The mistake that the Swedish Nursing Institute bid

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Almost half of the deaths from Covid-19 in Sweden were elderly people living in the nursing home, where they were delayed for hospitalization when they were sick.

Reza, the father of Lili Sedghi, was not received by the doctor on his death on the Covid-19 at the nursing home in the north of the Swedish capital of Stockholm. A nurse said he was injecting morphine several hours before his death, but he was not assisted with breathing, nor did the staff call an ambulance.

“There was no one there, he died alone,” Sedghi said. “It’s not fair.”

A woman lives at the nursing home in Stockholm, Sweden on 4/5. Picture: AFP.

A woman lives at the nursing home in Stockholm, Sweden on 4/5. Photo: Afp.

Nearly 3,700 people died from nCoV in Sweden, mostly over the age of 70, although the country emphasized priority protection against high risk groups, including elderly people living in nursing homes. Sweden, with a population of over 10 million people, does not impose strict restrictions like most of Europe. Prime Minister Stefan Löfven last week admitted “did not protect the most vulnerable people, elderly people”.

Sweden has banned outside people from visiting the nursing home from day 31/3. But as with many other European countries, relatives, staff and union officials concerned the elderly care facilities have received protective clothing too late and in the early stages of outbreaks, some employees may have gone to work despite Covid-19 symptoms.

Now, more and more nursing home staff criticize the regional health Do not encourage them to take elderly people at the nursing home to the hospital and prevent them from using breathing aid without the doctor’s approval, including acute or palliative care (which helps the person alleviate symptoms, pain in the final stage of life).

“They told us not to take anyone to the hospital, even those not too elderly”, Latifa Löfvenberg, the nurse who had worked in some nursing homes around Gävle, north of Stockholm, in the early stages of outbreak, said.

“Some people may have so many years to live with their loved ones, but they don’t have the chance of not being taken to the hospital in time,” she said. “They suffocate to death. It’s tough and scary to witness that sight that can’t be done. “

Löfvenberg is working in the nCoV Department of specialist treatment in a major hospital in the Swedish capital. She says that the patients she is treating are evidence that the elderly are not hospitalized. “We don’t see many elderly people here. Most are younger, born in the 1980s, 90, 80, 70 “.

An emergency medical technician in Stockholm said she had never been asked to the nursing home for reasons involving Covid-19, although it was done overtime.

Mikael Fjällid, Swedish consultant for anesthesia and special care, believing that “a lot of lives” can be saved if nursing homes are treated at a hospital or if the nursing home staff are given more rights to use the breathing aid, instead of waiting for the team to deal with Covid-19 or emergency medical technicians.

“If a person only has more than 20% chance of survival if not intervened, it is also possible that the chances of survival will increase by 20% more if breathing aids,” Fjällid said.

Local self-regulatory regulations on manpower and medical resources in Sweden, but according to national indications, elderly patients, whether in nursing or public nursing homes, should not be taken automatically to treatment hospitals.

Thomas Linden, medical director at the National Health and Welfare Commission, said employees should consider between the benefits and risks such as cross-contamination in hospitals and the inconvenience of transferring patients. Medical personnel are not required to discriminate against patients based solely on age, but they may consider biological age in conjunction with other factors, Linden adds.

In terms of palliative care, Linden suggested that it is not mandatory to breathe patients and acknowledge “specialists and areas with differing opinions about the effectiveness of breathing AIDS”.

Gävleborg, where Latifa Löfvenberg worked when the new outbreak broke out, stating that each patient’s needs were consistently placed on the top and the nurses could call the doctor to assess whether the need for the nursing home Hospital hospitalized. However, Gävleborg opposed the idea of allowing nursing workers to support patients in palliative care, as this requires professional training.

Christoffer Bernsköld, spokesperson for the aging department of the Stockholm Region Health Network, confirms that there are sufficient resources to ensure that all patients in the capital are in acute care or reducedChives. He pointed out that in southern Stockholm there was a new, parked hospital that showed why the elderly did not enter the hospital not because of a lack of bed disease.

Meanwhile, those who criticize the government as Mikael Fjällid regard the hospital for fighting is a sign that officials in the capital are too hesitant for elderly people to get hospitalized for fear of excessive resources, as the area of the war hospitals is the necessary infrastructure to cope if the infection spike in the future.

Other than Sweden, representatives of nursing institutes in other European countries confirmed the elderly in their country to be treated adequately.

In the UK, the National Health Association says that people who are infected with nCoV are cared for “no matter how old or weak they are.” The Association for supporting the elderly and the disability of Germany indicates that every patient with the Covid-19 symptom is given by the doctor and not the patient who is not cared for. In some cases, all elderly people who live in nursing homes are hospitalized. Many nursing homes are available for emergency breathing equipment.

The Danish Nurse Association says all patients who need breathing aids are hospitalized. This policy can be reconsidered if the lack of breathing machine, age is not a factor affecting this issue.

Last week, Sweden announced a disbursement of 2.2 billion kronor (220 million) for additional training for nursing home staff, with the goal of generating 10,000 primary medical positions and caregivers. Löfven thinks that the hour is not the right moment to check the point. A national committee will assess how translation is handled at the local, regional, and national levels as soon as the crisis period is dangerous.

It is a half-happy half-message with relatives of the Covid-19 victims like Lili Sedghi, who lost his father last week. “All the things they do are ineffective, since many people live in the nursing home with my father dead,” she said.

Phuong VU (According to Bbc)

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