HDJ gériatriques et COVID-19 Quelle gestion ? Quelles difficultés ? Quels
enseignements ?
#MMPMIDC7561289
Volpe-Gillot L
; Michel JM
?-/-? 2020[Dec]; 20
(120
): 326-32
PMIDC7561289
show ga
The COVID-19 pandemic has led to an unprecedented health crisis. In the
subsequent response, geriatric day-hospitals paid a heavy price in the
organizational restructuring of the hospital environment, with almost
instantaneous closures enforced by the authorities. A survey was therefore
conducted under the aegis of the APHJPA among day-hospitals to learn the lessons
from the management of this crisis and to reflect on the role of these structures
in context of this nature. Fifty day-hospitals throughout the country answered.
Most of the professionals were immediately redeployed to classic hospitalization
services, whether or not the population area was heavily impacted by COVID-19.
Some of them then provided assistance to nursing homes or patients confined to
their homes and their families. Although they accepted the closures during the
acute period of the crisis, the lack of clarity about the reopening of their
units despite the precautionary measures envisaged was not well received, often
with the feeling that the authorities and sometimes the management of their
establishments were not well acquainted with their role in the care of the
elderly. The lockdown and discontinuation of care led to decompensations,
especially among patients with neurodegenerative pathologies. Situated at the
interface between the community and hospital health sectors, day-hospitals play a
major role in the care of the elderly. This survey highlights the ability of
professionals to adapt and commit themselves, demonstrating the relevance of
day-hospitals in the field of chronic diseases (diagnosis, follow-up,
rehabilitation) and also in prevention, identification and follow-up of frailty
factors in elderly patients.
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