Oscar Zanutto FABER Fabbrica Europa

Coordinator at ISRAA – Treviso Italywww.israa.it - www.fabbricaeuropa.it

E-mail: faber@israa.it

ISRAA and

Dementia in

Covid-19 times

What are we

doing?

ISRAA’s Specialized Dementia Center users and interventions:600 older suffering of dementia1000 home care psychological support and training for informal caregivers per year

ISRAA’s Specialized Dementia Center The main services:

1) SAPAD: Free personalised family counselling service, aimed at providing information on care,

specialist assessments, psychological support. It takes place in eight home meetings (in collaboration

with AULSS 2)

2)Alzheimer cafés: Meetings on a monthly basis dedicated to those who care for a family member

with cognitive impairment, in which to ask advice from expert speakers and share their experience.

3) neuropsychological evaluation in general and to evaluate the bpsd (behavioral and psychological

symptoms of Dementia) of people at home in order to give an economic help, in collabroation with

AULSS)

4) psychological support for informal caregivers in order to give strategies on how to behave with

dementia

5) cognitive stimulation single and in group sessions to stimulate the cognitive resources still

existing

Dealing with Covid-19 times moving remote caregivers

support via Fb:

1. Alzheimer cafè online every week

2. Weekly session about Books with a dementia topic

3. Sessions with tips and tutorial for people with dementia

4. Books, papers and other international publications

about the dementia topic for the professionals

Growing participation trend:

• 651 likes• 719 followers• 4000 persons reached by the online Alzheimer Cafés• 1 post per day

Dementia and Robotics – Challenge 1

We are working on solutions for robot introduction in the older dailylife at home and in the nursing homes for the following use case scenario:- early diagnosis of dementia based on speech analysis, emotional face recognition, gesture, gait tracking- remote interaction and environmental control from informalcaregivers and relatives- cognitive stimulation both individual and in group sessions- gaming with specific contents and challenges calibrated on the individual resources and motivations

Challenge 2 MULTIRESISTANT BACTERIA’S PHENOMENON

CHARACTERISTICSLTCF = Long-term Care FacilitiesMDRO = Multidrug-resistant organisms

• Patients present various risk factors for colonization and/or infection by MDRO• Antiobiotics facilitates the onset and trasmission• Italy has one of the highest MDRO prevalence among EU countries

→ 7,8 -38% MRSA (Patients) 5,2-7,0% MRSA (Healthcare providers)

→ 50-64% ESBL (Patients)5,2-14% ESBL (Healthcare providers)

→ 1,0-6,3% CPE (Patients)0,0- 1,5% CPE (Healthcare providers)

MULTIRESISTANT BACTERIA’S PHENOMENON

CRITICAL ISSUES❑ Structural criticalities: difficulties in the management of the isolation❑ resident's management: the community life and the fragile health conditions,associated with frequent hospitalizations can bring the residents in contact with MDROgerms.❑ Resources needs: difficulties in the training and continuous education of healthprofessionals and underestimation of the infectious risk and consequently low propensityto invest economic resources in prevention programs.

ACTIVATE AN INFECTION CONTROL PROGRAM

INFECTION CONTROL PROGRAM

General objective → Reduce the risk of transmission of infectious agents between guests and between guests and operators

Who → Link nurse and a multidisciplinary supervision team

How→ Systematic collection, analysis and presentation of antibiotic resistance data

❖ Passive surveillance: based on the microbiological results of the diagnostic routine❖ Active surveillance: based on screening cultures that detect asymptomatic colonization❖ Voluntary surveillance: based on point prevalence studies of colonisation

BENCHMARK ITALIAN PROJECTS

NAME DESCRIPTIONINFECTION AND

COLONIZATION BY MULTI-

RESISTANT PATHOGENS

IN THE ELDERLY IN

NURSING HOMES

The project aims to describe the circulation among the elderly in RSA of some emerging and

relevant MDR pathogens in public health and to identify the main risk factors related to

colonization for specific types of antibiotic resistance. In particular, it aims to assess the

prevalence of colonization from MDR strains of E. coli, K. pneumoniae, C. difficile and MRSA

and to investigate the frequency of MDR and/or hypervirulent strains of Enterobacteriaceae

(E. coli, K. pneumoniae) and C. isolated from urinary tract colonizations/infections and

gastroenteric tract infections, respectively.

PAMURSA Project The overall objective of the project is to investigate both infection and colonization by

multidrug-resistant (MDR) pathogens in elderly residents at LTCFs. The results show a high

frequency of MDR pathogens in LTCF residents. In particular, the colonization prevalences are

comparable or even higher than those observed in the acute-care hospitals, suggesting the

need for improving specific measures of prevention capable to control transmission of MDR

organisms.

BENCHMARK EU PROJECTS

NAME DESCRIPTION

EUPREVENT MRSA

PROJECT

The project want to improve the protection of patients receiving cross-border care in

hospitals and nursing homes in the EMR from the danger of infection. An Euregional

surveillance system has been set up: A systematic surveillance (registration, analysis and

evaluation) of infections that were contracted in hospital. This system makes it easier to

recognise infection-related problems and make more specific use of preventive measures.

HALT Project (HAI in

European Long-Term Care

Facilities)

The European Center for Disease Control (ECDC) promotes the project HALT developed and

coordinated by the Scientific Institute of Public Health in Brussels and the Emilia-Romagna

Regional Health and Social Agency.

The objective is the promotion of the control of care-related infections, the promotion of

the appropriate use of antibiotics and the fight against the spread of antibiotic-resistant

microorganisms in social care facilities in the European Union.

To date, three editions of the HALT Project have been carried out, the last one in 2016-

2017.

What our Ecosystem is looking for:

A distruptive technological and organizational solution that will:

• Make it easier to detect and recognize MDRO in older

population when they step in a community living place

• It will support all the care procedures by the improvement of the

patient and employee’s safety

• Reduce the potential contamination within the older resident

community and during all the care transitions between the

private home, hospital and the nursing home readmission.

Challenge 3 - how to automate personalhygiene care for older people?

• This is a daily task that take place in home care and in each Nursing Home Unit

• Usually it takes 30’ or more for person, 2 care workers dedicated in most of the cases

• 1/3 of the daily workforce is dedicated to this porcess, almost in the morning

• Privacy, safety and wellness are core issues related to the hygiene needs

• Previous EU Projects did not innovate this core procedure in a doable way…so

Are you interested in joining us to research and develop a distruptive technology that will

really change the day to day life of older, formal caregivers and the organizational design at

the same time?

Thank you!

Oscar Zanutto FABER Fabbrica Europa

Coordinator at ISRAA – Italywww.israa.it - www.fabbricaeuropa.it

E-mail: faber@israa.it