
Historias de la pública | Hospitalización domiciliaria: cuando el hospital se desplaza a casa
Descripción del Episodio
A Vivir se desplaza hasta el Hospital Universitario de Cruces (Barakaldo, Bizkaia) para conocer el trabajo que realizan en la Unidad de Hospitalización a Domicilio, un servicio sanitario que acompaña a los pacientes en sus hogares
SER Podcast: Hospitalización a Domicilio en el Hospital de Cruces
Momentos Clave
Hospitalización a Domicilio en el Hospital de Cruces: El equipo visita el Hospital de Cruces en Bilbao para conocer una unidad pionera que lleva la atención médica al domicilio del paciente. La unidad cuenta con 83 pacientes activos, atendiendo principalmente casos postquirúrgicos complejos, infecciones que requieren tratamientos intravenosos y pacientes mayores.
Beneficios médicos y logísticos: El modelo permite liberar camas hospitalarias y descongestionar urgencias. Además, reduce drásticamente el riesgo de infecciones nosocomiales (que aumentan un 7% por cada día de ingreso en un hospital tradicional) y mejora la recuperación del paciente al estar en su propio entorno.
Diálisis y pediatría domiciliaria: Se señala que la especialidad de nefrología ha sido pionera en implementar la hemodiálisis en casa, instruyendo a pacientes y familiares para realizar el proceso. Por otro lado, la hospitalización a domicilio en pediatría se centra mayoritariamente en cuidados paliativos oncológicos.
Casos clínicos: Alta precoz y prehabilitación: Se muestran ejemplos reales de la labor del equipo: se coordina el alta precoz de un paciente tras un bypass en la pierna para hacerle curas en su casa, y se visita a otro paciente con sonda nasogástrica que realiza ejercicios físicos de prehabilitación en su hogar para ganar fuerza antes de una cirugía de estómago.
El impacto en los cuidadores familiares: Se reflexiona sobre el rol crucial de los cuidadores, que en su inmensa mayoría son mujeres. Aunque la hospitalización virtual supone una carga de trabajo adicional en casa y requiere aparcar la vida personal, también les ahorra el gran desgaste emocional y físico de pasar meses viviendo en un hospital.
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