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CuidArte ”El Arte del Cuidado”

2024, Number 26

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CuidArte 2024; 13 (26)

Telecare and home care in senior citizens with COVID-19: the case of nursing specialists

Ponce GG, Carmona MB, Bernal BML, González JG, Huerta GS

Language: Spanish
References: 23
Page:
PDF size: 416.47 Kb.


ABSTRACT

Introduction. Quality of life in senior citizens (SCs) is determined by their capacity to maintain their autonomy and independence. In Mexico, around 67% of SCs suffer from different chronic illnesses; a majority of COVID-19 deaths in 2020 and 2021 occurred in people aged 70 or older. Objective. To describe the situation of senior citizens with COVID-19 who received telecare and home care. Methodology. Quantitative, descriptive, and longitudinal study of nursing care by a multidisciplinary team, with a convenience sample of 89 participants. The study was approved by the ethics committee and fulfilled the requirements of ethics codes and informed consent. Results. The clinical history of each participant and respiratory triage were carried out in the first home care session. The impairment of basic activities of daily life was diagnosed, mainly in feeding, mobility, and bathing. The average duration of care was 14.05 days; the nurses conducted 445 home visits, 267 telephone calls, and 967 video calls during the period of care. 39.32% of participants had to use an oxygen tank and/or concentrator due to oxygen desaturation, which improved by the end of care. Regarding interdisciplinary work, a total of 26 referrals were made to specialists on the interdisciplinary team (nutrition, pulmonology, and geriatrics). Conclusions. Home care and telecare are strategies that, when used concurrently, can resolve health problems in vulnerable groups in an epidemiological emergency. Specialists in nursing were able to reduce respiratory complications, reduce hospitalizations, and control health in comorbidities.


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