HEALTH AND SOCIAL CARE FOR ADULTS WITH FUNCTIONAL DEPENDENCE IN CONDITIONS OF COVID 19 PANDEMIC

Abstract

The importance of Public Healthcare as a science originates from the measures in an integrated manner, targeted at the health of the public through prevention and extending life in good health. Home health care for elderly people with chronic illnesses and functional dependence is one of the priorities of the social politics of Bulgaria, through the creation of regulations for the interaction when organising and planning the support that supplies their health and social needs. in the competencies of nurses is the provision of health and social care for people with chronic diseases and functional dependence. The covid 19 pandemic has presented challenges in implementing nursing interventions. Due to the declared global pandemic on 19.03.2020 of COVID-19, many countries including Bulgaria, introduced strict measures for maximal isolation and social distancing with the aim of reducing transmission to the minimum. This presented an array of challenges for the teams, carrying out the activities for patronage care in the homes of the care receivers. Objective: To review and analyze the impact of the COVID 19 pandemic on changes in the daily activities of health care providers in the municipalities of Burgas region. Methods: documentary - research and analysis of information; sociological-anonymous survey; statistically. Results: developed and implemented additional module “Patronage Care +” with expansion of the target group of users and services provided; provided personal protective equipment and disinfectants to the multidisciplinary team providing care; not all project managers have provided antigenic tests for the teams; communication between the team and the GPs of the users - difficult; periodic briefings for compliance with anti-epidemic measures; Of the 41 nurses, 19.51% were quarantined with complaints and positive PSR tests - without hospitalization, and of the home nurses 26.23%. Vaccinated nurses - certainly 2 / project managers are not familiar /; ineffective medical waste management. Conclusion: The provisioning of health and social services and care is absolutely necessary for the maintenance of the quality of life of people with chronic illnesses with functional dependencies and under the existing pandemic situation; The care receivers are willing to accept alternative approaches for realizing the activities, providing them with quality of life even with their chronic ailments and degree of disability; The managers and coordinators of project “Patron care” have the capabilities and the resources to maintain the quality of the offered integrated health and social service; The absence of medical nurses in the teams of some municipalities in the Burgas region negatively affects the carrying out of activities of the project. The high percentage of nurses placed under quarantine and home nurses supports the tendency for lack of emergency and periodic instruction, i.e. unsatisfactory activity of the occupational medicine services.