scholarly journals Home Care as a Safe Alternative during COVID-19 Crisis

2021 ◽  
Author(s):  
Heloisa Amaral Gaspar ◽  
Claudio Oliveira Flauzino
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Chronic Patient ◽  
Safe Alternative ◽  
Term Care ◽  
Care Facilities ◽  
Global Concern ◽  
Low Incidence

High mortality rate for the coronavirus disease (COVID-19) has been reported worldwide in nursing home residents, and the global concern about the safety of patients and professionals in these institutions is relevant. A large part of post-acute and chronic patient care in Brazil is performed at home through Home Care (HC) services. The objectives of this chapter are to describe the main measures that can be implemented in patient homes in order to keep professionals, patients, and family members safe and to analyze the safety of choosing the home as the place of care during a pandemic, especially in contrast to the results observed in long-term care facilities. COVID-19 infection data among home care patients, obtained after a year of severe epidemic in Brazil, demonstrate that home care is safe and is associated with a low incidence and low lethality related to the new coronavirus.

Combating Coronavirus Disease-2019 Outbreak in Long-Term Care Facilities for Frail Older Adults: Preventive Measures and Palliative Care Go Hand-in-Hand

2021 ◽  
pp. 082585972110393
Author(s):  
Hon Wai Benjamin Cheng
Keyword(s):  
Palliative Care ◽  
Long Term Care ◽  
Care Delivery ◽  
Nursing Home Residents ◽  
Respiratory Illness ◽  
Term Care ◽  
The People ◽  
Care Facilities ◽  
Novel Coronavirus

While the whole population is at risk from infection with the coronavirus, older people—often frail and subject to multimorbidity—are at the highest risk for the severe and fatal disease. Despite strict infection control and social distancing measures, frail adults in long-term care facilities may be at particular risk of transmission of respiratory illness. Treatment decisions are often complex attributed to the heterogeneity of this population with regards to different geriatric domains such as functional status, comorbidity, and poly-pharmacy. While measures must be taken to prevent the novel coronavirus from spreading through these facilities, it is also essential that residents with coronavirus disease 2019 (COVID-19) have access to the symptom management and support they want and deserve. What most nursing home residents want during the course of their illness is to be able to stay in their facilities, to be surrounded by the people they love most, and to feel relief from their physical and emotional pain. By addressing the limited access to hospice and palliative care delivery in nursing homes, we can prevent unnecessary suffering and pain from COVID-19 as well as lay the groundwork for improving care for all residents moving forward.

The vulnerability of nursing home residents to the Covid-19 pandemic

2020 ◽  
Vol 23 (2-3) ◽  
pp. 57-60 ◽  
Author(s):  
Edward H Wagner
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Nursing Assistants ◽  
Nursing Home Care ◽  
Term Care ◽  
Staff Members ◽  
Care Facilities

Residents in nursing homes and other long-term care facilities comprise a large percentage of the deaths from Covid 19. Is this inevitable or are there problems with NHs and their care that increase the susceptibility of their residents. The first U.S. cluster of cases involved the residents, staff, and visitors of a Seattle-area nursing home. Study of this cluster suggested that infected staff members were transmitting the disease to residents. The quality of nursing home care has long been a concern and attributed to chronic underfunding and resulting understaffing. Most NH care is delivered by minimally trained nursing assistants whose low pay and limited benefits compel them to work in multiple long-term care settings, increasing their risk of infection, and work while ill. More comparative studies of highly infected long-term care facilities with those organizations that were able to better protect their residents are urgently needed. Early evidence suggests that understaffing of registered nurses may increase the risk of larger outbreaks.

