Carrel name: journal-jAmMedDirAssoc-cord Creating study carrel named journal-jAmMedDirAssoc-cord Initializing database file: cache/cord-260110-8tud5fao.json key: cord-260110-8tud5fao authors: McArthur, Caitlin; Saari, Margaret; Heckman, George A.; Wellens, Nathalie; Weir, Julie; Hebert, Paul; Turcotte, Luke; Jiblou, Jalila; Hirdes, John P. title: Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents’ mental health: a data driven approach in New Brunswick date: 2020-10-26 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.028 sha: doc_id: 260110 cord_uid: 8tud5fao file: cache/cord-259787-2sjnsb7m.json key: cord-259787-2sjnsb7m authors: Schlaudecker, Jeffrey D. title: Essential Family Caregivers in Long-term Care during the COVID-19 Pandemic date: 2020-05-21 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.027 sha: doc_id: 259787 cord_uid: 2sjnsb7m file: cache/cord-277278-lg38l5gh.json key: cord-277278-lg38l5gh authors: Tang, Olive; Bigelow, Benjamin F.; Sheikh, Fatima; Peters, Matthew; Zenilman, Jonathan M.; Bennett, Richard; Katz, Morgan J. title: Outcomes of nursing home COVID-19 patients by initial symptoms and comorbidity: Results of universal testing of 1,970 residents date: 2020-10-14 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.011 sha: doc_id: 277278 cord_uid: lg38l5gh file: cache/cord-274043-ifr0oo7u.json key: cord-274043-ifr0oo7u authors: Rozzini, Renzo title: The COVID Grim Reaper date: 2020-05-08 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.001 sha: doc_id: 274043 cord_uid: ifr0oo7u file: cache/cord-265830-6shiocwr.json key: cord-265830-6shiocwr authors: Frost, Rachael; Nimmons, Danielle; Davies, Nathan title: Using remote interventions in promoting the health of frail older persons following the COVID-19 lockdown: challenges and solutions date: 2020-05-25 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.038 sha: doc_id: 265830 cord_uid: 6shiocwr file: cache/cord-267664-vahd59z8.json key: cord-267664-vahd59z8 authors: Cesari, Matteo; Proietti, Marco title: COVID-19 in Italy: Ageism and Decision-Making in a Pandemic date: 2020-04-01 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.03.025 sha: doc_id: 267664 cord_uid: vahd59z8 file: cache/cord-274508-nigru1o8.json key: cord-274508-nigru1o8 authors: Lally, Michelle; Tsoukas, Philip; Halladay, Christopher; O’Neill, Emily; Gravenstein, Stefan; Rudolph, James L. title: Metformin is associated with Decreased 30-day Mortality among Nursing Home Residents Infected with SARS-CoV2 date: 2020-10-26 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.031 sha: doc_id: 274508 cord_uid: nigru1o8 file: cache/cord-312394-djjarc0f.json key: cord-312394-djjarc0f authors: Lynch, Richard M.; Goring, Reginald title: Practical Steps to Improve Air Flow in Long-Term Care Resident Rooms to Reduce COVID-19 Infection Risk date: 2020-04-10 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.04.001 sha: doc_id: 312394 cord_uid: djjarc0f file: cache/cord-264479-s20oacr9.json key: cord-264479-s20oacr9 authors: Bern-Klug, Mercedes; Beaulieu, Elise title: COVID-19 Highlights the Need for Trained Social Workers in Nursing Homes date: 2020-05-25 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.049 sha: doc_id: 264479 cord_uid: s20oacr9 file: cache/cord-345746-6jvqsvy5.json key: cord-345746-6jvqsvy5 authors: Resnick, Barbara title: What Have We Learned about Nursing from the Coronovirus Pandemic date: 2020-06-13 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.011 sha: doc_id: 345746 cord_uid: 6jvqsvy5 file: cache/cord-354105-lgkfnmcm.json key: cord-354105-lgkfnmcm authors: Office, Emma E.; Rodenstein, Marissa S.; Merchant, Tazim S.; Pendergrast, Tricia Rae; Lindquist, Lee A. title: Reducing Social Isolation of Seniors during COVID-19 through Medical Student Telephone Contact date: 2020-06-05 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.003 sha: doc_id: 354105 cord_uid: lgkfnmcm file: cache/cord-345725-8ijgmbmr.json key: cord-345725-8ijgmbmr authors: Shang, Jingjing; Chastain, Ashley M.; Perera, Uduwanage Gayani E.; Quigley, Denise D.; Fu, Caroline J.; Dick, Andrew W.; Pogorzelska-Maziarz, Monika; Stone, Patricia W. title: COVID-19 Preparedness in U.S. Home Healthcare Agencies date: 2020-06-04 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.002 sha: doc_id: 345725 cord_uid: 8ijgmbmr file: cache/cord-336467-w528t92h.json key: cord-336467-w528t92h authors: Anderson, Diana C.; Grey, Thomas; Kennelly, Sean; O'Neill, Desmond title: Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience date: 2020-10-31 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.09.005 sha: doc_id: 336467 cord_uid: w528t92h file: cache/cord-290836-jldfrec9.json key: cord-290836-jldfrec9 authors: Laosa, Olga; Pedraza, Laura; Álvarez-Bustos, Alejandro; Carnicero, Jose A.; Rodriguez-Artalejo, Fernando; Rodriguez-Mañas, Leocadio title: Rapid assessment at hospital admission of mortality risk from COVID-19: the role of functional status date: 2020-10-08 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.002 sha: doc_id: 290836 cord_uid: jldfrec9 file: cache/cord-300620-scauefiv.json key: cord-300620-scauefiv authors: Gillespie, Suzanne M.; Handler, Steven M.; Bardakh, Alex title: Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine date: 2020-07-28 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.054 sha: doc_id: 300620 cord_uid: scauefiv file: cache/cord-331520-o9e4qqn4.json key: cord-331520-o9e4qqn4 authors: Kistler, Christine E.; Jump, Robin L.P.; Sloane, Philip D.; Zimmerman, Sheryl title: The Winter Respiratory Viral Season During the COVID-19 Pandemic date: 2020-10-26 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.030 sha: doc_id: 331520 cord_uid: o9e4qqn4 file: cache/cord-335131-u33dkgr1.json key: cord-335131-u33dkgr1 authors: Gunawan, Joko; Aungsuroch, Yupin; Marzilli, Colleen title: ‘New Normal’ in Covid-19 Era: A Nursing Perspective from Thailand date: 2020-07-22 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.07.021 sha: doc_id: 335131 cord_uid: u33dkgr1 file: cache/cord-321606-o0gfukzg.json key: cord-321606-o0gfukzg authors: Unruh, Mark Aaron; Yun, Hyunkyung; Zhang, Yongkang; Braun, Robert T.; Jung, Hye-Young title: Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York date: 2020-06-15 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.019 sha: doc_id: 321606 cord_uid: o0gfukzg file: cache/cord-340701-eeqgtk34.json key: cord-340701-eeqgtk34 authors: Kusmaul, Nancy title: COVID-19 and Nursing Home Residents’ Rights date: 2020-07-29 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.07.035 sha: doc_id: 340701 cord_uid: eeqgtk34 file: cache/cord-321302-eowo2mt0.json key: cord-321302-eowo2mt0 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 date: 2020-06-29 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.045 sha: doc_id: 321302 cord_uid: eowo2mt0 file: cache/cord-302180-sgg8pvm8.json key: cord-302180-sgg8pvm8 authors: Blain, Hubert; Rolland, Yves; Tuaillon, Edouard; Giacosa, Nadia; Albrand, Mylène; Jaussent, Audrey; Benetos, Athanase; Miot, Stéphanie; Bousquet, Jean title: Efficacy of a Test-Retest Strategy in Residents and Health Care Personnel of a Nursing Home facing a COVID-19 Outbreak date: 2020-06-11 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.013 sha: doc_id: 302180 cord_uid: sgg8pvm8 file: cache/cord-272772-zqmychmr.json key: cord-272772-zqmychmr authors: Stall, Nathan M.; Johnstone, Jennie; McGeer, Allison J.; Dhuper, Misha; Dunning, Julie; Sinha, Samir K. title: Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic date: 2020-08-03 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.07.038 sha: doc_id: 272772 cord_uid: zqmychmr file: cache/cord-355256-7ksbvisv.json key: cord-355256-7ksbvisv authors: Sloane, Philip D. title: Cruise Ships, Nursing Homes and Prisons as COVID-19 Epicenters: A ‘Wicked Problem” with Breakthrough Solutions? date: 2020-04-30 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.04.020 sha: doc_id: 355256 cord_uid: 7ksbvisv file: cache/cord-339292-mhbwjwrg.json key: cord-339292-mhbwjwrg authors: Aubertin-Leheudre, M.; Rolland, Y. title: THE IMPORTANCE OF PHYSICAL ACTIVITY TO CARE FOR FRAIL OLDER ADULTS DURING THE COVID-19 PANDEMIC date: 2020-04-30 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.04.022 sha: doc_id: 339292 cord_uid: mhbwjwrg file: cache/cord-310123-h7i49pdb.json key: cord-310123-h7i49pdb authors: De Smet, Robert; Mellaerts, Bea; Vandewinckele, Hannelore; Lybeert, Peter; Frans, Eric; Ombelet, Sara; Lemahieu, Wim; Symons, Rolf; Ho, Erwin; Frans, Johan; Smismans, Annick; Laurent, Michaël R. title: Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study date: 2020-06-09 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.008 sha: doc_id: 310123 cord_uid: h7i49pdb file: cache/cord-320104-cgzqwbzs.json key: cord-320104-cgzqwbzs authors: Lester, Paula E.; Holahan, Timothy; Siskind, David; Healy, Elaine title: Policy Recommendations regarding Skilled Nursing Facility Management of COVID-19: Lessons From New York State date: 2020-06-02 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.058 sha: doc_id: 320104 cord_uid: cgzqwbzs file: cache/cord-353621-t5tev985.json key: cord-353621-t5tev985 authors: Gallina, Pasquale; Ricci, Marco; Pera, Marcello title: Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery. date: 2020-05-21 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.024 sha: doc_id: 353621 cord_uid: t5tev985 file: cache/cord-289018-6rnvwptr.json key: cord-289018-6rnvwptr authors: Wong, Serena P.; Jacobson, Heather N.; Massengill, Jennifer; White, Heidi K.; Yanamadala, Mamata title: Safe Inter-Organizational Health Information Exchange During the COVID-19 Pandemic date: 2020-10-22 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.022 sha: doc_id: 289018 cord_uid: 6rnvwptr file: cache/cord-333153-hjgf3ay8.json key: cord-333153-hjgf3ay8 authors: Griffith, Matthew F.; Levy, Cari R.; Parikh, Toral J.; Stevens-Lapsley, Jennifer E.; Eber, Leslie B.; Palat, Sing-I T.; Gozalo, Pedro L.; Teno, Joan M. title: Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia date: 2020-10-21 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.09.010 sha: doc_id: 333153 cord_uid: hjgf3ay8 file: cache/cord-310961-e1mb7uuh.json key: cord-310961-e1mb7uuh authors: Nouvenne, Antonio; Ticinesi, Andrea; Parise, Alberto; Prati, Beatrice; Esposito, Marcello; Cocchi, Valentina; Crisafulli, Emanuele; Volpi, Annalisa; Rossi, Sandra; Bignami, Elena Giovanna; Baciarello, Marco; Brianti, Ettore; Fabi, Massimo; Meschi, Tiziana title: Point-of-care chest ultrasonography as a diagnostic resource for COVID-19 outbreak in nursing homes date: 2020-05-25 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.050 sha: doc_id: 310961 cord_uid: e1mb7uuh file: cache/cord-294423-3458rek8.json key: cord-294423-3458rek8 authors: Boucher, Nathan A.; Van Houtven, Courtney H.; Dawson, Walter D. title: Older Adults Post-Incarceration: Restructuring Long-Term Services and Supports in the Time of COVID-19 date: 2020-09-29 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.09.030 sha: doc_id: 294423 cord_uid: 3458rek8 file: cache/cord-325128-r53up0ug.json key: cord-325128-r53up0ug authors: Diamantis, Sylvain; Noel, Coralie; Vignier, Nicolas; Gallien, Sébastien title: SARS-cov-2 related deaths in French long-term care facilities: the “confinement disease” is probably more deleterious than the COVID-19 itself date: 2020-05-03 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.04.023 