The POP asks to focus on the needs of "postponed lives"

The Platform of Patient Organizations (POP) emphasizes the need to strengthen socio-health care and redefine the health model to speed up the diagnosis and treatment of chronic patients

The loneliness of chronic patients. EFE/Luca Zennaro

The covid-19 pandemic has shaken all levels of society. However, chronic patients have especially suffered the impact of the health crisis due to the delay in their diagnoses and treatments.

For this reason, the Platform of Patient Organizations (POP) calls for the inclusion in the political-social agenda of the needs of chronic patients who have been affected by the pandemic, under the “Deferred Lives” initiative.

Within this campaign, the organization has prepared a report, called “Study of the impact of Covid-19 on people with chronic illness”, to find out the real situation of chronically ill people.

The study has been carried out by a team coordinated by Maria Gálvez, director of the POP until this week, in which numerous professionals from various health entities have collaborated.

Its main objective is to highlight the postponement of the lives of thousands of chronic patients and specify proposals for improving health care.

The report addresses healthcare and socio-health care, the impact on working life and mental health in Spain.

The director of the Patient Organization Platform, María Gálvez/Photo provided by the POP patient platform

Deterioration of health care

According to the results, 69% of the patients suffered the cancellation of their scheduled consultations and 41.4% the suspension or postponement of their rehabilitation, with the consequent consequences on their health status.

30.7% of the patients presented different problems in obtaining medication during the alarm state. And only 47.5% have been able to continue treatment normally in outpatient and hospital centers.

Regarding care follow-up, most of it was carried out by telephone, email or telecare and only in 1.8% of cases did the health professional go to the patient’s home.

Almost 70% of unemployed women did not receive benefits

The employment and economic situation of chronic patients was affected, especially that of women. 32% of the sample were active, working full-time, part-time or self-employed.

One in seven patients (14.4%) were unemployed receiving a benefit. However, 69.9% of unemployed women did not receive an economic benefit, while 30.4% of men were in the same situation.

Impact on the mental health of chronic patients

The study highlights that general concern about the health of patients themselves has increased. Some of the most common symptoms are headaches, irritability, difficulty relaxing, and sadness.

The state of alarm, home confinement and uncertainty are some of the factors that have increased negative emotional feelings in those surveyed.

Redefinition of the health model

East report concludes that both health care and treatment of diseases of chronic patients have been affected.

For this reason, the POP points out that “this turning point must be taken advantage of to modify the attention of public health and social services”.

In the report, the experts propose developing more flexible and multidisciplinary structures, which adapt to the needs of the person beyond what is purely health.

To do this, the association launches ten proposals for improvement:

• Prioritize chronic patients based on risk factors
• Promote work and communication between associations, administrations and health agents
• Ensure pharmacotherapeutic follow-up
• Strengthen primary care and create neighborhood support networks
• Teleconsultation as a model of permanent care
• Promote telecommuting
• take care of mental health
• Create caregiver support programs
• Protect health workers and patients
• Launch awareness campaigns on how to protect our health

The multidisciplinary treatment of POP women

«The main objective of the different treatments for pelvic organ prolapse (POP) is focused on recomposing the woman’s anatomy to redirect the situation and, in turn, return normality to her altered bodily functions, such as urination, deposition or sexuality”, informs the urologist and surgeon, Carmen González Enguita.

The multidisciplinary treatment of POP women

“But we should not always go to treatment once the diagnosis has been established,” says the head of the Urology Service at the Fundación Jiménez Díaz University Hospital in Madrid. If women have no or mild symptoms, the emphasis should be on avoiding risk factors.”

“Even so, the specialists will carry out regular follow-up consultations to control the woman’s POP progression in detail,” he adds.

An organ prolapse is any descent into the pelvic floor or perineum of part of the bladder, uterus, rectum, including bowel loops, through the vagina. It is a frequent condition that up to 40% of multiparous mothers can suffer, that is, who have had several births.

“For the doctors who treat POP it is quite a challenge”

In these surprising cases, the most important thing is that the multidisciplinary team virtuously demonstrate their knowledge of the anatomy and physiology of the pelvic floor.

“We must be sure of what is happening in the pelvic area for this vaginal descent of organs to occur and at the same time understand the pathophysiology of prolapse. Both aspects are fundamental when we have to plan the treatment».

“Furthermore, I would say that all women who consult for this POP problem, once diagnosed, need a preventive guidance so that they understand it well and can take care of themselves properlyavoiding factors that facilitate the progression of the pathology».

We CANNOT avoid age, or past pregnancies, or complex deliveries, or perhaps that musculoskeletal weakness characteristic of each person, or the stages that women go through throughout their lives… but we CAN avoid all those situations that increase, inappropriately, abdominal pressure.

Obesity, constipation, lung pathology that leads to chronic cough, so you have to stop smoking, important efforts performed incorrectly, such as carrying or pushing weights, and impact sports.

However, it is usually advisable to maintain healthy physical exercise, as well as rehabilitate and strengthen the pelvic floor.

