Parc Taulí launches the Day Hospital for people with fragility and complex care needs to offer more efficient and safe care

Parc Taulí launches the Day Hospital for people with fragility and complex care needs to offer more efficient and safe care 1080 599 Parc Taulí current affairs

The different hospital care facilities at Parc Taulí treat an average of 2.000 people with complex chronic diseases each year. The new Day Hospital for people with complex chronic diseases and fragility will allow for earlier specific geriatric care and improved accessibility to care devices.

The unit called the Parc Taulí Complex and Fragile Chronic Patient Day Hospital, recently opened and located on the ground floor of the Albada building, aims to contribute to improving the quality of life of people with fragility, needs complexes of care and / or palliative needs (for multiple diseases, some in advanced phase), promoting alternatives to hospitalization that allow more efficient and safe care.

The new Day Hospital has two closed boxes, four bunk beds and eight armchairs. Its care hours are from 8 am to 20 pm from Monday to Friday, with the capabilities to carry out the multidimensional assessment of the patient's needs, and to carry out diagnostic tests to establish an accurate diagnosis and the necessary treatments.

Complex chronic diseases (PCC) in Catalonia have a theoretical prevalence of 3,5-4% of the population. In Parc Taulí, 2.000 of these patients are discharged annually from the specific acute hospitalization units (Acute Geriatrics Unit -UGA- and Complex Chronic Patient Unit -PCC-). These units have an availability of between 81 and 95 beds.

The profile of the fragile patient with complex care needs is that of a person with a difficult clinical management situation as he often has multiple health-related problems such as functional dependence, cognitive impairment, geriatric syndromes (eg falls, dysphagia , incontinence…). At the same time, they are people who take a lot of medication (polypharmacy) and who make frequent use of health services (two or three hospital admissions a year).

These are people with a high risk of adverse health outcomes, ie they have a higher risk of making hospital admissions, entering a residence (institutionalization), suffering complications (delirium, functional decline…) and also dying. . The most common profile is people over 70 years of age, but there are also younger people with this profile with complex situations (advanced disease or frailty pathology).

The new device, which complements the activity carried out for 20 years by the Comprehensive Outpatient Care Team -EAIA-of Geriatrics and Fragile Patients, allows an early approach to the decompensation of chronic diseases, with more opportunities to rapid intervention, reducing the need for emergency consultations and improving accessibility to a resource specializing in the care of these people. In short, as highlighted by the Director of Medical Specialties, Ricard Comet, "It's about practicing person-centered medicine, with comprehensive and continuous care and teamwork made up of, among others, doctors, nurses, pharmacists, social workers and rehabilitation professionals".

The role of nursing staff is crucial in this Day Hospital. They provide continuity throughout the process of caring for the person and manage everything that is necessary for the patient to receive individualized care appropriate to their needs at all times. The head of the Nursing Area, Ingrid Bullich Marín points out that “Nurses in the day hospital assess the situation the person is in at the time, in what they need now. At the same time, they detect, plan and work with the person and family what they will need at home. ”.

Nursing professionals provide health education and provide information regarding care, diets, treatment follow-up and / or the identification of warning signs. That is, they ensure the continuity of care of the person (and the person caring for them) with fragility and complex needs.

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0 comments
  • Pilar Abbot

    Pilar Abbot
    How can I contact the day hospital? The phone number listed on the Web does not exist, and trying to call Taulí's customer service is a chimera. You don't know the distress it causes when you see a person suffering and there is no way to contact the hospital.

  • Teresa Arrebola Ruiz

    Yesterday he called my husband who is an oncological patient and they made him go to visit him. The doctor told him that the ophthalmologist would visit him today at 8 o'clock in the morning. He had to pass the card at the entrance because they were already scheduling the visit from there. When we arrived there was nothing scheduled.
    After sending us from one place to another here we are in the general emergency almost two hours later.
    We could have gone to the emergency room yesterday and saved ourselves all this dizziness...

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