Establishment of a Statewide Network for Carbapenem-Resistant Enterobacteriaceae Prevention in a Low-Incidence Region

2014 ◽  
Vol 35 (4) ◽  
pp. 356-361 ◽  
Author(s):  
Christopher D. Pfeiffer ◽  
Margaret C. Cunningham ◽  
Tasha Poissant ◽  
Jon P. Furuno ◽  
John M. Townes ◽  
...  
Keyword(s):  
Acute Care ◽  
Infection Prevention ◽  
Long Term Care ◽  
Term Care ◽  
Carbapenem Resistant ◽  
Care Facilities ◽  
Low Incidence ◽  
Acute Care Facilities ◽  
Carbapenem Resistant Enterobacteriaceae

Objective.To establish a statewide network to detect, control, and prevent the spread of carbapenem-resistant Enterobacteriaceae (CRE) in a region with a low incidence of CRE infection.Design.Implementation of the Drug Resistant Organism Prevention and Coordinated Regional Epidemiology (DROP-CRE) Network.Setting and Participants.Oregon infection prevention and microbiology laboratory personnel, including 48 microbiology laboratories, 62 acute care facilities, and 140 long-term care facilities.Methods.The DROP-CRE working group, comprising representatives from academic institutions and public health, convened an interdisciplinary advisory committee to assist with planning and implementation of CRE epidemiology and control efforts. The working group established a statewide CRE definition and surveillance plan; increased the state laboratory capacity to perform the modified Hodge test and polymerase chain reaction for carbapenemases in real time; and administered surveys that assessed the needs and capabilities of Oregon infection prevention and laboratory personnel. Results of these inquiries informed CRE education and the response plan.Results.Of 60 CRE reported from November 2010 through April 2013, only 3 were identified as carbapenemase producers; the cases were not linked, and no secondary transmission was found. Microbiology laboratories, acute care facilities, and long-term care facilities reported lacking carbapenemase testing capability, reliable interfacility communication, and CRE awareness, respectively. Survey findings informed the creation of the Oregon CRE Toolkit, a state-specific CRE guide booklet.Conclusions.A regional epidemiology surveillance and response network has been implemented in Oregon in advance of widespread CRE transmission. Prospective surveillance will determine whether this collaborative approach will be successful at forestalling the emergence of this important healthcare-associated pathogen.

scholarly journals Home care as a safe alternative in post-acute and long-term care during COVID-19 crisis

2020 ◽  
Vol 18 ◽  
Author(s):  
Heloisa Amaral Gaspar ◽  
Cláudio Flauzino de Oliveira ◽  
Fabiana Camolesi Jacober
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Safe Alternative ◽  
Term Care

Methicillin-resistantStaphylococcus aureus(MRSA) in the institutionalized older patient

2009 ◽  
Vol 19 (1) ◽  
pp. 13-23 ◽  
Author(s):  
M Eveillard ◽  
ML Joly-Guillou
Keyword(s):  
Nursing Homes ◽  
Acute Care ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Surgical Antibiotic Prophylaxis ◽  
Cross Transmission ◽  
Mrsa Infection ◽  
Low Incidence

SummaryNursing homes and long-term care facilities are usually considered as reservoirs for methicillin-resistantStaphylococcus aureus(MRSA) carriers. Actually, there are major differences in MRSA carriage between institutions, with variations from 1% to more than 30%. Overall there is a low incidence of MRSA infection in these institutions, even though carriage is associated with a higher risk of subsequent MRSA infection, with high mortality rates. The main risk factors for carriage are well known: recent hospitalization in an acute-care ward, skin wounds and recent antimicrobial therapy. Age over 75 years is also a risk factor. Residents of nursing homes and long-term care facilities pose a risk of MRSA transfer to acute-care wards, with potential consequences in terms of infection control strategy or surgical antibiotic prophylaxis. No well-designed study has identified the best strategy for MRSA control in institutions for older people and strategies that have been proposed are controversial. Studies to elucidate this would be useful, as well as studies specifically designed to identify the relative importance of different ways of MRSA transmission in these institutions (cross-transmission via healthcare workers or the environment, or direct transmission from one resident to another). Finally, a first important step towards MRSA control is a strict application of standard precautions, particularly good compliance with hand hygiene.

scholarly journals Resident-to-Resident Aggression in Long-Term Care Facilities: Insights from Focus Groups of Nursing Home Residents and Staff

