Patrícia Dias - Nurse · Training sesions Tools Software ... Urgent needs : adapting health care...
Transcript of Patrícia Dias - Nurse · Training sesions Tools Software ... Urgent needs : adapting health care...
INNOVATIVE e-HEALTH STRATEGIES TOWARDS A HEALTHIER AGEING POPULATION
Patrícia Dias - NurseEdmilson Siqueira, Robert Timm, Anna Casalinho, Janaína Bender
e-Health Centre of IC/FUC and AGM TELESSAÚDE BRASIL LTDA.
ELDERLY IN THE SOCIAL CONTEXT
Biopsychosocial andeconomic changes
Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.
ELDERLY IN THE SOCIAL CONTEXT
Biopsychosocial andeconomic changes
↑ incidence of chronicdiseases in the population
Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.
ELDERLY IN THE SOCIAL CONTEXT
Increased life expectancy
Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.
Biopsychosocial andeconomic changes
↑ incidence of chronicdiseases in the population
ELDERLY IN THE SOCIAL CONTEXT
Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.
Increased life expectancy
Biopsychosocial andeconomic changes
↑ incidence of chronicdiseases in the population
ELDERLY IN THE SOCIAL CONTEXT
Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.
↑ the number of patients with chronic diseases↑ the population that needs specialized care
↑ of institutionalized elderly
Increased life expectancy
Biopsychosocial andeconomic changes
↑ incidence of chronicdiseases in the population
ELDERLY IN THE SOCIAL CONTEXT
ELDERLY IN THE SOCIAL CONTEXT
Dignity Project: Geriatric e-HealthAsilo de Mendigos de Pelotas – charity, non-profit
founded in 1882 (133 years)
Was home to beggars until 1965
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-HealthAims
Provide early diagnosis and remote counseling for
treatment of skin lesions – Tele-dermatology
Offer early diagnosis and cardiological counseling via
Tele-cardiology Platform
Follow medically institutionalized elderly through online
software
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Tele-cardiology
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Tele-cardiology
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Telecardiologia Equipment Acquisition Routine definitionExams - 6/6 months and whenever needed Exams: evidence of disease – 3/3 months or more
INNOVATIVE STRATEGIES OF e-HEALTH
Training sesions Tools Software Recording digital ECGs
Dignity Project: Geriatric e-Health Telecardiologia Equipment Acquisition Routine definitionExams - 6/6 months and whenever needed Exams: evidence of disease – 3/3 months or more
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health
Tele-cardiology System
INNOVATIVE STRATEGIES OF e-HEALTH
Aquisição de equipamentos Definição de rotinasExames - 6/6 meses e se necessário Exames alterados – 3/3 meses e se necessário
Treinamentos Ferramentas Software Realização do exame digital
Dignity Project: Geriatric e-Health
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health
Teledermatology System
INNOVATIVE STRATEGIES OF e-HEALTH
Identification of the main pressure points (trochanteric, heelsand lumbosacral)Weekly monitoring (Skype® / Anymeeting®) Evaluation with Dermatologist – 2nd opinion Evaluation with Infectologist – 2nd opinion
Dignity Project: Geriatric e-Health
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Restructuring the physical area
Bathrooms / Dressing Rooms
Infirmary
Nursing and Physiotherapy stations
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Restructuring the physical area
Bathrooms / Dressing Rooms
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Restructuring the physical area
Bathrooms – 1st: the men's room
Solar panel Bathroom temperature control Replace bathroom and toilet accessories
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Software for data storage
Monitoring of patients
Retrieval of clinical data
INNOVATIVE STRATEGIES OF e-HEALTH
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Results of Tele-cardiology
Digital ECGs recorded from all 87 elderly (53 women)
during the first semester of 2015
Exams second stage: began in November/2015
INNOVATIVE STRATEGIES OF e-HEALTH
87
42
6 8 6 61
6
0
10
20
30
40
50
60
70
80
90
100
TOTAL EXAMS X DIAGNOSIS
TOTAL EXAMS
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Tele-dermatology Results
17 cases of skin lesions requiring periodic monitoring
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health
07/10/2015 09/21/2015
INNOVATIVE STRATEGIES OF e-HEALTH
07/02/2015 09/29/2015
Dignity Project: Geriatric e-Health
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Conclusion
Urgent needs : adapting health care infrastructure, public
and home environments
Early diagnosis seems critical
Overcoming high costs for providing face-to-face
specialized services
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Next Steps
Restructuring other bathrooms of the geriatric institution
not included in this first year
Starting a Tele-infectology counseling platform
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health Image gallery
INNOVATIVE STRATEGIES OF e-HEALTH
INNOVATIVE STRATEGIES OF e-HEALTH
INNOVATIVE STRATEGIES OF e-HEALTH
INNOVATIVE STRATEGIES OF e-HEALTH
Dignity Project: Geriatric e-Health
INNOVATIVE STRATEGIES OF e-HEALTH
Geriatric e-Health Team
Patrícia Dias - Nurse
INNOVATIVE e-HEALTH STRATEGIES TOWARDS A HEALTHIER AGEING POPULATION