Abstract:During the COVID-19 pandemic, the US federal government required that skilled nursing facilities (SNFs) close to visitors and eliminate communal activities. Although these policies were intended to protect residents, they may have had unintended negative effects. OBJECTIVE To assess health outcomes among SNFs with and without known COVID-19 cases. DESIGN, SETTING, AND PARTICIPANTS This retrospective observational study used US Medicare claims and Minimum Data Set 3.0 for January through November in each year b… Show more
“…No obstante, este determinante parece no haber sido tan trascendental en enfermería, pues sus servicios profesionales, desarrollados por un colectivo eminentemente femenino, fueron de igual modo realizados de forma presencial dentro del CAPS y a domicilio en ambos tipos de pacientes. Esta circunstancia, como se ha constatado, puede haber colocado a este colectivo en una situación de peor calidad de vida y salud 9 . Figura 1 Tipo de acceso a los servicios sanitarios en las consultas generadas por la COVID-19 y por otras patologías, según sexo.…”
“…No obstante, este determinante parece no haber sido tan trascendental en enfermería, pues sus servicios profesionales, desarrollados por un colectivo eminentemente femenino, fueron de igual modo realizados de forma presencial dentro del CAPS y a domicilio en ambos tipos de pacientes. Esta circunstancia, como se ha constatado, puede haber colocado a este colectivo en una situación de peor calidad de vida y salud 9 . Figura 1 Tipo de acceso a los servicios sanitarios en las consultas generadas por la COVID-19 y por otras patologías, según sexo.…”
“…The loss of physical and cognitive functionality over time in older adults living in LTCF is well-known, regardless of COVID-19. 16 , 26 , 27 However, cases and deaths from COVID-19 raised concerns about physical distancing. 27 Zamora et al 15 analyzed the loss of functionality of older adults living in LTCF during COVID-19.…”
Section: Discussionmentioning
confidence: 99%
“… 15 Moreover, physical distancing impaired the functionality of older adults living in LTCF. 16 , 17 , 18 , 19 The functionality is defined by the World Health Organization as a term that encompasses all body functions, activities and participation and it is understood from a dynamic interaction between health conditions and contextual factors. 14 …”
“…Along with other aspects that deteriorate well-being and mental health, depression during COVID-19 has increased in older adults and in people with vulnerable health conditions [ 98 ]. In this regard, much research has shown high levels of depression, as in the case of older people in residential care in Israel [ 60 ], New Zealanders of European origin [ 104 ], in Malaysia [ 105 ], and in the US [ 106 ]. Depression has also been reported in the older-adult population in community-dwelling [ 107 ].…”
The most vulnerable residential settings during the COVID-19 pandemic were older adult’s nursing homes, which experienced high rates of incidence and death from this cause. This paper aims to ascertain how institutionalized older people assessed their residential environment during the pandemic and to examine the differences according to personal and contextual characteristics. The COVID-19 Nursing Homes Survey (Madrid region, Spain) was used. The residential environment assessment scale (EVAER) and personal and contextual characteristics were selected. Descriptive and multivariate statistical analysis were applied. The sample consisted of 447 people (mean age = 83.8, 63.1% = women, 50.8% = widowed, 40% = less than primary studies). Four residential assessment subscales (relationships, mobility, residential aspects, privacy space) and three clusters according to residential rating (medium-high with everything = 71.5% of cases, low with mobility = 15.4%, low with everything = 13.1%) were obtained. The logistic regression models for each cluster category showed to be statistically significant. Showing a positive affect (OR = 1.08), fear of COVID-19 (OR = 1.06), high quality of life (OR = 1.05), not having suspicion of depression (OR = 0.75) and performing volunteer activities (OR = 3.67) were associated with the largest cluster. It is concluded that a better residential evaluation was related to more favourable personal and contextual conditions. These results can help in the design of nursing homes for older adults in need of accommodation and care to facilitate an age-friendly environment.
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