sha: doc_id: 325128 cord_uid: r53up0ug file: cache/cord-345864-87b5qdjx.json key: cord-345864-87b5qdjx authors: Rudolph, James L.; Halladay, Christopher W.; Barber, Malisa; McCongehy, Kevin; Mor, Vince; Nanda, Aman; Gravenstein, Stefan title: Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2 date: 2020-06-09 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.009 sha: doc_id: 345864 cord_uid: 87b5qdjx file: cache/cord-264059-jf4j00bp.json key: cord-264059-jf4j00bp authors: Lee, Chien-Chang; Chang, Julia Chia-Yu; Mao, Xiao-Wei; Hsu, Wan-Ting; Chen, Shey-Ying; Chen, Yee-Chun; How, Chorng-Kuang title: Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection date: 2019-11-30 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2019.09.020 sha: doc_id: 264059 cord_uid: jf4j00bp file: cache/cord-325953-yvtyh27k.json key: cord-325953-yvtyh27k authors: Shea, Yat-Fung; Lam, Ho Yeung; Yuen, Jacqueline Kwan Yuk; Adrian Cheng, Ka Chun; Chan, Tuen Ching; Mok, Wing Yee Winnie; Chiu, Ka Chun Patrick; Luk, Ka Hay James; Chan, Hon Wai Felix title: Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong date: 2020-05-29 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.042 sha: doc_id: 325953 cord_uid: yvtyh27k file: cache/cord-254753-viz37rzv.json key: cord-254753-viz37rzv authors: Archbald-Pannone, Laurie R.; Harris, Drew A.; Albero, Kimberly; Steele, Rebecca L.; Pannone, Aaron F.; Mutter, Justin B. title: COVID-19 collaborative model for an academic hospital and long-term care facilities date: 2020-05-25 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.05.044 sha: doc_id: 254753 cord_uid: viz37rzv file: cache/cord-270935-t9pym9k0.json key: cord-270935-t9pym9k0 authors: Dumyati, Ghinwa; Gaur, Swati; Nace, David A.; Jump, Robin L.P. title: Does Universal Testing for COVID-19 Work for Everyone? date: 2020-08-15 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.08.013 sha: doc_id: 270935 cord_uid: t9pym9k0 file: cache/cord-353136-z5yo6wji.json key: cord-353136-z5yo6wji authors: Sepulveda, Edgardo R.; Stall, Nathan M.; Sinha, Samir K. title: A Comparison of COVID-19 Mortality Rates among Long-Term Care Residents in 12 OECD Countries date: 2020-09-12 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.08.039 sha: doc_id: 353136 cord_uid: z5yo6wji file: cache/cord-270254-dp7z1kla.json key: cord-270254-dp7z1kla authors: Inzitari, Marco; Udina, Cristina; Len, Oscar; Ars, Joan; Arnal, Cristina; Badani, Hugo; Davey, Vanessa; Risco, Ester; Ayats, Pere; de Andrés, Ana M.; Mayordomo, Cristina; Ros, Francisco J.; Morandi, Alessandro; Cesari, Matteo title: How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19 date: 2020-06-11 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.06.015 sha: doc_id: 270254 cord_uid: dp7z1kla file: cache/cord-333960-pkpbts7s.json key: cord-333960-pkpbts7s authors: Genet, Bastien; Vidal, Jean-Sébastien; Cohen, Adrien; Boully, Clémence; Beunardeau, Maelle; Harlé, Louise; Goncalves, Anna; Boudali, Yasmina; Hernandorena, Intza; Bailly, Henri; Lenoir, Hermine; Piccoli, Matthieu; Chahwakilian, Anne; Kermanach, Léna; de Jong, Laura; Duron, Emmanuelle; Girerd, Xavier; Hanon, Olivier title: COVID-19 in-hospital mortality and use of renin-angiotensin system blockers in geriatrics patients. date: 2020-09-09 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.09.004 sha: doc_id: 333960 cord_uid: pkpbts7s file: cache/cord-272995-yvj2pqh1.json key: cord-272995-yvj2pqh1 authors: Bergman, Christian; Stall, Nathan M.; Haimowitz, Daniel; Aronson, Louise; Lynn, Joanne; Steinberg, Karl; Wasserman, Michael title: Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel date: 2020-10-07 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.09.036 sha: doc_id: 272995 cord_uid: yvj2pqh1 file: cache/cord-306421-r8wzvpn5.json key: cord-306421-r8wzvpn5 authors: Sizoo, Eefje M.; Monnier, Annelie A.; Bloemen, Maryam; Hertogh, Cees M.P.M.; Smalbrugge, Martin 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 date: 2020-10-23 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.10.024 sha: doc_id: 306421 cord_uid: r8wzvpn5 file: cache/cord-276621-9exp8e7h.json key: cord-276621-9exp8e7h authors: Jacobs, Jeremy M.; Marcus, Esther-Lee; Stessman, Jochanan title: Prolonged Mechanical Ventilation: Symptomatology, Well-Being, and Attitudes to Life date: 2020-09-06 journal: J Am Med Dir Assoc DOI: 10.1016/j.jamda.2020.07.037 sha: doc_id: 276621 cord_uid: 9exp8e7h Reading metadata file and updating bibliogrpahics === updating bibliographic database Building study carrel named journal-jAmMedDirAssoc-cord === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37124 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37577 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37251 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37402 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37803 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37570 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37617 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37690 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37741 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37620 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37655 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38226 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38111 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38142 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38103 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37773 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38151 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38132 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38239 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38681 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 37965 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38238 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38868 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38137 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38149 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38150 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38872 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38916 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === OMP: Error #34: System unable to allocate necessary resources for OMP thread: OMP: System error #11: Resource temporarily unavailable OMP: Hint Try decreasing the value of OMP_NUM_THREADS. /data-disk/reader-compute/reader-cord/bin/file2bib.sh: line 39: 38108 Aborted $FILE2BIB "$FILE" > "$OUTPUT" === file2bib.sh === id: cord-274043-ifr0oo7u author: Rozzini, Renzo title: The COVID Grim Reaper date: 2020-05-08 pages: extension: .txt txt: ./txt/cord-274043-ifr0oo7u.txt cache: ./cache/cord-274043-ifr0oo7u.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-274043-ifr0oo7u.txt' === file2bib.sh === id: cord-335131-u33dkgr1 author: Gunawan, Joko title: ‘New Normal’ in Covid-19 Era: A Nursing Perspective from Thailand date: 2020-07-22 pages: extension: .txt txt: ./txt/cord-335131-u33dkgr1.txt cache: ./cache/cord-335131-u33dkgr1.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-335131-u33dkgr1.txt' === file2bib.sh === id: cord-321606-o0gfukzg author: Unruh, Mark Aaron title: Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York date: 2020-06-15 pages: extension: .txt txt: ./txt/cord-321606-o0gfukzg.txt cache: ./cache/cord-321606-o0gfukzg.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-321606-o0gfukzg.txt' === file2bib.sh === id: cord-270254-dp7z1kla author: Inzitari, Marco title: How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19 date: 2020-06-11 pages: extension: .txt txt: ./txt/cord-270254-dp7z1kla.txt cache: ./cache/cord-270254-dp7z1kla.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-270254-dp7z1kla.txt' === file2bib.sh === id: cord-353621-t5tev985 author: Gallina, Pasquale title: Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery. date: 2020-05-21 pages: extension: .txt txt: ./txt/cord-353621-t5tev985.txt cache: ./cache/cord-353621-t5tev985.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-353621-t5tev985.txt' === file2bib.sh === id: cord-260110-8tud5fao author: McArthur, Caitlin title: Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents’ mental health: a data driven approach in New Brunswick date: 2020-10-26 pages: extension: .txt txt: ./txt/cord-260110-8tud5fao.txt cache: ./cache/cord-260110-8tud5fao.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 4 resourceName b'cord-260110-8tud5fao.txt' === file2bib.sh === id: cord-321302-eowo2mt0 author: Spaetgens, Bart title: The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: a Dutch Perspective date: 2020-06-29 pages: extension: .txt txt: ./txt/cord-321302-eowo2mt0.txt cache: ./cache/cord-321302-eowo2mt0.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-321302-eowo2mt0.txt' === file2bib.sh === id: cord-340701-eeqgtk34 author: Kusmaul, Nancy title: COVID-19 and Nursing Home Residents’ Rights date: 2020-07-29 pages: extension: .txt txt: ./txt/cord-340701-eeqgtk34.txt cache: ./cache/cord-340701-eeqgtk34.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-340701-eeqgtk34.txt' === file2bib.sh === id: cord-325953-yvtyh27k author: Shea, Yat-Fung title: Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong date: 2020-05-29 pages: extension: .txt txt: ./txt/cord-325953-yvtyh27k.txt cache: ./cache/cord-325953-yvtyh27k.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-325953-yvtyh27k.txt' === file2bib.sh === id: cord-264479-s20oacr9 author: Bern-Klug, Mercedes title: COVID-19 Highlights the Need for Trained Social Workers in Nursing Homes date: 2020-05-25 pages: extension: .txt txt: ./txt/cord-264479-s20oacr9.txt cache: ./cache/cord-264479-s20oacr9.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-264479-s20oacr9.txt' === file2bib.sh === id: cord-254753-viz37rzv author: Archbald-Pannone, Laurie R. title: COVID-19 collaborative model for an academic hospital and long-term care facilities date: 2020-05-25 pages: extension: .txt txt: ./txt/cord-254753-viz37rzv.txt cache: ./cache/cord-254753-viz37rzv.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-254753-viz37rzv.txt' === file2bib.sh === id: cord-306421-r8wzvpn5 author: Sizoo, Eefje M. 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 date: 2020-10-23 pages: extension: .txt txt: ./txt/cord-306421-r8wzvpn5.txt cache: ./cache/cord-306421-r8wzvpn5.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-306421-r8wzvpn5.txt' === file2bib.sh === id: cord-272772-zqmychmr author: Stall, Nathan M. title: Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic date: 2020-08-03 pages: extension: .txt txt: ./txt/cord-272772-zqmychmr.txt cache: ./cache/cord-272772-zqmychmr.