Estrategias para combatir el COVID-19 en centro de cuidados a largo plazo para ancianos

Novaes, Helena Patáro de Oliveira; Oliveira, Lélia Mendes Sobrinho de; Gomes, Nildete Pereira; Santos, Alice de Andrade; Soub, Janine; Duarte, Meirelayne Borges; Sampaio, Rute dos Santos; Oliva, Tânia Maria de Menezes

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Sumário

Original Article • Rev. Gaúcha Enferm. 44 • 2023 • https://doi.org/10.1590/1983-1447.2023.20210323.en copiar

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10.1590/1983-1447.2023.20210323.er.en

Estrategias para combatir el COVID-19 en centro de cuidados a largo plazo para ancianos

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo

Describir las estrategias de enfrentamiento a COVID-19 en Instituciones de Larga Permanencia para Ancianos en el estado de Bahia.

Metodología

Se trata de una investigación retrospectiva, por medio de un análisis documental del acervo producido por la Comisión Intersectorial de Monitoreo de Instituciones de Larga Permanencia para Ancianos en el Estado de Bahía, en el período de abril/2020 a junio/2021. El tratamiento de los datos se basó en el análisis de contenido de Bardin.

Resultados

Surgieron dos categorías temáticas: Articulación en red Intersectorial y telemonitorización de instituciones de larga permanencia para ancianos.

Conclusión

Se concluyó que el conjunto de acciones de articulación en red intersectorial y telemonitoramiento realizadas por la Comisión Intersectorial de Monitoreo de Larga Permanencia fueron estrategias fundamentales para mitigar el impacto de COVID-19 en las instituciones. Se destaca la necesidad de implementación de políticas públicas efectivas de apoyo a las instituciones de larga permanencia para ancianos, repensar críticamente sobre la tipología de estos equipos.

Palabras clave:
COVID-19; Hogares para ancianos; Enfermería geriátrica

DOCUMENT	CATEGORIES
DOCUMENT	Intersectoral Coordination	Telemonitoring of LTC Facilities (ILPIs)
Bulletin No 1 - B1	- Mapping of ILPIs in Salvador - Meeting with Civil Defense - Coordination meeting with Sanitary and Epidemiological Surveillance - Technical visits in ILPIs with positive cases for COVID-19 - Coordination meeting between the State Health Operational Committee and the Municipal Strategic Operational Committee for technical-scientific alignment of the care flows proposed by the Commission- Elaboration of transfer flow of institutionalized elderly with positive tests;	- Telemonitoring of ILPIs - Teleconsulting service for the Primary Health Care team - Testing in ILPIs after identification of positive cases in Telemonitoring
Bulletin No 2 - B2	- Participation in public hearing conducted by the City Council of Salvador regarding ILPIs. - Coordination for health actions, in supportive assistance in complementary demands; - Coordination with Municipal Departments of Social Assistance, Government Agency for Law Enforcement, Public Defender’s Office and Elderly Rights Councils; - Meeting with Sanitary and Epidemiological Surveillance; - Technical visit to ILPIs with positive cases for COVID-19.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring; - Webconferences to monitor ILPIs included in a project developed within the scope of m Todos pela Saúde Project - Itaú Bank.
Bulletin No 3 - B3	- Partnership with the Brazilian Society of Geriatrics and Gerontology - Bahia section for the preparation of guiding technical notes; - Webconference with the Center for Institutional Supporters of the Primary Care Board/ State Department of Health for the coordination of actions with the Regional Health Centers and respective municipalities.	- Telemonitoring of ILPIs;
Bulletin No 4 - B4	- Technical visits in ILPIs with positive cases for COVID-19; - Definition of isolation conditions in ILPIs together with health surveillance teams, monitoring of health conditions by the territory team; - Transfers to hospital units when there is worsening of cases; - Coordination with SAMU; - Coordination with Municipal Departments of Social Assistance.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring.
Report R1	- Coordination with the municipalities for health actions, in supportive assistance; - Coordination with Municipal Departments of Social Assistance, Government Agency for Law Enforcement, Public Defender’s Office and Elderly Rights Councils; - Supportive coordination with the State Central Laboratory for testing elderly people with RT-PCR in ILPIs; - Flowchart with guidance on Covid-19 in residents in ILPIs.	- Telemonitoring of ILPIs; - Testing in ILPIs after identification of positive cases in Telemonitoring.
Technical Note 27 - NT A	- Flowchart with guidance on Covid-19 in residents in ILPIs; - Recommendations for isolation and identification of suspected cases.	Non-identified
Technical Note 83 - NT B	- Guidelines for visits; - Coordination with the local Health Surveillance team; - Notification of suspected cases.	Non-identified

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[1] Corresponding author:
Helena Patáro de Oliveira Novaes E-mail: helenanovaes@ufba.br