The Efficacy of Telehealth Nursing Anamnesis in the Early Identification of Acute Neurological Events in Chronically Ill Patients: A Case Study

Abstract

Objective: To evaluate the efficacy and feasibility of nursing anamnesis, conducted via teleconsultation, as a screening tool for the early identification of acute neurological events (ANEs) in patients with chronic diseases. Methodology: This is a qualitative, retrospective case study focused on a sentinel event that occurred during a telehealth service at a kidney care provider. The study analyzes the remote care process, from the initial anamnesis to the identification of an ongoing Stroke (Cerebrovascular Accident) and the subsequent activation of emergency services. Documentary analysis was based on electronic health records and care coordination protocols. Results: The structured anamnesis, even when performed remotely, allowed for the identification of subtle signs and symptoms of an acute stroke, which might have been overlooked by the patient. The nurse's clinical judgment, grounded in prior intensive care expertise, was decisive for the rapid interpretation of signs, the interruption of standard protocol, and the immediate activation of emergency services, resulting in a positive outcome. Conclusion: Teleconsultation, when conducted by nurses with specialized training in critical care, transcends administrative functions and solidifies itself as a robust screening and diagnostic tool. The case demonstrates that remote anamnesis is effective in detecting acute events, preventing severe outcomes, and optimizing care coordination in high-risk populations.