Healthier You
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continued from page 26<br />
Kim McDuff, transplant redesign project coordinator, along<br />
with her colleagues at the Kootenay Boundary Regional Hospital<br />
Kidney Transplant Clinic in Trail, recognized the need to find<br />
other options for patients who have to drive long distances for<br />
follow-up appointments. They decided to develop a pilot project<br />
where post-transplant patients were given the option to attend<br />
their clinic appointment in Cranbrook and connect to Trail via<br />
telehealth.<br />
“Telehealth offers a way to provide adequate and continuous<br />
care for our post-transplant patients not living in Trail,” says Kim.<br />
In collaboration with BC Transplant, telehealth appointments<br />
were offered for the first time for post-transplant patients. The<br />
pilot ran from November 2014 to May 2015 with 12 patients using<br />
the service.<br />
Georgi Winger is the renal nurse at Cranbrook Wellness Centre<br />
who facilitates the appointment between the patient and the Trail<br />
Kidney Transplant Clinic.<br />
“Although we’ve only been doing telehealth with post-transplant<br />
patients for a short time, the feedback has been nothing but<br />
positive,” says Georgi. “They are so grateful to be able to meet with<br />
the transplant team and receive the care they need without having<br />
to take the time to travel to Trail. Prior to telehealth, Paula would<br />
have to take a day off work for her appointments in Trail, plus<br />
spend money on gas and meals. I believe telehealth has reduced<br />
the emotional and financial stress of many of our patients which,<br />
I’m sure, has a positive impact on their health and well-being.”<br />
During the follow-up appointment, Georgi records Paula’s<br />
blood pressure, weight, and pulse; checks for edema (excess of<br />
fluid); and relays the information via telehealth videoconferencing<br />
to the team in Trail. On the receiving end is Teresa Buckley,<br />
transplant clinic nurse, and a transplant nephrologist, social<br />
worker, and dietitian.<br />
“It’s expensive for people to take an unpaid day off work and<br />
stressful to drive the mountain pass to Trail,” says Teresa. “With<br />
telehealth, this health-care service is more accessible and increases<br />
the continuity of care.”<br />
Through telehealth, Paula is able to connect with each of the<br />
care providers involved in her post-recovery care plan without<br />
having to drive to Trail each time.<br />
“To me, there is no difference in the service provided,” says<br />
Paula. “I’m just glad I don’t have to make the drive… It’s such a<br />
benefit for patients who would otherwise have to travel.”<br />
Telehealth for transplant patients is expected to expand to other<br />
areas of Interior Health.<br />
“Right now we are looking at other rural sites in Interior Health<br />
with renal nurses who can facilitate these appointments,” says<br />
Teresa. “We have also just begun to facilitate appointments for<br />
pre-transplant patients, before they go to Vancouver for surgery.”<br />
The first pre-transplant appointment took place in early January<br />
and more are expected throughout 2016.<br />
Did you know…<br />
One organ donor can save eight<br />
lives. Visit www.transplant.bc.ca<br />
to learn more.<br />
above: Paula Smith (R), standing<br />
with renal nurse Georgi Winger and<br />
the telehealth unit in Cranbrook, no<br />
longer has to drive to Trail for her<br />
appointments.<br />
below: Transplant clinic nurse Teresa<br />
Buckley is part of the transplant team<br />
at the other end of the telehealth<br />
video ready to review Paula’s postrecovery<br />
progress.<br />
28 <strong>Healthier</strong> <strong>You</strong> spring 2016