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INFECTION: In this nursing home in Solna, a Stockholm suburb, there was a corona infection this spring. Photo: Pontus Orre, VG
About one in five people in Swedish nursing homes did not receive an individual assessment by a doctor during the corona pandemic, according to inspections by the Swedish Health Inspectorate.
The Swedish Health and Care Inspectorate (IVO) has examined the regions of Sweden that have medical care and treatment. The objective has been to see if the elderly have received care and treatment based on individual needs in case of suspected or established corona infection.
Swedish nursing homes have been hit hard by the coronavirus, especially at the start of the pandemic. In week 16, 395 people died in nursing homes in Sweden, the most dramatic week for Swedish nursing homes so far during the pandemic. The numbers are much lower now and have been below 50 deaths since week 26.
These are the main conclusions of the audit:
- Older people living in nursing homes have not received care and treatment according to individual needs in case of suspected or proven covid-19
- Elderly people living in nursing homes and their relatives have not received information and have been involved in the care and treatment in case of suspected or proven covid-19.
- Decisions and implementation of end-of-life care were not made in accordance with current regulations during the covid-19 pandemic for the elderly in nursing homes
- It is not possible to follow the rental and treatment of the elderly living in nursing homes who have had a suspected or established covid-19 due to deficiencies in the patient records of the primary health service.
This graph shows the total number of deaths, that is, not only in nursing homes, per day during the pandemic:
– Severe defects
IVO writes, among other things, that one in five people in a nursing home did not receive an individual medical evaluation.
The audit has been based on interviews with medically responsible nurses, interviews with directors of health and care, reviews of medical records, in-depth interviews with nurses, and in-depth interviews with business managers and physicians. In addition, they have reviewed complaints and other advice that they have received as supervision.
– There are serious deficiencies that arise in the audit. The regions are those that have the general responsibility, according to the Health and Care Law. While we understand the challenge that caregiving goes through during a pandemic, we see that the bottom line in the overall way that regions assume their medical responsibility is too low, says Sofia Wallström, CEO of IVO, according to Aftonbladet.
The Norwegian Board of Health Supervision is now asking regions to improve in several areas, and by January 15 to report on what they have done.
Correction: VG wrote for the first time that only one in five residents received an individual medical evaluation by a doctor. This is bad. It is true that one in five people no received such an evaluation. The correction was presented on 11/24/2020 at 11:38 AM.
