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Lookup NU author(s): Dr Robert Barker,
Professor Barbara Hanratty
This is the authors' accepted manuscript of an article that has been published in its final definitive form by Oxford University Press, 2020.
For re-use rights please refer to the publisher's terms and conditions.
The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19–72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents may test positive whilst pre-symptomatic. In this article, we provide a commentary on challenges and dilemmas identified in the response to COVID-19 for care homes and their residents. We highlight the low sensitivity of polymerase chain reaction testing and the difficulties this poses for blanket screening and isolation of residents. We discuss quarantine of residents and the potential harms associated with this. Personal protective equipment supply for care homes during the pandemic has been suboptimal and we suggest that better integration of procurement and supply is required. Advance care planning has been challenged by the pandemic and there is a need to for healthcare staff to provide support to care homes with this. Finally, we discuss measures to implement augmented care in care homes, including treatment with oxygen and subcutaneous fluids, and the frameworks which will be required if these are to be sustainable. All of these challenges must be met by healthcare, social care and government agencies if care home residents and staff are to be physically and psychologically supported during this time of crisis for care homes.
Author(s): Gordon A, Goodman C, Achterberg W, Barker R, Burns E, Hanratty B, Martin F, Meyer J, ONeill D, Schols J, Spilsbury K
Publication type: Article
Publication status: Published
Journal: Age and Ageing
Print publication date: 01/09/2020
Online publication date: 13/05/2020
Acceptance date: 11/05/2020
Date deposited: 12/06/2020
ISSN (print): 0002-0729
ISSN (electronic): 1468-2834
Publisher: Oxford University Press
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