Nursing Home Resident Weight Loss During Coronavirus Disease 2019 Restrictions

Danilovich, Margaret; Norrick, Christie; Hill, K.; Conroy, David E.

doi:10.1016/j.jamda.2020.08.032

Cited by 17 publications

(13 citation statements)

References 2 publications

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“…During the pandemic, reduced staff-resident contact time, lower levels of physical activity, decreased mealtime conversation and reduced social interactions may all have contributed to physical decline and/or weight loss in some residents [65], new instances of pressure ulcers and/or falls [20], and a general decline in psychological well-being and cognition, necessitating new supports for residents [66][67][68][69] that were not previously mandated by quality standards [70]. Many improvement initiatives focused on non-pharmacological measures including cognitive stimulation, nutritional optimisations, increased walking, and trying to maintain social interaction [67].…”

Section: Physical and Mental Health Support For Residentsmentioning

confidence: 99%

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021

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Introduction COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods The MeSH terms “Nursing homes” and “COVID-19” were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents’ well-being, and technological innovations. Conclusion COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.

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Section: Physical and Mental Health Support For Residentsmentioning

confidence: 99%

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021

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“…Focusing on the subacute course of COVID-19 in older nursing home residents, Martinchek et all demonstrated that there was a mean weight loss of 4.6% (3.5 kg) in patients with COVID-19 2 months after the onset of COVID-19-related symptoms. 10 It also seems important to mention that preventive restrictions during a local outbreak 10 and general contact restrictions for nursing homes during the pandemic 11 can have a negative impact on the nutritional status including weight loss of COVID-19 negative residents. However, the respective consequences seem to be less severe than in those that have been infected by the coronavirus.…”

Section: The Nursing Home Settingmentioning

confidence: 99%

Malnutrition and Sarcopenia in COVID-19 Survivors

Grund

Bauer

2022

Clinics in Geriatric Medicine

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“…For example, Van der Roest and colleagues 10 studied 193 Dutch LTC residents without significant dementia and found that after 6 to 10 weeks of isolation, there were significant levels of loneliness and depression reported, and a majority of staff noted marked increases in depression, anxiety, irritation, agitation, and appetite disturbances in the residents. Danilovich and colleagues 11 reported significant weight loss within 30 days after lockdown in a 240-bed LTC home in Chicago.…”

Section: The Hidden Dangers Of Isolation Practicesmentioning

confidence: 99%

The promise of transformed long-term care homes: Evidence from the pandemic

Power

Carson

2021

Healthc Manage Forum

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A combination of factors during the SARS-CoV-2 pandemic led to a disproportionately high mortality rate among residents of long-term care homes in Canada and around the globe. Retrospectively, some of these factors could have been avoided or minimized. Many infection control approaches recommended by public health experts and regulators, while well intended to keep people safe from disease exposure, threatened other vital aspects of health and well-being. Furthermore, focusing narrowly on infection control practices does not address longstanding operational and infrastructural factors that contributed significantly to the pandemic toll. In this article, we review traditional (ie institutional) long-term care practices that were associated with increased risk during the pandemic and highlight one transformational model (the Green House Project) that worked well to protect the lives and livelihood of people within congregate care settings. Drawing on this evidence, we identify specific strategies for necessary and overdue improvements in long-term care homes.

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Nursing Home Resident Weight Loss During Coronavirus Disease 2019 Restrictions

Cited by 17 publications

References 2 publications

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

Malnutrition and Sarcopenia in COVID-19 Survivors

The promise of transformed long-term care homes: Evidence from the pandemic

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