Clipping of news on Brazilian Culture, Law and Citizenship
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Places do not have adequate facilities and equipment, and restrict participation of the family, there is deficit of places
About 70% of the 3,500 beds in the Intensive Care Units (ICUs) in Brazil are not appropriate at the ideal model of humanization considered by experts in the area, according to the Brazilian Society of Intensive Care (Sobrati). Recent studies indicate that simple details such as the presence of window and clock in the room - so that the patient has long term - and more contact with family members during hospitalization is crucial not only to faster recovery, but also to avoid physical sequelae and psychological that may delay the return to normal life.
"For a long time, the only professionals in the area of concern was saving lives. But in the last 15 years began to have a care in the quality of life after hospitalization. This is linked to increased survival," says Įlvaro Rea, President of the Brazilian Association of Intensive Medicine (Amib). "Studies indicate that many patients take 6 to 12 months to return to normal activities because of the consequences."
The psychiatrist Marcelo Feijó de Mello, the Unifesp is common among patients who have undergone a long hospitalization syndrome of pros-traumatic stress. "This table is very serious and limiting the life of the patient post-ICU." The rate of leave and early retirement among carriers of the syndrome reaches 40%, says the psychiatrist.
But some measures can minimize the negative impact. Be near the family as long as possible is one of the most important factors identified by experts and the monitoring of psychologists and physiotherapists. The presence of clock and window in the room so that the patient has notion of day and night, helps the body maintain its natural cycle. Use a minimum of sedation, just enough so that the patient is comfortable, it prevents suffering hallucinations and acquire cognitive difficulties as a result of drugs.
The Syrian-Lebanese Hospital, for example, adopts the daily routine of waking, Guilherme Schettino account, responsible for the unit. "During the day, discontinuing the sedation that the patient is awake. Explain to him and family all procedures that are being made. This reduces the anxiety."
Minutes before moving on to a new surgery, the secretary Aurea Soares, 48 years, reported the experience of five days in the ICU of the Syrian-Lebanese, experienced in December last year. "It seems that you are in hospital. The room was single, had computer, TV and my family could stay with me all the time, to Aurea, who had cancer, suffers from diabetes and has had a catheterization to place two stents." It a period in which you are very wrong, or do not know if it will be. Professionals know that 24 hours is no longer around you safer. "
"In hospitals like the Syrian-Lebanese, Albert Einstein and the Nine July ICUs meet all criteria of humane ideals. But this is for little," says the chairman of Sobrati, Douglas Ferrari. "We estimate that 25% of Brazilians have health plan, and of those, only 5% have access to this top model." Throughout the country, only 30% of ICUs meet the minimum requirements of the ideal model of humanization. "Most psychologists do not have very limited access and family."
Ferrari shows another alarming given: the lack of ICU beds in the country is around 50%. The situation is more severe in pediatric and neonatal care, where the deficit reaches 70%. "The process of humanization is not complete until there children waiting for a bed in the corridors of hospitals at a time when a respirator is the difference between life and death."
The lack of beds was one of the problems that led to the NICU of the Hospital das Clinicas de Pernambuco to suspend further consultations. One day after the disclosure of the suspension, which also occurred because of an outbreak of infection that has reached at least six babies, the state prosecutor announced yesterday the completion of a public hearing on the case. The goal is to provide for the consequences caused by the infectious outbreak.
Yesterday, according to information from the coordination of the medical unit, babies infected remained under treatment with antibiotics. The forecast, according to the advice of the press, is that the service is standard in ten days.
LACK OF VAGAS
50% is the lack of ICU beds in the country area of neonatology in the number reaches 70%, according to Sobrati
6% of hospital beds should be allocated to the high complexity, according to the UN. But in the Northeast the rate is less than 3%, in the North, is 1.7%
Source: Idec
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This article was translated by an automatic translation system, and was therefore not reviewed by people.