Twelve common presentations are assigned to video, audio-only, store-and-forward, remote monitoring or in person in this MN690 Unit 2 analysis, each by the exam element it depends on. Searches like "mn 690 unit 2 assignment example", "mn690 unit 2 sample" and "mn690 unit 2 example" land here.
Modality Selection Analysis: Twelve Presentations at a Rural Virtual Clinic, Sorted by the Exam Element That Decides Them
[Student Name]
Purdue University Global
MN690: Telehealth Application
Unit 2 Assignment
[Instructor Name]
[Date]
The clinic and its case mix are composites written as a model document. Clinical sources cited are real.
Modalities Defined
Synchronous care happens in real time, by video or by audio alone. Asynchronous store-and-forward care sends photographs, forms or data for review later. Remote patient monitoring transmits physiologic readings from home devices over days or weeks (U.S. Department of Health and Human Services, n.d.). Each fails in its own way: video when bandwidth drops, store-and-forward when a photograph is poor, and remote monitoring when readings stop arriving and nobody notices.
Analysis Table
Each row gives the presentation, the deciding exam element, the substitute, the risk if missed, the modality and the trigger for in-person care.
1. Dysuria in a nonpregnant adult woman without fever or flank pain. Deciding element: history. Substitute: none needed. Risk: missed pyelonephritis. Modality: video under protocol. In person if: fever, flank pain, vomiting or possible pregnancy.
2. Ear pain in a 3-year-old. Deciding element: view of the eardrum. Substitute: none reliable. Risk: missed otitis media or its complications. Modality: in person.
3. Forearm rash in an adult. Deciding element: appearance and distribution. Substitute: photographs with a ruler in frame. Risk: spreading cellulitis. Modality: store-and-forward. In person if: spreading redness, fever or pain out of proportion.
4. Sore throat in an adult. Deciding element: clinical criteria plus a rapid strep test. Substitute: video for criteria, swab at a walk-in lab. Risk: untreated streptococcal pharyngitis. Modality: video plus lab. In person if: drooling, trismus or a muffled voice.
5. Hypertension follow-up. Deciding element: blood pressure readings over time. Substitute: validated home cuff. Risk: uncontrolled pressure. Modality: remote patient monitoring with a video review. In person if: readings at or above 180/120 or new symptoms.
6. Depression follow-up. Deciding element: mood, affect, a validated score and a safety screen. Substitute: video observation. Risk: missed suicide risk. Modality: video. Same-day escalation if: positive safety screen.
7. Twisted knee. Deciding element: palpation and ligament testing. Substitute: none. Risk: missed ligament tear or fracture. Modality: in person.
8. Type 2 diabetes with continuous glucose monitoring. Deciding element: glucose patterns. Substitute: uploaded sensor data. Risk: unnoticed hypoglycemia. Modality: asynchronous data review with a brief video visit.
9. Acute cough with breathlessness. Deciding element: respiratory rate, speech and oxygen saturation. Substitute: counted rate on camera and a home oximeter. Risk: missed pneumonia or hypoxia. Modality: video. In person if: saturation below 94 percent, rate above 24 or inability to speak in full sentences.
10. Abdominal pain. Deciding element: palpation. Substitute: none. Risk: missed appendicitis. Modality: in person.
11. Refill for a stable chronic medication. Deciding element: review of adherence and side effects. Substitute: not needed. Modality: audio only.
12. Postoperative wound check. Deciding element: appearance of the wound. Substitute: photographs. Risk: missed infection. Modality: store-and-forward. In person if: drainage, spreading redness or fever.
Commentary on the Hardest Rows
Row 4 is the closest call. A sore throat can be triaged by video using clinical criteria, but those criteria cannot confirm streptococcal infection, and guidelines recommend testing before treating, so the row sends the patient to a walk-in lab for a swab rather than prescribing on appearance alone (Shulman et al., 2012).
Row 9 carries a caveat in its substitute. Home pulse oximeters are reasonable for most patients, but they can overestimate oxygen saturation in patients with darker skin pigmentation, and occult hypoxemia is more frequent in Black patients than in White patients at the same oximeter reading (Sjoding et al., 2020). A borderline reading in such a patient lowers the threshold for in-person care.
Row 7 shows that some substitutes do not exist. A patient can point to where a knee hurts, but no camera can test ligament stability or feel for an effusion, and missing a fracture or tear has lasting consequences.
References
Shulman, S. T., Bisno, A. L., Clegg, H. W., Gerber, M. A., Kaplan, E. L., Lee, G., Martin, J. M., & Van Beneden, C. (2012). Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 55(10), e86-e102. https://doi.org/10.1093/cid/cis629
Sjoding, M. W., Dickson, R. P., Iwashyna, T. J., Gay, S. E., & Valley, T. S. (2020). Racial bias in pulse oximetry measurement. New England Journal of Medicine, 383(25), 2477-2478. https://doi.org/10.1056/NEJMc2029240
U.S. Department of Health and Human Services. (n.d.). What is telehealth? Telehealth.HHS.gov. https://telehealth.hhs.gov/patients/understanding-telehealth
How this MN690 Unit 2 example is structured
The exam element comes before the modality in every row, so choices follow from what the diagnosis needs rather than from what the platform offers. Substitutes are judged individually: a home pulse oximeter stands in reasonably for a clinic reading in most patients, with its known inaccuracy in darker skin noted; a patient pressing on a shin partly replaces palpation for edema; nothing replaces ligament testing on a twisted knee. Risk decides the close calls. Sore throat could be handled by video using symptom criteria, but a rapid strep test needs a swab, so the row sends it to a walk-in lab. The commentary distinguishes the three remote modes carefully, because they fail differently: video fails when bandwidth drops, store-and-forward when a photo is poor, and remote monitoring when readings stop arriving and nobody notices.
Get an MN690 Unit 2 example written to your instructions
List the presentations your prompt names, or the service line under analysis, with whatever instructions and rubric came with Unit 2. Each row returns with the deciding exam element, a judged substitute, the risk if missed and an in-person trigger, with the three remote modes kept distinct. A first custom sample is free, 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
MN690 Unit 2 questions, answered
What is the difference between synchronous and asynchronous telehealth?
Synchronous care happens in real time, with clinician and patient connected at once by video or audio. Asynchronous care, often called store-and-forward, sends information such as photographs, images or questionnaires for review later. Remote patient monitoring is usually treated separately again, because it streams physiologic readings from home devices over days or weeks rather than capturing one moment.
Is audio-only care acceptable for this kind of analysis?
Often, for the right presentations. Audio-only reaches patients without broadband, a device or comfort with video, and it can serve well for medication follow-up or some behavioral health visits. It removes all visual assessment, so presentations that depend on seeing the patient belong elsewhere. Payer rules for audio-only have shifted repeatedly, so any coverage claim needs a dated source.
How should the analysis handle emergencies?
By keeping them out of scheduled remote care and stating how they are redirected. Chest pain, stroke symptoms or severe breathing difficulty call for emergency services, and the analysis names that route rather than assigning a modality. The stronger papers also say what happens when a routine visit turns urgent partway through, including confirming the patient's location so help can be sent.