COVID-19 resources

Results 1 - 10 of 1805

Order by    Date Title

COVID-19 recommendations for assisted living: implications for the future

Journal of the American Medical Directors Association

Objectives: Assisted living (AL) emerged over 2 decades ago as a preferred residential care option for older adults who require supportive care; however, as resident acuity increased, concern has been expressed whether AL sufficiently addresses health care needs. COVID-19 amplified those concerns, and an examination of recommendations to manage COVID-19 may shed light on the future of AL. This review summarizes recommendations from 6 key organizations related to preparation for and response to COVID-19 in AL in relation to resident health and quality of life; compares recommendations for AL with those for nursing homes (NHs); and assesses implications for the future of AL. Design: Nonsystematic review involving search of gray literature. Setting and Participants: Recommendations from key governmental bodies and professional societies regarding COVID-19 in AL, long-term care facilities (LTCFs) in general, and NHs. Measures: The researchers collected, categorized, and summarized these recommendations as they pertained to quality of life and health care. Results: Many recommendations for AL and NHs were similar, but differences provided insight into ways the pandemic was recognized and challenged AL communities in particular: recommending more flexible visitation and group activities for AL, providing screening by AL staff or an outside provider, and suggesting that AL staff access resources to facilitate advance care planning discussions. Recommendations were that AL integrate health care into offered services, including working with consulting clinicians who know both the residents and the LTC community. Conclusions and Implications: Long-term care providers and policy makers have recognized the need to modify current long-term care options. Because COVID-19 recommendations suggest AL communities would benefit from the services and expertise of social workers, licensed nurses, and physicians, it may accelerate the integration and closer coordination of psychosocial and medical care into AL. Future research should investigate different models of integrated, interdisciplinary health care in AL.

Last updated on hub: 08 April 2021

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. We 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 and July 2020, presenting the number of survived versus 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, eight 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 ratio: 3.75; 95% confidence interval: 2.54–5.54, p < 0.0001, I 2 = 49.5%). The Egger's regression test confirmed that there were not statistically evidences of publication bias (t = 0.059; p = 0.954). Conclusions: Our 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: 08 April 2021

‘Living in a Zoom world’: survey mapping how COVID‐19 is changing family therapy practice in the UK

Journal of Family Therapy

Following the COVID‐19 pandemic, psychological therapies rapidly moved online in mid‐2020. The Association for Family Therapy and Systemic Practice in the UK (AFT) surveyed the attitudes and practices of systemic therapists in the UK in early October 2020, exploring members’ views and gathered information about ongoing needs. A sample of 312 people were included in a mixed methods analysis. In total, 65% of respondents felt their overall experience of using online video technology professionally was positive, further reflected in responses to two open‐ended questions. Detailed thematic analysis revealed that many positive comments were related to the practical advantages of online working, whilst many negative comments were related to technique and the therapeutic relationship. Possible respondent biases are discussed, and the implications of this change in practice are explored. It remains to be seen if this marks the beginning of a more permanent shift in our field as we explore the potential of new technologies.

Last updated on hub: 07 April 2021

Building personal power: key findings and proposals from the Be-Human Register

In Control

This short report and its detailed appendix aims to tell the story of the people who registered their experience of Covid-19 and the kinds of advice and assistance that, for some, made a difference. The Be-Human register aims to record the experiences of disabled people and people with long-term health conditions, their carers and family members, of getting health, social care services and treatment for Covid-19 during the period of the Pandemic and its aftermath. The report identifies forms of practical assistance that could be further developed to the benefit of both the people using public services and the people offering those supports. Its core theme is power. Many of the people who registered their experience faced challenges that were sometimes caused, sometimes exacerbated by limitations on their personal power (limits formed from information and knowledge gaps). In those cases, a range of ways of supporting people to grow their power were critical, on a continuum of “supported to do it yourself” to formal mediation or legal intervention. The challenges related were in some cases very specific to the COVID-19 context, but in many they might be seen as exacerbations of issues and barriers faced pre COVID-19 that will be relevant post COVID-19. People most commonly wanted to report on their care and support (163 people; 37%) and other aspects of support to help them live independently (80 people; 18%), with another 40 people (9%) wanting to report on direct payments. Only 12 people (3%) wanted to report on their treatment for COVID-19. Overall, 159 people (36%) reported that they had enough information about care or access to treatment during COVID-19 in accessible formats/community languages to meet their needs.

Last updated on hub: 07 April 2021

Discharge to designated settings / care homes: frequently asked questions

Department of Health and Social Care

These Frequently Asked Questions (FAQs) for care homes and hospitals relate to the guidance on Discharge into care homes: designated settings and accompanying Clarification note. They include question themes raised at a webinar by care homes and hospitals held on 21st January 2021. The themes covered include: hospital discharge (for those exempt from COVID-19 testing prior to discharge); designated settings; 14-day isolation period and preventing COVID-19 exposure; 90-day timeframe and testing; severe immunosuppression; COVID-19 symptoms in care home residents; new variant; vaccinations; outbreaks in care homes; and support for care homes.

Last updated on hub: 07 April 2021

A record of our own: lockdown experiences of ethnic minority prisoners

Zahid Mubarek Trust

Findings of a review of the experiences of ethnic minority prisoners, including those from Gypsy, Roma and Traveller (GRT) communities, during lockdown. The project aimed to provide a platform for ethnic minority prisoners and their families to describe the impact Covid-19 had on their lives and to consider what lessons could be learned for the future. The evidence presented in this report focusses on the findings from 87 questionnaires which were completed by prison leavers or family members of prisoners (40 interviews and 47 written submissions) and which covered conditions in 29 prisons. The findings cover: changes to the prison regime; measures to prevent the spread of Covid-19; communication; contact with families; healthcare; mental health; resettlement support; and staff-prisoner relationships and fairness. While the changes to the prison regime may have been successful in reducing the spread of Covid-19 and saving lives, they also had profound and long-lasting effects on ethnic minority prisoners and their families, with one participant describing them as a “double punishment”. Issues highlighted in this report include: not enough time out of cells; inadequate communication; inconsistent implementation of the regulations; lack of provision to support prisoners’ mental health; and resourcing and inequalities across the prison estate.