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 2 resourceName b'cord-272772-zqmychmr.txt' === file2bib.sh === id: cord-272995-yvj2pqh1 author: Bergman, Christian title: Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel date: 2020-10-07 pages: extension: .txt txt: ./txt/cord-272995-yvj2pqh1.txt cache: ./cache/cord-272995-yvj2pqh1.txt Content-Encoding UTF-8 Content-Type text/plain; charset=UTF-8 X-Parsed-By ['org.apache.tika.parser.DefaultParser', 'org.apache.tika.parser.csv.TextAndCSVParser'] X-TIKA:content_handler ToTextContentHandler X-TIKA:embedded_depth 0 X-TIKA:parse_time_millis 3 resourceName b'cord-272995-yvj2pqh1.txt' Que is empty; done journal-jAmMedDirAssoc-cord === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-264479-s20oacr9 author = Bern-Klug, Mercedes title = COVID-19 Highlights the Need for Trained Social Workers in Nursing Homes date = 2020-05-25 pages = extension = .txt mime = text/plain words = 1742 sentences = 101 flesch = 56 summary = 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. cache = ./cache/cord-264479-s20oacr9.txt txt = ./txt/cord-264479-s20oacr9.txt === reduce.pl bib === id = cord-274043-ifr0oo7u author = Rozzini, Renzo title = The COVID Grim Reaper date = 2020-05-08 pages = extension = .txt mime = text/plain words = 160 sentences = 19 flesch = 68 summary = 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 cache = ./cache/cord-274043-ifr0oo7u.txt txt = ./txt/cord-274043-ifr0oo7u.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-260110-8tud5fao author = McArthur, Caitlin title = Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents’ mental health: a data driven approach in New Brunswick date = 2020-10-26 pages = extension = .txt mime = text/plain words = 1862 sentences = 99 flesch = 48 summary = 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. cache = ./cache/cord-260110-8tud5fao.txt txt = ./txt/cord-260110-8tud5fao.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-272772-zqmychmr author = Stall, Nathan M. title = Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic date = 2020-08-03 pages = extension = .txt mime = text/plain words = 4438 sentences = 257 flesch = 51 summary = 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. cache = ./cache/cord-272772-zqmychmr.txt txt = ./txt/cord-272772-zqmychmr.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-306421-r8wzvpn5 author = Sizoo, Eefje M. 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 date = 2020-10-23 pages = extension = .txt mime = text/plain words = 3777 sentences = 286 flesch = 64 summary = 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. cache = ./cache/cord-306421-r8wzvpn5.txt txt = ./txt/cord-306421-r8wzvpn5.txt === reduce.pl bib === id = cord-340701-eeqgtk34 author = Kusmaul, Nancy title = COVID-19 and Nursing Home Residents’ Rights date = 2020-07-29 pages = extension = .txt mime = text/plain words = 516 sentences = 46 flesch = 65 summary = 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 cache = ./cache/cord-340701-eeqgtk34.txt txt = ./txt/cord-340701-eeqgtk34.txt === reduce.pl bib === === reduce.pl bib === id = cord-270254-dp7z1kla author = Inzitari, Marco title = How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19 date = 2020-06-11 pages = extension = .txt mime = text/plain words = 826 sentences = 48 flesch = 48 summary = 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 cache = ./cache/cord-270254-dp7z1kla.txt txt = ./txt/cord-270254-dp7z1kla.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-335131-u33dkgr1 author = Gunawan, Joko title = ‘New Normal’ in Covid-19 Era: A Nursing Perspective from Thailand date = 2020-07-22 pages = extension = .txt mime = text/plain words = 192 sentences = 28 flesch = 76 summary = 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 cache = ./cache/cord-335131-u33dkgr1.txt txt = ./txt/cord-335131-u33dkgr1.txt === reduce.pl bib === id = cord-325953-yvtyh27k author = Shea, Yat-Fung title = Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong date = 2020-05-29 pages = extension = .txt mime = text/plain words = 527 sentences = 41 flesch = 59 summary = 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 cache = ./cache/cord-325953-yvtyh27k.txt txt = ./txt/cord-325953-yvtyh27k.txt === reduce.pl bib === === reduce.pl bib === id = cord-321302-eowo2mt0 author = Spaetgens, Bart title = The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: a Dutch Perspective date = 2020-06-29 pages = extension = .txt mime = text/plain words = 387 sentences = 35 flesch = 66 summary = 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 cache = ./cache/cord-321302-eowo2mt0.txt txt = ./txt/cord-321302-eowo2mt0.txt === reduce.pl bib === id = cord-272995-yvj2pqh1 author = Bergman, Christian title = Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel date = 2020-10-07 pages = extension = .txt mime = text/plain words = 6339 sentences = 340 flesch = 51 summary = 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. cache = ./cache/cord-272995-yvj2pqh1.txt txt = ./txt/cord-272995-yvj2pqh1.txt === reduce.pl bib === id = cord-321606-o0gfukzg author = Unruh, Mark Aaron title = Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York date = 2020-06-15 pages = extension = .txt mime = text/plain words = 558 sentences = 40 flesch = 66 summary = 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 cache = ./cache/cord-321606-o0gfukzg.txt txt = ./txt/cord-321606-o0gfukzg.txt === reduce.pl bib === id = cord-353621-t5tev985 author = Gallina, Pasquale title = Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery. date = 2020-05-21 pages = extension = .txt mime = text/plain words = 315 sentences = 25 flesch = 59 summary = 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 cache = ./cache/cord-353621-t5tev985.txt txt = ./txt/cord-353621-t5tev985.txt === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === === reduce.pl bib === id = cord-254753-viz37rzv author = Archbald-Pannone, Laurie R. title = COVID-19 collaborative model for an academic hospital and long-term care facilities date = 2020-05-25 pages = extension = .txt mime = text/plain words = 1240 sentences = 72 flesch = 43 summary = 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. cache = ./cache/cord-254753-viz37rzv.txt txt = ./txt/cord-254753-viz37rzv.txt ===== Reducing email addresses Creating transaction Updating adr table ===== Reducing keywords cord-260110-8tud5fao cord-277278-lg38l5gh cord-267664-vahd59z8 cord-265830-6shiocwr cord-274043-ifr0oo7u cord-259787-2sjnsb7m cord-345746-6jvqsvy5 cord-274508-nigru1o8 cord-354105-lgkfnmcm cord-264479-s20oacr9 cord-312394-djjarc0f cord-336467-w528t92h cord-290836-jldfrec9 cord-345725-8ijgmbmr cord-300620-scauefiv cord-321606-o0gfukzg cord-340701-eeqgtk34 cord-353621-t5tev985 cord-320104-cgzqwbzs cord-335131-u33dkgr1 cord-321302-eowo2mt0 cord-339292-mhbwjwrg cord-289018-6rnvwptr cord-355256-7ksbvisv cord-333153-hjgf3ay8 cord-310961-e1mb7uuh cord-272772-zqmychmr cord-331520-o9e4qqn4 cord-302180-sgg8pvm8 cord-310123-h7i49pdb cord-294423-3458rek8 cord-264059-jf4j00bp cord-345864-87b5qdjx cord-333960-pkpbts7s cord-325128-r53up0ug cord-272995-yvj2pqh1 cord-325953-yvtyh27k cord-254753-viz37rzv cord-270254-dp7z1kla cord-270935-t9pym9k0 cord-306421-r8wzvpn5 cord-353136-z5yo6wji cord-276621-9exp8e7h Creating transaction Updating wrd table ===== Reducing urls parallel: Warning: No more processes: Decreasing number of running jobs to 1. parallel: Warning: Raising ulimit -u or /etc/security/limits.conf may help. cord-264479-s20oacr9 cord-272772-zqmychmr Creating transaction Updating url table ===== Reducing named entities cord-290836-jldfrec9 cord-260110-8tud5fao cord-259787-2sjnsb7m cord-274043-ifr0oo7u cord-274508-nigru1o8 cord-345746-6jvqsvy5 cord-345725-8ijgmbmr cord-300620-scauefiv cord-336467-w528t92h cord-312394-djjarc0f cord-264479-s20oacr9 cord-265830-6shiocwr cord-331520-o9e4qqn4 cord-277278-lg38l5gh cord-267664-vahd59z8 cord-354105-lgkfnmcm cord-321606-o0gfukzg cord-321302-eowo2mt0 cord-272772-zqmychmr cord-339292-mhbwjwrg cord-335131-u33dkgr1 cord-355256-7ksbvisv cord-289018-6rnvwptr cord-310123-h7i49pdb cord-325128-r53up0ug cord-333153-hjgf3ay8 cord-345864-87b5qdjx cord-264059-jf4j00bp cord-353136-z5yo6wji cord-270935-t9pym9k0 cord-254753-viz37rzv cord-272995-yvj2pqh1 cord-306421-r8wzvpn5 cord-270254-dp7z1kla cord-333960-pkpbts7s cord-276621-9exp8e7h cord-340701-eeqgtk34 cord-302180-sgg8pvm8 cord-294423-3458rek8 cord-353621-t5tev985 cord-320104-cgzqwbzs cord-325953-yvtyh27k cord-310961-e1mb7uuh Creating transaction Updating ent table ===== Reducing parts of speech cord-274043-ifr0oo7u cord-267664-vahd59z8 cord-277278-lg38l5gh cord-274508-nigru1o8 cord-264479-s20oacr9 cord-259787-2sjnsb7m cord-354105-lgkfnmcm cord-331520-o9e4qqn4 cord-260110-8tud5fao cord-321302-eowo2mt0 cord-302180-sgg8pvm8 cord-272772-zqmychmr cord-310961-e1mb7uuh cord-312394-djjarc0f cord-353621-t5tev985 cord-355256-7ksbvisv cord-265830-6shiocwr cord-339292-mhbwjwrg cord-290836-jldfrec9 cord-333153-hjgf3ay8 cord-336467-w528t92h cord-340701-eeqgtk34 cord-300620-scauefiv cord-335131-u33dkgr1 cord-320104-cgzqwbzs cord-321606-o0gfukzg cord-325953-yvtyh27k cord-270254-dp7z1kla cord-264059-jf4j00bp cord-254753-viz37rzv cord-345746-6jvqsvy5 cord-289018-6rnvwptr cord-276621-9exp8e7h cord-306421-r8wzvpn5 cord-272995-yvj2pqh1 cord-294423-3458rek8 cord-345725-8ijgmbmr cord-310123-h7i49pdb cord-345864-87b5qdjx cord-333960-pkpbts7s cord-270935-t9pym9k0 cord-353136-z5yo6wji cord-325128-r53up0ug Creating transaction Updating pos table Building ./etc/reader.txt cord-272772-zqmychmr cord-336467-w528t92h cord-272995-yvj2pqh1 cord-336467-w528t92h cord-272995-yvj2pqh1 cord-333153-hjgf3ay8 number of items: 43 sum of words: 22,879 average size in words: 1,634 average readability score: 58 nouns: care; residents; nursing; home; patients; homes; staff; health; study; term; infection; testing; mortality; family; pandemic; resident; risk; adults; disease; hospital; age; time; life; hospitalization; facility; visitors; facilities; data; symptoms; pneumonia; quality; results; people; outcomes; ventilation; participants; caregivers; test; use; community; years; days; support; visits; telemedicine; cohort; cases; isolation; virus; settings verbs: included; used; providing; tested; increase; associated; basing; follows; making; reported; identified; needed; allowed; consider; hospitalized; support; remaining; treating; requires; receiving; compared; visit; show; related; reduced; live; dying; assess; improve; evaluated; covid-19; nursing; take; defined; collected; suggesting; developed; described; care; limited; aging; maintain; regarding; known; help; give; experiencing; confirmed; working; recovered adjectives: older; respiratory; long; covid-19; social; acute; clinical; asymptomatic; severe; positive; medical; many; functional; physical; viral; high; chronic; rapid; local; negative; key; important; higher; available; significant; first; elderly; resident; critical; cognitive; geriatric; frail; essential; mental; antibiotic; potential; mechanical; appropriate; similar; public; new; diagnostic; current; systematic; personal; infectious; possible; patient; low; common adverbs: also; well; however; prior; significantly; even; often; previously; particularly; long; still; currently; especially; now; therefore; less; potentially; instead; already; typically; respectively; rather; furthermore; frequently; first; safely; rapidly; outside; directly; back; approximately; alone; additionally; longer; indeed; soon; similarly; severely; recently; primarily; largely; home; together; relatively; otherwise; least; fully; daily; critically; always pronouns: we; their; our; they; it; them; i; its; you; her; your; themselves; my; his; us; he; one; itself; yourself; she; me proper nouns: COVID-19; SARS; CoV-2; Care; Nursing; PPE; Health; Long; J; •; PMV; PCR; Term; LTC; Home; Coronavirus; Med; Assoc; Dir; Am; New; Disease; PCT; March; ED; sha; Homes; Facility; ACEI; Italy; ADL; RT; NH; CFS; Medicare; MDS; Pandemic; LTAC; Table; Control; CMS; ARB; COVID; Family; Services; April; Medicaid; Centers; U.S.; States keywords: