Vell Frágil / Identificar factores de riesgo

Objective. To describe whether older people diagnosed with frailty have undergone  preventive interventions for the factors identified in the nursing consultation of the Primary Care Center of Raval Nord.   Matter and method. A simple random sample of all older people with record of frailty diagnosis that attended nursing visits during the period February 2008 to February 2009 was made. A data base of the different analyzed variables was created and the data was run through the computer program Statistical Package for the Social Sciences, (SPSS).   Results. The total number of persons with frailty diagnosis was 469. It was noted that 15.7% of the mentioned population had begun to participate in the Home Care Program (ATDOM, initials in Spanish), and the other 395 persons continued going to nursing visits independently. 79 cases,20% of the total, were analyzed.  It was observed that the average age was 82.52 years; that the deviation was 5.7 years; that the age range was between 63 and 94; that 67.1% were female; and that 29.6% lived alone. In analyzing the population an assessment test was carried out. It was noted that only 25.3% carried out the Barthel test and 19% the Pfeiffer test, and that the Nursing Cure Plan had been made to 43% of the population. In analyzing whether a carer or a person of reference was registered in the record, it was found that in 29.1% of the cases one of these people were on the register. In relation to social assistance, it was noted that 7.6% had at home tele-alarm, and that only 6.3% had gone to social services. In analyzing the frequency with which the population went to the health center or the reference hospital,  a high frequent use was detected. In the Center AP, 54.5% made over 12 visits in the consultation, and 37.7% had gone to the emergency services. In relation to the hospital emergency department, it was observed that 39.2% had been treated, and 22.8% admitted to hospital. It was also noted that computerized history through the Ecap system is not sensitive to qualitative variables, noting that can cause loss of information from the nursing activity Conclusions. It is possible to note that there is a good grasp of the frailty of the people attended to but it should be more focused on capturing the causes of frailty for interventions aimed at health promotion and prevention so that the frailty is not reconverted into avoidable disabilities.Objetivo. Describir si a las personas mayores con diagnóstico de fragilidad se les han realizado las  intervenciones preventivas de los factores de riesgo en las consultas de enfermería del Centro de Atención Primaría de Raval Nord.   Material y Método. Se realizó una muestra aleatoria simple del total de personas mayores que acudían a las consultas de enfermería durante el periodo de febrero de 2008 a febrero de 2009 y constaba el diagnostico de fragilidad. Se elaboró una base de datos de las diferentes variables analizadas y se realizó la explotación de los datos a través del programa informático Statistical Package for the Social Sciencies (SPSS).   Resultados. De un total de 469 personas en las que constaba el diagnóstico de personas frágiles se observó que el 15,7% de dicha población había pasado al programa de Atención domiciliaria (ATDOM) y el resto, un total de 395, seguían acudiendo de forma autónoma a las consultas.  Del total se analizó el 20% (representó 79 casos). Observándose que la media de edad fue de 82,52 años con una desv.tip de 5,7 años y la franja de edades comprendida entre  63 y 94 años. Que el 67,1% pertenecía al sexo femenino y que 29,6% vivía sola/o. Al analizar si a dicha población se le  había realizado tests de valoración, se observó que solo a un 25,3% se había realizado el test de Barthel, a un 19% el test de Pfeiffer y que el Plan de Cura de Enfermería se había aplicado al 43% de la población. Al analizar si constaba el cuidador o persona referente se observó que solo constaba en un 29,1%, En relación a ayudas sociales, se observó que el 7,6% constaba que tenía en su domicilio tele-alarma y que solo un 6,3% había acudido a solicitar ayudas o valoración en  servicios sociales. Al analizar la frecuentación al centro de salud (AP)  o al hospital de referencia, se observó una elevada hiperfrecuentacion. En el centro de AP un 54,5% había realizado más de 12 visitas a  las consultas y un 37,7% había acudido al servicio de urgencias. Y en relación al servicio de urgencias hospitalarias  se observó que el 39,2% había sido atendido, y un 22,8% ingresado. También se destacó que la historia informatizada a través del sistema Ecap no es sensible a las variables cualitativas, observándose que puede ser causa de pérdida de información de la actividad de enfermería.   Conclusiones. Se puede observar que existe una buena captación de la fragilidad de las personas atendidas, pero por otra parte se debe incidir más en la captación de las causas de la fragilidad para realizar  intervenciones dirigidas a la promoción y prevención de salud, para que la fragilidad no se reconvierta en incapacidades evitables.

Business not as usual: how multisectoral collaboration can promote transformative change for health and sustainable development.

• We present a model of enabling fac-tors for effective multisectoral collabo-ration for improvements in health and sustainable development. • Drive change: assess whether desired change is better off achieved by mul-tisectoral collaboration; drive forward collaboration by mobilising a critical mass of policy and public attention. • Define: frame the problem strategi-cally and holistically so that all sec-tors and stakeholders can see the benefits of collaboration and contri-bution to the public good• Design: create solutions relevant to context, building on existing mecha-nisms, and leverage the strengths of diverse sectors for collective impact. • Relate: ensure resources for multi-sectoral collaboration mechanisms, including for open communication and deliberation on evidence, norms, and innovation across all components of collaboration. • Realise: learn by doing, and adapt with regular feedback. Remain open to redefining and redesigning the collaboration to ensure relevance, effectiveness, and responsiveness to change. • Capture success: agree on success markers, using qualitative and quan-titative methods to monitor results regularly and comprehensively, and learn from both failures and successes to inform action and sustain gains

Adapting teaching and learning in times of COVID-19: a comparative assessment among higher education institutions in a global health network in 2020.

From PubMed via Jisc Publications RouterHistory: received 2021-08-02, accepted 2022-06-15Publication status: epublishThis research examines the ways in which higher education institutions (HEIs) across the tropEd Network for Education in International Health (tropEd) began to adapt their teaching and learning approaches in response to the COVID-19 pandemic in 2020. Already during this early phase of the pandemic HEIs' responses demonstrate global health approaches emphasising cooperation and communication, rather than national health driven strategies that emphasise quarantine and control. Key lessons learnt for multiple dimensions of teaching and learning in global health are thus identified, and challenges and opportunities discussed. Data collection includes a cross-sectional online survey among tropEd member institutions (n = 19) in mid-2020, and a complementary set of open-ended questions generating free-text responses (n = 9). Quantitative data were analysed using descriptive statistics, textual data were analysed using a Framework Analysis approach. While early on in the pandemic the focus was on a quick emergency switch to online teaching formats to ensure short-term continuity, and developing the administrative and didactic competence and confidence in digital teaching, there is already recognition among HEIs of the necessity for more fundamental quality and longer-term reforms in higher education in global health. Alongside practical concerns about the limitations of digital teaching, and declines in student numbers, there is a growing awareness of opportunities in terms of inclusivity, the necessity of cross-border cooperation, and a global health approach. The extent to which the lack of physical mobility impacts HEI programmes in global health is debated. The COVID-19 pandemic has brought about preventive measures that have had a considerable impact on various dimensions of academic teaching in global health. Going forward, international HEIs' experiences and response strategies can help generate important lessons for academic institutions across different settings worldwide. [Abstract copyright: © 2022. The Author(s).