"Grandma, congratulations on the discharge!" On May 1, 103-year-old Chen Apo (pseudonym), one of the centenarians admitted to the New Crown Designated Hospital of Huashan Hospital's Baoshan Branch, is also the oldest of the currently discharged patients.
Unable to take care of herself, Grandma Chen lived in a community hospital for a long time before being admitted to the hospital, and since the nucleic acid abnormality in early April, she has been transferred to Ward 217 of Huashan Hospital Baoshan Branch for treatment. When I was first admitted to the hospital, due to the shortage of nursing staff during the closure period, the medical staff became the main force in caring for my grandmother.
"Grandma suffers from Alzheimer's disease, as well as basic diseases such as cerebral infarction, and lives like a 'little baby'. Because she can't express her needs like other patients, we have to do a more nuanced job. Xuan Dandan, the leader of the ward medical team and the leader of the youth commando team of the designated hospital, said: There are currently 50 patients in the 217 ward, most of whom are elderly, and Wu Wenxiang, the head nurse in charge, also manages the 218 ward, responsible for the daily nursing work of about 90 people, "Wearing three-level protective equipment, all operations have become more difficult, a set of feeding and bathing, turning over and patting back, changing sheets and diapers Is over, usually sweating." ”
Qin Lunxiu, president of the New Crown Designated Hospital of Baoshan Branch of Huashan Hospital, inspected the room. The pictures in this article are all provided by Huashan Hospital
"We don't feel hard, Grandma is as cute as a child." Xuan Dandan further said, "The old lady especially loves to drink yogurt, and we were afraid that she would choke, so we prepared a syringe to feed it little by little. She will always call us 'Sister A' with a serious face, everyone looks at it with pain and feels warm, maybe in Grandma's heart, as long as she takes care of her, she is 'Sister A'. ”
For elderly patients, Dr. Xuan Dandan believes that asking about the condition is the biggest difficulty: "For example, Grandma Chen, she did not show any physical discomfort when she was hospitalized, but when we reviewed, we found that her CRP index (inflammatory index) was more than 190, and she was diagnosed with a serious urinary tract infection with fallen pneumonia, and her life was once in danger, fortunately, we insisted on 'diligent review' in order to find and treat it in time." ”
Under the meticulous care of medical care, Chen Apo turned the crisis into safety again and again, and Qin Lunxiu, president of the designated hospital, and Zhang Jiming, executive vice president, visited the ward several times to continue to pay attention to the progress of diagnosis and treatment. Before being discharged from the hospital, the medical team also prepared an enteral nutrient solution for Grandma and identified specific dosages and usage on the daily medication to help her make a smooth transition during the community rehabilitation phase.
Nearly 23% of the patients currently admitted to the designated hospital of Huashan Hospital Baoshan Branch are over 70 years old, 59 elderly people aged 90-100, and 9 patients aged 100 and above. Among them, some of the elderly have underlying diseases, and some also have many complications due to long-term bed rest, which is one of the key points and difficulties of the current hospital treatment.
In the ward of Huashan Hospital's Baoshan Branch, medical staff meticulously care for the elderly.
Under the overall planning of the General Hospital of Huashan Hospital, baoshan branch carries out accurate treatment around the model of "one person, one policy" for elderly patients. The hospital has been equipped with a professional and efficient general medical team to ensure multiple types of specialties and efficient treatment. At the same time, a strong critical care medical team has been set up to improve the green channel for emergency treatment from the process to ensure that emergency treatment tasks such as bedside hemodialysis, ECMO support, and dynamic monitoring can be carried out all day and night. For some elderly patients with underlying diseases, the hospital will carry out individualized comprehensive assessment and systemic organ function assessment at the time of admission, and accurately understand the medical history and related contraindications through contact with the patient's family.
In addition, the hospital also adheres to the combination of traditional Chinese and Western medicine, and prescribes a Chinese medicine decoction specially developed by the Department of Integrative Chinese and Western Medicine for each patient, including three types of treaty prescriptions for mild diseases, ordinary types and renal failure patients alone. Director Dong Jingcheng of the Department of Integrative Medicine will also formulate personalized medication plans for the special situation of elderly patients in the hospital, "The key to the treatment of integrated Traditional Chinese and Western Medicine lies in 'anti-inflammatory regulation, immune balance and solid foundation Peiyuan', which not only targets the virus itself, but also focuses on the immune system for regulation, and has a remarkable effect in clinical treatment." Dong Jingcheng said.
"We deploy treatment and medication in advance according to the patient's condition, and do our best to avoid mild patients from turning into moderate and severe diseases. For elderly patients, especially centenarians, we adhere to homogeneous life care and characteristic medical treatment. Zhang Jiming, executive vice president of the designated hospital, as the deputy director of the Department of Infectious Diseases of Huashan Hospital, participated retrograde in the work of aiding Hubei in 2020 and has rich experience in the treatment of elderly and seriously ill patients.
At present, in the Baoshan Branch of Huashan Hospital, 6 centenarians have been discharged from the hospital, and the cumulative number of discharged people has exceeded 2300. More than 60% of patients over the age of 70 have ended isolation and returned to the community smoothly.