We are the combination of four hospitals: the General Hospital, the Children’s Hospital, the Women’s Hospital and the Traumatology, Rehabilitation and Burns Hospital. We are part of the Vall d’Hebron Barcelona Hospital Campus: a world-leading health park where healthcare plays a crucial role.
Patients are the centre and the core of our system. We are professionals committed to quality care and our organizational structure breaks down the traditional boundaries between departments and professional groups, with an exclusive model of knowledge areas.
Would you like to know what your stay at Vall d'Hebron will be like? Here you will find all the information.
The commitment of Vall d'Hebron University Hospital to innovation allows us to be at the forefront of medicine, providing first class care adapted to the changing needs of each patient.
In general, patients with sarcoma and other musculoskeletal tumours are very vulnerable and receive very long treatment. For this reason, health education is essential, for patients, their families or the main carer, and also on discharge. Hygiene, physical position, medication, pain and emotional support will all be included.
It is important to follow a series of advice related to lifestyle and treatment. The most important advice is:
Health education in patients with psoriasis should, first and foremost, consist of informing them about its chronic nature. It is also essential that they are aware of the possible increase or decrease in irritation and the factors that predispose or trigger them. Likewise, it is important to know the healthy lifestyle options that help alleviate or improve it, as well as the personalised alternatives available for treatment (topical treatments, systemic treatments, phototherapy and photochemotherapy).
To contribute to the welfare of patients with psoriasis, it is important that they are aware of a series of tips and recommendations:
Correct application of treatments:
Treatment:
Hygiene for patients with psoriasis:
Scalp treatment:
Factors that should be avoided:
Infection control:
Healthy habits:
Exposure to sunlight:
Psychological effects:
Evolution of the illness:
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Most Ebola cases take place in Africa, especially in countries such as the Republic of Guinea, Liberia and Sierra Leone, where there was a significant outbreak in 2014 and 2015. Although the risk of infection in Spain is low, we do not advise travelling to the affected countries.
Although there is currently no commercially available vaccine against the virus, the results of studies conducted so far show that the vaccine could be very effective. In Spain the risk of infection is very low, but:
If you find yourself in an area affected by Ebola virus:
If you travel to one of the affected areas and a few weeks after your return you notice the following symptoms, you need to seek medical attention urgently and tell the doctor about the trip:
The complications of diabetes mellitus with high blood sugar and/or poor metabolic control may end up causing injuries to small vessels, such as diabetic retinopathy and diabetic nephropathy, or large vessels, such as diabetic arteriopathy.
This affectation also extends to protective sensitivity to injuries, and causes signs of peripheral nerve damage. It may present as sensory, motor or autonomic nerve damage.
The most frequent form is sensory/motor and one of the serious complications is Charcot foot and ankle. The combination of nerve and artery damage with foot infection may be considered a serious complication.
Although it may start more severely, the main symptoms of diabetes are:
And the symptoms that may indicate the beginning of diabetic foot are:
Around 15% of patients diagnosed with diabetes get diabetic foot. Between 40% and 50% of diabetics will have an ulcer and 20% will need an amputation. More than 50% of non-traumatic leg amputations are performed in diabetics.
Clinical, analytical and screen for early detection.
Depending on symptoms and preventive.
Prevention of diabetic foot includes good metabolic control alongside a healthy lifestyle and professional foot care
The specific health education on mobilisation in patients who have received traumatic surgery is essential in order to start rehabilitation as soon as possible and thus avoid possible complications as a result of the operation. This health education, focused on pelvic osteotomy, should be given before and after surgery.
In the months running up to the operation patients are advised to follow an iron-rich diet. In addition, three doses of intravenous iron will be administered and, in some cases, a dose of erythropoietin glycoprotein to stimulate the production of red blood cells.
So that patients are able to be independent, they will be taught to walk with no pressure (without putting weight on the operated leg) and with partial pressure (only putting weight on the tips of their toes) using crutches so that they can walk on their own.
After the operation, patients will have their blood pressure, heart rate and temperature monitored, and they will have a finger prick done to check for anaemia.
Where possible, younger patients will not be given blood transfusions. By correctly tolerating low haemoglobin levels, this patient group is able to more easily trigger the body’s physiological mechanisms without complications to try to compensate for the blood lost during surgery. For this reason it is very important to rigorously monitor vital signs.
Once in the hospital, the person and their family should be informed about the exercises to be performed:
Nursing staff and physiotherapists can teach the patient how to carry out deep breathing exercises, which:
Patients will move about and walk in the following three stages, depending on x-ray exams:
Pain will be controlled using intravenous drugs for the first few days and, after that, oral medication. In order to alleviate pain, a cold compress will need to be applied on the area for twenty minutes three times a day.
