to counsel patients on their medications and provide guidance on managing chronic conditions. The emphasis on patient-centered care and self-management can help Pharmacists effectively communicate with patients, empower them to take an active role in their health, and improve medication adherence.
Medical Assistant
Medical Assistants perform a variety of administrative and clinical tasks in healthcare settings. This course can be useful for Medical Assistants by enhancing their understanding of patient-centered care and the importance of patient self-management. The focus on telehealth and remote patient monitoring can also prepare Medical Assistants for the increasing use of technology in healthcare.
Health Coach
Health Coaches work with individuals and groups to promote healthy behaviors and lifestyle changes. This course can provide Health Coaches with a solid foundation in patient-centered care and the principles of self-management. It can help them effectively guide patients in setting realistic goals, developing self-care plans, and overcoming barriers to behavior change.
Care Coordinator
Care Coordinators facilitate communication and coordination between patients, healthcare providers, and community resources. This course aligns with the role of Care Coordinators by providing insights into patient-centered care and the importance of involving patients in decision-making. The focus on telehealth and remote patient monitoring can also prepare Care Coordinators to navigate the growing use of technology in healthcare.
Social Worker
Social Workers provide counseling, support, and resources to individuals and families facing various challenges. This course may be helpful for Social Workers working in healthcare settings, as it can enhance their understanding of the psychosocial aspects of chronic conditions and the importance of patient self-management. It can also provide insights into the ethical and legal considerations in patient care.
Physician Assistant
Physician Assistants work under the supervision of physicians to provide patient care. This course may be useful for Physician Assistants as it aligns with their responsibilities to educate patients about their health conditions and promote self-management. The focus on patient-centered care and the use of technology can also help Physician Assistants provide more effective and personalized care.
Nurse Practitioner
Nurse Practitioners provide primary and specialty care to patients and have a strong focus on patient education and self-management. This course can complement their education by providing a deeper understanding of the principles of patient-centered care and the use of technology to enhance self-care. It can also help Nurse Practitioners develop the skills needed to effectively guide patients in managing their chronic conditions.
Occupational Therapist
Occupational Therapists help individuals improve their ability to perform daily activities and live independently. This course may be helpful for Occupational Therapists working with patients with chronic conditions, as it can provide insights into the importance of patient self-management and the use of technology to enhance self-care. It can also help Occupational Therapists develop the skills needed to effectively guide patients in setting realistic goals and overcoming barriers to participation.
Physical Therapist
Physical Therapists work with individuals to restore and improve their physical function. This course may be helpful for Physical Therapists working with patients with chronic conditions, as it can provide insights into the importance of patient self-management and the use of technology to enhance self-care. It can also help Physical Therapists develop the skills needed to effectively guide patients in setting realistic goals and overcoming barriers to mobility.
Speech-Language Pathologist
Speech-Language Pathologists work with individuals to improve their communication and swallowing abilities. This course may be helpful for Speech-Language Pathologists working with patients with chronic conditions, as it can provide insights into the importance of patient self-management and the use of technology to enhance self-care. It can also help Speech-Language Pathologists develop the skills needed to effectively guide patients in setting realistic goals and overcoming barriers to communication.
Clinical Psychologist
Clinical Psychologists provide therapy and counseling to individuals with mental health conditions. This course may be helpful for Clinical Psychologists working with patients with chronic conditions, as it can provide insights into the importance of patient self-management and the use of technology to enhance self-care. It can also help Clinical Psychologists develop the skills needed to effectively guide patients in coping with the psychological challenges of chronic conditions.
Healthcare Administrator
Healthcare Administrators plan, direct, and coordinate healthcare delivery systems. This course may be useful for Healthcare Administrators as it provides insights into the principles of patient-centered care and the importance of involving patients in decision-making. The focus on telehealth and remote patient monitoring can also prepare Healthcare Administrators for the growing use of technology in healthcare.

Reading list

We've selected six books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Exploración centrada en el paciente.
Este libro de texto integral cubre todos los aspectos de la medicina interna. Proporciona información detallada sobre una amplia gama de enfermedades y afecciones, lo que lo convierte en un recurso invaluable para los profesionales de la salud que brindan atención integral a los pacientes.
Outlines the principles and practices of patient-centered care, emphasizing the importance of patient involvement, shared decision-making, and personalized care plans, which aligns with the course's focus on patient empowerment.
This guide specifically addresses ethical issues in telehealth, providing guidance on patient privacy, informed consent, and legal considerations, which is essential for understanding the ethical framework surrounding telemedicine.
This guide provides practical advice on self-care for heart health, including lifestyle modifications, nutrition, and stress management, complementing the course's emphasis on patient self-management and disease prevention.
This classic textbook in medical ethics provides a thorough exploration of ethical theories and their application to medical practice, offering a deeper understanding of the ethical principles underlying telemedicine.

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