[Arlene De Los Reyes]

Stroke Case
Grader: Arlene
Provider: Ali

Critical Behavior:
1. Orientation: 5
2. Verbal Clarity: 5
3. Active Listening: 5
4. Patient-Focused: 5
5. Tone of Voice: 5
6. Eye Contact: 5
7. Other Body Language: 5
8. Empathy: 5
9. Rapport: 5
10. Respect: 5
11. Therapeutic Alliance: 5
12. Environment: 5

Overall rating: 5
Ali, you did an excellent job guiding the patient through the visit. You maintained clear communication throughout and ensured understanding by thoroughly summarizing the plan at the end. Your strong rapport, empathetic tone, and patient-centered approach were evident, creating a positive telehealth experience. Great work!

Telehealth Exam/Education Rubric

1. Identifies reason for the visit 1
2. Confirms that patient agrees with the reason for the visit and accepts
that it is delivered by telehealth 1
3. Obtains history of symptoms or situation 1
4. Obtains approaches/treatments patient has taken to address the issue 1
5. Conducts an appropriate physical using equipment at home, and/or
other individuals to assist or provides telehealth education using
appropriate learning style 1
6. Discusses findings/Overview of education 1
7. Develop plan (follow-up, referral, medication, etc.) 1
8. Determines patient’s understanding of plan/education 1
9. Determines how patient will get information on the visit (email,
portal, secure text, etc.) 1

Total: 9/9

[Arlene De Los Reyes]

As a future Family Nurse Practitioner, I would like to be involved in a telehealth program that combines videoconferencing and remote patient monitoring (RPM) to manage chronic conditions in underserved adult populations, especially those with hypertension and diabetes. This blended model would support real-time virtual visits for assessment, education, and treatment planning, while RPM tools such as Bluetooth-enabled blood pressure monitors and glucometers would allow daily health data to be securely shared. Videoconferencing would help foster a personal connection to improve trust and adherence, while RPM would support early detection of complications. In this program, my role would include conducting virtual visits, interpreting patient data trends, tailoring care plans, and collaborating with other healthcare providers.

To evaluate the program, I would track patient outcomes including A1C control, blood pressure regulation, and reductions in hospital visits. Legal considerations would include using HIPAA-compliant platforms, maintaining accurate documentation, and ensuring I am licensed to provide care in the patient’s state if needed. Consent would be obtained at the start of care through a digital form that outlines the risks, benefits, limitations, and privacy protections of telehealth. I would collaborate with professionals such as pharmacists, social workers, and dietitians to address broader health needs. Protocols would be established for follow-ups, abnormal readings, and escalation of care. This approach would help close care gaps and improve chronic disease management in high-risk communities.

[Author]

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