How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19
| Autor: | Ana M. de Andrés, Cristina Udina, Francisco J. Ros, Pere Ayats, Vanessa Davey, Alessandro Morandi, Cristina Mayordomo, Marco Inzitari, Oscar Len, Joan Ars, Hugo Badani, Cristina Arnal, Matteo Cesari, Ester Risco |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Coronavirus disease 2019 (COVID-19) Urban Population Pneumonia Viral education Article Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Pandemic Health care Outcome Assessment Health Care Medicine Humans 030212 general & internal medicine Pandemics General Nursing older adults Aged Geriatrics geriatrics palliative care business.industry Health Policy COVID-19 post-acute care General Medicine Emergency department medicine.disease Organizational Innovation Spain Referral center Female geriatric syndromes Medical emergency Comprehensive Health Care Health Facilities Geriatrics and Gerontology business Nursing homes Coronavirus Infections 030217 neurology & neurosurgery Subacute Care |
| Zdroj: | Journal of the American Medical Directors Association |
| ISSN: | 1538-9375 1525-8610 |
| Popis: | The COVID-19 pandemic’s greatest impact is among older adults. Management of the situation requires a systemic response, and post-acute care (PAC) can provide an adequate mix of active treatment, management of associated geriatric syndromes and palliative care, both in the acute phase, and in post-COVID-19 recovery. In the region of Catalonia, Spain, selected PAC centers have become a site to treat COVID-19 older patients. Referrals come from the emergency department (ED) or COVID-19 wards of the acute reference hospitals, nursing homes or private homes. We critically review the actions taken by Parc Sanitari Pere Virgili, a PAC facility in Barcelona, to manage the pandemic, including its administration, healthcare, communication, psychological support and ethical frameworks. We believe that the strategies we employed and the lessons we learned can be useful for other sites and countries where similar adaptation of existing facilities may be implemented. Brief Summary The paper describes how a large post-acute care facility in Barcelona, was adapted at the outbreak of the COVID 19 pandemic to become a polyvalent reference center for older COVID-19 patients assessed as not requiring intensive care. |
| Databáze: | OpenAIRE |
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