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MIL OSI Translation. Government of the Republic of France statements from French to English –
Source: Canton of Neuchatel Switzerland
Affected by the second wave, the medico-social establishments (EMS) in Neuchâtel can draw on an experience built up since the spring and today retain a certain openness to the outside world. On a daily basis, the articulation between the protection and freedom of residents remains difficult, an issue to which is added a significant tension on the workforce and on the flow of patients for these institutions often located between home and home. hospital.
The EMS in Neuchâtel now have as many institutions affected by Covid-19 as during the first wave of March-April 2020. In total, today 14 of the 54 establishments housing residents are affected by SARS- Cov-2, with a total of 108 positive people or awaiting results out of the approximately 2,200 residents of the canton. Some have deaths directly due to Covid-19 among a very old and particularly polymorbid population.
The cantonal public health service monitors affected EMSs every day. Each situation is analyzed and targeted support is provided, such as a visit from an infection prevention nurse. Limiting the extent of the clusters is the priority. To achieve this, as soon as a positive case is reported, the need for extensive testing of residents and collaborators, even asymptomatic, is assessed. This approach has proven to be productive as it has made it possible to control the clusters in their size and duration. Currently, no situation of the severity of that observed in the first wave has been observed.
In this context, the flow of patients constitutes a major point of attention for establishments, half of whose residents normally come from the hospital which is very saturated today. Therefore, the challenge is to be able to continue to provide entrances made difficult by contamination. It is also a question of avoiding hospitalizations for elderly people whose home care would no longer be possible, in particular because of the weakening of their relatives who are also suffering from the current epidemic situation.
In addition, all the EMS of the canton must deal with multiple quarantines which come to put under high tension of the workforce of which each unit counts, that it is in the field of care but also in the socio-hotel sector.
However, the teams gain experience. EMSs are building their expertise in caring for residents in a pandemic situation and, in addition to measures to limit the spread of the virus, continue to deploy treasures of adaptability to maintain daily support adapted to needs. They can also rely on a support system for the authorities which also adapts and strengthens as and when the situations encountered and the means implemented.
Visits are now drastically limited and nursing homes have been called upon to integrate into their operations the presence of one or two close “signifiers” for each resident, in order to allow the maintenance of an external social link in a controlled configuration respecting the standards in force. This measure can be suspended if the epidemic situation warrants it, but the secure visiting places (“visiting rooms”) can be used in all cases. It should be noted that access by relatives during end-of-life or crisis situations remains authorized at all times, as was already in the spring.
In the difficult articulation between respect for the individual freedom of the resident and the essential collective protection of the community to which he or she belongs, the preservation of physical and mental health also requires the need to strive towards the greatest possible “normality”. It is this challenge that has been tackling, day after day, for months, the EMS whose next challenge will also be to offer differentiated support to residents during the very special period of the end of the year holidays.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and / or sentence structure not be perfect.
MIL Translation OSI