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The Health and Care Services Inspectorate, Ivo, on Tuesday in an ongoing review directed harsh criticism to all regions of the country, when the authority rejected the medical standard of the country’s nursing homes. During the pandemic, many older people with covid disease did not receive individual medical evaluations and the medical standard is too low, says Ivo.
In Stockholm, which was hit hard during the pandemic, Elder Council Erik Slottner (KD) said Ivo’s criticisms were confirmation of the shortcomings in health care that came to his attention and that there was a risk that it would cost. human lives.
For the National Board of Health and Welfare the shortcomings were not a surprise, according to department head Thomas Lindén.
– This is nothing new to us. In our annual reports on caring for the elderly, we write about the same thing as Ivo. What we are addressing is that hygiene education must be improved, that education in general is too poor, as well as the coordination of efforts from different sectors, says Lindén.
Ivo’s criticism of the regions applies, among other things, care in end-of-life care – palliative care – that is not managed according to the regulations. The authority sees important deficiencies in the documentation, of which professionals have intervened in the decision, what consultation has been made with the patient and how the relatives have been informed, information that according to the regulations must be carefully documented in the clinical history .
– We have pointed out in several analyzes that it is very seldom documented whether there has been a break-even point, as care shifts from treatment to a palliative goal.
If you have raised these issues regularly, why does it now seem alarming and clear?
– When you have been assigned a task and you have a pandemic behind it, it becomes in the public interest to improve care for the elderly. Every year there are many older people who are injured by the RS virus, flu and vomiting that kills many elderly and frail people.
At the same time, Olivia Wigzell, CEO of the National Board of Health and Welfare, in a debate article in Dagens Samhälle, emphasizes the importance of raising the medical standard in the country’s nursing homes and proposes more medical assistance.
– Perhaps now there is enough interest in equipping nursing homes with the medical skills they need. It is also about how to act politically based on our recommendations.
Thomas Lindén points out also that Ivo’s review refers to a selection of accommodations and that there are activities that work well. The IVO review is an in-depth study of a national review of 1,700 nursing homes that began in the spring. The journal’s review is applied to 98 households with identified deficiencies.
– If you have been successful during the pandemic it probably depends a lot on what you have done before: training your staff, having schedules so that not many people meet the users, and if you have routines for good hygiene, says Lindén who also points out in an element of luck and bad luck:
– If you have a great spread of infection in society, it is very difficult to say that in a certain part of society it should not enter.
Early during the pandemic The National Board of Health and Welfare issued recommendations to avoid doctor visits during the pandemic, and Ivo’s review shows low medical care. Only between 5 and 7 percent of the elderly have been physically examined by a doctor.
– The purpose of the recommendations was to evaluate the value of each doctor’s visit. Then there are the ethical rules for licensed personnel. You should not make decisions about care and treatment without the knowledge of the patient. So there may be a number of reasons why trade reps say it’s because of our guidelines, but I have a hard time believing that those with ID believe that people can be treated without having figured out what they need, says Thomas. Linden.
