Improving Mobility and Managing Risk for Fragile Patients via Telemedicine and Patient-reported Outcome Measurement-Session Recording

Video Transcription

Video Summary

In this video, Dr. Todd Rowland and Dr. Stephen Lewis discuss the use of telehealth and patient-reported outcome measures (PROMs) to improve mobility and manage risk for fragile patients. They emphasize the importance of assessing and managing frailty, a medical syndrome characterized by diminished strength, endurance, and reduced physiologic function that increases vulnerability to dependency and death. <br /><br />Dr. Lewis presents a case study of a patient named Randy, who is living with multiple comorbidities and experiences a decline in functional capacity. He explains how telehealth can be used to assess and monitor frailty, as well as deliver modified versions of cardiac and pulmonary rehabilitation to improve fitness and overall health. Dr. Rowland further discusses the concept of value-based care and the need for physiatrists to take charge of functional and exercise capacity in older patients, particularly in the context of hospital-at-home models.<br /><br />They conclude by highlighting the importance of integrating telehealth services into care management and partnering with other specialties and organizations, such as the American College of Lifestyle Medicine, to promote patient-centered, evidence-based care.

Keywords

telehealth

patient-reported outcome measures

mobility

risk management

frailty

assessing frailty

managing frailty

functional capacity

telehealth assessment

cardiac rehabilitation

pulmonary rehabilitation