COVID-19 resources

Results 521 - 530 of 1465

Dementia and social contact

Alzheimer's Society

This briefing outlines the importance of social contact for people living with dementia during the COVID-19 pandemic. It sets out what actions local government can take to ensure that people living with dementia do not see their symptoms deteriorate as a result of limited social contact.

Last updated on hub: 10 August 2020

Dementia and the risk of death in elderly patients with COVID‐19 infection: systematic review and meta‐analysis

International Journal of Geriatric Psychiatry

Objectives: The COVID‐19 infection represents a global public health emergency worldwide. Several risk factors have been associated with a poor prognosis among COVID‐19 patients. This study aimed to perform a systemic review and meta‐analysis to evaluate the mortality risk in elderly patients with dementia and COVID‐19 infection. Methods: Literature search was based on Cochrane Library, Embase, PubMed and Google Scholar to locate articles published between December 2019 to July 2020, presenting the number of survived vs deceased patients with dementia and COVID‐19 infection. Results: A total of 233 articles were retrieved; 158 were excluded for not meeting the inclusion criteria, leaving 75 articles to assess for eligibility. After evaluation of the full‐text articles, 8 met the inclusion criteria and were thus included into the final analysis (6493 patients ‐ mean age: 69.6 years). Among COVID‐19 patients, the prevalence of dementia was higher in non survivors compared with survivors (17.5% vs 5.4%, p<0.001). The pooled analysis performed using a random‐effect model showed an increase in the risk of death in COVID‐19 patients with dementia (Odds Ratio3.75; 95% Confidence Interval: 2.54 ‐ 5.54, p<0.0001, I2=49.5%) The Egger's regression test confirmed that there were not statistically evidences of publication bias (t=0.059; p=0.954). Conclusions: The preliminary results suggest that patients with COVID‐19 infection and dementia have a higher mortality risk in the short‐term period compared with infected non‐demented individuals. Due to their intrinsic frailty, dementia patients may require a more aggressive treatment and prompt isolation to improve their short‐term outcome.

Last updated on hub: 07 December 2020

Dementia and town planning: creating better environments for people living with dementia

Royal Town Planning Institute

This practice note gives advice on how town planning can work with other professionals to create better environments for people living with dementia. It summarises expert advice, outlines key planning policy, good practice and case studies from around the UK. It also attempts to reflect on the challenges people living with dementia, their families and carers face, as a result of the Covid-19 pandemic, along with how the built environment can be adapted to improve their safety and support them to live independently in the future. Evidence has shown that good quality housing and well-planned, enabling local environments can have a substantial impact on the quality of life of someone living with dementia, helping them to live well for longer and of course, town planning has a key role to play if health and social care policies are to succeed. The document covers: impact of the built environment; home and dementia; what a place designed for people living with dementia looks like; legislation and policy; planning for dementia; and tools and approaches to plan for people living with dementia. This revised version includes new examples of good practice, along with updated information, advice and practice. The policy context applies to England, Scotland, Wales and Northern Ireland.

Last updated on hub: 01 February 2017

Dementia in care homes and COVID-19

Social Care Institute for Excellence

Helpful quick guide about COVID-19 and people living with dementia in care homes. Produced in collaboration with NHS England and NHS Improvement.

Last updated on hub: 13 May 2020

Dementia wellbeing in the COVID-19 pandemic

NHS England

This document takes the wellbeing pathway for dementia and sets out the adjustments and amendments needed to respond to the COVID-19 pandemic. It covers six domains, which include: preventing well; diagnosing well; treating well; supporting well; living well; and dying well. The guide highlights key priorities and actions for each step in the pathway and provides links to further information and guidance. The guide spans community, in-patient and other health and social care settings and signposts to useful resources from a variety of organisations. This resource is primarily for clinicians working with people with dementia, but can also be used by carers and people with dementia. A resource section for people with dementia and their carers is also included.

Last updated on hub: 29 September 2020

Deprivation of Liberty Safeguards: annual monitoring report for health and social care 2018-19

Care Inspectorate Wales

This is the annual monitoring report of Care Inspectorate Wales and Healthcare Inspectorate Wales on the implementation of Deprivation of Liberty Safeguards (DoLS) in Wales. The findings show that the total volume of applications received by local authorities increased by 6% in 2018-19 - however, for health boards, the number of applications has remained relatively stable for the last two years; roughly three quarters of applications sent to health boards are for urgent authorisations; the majority of DoLS applications are for individuals who are aged 65 or older; the vast majority of the applications that were refused were on the grounds of mental capacity – the authoriser required further evidence that the person lacked the mental capacity to make the decision in question before the DoLS application was accepted; most standard applications were not completed in 28 days – supervisory bodies are unable to assure themselves that people’s human rights are not being breached by being deprived of their liberty unlawfully; very few people were referred to Independent Mental Capacity Advocates (IMCAs) or referred to the Court of Protection.

