The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study DOI Creative Commons
Maarja Vislapuu, Renira C. Angeles, Line Iden Berge

et al.

BMC Health Services Research, Journal Year: 2021, Volume and Issue: 21(1)

Published: Sept. 22, 2021

COVID-19 isolated home-dwelling people with dementia (PwD) from home care services, respite care, and daytime activities. We aimed to investigate the consequences of these restrictions on informal (family, friends) formal (homecare staff) resource utilization among co-residing (e.g., spouses) visiting caregivers children).105 PwD (≥65 years old) their were included in prospective PANdemic DEMentia (PAN.DEM) study, which was initiated when ongoing stepped-wedge, cluster randomized [email protected] trial (N = 438) temporarily halted due pandemic. Primary outcome change assessed by Resource Utilization Dementia Care (RUD) instrument pre- (12 Dec. 2019 11 Mar. 2020) during lockdown periods (20 April 2020 15 May 2020). Degree cognitive impairment Mini-Mental Status Examination (MMSE), physical functioning independent living skills Physical Self-Maintenance Scale Lawton Instrumental Activities Daily Living Scale. Associations between utilization, socio-demographics, clinical variables descriptive statistics Ordinary Least Squares models (OLS).Mean age for 81.8 years; 61% female; 45.6% lived alone, mean MMSE score 20.8 (SD ± 3.7). co-residents (44%) younger (78.4 years) than those who alone (84.5 P < 0.001). During first 2 months lockdown, missed average 20.5 h a month (P 0.001) leading an approximately 100% increase particularly pronounced personal hygiene (6.9 vs. 11.4 days month, supervision (9.2 17.6 month; Visiting increased 1.9 11.5), but number providing ADL 7 per (β 6.9; CI, 0.39-13.1, 0.05) after adjusting caregiver demographics variables. Decrease nursing visible (- 6.1 -1.3 0.005). Higher function - 0.64, 1.26 0.02, 0.044) associated reduction service lockdown.The situation changed dramatically early phase pandemic, especially received less support homecare services caregivers. For future crises forthcoming post-pandemic period, health authorities must plan better identify prioritize greatest need.ClinicalTrials.gov ; NCT04043364 .

Language: Английский

The Effects of COVID‐19 lockdown on neuropsychiatric symptoms in patients with dementia or mild cognitive impairment: A systematic review and meta‐analysis DOI Open Access
Pınar Soysal, Lee Smith, Mike Trott

et al.

Psychogeriatrics, Journal Year: 2022, Volume and Issue: 22(3), P. 402 - 412

Published: Feb. 6, 2022

The COVID‐19 pandemic may have a disproportionate impact on people with dementia/mild cognitive impairment (MCI) due to isolation and loss of services. aim this systematic review was investigate the effects lockdown neuropsychiatric symptoms (NPS) in living dementia/MCI. Two authors searched major electronic databases from inception June 2021 for observational studies investigating NPS Summary estimates mean differences scores pre‐ versus post‐COVID‐19 were calculated using random‐effects model, weighting cases inverse variance. Study quality risk bias assessed by Newcastle–Ottawa Scale. From 2730 citations, 21 including 7139 patients (60.0% female, age 75.6 ± 7.9 years, 4.0% MCI) dementia evaluated review. Five found no changes NPS, but all other studies, an increase at least one or pre‐pandemic Neuropsychiatric Inventory (NPI) score found. most common aggravated depression, anxiety, agitation, irritability, apathy during lockdown, 66.7% had high bias. Seven 420 (22.1% yielded enough data be included meta‐analysis. follow‐up time 5.9 1.5 weeks. pooled NPI before compared 3.85 (95% CI:0.43 7.27; P = 0.03; I 2 82.4%). All These results characterized heterogeneity, there presence publication There is worsening dementia/MCI COVID pandemic. Future comparative are needed elucidate whether similar deterioration might occur without

Language: Английский

Citations

34
Guilt, tears and burnout—Impact of UK care home restrictions on the mental well‐being of staff, families and residents DOI
Clarissa Giebel, Kerry Hanna,

Paul Marlow

et al.

