{"id":981,"date":"2022-05-20T05:08:17","date_gmt":"2022-05-20T09:08:17","guid":{"rendered":"https:\/\/orot-jgh.org\/?p=981"},"modified":"2022-05-20T13:48:50","modified_gmt":"2022-05-20T17:48:50","slug":"__trashed-5","status":"publish","type":"post","link":"https:\/\/orot-jgh.org\/fr\/2022\/__trashed-5\/","title":{"rendered":"Une unit\u00e9 virtuelle est cr\u00e9\u00e9e au domicile des patients"},"content":{"rendered":"[vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ width=\u00a0\u00bb2\/3″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column_text]\n

La technologie num\u00e9rique permet une surveillance continue \u00e0 distance de l\u2019\u00e9tat de sant\u00e9 du patient<\/strong><\/h3>\n

D<\/span>ans le cadre d\u2019un nouveau programme, le premier du genre au Qu\u00e9bec, certains patients peuvent quitter l\u2019HGJ et rentrer \u00e0 leur domicile, tout en continuant de recevoir des soins hospitaliers par le biais de la technologie num\u00e9rique.<\/p>\n

Connu sous le nom de COVID@DOMICILE, ce programme permet \u00e0 certains patients infect\u00e9s par la COVID-19 de quitter l\u2019H\u00f4pital si leur r\u00e9tablissement progresse de mani\u00e8re satisfaisante. Leur domicile devient une unit\u00e9 virtuelle, d\u2019o\u00f9 leurs signes vitaux et d\u2019autres aspects de leur \u00e9tat de sant\u00e9 sont surveill\u00e9s r\u00e9guli\u00e8rement et \u00e0 distance par une \u00e9quipe de soins hospitaliers.<\/p>\n

Lanc\u00e9 \u00e0 la mi-janvier par le CIUSSS du Centre-Ouest-de-l\u2019\u00cele-de-Montr\u00e9al, le projet est actuellement en phase pilote. Si tout se d\u00e9roule comme pr\u00e9vu, ce type d\u2019initiative deviendra probablement un aspect permanent des soins de sant\u00e9 pendant et apr\u00e8s la pand\u00e9mie de la COVID-19.<\/p>\n

Un tel projet \u00e9tait envisag\u00e9 depuis quelque temps, puisqu\u2019il s\u2019inscrit dans le cadre de l\u2019utilisation accrue de la technologie num\u00e9rique dans les soins de sant\u00e9 au sein du CIUSSS. Il est \u00e9galement conforme \u00e0 la d\u00e9marche du CIUSSS visant \u00e0 fournir des \u2018Soins partout\u2019, c\u2019est-\u00e0-dire d\u2019offrir des soins dans l\u2019environnement le plus s\u00fbr, le plus pratique et le plus confortable pour le patient.<\/p>\n

\u00ab Avec COVID@DOMICILE, nous franchissons un jalon important dans le cadre de nos efforts visant \u00e0 utiliser la technologie num\u00e9rique pour am\u00e9liorer les soins centr\u00e9s sur le patient. \u00bb<\/div>\n

Cependant, le d\u00e9ploiement de COVID@DOMICILE a \u00e9t\u00e9 acc\u00e9l\u00e9r\u00e9 au cours de la phase la plus r\u00e9cente de la pand\u00e9mie, afin que certains des patients infect\u00e9s par la COVID-19 puissent poursuivre leur r\u00e9tablissement dans le confort de leur foyer.<\/p>\n

Puisque ces patients peuvent obtenir un cong\u00e9 plus rapidement, des lits de l\u2019H\u00f4pital deviennent disponibles pour les patients nouvellement admis dont l\u2019\u00e9tat de sant\u00e9 exige des soins urgents, que ce soit en raison de la COVID-19 ou non.<\/p>\n

\u00ab Avec COVID@DOMICILE, nous franchissons un jalon important dans le cadre de nos efforts visant \u00e0 utiliser la technologie num\u00e9rique pour am\u00e9liorer les soins centr\u00e9s sur le patient \u00bb, a d\u00e9clar\u00e9 le Dr Lawrence Rosenberg, pr\u00e9sident-directeur g\u00e9n\u00e9ral du CIUSSS du Centre-Ouest-de-l\u2019\u00cele-de-Montr\u00e9al.<\/p>\n

