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Sant Joan Despí Hospital, Hospitalet General Hospital

Geriatrics

About the Observatory

The mission of the Geriatrics Service is to look after the health of the elderly in its territory. Place special emphasis on:

  • Healthy aging
  • The prevention of disability
  • The minimization of the disease and its impact
  • The promotion of early reintegration into the community
  • The support of patients and their families in situations of advanced illness and at the end of life
  • Care planning, contributing to the identification of PCC-MACA patients and the development of individualized intervention plans in complexity).

Its vision is to attend to patients in fragile situations from a comprehensive and integrated perspective within the different devices of the territory.
The values ​​that guide the Geriatrics Service are:

  • Patient-centered care
  • Shared decision-making
  • Follow-up throughout the life process
  • The prioritization of health problems in a manner congruent with the values ​​and preferences of patients.

The service is made up of a multidisciplinary team.

It has care units based on the needs of patients:

  •     Acute hospitalization at Hospital General de l'Hospitalet (HGH)
  •     Emergency support
  •     Hospitalization for intermediate care at Hospital d'Atenció Intermèdia-HSH
  •     Outpatient care at the external consultations of the comprehensive ambulatory assessment teams (EAIA), Hospital Sociosanitari de l’Hospitalet (HSH), day hospitals (medical and intermediate care)
  •     Residential care.

The service works in coordination with the primary health care of the territory and according to the needs, with attention to patients from the Southern Metropolitan Region (Stroke rehabilitation and palliative care patients with special needs (PADES referrals from LH South )

The key work tool is the comprehensive geriatric assessment (VGI).

  • Update date: 01.01.2024

Head of Service

Directorate of Intermediate Care.

  • Benito Jesus Fontecha Gomez

    social health department

    medical director hssh

Members

  • Carmen Ferrer Ferrer

    geriatrics hsjd

    specialist doctor

  • Maria Mercedes Fernandez Lopez

    hssh geriatrics

    specialist doctor

  • Wendy Carolina Fuentes Ramos

    geriatrics hsjd

    specialist doctor

  • Alicia Cambra Lopez

    hssh geriatrics

    specialist doctor

  • Marie Christine Mayra Josephine Pereira

    hssh geriatrics

    specialist doctor

  • Marina Isabel De Lourdes Ugarte

    hssh geriatrics

    specialist doctor

Representatives of other CSS/Primary in the territory: Charo Casas Floriano (Cl Guadalupe Directorate) and Jesús Vaquero Cruzado (Hospital Sisters) and Javier Santolaria.

In this section appear the professionals of the Integral Health Consortium who have authorized the display of their personal data.

  • Update date: 01.01.2024

Units and benefits

Lines:

  • Geriatric care. Acute Hospitalization / Rehabilitation and care.
  • Dementia care. Diagnosis, treatment and approach to behavioral disorders and family education.
  • Palliative care. support adjustment Symptom control. End of life care.
  • Emergency care Express VGI to aid in patient classification

Territorial sessions to assess the complex chronic patient (PCC) and the advanced chronic disease (MACA)

Sessions with the clinical nursing network. Evaluations of PCC/MACA patient proposals

Coordination with the case management of the territory

Coordination with the intermediate care of the territory

Participation in transversal committees and commissions (oncology-palliative care, uro-oncology, pharmaceutical onco-hematology, infections, mortality...)

Training: territorial sessions (monthly)

Multiprofessional teaching unit (Training of specialist doctors and nurses).

Evaluation of:

  • The frailty index in cancer patients
    • Gynecology
    •  Urology
  • The fragility index in vascular surgery

Day hospitals:

  • Techniques (-centesis)
  • Iron infusions, furosemide...
  • Opioid rotation
  • Continuous subcutaneous (sc) perfusion pumps
  • transfusions
  • Evaluation / intervention in the emergency services

  • Update date: 01.01.2024

Diseases and procedures

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    • Attention to transitions
    • Polypharmacy – Adequate prescription
    • Delirium
    • Carriers of multiresistant germs
    • Advanced frailty assessment, frailty index and NECPAL 4.0 implementation
    • Adequacy of Therapeutic Effort.
    • Addressing requests for aid in dying within the service.
    • Assessment and treatment of geriatric syndromes.
    • Assessment of frailty, specifically in urological and vascular patients.
    • TeCuide study. Telematic monitoring of family members / patients with dementia.
    • Imagine Studio in collaboration with the Pere Virgili Health Park. Motivational interviewing in stroke patients.
    • Financing models in the socio-health environment.
    • Thromboembolic disease in oncological and frail patients.
    • Participation in the CR3RG group (Central Catalonia – Fundació Fores).

  • Update date: 01.01.2024

Research

The main active lines of research are:

  • Assessment of frailty, specifically in urological and vascular patients.
  • TeCuide study. Telematic monitoring of family members / patients with dementia.
  • Imagine Studio in collaboration with the Pere Virgili Health Park. Motivational interviewing in stroke patients.
  • Financing models in the socio-health environment.
  • Thromboembolic disease in oncological and frail patients.
  • Participation in the CR3RG group (Central Catalonia – Fundació Fores).

  • Update date: 01.01.2024

Teaching

  • Undergraduate training in Nursing and Medicine
  • Geriatrics Course for Nurses and Assistants
  • Training of internal resident doctors (MIR) in Geriatrics. Multiprofessional teaching unit (accredited)
  • Rotation of Family and Community Medicine doctors
  • Rotation of foreign doctors / other Geriatrics residents
  • Participation in sessions of the Catalan Society of Geriatrics and Gerontology
  • Tutoring for students of the Master of Palliative Care of the Catalan Institute of Oncology (ICO) and of the Universitat Autònoma Hospital de Sant Pau.
Continuing education:

Service sessions:

  • Sessions of the Area of ​​Fragile Patients and Complex Chronic Patients (PCC) and the Advanced Chronicity Care Model (MACA)
  • Sessions at the Hospital de Sant Joan Despí Moisès Broggi and the Hospital General de l'Hospitalet

Participation in the Master's Degree in Palliative Care / Dementia - Psychogeriatrics

  • Update date: 01.01.2024

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