TELE MEDICINE IN COMMUNITY HEALTH NURSING

2. The Demerits of Telemedicine
• Conferences and video can’t replace valuable time between doctor
and patient or more personal discussion that doctors and physicians
might otherwise have with each other.
• Legal complications are raising another red flag. Laws and a set
code of rules and ethics will first need to be applied before
telemedicine can be used regularly in various capacities. This alone
might take some time.
• Services and how professionals get paid for them will all need to be
resolved as telemedicine becomes a more fluent practice. This can
prove to be a difficult determination.
• Then we have clinical risk and over dependence on this telemedicine
system. Due to the risks involved with what is reliable vs. unreliable
information and over dependence or over use of telemedicine can
easily get out of control until more uniformed strategies and
procedures are put into play.
• As you can see telemedicine is not yet all worked out where it can
be utilized constantly or flexibly.

3. TELEMEDICINE

4. WHAT IS SATELLITE?
• A Satellite is a solid object which revolves around some
heavenly body due to the effect of gravitational forces which
are mutual in nature. We can categorize satellites in two
types, namely Passive Satellites and Active satellites. Passive
satellites are not like active satellites. Even a moon can be a
passive satellite. Thus passive satellites are relay stations in
space. A passive satellite can be further subdivided into two
types, namely Natural satellites and artificial satellites. A
moon is a natural satellite of earth. But spherical balloon with
metal coated plastic serve as artificial satellites.
• Active satellites are complicated structures having a
processing equipment called Transponder which is very vital
for functioning of the satellite. These transponders serve dual
purpose i.e. provides amplification of the incoming signal and
performs the frequency translation of the incoming signal to
avoid interference between the two signals.

5. India:
The first satellite that was used for
communication purpose in INDIA was
ARYABHATTA and it was launched in 19th
April.1975. It was made and assembled by an
organization called Indian Space Research
Organization (ISRO). In the year 1981, a
satellite named APPLE was launched in space
which was the first Indian Experimental
communication satellite

6. Communication process
Earth station
Terrestrial
system
User
Earth station
Terrestrial
system
User
Satellite
Uplink
Antenna
Downlink
Antenna
Earth station
Terrestrial
system
User
Earth station
Terrestrial
system
User
Earth station
Terrestrial
system
User
Earth station
Terrestrial
system
User
SatelliteSatellite
Uplink
Antenna
Uplink
Antenna
Downlink
Antenna
Downlink
Antenna

7. TYPES OF ORBIT:
• Geosynchronous Orbit (GEO): 35,786 km
above the earth
• Medium Earth Orbit (MEO): 8,000-20,000
km above the earth
• Low Earth Orbit (LEO): 500-2,000 km
above the earth

9. Simplex Transmission
Applications for simplex services include
broadcast transmissions such as:
• TV and video services
• Radio services

10. Point-to-Point Duplex Transmission
Applications for duplex services include:
• Voice Telephony transport
• Data and IP transport (especially in asymmetric
configurations)
• Corporate networks
• TV and Broadcast program contribution and
distribution

11. Point-to-Multipoint Transmission
Applications for point-to-multipoint services include:
• Corporate networks, and business television
• Video and broadcast distribution, including Direct-to-
Home Internet services

12. Mobile Antenna Service
Applications for mobile antenna services include:
• Satellite News Gathering
• Special Event and Broadcasting
• Maritime services

13. Star Network
Applications for Star Networks include:
• Corporate Networks
• Distance Learning

14. Mesh Network
Applications for Mesh Networks include:
• National and International Telephony and
Data networks
• Rural Telephony

15. ELECTRONIC
MEDICAL RECORD

16. DEFINITION:
An electronic medical record (EMR) (also
electronic patient record or computerised patient
record) is an evolving concept defined as a
systematic collection of electronic health information
about individual patients or populations.

17. CONTENT:
It is a record in digital format that is
capable of being shared across different
health care settings, by being embedded
in network-connected enterprise-wide
information systems. Such records may
include a whole range of data in
comprehensive or summary form,
including demographics, medical history,
medication and allergies, immunization
status, laboratory test results, radiology
images, and billing information.

18. ADVANTAGES:
• Record keeping and mobility
• Promote evidence-based medicine
• Improve quality of care
• Reduction of cost
• Improve the follow up care

19. DISADVANTAGES:
• Implementations
• Training costs
• Software maintenance costs
• Start-up costs
• Incentives

20. LEGAL STATUS:
• Electronic medical records, like medical records, must
be kept in unaltered form and authenticated by the
creator.
• Under data protection legislation, responsibility for
patient records (irrespective of the form they are kept
in) is always on the creator and custodian of the
record, usually a health care practice or facility.
• The physical medical records are the property of the
medical provider (or facility) that prepares them.
• This includes films and tracings from diagnostic
imaging procedures such as X-ray, CT, PET, MRI,
ultrasound, etc.
• The patient, however, has a right to view the originals,
and to obtain copies under law.

23. FEATURES OF EMR:
The EMR module is a fully integrated
details of Medical and clinical records of
patients in the hospital. The system
supports medical professionals of various
departments of the hospitals with relevant
information like medical examinations,
diagnosis, treatment histories,test results
and so on. The module provides access to
critical and complete patient data that
leads to high quality cost effective and
efficient patient care.

24. Questions????????????????????