Expert consensus on the nursing management of critically ill elderly patients with coronavirus disease 2019

Abstract

GerontologyThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Abstract The novel coronavirus (2019-nCoV) was first detected in patients with pneumonia of an unknown cause in Wuhan, China in December 2019. It has since been confirmed as the pathogen for the new coronavirus pneumonia, recently named "coronavirus disease 2019" (COVID-19) by the World Health Organization. Although the general population is commonly susceptible to the disease, infected elderly people show fast progression and severe manifestations with a high proportion in critical condition as a result of compromised immunity and underlying diseases. In order to improve the quality of nursing, reduce complications, and decrease mortality of critically ill elderly patients, we assembled a national expert group with expertise in critical nursing to write this consensus, based on a literature review and a subsequent panel discussion. The consensus covers the assessment, clinical nursing, discharge care, and other aspects of care for critically ill elderly patients with COVID-19, aiming to share insights and provide guidance for clinical practice. K E Y W O R D S critical illness, novel coronavirus, nursing, pneumonia 2 |

International alliance and AGREE-ment of 71 clinical practice guidelines on the management of critical care patients with COVID-19: a living systematic review

“…Seventy-one CPGs were included, 45 were published in English, seven in Chinese, seven in Italian, five in Spanish, five in German, and two in French. [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] , [73] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , ...…”

“…Scores of 25 CPGs were ≥60%. [ [35] , [36] , [37] , [38] , [41] , [42] , [43] , 48 , 49 , 51 , 53 , 57 , 59 , 63 , 69 , 71 , 74 , 76 , 79 , [81] , [82] , [83] , [84] , 88 , 95 ]…”

The effect of coronavirus (COVID‐19) outbreak on the mental well‐being and mental health of individuals

“…Explaining COVID-19 information in a simple and understandable way and providing continuous information support is extremely important for the psychological well-being of the elders during this period. 13 It was determined that the mental well-being scores of those who started to work from home were higher while somatization, obsessive compulsive disorder, interpersonal sensitivity, anxiety, hostility, and phobic anxiety scores were lower. The healthiest way in COVID-19 pandemic is to work from home, if possible.…”

“…12 Older patients, which are one of the major risk groups of COVID-19, tend to experience panic and anxiety due to insufficient knowledge of the disease and lack of access to information. 13 Children, another sensitive group, are exposed to excessive information flow as a result of the stress and anxiety of the adults around them and this may lead to incomprehensibility in children. 14 Nurses are on the frontline of the public health crisis the world now knows as the COVID-19 pandemic.…”

The Role of Business Administrative Science and Management Science Amid Coronavirus Pandemic

“…The coronavirus, which first appeared in December 2019, was detected in the Chinese city of Wuhan [1]. And it has been confirmed as a pathogen for the new coronavirus pneumonia by the World Health Organization (WHO) [2]. Since the case of the coronavirus appeared, the spread was so fast that almost 200 countries in the world were exposed, which resulted in a global health and economic crisis [3].…”