covid-19; sars; care; resident; old; ltc; home; test; social; respiratory; patient; nursing; ultrasound; thailand; telemedicine; quality; ppe; pmv; pct; paltc; nurse; new; netherlands; mds; ltcf; ltac; italy; health; family; covid; cfs; arb; age; acei one topic; one dimension: covid file(s): https://www.sciencedirect.com/science/article/pii/S1525861020309154?v=s5 titles(s): Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents’ mental health: a data driven approach in New Brunswick three topics; one dimension: care; covid; nursing file(s): https://www.sciencedirect.com/science/article/pii/S1525861020308367?v=s5, https://www.ncbi.nlm.nih.gov/pubmed/32674821/, https://www.ncbi.nlm.nih.gov/pubmed/31791902/ titles(s): Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel | Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study | Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection five topics; three dimensions: care covid nursing; covid residents testing; nursing care residents; respiratory patients older; snf snfs centered file(s): https://api.elsevier.com/content/article/pii/S1525861020306629, https://www.ncbi.nlm.nih.gov/pubmed/32674821/, https://www.sciencedirect.com/science/article/pii/S152586102030788X, https://www.ncbi.nlm.nih.gov/pubmed/31791902/, https://www.ncbi.nlm.nih.gov/pubmed/32674814/ titles(s): Prolonged Mechanical Ventilation: Symptomatology, Well-Being, and Attitudes to Life | Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study | Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience | Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection | Policy Recommendations regarding Skilled Nursing Facility Management of COVID-19: Lessons From New York State Type: cord title: journal-jAmMedDirAssoc-cord date: 2021-05-30 time: 15:05 username: emorgan patron: Eric Morgan email: emorgan@nd.edu input: facet_journal:"J Am Med Dir Assoc" ==== make-pages.sh htm files ==== make-pages.sh complex files ==== make-pages.sh named enities ==== making bibliographics id: cord-336467-w528t92h author: Anderson, Diana C. title: Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience date: 2020-10-31 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Many nursing home design models can have a negative impact on older people and these flaws have been compounded by Coronavirus Disease 2019 and related infection control failures. This article proposes that there is now an urgent need to examine these architectural design models and provide alternative and holistic models that balance infection control and quality of life at multiple spatial scales in existing and proposed settings. Moreover, this article argues that there is a convergence on many fronts between these issues and that certain design models and approaches that improve quality of life, will also benefit infection control, support greater resilience, and in turn improve overall pandemic preparedness. url: https://www.sciencedirect.com/science/article/pii/S152586102030788X doi: 10.1016/j.jamda.2020.09.005 id: cord-254753-viz37rzv author: Archbald-Pannone, Laurie R. title: COVID-19 collaborative model for an academic hospital and long-term care facilities date: 2020-05-25 words: 1240.0 sentences: 72.0 pages: flesch: 43.0 cache: ./cache/cord-254753-viz37rzv.txt txt: ./txt/cord-254753-viz37rzv.txt summary: 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. abstract: Abstract The COVID-19 pandemic is devastating post-acute and long-term care (PA/LTC). As geriatricians practicing in PA/LTC and a regional academic medical center, we created this program for collaboration between academic medical centers and regional PA/LTC facilities. 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. There are 5 main components of our program: (1) Project ECHO; (2) Nursing liaisons; (3) Infection advisory consultation; (4) Telemedicine consultation; and (5) Resident social contact remote connections. Implementation of this program has had positive response from our local PA/LTC facilities. A key component of our program is our inter-professional team, which includes physicians, nursing, emergency response, and public health experts. With diverse professional backgrounds, our team have created a new model for academic medical centers to collaborate with local PA/LTC facilities. url: https://www.sciencedirect.com/science/article/pii/S1525861020304473?v=s5 doi: 10.1016/j.jamda.2020.05.044 id: cord-339292-mhbwjwrg author: Aubertin-Leheudre, M. title: THE IMPORTANCE OF PHYSICAL ACTIVITY TO CARE FOR FRAIL OLDER ADULTS DURING THE COVID-19 PANDEMIC date: 2020-04-30 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Summary COVID-19 restrictions could decreased physical and mental health. Simple, adapted and specific physical activities should be implemented and considered as the best solution to care for frail elderly during the COVID-19 pandemic. url: https://doi.org/10.1016/j.jamda.2020.04.022 doi: 10.1016/j.jamda.2020.04.022 id: cord-272995-yvj2pqh1 author: Bergman, Christian title: Recommendations for Welcoming Back Nursing Home Visitors during the COVID-19 Pandemic: Results of a Delphi Panel date: 2020-10-07 words: 6339.0 sentences: 340.0 pages: flesch: 51.0 cache: ./cache/cord-272995-yvj2pqh1.txt txt: ./txt/cord-272995-yvj2pqh1.txt summary: 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. abstract: Objectives Nursing homes became epicenters of COVID-19 in the spring of 2020. Due to the substantial case fatality rates within congregate settings, federal agencies recommended restrictions to family visits. Six months into the COVID-19 pandemic, these largely remain in place. The objective of this study was to generate consensus guidance statements focusing on essential family caregivers and visitors. Design A modified two-step Delphi process was used to generate consensus statements. Setting and Participants The Delphi panel consisted of 21 US and Canadian post-acute and long-term care experts in clinical medicine, administration, and patient care advocacy. Methods State and federal reopening statements were collected in June 2020 and the panel voted on these using a three-point Likert scale with consensus defined as ≥80% of panel members voting “Agree.” The consensus statements then informed development of the visitor guidance statements. Results The Delphi process yielded 77 consensus statements. 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. Conclusions and Implications The COVID-19 pandemic has seen substantial regulatory changes without strong consideration of the impact on residents. In the absence of timely and rigorous research, the involvement of clinicians and patient care advocates is important to help create the balance between individual resident preferences and the health of the collective. The results of this evidence-based Delphi process will help guide policy decisions as well as inform future research. url: https://www.sciencedirect.com/science/article/pii/S1525861020308367?v=s5 doi: 10.1016/j.jamda.2020.09.036 id: cord-264479-s20oacr9 author: Bern-Klug, Mercedes title: COVID-19 Highlights the Need for Trained Social Workers in Nursing Homes date: 2020-05-25 words: 1742.0 sentences: 101.0 pages: flesch: 56.0 cache: ./cache/cord-264479-s20oacr9.txt txt: ./txt/cord-264479-s20oacr9.txt summary: 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. abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32561232/ doi: 10.1016/j.jamda.2020.05.049 id: cord-302180-sgg8pvm8 author: Blain, Hubert title: Efficacy of a Test-Retest Strategy in Residents and Health Care Personnel of a Nursing Home facing a COVID-19 Outbreak date: 2020-06-11 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract Objective To assess the American Testing Guidance for Nursing Homes (NHs) - updated May 19, 2020 - with a new COVID-19 case. Design Case investigation. Setting and Subjects: All 79 residents and 34 Health Care Personnel (HCP) of a NH. Methods 7 days after identification of a COVID-19 resident, all residents and HCP underwent rRT-PCR testing for SARS-CoV-2 with nasopharyngeal swabs. This was repeated weekly in all previously negative subjects until the testing identified no new cases and in all positive subjects until the testing was negative. COVID-19 infection prevention and control (IPC) measures were implemented in all residents and HCP with positive testing or with COVID-19 symptoms. Standard IPC was also implemented in all HCP. Six weeks after initial testing, all residents underwent testing for ELISA-based IgG antibodies directed against the SARS-CoV-2. Symptoms were serially recorded in residents and HCP. Results 36 residents had a positive RT-PCR at baseline and two at day 7. Six HCP had a positive RT-PCR at baseline and two at day 7. No new COVID-19 cases were diagnosed later. Among the SARS-CoV-2-positive cases, six residents (16%) and three HCP (37%) were asymptomatic during the 14 days before testing. Twenty-five residents (92.3%) and all 8 HCP (100%) with a positive RT-PCR developed IgG antibodies against SARS-CoV-2. Among the residents and HCP always having tested negative, 2 (5%) and 5 (11.5%) developed IgG antibodies against SARS-CoV-2. These 2 residents had typical COVID-19 symptoms before and after testing and 2/5 HCP were asymptomatic before and after testing. Conclusions and Implications This study shows the validity of the updated American Testing Guidance for Nursing Homes (NHs). It suggests implementing COVID-19 IPC in both residents and HCP with positive testing or COVID-19 symptoms and warns that asymptomatic HCP with repeated negative RT-PCR testing can develop antibodies against SARS-CoV-2. url: https://api.elsevier.com/content/article/pii/S1525861020305181 doi: 10.1016/j.jamda.2020.06.013 id: cord-294423-3458rek8 author: Boucher, Nathan A. title: Older Adults Post-Incarceration: Restructuring Long-Term Services and Supports in the Time of COVID-19 date: 2020-09-29 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Objectives To describe long-term care services and supports (LTSS) in the US, note their limitations in serving older adults post-incarceration, and offer potential solutions – with special consideration for the COVID-19 pandemic. Design Narrative review Setting and Participants: Long-term care services and supports for older adults post-incarceration Methods Literature review and policy analysis Results Skilled nursing facilities, nursing homes, assisted living, adult foster homes, and informal care from family and friends compose LTSS for older adults, but their utilization suffers from access and payment complexities, especially for older adults post-incarceration. A combination of public-private partnerships, utilization of health professional trainees, and unique approaches to informal caregiver support, including direct compensation to caregivers, could help older adults reentering our communities following prison. Conclusions and Implications Long-standing gaps in US LTSS are revealed by the coronavirus (SARS-CoV-2) pandemic. Older adults entering our communities from prison are particularly vulnerable and need unique solutions to aging care as they face stigma and access challenges not typically encountered by the general population. Our review and discussion offer guidance to systems, practitioners, and policy makers on how to improve the care of older adults post-incarceration. url: https://api.elsevier.com/content/article/pii/S1525861020308306 doi: 10.1016/j.jamda.2020.09.030 id: cord-267664-vahd59z8 author: Cesari, Matteo title: COVID-19 in Italy: Ageism