Una respuesta ética en la atención a residencias de ancianos en la pandemia Covid-19

  1. Ángela Arévalo
  2. Alicia Armentia
  3. Blanca Blanco
  4. Marta Cano
  5. Cristina Crespo
  6. Joaquín Fra
  7. Jesús Galán
  8. Natalia Gallego
  9. Sara García
  10. Edgar Lovel
  11. Daniel Ramos
  12. Aurora Sacristán
  13. Dionisio San Segundo
  14. Carmen Sánchez
  15. Álvaro Sanz
  16. Resurrección Vacas
  17. Javier Visa
  18. Claudio Navarro
Revista:
Cuadernos de bioética

ISSN: 1132-1989 2386-3773

Año de publicación: 2020

Volumen: 31

Número: 102

Páginas: 223-229

Tipo: Artículo

Otras publicaciones en: Cuadernos de bioética

Resumen

With the arrival of the COVID-19 pandemic, the risk of a possible lack of care for the elderly in nursing homes became evident. We summarize the experience of a multidisciplinary team with volunteer professionals from different specialties who carried out support for healthcare professionals in nursing homes. This team was implemented from both Primary and Specialty Care managements. Its work paradigm was proposed by our home hospitalization team, which included direct care of the most complex patients and general counselling on isolation, hygiene and preventive measures within the nursing homes. Thanks to this support, the elderly population placed there, with suspected or diagnosed COVID-19, received adequate care from an interdisciplinary team, which led part of the pressure to be released from their professional workers, and many family members were aware that there was no neglect of the elderly. Commitment from various levels of care in a coordinated effort has prevented a vulnerable population from being left unattended during the pandemic.

Referencias bibliográficas

  • Arons, M.M., Hatfield, K.M., Reddy, S.C., Kimball, A., James, A., Jacobs, J.R., Taylor, J., Spicer, K., Bar- dossy, A.C., Oakley, L.P., Tanwar, S., Dyal, J.W., Harney, J., Chisty, Z., Bell, J.M., Methner, M., Paul, P., Carlson, C.M., McLaughlin, H.P., Thornburg, N., Tong, S., Tamin, A., Tao, Y., Uehara, A., Harcourt, J., Clark, S., Brostrom-Smith, C., Page, L.C., Kay, M., Lewis, J., Montgomery, P., Stone, N.D., Clark, T.A., Honein, M.A., Duchin, J.S., Jernigan, J.A., forthePublicHealth–Seattle and King County and CDC COVID-19 InvestigationTeam. “Presymptomatic SARSCoV-2 Infections and Transmission in a Skilled Nursing Facility”. The New England Journal of Medicine. 2020 Apr 24. doi: 10.1056/NEJMoa2008457. [Epub ahead of print]
  • Comité de Bioética de España. “Informe del Comité de Bioética de España sobre los aspectos bioéticos de la priorización de recursos sanitarios en el contexto de la crisis del coronavirus”. 25 de marzo de 2020
  • Emanuel, E.J., Persa, G., Upshur, R., Thome, B., Parker, M., Glickman, A., Zhang, C., Boyle, C., Smith, M., Phillip J.P. “Fair Allocation of Scarce Medical Resources in the Time of Covid-19”. The New England Journal of Medicine. Mar 23. doi: 10.1056/NEJMsb2005114. [Epub ahead of print]
  • Heath, I. “Love in the time of coronavirus”. The British Medical Journal. 2020; 369: m1801. León Correa, F.J. “Fundamentos y principios de bioética clínica, institucional y social”. Acta Bioethica. 2009; 15 (1): 70-78.
  • Román Maestre, B. “Para la humanización de la atención sanitaria: los cuidados paliativos como modelo”. MedicinaPaliativa. 2013; 20(1): 19-25.
  • Sam, P. “Redefining vulnerability in the era of COVID-19”. The Lancet. 2020; 395: 1089.
  • Trabucchi, M., De Leo, D. “Nursing homes or besieged castles: COVID-19 in northern Italy”. The Lancet Psychiatry. 2020; 7 (5):387-388.
  • Wakam, G.K., Montgomery, J.R., Biesterveld, B.E., Brown, C.S. “Not Dying Alone — Modern Compassionate Care in the Covid-19 Pandemic”. The New England Journal of Medicine. 2020 Apr 14. doi: 10.1056/ NEJMp2007781. [Epub ahead of print]
  • Zagury-Orly, I., Schwartzstein, R.M. “Covid-19 — A Reminder to Reason”. The New England Journal of Medicine. 2020 Apr 28. doi: 10.1056/NEJMp2009405. [Epub ahead of print]