English translation
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SELMA is a team of nurses and doctors whose goal is to improve healthcare services for individuals receiving residential care and experiencing sudden illness or a decline in their health. The aim is to prevent people from being admitted to emergency care because of illness that can be treated at home. The team provides a support backup for residential care staff.
SELMA is a part of Reykjavík City's residential care services. The first step in applying for residential care is to see a healthcare worker, such as doctors and nurses in clinics or hospitals. They can request residential care services from the City.
When a patient's health condition suddenly worsens, the team leader for residential care gathers information from the patient, staff, or family and contacts the general practitioner. Afterward, the team leader or general practitioner may request a visit from SELMA if deemed necessary. The visit takes place during business hours.
If the condition is severe and in-home treatment is not feasible, the patient is sent to emergency care.
SELMA's evaluation and diagnosis result in consultation or changes in medication and the arrangement of residential care services. Instructions for treatment and follow-up are provided in writing at home and in the patient's medical record through Saga.
General practitioners are responsible for the care of their patients, and SELMA doctors inform the general practitioner of their findings and the steps taken
SELMA's reassessment and follow-up are temporary, depending on the nature of the illness, in collaboration with family, residential care, and health clinics.