ROJOSON-PEP-TALK: Hospital Management of COVID19 Patient (June 8, 2021) - 2nd run

1. Welcome all!
MUTE yourself but always show
your video picture.
Sign in your name, FB account,
email in the Chat Box!
Use the Chat Box to ask questions
and make comments while the PEP
TALK is on.
Group pictures at start and end of
PEP TALK – show your face in
video.
Empowerment
objective - for
patients to have
an idea on how
COVID19 patients
are being
managed in the
hospitals so that
they will avoid
COVID19 at all
cost!!

2. Empowerment
objective - for
patients to have
an idea on how
COVID19 patients
are being
managed in the
hospitals so that
they will avoid
COVID19 at all
cost!!
Reminder:
Take the Online Learning cum
Evaluation Test Exercise
(OLETE) and have a perfect
score to get a Certificate.

3. Welcome all! Mabuhay!
LET’S NOW HAVE A GROUP PICTURE
TAKING BEFORE WE START IN 2
MINUTES!
Pls. turn on your video!
Show your face!

4. I have a Patient Empowerment
Program in which I like to empower
the lay people or patients to take
control in the management of their
health.

5. In the light of ever-confusing medical
information and confusing health
professionals,
I like to equip them with a PEP TALK
that will enable them to make
educated, rational and cost-effective
decisions
on their health concerns.

6. I formally launched the ROJoson PEP TALK on May
15, 2021 with PEP TALK 1A: Safety Program
Against COVID19. [June 3, 2021]
PEP TALK 2A - May 22, 2021: Home Management
of COVID19 Patients [June 5, 2021]
PEP TALK 3A – May 29, 2021: Hospital
Management of COVID19 Patients [June 8, 2021]
2nd Run of ROJoson PEP TALK Module on COVID19

7. What I have in mind in this series of 3
PEP TALKs on COVID19 is to ensure
that nobody who attended my PEP
Talk will die from COVID19.
I am targeting to help at least 30
persons. That is my key performance
indicator.
I will be contented if I can save at
least 30 persons who attended my
PEP Talk from dying from COVID19.
I hope you will be in my group of 30.

8. Empowerment
objective - for
patients to have
an idea on how
COVID19 patients
are being
managed in the
hospitals so that
they will avoid
COVID19 at all
cost!!

9. COVID19 patients are those infected with
COVID19.
They may be symptomatic or asymptomatic.
For the symptomatic patients,
they may be in mild, moderate, severe and
critical stages.

10. Management of COVID19 patients may be
done
• at home
• at a designated quarantine or isolation
facility
• at a hospital
depending on the stage and other situations.

11. As a general rule,
COVID19 patients with moderate, severe
and critical diseases should be managed in a
hospital.
Asymptomatic and mild COVID19 can be
managed at home or at a designated
quarantine or isolation facility.

12. My PEP Talk will focus on the hospital
management of COVID19 patients who
are in the moderate, severe and critical
stages.
I will just give an overview of how the
patients are being managed in the
hospital.

13. The following are the indications for
admission to a hospital for further
management:

14. • COVID19 patients with moderate severity of the
disease (symptomatic patients with non-severe
pneumonia or those manifesting difficulty of
breathing at home, but with a respiratory rate of
still less than 30 per minute, and/or with oxygen
saturation of still more than 92%)
In some cases, these moderate COVID19 patients
can be managed at home but there must be a close
monitoring by a physician through telemedicine.

15. • COVID19 patients with severe category of the
disease (symptomatic patients with severe
pneumonia or those manifesting difficulty of
breathing at home, with a respiratory rate of
more than 30 per minute and with oxygen
saturation of less than 92%)

16. • COVID19 patients with critical severity of
the disease (those manifesting respiratory
failure, septic shock, and/or multiple
organ dysfunction)

17. • COVID19 patients with mild severity but
with concomitant uncontrolled chronic
medical diseases such as diabetes and
heart diseases is also an indication for
admission to a hospital.

18. In the hospital,
differentiating from home care,
the COVID19 patients admitted are given
• more intensive respiratory support (such as high-
flow oxygen and intubation with mechanical
ventilation as indicated);
• more intensive medications for both COVID19
and existing medical diseases; and
• more intensive monitoring of symptoms and vital
signs with a lot of diagnostic tests (such as CT
scan and inflammatory markers).

19. At present,
there are different, therefore no universal or
uniform protocols,
in managing COVID19 patients in hospitals,
in the Philippines and abroad.

20. In the end, the specific management will be
dependent on the
• mindset of the attending physicians;
• government’s approval of emergency use
authorization of drugs against COVID19;
• severity of the COVID19 infections; and
• availability of resources including financial
capability of the patients and relatives.

21. It is to be noted that it is very
expensive once one is admitted to a
hospital for COVID19 management.

22. In terms of medical management,
everything is done on a
NO GUARANTEE OF RECOVERY – BEST
EFFORT basis.

23. Highest mortality rates (equivalent to
unsuccessful medical management)
are seen in
• those patients with severe and
critical stages;
• those with co-morbidities
(concomitant medical diseases); and
• elderly patients.

24. Thus, the moral of COVID19 is
to avoid COVID19 infection at all cost
as once you get infected, you carry a risk of
dying from it.
Nobody can predict with 100% certainty
whether you will recover from the COVID19
infection or not once you get it.
Furthermore, it is very expensive to be
hospitalized for COVID19 management.

25. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• COVID19 patients with moderate,
severe and critical disease should be
managed in a hospital.

26. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• Compared to home management, hospital
management of the COVID19 patients are given
• more intensive respiratory support;
• more intensive medications for both COVID19
and existing medical diseases; and
• more intensive monitoring of symptoms and
vital signs with a lot of diagnostic tests.

27. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• There are different protocols in hospital
management of COVID19 patients.

28. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• In the end, the specific management will
be dependent on the
• mindset of the attending physicians;
• government's approval of emergency use
authorization of drugs against COVID19;
• severity of the COVID19 infections; and
• availability of resources including financial
capability of the patients and relatives.

29. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• Everything is done on a NO
GUARANTEE OF RECOVERY – BEST
EFFORT basis.

30. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• It is very expensive to be
hospitalized for COVID19
management.

31. Take away from this ROJoson PEP Talk – Hospital
Management of COVID19 Patients (Overview):
• The moral of COVID19 is to avoid
COVID19 infection at all cost as once
you get infected, you carry a risk of
dying from it.
Nobody can predict with 100% certainty
whether you will recover from the COVID19
infection or not once you get it.

32. Empowerment
objective - for
patients to have
an idea on how
COVID19 patients
are being
managed in the
hospitals so that
they will avoid
COVID19 at all
cost!!

33. Empowerment
objective - for
patients to have
an idea on how
COVID19 patients
are being
managed in the
hospitals so that
they will avoid
COVID19 at all
cost!!
Reminder:
Take the Online Learning cum
Evaluation Test Exercise
(OLETE) and have a perfect
score to get a Certificate.

34. Welcome all! Mabuhay!
LET’S NOW HAVE A GROUP PICTURE
TAKING BEFORE THE QUESTION AND
ANSWER SESSION!
Pls. turn on your video!
Show your face!