Health management for home care patients From “confirmed prefecture” to “self-managed” Kanagawa prefecture: Tokyo Shimbun TOKYO Web



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Kanagawa Prefectural Infectious Disease Control Council = Prefectural Office, which discussed how to monitor domestic reclaimers

Kanagawa Prefectural Infectious Disease Control Council = Prefectural Office, which discussed how to monitor domestic reclaimers

  • Kanagawa Prefectural Infectious Disease Control Council = Prefectural Office, which discussed how to monitor domestic reclaimers

Kanagawa prefecture has announced a policy to switch from a system in which the prefecture confirms the safety and health condition of people who are infected with the new corona virus and are receiving medical treatment at home to a system that requires the medical treatment person check himself within a month. did. Due to the spread of infection, the number of home recuperators has increased dramatically and work is scarce. On the other hand, in principle, the “Pulse Oximeter”, a device that measures oxygen saturation in blood, which is provided to all recipients of home care, will not be rented to people under 40 years of age, who are said to have a low mortality rate.

It was revealed at the infectious disease control council held on the night of the 18th by gathering medical personnel in the prefecture.

Currently, the security confirmation, etc. It is done twice a day using the answering machine and the free communication app “LINE”, but it will be reduced to once. Currently, there are 15 confirmation items, but we will limit ourselves to 2 items, “choking” and “fever.” If there is no response, we will consult from the health center, etc., but we will ask the recuperator to handle himself more than before, and we will expand the telephone contact point for consultation when the physical condition deteriorates.

For those over 40 who rent a pulse oximeter and those who have reached the prefecture’s own hospitalization standards, blood oxygen saturation is also an element of confirmation. People with a low score of 93% or less and those waiting to be hospitalized are considered “high risk people” and are subject to priority observation. Public health nurses will hear the situation over the phone and adjust hospitalization if necessary.

The prefecture has 19,300 pulse oximeters. However, due to the spread of the infection nationwide, there are cases in which it is not returned from people who have completed medical treatment, so it was decided that the objective should be narrowed because it will not be possible to provide it to all world. I decided to stop lending to people under 40.

As of the 17th, there are around 5,100 home recuperators. Hiroaki Hatanaka, the prefectural medical crisis countermeasures officer (in charge of planning), complains that “the number has increased 15 times since November last year, and the amount of work has exceeded the limit.” (Shota Shimura)


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