and Decision-Making in a Pandemic date: 2020-04-01 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://doi.org/10.1016/j.jamda.2020.03.025 doi: 10.1016/j.jamda.2020.03.025 id: cord-310123-h7i49pdb author: De Smet, Robert title: Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study date: 2020-06-09 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: ABSTRACT Objectives To determine the association between frailty and short-term mortality in older adults hospitalized for coronavirus disease 2019 (COVID-19). Design Retrospective single-center observational study. Setting and participants: N = 81 patients with COVID-19 confirmed by reverse-transcriptase polymerase chain reaction (RT-PCR), at the Geriatrics department of a general hospital in Belgium. Measure ments: Frailty was graded according to the Rockwood Clinical Frailty Scale (CFS). Demographic, biochemical and radiological variables, co-morbidities, symptoms and treatment were extracted from electronic medical records. Results Participants (N = 48 women, 59%) had a median age of 85 years (range 65 – 97 years), median CFS score of 7 (range 2 – 9), and 42 (52%) were long-term care residents. Within six weeks, eighteen patients died. Mortality was significantly but weakly associated with age (Spearman r = 0.241, P = 0.03) and CFS score (r = 0.282, P = 0.011), baseline lactate dehydrogenase (LDH) (r = 0.301, P = 0.009), lymphocyte count (r = -0.262, P = 0.02) and RT-PCR cycle threshold (Ct, r = -0.285, P = 0.015). Mortality was not associated with long-term care residence, dementia, delirium or polypharmacy. In multivariable logistic regression analyses, CFS, LDH and RT-PCR Ct (but not age) remained independently associated with mortality. Both age and frailty had poor specificity to predict survival. A multivariable model combining age, CFS, LDH and viral load significantly predicted survival. Conclusions and implications Although their prognosis is worse, even the oldest and most severely frail patients may benefit from hospitalization for COVID-19, if sufficient resources are available. url: https://www.ncbi.nlm.nih.gov/pubmed/32674821/ doi: 10.1016/j.jamda.2020.06.008 id: cord-325128-r53up0ug author: Diamantis, Sylvain title: SARS-cov-2 related deaths in French long-term care facilities: the “confinement disease” is probably more deleterious than the COVID-19 itself date: 2020-05-03 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32507530/ doi: 10.1016/j.jamda.2020.04.023 id: cord-270935-t9pym9k0 author: Dumyati, Ghinwa title: Does Universal Testing for COVID-19 Work for Everyone? date: 2020-08-15 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract The COVID-19 pandemic has been especially devastating among nursing home residents, with both the health circumstances of individual residents as well as communal living settings contributing to increased morbidity and mortality. Preventing the spread of COVID-19 infection requires a multipronged approach that includes early identification of infected residents and healthcare personnel, compliance with infection prevention and control measures, cohorting infected residents, and furlough of infected staff. Strategies to address COVID-19 infections among nursing home residents vary based on the availability for SARS-CoV-2 tests, the incorporation of tests into broader surveillance efforts, and using results to help mitigate the spread of COVID-19 by identifying asymptomatic and presymptomatic infections. We review the tests available to diagnose COVID-19 infections, the implications of universal testing for nursing home staff and residents, interpretation of test results, issues around repeat testing, and incorporation of test results as part of a long-term response to the COVID-19 pandemic. We propose a structured approach for facility-wide testing of resident and staff and provide alternatives if testing capacity is limited, emphasizing contact tracing. Nursing homes with strong screening protocols for residents and staff, that engage in contact tracing for new cases, and that continue to remain vigilant about infection prevent and control practices, may better serve their residents and staff by thoughtful use of symptom- and risk-based testing strategies. url: https://www.sciencedirect.com/science/article/pii/S1525861020307039?v=s5 doi: 10.1016/j.jamda.2020.08.013 id: cord-265830-6shiocwr author: Frost, Rachael title: Using remote interventions in promoting the health of frail older persons following the COVID-19 lockdown: challenges and solutions date: 2020-05-25 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: In light of the Covid-19 pandemic, many older people across the world are being asked to self-isolate to protect their health. This has led to a rapid reconfiguration of health promotion services, which are diverse in focus, and may include exercise, dietary interventions or psychosocial interventions, towards remote delivery, for example by phone or using computers. Whilst currently they are unable to be safely delivered any other way, there are concerns that these remote interventions may replace face-to-face interventions beyond the end of social restrictions. We advocate caution with taking this forward, particularly for frailer older people. url: https://www.ncbi.nlm.nih.gov/pubmed/32553491/ doi: 10.1016/j.jamda.2020.05.038 id: cord-353621-t5tev985 author: Gallina, Pasquale title: Covid-19: Decisions to offer interventions with limited availability should be decided based on chance of recovery. date: 2020-05-21 words: 315.0 sentences: 25.0 pages: flesch: 59.0 cache: ./cache/cord-353621-t5tev985.txt txt: ./txt/cord-353621-t5tev985.txt summary: 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 abstract: nan url: https://doi.org/10.1016/j.jamda.2020.05.024 doi: 10.1016/j.jamda.2020.05.024 id: cord-333960-pkpbts7s author: Genet, Bastien title: COVID-19 in-hospital mortality and use of renin-angiotensin system blockers in geriatrics patients. date: 2020-09-09 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Objective The role of treatment with renin-angiotensin-aldosterone system blockers at the onset of COVID-19 infection is not known in geriatric population. The aim of this study was to assess the relationship between angiotensin receptor blockers (ARB) and an ACE inhibitor (ACEI) use and in-hospital mortality in geriatric patients hospitalized for COVID-19. Design This observational retrospective study was conducted in a French geriatric department. Patients were included between March 17 and April 18, 2020. Setting and Participants: All consecutive 201 patients hospitalized for COVID-19 (confirmed by RT-PCR methods) were included. All non-deceased patients had 30 days of follow-up and no patient was lost to follow-up. Methods Demographic, clinical, biological data and medications were collected. In-hospital mortality of patients treated or not by ACEI/ARB was analyzed using multivariate Cox models. Results Mean age of the population was 86.3 (8.0) years old, 62.7% of patients were institutionalized, 88.6% had dementia and 53.5% had severe disability (ADL score < 2). Sixty-three patients were treated with ACEI/ARB and 138 were not. Mean follow-up was 23.4 (10.0) days, 66 (33.8%) patients died after an average of 10.0 days (6.0). Lower mortality rate was observed in patients treated with ACEI/ARB compared with patients not treated with ARB nor ACEI (22.2% (14) vs. 37.7% (52), HR = 0.54 (95% CI = 0.30-0.97), p=0.03). In a multivariate Cox regression model including age, sex, ADL score, Charlson index, renal function, dyspnea, CRP and white blood cells count, use of ACEI/ARB was significantly associated with lower in-hospital mortality (HR = 0.52 (0.27−0.99), p=0.048). Conclusion and Implications In very old subjects hospitalized in geriatric settings for COVID-19, mortality was significantly lower in subjects treated with ARB or ACEI prior to the onset of infection. The continuation of ACEI/ARB therapy should be encouraged during periods of coronavirus outbreak in older subjects. url: https://www.ncbi.nlm.nih.gov/pubmed/33138935/ doi: 10.1016/j.jamda.2020.09.004 id: cord-300620-scauefiv author: Gillespie, Suzanne M. title: Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine date: 2020-07-28 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://doi.org/10.1016/j.jamda.2020.06.054 doi: 10.1016/j.jamda.2020.06.054 id: cord-333153-hjgf3ay8 author: Griffith, Matthew F. title: Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia date: 2020-10-21 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: OBJECTIVES: Pneumonia is a common cause of hospitalization for nursing home residents and has increased as a cause for hospitalization during the COVID-19 pandemic. Risks of hospitalization, including significant functional decline, are important considerations when deciding whether to treat a resident in the nursing home or transfer to a hospital. Little is known about postdischarge functional status, relative to baseline, of nursing home residents hospitalized for pneumonia. We sought to determine the risk of severe functional limitation or death for nursing home residents following hospitalization for treatment of pneumonia. DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: Participants included Medicare enrollees aged ≥65 years, hospitalized from a nursing home in the United States between 2013 and 2014 for pneumonia. METHODS: Activities of daily living (ADL), patient sociodemographics, and comorbidities were obtained from the Minimum Data Set (MDS), an assessment tool completed for all nursing home residents. MDS assessments from prior to and following hospitalization were compared to assess for functional decline. Following hospital discharge, all patients were evaluated for a composite outcome of severe disability (≥4 ADL limitations) following hospitalization or death prior to completion of a postdischarge MDS. RESULTS: In 2013 and 2014, a total of 241,804 nursing home residents were hospitalized for pneumonia, of whom 89.9% (192,736) experienced the composite outcome of severe disability or death following hospitalization for pneumonia. Although we found that prehospitalization functional and cognitive status were associated with developing the composite outcome, 53% of residents with no prehospitalization ADL limitation, and 82% with no cognitive limitation experienced the outcome. CONCLUSIONS AND IMPLICATIONS: Hospitalization for treatment of pneumonia is associated with significant risk of functional decline and death among nursing home residents, even those with minimal deficits prior to hospitalization. Nursing homes need to prepare for these outcomes in both advance care planning and in rehabilitation efforts. url: https://api.elsevier.com/content/article/pii/S1525861020307933 doi: 10.1016/j.jamda.2020.09.010 id: cord-335131-u33dkgr1 author: Gunawan, Joko title: ‘New Normal’ in Covid-19 Era: A Nursing Perspective from Thailand date: 2020-07-22 words: 192.0 sentences: 28.0 pages: flesch: 76.0 cache: ./cache/cord-335131-u33dkgr1.txt txt: ./txt/cord-335131-u33dkgr1.txt summary: 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 abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32859516/ doi: 10.1016/j.jamda.2020.07.021 id: cord-270254-dp7z1kla author: Inzitari, Marco title: How a Barcelona post-acute facility became a referral center for comprehensive management of subacute patients with COVID-19 date: 2020-06-11 words: 826.0 sentences: 48.0 pages: flesch: 48.0 cache: ./cache/cord-270254-dp7z1kla.txt txt: ./txt/cord-270254-dp7z1kla.txt summary: 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 abstract: Abstract The COVID-19 pandemic’s greatest impact is among older adults. Management of the situation requires a systemic response, and post-acute care (PAC) can provide an adequate mix of active treatment, management of associated geriatric syndromes and palliative care, both in the acute phase, and in post-COVID-19 recovery. In the region of Catalonia, Spain, selected PAC centers have become a site to treat COVID-19 older patients. Referrals come from the emergency department (ED) or COVID-19 wards of the acute reference hospitals, nursing homes or private homes. 