COVID-19 resources

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Case studies

Care Home Professional

Brings together innovative examples of good practice in care homes. They case studies cover a range of topics, including responses to Covid-19; quality of care; the use of technology; social activities and entertainment; and helping residents stay connected.

Last updated on hub: 07 September 2020

Caught between two fronts: successful aging in the time of COVID-19

Working with Older People

Purpose: The COVID-19 pandemic poses a great challenge for older people both in terms of the severity of the disease and the negative consequences of social distancing. Assumptions about negative effects on the lives of the elderly, affecting dimensions of successful aging (such as the preservation of social relationships), have thus far been hypothetical and have lacked empirical evidence. The aim of this paper is to shed empirical light on the effects of COVID-19 on the everyday life of older people against the background of the concept of successful aging. Design/methodology/approach: Data of a standardized, representative telephone survey with residents of Lower Austria, a county of Austria, were used for this secondary analysis. The sample included 521 persons of 60 years of age and older. For this paper, contingency analyses (χ² coefficients, z-tests using Bonferroni correction) and unidimensional correlational analyses were calculated. Findings: The empirical data show that successful aging along the three dimensions of successful aging is a challenge in the time of the COVID-19 pandemic – leaving the elderly caught between two fronts. Originality/value: The present work focusses on a unique moment in time, describing the changes to the lives of Austrian elderly because of the social distancing measures imposed to protect against the spread of COVID-19. These changes are discussed in the theoretical framework of successful aging.

Last updated on hub: 29 December 2020

Caught off guard by covid-19: Now what?

Article published by the journal Geriatric Nursing by Gray-Miceli D. et al, October 2020. Human beings are social in nature and maintaining social interactions, relationships and intimacy are fundamental needs of older adults (OAs) living in assisted living (AL) communities. Yet, these very basic human needs have been impeded by quarantine mandates imposed by the COVID-19 pandemic. The socialization aspect offered in AL, allows for an integration of the whole person: body, mind, and spirit and is beneficial in mitigating the development of co-morbidities and negative patient outcomes. Additionally, the authenticity of home comes from the caring interactions provided by an interprofessional health care staff. Utilizing the 4 M Framework, created by The John A. Hartford Foundation and Institute of Healthcare Improvement, the authors describe simple direct bedside interventions of low cost, and high patient-centered value which front-line nursing and caregiver staff can employ to maintain social connections, interactions, mentation, function and mobility among residents they care for, and care about, in AL communities.

Last updated on hub: 13 November 2020

Challenges and solutions: commissioning social care during COVID-19

Social Care Institute for Excellence

SCIE addresses the commissioning challenges faced by the social care sector during the pandemic and describes what solutions organisations have responded with.

Last updated on hub: 15 July 2020

Challenges posed by COVID-19 to the health of people with disabilities living in residential care facilities in Romania

Disability and Society

On the 19th of March 2020, a Human Rights NGO demanded urgent measures be taken to protect the right to health of people with disabilities in residential care facilities - including psychiatric hospitals and residential care facilities - in Romania (Center for Legal Resources (CLR) 2020a). This article explains the legitimacy of this demand in the Romanian context, building on my own experience as an ethnographer of residential care institutions for people with disabilities, adding new substantive clarifications to the need to act in a coordinated manner to prevent serious harm to the health and wellbeing of people with disabilities in residential care facilities during the COVID-19 outbreak in Romania and in other countries faced with similar situations. The evidence presented is limited to the Romanian case which the author is familiar with on the grounds of the ethnographic and policy research that was conducted on deinstutionalization and residential care in Romania. Nevertheless, the author thinks that similar dynamics might be at play in other East European countries, as well as other countries, where large and medium sized residential institutions for people with disabilities and for elderly people or other vulnerable and marginalized populations are still being operated.

Last updated on hub: 20 June 2020

Challenging behavior of nursing home residents during COVID-19 measures in the Netherlands

Aging and Mental Health

Objectives: From the perspective of the nursing home (NH) practitioners, to gain understanding of (1) whether challenging behavior in NH residents changed during the COVID-19 measures, (2) whether the practitioners’ involvement in the treatment of challenging behavior changed, (3) what can be learned from the experience of NH staff. Methods: A mixed methods study with a survey in 323 NH practitioners (psychologists, elderly care physicians, nurse practitioners) in the Netherlands, and in-depth interviews in 16 NH practitioners. Nonparametric analyses were used to compare estimated proportions of residents with increased and with decreased challenging behavior. Content analyses were conducted for open-ended questions and in-depth interviews. Results: Participants reported changes in challenging behavior with slightly higher proportions for increased (Q1/Mdn/Q3: 12.5%, 21.7%, 30.8%) than for decreased (8.7%, 14.8%, 27.8%, Z = –2.35, p = .019) challenging behavior. Half of the participants reported that their work load increased and work satisfaction worsened during the measures. Different strategies were described to respond to the effects of COVID-19 measures, such as video calls, providing special areas for residents to meet their loved ones, adjusting activities, and reducing the exposure to negative news. Conclusions: Because COVID-19 measures resulted in both increased and decreased challenging behavior in NH residents, it is important to monitor for their potential long lasting effects. Increased work load and worsened work satisfaction of the NH staff, together with the changes in type of challenging behavior, indicate that the harmful effects of the anti-pandemic measures should be taken seriously.