2008 ◽  
Vol 56 (8) ◽  
pp. 1398-1408 ◽  
Author(s):  
Tony Rosen ◽  
Mark S. Lachs ◽  
Ashok J. Bharucha ◽  
Scott M. Stevens ◽  
Jeanne A. Teresi ◽  
...  
Keyword(s):  
Nursing Home ◽  
Focus Groups ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Term Care ◽  
Care Facilities

scholarly journals Molecular Epidemiology ofStaphylococcus aureusColonization in 2 Long-Term Care Facilities

2006 ◽  
Vol 27 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Lona Mody ◽  
Erica Flannery ◽  
Andrew Bielaczyc ◽  
Suzanne F. Bradley
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Molecular Epidemiology ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Term Care ◽  
Methicillin Resistant ◽  
Care Facilities

Persistent colonization withStaphylococcus aureuswas assessed in 22 nursing home residents. Eighteen residents (82%) remained colonized with the same strain found at baseline; 6 (33%) of 18 residents transiently acquired a new strain. Four residents (18%) acquired a new persistent strain. Residents colonized with methicillin-resistantS. aureuswere more likely to acquire a new strain (67%) than were residents colonized with methicillin-susceptibleS. aureus(20%) (P= .04).

scholarly journals Failure to Thrive: Nursing Home Staff Experiences in Caring for Residents during the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 883-883
Author(s):  
Yu-Ping Chang ◽  
Audrieanna Raciti ◽  
Cristina de Rosa ◽  
Margaret Doerzbacher ◽  
Yanjun Zhou ◽  
...  
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
New York State ◽  
Nursing Home Residents ◽  
Failure To Thrive ◽  
Care Staff ◽  
Term Care ◽  
Nursing Home Staff ◽  
Care Facilities

Abstract Nursing home residents and staff have accounted for roughly 40% of Coronavirus-related deaths in the U.S. The burden of caring for vulnerable residents coupled with isolation policies has taken a significant emotional toll among direct health care staff in long term care facilities. This study explores nursing home staff’s experiences in caring for residents during the COVID-19 pandemic. A qualitative descriptive approach with a semi-structured guide was used to conduct individual interviews. We recruited nursing home staff employed during the COVID-19 pandemic in long term care facilities located in New York State. Interviews were recorded, transcribed verbatim, and then analyzed using Braun and Clarke’s Reflexive Thematic analysis. Twelve nursing home staff were interviewed. Participants consistently refer to failure-to-thrive as an extremely concerning problem because many residents demonstrate decreased appetite and poor nutrition, inactivity, and depressive symptoms due to social isolation. They also often feel frustrated and overwhelmed due to uncertainty and shortages of staff. Five main themes were identified, including doing their best to manage residents’ failure-to-thrive, working as a team, keeping family members informed and connected, struggling to balance competing personal and professional demands, and needing support to reduce stress and build strength. Our study findings indicate that nursing home staff experienced a high level of stress and identified failure-to-thrive caused by isolation and loneliness as a common phenomenon among nursing home residents during the COVID-19 pandemic. Interventions are urgently needed to reduce isolation and loneness in nursing home residents and to provide support for staff.

scholarly journals Reliability of the interRAI Long Term Care Facilities (LTCF) and interRAI Home Care (HC)

2014 ◽  
Vol 15 (2) ◽  
pp. 220-228 ◽  
Author(s):  
Hongsoo Kim ◽  
Young‐Il Jung ◽  
Moonhee Sung ◽  
Ji‐Yoon Lee ◽  
Ju‐Young Yoon ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals The Pandemic and Nursing Home Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 388-388
Author(s):  
Lori Smetanka
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Elder Abuse ◽  
Nursing Home Care ◽  
Term Care ◽  
Care Facilities

Abstract This session will provide updates on how the pandemic led to horrific situations in long-term care facilities and how the pandemic influenced major federal efforts to address elder abuse, neglect, and exploitation.

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