Last updated on hub: 08 September 2020

Destitution in the UK 2020

Joseph Rowntree Foundation

This report examines the scale and nature of destitution in the UK, updating similar studies undertaken in 2015 and 2017. It is based on in-depth case studies on destitution in 18 locations, including a user survey of 113 crisis services and in-depth interviews with 70 destitute respondents. The user survey was conducted in autumn 2019, and captured the scale of destitution in the UK before the COVID-19 pandemic hit the UK in early 2020. The qualitative interviews, undertaken in spring 2020, enabled in-depth exploration of the experiences of destitute households during the UK lockdown that started in March 2020. The report estimates that more than a million households were destitute in the UK at some point in 2019, with these households containing 2.4 million people, of whom 550,000 were children. There was a significant increase in the number of destitute households over the two-and-half years between the 2017 and 2019 surveys. There were also signs of a growing intensity of destitution for some, with more households experiencing both multiple deprivation of essentials and a very low income, and more households with zero income or less than £70 a week. Chapters cover: the scale and distribution of destitution in the UK in 2019; the impact of the COVID-19 crisis on UK nationals with experience of destitution; the impact of the COVID-19 crisis on migrants with experience of destitution; and the impact of the COVID-19 crisis on people with ‘complex needs’ with experience of destitution.

Last updated on hub: 10 December 2020

Detrimental effects of confinement and isolation on the cognitive and psychological health of people living with dementia during COVID-19: emerging evidence

International Long-term Care Policy Network

This report contains a short review of the emerging evidence on the impact of COVID-19 on the cognitive and psychological health of people living with dementia and the reported mitigating measures. Three papers describing the effects of lockdown on people with dementia living in the community show a worsening of functional independence and cognitive symptoms during the first month of lockdown (31% of people surveyed) and also exacerbated agitation, apathy and depression (54%), along with the deterioration of health status (40%) and increased used of antipsychotics or related drugs (7%). People with frontotemporal dementia (FTD) and their family caregivers seem to be particularly struggling to comply with protective measures. Only 2 case studies reporting strategies to support people with dementia in care homes have been produced so far. One describes a quarantine care plan for a person with FTD and the other, a mitigating strategy to ease the distress experienced by a man when his family stopped visiting during the pandemic. People living with dementia in care homes have experienced a particularly harsh version of lockdown – the ban on visits from spouses and partners in care is believed to be causing a significant deterioration in the health and wellbeing of residents with dementia. It is worth noting that a study involving 26 care homes proved that it is possible to implement successful infection control measures at the same time that visits are permitted. Learnings from this first COVID-19 wave can help the home care and day care sector prepare to minimise the disruption of their services in future waves so support can continue for people with dementia in the community. In care homes, evidence-based compassionate protocols should contribute to mitigating the detrimental effects of isolation and quarantine in residents with dementia (and their families).

Last updated on hub: 04 November 2020

Developing a measure of the impact of COVID‐19 social distancing on household conflict and cohesion

Family Process

This report introduces the COVID‐19 Family Environment Scale (CHES), which aims to measure the impact of social distancing due to COVID‐19 on household conflict and cohesion. Existing measures do not capture household experiences relevant to the pandemic, in which families are largely confined to their homes while sharing a life‐threatening situation. Using best practice guidelines, this study developed a pool of items and revised them with review by a panel of experts, and cognitive interviewing with community respondents. This study administered the CHES by online survey to 3,965 adults. The CHES consists of 15 items for each of two subscales, household conflict (α = .847) and household cohesion (α = .887). Exploratory factor analysis yielded two factors, corresponding to the intended conflict and cohesion items, which accounted for 29% of variance. Confirmatory factor analysis partially supported the 2‐factor model (RMSEA = .057; CFI = .729, TLI = .708, and SRMR = .098). The CHES also contains 25 optional items to describe respondent and household characteristics, and household‐level COVID‐19 exposure. The CHES, publicly available at https://elcentro.sonhs.miami.edu/research/measures-library/covid-19/index.html, provides a tool for measuring the impact of the COVID‐19 pandemic on important determinants of resilience in the face of major stressful events. Further work is needed to address the factor structure and establish validity of the CHES.

Last updated on hub: 14 October 2020

Developing emotional resilience and wellbeing: a practical guide for social workers

This comprehensive guide provides information and techniques to help social workers to develop their emotional resilience and wellbeing during the conravirus (Covid-19) pandemic. The coronavirus pandemic has created unprecedented challenges for social work and developing greater resilience can help protect social workers from the stresses they face. The guide, which is based on messages from research, considers the meaning of resilience, highlights the factors that underpin this key quality and identifies how they can be developed. It highlights the importance of qualities such as reflective thinking, social competence, supervision and organisational support, coping skills and self-compassion to developing resilience. Tools and techniques identified that can be used to develop greater resilience, include: mindfulness, thinking skills, peer support, and self-awareness and action planning.

Last updated on hub: 14 April 2020