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Immune-Mediated Diseases Area

The Immune-Mediated Diseases Area at Vall d’Hebron University Hospital integrates the services of allergy, dermatology, and rheumatology, which share the management of immunologically mediated conditions that are often chronic and have a significant impact on quality of life. The activity is primarily outpatient and includes biologic treatments, day hospital care, and specialized procedures such as desensitization to new drugs, dermatologic surgery, and diagnostic ultrasound in rheumatology.

Collaborative work among the services generates synergies that enhance care, research, and teaching, fostering comprehensive attention for patients with chronic inflammatory diseases. Specialized nursing plays a key role in patient follow-up and health education, particularly in the administration of biologic treatments. In addition, the Al·lèrgia Zero course, promoted by the Allergy service, strengthens professional training in the detection and management of allergic reactions. Thanks to this collaborative approach, the area promotes innovative, safe, and patient-centered care.

Endocrinology, Metabolism, and Nutrition Area

The Endocrinology, Metabolism, and Nutrition Area of Vall d’Hebron University Hospital has a multidisciplinary team composed of endocrinology and nutrition specialists, nurses expert in diabetes and nutritional support, dietitians, and podiatrists. The area has a highly cross-cutting activity due to the high incidence of diabetes, obesity, and malnutrition among hospitalized patients, and combines clinical care with teaching and research within the Diabetes and Metabolism group of VHIR. Coordinated work among professionals has enabled the development of an integrative model for the management of diabetes, obesity, and nutritional support, improving planning, quality of care, and continuity of patient follow-up.

Currently, the area focuses its efforts on the early detection of malnutrition and the follow-up of patients with poor glycemic control, aiming to reduce complications and hospital stays. Through diabetes education, nutritional support, and the improvement of care pathways, comprehensive and personalized care is ensured, oriented toward enhancing patients’ health and well-being.

Infectious Diseases Area

The Infectious Diseases Area at Vall d’Hebron University Hospital provides comprehensive care in the diagnosis, treatment, and prevention of infections, both in endemic and epidemic contexts, as demonstrated during the management of COVID-19. Daily collaboration among services allows for a rapid and coordinated response to relevant clinical results, with joint actions in prevention and patient follow-up. The area also conducts extensive outpatient activity at the Adult Multipurpose Hospital and the Vall d’Hebron-Drassanes Building, offering programs for treatment, prevention, and international health advice.

This cross-disciplinary, multidisciplinary approach ensures coherent and high-quality care, fostering the development of new care models. Notably, the new traveler care model incorporates advanced practice nurses for counseling and vaccination, an innovative project that has proven effective and autonomous. Through this commitment to innovation and collaboration, the area consolidates a safe, flexible care model tailored to the needs of the population.

Renal System Area

The Renal System Knowledge Area at Vall d’Hebron University Hospital provides comprehensive care for patients with kidney disease, both in outpatient and inpatient settings. Services include outpatient consultations, hospitalization on the eighth floor of the General Hospital, as well as living-donor and deceased-donor kidney transplantation. The area supports patients throughout the course of their disease, from early stages to advanced phases, ensuring personalized therapeutic options aimed at optimizing quality of life.

Working within areas of expertise allows for coordination of hospital-based, home-based, and conservative treatments, optimizing resources and facilitating shared decision-making between professionals and patients. Notable initiatives include the advanced chronic kidney disease consultation, which guides the selection of the most appropriate treatment and educational activities on lifestyle, dietary habits, and treatment adherence, aiming to better control the disease and prevent complications.

Post-Surgical Care Area

The Post-Surgical Care Area at the General Hospital, located on the third and fourth floors, cares for patients from various specialties according to the intensity of care and clinical complexity. The short-stay unit is on the fourth floor (odd-numbered rooms), intermediate care is on the same floor (even-numbered rooms), and intensified care is on the third floor. This organization, based on areas of expertise, allows for comprehensive and standardized care, improving coordination and the quality of surgical care.

The area promotes the Enhanced Recovery After Surgery (ERAS) program, which addresses the surgical process through a multidisciplinary, patient-centered approach, from preoperative preparation to postoperative recovery. The program provides personalized tools to optimize the patient’s condition before surgery and reduce complications afterward, promoting faster and safer recovery. With this holistic approach, the area ensures care focused on efficiency, safety, and patient well-being.

Respiratory System Area

The Respiratory System Area at Vall d’Hebron University Hospital provides comprehensive and specialized care for respiratory patients, with conventional hospitalization and a step-down unit. It includes pulmonary function, sleep, and bronchoscopy laboratories. Outpatient care includes general and specialized consultations for severe asthma, COPD, pulmonary hypertension, and interstitial lung diseases, among others, both at the hospital and in regional centers.

Nursing plays a central role in adapting care, education, and research. Future projects include a new management model for the pulmonary function laboratory and the creation of reference nurses for home therapies, ensuring follow-up for patients on mechanical ventilation and sleep therapies. With an evidence-based approach, the area promotes self-care, patient empowerment, and personalized, safe, and high-quality care.

Internal Medicine Area

The Internal Medicine Area at Vall d’Hebron University Hospital includes the inpatient ward and outpatient clinics, with a multidisciplinary team composed of nursing, medical, rehabilitation, social work, and administrative professionals. It is a reference unit in Catalonia and Spain for systemic autoimmune and rare diseases, and cares for patients with chronic conditions in acute exacerbation or acute illness, such as heart failure, COPD, or COVID-19. Most patients have multiple comorbidities and are medically fragile, requiring comprehensive, coordinated care focused on the patient and their family.

Organization by areas of expertise has promoted initiatives such as early detection of social risk using the Gijón scale and immediate social work intervention. Shared clinical processes with other specialties have also been developed, and the use of clinical ultrasound as a diagnostic tool has been consolidated. With this transversal and innovative approach, the area improves coordination, efficiency, and quality of patient care.

Mental Health Area

The Mental Health Area at Vall d’Hebron University Hospital provides comprehensive care across all stages of life, from childhood to adulthood. It includes inpatient units for children, adolescents, and adults, as well as collaboration with Sant Rafael Hospital within the Integrated Psychiatry Unit. The area also offers hospital consultations, outpatient clinics, day hospitals, home care programs, and an addictions section with a specialized community center, ensuring continuity of care and personalized attention.

The area is committed to innovation and digitalization through the integration of new technologies and the parametrization of healthcare data to improve communication, safety, and patient follow-up. Notably, the project for parametrizing clinical scales in psychotic disorders, bipolar disorder, personality disorders, and ADHD is underway, with plans to expand to other conditions. This model strengthens team flexibility, enhances the role of nursing, and promotes patient-centered care focused on individual well-being.

Digestive Diseases Area

The Digestive Diseases Area of Vall d’Hebron University Hospital provides inpatient care, outpatient services, and 24-hour emergency coverage. In addition, the staff actively participates in teaching and both clinical and basic research, contributing to professional training and scientific knowledge.

This model promotes continuous improvement and professional development in care, teaching, research, and innovation, ensuring comprehensive, patient-centered care. Notable projects include the Strategic Plan with multidisciplinary groups and the creation of the intermediate care unit, which provides specialized care for patients with severe complications such as digestive hemorrhages, pancreatitis, or postoperative conditions.

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