Dr. Carmen González Enguita

Rehabilitation and physiotherapy with Kegel and pessaries

«They make up a specialty within Physical Medicine, which is in charge of helping to know where the muscles of the perineum are, those that participate in these pelvic problems, to learn how to exercise them, train them and strengthen them to prevent prolapse, stop its advance or even push it back,” he says.

With the kegel exercises it is possible to firmly tighten the musculature that surrounds the vagina, the urethra and the rectum.

“We must contract the muscles for one or two seconds, approximately, and then relax them for ten seconds. Little by little, the contractions lengthen until they reach periods of ten seconds, thus equaling the relaxation time », he explains.

This exercise, which women can do sitting, standing or lying down, will be repeated about ten times in a row, recommending doing each series several times a day.

Women can also use vaginal cones: inserted into the vagina, they help to contract the correct muscles to prevent the cone from falling to the ground under its own weight”, she describes.

In Rehabilitation, they also work with biofeedback devices, sensors that show the muscle contractions of the pelvic floor on a screen, and electrical stimulation, with a probe to transmit current and contract the target muscle.

The pessaries They are circular devices, although there are different shapes and models, which are inserted into the vagina to support the pelvic organs.

“They reduce prolapse and reduce symptoms, but they are not a cure. They are especially beneficial for women who are waiting for surgery and for those who do not want or cannot undergo surgery, “says the urologist.

Anatomical reconstruction of the pelvic floor and the use of mesh

When pelvic floor rehabilitation does not achieve its goals, surgical intervention is necessary to definitively treat pelvic organ prolapse (POP).

“Surgery is used in those POP cases that cause an alteration in the patient’s quality of life, whether due to discomfort, pain, loss of urine, urination difficulty, constipation or problems in sexual relations,” he relates.

There are several types of interventions, most based on anatomical reconstruction of the pelvic floor. Always try to use the patient’s own tissues.

“When these tissues are very weak and in poor condition, or when we believe that the repair cannot be carried out with these tissues, we will use tissues designed and manufactured for this purpose, such as the well-known tights«, exposes.

Dr. Carmen González Enguita

Surgeries can be performed vaginally and/or abdominally. The decision of one or the other approach will depend on the type of prolapse, the anatomical characteristics of the patient, her age, her sexual life and the skills of the surgeon.

“There are many different types of surgeries and ways to perform them. In this section, the specialist should be consulted, with whom the best agreement will surely be reached, depending on both the POP problem and the patient’s preferences and values”, concludes Dr. Carmen González Enguita.

Recovery time will depend on the type of surgery. Most women will be able to gradually resume their physical activity in a few weeks, normality conditioned by the surgical technique used.

During the six months after the intervention to correct a pelvic organ prolapse (POP), straining or lifting heavy weights should be avoided, as they can affect healing.

Vuelve a Cali el Pop Festival con tres grandes figuras del género musical: Andrés Cepeda, Fonseca y Santiago Cruz

Con una nómina de lujo en el género pop después de 2 años interrumpidos por la pandemia, se abre paso uno de los conciertos más esperados.

Noticias Cali.

Los amantes del pop, vivirán el más esperado reencuentro del género musical en el Pop Festival que se realizará el próximo 5 de marzo de 2022 en el Arena Cañaveralejo, en lo que será el cierre del primer ciclo de conciertos del Tour Compadres.

Lea: «No se habla de Bruno», una de las canciones de la película ‘Encanto’ hace historia

Acompañados de Santiago Cruz, un invitado súper especial, los grandes exponentes del pop Fonseca y Cepeda traen a Cali su show conformando una nómina de primera que hará de la versión número once de este festival una verdadera lluvia de estrellas.

Este evento sin precedentes en el que se unen las exitosas giras «Compadres Tour» de Cepeda y Fonseca, con «Yo te tour» de Santiago Cruz hacen de ésta, una noche mágica e irrepetible.

Los íconos del pop se reunirán en el Arena Cañaveralejo, en un evento a la altura de los mejores del mundo.

 Este concierto contará con un sistema sonoro de última tecnología compuesto por un espectacular show de luces robóticas y pantallas LED dispuestas en un montaje impecable para un aforo de 10 mil personas que le abrirán paso a uno de los conciertos más esperados de los últimos meses.

Boletas 2020

Para los seguidores del Pop Festival que hicieron la compra de este concierto antes de empezar la pandemia, podrán acceder la noche del 5 de marzo de 2022 con la boleta que les fue entregada en ese momento.

Compadres

En este concierto los artistas capitalinos Andrés Cepeda y Fonseca comparten escenario mediante el ya conocido show “Tour Compadres” en el que ambos presentarán sus nuevas composiciones y grandes éxitos.

Será una presentación inolvidable en la cual el talento de estos dos artistas se fusiona y traerán a la memoria esos momentos que compartieron al inicio de su amistad.

Yo te tours

Un recorrido por la búsqueda personal de Santiago Cruz a través de la música y las letras de sus canciones que hacen de una noche junto a él, una verdadera noche romántica.

Está abierta la venta en los puntos autorizados de Colboletos o en la página www.colboletos.com. Informes: 6611111 y 3006611111.

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