\u00ab Notre objectif est de pr\u00e9server l\u2019aspect humain, essentiel dans les soins m\u00e9dicaux, tout en tirant pleinement parti des nouveaux outils num\u00e9riques pour prodiguer ces soins tout en veillant \u00e0 la s\u00e9curit\u00e9 et au confort des patients. \u00bb<\/p>\n

\u00ab Ce projet est un exemple parfait de la raison pour laquelle notre CIUSSS consid\u00e8re que le concept des \u2018Soins partout\u2019 est un \u00e9l\u00e9ment incontournable des soins aux patients \u00bb, explique Francine Dupuis, la pr\u00e9sidente-directrice g\u00e9n\u00e9rale adjointe du CIUSSS. \u00ab L\u2019objectif est de fournir au patient les meilleurs soins possible, mais cela ne signifie pas n\u00e9cessairement que ces soins doivent \u00eatre prodigu\u00e9s dans un milieu hospitalier. \u00bb<\/p>\n

\u00ab COVID@DOMICILE permet de fournir un niveau de soins ad\u00e9quat dans le confort du foyer du patient et, s\u2019il y a lieu, ces soins sont compl\u00e9t\u00e9s par des visites des membres de notre \u00c9quipe de soins \u00e0 domicile. \u00bb<\/p>\n

Erin Cook, directrice adjointe, Direction de qualit\u00e9, innovation, \u00e9valuation, performance et \u00e9thique, dit qu\u2019elle est \u00ab impressionn\u00e9e de la rapidit\u00e9 avec laquelle l\u2019organisation s\u2019est ralli\u00e9e \u00e0 cette initiative \u00bb.<\/p>\n

\u00ab En quelques jours seulement, de multiples directions cliniques et de soutien ont particip\u00e9 \u00e0 la mise en \u0153uvre de ce programme. Il s\u2019agit d\u2019un r\u00e9el t\u00e9moignage de la maturit\u00e9 de notre organisation et de notre capacit\u00e9 de nous mobiliser \u00e0 titre d\u2019\u00e9quipe. \u00bb<\/p>\n

COVID@DOMICILE permet \u00e0 certains patients infect\u00e9s par la COVID-19 d\u2019\u00eatre transf\u00e9r\u00e9s \u00e0 ce qui est, en tout \u00e9tat de cause, un h\u00f4pital \u00e0 leur domicile. Ils sont int\u00e9gr\u00e9s \u00e0 une unit\u00e9 virtuelle o\u00f9 leur sant\u00e9 et leur bien-\u00eatre font l\u2019objet d\u2019un suivi par une \u00e9quipe virtuelle d\u2019infirmi\u00e8res, de m\u00e9decins et d\u2019inhaloth\u00e9rapeutes.<\/p>\n

\u00ab L\u2019objectif est de fournir au patient les meilleurs soins possible, mais cela ne signifie pas n\u00e9cessairement que ces soins doivent \u00eatre prodigu\u00e9s dans un milieu hospitalier. \u00bb<\/div>\n

Le participant type au programme COVID@DOMICILE est un patient stable qui a re\u00e7u un diagnostic de COVID-19 et qui a besoin d\u2019une courte p\u00e9riode de suivi. Ce suivi pourrait \u00e9galement comprendre l\u2019administration d\u2019un faible niveau d\u2019oxyg\u00e8ne ainsi que d\u2019autres m\u00e9dicaments par voie orale.<\/p>\n

Pour participer \u00e0 ce programme, le patient doit pouvoir compter sur l\u2019aide d\u2019un membre de sa famille ou d\u2019un proche aidant. De plus, il est pr\u00e9f\u00e9rable que le patient habite au sein de la r\u00e9gion desservie par le CIUSSS du Centre-Ouest-de-l\u2019Ile-de-Montr\u00e9al dans l\u2019\u00e9ventualit\u00e9 o\u00f9 certains services, comme des visites de soins \u00e0 domicile, doivent \u00eatre fournis.<\/p>\n