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. We believe that the strategies we employed and the lessons we learned can be useful for other sites and countries where similar adaptation of existing facilities may be implemented. url: https://www.ncbi.nlm.nih.gov/pubmed/32674827/ doi: 10.1016/j.jamda.2020.06.015 id: cord-276621-9exp8e7h author: Jacobs, Jeremy M. title: Prolonged Mechanical Ventilation: Symptomatology, Well-Being, and Attitudes to Life date: 2020-09-06 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: OBJECTIVE: Although prolonged mechanical ventilation (PMV) is increasingly common, little is known concerning patient symptom burden or attitudes toward PMV. This study aims to describe the mood, well-being, distressing symptoms, and attitudes toward prolonged ventilation among PMV patients treated either at home or long-term acute care (LTAC). DESIGN: An observational study. SETTING AND PARTICIPANTS: 62 communicative participants treated with PMV, aged ≥18 years, insurees of a single HMO, treated at home hospital or LTAC specializing in ventilation in Jerusalem. MEASURES: Sociodemographic characteristics; chronic conditions; functional status; symptom burden measured by revised Edmonton Symptomatic Assessment System (r-ESAS); attitudes toward PVM. RESULTS: Participants were aged 61.7 ± 20.7 years, commonly suffered progressive neuromuscular disease (43.5%) or chronic lung disease (29%), were functionally dependent, treated at home (64.5%) or LTAC (35.5%), and had a mean PMV duration of 36.6 months (interquartile range 10.8-114.1). The 5-item, short Geriatric Depression Scale identified depression among 38% of participants, and was less at home vs LTAC (34% vs 44%, P < .001). Mean revised Edmonton Symptom Assessment System score was 24.5 ± 14.8 (maximum severity = 100), and participants reported severe or distressing symptoms for tiredness (27%/20%), pain (10%/25%), anxiety (16%/14%), depression (9%/21%), drowsiness (12%/17%), shortness of breath (9%/15%), poor appetite (7%/9%), and nausea (0%/10%). Impaired general well-being was reported as severe, moderate, mild, or none among 15%, 40%, 30%, and 15%, respectively. Only 1 patient had advance directives concerning ventilation prior to intubation, and when asked if they had to choose again today, 85% of patients would again opt for ventilation. CONCLUSIONS AND IMPLICATIONS: Few PMV patients reported distressing symptoms, and 85% would choose ventilation if asked again. These findings might be useful in clinical practice to assist in decision making concerning prolonged ventilation. url: https://api.elsevier.com/content/article/pii/S1525861020306629 doi: 10.1016/j.jamda.2020.07.037 id: cord-331520-o9e4qqn4 author: Kistler, Christine E. title: The Winter Respiratory Viral Season During the COVID-19 Pandemic date: 2020-10-26 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: The winter respiratory virus season always poses challenges for long-term care settings; this winter, SARS-CoV-2 will compound the usual viral infection challenges. This special article discusses unique considerations that COVID-19 brings to the health and well-being of residents and staff in nursing homes and other long-term care settings this winter. Specific topics include preventing the spread of respiratory viruses, promoting immunization, and the diagnosis and treatment of suspected respiratory infection. Policy-relevant issues are discussed, including whether to mandate influenza immunization for staff, the availability and use of personal protective equipment, supporting staff if they become ill, and the distribution of a COVID-19 vaccine when it becomes available. Research is applicable in all of these areas, including regarding the use of emerging electronic decision support tools. If there is a positive side to this year’s winter respiratory virus season, it is that staff, residents, family members, and clinicians will be especially vigilant about potential infection. url: https://api.elsevier.com/content/article/pii/S1525861020309221 doi: 10.1016/j.jamda.2020.10.030 id: cord-340701-eeqgtk34 author: Kusmaul, Nancy title: COVID-19 and Nursing Home Residents’ Rights date: 2020-07-29 words: 516.0 sentences: 46.0 pages: flesch: 65.0 cache: ./cache/cord-340701-eeqgtk34.txt txt: ./txt/cord-340701-eeqgtk34.txt summary: 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 abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32883598/ doi: 10.1016/j.jamda.2020.07.035 id: cord-274508-nigru1o8 author: Lally, Michelle title: Metformin is associated with Decreased 30-day Mortality among Nursing Home Residents Infected with SARS-CoV2 date: 2020-10-26 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Objectives The COVID-19 pandemic presents an urgent need to investigate whether existing drugs can enhance or even worsen prognosis; metformin, a known mammalian target of rapamycin (m-TOR) inhibitor, has been identified as a potential agent. We sought to evaluate mortality benefit among older persons infected with SARS-CoV-2 who were taking metformin as compared to those who were not. Design Retrospective cohort study Setting and Participants: 775 nursing home residents infected with SARS-CoV-2 who resided in one of the 134 Community Living Centers (CLC) of the Veterans Health Administration (VHA) during March 1, 2020 to May 13, 2020 were included. Methods Using a window of 14 days prior to SARS-CoV-2 testing, bar coded medication administration records were examined for dispensing of medications for diabetes. The COVID-19 infected residents were divided into groups: 1) residents administered metformin alone or in combination with other medications, 2) residents who used long acting or daily insulin, 3) residents administered other diabetes medications, and 4) residents not administered diabetes medication, including non-diabetics and untreated diabetics. Proportional hazard models adjusted for demographics, hemoglobin A1c, body mass index, and renal function. Results Relative to those not receiving diabetes medications, residents taking metformin were at significantly reduced hazard of death (adjusted HR 0.48, 95%CI 0.28, 0.84) over the subsequent 30 days from COVID-19 diagnosis. There was no association with insulin (adjusted HR 0.99, 95% 0.60, 1.64) or other diabetes medications (adjusted HR 0.71, 95% CI 0.38, 1.32). Conclusions and Implications Our data suggests a reduction in 30-day mortality following SARS-CoV-2 infection in residents who were on metformin-containing diabetes regimens. These findings suggest a relative survival benefit in nursing home residents on metformin, potentially through its mTOR inhibition effects. A prospective study should investigate the therapeutic benefits of metformin among persons with COVID-19. url: https://api.elsevier.com/content/article/pii/S1525861020309245 doi: 10.1016/j.jamda.2020.10.031 id: cord-290836-jldfrec9 author: Laosa, Olga title: Rapid assessment at hospital admission of mortality risk from COVID-19: the role of functional status date: 2020-10-08 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Objective To evaluate the role of functional status along with other used clinical factors on the occurrence of death in patients hospitalized with COVID-19. Design Prospective Cohort study Setting Public University Hospital (Madrid) Participants and methods 375 consecutive patients with COVID-19 infection, admitted to a Public University Hospital (Madrid) between March 1 and March 31, 2020, were included in the Prospective Cohort study. Death was the main outcome. The main variable was disability in Activities of Daily Living (ADL) assessed with the Barthel index. Covariates included sex, age, severity index (Quick Sequential Organ Failure Assessment, qSOFA), polypharmacy (>5 drugs in the month before admission), and comorbidity (≥3 diseases). Multivariable logistic regression was used to identify risk factors for adverse outcomes. Estimated model coefficients served to calculate the expected probability of death for a selected combination of five variables: Barthel, sex, age, comorbidities and severity index (qSOFA). Results Mean age was 66 years (SD 15.33), 207 (55%) males. 74 patients died (19.8%). Mortality was associated to low Barthel index (OR per 5-point decrease 1.11; 95CI 1.03-1.20), male sex (0.23, 0.11-0.47), age (1.07, 1.03-1.10) and comorbidity (2.15; 1.08-4.30) but not to qSOFA (1.29, 0.87-1.93) or polypharmacy (1.54; 0.77-3.08). Calculated mortality risk ranged from 0 to 0.78. Conclusions and implications Functional status predicts death in hospitalized COVID-19 patients. Combination of five variables allows to predict individual probability of death. These findings provide useful information for the decision-making process and management of patients. url: https://www.sciencedirect.com/science/article/pii/S1525861020308471?v=s5 doi: 10.1016/j.jamda.2020.10.002 id: cord-264059-jf4j00bp author: Lee, Chien-Chang title: Combining Procalcitonin and Rapid Multiplex Respiratory Virus Testing for Antibiotic Stewardship in Older Adult Patients With Severe Acute Respiratory Infection date: 2019-11-30 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: OBJECTIVES: Virus infection is underevaluated in older adults with severe acute respiratory infections (SARIs). We aimed to evaluate the clinical impact of combining point-of-care molecular viral test and serum procalcitonin (PCT) level for antibiotic stewardship in the emergency department (ED). DESIGN: A prospective twin-center cohort study was conducted between January 2017 and March 2018. SETTING AND PARTICIPANTS: Older adult patients who presented to the ED with SARIs received a rapid molecular test for 17 respiratory viruses and a PCT test. MEASURES: To evaluate the clinical impact, we compared the outcomes of SARI patients between the experimental cohort and a propensity score–matched historical cohort. The primary outcome was the proportion of antibiotics discontinuation or de-escalation in the ED. The secondary outcomes included duration of intravenous antibiotics, length of hospital stay, and mortality. RESULTS: A total of 676 patients were included, of which 169 patients were in the experimental group and 507 patients were in the control group. More than one-fourth (27.9%) of the patients in the experimental group tested positive for virus. Compared with controls, the experimental group had a significantly higher proportion of antibiotics discontinuation or de-escalation in the ED (26.0% vs 16.1%, P = .007), neuraminidase inhibitor uses (8.9% vs 0.6%, P < .001), and shorter duration of intravenous antibiotics (10.0 vs 14.5 days, P < .001). CONCLUSIONS AND IMPLICATIONS: Combining rapid viral surveillance and