Patrícia Dias - Nurse · Training sesions Tools Software ... Urgent needs : adapting health care infrastructure, public and home environments Early diagnosis seems critical Overcoming

INNOVATIVE e-HEALTH STRATEGIES TOWARDS A HEALTHIER AGEING POPULATION

Patrícia Dias - NurseEdmilson Siqueira, Robert Timm, Anna Casalinho, Janaína Bender

e-Health Centre of IC/FUC and AGM TELESSAÚDE BRASIL LTDA.

ELDERLY IN THE SOCIAL CONTEXT

Biopsychosocial andeconomic changes

Silva K et al. Cienc Cuid Saúde. 2014;13(1):49-57.Camarano AA, Kanso S. Rev bras estud popul. 2010;27(1):233-35.



↑ incidence of chronicdiseases in the population



Increased life expectancy











↑ the number of patients with chronic diseases↑ the population that needs specialized care

↑ of institutionalized elderly






Dignity Project: Geriatric e-HealthAsilo de Mendigos de Pelotas – charity, non-profit

founded in 1882 (133 years)

Was home to beggars until 1965

INNOVATIVE STRATEGIES OF e-HEALTH

Dignity Project: Geriatric e-HealthAims

Provide early diagnosis and remote counseling for

treatment of skin lesions – Tele-dermatology

Offer early diagnosis and cardiological counseling via

Tele-cardiology Platform

Follow medically institutionalized elderly through online

software


Dignity Project: Geriatric e-Health Tele-cardiology


Dignity Project: Geriatric e-Health Tele-cardiology


Dignity Project: Geriatric e-Health Telecardiologia Equipment Acquisition Routine definitionExams - 6/6 months and whenever needed Exams: evidence of disease – 3/3 months or more


Training sesions Tools Software Recording digital ECGs

Dignity Project: Geriatric e-Health Telecardiologia Equipment Acquisition Routine definitionExams - 6/6 months and whenever needed Exams: evidence of disease – 3/3 months or more


Dignity Project: Geriatric e-Health

Tele-cardiology System


Aquisição de equipamentos Definição de rotinasExames - 6/6 meses e se necessário Exames alterados – 3/3 meses e se necessário

Treinamentos Ferramentas Software Realização do exame digital




Teledermatology System


Identification of the main pressure points (trochanteric, heelsand lumbosacral)Weekly monitoring (Skype® / Anymeeting®) Evaluation with Dermatologist – 2nd opinion Evaluation with Infectologist – 2nd opinion



Dignity Project: Geriatric e-Health Restructuring the physical area

Bathrooms / Dressing Rooms

Infirmary

Nursing and Physiotherapy stations



Bathrooms / Dressing Rooms



Bathrooms – 1st: the men's room

Solar panel Bathroom temperature control Replace bathroom and toilet accessories


Dignity Project: Geriatric e-Health Software for data storage

Monitoring of patients

Retrieval of clinical data



Dignity Project: Geriatric e-Health Results of Tele-cardiology

Digital ECGs recorded from all 87 elderly (53 women)

during the first semester of 2015

Exams second stage: began in November/2015


87

42

6 8 6 61

6

0

10

20

30

40

50

60

70

80

90

100

TOTAL EXAMS X DIAGNOSIS

TOTAL EXAMS


Dignity Project: Geriatric e-Health Tele-dermatology Results

17 cases of skin lesions requiring periodic monitoring



07/10/2015 09/21/2015


07/02/2015 09/29/2015



Dignity Project: Geriatric e-Health Conclusion

Urgent needs : adapting health care infrastructure, public

and home environments

Early diagnosis seems critical

Overcoming high costs for providing face-to-face

specialized services


Dignity Project: Geriatric e-Health Next Steps

Restructuring other bathrooms of the geriatric institution

not included in this first year

Starting a Tele-infectology counseling platform


Dignity Project: Geriatric e-Health Image gallery







Geriatric e-Health Team

Thank you !!

[email protected]


Patrícia Dias - Nurse

INNOVATIVE e-HEALTH STRATEGIES TOWARDS A HEALTHIER AGEING POPULATION

Patrícia Dias - Nurse · Training sesions Tools Software ... Urgent needs : adapting health care infrastructure, public and home environments Early diagnosis seems critical Overcoming

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