Il ne s\u2019agit que de quelques-uns des principaux crit\u00e8res, mais le patient doit r\u00e9pondre \u00e0 plusieurs autres conditions pour \u00eatre admissible au programme en toute s\u00e9curit\u00e9. Il est \u00e9galement important de noter qu\u2019un patient doit consentir \u00e0 participer \u00e0 ce projet. Tout est mis en \u0153uvre pour assurer la s\u00fbret\u00e9 et le confort du patient \u00e0 son domicile, conform\u00e9ment \u00e0 l\u2019importance que notre CIUSSS accorde aux soins centr\u00e9s sur le patient.<\/p>\n

Avant de quitter l\u2019H\u00f4pital, le patient et le proche aidant re\u00e7oivent une formation exhaustive sur l\u2019utilisation de la technologie num\u00e9rique. Ils rencontrent \u00e9galement l\u2019infirmi\u00e8re virtuelle et sont avis\u00e9s de la mani\u00e8re de contacter cette derni\u00e8re, 24 heures sur 24, sept jours sur sept pour toute question ou pr\u00e9occupation, ainsi que de la marche \u00e0 suivre en cas d\u2019urgence. Un t\u00e9l\u00e9phone intelligent peut m\u00eame \u00eatre pr\u00eat\u00e9 \u00e0 tout patient qui n\u2019en poss\u00e8de pas encore un.<\/p>\n

Apr\u00e8s son retour \u00e0 domicile, le patient porte un dispositif au poignet (semblable \u00e0 une montre), un patch qui adh\u00e8re \u00e0 la poitrine ou une sonde de saturation en oxyg\u00e8ne, qui permettent de mesurer r\u00e9guli\u00e8rement les signes vitaux. Les deux premiers de ces dispositifs envoient automatiquement les donn\u00e9es \u00e0 l\u2019\u00e9quipe de soins virtuels.<\/p>\n

Notre m\u00e9decin et notre infirmi\u00e8re virtuels communiquent plusieurs fois par jour avec le patient, par t\u00e9l\u00e9phone ou par le biais d\u2019une plateforme virtuelle, pour s\u2019assurer de ses progr\u00e8s.<\/p>\n

COVID@DOMICILE a \u00e9t\u00e9 d\u00e9velopp\u00e9 par le CIUSSS gr\u00e2ce \u00e0 l\u2019effort conjoint des \u00e9quipes de m\u00e9decins, de Soins infirmiers, de la Pharmacie, de la Technologie de l\u2019information, de la Logistique, des Services professionnels, du programme se Soutien \u00e0 l\u2019autonomie des personnes \u00e2g\u00e9es, du Service qualit\u00e9, du Centre de commandement, de la Sant\u00e9 num\u00e9rique et des Ressources humaines.[\/vc_column_text][\/vc_column][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ width=\u00a0\u00bb1\/3″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][image_with_animation image_url=\u00a0\u00bb937″ animation=\u00a0\u00bbFade In\u00a0\u00bb hover_animation=\u00a0\u00bbnone\u00a0\u00bb alignment=\u00a0\u00bb\u00a0\u00bb border_radius=\u00a0\u00bbnone\u00a0\u00bb box_shadow=\u00a0\u00bbnone\u00a0\u00bb image_loading=\u00a0\u00bbdefault\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb max_width_mobile=\u00a0\u00bbdefault\u00a0\u00bb][divider line_type=\u00a0\u00bbNo Line\u00a0\u00bb][nectar_highlighted_text color_type=\u00a0\u00bbregular\u00a0\u00bb highlight_color=\u00a0\u00bb#fce397″ style=\u00a0\u00bbfull_text\u00a0\u00bb]Dans le cadre du programme COVID@DOMICILE, certains patients infect\u00e9s par la COVID-19 terminent leur convalescence \u00e0 leur domicile (\u00e0 gauche). La technologie num\u00e9rique leur permet de rester en contact avec l\u2019\u00c9quipe de soins virtuels \u00e0 l\u2019H\u00f4pital et de faire surveiller leurs signes vitaux \u00e0 distance r\u00e9guli\u00e8rement.[\/nectar_highlighted_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

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