Margot van Houten is an 80-year-old widow who lives in an apartment in town with her daughter. She was diagnosed with COPD at age 65 years and is followed by her primary healthcare team. She reports that she has recently been having trouble with shortness of breath, especially when outdoors breathing in the cold winter air. The nurse practitioner prescribes a higher dose of her regular inhaler and a new rescue inhaler, and a follow-up assessment is booked in two months' time.
1. What advantages would there be in using an electronic medical record? Electronic Health Record? Personal health record? In Margot's case?
2. In this case, you will have the opportunity to do some health teaching with Margot on the use of her medications. How would you use the EHR or EMR to facilitate this interaction?
3. Margot has access to a PHR but has not been using it. What questions would you ask Margot to understand why she is not using it?
4. What health education/teaching would you give Margot to help her use the PHR to manage her COPD?
5. What health education or teaching tips and topics would you want integrated into her PHR?
6. If Margot's daughter came with her to this appointment, how would you address the daughter wanting to see the health information in the EHR, EMR, and/or PHR?