Journal of Advanced Nursing, Journal Year: 2022, Volume and Issue: 78(7), P. 2191 - 2202

Published: Feb. 21, 2022

The aim of this study was to explore the impact pandemic on emotional and mental well-being family carers, care home staff residents, in light changing restrictions, increased testing vaccination rollout UK.Longitudinal, qualitative semi-structured interview study.Remote interviews were conducted with carers residents dementia from different homes across UK. Baseline follow-up October/November 2020 March 2021, respectively. Data analysed using inductive thematic analysis involving members public caring experiences.In all, 42 participated at baseline, 20 followed up. We identified four themes: (1) Developing anger frustration; (2) Impact relationships; (3) Stress burnout; (4) Behavioural changes, perceived residents. health everyone involved, including has been negatively affected, relationships between have severely strained. There a general lack adequate support, little relief.The had detrimental lives those surrounding homes-from carers. Consideration should be given how best support needs all three groups, by providing easily accessible for all. This also focus rebuilding staff.This is first paper highlight effects long-lasting miscommunicated restrictions staff, urgent need continued support.

Language: Английский

Citations

31
The covid-19 pandemic and care homes for older people in Europe - deaths, damage and violations of human rights DOI Creative Commons
Janet Carter Anand, Sarah Donnelly, Alisoun Milne

et al.

European Journal of Social Work, Journal Year: 2021, Volume and Issue: 25(5), P. 804 - 815

Published: Aug. 12, 2021

Throughout Europe the most damaging consequences of coronavirus have fallen disproportionately on older people who live in care homes. This study involves analysis secondary data sources relating to deaths, and related harms, European homes from seven countries between March December 2020. The findings are reviewed using framework Convention Human Rights identify examples human rights violations - namely right life, liberty security, respect for private family prohibition torture, general discrimination. A significant contributing factor scale nature deaths harms is abject disregard people's rights. Based findings, authors, a group social work academics, call an urgent re-examination role relationship importance re-engaging with issues home residents.

Language: Английский

Citations

37
Impact of the COVID-19 shutdown on orthopedic trauma numbers and patterns in an academic Level I Trauma Center in Berlin, Germany DOI Creative Commons
Tazio Maleitzke, Matthias Pumberger, Undine A. Gerlach

et al.

PLoS ONE, Journal Year: 2021, Volume and Issue: 16(2), P. e0246956 - e0246956

Published: Feb. 16, 2021

The COVID-19 pandemic led to the implementation of drastic shutdown measures worldwide. While quarantine, self-isolation and laws helped effectively contain control spread SARS-CoV-2, impact shutdowns on trauma care in emergency departments (EDs) remains elusive.

Language: Английский

Citations

34
The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study DOI Creative Commons
Maarja Vislapuu, Renira C. Angeles, Line Iden Berge

et al.

BMC Health Services Research, Journal Year: 2021, Volume and Issue: 21(1)

Published: Sept. 22, 2021

COVID-19 isolated home-dwelling people with dementia (PwD) from home care services, respite care, and daytime activities. We aimed to investigate the consequences of these restrictions on informal (family, friends) formal (homecare staff) resource utilization among co-residing (e.g., spouses) visiting caregivers children).105 PwD (≥65 years old) their were included in prospective PANdemic DEMentia (PAN.DEM) study, which was initiated when ongoing stepped-wedge, cluster randomized [email protected] trial (N = 438) temporarily halted due pandemic. Primary outcome change assessed by Resource Utilization Dementia Care (RUD) instrument pre- (12 Dec. 2019 11 Mar. 2020) during lockdown periods (20 April 2020 15 May 2020). Degree cognitive impairment Mini-Mental Status Examination (MMSE), physical functioning independent living skills Physical Self-Maintenance Scale Lawton Instrumental Activities Daily Living Scale. Associations between utilization, socio-demographics, clinical variables descriptive statistics Ordinary Least Squares models (OLS).Mean age for 81.8 years; 61% female; 45.6% lived alone, mean MMSE score 20.8 (SD ± 3.7). co-residents (44%) younger (78.4 years) than those who alone (84.5 P < 0.001). During first 2 months lockdown, missed average 20.5 h a month (P 0.001) leading an approximately 100% increase particularly pronounced personal hygiene (6.9 vs. 11.4 days month, supervision (9.2 17.6 month; Visiting increased 1.9 11.5), but number providing ADL 7 per (β 6.9; CI, 0.39-13.1, 0.05) after adjusting caregiver demographics variables. Decrease nursing visible (- 6.1 -1.3 0.005). Higher function - 0.64, 1.26 0.02, 0.044) associated reduction service lockdown.The situation changed dramatically early phase pandemic, especially received less support homecare services caregivers. For future crises forthcoming post-pandemic period, health authorities must plan better identify prioritize greatest need.ClinicalTrials.gov ; NCT04043364 .

Language: Английский

Citations

34