Implementation and Assessment of a Tele-Dermatology Strategy for Identification and Treatment of Skin Lesions in Elderly People

  • Patricia de Oliveira Dias e-Health Centre of Institute of Cardiology of Rio Grande do Sul - Brazil; AGM e-Health Company - Brazil.
  • Robert Timm Timm AGM e-Health Company
  • Edilson Siqueira AGM e-Health Company
  • Adolfo Sparenberg Instituto de Cardiologia do RS
  • Clarissa Rodrigues Instituto de Cardiologia do RS
  • Silvia Goldmeier Instituto de Cardiologia do RS
Keywords: health of elderly, pressure ulcer, dermatology, distance education, telenursing

Abstract

Introduction: The world’s population is living longer which is resulting in a higher incidence of pressure ulcers. Objectives: (1) To describe the implementation of a teledermatology strategy to identify and treat skin lesions in institutionalised elderly patients; (2) To evaluate the established teledermatology strategy. Method: This study was carried out in a geriatric home (AMP) in Brazil, and included: (1) Implementation of a teledermatology method;  (2) Evaluation of the strategy through: a) professional knowledge assessment, b) professional satisfaction, c) clinical aspects evaluation. Results: (1) The team consisted of a remote consulting team, local care team, dermatologist and infectologist. Digital records of skin lesions and weekly monitoring was implemented and was standardised using the iPhone 5’s camera coupled with a dermatoscope in cases of minor lesions. Data were stored in the cloud using FotoFinder Hub. (2) Professionals' knowledge (n=24): age 34.6±7.3 years; 16 responded to the post-test and there was no difference between the 2 tests (86.8± 7.1 and 84.5±9.5, P=0.38). Professional satisfaction (n=17): 16 (94.2%) showed interest in indicating this type of assistance modality to another professional. Clinical aspects’ evaluation: hypertension had the highest prevalence, 9 (50%). Pressure ulcers were identified in 18 patients (83.3%), the heels, 7 cases, were the most affected area (39%). Healing Process: 4 lesions (22.2%) took over 3 months to complete the re-epithelialisation and 6 patients (33.3%) died before the end of treatment. Conclusion: The proposed teledermatology strategy has resulted in better assistance for elderly patients.


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Published
2017-04-02
How to Cite
Dias, P., Timm, R., Siqueira, E., Sparenberg, A., Rodrigues, C., & Goldmeier, S. (2017). Implementation and Assessment of a Tele-Dermatology Strategy for Identification and Treatment of Skin Lesions in Elderly People. Journal of the International Society for Telemedicine and EHealth, 5, (GKR);e19:(1-4). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/236
Section
Global Telemedicine and eHealth Updates. Knowledge Resources. Vol. 10, 2017