cord-254753-viz37rzv	2020	The mission of the geriatric engagement and resource integration in post-acute and long-term care facilities (GERI-PaL) program is to support optimal care of residents in PA/LTC facilities during the COVID-19 pandemic. The prevention arm cultivates dialogue among an inter-23 professional academic clinical team (Geriatrics, Pulmonary, and Nursing), local government agencies 24 including our local health department and emergency management, and local organizations related to 25 prevention and treatment of COVID-19 in patients in PA/TLC facilities. The goal of the virtual meetings 53 was to connect long-term care facility administrators and directors of nursing to assess facility needs for 54 COVID-19 preparedness. From the relationships established via Project ECHO, academic nursing educators actively cultivated 65 relationships with local PA/LTC nursing leaders to determine facility needs for assistance with PPE, 66 improve care coordination between inpatient medical teams and facilities, and provide support to 67 optimize telemedicine consultation processes.
cord-259787-2sjnsb7m	2020	
cord-260110-8tud5fao	2020	title: Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents'' mental health: a data driven approach in New Brunswick Long-term care (LTC) residents, isolated because of the COVID-19 pandemic, are at increased risk for negative mental health outcomes. We present a supporting analysis of the effects of lockdown in homes without COVID-19 outbreaks on depression, delirium, and behaviour problems in a network of seven LTC homes in New Brunswick, Canada where mitigative strategies were deployed to minimize poor mental health outcomes (e.g., virtual visits, increased student volunteers). The purpose of our article is to demonstrate how thoughtful use of mitigating strategies (e.g., 74 window visits, use of technology) and clinical information systems like the interRAI LTCF can 75 inform clinical care and prevent worsening mental health outcomes (depression, delirium, and 76 behavioural problems) during the COVID-19 pandemic.
cord-264059-jf4j00bp	2019	
cord-264479-s20oacr9	2020	This editorial provides examples of how nursing home social workers are adapting the way they connect with residents and families during the pandemic and concludes with suggestions. In nursing homes experiencing PPE shortages, the lack of equipment means activities and social services staff cannot safely enter resident rooms. While a core function of the social work role has always been to anticipate, assess and address resident psychosocial needs, social workers have also been key liaisons between the family and the facility. In nursing homes with multiple COVID deaths, social workers leave work with a pit in their stomach from the phone conversations with family members to discuss what to do with the decedent''s body and their belongings. Including degreed and licensed social workers as part of the core team is a basic way to provide psychosocial care in nursing homes and enhance resident quality of life.
cord-265830-6shiocwr	2020	
cord-267664-vahd59z8	2020	
cord-270254-dp7z1kla	2020	title: How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19 We critically review the actions taken by Parc Sanitari Pere Virgili, a PAC facility in Barcelona, to manage the pandemic, including its administration, healthcare, communication, psychological support and ethical frameworks. Brief Summary: The paper describes how a large post-acute care facility in 23 Barcelona, was adapted at the outbreak of the COVID 19 pandemic to become 24 a polyvalent reference center for older COVID-19 patients assessed as not 25 requiring intensive care. 26 Key word: COVID-19, post-acute care, older adults, geriatrics, geriatric 27 syndromes, palliative care 28 Funding source: This research did not receive any funding from agencies in 29 the public, commercial, or not-for-profit sectors. Geriatric screening tools to select older adults susceptible for direct transfer from the emergency department to subacute intermediate-care hospitalization Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care Skilled Nursing Facility
cord-270935-t9pym9k0	2020	
cord-272772-zqmychmr	2020	Canada, and regions across the country begin phased re-openings, experts and advocates have 24 grown increasingly concerned that subsequent visiting policies and family caregiver access to 25 nursing home settings remain overly restrictive, causing substantial and potentially irreversible 26 harm to the health and wellbeing of residents. 4 A more balanced approach is needed that both 27 prevents the introduction of COVID-19 into nursing homes, but also allows family caregivers 28 and visitors to provide much needed contact, support and care to residents, to maintain their 29 overall health and wellbeing. These recommendations 68 focus on family caregivers and general visitors rather than essential support workers and nursing 69 home staff, and are made with the acknowledgement that the approach to visiting may need to be 70 dynamic based on the community prevalence of COVID-19.
