Recommendations for Home Care in COVID-19 pandemic period: Joint recommendations - SBMFC Home Care Working Group and ABRASAD

• Autor(a) principal: Savassi, Leonardo Cançado Monteiro
• Data de Publicação: 2020
• Outros Autores: Reis, Gustavo Valadares Labanca, Dias, Mariana Borges, Vilela, Lidiane de Oliveira, Ribeiro, Marco Túlio Aguiar Mourão, Zachi, Mara Lúcia Renostro, Nunes, Mônica Regina Prado de Toledo Macedo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2611
• topic: Home Care Services; Primary Health Care; Coronavirus Infections; COVID-19.; Servicios de Atención de Salud a Domicilio; Atención Primaria de Salud; Infecciones por Coronavirus. COVID-19.; Serviços de Assistência Domiciliar; Atenção Primária à Saúde; Infecções por Coronavírus; COVID-19.

One of the consequences of the covid-19 pandemic was the necessity to reorganize health systems. Home care (HC) may be an option to interrupt transmission; early identification and care of infected patients; possibilities of early discharge and continuity of care outside the hospital; and family members guidance. This article aims to present possibilities of care at home by the Primary Health Care (PHC) and HC teams and the necessary care that these teams must have when carrying out their work. It is necessary to keep people safe at home, avoid risk exposure, maintain surveillance and care for those who depend on HC, and teams must reorganize the work process to an effective home care. In PHC, remote care seems to be a viable alternative for health personal to monitor, guide and follow up patients, leaving home visits with the team for those cases indicated. AD in the suspicion or confirmation of COVID-19 is possible, as long as the team is trained, has all the necessary Personal Protection Equipment (PPE) and the compatible home environment. Continuity of care should be ensured for people with chronic diseases during the pandemic, making it possible to consider telemedicine tools and face-to-face care on a case-by-case basis. For patients who have been hospitalized and progressed satisfactorily, it is possible to assess the continuity of care at home by PHC and HC monitoring. Precautionary measures must be put in place for staff and patients, ensuring that all professionals are trained in the PPE uses, in addition to guidelines for preventing infectious agent’s transmission at home. HC is essential for access to people with acute conditions, decompensation of chronic diseases, with the challenge of organizing the service using telehealth and HC in a rational way.