title: Photography in Telemedicine: Improving Diagnosis of Chronic Graft-Versus-Host Disease.
abstract: The long-term follow-up (LTFU) team at the Seattle Cancer Care Alliance uses telemedicine to diagnose and treat post-transplantation complications in hematopoietic cell transplantation (HCT) survivors. Photos are often requested via the telemedicine service to aid in diagnosis, but they are typically of poor quality, making them unusable.
  
  
  
  This project offered bachelor of science in nursing students, partnered with a comprehensive cancer center, the opportunity to participate in an evidence-based practice project to improve detection and management of chronic graft-versus-host disease (cGVHD) in patients after HCT.
  
  
  
  Students partnered with RNs to develop instructional tools using multiple evidence sources. A brochure and video were developed.
  
  
  
  Providing these instructional tools to those in the LTFU program improved patient outcomes for managing cGVHD through telemedicine. This partnership provided an opportunity for mutual learning and improved clinical practice.
authors.affiliation: Seattle Children's Hospital.
authors.forename: Brianna
authors.initials: B
authors.lastname: Busby
authors.affiliation: Swedish Medical Center.
authors.forename: Shannon
authors.initials: S
authors.lastname: Campbell
authors.affiliation: Swedish Medical Center.
authors.forename: Rachel
authors.initials: R
authors.lastname: Cole
authors.affiliation: St. Luke's Medical Center.
authors.forename: Charisse
authors.initials: C
authors.lastname: DeVries
authors.affiliation: University of Washington Medical Center.
authors.forename: Kamille
authors.initials: K
authors.lastname: Dobbins
authors.affiliation: University of Washington Medical Center.
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Trimble
authors.affiliation: Seattle Cancer Care Alliance.
authors.forename: Mihkaila
authors.initials: M
authors.lastname: Wickline
mesh_terms: D002908:Chronic Disease; D002983:Clinical Competence; D019317:Evidence-Based Medicine; D005260:Female; D006086:Graft vs Host Disease / Q000175:diagnosis* / Q000451:nursing; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D009859:Oncology Nursing / Q000193:education*; D010781:Photography; D016730:Program Development; D015397:Program Evaluation; D058996:Quality Improvement; D013338:Students, Nursing; D017216:Telemedicine / Q000458:organization & administration*
keywords: chronic graft-versus-host disease; evidence-based practice project; telemedicine