| Abstract | Povijest čovječanstva obilježena je raznim ugrozama – bolestima, ratovanjem, gladi. Iznenadna
opasnost uzrokovana COVID-19 koronavirusom paralizirala je svijet. U početku smo se najviše
bavili pokušajima promišljanja, praćenja zaraze i izbjegavanja iste, uz nedostatak zaštitne
opreme i uopće razumijevanja samog nastanka i prijenosa bolesti. Populacija posebno pogođena
novonastalom situacijom bili su upravo korisnici domova za starije osobe. Zbog slabijeg
imuniteta i česte prisutnosti raznih teških komorbiditeta smatra se da je opasnost od zaraze, same
bolesti ali i smrtnosti od iste vrlo visoka. Zbog bliskog kontakta u kojemu se nalaze radnici i
korisnici domova za starije, visoka je mogućnost zaraze pojedinca i olakšan put daljnjeg širenja
bolesti na druge stanovnike domova. Domovi su se morali prilagoditi „novom normalnom“,
prilagoditi način rada i protokole higijene. Zbog nemogućnosti posjeta korisnicima, počele su se
više upotrebljavati moderne tehnologije komunikacije. Dio medicinske skrbi se odvijao putem
telemedicine, čime se dobio uvid kako je bitno telemedicinu razvijati kako bi se u slučaju sličnih
situacija kvalitetna zdravstvena konzultacija mogla bolje pružiti. Nakon pronalaska cjepiva,
djelatnici i korisnici domova bili su među populacijom koja se prioritetno cijepila već od
prosinca 2020. godine. Uz protokole koji uključuju nošenje zaštitne opreme, dezinfekciju ruku,
mjerenje temperature posjetiteljima i brzo testiranje na licu mjesta korisnicima i posjetiteljima
domova za starije širenje zaraze u domovima se smanjuje. Nakon početnog šoka koji je
uzrokovala prilagodba svih uključenih u rad domova za starije, potrebno je razmišljati o
mentalnoj dobrobiti korisnika i radnika. Dom za starije osobe kao organizacija koja je bez obzira
na broj zaraženih i umrlih svakako prošla kroz traumatično iskustvo, treba stimulaciju kako bi se
postojeće rane zaliječile. Pandemija je dala uvid u mogućnost promjene načina organizacije
domova, počevši od samih arhitektonskih karakteristika, kako bi se preveniralo širenje sličnih
zaraza, i podiglo kvalitetu života rezidentima domova. |
| Abstract (english) | The history of mankind is marked by various threats - diseases, wars, famine. The sudden danger
caused by the COVID-19 coronavirus has paralyzed the world. In the beginning, we were mainly
concerned with trying to figure out, monitor and avoid infection, with a lack of personal
protective equipment and a lack of general understanding of the very origin and transmission of
the disease. The population particularly affected by the new situation were the users of nursing
homes. Due to weaker immunity of the elderly, and the frequent presence of various severe
comorbidities, it is considered that the risk of infection, the disease itself, and subsequential
mortality is very high. Due to the close contact between the workers and the users of nursing
homes, there is a high possibility of infection of an individual and an easier path for the further
spread of the disease to other residents. Nursing homes had to adapt to the "new normal", adapt
their way of working and hygiene protocols. Due to the visitation ban, modern communication
technologies began to be used more. Part of the medical care was carried out via telemedicine,
which gave an insight into how important it is to develop telemedicine so that, in case of similar
situations, quality health consultation could be better provided. After the discovery of the
vaccine, employees and users of nursing homes were amongst the prioritized vaccination
population. With protocols that include wearing personal protection equipment, hand sanitizing,
regularly measuring visitors' body temperatures, and rapid on-site testing of nursing home users
– as well as visitors, the spread of infection in nursing homes is reduced. After the initial shock
caused by the adjustment of everyone involved in the work of nursing homes, it is necessary to
think about the mental well-being of users and workers. Nursing home, as an organization that
regardless of the number of people infected and deceased, has certainly gone through a traumatic
experience, and therefore needs help in order to heal the existing wounds. The pandemic has
given us insight into the possibility of changing the way nursing homes are organized, starting
with their architectural characteristics, to prevent the spread of similar infections and raise the
quality of life for their residents. |
