Estratégias para o retorno de visitas em uma instituição de longa permanência para idosos durante a Pandemia de Covid-19

Abstract

The new coronavirus (SARS-CoV2) is responsible for Covid-19. Elderly people are among the age group that had the most complications in the face of infection with the new coronavirus, with institutionalized elderly people being considered more vulnerable to this disease, due to several factors inherent to the senescence process and, sometimes, senility. The general objective is to elaborate, together with the nursing team and caregivers, return strategies for face-to-face visits in Long-Stay Institutions for Elderly. The specific objectives are: 1. Verify with the nursing team and caregivers, knowledge, attitudes and practices regarding Covid-19 prevention strategies at the LSIE; 2. Knowing difficulties and facilities that the team considers when facing the return to face-to-face visits; 3. Build, together with the team, strategies for returning to visits considering aspects of Covid-19 prevention; 4. Propose a prevention model for the return of face-to-face visits regarding Covid-19. This is a qualitative, descriptive and exploratory research, carried out in a Long-Stay Institution for Elderly inserted in the Intersectoral Commission for Monitoring Long-Stay Institutions for Elderly in a municipality in the south of the state of Bahia. 14 professionals from the institution's nursing team and caregivers participated. Data collection occurred after approval by the Ethics Committee. Data were obtained by conducting focus groups. After the meetings were held, the testimonies were analyzed using Bardin's content analysis technique. The results reveal that the construction of flowcharts, models and guidelines that guide care practices for institutionalized elderly people make it possible to improve the health care of residents, as well as effective intra-team communication, with support from all health personnel in the implementation of Covid-19 prevention and control measures. Continuing Education in Health presents itself as an indispensable tool in professional qualification, with positive repercussions in care practices and in strengthening the relationships of the Institution's team. We highlight the reception of the LSIE as a space of comfort, in particular, when professionals suffer discrimination outside the work environment due to their work on the front lines of Covid-19. The family is constituted as a space for care or reproduction of prejudices against health personnel who deal with the new coronavirus. Structural and economic limitations are challenges to be faced that make it difficult to maintain SARS-CoV-2 prevention and control strategies. The return model for face-to-face visits that fits the reality of the LSIE can guide and become a pillar of Covid-19 care, prevention and management practices.