Last updated on hub: 18 January 2021

Changes in older people’s experiences of providing care and of volunteering during the COVID-19 pandemic

English Longitudinal Study of Ageing

Engagement in socially productive activities, such as care provision and voluntary work, make important contributions to society, and may have been especially important during the coronavirus pandemic. They have also been associated with better health, well-being, and longer survival for older people. The ELSA COVID-19 Substudy provided data to allow for an exploration of how changes in caring and volunteering may have occurred during the pandemic, and to examine this in relation to factors such as sex, age, employment status, wealth, COVID-19 vulnerability and symptoms, and pre-pandemic experiences of health. Overall, there have been important changes in both the level of care provided by older people and the extent of their involvement in volunteering, with, on average, care provision more likely to have increased or stayed the same (65% of older carers reported this), and volunteering more likely to have decreased or stopped (61% of older volunteers reported this). However, a large number of older people took on new caring roles for someone outside the household (12%) and 4% of older people registered to volunteer as part of the NHS scheme. Both economic characteristics (such as paid employment and wealth) and health-related characteristics (such as being vulnerable, self-isolating, having experienced COVID-19 symptoms, and reporting functional limitations) were related to changes the frequency of caring and voluntary work. It is yet unclear how these changes in caring and volunteering have influenced older people’s health and well-being during the coronavirus outbreak. Investigating the impact of the pandemic on broader health and well-being outcomes for older people, the role of changes in care provision and volunteering in this, and how we might respond to this, is a crucial next step.

Last updated on hub: 15 October 2020

Changes to local authority powers and duties resulting from the Coronavirus Act 2020

Local Government Association

A guide to the provisions of the Coronavirus Act 2020 and to new, modified or suspended local government powers and duties applicable to local authorities in England and Wales. It lists powers and duties and provides details of the relevant section of the Coronavirus Act 2020.

Last updated on hub: 28 April 2020

Changes to the adoption and children regulations: coronavirus (COVID-19)

Department for Education

This consultation seeks views on proposed changes to the Adoption and Children (Coronavirus) (Amendment) Regulations 2020. The coronavirus (COVID-19) pandemic continues to present significant challenges to the country, including the way children’s social care services are delivered. The amendments to the regulations are temporary and will expire on 25 September 2020 – the proposed changes seek to extend a small number of these to manage future challenges. The first part of the document sets out the reason the amendments were needed and what is done to monitor the use of the flexibilities. The subsequent parts of the document set out the regulations that would need to lapse and detail on those that should be extended. The consultation closes on 5 August 2020.

Last updated on hub: 22 July 2020

Characteristics and well-being of urban informal home care providers during COVID-19 pandemic: a population-based study

BMJ Open

Objectives Globally, the COVID-19 pandemic has overwhelmed many healthcare systems, which has hampered access to routine clinical care during lockdowns. Informal home care, care provided by non-healthcare professionals, increases the community’s healthcare capacity during pandemics. There is, however, limited research about the characteristics of informal home care providers and the challenges they face during such public health emergencies. Design A random, cross-sectional, population-based, RDD, telephone survey study was conducted to examine patterns of home care, characteristics of informal home care providers and the challenges experienced by these care providers during this pandemic. Setting Data were collected from 22 March to 1 April 2020 in Hong Kong, China. Participants A population representative study sample of Chinese-speaking adults (n=765) was interviewed. Primary and secondary outcome measures The study examined the characteristics of informal home care providers and self-reported health requirements of those who needed care. The study also examined providers’ self-perceived knowledge to provide routine home care as well as COVID-19 risk reduction care. Respondents were asked of their mental health status related to COVID-19. Results Of the respondents, 25.1% of 765 provided informal home care during the studied COVID-19 pandemic period. Among the informal home care providers, 18.4% of respondents took leave from school/work during the epidemic to provide care for the sick, fragile elderly and small children. Care providers tended to be younger aged, female and housewives. Approximately half of care providers reported additional mental strain and 37.2% reported of challenges in daily living during epidemic. Although most informal home care providers felt competent to provide routine care, 49.5% felt inadequately prepared to cope with the additional health risks of COVID-19. Conclusion During public health emergencies, heavy reliance on informal home healthcare providers necessitates better understanding of their specific needs and increased government services to support informal home care.

Last updated on hub: 10 December 2020