March 5, 2021

beyond healing a sore



In the midst of a pandemic that has paralyzed everything, at home, many people continue to deal with other more banal pathologies that also require care. Given this reality, outpatient clinics are assuming home care that, in many cases, goes beyond healing a sore.

This is the case of the Ramona Via Primary Care Center (CAP) in El Prat de Llobregat (Barcelona), one of the three outpatient clinics in the municipality that has closed its doors to the public to dedicate itself to entering the homes of all the residents who visit it. they need, because it has assumed the home nursing and medical care of the entire city.

“The first week I lived in great fear, every time I went to a home my heart was racing with tachycardia, thinking that I could become infected and transmit the virus to my family,” explains Efe Trini, one of the CAP nurses who makes home visits.

However, mutual support has made the fear fade away. “The day that one was low in morale, the other encouraged him,” explains the nurse, who now claims to feel “confident and safe.”

Trini emphasizes that the care they provide “makes people feel good” and “accompanies” and recalls a recent visit to heal a sore in which “the least important was the wound.”

“She is an end-of-life patient and we did the whole emotional part with the children and the husband, in which we talked about how they felt, because this can last a month or a year but she is an older woman who is leaving eat, a candle that is going out. We made an intervention not only of the cure, but of emotional accompaniment, “says the nurse.

Facing the outbreak of the pandemic from one day to the next has not been easy, but this crisis, explains Núria, one of the doctors, has turned the CAP team into “a pineapple”, where everyone has contributed their grain of sand , like the clerks who have become the drivers of the service.

Likewise, the solidarity and support of administrations, entities and individuals, such as the City Council, which has lent the four cars to do home care as well as material, or a family of farmers who have donated a fumigator to disinfect has allowed them to face all the needs that have arisen.

Although this service was already offered before the pandemic, now they have been forced to take extreme precautions, wearing up to three gloves that are removed every time they touch risky surfaces such as doorbells, and be much more meticulous when they go to a home. , controlling each movement to minimize risks.

“We look like aliens,” says Núria in reference to the protective clothing that the first days, he admits, caused the surprise of the patients.

One of them is Joaquín, an 80-year-old man who receives from his bed the cures of Trini and Miguel Ángel, another nurse, for the infection of a postoperative wound.

“For me, it is much better to have him at home”, explains Pilar, his wife, who when they offered him that her husband leave the hospital to receive home care, immediately said yes “because there he was more at risk” and Joaquín explains, “he is under of defenses and pretty annoyed. “

“Here we are, doing what they tell us, but the service works very well,” says Pilar, who works as a caregiver for her husband, helping to clean the wound: “I wash it before they, the nurses, come, and I remove the dirty dressing, I clean it inside with a gauze and a disinfecting soap, I clean it, I rinse it and I put a liquid so that it takes effect “.

The professionals of the Ramona Via not only enter the homes of their patients physically, they also follow them with phone calls in which, in addition to controlling fever, blood oxygen levels or physical ailments, issues such as uncertainty are addressed Because the husband has lost his job or pain because he could not say goodbye to a loved one.

“Accompanying the duel costs a lot, it is painful. Although we know how to do it, you have to breathe many times and then go for a coffee. No one was prepared. Life projects cut short, this is difficult to accompany,” explains Núria.

Although they deny that they are doing a heroic act and avoid acknowledging the applause – “I am not a heroine, I am a doctor, the job I chose is this,” emphasizes Núria – the health companies point out that these days the pain of the situation is rewarded with “heartfelt” thanks and the joy of his patients.

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