Emilio Casariego, head of the Internal Medicine Service of the Lucus Augusti Hospital in Lugo.
The Galician Society of Internal Medicine has endorsed the undertaking of the Xunta de Galicia to create a direct hyperlink between nursing houses and hospitals by way of the determine of the internist. This undertaking seeks to enhance the care capability of residences, by way of the creation of two figures, an expert from reference for every resident and household and the supervisor of socio-sanitary circumstances, who will often be a nursing skilled and who will hyperlink the social and well being care that every consumer receives.
As identified Emilio Casariego, head of the Internal Medicine Service of the Lucus Augusti Hospital in Lugo and a member of the Galician Society of Internal Medicine, it’s a “good idea that should be extend to other centers where patients with complex medical problems coexist ”.
Thus, it’s calculated that 30 % of 70-year-olds have about 4 simultaneous persistent pathologies, whose medical actions “are not always simple, it is necessary that there be a doctor accustomed -such as the specialist in Internal Medicine- to handle this type of multiple problems where several decompensated diseases are added, problems with polypharmacy, acute diseases are added, etc. . ”, They emphasize from the Galician Society of Internal Medicine.
In this fashion, with the creation of the determine of the internist medical liaison, residences can rely on help and recommendation in conditions of doubt, in addition to the potential for making use of some telemedicine assets in making extra complicated selections. Similarly, by being in additional direct contact with the customers of the residences, The liaison internist may arrange face-to-face evaluations on the heart in a regulated method, since he is aware of the sufferers, and may also use the assets of the day hospital for brief remedies or particular diagnostic evaluations.
It ought to be famous that, following the reform proposed by the Xunta, along with the hyperlink determine the digital medical file can be carried out in order that well being personnel in senior facilities and people in major and hospital care have the identical data.
At this level, Casariego has underlined that “as a complete, have differentiated care channels for sufferers with excessive healthcare wants it’s constructive for sufferers and in addition for the system, since care is extra orderly and environment friendly. Logically it depends upon how it’s organized. It isn’t essential to speculate a number of assets (materials and human), however sure an orderly group, with workers “.
Galician plan for residences
The strategic strains of the reform within the relationship between the well being and social techniques of Galicia proposes the creation of middleman figures between well being facilities and sufferers and social well being facilities with a view to bettering the care of the aged within the area. In this fashion, the Xunta additionally proposes the implementation of the first intermediate care models for individuals who want particular care for a time, after being discharged from the hospital, however they shouldn’t be admitted to a residence.
Some measures that add to the creation of precedence routes for entry to the emergency room and day hospital for customers, and the institution of a “residence code” for 061, which is able to establish the calls that come from these facilities.
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