You will never replace qualified nursing staff in a nursing home. Residential homes do not need/use qualified nurses.
Qualified nurses on site do more than reassure or give advice. They give medication out, change dressings, complete basic observations etc.
Staff in the care homes manage quite well in their respective environments. Where Telehealth could fit in is if carers (and qualified nurses) had portable cameras providing a live feed to a back end support system of clinicians who could TeleTriage and provide assessments from a distance.
Thinking more for reducing the workload for the nursing staff and for better liaison with unscheduled care/OOH services - such as incidents of breathlessness at night which usually ends up with an Acute admission.
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