Coronavirus: in nursing homes, visits under surveillance

Are retirement homes closing their doors quietly, as some families fear? In the spring, visits to nursing homes were suspended for several weeks, forcing residents into isolation. A confinement that had serious consequences for the morale and health of the elderly.

Since then, the Ministry of Health has repeatedly ruled out the idea of ​​reconfiguring nursing homes … While recommending, from 1er October, from “Strongly reactivate visits by appointment and the limitation of individual outings”. Regulatory measures that have nothing to do with those of the spring, but which can cause misunderstandings and concerns.

Protect without isolating

“There are no supervised tours throughout France, explains Pascal Champvert, president of the Association of Directors in the Service of the Elderly (AD-PA). In half of the departments where the virus does not circulate, the regulations are more flexible. In the others, a distinction is made between establishments affected by the virus and those which are not. “

Visits have been suspended in certain nursing homes, for periods of 7 to 15 days, before reassessment. In the event of a positive diagnosis of a resident, the partial isolation of certain patients could be decided, but not the overall confinement of the establishment.

These restrictions therefore remain in line with the opinion of the National Consultative Ethics Committee (CCNE), which advocates “Individualized, proportionalized and temporalized” and correspond to the slogan of the Minister for Autonomy, Brigitte Bourguignon: “Protect without isolating. “

Visits, but supervised

When the visits are supervised, the meetings take place most of the time in dedicated rooms. Meeting times are inevitably limited and relatives do not always have the opportunity to enter the room of the parent or relative. However, restrictions are inevitable, defend the doctors, to limit the circulation of Covid-19 in these establishments welcoming people extremely vulnerable to the virus.

The vast majority of families would be responsible, according to professionals, agreeing to follow the recommendations of these “partial confinements”. “An estimated 20% of families are unaware of the seriousness of the epidemic and the fragility of their parents, deplores Stephan Meyer, vice president of the national association of coordinating doctors in nursing homes and medico-social (MCOOR). They thus endanger not only their loved ones but the staff of the institution. “


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