{"id":1941,"date":"2020-06-01T10:35:29","date_gmt":"2020-06-01T10:35:29","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1941"},"modified":"2020-06-01T10:35:29","modified_gmt":"2020-06-01T10:35:29","slug":"has-family-practice-care-changed-forever","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2020\/06\/01\/has-family-practice-care-changed-forever\/","title":{"rendered":"Has family practice care changed forever?"},"content":{"rendered":"

Roberta Heale, Associate Editor EBN @robertaheale @EBNursingBMJ<\/p>\n

Virtual health care isn’t new, but it’s taken on a whole new meaning during COVID 19.\u00a0 In Canada family practice with family doctors and family nurse practitioners moved to virtual appointments, including assessing over the telephone, or via a weblink if it was available to the patient.\u00a0 After a strict triage, people are brought into the office only if it is impossible to deal with their issues virtually.\u00a0 Childhood immunizations are one example of care that still requires a face-to-face.\u00a0 However, such things as review of lab work results, does not.<\/p>\n

When the pandemic hit and clinics moved to models of virtual care delivery, practitioners weren’t sure it would work, or whether they would like it. \u00a0However, after a few months of this new practice model, doctors and NPs appear to have taken to it quite well. In fact, there are rumblings that most will not go back 100% to the old clinic model of face-to-face appointments.<\/p>\n

This is good news for some.\u00a0 For example, parents with young children are relieved to know that there are options besides missing a chunk of work and battling traffic only to sit in an office with a fussy child for hours.\u00a0 Now their child’s illness can be assessed through a video monitor, with diagnosis and treatment made, or further assessment arranged.<\/p>\n

The virtual family practice model, however, isn’t meeting everyone’s needs.\u00a0 A friend of mine, with several chronic conditions, isn’t confident in her ability to accurately take her own blood pressure.\u00a0 She’s concerned that no one has auscultated her heart to listen for changes in her heart murmur.\u00a0 She also described the difficulty in taking a ‘selfie’ of a rash on the back of her leg.\u00a0 My own daughter, almost five months along with my first grandchild, has yet to have someone conduct a physical assessment.<\/p>\n

Some people simply don’t have the resources, or ‘know how’ to participate in a video appointment and much can be lost by telephone alone.\u00a0 Without actually seeing patients, or only visualizing them at the specific angle and place of their choosing, providers may miss the subtleties of changes in mental health status such as depression, or changes in cognition. Some people aren’t aware of the importance of symptoms, such as swollen feet for someone with heart failure, and won’t mention it to their provider. By not visualizing it, the symptom may be missed.<\/p>\n

Without a doubt the world has changed and health care is no exception.\u00a0 As we transition out of our homes, we’ll find that many things will never go ‘back to normal’.\u00a0 The family practice is no exception.\u00a0 Although better for some, virtual care will not serve everyone well and there’s potential for important issues to be missed.\u00a0 As always, nursing has an essential role as this change to our system takes place.\u00a0 Community health nurses, are in an ideal position to bridge the gap arising from virtual appointments.\u00a0 Offering trusted health care expertise for over a century, home care nurses can provide the eyes and hands that are missing in virtual appointments. Nursing should ensure that no one is left out of this new health care reality.\u00a0 Let’s not forget that we all have to adapt to the changing world and, sometimes we need to be a voice for patients.<\/p>\n

https:\/\/www.cbc.ca\/news\/canada\/nova-scotia\/covid-19-nova-scotia-patient-visits-virtual-appointments-1.5560143<\/a><\/p>\n

https:\/\/www.cbc.ca\/life\/wellness\/a-doctor-s-advice-for-how-to-get-the-most-out-of-your-virtual-health-appointment-1.5554641<\/a><\/p>\n

https:\/\/www.cbc.ca\/news\/health\/virtual-care-covid-1.5556863<\/a><\/p>\n

https:\/\/www.cbc.ca\/news\/canada\/edmonton\/we-re-in-uncharted-waters-doctors-adjust-as-virtual-appointments-become-the-new-norm-1.5528267<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Roberta Heale, Associate Editor EBN @robertaheale @EBNursingBMJ Virtual health care isn’t new, but it’s taken on a whole new meaning during COVID 19.\u00a0 In Canada family practice with family doctors and family nurse practitioners moved to virtual appointments, including assessing over the telephone, or via a weblink if it was available to the patient.\u00a0 After […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":169,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[3665],"class_list":["post-1941","post","type-post","status-publish","format-standard","hentry","tag-nursing-issues"],"yoast_head":"\nHas family practice care changed forever? - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2020\/06\/01\/has-family-practice-care-changed-forever\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Has family practice care changed forever? - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"Roberta Heale, Associate Editor EBN @robertaheale @EBNursingBMJ Virtual health care isn’t new, but it’s taken on a whole new meaning during COVID 19.\u00a0 In Canada family practice with family doctors and family nurse practitioners moved to virtual appointments, including assessing over the telephone, or via a weblink if it was available to the patient.\u00a0 After [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/ebn\/2020\/06\/01\/has-family-practice-care-changed-forever\/\" \/>\n<meta property=\"og:site_name\" content=\"Evidence-Based Nursing blog\" \/>\n<meta property=\"article:published_time\" content=\"2020-06-01T10:35:29+00:00\" \/>\n<meta name=\"author\" content=\"rheale\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"rheale\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/\"},\"author\":{\"name\":\"rheale\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#\\\/schema\\\/person\\\/4d6c0669182b39dd438efb3fe94d7f64\"},\"headline\":\"Has family practice care changed forever?\",\"datePublished\":\"2020-06-01T10:35:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/\"},\"wordCount\":603,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#organization\"},\"keywords\":[\"Nursing Issues\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2020\\\/06\\\/01\\\/has-family-practice-care-changed-forever\\\/\",\"name\":\"Has family practice care changed forever? 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