An Agitated Patient With COVID-19 Infection and Early-onset Alzheimer Disease

Sykora, Daniel; Stonnington, Cynthia M.; Jain, Neeta

doi:10.1097/wad.0000000000000456

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…C-M-O-C: If LTC staff are adequately resourced and aware that residents with cognitive impairment and long COVID symptoms may exhibit challenging behaviours (C), they will tailor non-pharmacological and pharmacological interventions to best manage residents’ psychological and emotional duress (O), because of greater situational awareness for residents’ care needs (M1) and professional accountability (M2) for optimising residents’ quality of life. 28 …”

Section: Resultsmentioning

confidence: 99%

“…20 C-M-O-C: If LTC staff are adequately resourced and aware that residents with cognitive impairment and long COVID symptoms may exhibit challenging behaviours (C), they will tailor non-pharmacological and pharmacological interventions to best manage residents' psychological and emotional duress (O), because of greater situational awareness for residents' care needs (M1) and professional accountability (M2) for optimising residents' quality of life. 28 C-M-O-C: If LTC staff are adequately resourced and aware that COVID-19 survivors have higher rates of frailty, unintentional weight loss and worsening functional ability (C), they will implement tailored strategies to address malnutrition and deconditioning (O), because of improved situational awareness for resident trajectories (M1) and professional accountability (M2) for optimising residents' quality of life. 13 29-31…”

Section: Open Accessmentioning

confidence: 99%

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Long COVID in long-term care: a rapid realist review

Fyffe,

Sorensen,

Carroll

et al. 2023

BMJ Open

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ObjectivesThe goals of this rapid realist review were to ask: (a) what are the key mechanisms that drive successful interventions for long COVID in long-term care (LTC) and (b) what are the critical contexts that determine whether the mechanisms produce the intended outcomes?DesignRapid realist review.Data sourcesMedline, CINAHL, Embase, PsycINFO and Web of Science for peer-reviewed literature and Google for grey literature were searched up to 23 February 2023.Eligibility criteriaWe included sources focused on interventions, persons in LTC, long COVID or post-acute phase at least 4 weeks following initial COVID-19 infection and ones that had a connection with source materials.Data extraction and synthesisThree independent reviewers searched, screened and coded studies. Two independent moderators resolved conflicts. A data extraction tool organised relevant data into context-mechanism-outcome configurations using realist methodology. Twenty-one sources provided 51 intervention data excerpts used to develop our programme theory. Synthesised findings were presented to a reference group and expert panel for confirmatory purposes.ResultsFifteen peer-reviewed articles and six grey literature sources were eligible for inclusion. Eleven context-mechanism-outcome configurations identify those contextual factors and underlying mechanisms associated with desired outcomes, such as clinical care processes and policies that ensure timely access to requisite resources for quality care delivery, and resident-centred assessments and care planning to address resident preferences and needs. The underlying mechanisms associated with enhanced outcomes for LTC long COVID survivors were: awareness, accountability, vigilance and empathetic listening.ConclusionsAlthough the LTC sector struggles with organisational capacity issues, they should be aware that comprehensively assessing and monitoring COVID-19 survivors and providing timely interventions to those with long COVID is imperative. This is due to the greater care needs of residents with long COVID, and coordinated efficient care is required to optimise their quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%