To prevent thromboembolism, patients will be treated with subcutaneous heparin injections. The hospital admissions unit’s nursing staff will show them how to administer this.
Health education for paediatric patients with hip dysplasia.
Proper control of risk factors, coupled with recommendations for lifestyle changes, can prevent up to 90% of stroke cases. These elements, together with the pharmacological treatments prescribed by the specialist, can also reduce the risk of recurrence and first episodes of other cardiovascular diseases with common risk factors.
These measures also benefit other aspects of health if followed in your daily life.
Shingles is a skin outbreak caused by a viral infection of the nerves found just below the skin. The virus that causes it is the same as the virus that causes chicken pox. Unlike chicken pox, shingles is not seasonal and may appear at any age, although it more commonly appears in people over 50.
One measure to prevent the appearance of new cases of this virus among people living near a sufferer is the disinfection of objects contaminated with nasopharyngeal secretions or skin lesions in patients with chicken pox. It is therefore important to wash your hands before and after coming into contact with infected people or objects.
To improve the itching and discomfort of this virus, apply:
It is easy for people with shingles to pass it on to others, so when skin wounds are open and pussy avoid any contact with people who have not had chicken pox, especially pregnant women, new born babies and immunodeficient people.
Multiple sclerosis is a progressive disease of the central nervous system, disabling, chronic and with a high degree of complexity and heterogeneity. Specialised multidisciplinary care is therefore required during diagnosis, follow-up and treatment.
Current evidence is insufficient to give advice on preventing multiple sclerosis. It is, however, advised that your have a healthy lifestyle and carry out activities as normal. Multiple sclerosis affects women more than men, often appears in young adults and is the second biggest cause of non-traumatic disability.
When agreeing with the patient to start them on a drug to treat symptoms or multiple sclerosis itself:
The symptoms of multiple sclerosis can vary greatly, so you are advised to consult specialists when you feel:
Although there is no scientific evidence that allows us to make concrete recommendations to prevent or change the course of the illness, there is a whole host of advice about diet, habits and physical exercise that patients and, in general, the entire population, should bear in mind:
You are also advised, should you suffer fatigue, to continue daily activity and stay active, combining moments of activity with moments of relaxation as well as to seek energy-saving strategies.
Vitamin D has an important role to play in relation to the illness, which is being researched intensively. Often, people affected present a deficiency of this vitamin, so you are advised to take a supplement under instructions and supervision by your specialist.
Multiple sclerosis is a complex and chronic illness, so it is recommended that those around the person affected are given adequate and comprehensive information. It is also a good idea to have access to ongoing advice whenever necessary.
The family or professional carer, where necessary, may need training and practical advice on topics such as diet, hygiene and the patient’s mobility.
Health education in the diagnosis, at the beginning of the treatment and for the mobilisation of the disabled patient.
Ampullary epidermolysis is a group of genetic disorders that may present themselves in various ways, from milder forms to more severe ones: affecting the skin and mucous membranes, involving the formation of blisters and vesicles after the slightest trauma. They can also affect other organs, in different ways.
The best thing is if the patients, their families and their caregivers receive comprehensive health education, especially when they are first diagnosed, during the baby’s first few days, when skin lesions can already begin to occur.
The education aimed at preventing the evolution and complications of the disease will be given by professionals from the following disciplines:
Skin affected by ampullary epidermolysis is very sensitive to the slightest pressure or friction, which then causes a blister to form. To avoid damage, bear in mind the following recommendations:
Amyotrophic lateral sclerosis (ALS) causes muscular degeneration that can affect motor autonomy, oral communication, swallowing and breathing, but the senses, intellect and eyes muscles remain intact. It can therefore affect the respiratory muscles, which is why respiratory care is essential for patients’ quality of life.
In order to improve the respiratory difficulties in patients, ventilation therapy can be used through non-invasive ventilation.
Ventilation therapy refers to breathing support using a ventilator, usually at night during sleep, to achieve:
Ventilation is carried out non-invasively, by means of a patient-adjusted mask (nasal or full face) connected by a tube to the ventilator or respirator.
When patients need this therapy, the place and time it is started, whether outpatient or hospital admission, is planned in a personalised way with the consent of the patient and the person caring for them.
Education for the patient and their main carer should begin as soon as possible, both from the point of view of managing secretions and the resulting care, as well as the emotional support they need to receive. This means that during the patient’s admission or outpatient visit, the patient and their carer will be trained in:
The patient and the carer must take care to keep the airway in good condition to allow secretions to be managed. It is important to preserve the ability to cough where possible, but if coughing is no longer effective, the patient and carer will need to start learning how to use mechanical aids (cough assist or mechanically assisted cough). In certain cases secretion suction may also be used.
To improve the quality of life of patients it is important to follow the advice below:
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