ABSTRACT
Since the start of the COVID-19 pandemic, many situations have arisen that most of the population had not experienced before. Healthcare workers have found themselves In a setting for which they were not prepared, and which has entailed many psychological consequences, that must be treated in order to prevent future problems. One of the units that has experienced a high care load pressure in these pandemic times is Intensive Care, where patients infected with COVID will spend long periods fighting for their lives. Faced with this scenario, the objective was to establish a series of measures that would help to improve the psychological health of healthcare workers, and to analyze the problems that appeared, as well as to establish the adequate measures to alleviate them. Said measures were well accepted by workers, and did not represent an excess cost for the institution;there was an increase in commitment by professionals, through humanized management, and guiding their actions based on the HUGES (humanizing the health management) experiences, which advocates starting the humanizing process from management, and determining measures based on an effective leadership by nursing managers. Desde el inicio de la pandemia de la COVID-l 9 se han planteado numerosas situaciones que la mayoría de la población no había vivido nunca. Los trabajadores sanitarios se han encontrado en un contexto para el que no estaban preparados y que ha supuesto numerosas consecuencias psicológi-cas, las cuales deben ser tratadas para evitar problemas futuros. Una de las unidades que ha sufrido más presión asisten- cial en estos tiempos de pandemia es la de los cuidados intensivos, donde el paciente con infección por COVID pasa largos periodos debatiéndose entre la vida y la muerte. Ante esta situación se planteó como objetivo establecer una serie de medidas que ayudaran a mejorar la salud psicológica de los trabajadores de la salud y analizar los problemas surgidos, así como plantear medidas adecuadas para paliarlos, Dichas medidas tuvieron una buena aceptación por parte de los trabajadores, y no supusieron un sobrecoste a la institución, obteniéndose un mayor compromiso por parte de los profesionales, gestionando de forma humanizada, guiando las actuaciones a partir de las experiencias de HUGES (Humanizando la gestión sanitaria), que aboga por comenzar ia humanización por la gestión y estableciendo medidas basadas en un liderazgo efectivo de los mandos enfermeros.
ABSTRACT
BACKGROUND: Amantadine is a drug that can help in the prevention of SARS-CoV-2 symptomatology, as has been demonstrated in observational clinical studies. METHODS: We searched in the PubMed database Clinical Studies of coronavirus-infected patients who have been treated with amantadine in a preventive manner as well as patients with Parkinson's disease. RESULTS: Four clinical studies were found in which relatives of patients with COVID-19 had been prescribed the use of amantadine in a preventive manner to avoid the symptoms caused by the coronavirus. CONCLUSION: Amantadine is a drug that can be prescribed as a prophylactic that prevents symptomatology caused by SARS-CoV-2 coronavirus.
Subject(s)
Amantadine/therapeutic use , Antiviral Agents/therapeutic use , COVID-19 Drug Treatment , SARS-CoV-2/drug effects , HumansABSTRACT
La pandemia causada por el coronavirus SARS-Cov2 ha puesto a prueba a las organizaciones sanitarias, sus equipos directivos y gestores, y por supuesto a todos los profesionales que las integran, así como a los equipos de soporte. Una crisis sanitaria de estas dimensiones se podría considerar inimaginable, pero cuando acontece con esta magnitud es fundamental que emerja un liderazgo efectivo, un liderazgo capaz de resolver con inmediatez e imaginación todos los problemas no previstos que se originan. En esas circunstancias es preciso contar con un liderazgo ágil, coherente y adaptado a las necesidades más inmediatas que se producen para dar respuesta al gran impacto sociosanitario en la población, al aumento desmedido de pacientes que requieren atención inmediata de forma simultánea, con la gravedad de un proceso desconocido para muchos de ellos, alta demanda de camas en Cuidados Intensivos y Hospitalización específica, hiperdemanda de atención en la Urgencia, así como enfrentarse a situaciones de miedo al tener que manejar una enfermedad provocada por un virus desconocido con alta tasa de infectividad y mortalidad no habitual en nuestro entorno. Los profesionales necesitan establecer vías de comunicación fiable, constante y adaptada a la nueva situación. Los líderes durante la pandemia han de adaptarse rápidamente a la mayor crisis sanitaria conocida en el sistema sanitario español desde hace muchos años y tienen que asumir retos constantes para dar respuestas rápidas y eficientes a las situaciones críticas que se viven en el día a día The pandemic caused by the SARS-Cov2 coronavirus has represented a test for healthcare organizations, their executive and management teams, and of course all professionals included, as well as their support teams. A healthcare crisis of these dimensions could be considered unimaginable;but when it occurs at such an extent, the emergence of an effective leadership becomes essential: a leadership able to solve immediately and with imagination all those non-foreseen problems that might arise. In these circumstances, it is necessary to have an agile and consistent leadership, adapted to the more immediate needs that appear, in order to address the major sociosanitary impact on the society, the disproportionate increase in patients requiring immediate care simultaneously, with the severity of a condition unknown for many of them, high demand on beds in Intensive Care and specific Hospitalization, hyper demand of Emergency care, as well as to face frightening situations when having to manage a disease caused by an unknown virus with a high infectivity and mortality rate, not usual in our setting. Professionals need to establish reliable communication routes, which are constant and adapted to the new situation. During the pandemic, leaders must adapt in a fast way to the greater healthcare crisis known in the Spanish Health System for many years, and they must accept constant challenges in order to give fast and efficient answers to the critical situations occurring in daily life