Non-Hodgkin’s Lymphoma Case Study

Non-Hodgkin’s Lymphoma Case Study

Non-Hodgkin’s Lymphoma Case Study

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Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.

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The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion. Non-Hodgkin’s Lymphoma Case Study.

• What are the pros and cons of the situation in the case study?
• What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
• Do you agree or disagree with this process?
• What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.

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Non-Hodgkin’s Lymphoma Case Study

In the presented case study, a 65-year-old woman has received a Stage 3 non-Hodgkin’s lymphoma diagnosis during her visit to her primary care physician’s office. After leaving the office, she attempts to review her test results through her Personal Health Record (PHR). However, she can only access a portion of her test results due to the diverse sources from which her tests were conducted – some outside the organization, some in the emergency room, and some within her doctor’s office.

Reflecting on this scenario, consider the following questions for discussion:

1. Pros and Cons of the Situation:
– Pros: The patient has the convenience of accessing her health information through a PHR, providing her a better understanding of her condition and test results. This empowers her to take charge of her healthcare decisions and share information with her family.
– Cons: Incomplete information due to data being scattered across different healthcare organizations could lead to confusion, misinterpretation, and potentially affect the continuity of care. The patient’s concerns about incomplete results and fragmented information could result in unnecessary anxiety.

2. Safeguards in Patient Portals and PHRs:
Patient portals and PHRs include several safeguards to ensure safety:
– Secure Login: Users need to authenticate themselves to access health information, protecting the data from unauthorized access.
– Encryption: Information is often encrypted during transmission to prevent interception.
– Access Control: Patients can control who has access to their health information.
– Audit Trails: Systems maintain logs of who accessed the information and when, enhancing accountability.
– Data Accuracy: Patients can review their records and report discrepancies, promoting accuracy.

3. Agree or Disagree with the Process:
Whether one agrees or disagrees with the process depends on the context. While PHRs offer patients more control over their health information, the challenge arises when data is distributed across various sources. Improving interoperability among different healthcare systems would help address this issue.

4. Challenges for Patients without Full EHR Access:
Patients without access to complete Electronic Health Records (EHRs) face several challenges:
– Incomplete Picture: They may lack a comprehensive view of their health history, affecting decision-making.
– Coordinated Care: Inadequate access can hinder effective coordination between different healthcare providers.
– Miscommunication: Fragmented information might lead to miscommunication and misunderstandings.
– Duplicate Tests: Without full access, patients might undergo redundant tests if previous results are not visible.

In conclusion, the scenario highlights the benefits and drawbacks of patients accessing health information through PHRs. While patient empowerment and information sharing are positive aspects, challenges like incomplete data and lack of interoperability need to be addressed to ensure seamless and effective healthcare.

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