Lesson 1Danger Signs Needing Quick Help: Bad Breathing Trouble, Oxygen Below 90% or Big Drop, Signs of Sugar Crisis, Chest Hurt, Mind Change, Low Blood Pressure, Ongoing Throwing Up or DrynessThis defines health danger signs in telehealth needing quick help, including bad breathing trouble, low or dropping oxygen, chest hurt, signs of sugar crisis or severe high sugar, low blood pressure, mind change, and ongoing throwing up 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 Following Them: Ask-About Way, Breathing Medicine Review, Recent Medicine Changes or Bad EffectsThis covers best ways for checking medicines and following them in telehealth, including ask-about way, reviewing breathing and device use, making clear recent changes, bad 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 Guide for Blood Sugar, Home Blood Pressure, Oxygen Check, Heart Beat, and Fixing Device ProblemsThis covers step-by-step coaching for patients to get true home readings for blood sugar, blood pressure, oxygen check, and heart beat, including device setup, common mistakes, fixing, and recording 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 Using Easy WordsThis gives a planned way to start a 25-minute telehealth visit, building trust, confirming who they are and consent, setting shared plan in easy words, and handling time while covering patient main 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, Mind Change, Skin Blood Flow, Face Signs, Space DangersThis builds video watching skills to spot breathing trouble, mind change, skin blood flow shifts, face and body talk signs, and space dangers, and to mix these into far-away sorting and step-up 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 Story: Start, Triggers, Spit, Cough, Normal Exercise Ability, Lung Flare TriggersThis details how to do a breathing story by telehealth, including start and flow of symptoms, triggers, spit and cough traits, normal exercise ability, lung or breathing patterns, and spotting signs of sudden flare.
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-Focused Questions for Sugar Sickness: High Sugar Signs, Patterns, Insulin/Pill Use, Recent Food or Sickness ChangesThis focuses on planned, symptom-focused questions for sugar sickness patients, including high and low sugar signs, sugar patterns, medicine use, food, sickness, 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 Life Factors: Living Alone, Getting Meds/Food, Travel, Helper AvailabilityThis looks at how to check home safety and life factors in telehealth visits, including living setup, getting medicines and food, travel, helper support, and when to call in social help or community aids.
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: Screen Questions, Length, Safety Worries, Daily ImpactThis teaches how to check worry from afar using short screen questions, length and setting of symptoms, safety worries, daily impact, and when to step up for quick 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