PCT test is a useful strategy for early detection of potential viral epidemics and antibiotic stewardship. Clustered viral respiratory infections in a nursing home is common. Patients transferred from nursing homes to ED may benefit from this approach. url: https://www.ncbi.nlm.nih.gov/pubmed/31791902/ doi: 10.1016/j.jamda.2019.09.020 id: cord-320104-cgzqwbzs author: Lester, Paula E. title: Policy Recommendations regarding Skilled Nursing Facility Management of COVID-19: Lessons From New York State date: 2020-06-02 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: ABSTRACT To provide policy recommendations for managing COVID-19 in Skilled Nursing Facilities (SNFs), a group of certified medical directors from several facilities in New York state with experience managing the disease used email, phone, and video conferencing to develop consensus recommendations. The resulting document provides recommendations on screening, and protection of staff, screening of residents, management of COVID-19 positive and presumed positive cases, communication during an outbreak, management of admissions and readmissions, and providing emotional support for staff. These consensus guidelines have been endorsed by the Executive Board of the New York Medical Directors Association and the Board of the Metropolitan Area Geriatrics Society. url: https://www.ncbi.nlm.nih.gov/pubmed/32674814/ doi: 10.1016/j.jamda.2020.05.058 id: cord-312394-djjarc0f author: Lynch, Richard M. title: Practical Steps to Improve Air Flow in Long-Term Care Resident Rooms to Reduce COVID-19 Infection Risk date: 2020-04-10 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract The potential for spread of COVID-19 infections in Skilled Nursing Facilities and other Long-Term Care sites poses new challenges for Nursing Home Administrators to protect patients and staff. It is anticipated that as Acute Care Hospitals reach capacity, Nursing Homes may retain COVID-19 infected residents longer prior to transferring to an Acute Care Hospital. This article outlines 5 pragmatic steps that Long-Term Care facilities can take to manage airflow within resident rooms to reduce the potential for spread of infectious airborne droplets into surrounding areas including hallways and adjacent rooms, using strategies adapted from negative pressure isolation rooms in acute care facilities. url: https://api.elsevier.com/content/article/pii/S1525861020303200 doi: 10.1016/j.jamda.2020.04.001 id: cord-260110-8tud5fao author: McArthur, Caitlin title: Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents’ mental health: a data driven approach in New Brunswick date: 2020-10-26 words: 1862.0 sentences: 99.0 pages: flesch: 48.0 cache: ./cache/cord-260110-8tud5fao.txt txt: ./txt/cord-260110-8tud5fao.txt summary: 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. abstract: Long-term care (LTC) residents, isolated because of the COVID-19 pandemic, are at increased risk for negative mental health outcomes. The purpose of our article is to demonstrate how the LTCF can inform clinical care and evaluate the effect of strategies to mitigate worsening mental health outcomes during the COVID-19 pandemic. 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). This network meets regularly to review performance on risk-adjusted quality of care indicators from the interRAI LTCF and share learning through a community of practice model. We included 4209 assessments from 765 LTC residents between January 2017 to June 2020 and modelled the change within and between residents for depression, delirium, and behavioural problems over time with longitudinal generalized estimating equations. Though the number of residents who had in-person visits with family decreased from 73.2% before to 17.9% during lockdown (chi square, p<0.0001), the number of residents experiencing delirium (4.5% to 3.5%, p=0.51) and behavioural problems (35.5% to 30.2%, p=0.19) did not change. The proportion of residents with indications of depression decreased from 19.9% before to 11.5% during lockdown (p<0.002). The final multivariate models indicate that the effect of lockdown was not statistically significant on depression, delirium, or behavioural problems. Our analyses demonstrate poor mental health outcomes associated with lockdown can be mitigated with thoughtful intervention and ongoing evaluation with clinical information systems. Policy makers can use outputs to guide resource deployment and researchers can examine the data to identify better management strategies for when pandemic strikes again. url: https://www.sciencedirect.com/science/article/pii/S1525861020309154?v=s5 doi: 10.1016/j.jamda.2020.10.028 id: cord-310961-e1mb7uuh author: Nouvenne, Antonio title: Point-of-care chest ultrasonography as a diagnostic resource for COVID-19 outbreak in nursing homes date: 2020-05-25 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: ABSTRACT Objective Bedside chest ultrasound, when integrated with clinical data, is an accurate tool improving the diagnostic process of many respiratory diseases. This study aims to evaluate the feasibility of a chest ultrasound screening program in nursing homes for detecting coronavirus disease-19 (COVID-19)-related pneumonia and improving the appropriateness of hospital referral of residents. Design Pragmatic, descriptive, feasibility study from April 2nd to April 9th, 2020. Setting and participants: A total of 83 older residents (age 85±8) presenting mild to moderate respiratory symptoms and not previously tested for COVID-19, residing in five nursing homes in Northern Italy. Methods Chest ultrasound was performed at the bedside by a team of hospital specialists with certified expertise in thoracic ultrasonography, following a systematic approach exploring four different areas for each hemithorax, from the anterior and posterior side. Presence of ultrasonographic signs of interstitial pneumonia, including comet-tail artifacts (B-lines) with focal or diffuse distribution, subpleural consolidations and pleural line indentation was detected. The specialist team integrated ultrasound data with clinical and anamnestic information, and gave personalized therapeutic advice for each patient, including hospital referral when needed. Results The most frequent reasons for ultrasound evaluation were fever (63% of participants) and mild dyspnea (40%). Fifty-six patients (67%) had abnormal ultrasound findings. The most common patterns were presence of multiple subpleural consolidations (32 patients) and diffuse B-lines (24 patients), with bilateral involvement. A diagnosis of suspect COVID-19 pneumonia was made in 44 patients, and six of them required hospitalization. Twelve patients had ultrasound patterns suggesting other respiratory diseases, and two patients with normal ultrasound findings were diagnosed with COPD exacerbation. Conclusions and implications In nursing home residents, screening of COVID-19 pneumonia with bedside chest ultrasonography is feasible and may represent a valid diagnostic aid for an early detection of COVID-19 outbreaks and adequate patient management. url: https://www.sciencedirect.com/science/article/pii/S1525861020304539?v=s5 doi: 10.1016/j.jamda.2020.05.050 id: cord-354105-lgkfnmcm author: Office, Emma E. title: Reducing Social Isolation of Seniors during COVID-19 through Medical Student Telephone Contact date: 2020-06-05 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract Social isolation has been associated with many adverse health outcomes in older adults. We describe a phone call outreach program in which health care professional student volunteers phoned older adults, living in long-term care facilities and the community, at risk of social isolation during the COVID-19 pandemic. Conversation topics were related to coping, including fears/insecurities, isolation, and sources of support; health; and personal topics such as family and friends, hobbies, and life experiences. Student volunteers felt the calls were impactful both for the students and for the seniors, and call recipients expressed appreciation for receiving the calls and for the physicians who referred them for a call. This phone outreach strategy is easily generalizable, and can be adopted by medical schools to leverage students to connect to socially-isolated seniors in numerous settings. url: https://www.sciencedirect.com/science/article/pii/S1525861020304916?v=s5 doi: 10.1016/j.jamda.2020.06.003 id: cord-345746-6jvqsvy5 author: Resnick, Barbara title: What Have We Learned about Nursing from the Coronovirus Pandemic date: 2020-06-13 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://doi.org/10.1016/j.jamda.2020.06.011 doi: 10.1016/j.jamda.2020.06.011 id: cord-274043-ifr0oo7u author: Rozzini, Renzo title: The COVID Grim Reaper date: 2020-05-08 words: 160.0 sentences: 19.0 pages: flesch: 68.0 cache: ./cache/cord-274043-ifr0oo7u.txt txt: ./txt/cord-274043-ifr0oo7u.txt summary: 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 abstract: nan url: https://doi.org/10.1016/j.jamda.2020.05.001 doi: 10.1016/j.jamda.2020.05.001 id: cord-345864-87b5qdjx author: Rudolph, James L. title: Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2 date: 2020-06-09 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract Objectives Many nursing home residents infected with SARS-CoV-2 fail to be identified with standard screening for the associated COVID-19 syndrome. Current nursing home COVID-19 screening guidance includes assessment for fever defined as a temperature of at least 38.0°C. The objective of this study is to describe the temperature changes before and after universal testing for SARS-CoV-2 in nursing home residents. Design Cohort study Setting and Participants: The Veterans Administration (VA) operates 134 Community Living Centers (CLC), similar to nursing homes, that house residents who cannot live independently. VA guidance to CLCs directed daily clinical screening for COVID-19 that included temperature assessment. Measures All CLC residents (n=7325) underwent SARS-CoV-2 testing. We report the temperature in window of the 14 days before and after universal SARS-CoV-2 testing among CLC residents. Baseline temperature was calculated for 5 days prior to the study window. Results SARS-CoV-2 was identified in 443 (6.0%) residents. The average maximum temperature in SARS-CoV-2 positive residents was 37.66 (0.69) compared to 37.11 (0.36) (p=0.001) in SARS-CoV-2 negative residents. Temperatures in those with SARS-CoV-2 began rising 7 days prior to testing and remained elevated during the 14-day follow up. Among SARS-CoV-2 positive residents, only 26.6% (n=118) met the fever threshold of 38.0°C during the survey period. Most residents (62.5%, n=277) with confirmed SARS-CoV-2 did experience two or more 0.5°C elevations above their baseline values. One cohort of SARS-CoV-2 residents’ (20.3%, n=90) temperatures never deviated >0.5°C from baseline. Conclusions and Implications A single screening for temperature is unlikely to detect nursing home residents with SARS-CoV-2. Repeated temperature measurement with a patient-derived baseline can increase sensitivity. The current fever threshold as a screening criteria for SARS-CoV-2 infection should be reconsidered. url: https://doi.org/10.1016/j.jamda.2020.06.009 doi: 10.1016/j.jamda.2020.06.009 id: cord-259787-2sjnsb7m author: Schlaudecker, Jeffrey D. title: Essential Family Caregivers in Long-term Care during the COVID-19 Pandemic date: 2020-05-21 