Building Trust and Teamwork in Digital Health Communication

PKU Gamping Hospital in Yogyakarta has implemented a telehealth system called “e-Sehat PKU Platform” to improve continuity of care for patients with chronic diseases, especially those who live far from the hospital or have difficulty attending in-person consultations.

One of the regular patients is Mrs. Sari (45 years old), who has uncontrolled Type 2 Diabetes Mellitus (Random Blood Glucose 350 mg/dL) and has developed an early-stage diabetic foot ulcer for the past two weeks. She lives in the mountainous area of Gunung Kidul, with limited access, weak internet connection, and modest socioeconomic conditions.


Through the e-Sehat PKU application, she reports:
•Increasing pain in the foot ulcer
•Mild odor and some discharge
•Frequent fatigue and loss of appetite
•Difficulty taking medications regularly due to forgetfulness and continued use of herbal remedies
•Her family is anxious and unsure how to care for the wound

The telehealth team schedules an interprofessional online consultation involving medical, nursing, and pharmacy students.

However, multiple communication and coordination challenges arise during the teleconsultation.

Now, You are part of the PKU Gamping Hospital interprofessional telehealth team handling Mrs. Sari’s online consultation.



Give an immediate diagnosis without exploring the patient’s narrative
Verify patient identity and obtain e-consent before starting.
Request permission to record without explaining privacy
Ignore the wound complaint and focus solely on blood glucose

Map: Connecting Care Virtually: Building Trust and Teamwork in Digital Health Communication (1097)
Node: 20744
Score:

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  • Furosemide and spironolactone
  • Request permission to record without explaining privacy
  • N acetyl cysteine
  • Allow the family member to stay on screen without clarifying their role
  • Start the consultation without verification
  • Activated charcoal
  • Ignore the wound complaint and focus solely on blood glucose
  • Give an immediate diagnosis without exploring the patient’s narrative
  • Propranolol
  • Aluminum hydroxide, magnesium carbonate, sodium alginate
  • Verify patient identity and obtain e-consent before starting.
  • Fluticasone (glucocorticoid)
  • Request permission to record without explaining privacy
  • Terbutaline (SABA)
  • Montelukast
  • Presentation
  • Insist on continuing with poor video quality
  • Switch to audio + chat mode and promise a PDF summary afterward
  • Tell the patient to change devices without giving proper guidance.
  • Reschedule without offering alternative solutions
  • Methionine
  • Salmeterol (LABA)
  • Ipratropium (SAMA, anticholinergic))
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Ursodeoxycholic acid
  • Hyoscine
  • Sterculia
  • Lactulose
  • Connecting Care Virtually: Building Trust and Teamwork in Digital Health Communication
  • Ignore the wound complaint and focus solely on blood glucose.
  • Mechanism of action of PPIs
  • Privacy risk
  • Give an immediate diagnosis without exploring the patient’s narrative.
  • Give an immediate diagnosis without exploring the patient’s narrative.
  • Ignore the wound complaint and focus solely on blood glucose.
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever).
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Building Trust and Teamwork in Digital Health Communication

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