cord-272995-yvj2pqh1	2020	Regarding visitor guidance, the panel made five strong recommendations: 1) maintain strong infection prevention and control precautions, 2) facilitate indoor and outdoor visits, 3) allow limited physical contact with appropriate precautions, 4) assess individual residents'' care preferences and level of risk tolerance, and 5) dedicate an essential caregiver and extend the definition of compassionate care visits to include care that promotes psychosocial wellbeing of residents. We edited the final guidance statements for clarity, aiming to capture the consensus of the Delphi aspects of the following topics (see Table 1 ): testing of asymptomatic staff and residents, 111 surveillance testing, visitor guidance, immunity from prior COVID-19 infection and associated 112 risk of infecting others. The panel 144 strongly agreed on some preconditions that would be essential prior to welcoming back visitors, 145 such as universal masking for staff, sufficient disinfecting supplies, PPE, and written plans 146 around isolation, cohorting, screening, testing, and outbreak investigations.
cord-274043-ifr0oo7u	2020	key: cord-274043-ifr0oo7u authors: Rozzini, Renzo title: The COVID Grim Reaper date: 2020-05-08 journal: J Am Med Dir Assoc cord_uid: ifr0oo7u This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. The COVID Grim Reaper Author: Head, Geriatric Dept Reference 23 COVID-19 in Italy: Ageism and Decision Making in a Pandemic The geriatrician: the frontline specialist in the treatment of 26 covid-19 patients -Gemelli against COVID-19 Geriatrics Team
cord-274508-nigru1o8	2020	
cord-276621-9exp8e7h	2020	
cord-277278-lg38l5gh	2020	
cord-289018-6rnvwptr	2020	
cord-290836-jldfrec9	2020	
cord-294423-3458rek8	2020	
cord-300620-scauefiv	2020	
cord-302180-sgg8pvm8	2020	
cord-306421-r8wzvpn5	2020	title: Dilemmas with restrictive visiting policies in Dutch nursing homes during the COVID-19 pandemic: a qualitative analysis of an open-ended questionnaire with elderly care physicians Objectives To mitigate the spread of COVID-19, a nationwide restriction for all visitors of residents of long-term care facilities including nursing homes (NHs) was established in the Netherlands. Thematic analysis revealed four major themes: (1) The need for balancing safety for all through infection prevention measures versus quality of life of the individual residents and their loved ones; (2) The challenge of assessing the dying phase and how the allowed exception to the strict visitor restriction in the dying phase could be implemented; (3) The profound emotional impact on ECPs; (4) Many alternatives for visits highlight the wish to compensate for the absence of face to face contact opportunities. Conclusions and Implications ECPs reported that the restrictive visitor policy deeply impacts NHs residents, their loved ones and care professionals.
cord-310123-h7i49pdb	2020	
cord-310961-e1mb7uuh	2020	
cord-312394-djjarc0f	2020	
cord-320104-cgzqwbzs	2020	
cord-321302-eowo2mt0	2020	authors: Spaetgens, Bart; Brouns, Steffie H.; Schols, Jos M.G.A. title: The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: a Dutch Perspective Morbidity and 7 mortality in nursing homes that suffered outbreaks of COVID-19 has been high 8 despite the fact that Dutch nursing home care benefits from well-developed care 9 infrastructures that are fully integrated in the national health sector. 2 Despite this, the 10 nursing home sector was overshadowed by the huge national attention for COVID-19 11 in acute hospital care, resulting in evident shortages of personal protective 12 equipment (PPE) and the inability to develop an adequate testing policy due to a too 13 low national test capacity as well. on behalf of AMDA -The Society for Post-acute 75 and Long-term Care Medicine. Allowing visitors back in the nursing home during the COVID-19 crisis -A Dutch 97 national study into first experiences and impact on well-being
cord-321606-o0gfukzg	2020	title: Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York 1 The objective of this study was to compare the characteristics 6 of nursing homes with COVID-19 deaths to other nursing homes using data from Connecticut, 7 New Jersey, and New York. 8 We merged data on nursing home characteristics from the 2017 LTCFocus database 9 (Long Term Care: Facts on Care in the US) with data on nursing homes with COVID-19 deaths 10 provided by the states of Connecticut , New Jersey, and New York. Data from Connecticut 11 included deaths as of April 16th, New Jersey as of April 20th, and New York as of April 15th. The results of our secondary analysis of nursing homes with 100 or more beds 46 (Table) were largely consistent with our primary analysis with one key exception; more direct 47 care hours per patient day were associated with a lower probability of COVID-19 deaths (-4 