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Brief Summary: In the months stretching out ahead of us in the prevention of COVID-19, we must keep our residents safe from the risk of circulating virus, but we also must promote person-centered geriatric care allowing family presence as essential care partners. url: https://www.sciencedirect.com/science/article/pii/S1525861020304308?v=s5 doi: 10.1016/j.jamda.2020.05.027 id: cord-353136-z5yo6wji author: Sepulveda, Edgardo R. title: A Comparison of COVID-19 Mortality Rates among Long-Term Care Residents in 12 OECD Countries date: 2020-09-12 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://api.elsevier.com/content/article/pii/S152586102030791X doi: 10.1016/j.jamda.2020.08.039 id: cord-345725-8ijgmbmr author: Shang, Jingjing title: COVID-19 Preparedness in U.S. Home Healthcare Agencies date: 2020-06-04 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Abstract Objectives In the U.S., home health agencies (HHAs) provide essential services for patients recovering from post-acute-care and older adults who are aging in place. During the COVID-19 pandemic, HHAs may face additional challenges caring for these vulnerable patients. Our objective was to explore COVID-19 preparedness of U.S. HHAs and compare results by urban/rural location. Design Cross-sectional study. Setting/Participants Using a stratified random sample of 978 HHAs, we conducted a 22-item online survey from April 10 to 17, 2020. Methods Summary statistics were computed; open-ended narrative responses were synthesized using qualitative methods. Results Similar to national data, most responding HHAs (n=121, 12% response rate) were for-profit and located in the South. A majority of HHAs had infectious disease outbreaks included in their emergency preparedness plan (76%), a staff member in charge of outbreak/disaster preparedness (84%), and had provided their staff with COVID-19 education and training (97%). More urban HHAs had cared for confirmed and recovered COVID-19 patients than rural HHAs, but urban HHAs had less capacity to test for COVID-19 than rural HHAs (9% vs 21%). Most (69%) experienced patient census declines and had a current and/or anticipated supply shortage. Rural agencies were impacted less than urban agencies. HHAs have already rationed (69%) or implemented extended use (55%) or limited reuse (61%) of personal protective equipment (PPE). Many HHAs reported accessing supplemental PPE from state/local resources, donations, and do-it-yourself efforts; more rural HHAs had accessed these additional resources compared to urban HHAs. Conclusions/Implications This survey reveals challenges that HHAs are having in responding to the COVID-19 pandemic, particularly among urban agencies. Of greatest concern are the declines in patient census, which drastically impact agency revenue, and the shortages of PPE and disinfectants. Without proper protection, HHA clinicians are at risk of self-exposure and viral transmission to patients and vulnerable family members. url: https://www.sciencedirect.com/science/article/pii/S1525861020304904?v=s5 doi: 10.1016/j.jamda.2020.06.002 id: cord-325953-yvtyh27k author: Shea, Yat-Fung title: Maintaining zero COVID-19 infection among long term care facility residents in Hong Kong date: 2020-05-29 words: 527.0 sentences: 41.0 pages: flesch: 59.0 cache: ./cache/cord-325953-yvtyh27k.txt txt: ./txt/cord-325953-yvtyh27k.txt summary: 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 abstract: nan url: https://api.elsevier.com/content/article/pii/S1525861020304424 doi: 10.1016/j.jamda.2020.05.042 id: cord-306421-r8wzvpn5 author: Sizoo, Eefje M. 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 date: 2020-10-23 words: 3777.0 sentences: 286.0 pages: flesch: 64.0 cache: ./cache/cord-306421-r8wzvpn5.txt txt: ./txt/cord-306421-r8wzvpn5.txt summary: 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. abstract: 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. The aim of this study was an exploration of dilemmas experienced by Elderly Care Physicians (ECPs) as a result of the COVID-19 driven restrictive visiting policy. Setting and Participants ECPs working in Dutch NHs. Methods A qualitative exploratory study was performed using an open-ended questionnaire. A thematic analysis was applied. Data was collected between April 17 and May 10, 2020. Results Seventy-six ECPs answered the questionnaire describing a total of 114 cases in which they experienced a dilemma. 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. However, given the diversity of NH residents, alternatives were often only suitable for some of them. Conclusions and Implications ECPs reported that the restrictive visitor policy deeply impacts NHs residents, their loved ones and care professionals. The dilemmas encountered as a result of the policy highlight the wish by ECPs to offer solutions tailored to the individual residents. We identified an overview of aspects to consider when drafting future visiting policies for NHs during the COVID-19 pandemic. url: https://www.sciencedirect.com/science/article/pii/S1525861020308999?v=s5 doi: 10.1016/j.jamda.2020.10.024 id: cord-355256-7ksbvisv author: Sloane, Philip D. title: Cruise Ships, Nursing Homes and Prisons as COVID-19 Epicenters: A ‘Wicked Problem” with Breakthrough Solutions? date: 2020-04-30 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: nan url: https://api.elsevier.com/content/article/pii/S1525861020303509 doi: 10.1016/j.jamda.2020.04.020 id: cord-321302-eowo2mt0 author: Spaetgens, Bart title: The Post-Acute and Long-Term Care Crisis in the Aftermath of COVID-19: a Dutch Perspective date: 2020-06-29 words: 387.0 sentences: 35.0 pages: flesch: 66.0 cache: ./cache/cord-321302-eowo2mt0.txt txt: ./txt/cord-321302-eowo2mt0.txt summary: 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 abstract: nan url: https://api.elsevier.com/content/article/pii/S1525861020305685 doi: 10.1016/j.jamda.2020.06.045 id: cord-272772-zqmychmr author: Stall, Nathan M. title: Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the COVID-19 Pandemic date: 2020-08-03 words: 4438.0 sentences: 257.0 pages: flesch: 51.0 cache: ./cache/cord-272772-zqmychmr.txt txt: ./txt/cord-272772-zqmychmr.txt summary: 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. abstract: Abstract During the first few months of the COVID-19 pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable and potentially harmful. We reviewed the nursing home visitor policies for Canada’s ten provinces and three territories as well as international policies and reports on the topic to develop evidence-informed, data-driven and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors. url: https://doi.org/10.1016/j.jamda.2020.07.038 doi: 10.1016/j.jamda.2020.07.038 id: cord-277278-lg38l5gh author: Tang, Olive title: Outcomes of nursing home COVID-19 patients by initial symptoms and comorbidity: Results of universal testing of 1,970 residents date: 2020-10-14 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Objective Clinical implications of asymptomatic cases of the novel coronavirus disease 2019 (COVID-19) in nursing homes remain poorly understood. We assessed the association of symptom status and medical comorbidities on mortality and hospitalization risk associated with COVID-19 in residents of a large nursing home system. Design Retrospective cohort study. Setting and Participants 1,970 residents from 15 nursing home facilities with universal COVID-19 testing in Maryland. Methods We used descriptive statistics to compare baseline characteristics, logistic regression to assess the association of comorbidities with COVID-19, and Cox regression to assess the association of asymptomatic and symptomatic COVID-19 with mortality and hospitalization. We assessed the association of comorbidities with mortality and hospitalization risk. Symptom status was assessed at the time of the first test. Maximum follow-up was 94 days. Results Among the 1,970 residents (mean age 73.8, 57% female, 68% Black), 752 (38.2%) were positive on their first test. Residents who were positive for COVID-19 and had multiple symptoms at the time of testing had the highest risk of mortality (HR 4.44; 95% CI: 2.97, 6.65) and hospitalization (SHR 2.38; 95% CI: 1.70, 3.33), even after accounting for comorbidity burden. Cases who were asymptomatic at testing had a higher risk of mortality (HR 2.92; 95% CI: 1.95, 4.35), but not hospitalization (HR 1.06; 95% CI: 0.82, 1.38) compared to those who were negative for COVID-19. Of 52 SARS-CoV-2 positive residents who were asymptomatic at the time of testing and were closely monitored for 14 days at one facility, only 6 (11.6%) developed symptoms. Conclusions and Implications Asymptomatic infection with SARS-CoV-2 in the nursing home setting was associated with increased risk of death suggesting a need for closer monitoring of these residents, particularly those with underlying cardiovascular and respiratory comorbidities. url: https://www.ncbi.nlm.nih.gov/pubmed/33153910/ doi: 10.1016/j.jamda.2020.10.011 id: cord-321606-o0gfukzg author: Unruh, Mark Aaron title: Nursing Home Characteristics Associated with COVID-19 Deaths in Connecticut, New Jersey, and New York date: 2020-06-15 words: 558.0 sentences: 40.0 pages: flesch: 66.0 cache: ./cache/cord-321606-o0gfukzg.txt txt: ./txt/cord-321606-o0gfukzg.txt summary: 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 abstract: nan url: https://www.ncbi.nlm.nih.gov/pubmed/32674812/ doi: 10.1016/j.jamda.2020.06.019 id: cord-289018-6rnvwptr author: Wong, Serena P. title: Safe Inter-Organizational Health Information Exchange During the COVID-19 Pandemic date: 2020-10-22 words: nan sentences: nan pages: flesch: nan cache: txt: summary: abstract: Accurate and timely transmission of medical records between skilled nursing facilities and acute care settings has been logistically problematic. Often people are sent to the hospital with a packet of paper records, which is easily misplaced. The COVID-19 pandemic has further magnified this problem by the possibility of viral transmission via fomites. To protect themselves, staff and providers were donning personal protective equipment to review paper records, which was time-consuming and wasteful. We describe an innovative process developed by a team of hospital leadership, members of a local collaborative of skilled nursing facilities, and leadership of this collaborative group, to address this problem. Many possible solutions were suggested and reviewed. We describe the reasons for selecting our final document transfer process and how it was implemented. The critical success factors are also delineated. Other health systems and collaborative groups of skilled nursing facilities may benefit from implementing similar processes. url: https://api.elsevier.com/content/article/pii/S1525861020308975 doi: 10.1016/j.jamda.2020.10.022 ==== make-pages.sh questions [ERIC WAS HERE] ==== make-pages.sh search /data-disk/reader-compute/reader-cord/bin/make-pages.sh: line 77: /data-disk/reader-compute/reader-cord/tmp/search.htm: No such file or directory Traceback (most recent call last): File "/data-disk/reader-compute/reader-cord/bin/tsv2htm-search.py", line 51, in with open( TEMPLATE, 'r' ) as handle : htm = handle.read() FileNotFoundError: [Errno 2] No such file or directory: '/data-disk/reader-compute/reader-cord/tmp/search.htm' ==== make-pages.sh topic modeling corpus Zipping study carrel