Pathophysiology
Clinical meaning
Telehealth nursing uses telecommunications technology to deliver healthcare services, including real-time video visits (synchronous), store-and-forward messaging (asynchronous), and remote patient monitoring (RPM). Remote patient monitoring uses devices that automatically transmit vital signs, blood glucose readings, weight, and pulse oximetry data from the patient's home to the healthcare team. Telehealth expands access to care for rural communities, homebound patients, and those with mobility or transportation barriers. Nursing assessment in telehealth requires adapted physical assessment skills: visual inspection via camera, patient-reported symptoms, and directed self-assessment guidance. Informed consent specific to telehealth must address technology requirements, privacy limitations, and emergency protocols. Documentation must capture the technology used, participants, assessment findings, interventions, and patient location (for jurisdiction purposes). HIPAA-compliant platforms are required for all telehealth encounters to protect patient privacy.