RESUMEN
The aim of this retrospective cohort study is to understand if and how much the preventive self-isolation approach might have been a valid model to avoid care-related infection, not only from COVID-19 but also from other non-viral infectious diseases. From March to May 2020, the healthcare and management staff of the Villa Santa Maria long-term care facilities, located in the village of Montenero di Bisaccia (Campobasso, Molise, Italy), decided to carry out a preventive self-isolation plan to safeguard the residents from SARS-CoV-2. The impact on other infectious diseases was evaluated by analyzing the antibiotic therapies prescription trend among the inpatients. Our data showed that although self-isolation protected residents and caregivers from SARS-CoV-2, it can also be associated with mobility reduction, leading to an increase in bedridden pathologies, namely, pressure ulcers and pressure sores. The simultaneous isolation of residents and caregivers in the same location significantly reduced any outside influence as a cause of possible infections.
RESUMEN
The article describes the heuristic contributions of the postrationalist psychosis model. It highlights the difference with other psychotherapeutic interventions in psychosis (phenomenological, psychoanalytic, cognitive) due to a change in epistemological perspective, in particular the distinction of domains, that of the observer and the observed, and the reconstruction of the subjective path that organizes a psychotic subject. The psychotherapy aims to contextualize the experience through the sequencing of the narrative to get an internalization of these experiences, lived in the crisis as external and alien to the self.