Clinical Oncology Letters
https://www.clinicaloncologyletters.com/article/doi/10.4322/col.2019.008
Clinical Oncology Letters
Artigo Original - Especial Covid-19

Objectivity and Realism for monitoring COVID 19 in Brazilian Health Facilities: a fourmonth follow up of two local hospitals and several nursing homes

Objetividade e Realismo para monitorar COVID 19 em Instituições de Saúde Brasileiras: seguimento de 4 meses em dois hospitais e vários residenciais de idosos

Pablo González Blasco, Maria Auxiliadora C. De Benedetto, Marcelo R. Levites, Graziela Moreto

Downloads: 0
Views: 686

Abstract

The current COVID-19 pandemic makes us live in a difficult and unprecedented time. With each passing day, the care of the health team itself is essential. Not only physical care, but also mental health. The authors describe their experience in disseminating recommendations through short videos that help professionals to maintain an objective view of the reality they are experiencing. SOBRAMFA team, integrated by doctors and educators, provided a fourth month follow up monitoring COVID 19 patients in two community hospitals and in several nursing homes entrusted to take care for. Thus, tabulating daily the evolution of patients - the hospitalized, the deceased and, very importantly, the discharge of the recovered - provides a sense of reality. The real and active presence of us, SOBRAMFA physicians, with the ability to lead the health team and to communicate with families, patients and fellow doctors portrays an effective attitude that shapes a new business model and a posture of excellence, which is suitable to different clinical settings.

Keywords

COVID 19, Monitoring Strategies, Nursing Homes, Communication Skills, Objectivity.

Resumo

A atual pandemia COVID-19 nos faz viver em uma época difícil e sem precedentes. Cada dia que passa, o cuidado da própria equipe de saúde é fundamental, não apenas cuidados físicos, mas também saúde mental. Os autores descrevem sua experiência na divulgação de recomendações por meio de vídeos que auxiliam os profissionais a manter uma visão objetiva da realidade que estão vivenciando. A equipe da SOBRAMFA, integrada por médicos e educadores, fez um acompanhamento ao longo de quatro meses dos pacientes com COVID 19 em dois hospitais comunitários e em vários residenciais de idosos a eles confiados. Deste modo, tabulando diariamente a evolução dos pacientes - os hospitalizados, os falecidos e, muito importante, a alta dos recuperados - proporciona um sentido de realidade. A presença real e ativa dos médicos da SOBRAMFA, com capacidade de liderar a equipe de saúde e de se comunicar com familiares, pacientes e colegas médicos mostra uma atitude efetiva que configura um novo modelo de negócios e uma postura de excelência, aplicável aos diferentes cenários clínicos.

Palavras-chave

COVID 19, Estratégias de Monitorização, Residenciais de Idosos, Habilidades de Comunicação, Objetividade.

Referências

1. Holshue ML, DeBolt C, Lindquist S, et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020;382(10):929-36. http://dx.doi.org/10.1056/NEJMoa2001191. PMid:32004427.

2. Centers for Disease Control and Prevention. Symptoms. Coronavirus (COVID-19) [Internet]. Atlanta, Geórgia: CDC; 2020. [cited 2020 Aug 12]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/symptomstesting/symptoms.html

3. Blasco PG, De Benedetto MAC, Levites MR, Moreto G, Janaudis MA. Humanismo e Educação Médica em Tempos de COVID-19. Rev Med. 2020;99(2):i-vi. http://dx.doi.org/10.11606/issn.1679-9836.v99i2pi-vi.

4. Blasco PG, De Benedetto MAC. A senior family doctor supporting the health team in times of COVID-19. Can Fam Physician. 2020 april 28. Available from: https://www.cfp.ca/news/2020/04/28/04-28-1

5. De Sutter A, Llor C, Maier M, et al. Family medicine in times of ‘COVID-19’: A generalists’ voice. Eur J Gen Pract. 2020;26(1):58-60. http://dx.doi.org/10.1080/13814788.2020.1757312. PMid:32349550.

6. SOBRAMFA [Internet]. São Paulo: SOBRAMFA. [cited 2020 Aug 12]. Available from: www.sobramfa.com.br

7. Blasco PG, De Benedetto MAC, Levites MR, Moreto G, Janaudis MA. Brazilian Family Medicine Team Develops Videos: Humanism and Medical Education in Times of COVID-19. Annals of Family Medicine Blog Post. 2020 may 5. Available from: https://medium.com/case-notes-from-the-covid-19-front-lines/brazilian-family-medicine-team-develops-videoshumanism-and-medical-education-in-times-of-covid-19-67477352a69f

8. VIMEO [Internet]. New York: Vimeo. [cited 2020 Aug 12]. Available from: https://vimeo.com/showcase/6982727

9. Haffajee RL, Mello MM. Thinking Globally, Acting Locally - The U.S. Response to Covid-19. N Engl J Med. 2020; 382: e75. Available from: https://www.nejm.org/doi/full/10.1056/NEJMp2006740.

10. NEJM [Internet]. Clinical Conversations. Journal Watch. 2020 mar. 10. [cited 2020 Aug 12]. Available from: https://podcasts.jwatch.org/index.php/podcast-256-anthony-fauci-talking-with-patients-about-covid-19/2020/03/10/

11. Arons M, Hatfield K, Reddy S, et al. Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. N Engl J Med. 2020;382(22):2081-90. http://dx.doi.org/10.1056/NEJMoa2008457. PMid:32329971.

12. McMichael TM, Currie DW, Clark S, et al. Epidemiology of Covid-19 in a long-term care facility in King County, Washington. N Engl J Med. 2020;382(21):2005-11. http://dx.doi.org/10.1056/NEJMoa2005412. PMid:32220208.

13. McMichael TM, Currie DW, Clark S, et al. COVID-19 in a long-term care facility – King County, Washington, February 27–March 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(12):339-42. http://dx.doi.org/10.15585/mmwr.mm6912e1. PMid:32214083.

14. Centers for Disease Control and Prevention. Preparing for COVID-19: long-term care facilities, nursing homes [Internet]. 2020 June 25. [cited 2020 Aug 12]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/longterm-care.html

15. Carr S. Editor’s Notebook: A Quotation with a Life of Its Own [Internet]. Patient Safety & Quality Healthcare. 2008 jul.-aug. [cited 2020 Aug 12]. Available from: https://www.psqh.com/julaug08/editor.html.

16. Blasco PG. A ordem dos fatores altera o produto. Reflexões sobre educação médica e cuidados paliativos. Educación Médica. 2018;19(2):104-14. http://dx.doi.org/10.1016/j.edumed.2016.07.010.

5f7736550e88254f3c655167 col Articles
Links & Downloads

Clin Onc Let

Share this page
Page Sections