Intervención social en dispositivo habilitado para la covid-19 para personas mayores, personas con enfermedad mental y diversidad funcional. centre paral·lel / Social intervention in a device enabled for covid-19 for the elderly, people with mental illness and functional diversity. center paral·lel

En este artículo se recoge la intervenciónsocial y sanitaria realizada conjuntamente por las trabajadoras sociales sanitarias (TSS) del Hospital Mare de Déu de la Mercè, y del Pla Social y Sanitario del Consorci Sanitari de Barcelona (CSB) de abril 2020 a febrero 2021, durante la crisis provocada por el SARS-CoV-2, en las residencias para personas mayores de Barcelona ciudad. Se llevó a cabo una intervención coordinada entre ambas entidades, los Equipos de Atención Primaria y los centros residenciales afectados por brotes de la COVID-19. Se muestran los resultados de la coordinación obtenidos durante la gestión de los tránsitos entre el dispositivo sanitarizado habilitado, residencia Paral·lel, y las residencias, con el fin de controlar la expansión de la pandemia en los centros, asegurar el aislamiento, la correcta atención sanitaria de las personas residentes afectadas por la COVID-19 y evitar ingresos innecesarios con posibilidad de iatrogenia. (AU)

This article resumes the social and sanitary intervention in residences for the elderly in Barcelona city from April 2020 to February 2021, during the crisis caused by SARS-CoV-2. This coordinated intervention was carried out by the social health workers (TSS) of the Hospital Mare de Déu de la Mercè and the Social and Health Plan of the Consorci Sanitari de Barcelona (CSB). The intervention was performed by both entities, the Primary Care Teams and the residential centers affected by COVID-19 outbreaks.In this article the profits obtainedwith this coordination during the management of the transfers between the enabled sanitary device, “Centre Paral·lel” and other elderly residences are resumed. The objective of the procedures was to control the expansion of the pandemic in the centers, ensure isolation, adequate care healthcare of residents affected by COVID-19 and avoid unnecessary admissions with the possibility of mal praxys. (AU)

[Management of avoidable acute transfers from an intermediate care geriatric facility to acute hospitals: critical aspects of an intervention protocol]. / Gestión de traslados potencialmente evitables a los hospitales de agudos desde unidades de rehabilitación geriátrica: aspectos críticos de un protocolo de intervención.

OBJECTIVE: The unplanned transfers (UT) from post-acute intermediate care facilities, are associated with adverse outcomes for patients, and a significant cost to the system. We present a practical protocol and the design of an intervention study aimed at reducing avoidable UT from a geriatric post-acute rehabilitation setting to acute care hospitals. PATIENTS AND METHODS: A quasi-experimental non randomized study. The intervention consists in: 1) protocol for early detection of symptoms in order to conduct a pro-active management of decompensation; 2) an advanced care planning structured protocol for the acute decompensations. We will compare the intervention group with a parallel and a historical cohort for demographic, functional, cognitive, comorbidity and social variables. OUTCOME: number of UT to acute care hospitals. DISCUSSION: This is a quasi-experimental study, focused on everyday care practice that intends to assess the impact of multi-disciplinary and multi-factorial intervention to reduce UT from a post-acute rehabilitation unit. We expect that the project results will be useful for future randomized and controlled studies.