Lesson 1Warning signs needing quick action: heavy shortness of breath, oxygen level below 90% or big drop, DKA/HHS signs, chest pain, changed mind state, low blood pressure, ongoing vomiting or drynessDefines clinical warning signs in telehealth needing quick action, including heavy shortness of breath, low or dropping oxygen, chest pain, DKA or HHS signs, low blood pressure, changed mind state, and ongoing vomiting or dryness.
Severe dyspnea and work of breathing on videoInterpreting low or dropping home SpO2 readingsChest pain, palpitations, and cardiac warning signsIdentifying signs of DKA and HHS remotelyRecognizing hypotension and poor perfusion signsEscalation pathways and emergency instructionsLesson 2Checking medicines and sticking to them: ask-about method, reviewing inhaler use, recent medicine changes or side effectsCovers best ways for checking medicines and assessing sticking in telehealth, including the ask-about method, looking at inhaler and device use, clearing recent changes, side effects, and safety matters.
Preparing patients for a virtual med list reviewStepwise telehealth medication reconciliationUsing the ask-about technique for adherenceReviewing inhaler and device technique remotelyIdentifying side effects and drug interactionsDocumenting and communicating medication changesLesson 3Getting home readings: step-by-step guidance for blood sugar, home blood pressure, oxygen check, heart rate, and fixing device issuesCovers step-by-step coaching for patients to get correct home readings for blood sugar, blood pressure, oxygen check, and heart rate, including device setup, common mistakes, fixing issues, and noting results in telehealth visits.
Preparing the patient and environment for measurementsStepwise coaching for home blood pressure readingsGuided self-monitoring of blood glucose at homeUsing and interpreting home pulse oximetry safelyAssessing heart rate by device and manual methodsTroubleshooting common home device problemsLesson 4Starting and planning a 25-minute visit with simple wordsGives a structured way to start a 25-minute telehealth visit, building trust, confirming identity and consent, setting a joint plan in simple words, and handling time while tackling patient needs.
Verifying identity, location, and emergency planUsing plain language to explain visit purposeBuilding rapport and psychological safety quicklyEliciting the patient’s main concerns and goalsNegotiating a realistic shared agenda and time useTransitioning from agenda to focused assessmentLesson 5Video watching skills: spotting breathing trouble signs, changed mind state, skin blood flow, face signs, space warning signsBuilds video watching skills to spot breathing trouble, changed mind state, skin blood flow changes, face and body talk signs, and space warnings, and to blend these into remote sorting and action choices.
Optimizing camera, lighting, and positioningVisual cues of respiratory distress on videoRecognizing altered mental status remotelyAssessing skin color, perfusion, and sweatingReading facial expression and body languageSpotting environmental and safety red flagsLesson 6Breathing check by history: start, triggers, phlegm, cough, usual exercise ability, COPD flare triggersDetails conducting a breathing history via telehealth, including start and flow of symptoms, triggers, phlegm and cough traits, usual exercise ability, COPD or asthma patterns, and spotting acute flare signs.
Clarifying onset, duration, and progression of dyspneaExploring triggers, positions, and relieving factorsCharacterizing cough, sputum, and hemoptysisAssessing baseline and current exercise toleranceIdentifying COPD and asthma exacerbation patternsDetermining need for urgent in-person evaluationLesson 7Symptom-targeted questions for diabetes: high sugar symptoms, patterns, insulin/pill use, recent diet or illness changesTargets structured, symptom-focused questions for diabetes patients, including high and low sugar symptoms, sugar patterns, medicine use, diet, illness, and sick-day handling in telehealth.
Screening for hyperglycemia and hypoglycemia symptomsExploring home glucose logs and daily patternsReviewing insulin and oral diabetes medication useAssessing diet, activity, and recent illness changesDiscussing sick-day rules and self-managementIdentifying diabetes red flags needing escalationLesson 8Home safety and social factors: living alone, access to meds/food, transport, caregiver helpLooks at assessing home safety and social factors in telehealth visits, including living setup, access to medicines and food, transport, caregiver aid, and when to call in social work or community help.
Assessing living situation and basic home safetyEvaluating access to medications and refillsScreening for food insecurity and nutrition risksIdentifying transportation and technology barriersAssessing caregiver availability and caregiver strainCoordinating referrals to social and community resourcesLesson 9Checking worry from afar: screening questions, length, safety worries, daily impactTeaches assessing worry remotely with short screening questions, length and setting of symptoms, safety worries, daily impact, and when to step up for urgent mind health or crisis check.
Building comfort to discuss emotional symptomsUsing brief anxiety screening questionsExploring duration, triggers, and coping effortsAssessing impact on sleep, work, and self-careScreening for safety, self-harm, and substance useCoordinating follow-up and mental health referrals