cord-325128-r53up0ug	2020	
cord-325953-yvtyh27k	2020	title: Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong Maintaining zero COVID-19 infections among long term care facility residents in Hong Kong 3 4 1 In long-term care facilities (LTCFs), the risk of 6 serious outbreaks is great given a higher prevalence of dementia and potential poor resident 7 compliance with infection control measures such as hand hygiene and wearing of surgical masks. All staff (n=60) and most residents (n=102) in the involved 55 facilities were instructed to save deep throat secretions or throat swab for SARS-CoV-2 by real-time 56 reverse transcriptase polymerase chain reaction (rRT-PCR) and the tests were repeated 8-9 days apart 57 during the quarantine period. Conclusions and Implication: We achieved a zero COVID-19 infection rate among LTCF residents 64 because of strict hand hygiene, near 100% compliance among staff in wearing of surgical masks, 65 prohibition of visitors and reducing the frequency of on-site physician visits. Asymptomatic and Presymptomatic SARS-CoV-2 77 Infections in Residents of a Long-Term Care Skilled Nursing Facility -King County
cord-331520-o9e4qqn4	2020	
cord-333153-hjgf3ay8	2020	
cord-333960-pkpbts7s	2020	
cord-335131-u33dkgr1	2020	key: cord-335131-u33dkgr1 authors: Gunawan, Joko; Aungsuroch, Yupin; Marzilli, Colleen title: ''New Normal'' in Covid-19 Era: A Nursing Perspective from Thailand cord_uid: u33dkgr1 New Normal in Covid-19 Era. None Declared. This study was supported by the C2F Fund of Chulalongkorn University, Bangkok, Thailand. In conclusion, COVID-19 has brought many new features to life with both positive and 54 negative, or yin and yang effects. Human beings should learn from this phenomenon and use 55 creativity to find appropriate ways to adapt to the new reality. Like Nightingale said, the craving 56 Ministry of Public Health of Thailand. Thailand situation on Covid-19 Wash your hand!'': The old message from Florence Nightingale to battle 64 New concept of health with perspective of Chinese medicine Current mental health issues in the era of 68 What have we learned about nursing from the coronovirus pandemic All authors contributed equally in this work.Word counts: 721
cord-336467-w528t92h	2020	
cord-339292-mhbwjwrg	2020	
cord-340701-eeqgtk34	2020	title: COVID-19 and Nursing Home Residents'' Rights Born from a time when nursing homes residents were subject to physical 30 restraints and sedation, these rights sought to give residents greater control over daily routines 31 and social interactions 2 . While the Covid-19 pandemic seemed urgent and the risks to nursing home residents 39 were real, these directives superseded and countered residents'' rights. To have visitors at any time, as long as you wish to see them, as long 42 as the visit does not interfere with the provision of care and privacy rights of other residents." 4 43 As defined in the 45 federal register, §483.24 "Quality of life is a fundamental principle that applies to all care and 46 services provided to facility residents. Empowering the elderly nursing home resident: The resident rights 86 campaign Protect Nursing Home Residents from COVID 19 Your Rights and Protections as a 92 Nursing Home Resident
cord-345725-8ijgmbmr	2020	
cord-345746-6jvqsvy5	2020	
cord-345864-87b5qdjx	2020	
cord-353136-z5yo6wji	2020	
cord-353621-t5tev985	2020	key: cord-353621-t5tev985 title: Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery. cord_uid: t5tev985 Dear Editor, 1 We read with interest the paper by Cesari and 2 Proietti 1 entitled "COVID-19 in Italy: ageism and decision making in 3 a pandemic", which rejects a priori discrimination of aged people in 4 access to care. COVID-19 in Italy: ageism and decision 89 making in a pandemic Universal 93 do-not-resuscitate orders, social worth, and life-years: opposing 94 discriminatory approaches to the allocation of resources during the 95 COVID-19 pandemic and other health system satastrophes Fair allocation of scarce 98 medical resources in the time of Covid-19 Clinical ethics 101 recommendations for the allocation of intensive care treatments in 102 exceptional, resource-limited circumstances: the Italian 103 perspective during the COVID-19 epidemic. SIAARTI 106 recommendations for the allocation of intensive care treatments in 107 exceptional, resource-limited circumstances Critical Care Beds During the COVID-19 Pandemic
cord-354105-lgkfnmcm	2020	
cord-355256-7ksbvisv	2020