Last updated on hub: 07 April 2021

Volunteering, Covid and integrated care: challenges and opportunities a discussion paper

Royal Voluntary Service

Volunteers have always played a significant role in the National Health Service, particularly in hospitals. However, there has been only limited change in the role of volunteers since the NHS was founded until now. This report looks at what has changed in the last decade and particularly in 2020 as a result of the response to Covid, including the contribution made by NHS Volunteer Responders. A survey of system leaders looks at how far their attitudes have changed during this year. A series of discussion groups held during the summer and autumn reinforce key messages. Over 40 case studies were reviewed to illustrate volunteering best practice across England. Even before the Covid pandemic, there was increasing awareness of the role volunteers could play to support patients. In part, this was due to a general reassertion of the role of society in contributing to wellbeing. There has been an increased recognition that health and social care need to be more integrated to achieve lasting and affordable change in patient support. More patient centred care, tackling inequalities, and increasing social prescribing also all point to an increased role for volunteers. These trends were enhanced by the response to the Covid pandemic. New ways of delivering NHS services became necessary. The overall success of the NHS Volunteer Responders programme has helped many sector leaders better understand and appreciate the potential volunteering contribution. Looking ahead, volunteering in the NHS is a key way in which the Government and citizens can join forces to support people in need. Four key steps need action now to achieve the potential of volunteering over the coming years: develop the role of volunteers in integrated care systems; improve volunteer management; invest in volunteer support; establish new partnerships to benefit from national volunteering expertise.

Last updated on hub: 07 April 2021

Kinship carers during coronavirus: report produced on behalf of the Parliamentary Taskforce on Kinship Care

Family Rights Group

This report is an analysis of survey data to find out how kinship care households are coping in the latest stage of the pandemic. The survey heard from 605 respondents, who are raising 889 kinship children and a further 238 birth children. Most respondents are grandparents raising their grandchildren and nearly 4 in 10 are single households. The report includes a number of recommendations for immediate action for the UK Government and the Scottish and Welsh Governments to consider. It will inform the work of Family Rights Group, the Parliamentary Taskforce, and the Kinship Care Alliance. The survey reveals that a quarter of kinship carers said that they have a limiting long-term illness or disability; over a third (36%) have other caring responsibilities outside of the home, a large number of which were for elderly parents or parents in law; almost half of children being raised by kinship carers (49%) have special needs or disabilities; more than half of kinship care placements have come about as a result of parental drug or alcohol misuse and 4 in 10 cited parental mental ill health as the reason. A third of respondents have received no support during the course of the pandemic and 87% stated they had not received any support maintaining contact between the children and parents/family members. Two thirds of families had been offered a school place during this latest lockdown but 10% had not been offered a place but indicated that they would like one. A third (32%) of kinship families indicated they would find support with equipment for remote learning helpful but had not been offered it. 37% expressed the same wish for help with access to broadband/data for remote learning.

Last updated on hub: 07 April 2021

Coronavirus and people with learning disabilities study: wave 1 results: March 2021

The University of Warwick

This report describes the main results of the first wave of a research study focusing on three key questions: 1. What are the wellbeing, health, and social effects of the COVID-19 pandemic, including social restrictions and changes to how people are supported, on the lives of adults with learning disabilities across the UK over time? 2. What actionable factors are associated with better outcomes for different groups of people with learning disabilities? 3. What urgent issues concerning people with learning disabilities are emerging over time? In Cohort 1, 621 people with learning disabilities and, in Cohort 2, 378 family carers or support staff of people with learning disabilities took part in the study. 3% of people with learning disabilities in Cohort 1 and 7% of people with learning disabilities in Cohort 2 had received a positive COVID-19 test since March 2020. Of those who had, or thought they had, COVID-19 16% of people with learning disabilities in Cohort 1 and 14% in Cohort 2 were hospitalised because of their COVID-19 symptoms. In Cohort 2, 30% of those shielding were not formally told to shield, but still felt that they needed to. In Cohort 2, 30% of family carers/paid support staff said the physical health of the person they support had changed for the worse since the first national lockdown in March 2020. Of those who regularly used these services before the first lockdown, 99% of participants in Cohort 1 reported community activities had stopped completely or reduced by the time of the interviews, and 89% reported their day service had stopped completely or reduced. Carers of people with learning disabilities in Cohort 2 regularly using these services before the first lockdown reported that 95% of people with learning disabilities had experienced short breaks/respite stopping or reducing, whilst 98% reported day services stopping or reducing.

Last updated on hub: 07 April 2021

Interim infection prevention and control recommendations to prevent SARS-CoV-2 spread in nursing homes

Centers for Disease Control and Prevention

Even as nursing homes resume more normal practices and begin relaxing restrictions, nursing homes must sustain core infection prevention and control (IPC) practices and remain vigilant for SARS-CoV-2 infection among residents and healthcare personnel in order to prevent spread and protect residents and staff from severe infections, hospitalisations, and death. This guidance has been updated and organised according to IPC practices that should remain in place whether or not nursing homes are experiencing outbreaks of SARS-CoV-2. Additional guidance is included to assist nursing homes and public health authorities with resident placement and cohorting decisions when responding to SARS-CoV-2 infections and exposures.

Last updated on hub: 06 April 2021

Order by    Date Title