“As hospitals are overwhelmed with patient flows during this Covid-19 period, the Regional Health Agency (ARS) has offered accommodation establishments for dependent elderly people (Ehpad) who wish to temporarily receive suitable patients to leave the hospital, but not yet ready to go home.
"
Director of the Quiétude residence, Ehpad located in Chartrettes near Melun, Tony Dranguet does not hide his enthusiasm.
In addition to the 66 permanent beds in its establishment, it now opens six reception beds for people leaving the hospital.
Objective: free up beds in hospitals in tension because of the coronavirus.
Its coordinating doctor, Dr Claude Chenost, confirms: “We are going to receive a lady from the Fontainebleau hospital.
Following a fall, she was taken to the emergency room and then treated.
Now the care is over but this nonagenarian cannot return to her home.
We will welcome him and it frees up a bed in the hospital for patients with Covid.
The idea is to make flows more fluid ”.
Support for sixty days by social security
Good news for the person or his family: health insurance covers the stay for sixty days.
Another patient who came from a functional rehabilitation center in Paris is currently at the Quiétude residence.
“Meanwhile, his family is rearranging their home,” Tony Dranguet explains.
These people then benefit from the services of the residence: meals taken at a distance between guests in different rooms, entertainment (choir, kitchen, etc.), sessions with the hairdresser, the beautician, etc.
Personalized physiotherapy, occupational therapy and psychomotor sessions can also be offered.
Without forgetting the barrier measures related to confinement: questionnaire on arrival, taking frontal temperature, use of hydroalcoholic gel and wearing a compulsory mask.
“Visitors come by appointment, either in a dedicated lounge for thirty minutes, or in a room to share the resident's meal with protective Plexiglas between them.
This allows us to spend more time together, ”smiles Valérie Van Damme, healthcare manager.
"The staff is very human"
In this establishment, where the average age at admission is 86 years, residents stay on average three years against eighteen months to two years at the national level.
"The staff are very human," says Dr Chenost.
The site has 52 employees, including six nurses, 18 nursing aides, a full-time psychologist, a full-time psychomotor therapist, a full-time occupational therapist and a coordinating physician.
Not to mention a network of ten liberal treating physicians who make themselves available.
At the southern Seine-et-Marne hospital group which brings together the hospitals of Fontainebleau, Nemours and Montereau, we appreciate the system of the ARS.
“Since its launch last spring, the nursing home in the Pays de Montereau, for example, has received five patients leaving the Montereau hospital,” assures Elisabeth Balmy, deputy director of the southern Seine-et-Marne hospital group.
Newsletter The essential of 77
A tour of the news of Seine-et-Marne and the IDF
Subscribe to the newsletterAll newsletters
“They no longer required medical supervision, but had problems keeping them at home,” she continues.
This frees up beds because hospital beds for medicine or short-stay geriatrics have been converted to accommodate Covid patients.
There is something for everyone ”.
74 validated requests for 29 nursing homes
At the end of October, the ARS explained that it had to quickly find 2,000 medical beds using various levers such as the deprogramming of operations, but also the massive use of home hospitalization, the use of telemedicine for check-ups, in order to '' increase “significantly and rapidly the number of beds and reception capacities”.
Temporary accommodation in nursing homes is added to this list.
In Seine-et-Marne, since the start of the system, 74 nominative applications have been validated for 29 nursing homes, out of the 115 nursing homes in the department.
“I think it's pretty much!
It is mainly used during this second wave where there are more traffic jams in medicine than in intensive care, ”comments Hélène Marie, ARS delegate in Seine-et-Marne.
“The vast majority of these are people leaving medical services or follow-up and rehabilitation care (SSR) of a public hospital, but also clinics, emergency discharges, acute geriatrics…”, adds- she does.
It also specifies that people hospitalized for Covid-19 can also be accommodated in nursing homes while awaiting their return home.