SARS-CoV-2 pandemic and the population with dementia. Recommendations under the auspices of the Polish Psychiatric Association

Łuc, Mateusz; Szczęśniak, Dorota; Trypka, Elżbieta; Mazurek, Justyna; Rymaszewska, Joanna

doi:10.12740/pp/122780

Cited by 11 publications

(14 citation statements)

References 13 publications

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“…This situation requires the application of solutions taking into account both specific problems and the possibility of adaptation to new conditions in this group of patients. In Poland, we have recommendations prepared under the auspices of the Polish Psychiatric Association, the purpose of which is to stop these unfavorable phenomena [23]. However, it is advisable to develop standards for the diagnosis of dementia, taking into account the role of primary care physicians and assessing the effectiveness and utility of available diagnostic tools in primary health care.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of cognitive disorders in primary health care in Poland

Chmiela¹,

Dobrakowski²,

Łabuz-Roszak³

et al. 2023

Psychiatr Pol

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Cel pracyCelem niniejszej pracy była ocena wiedzy i postaw oraz zasad postępowania lekarzy podstawowej opieki zdrowotnej (POZ) w Polsce w zakresie przesiewowej diagnostyki w kierunku zaburzeń funkcji poznawczych u osób w wieku podeszłym.MetodaBadaniem objęto 175 lekarzy zatrudnionych w POZ. Wykorzystano walidowaną autorską ankietę. Badanie przeprowadzono metodą PAPI (bezpośredni wywiad z wykorzystaniem papierowej wersji kwestionariusza) oraz CAWI (wspomagany komputerowo wywiad przy pomocy strony internetowej).WynikiZdecydowana większość badanych (n=159; 91,4%) widziała celowość prowadzenia badań przesiewowych w kierunku zaburzeń poznawczych w grupie wiekowej >65 r.ż., jednak tylko 53 osoby (30,29%) uważały, że badania te powinny być prowadzone przez lekarzy POZ. Wg ankietowanych lekarzy główną przeszkodą w diagnostyce funkcji poznawczych jest brak czasu – tak uważało 142 (81,14%) respondentów. W sytuacji podejrzenia otępienia ankietowani zwykle zlecali badania laboratoryjne oraz kierowali pacjentów do specjalisty neurologa (n=111; 63,4%). Najbardziej znanymi skalami oceniającymi funkcje poznawcze były w badanej grupie Krótka Skala Oceny Stanu Psychicznego (ang. Mini Mental Status Examination, MMSE), którą znało 120 lekarzy (68,57%), oraz Test Rysowania Zegara (ang. Clock Drawing Test, CDT), który był znany 122 ankietowanym (69,71%).WnioskiLekarze POZ mają świadomość konieczności badań przesiewowych w kierunku zaburzeń poznawczych u seniorów. W chwili obecnej nie funkcjonują w ramach POZ mechanizmy umożliwiające właściwy wczesny screening w kierunku otępienia u osób z grupy ryzyka (tj.> 65 r.ż.). Opracowanie standardów wczesnego wykrywania zaburzeń poznawczych w ramach POZ w Polsce wydaje się pilną potrzebą.

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Section: Discussionmentioning

confidence: 99%

Diagnosis of cognitive disorders in primary health care in Poland

Chmiela¹,

Dobrakowski²,

Łabuz-Roszak³

et al. 2023

Psychiatr Pol

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“…Where articles did consider this population group, the focus was frequently on the way in which people with cognitive impairment were impacted by COVID-19 physically and mentally, including as a result of social restrictions [34,110,112,114]. The impact of COVID-19 was greater for those with dementia [9,10,107], including those with severe dementia and who had experienced longer social isolation [107].…”

Section: People With Cognitive Impairmentmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the residential aged care sector, responses and recommendations: A systematic scoping review

Battams

Martini

2023

Preprint

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Objective: This systematic scoping review sought to identify the impact of the COVID-19 pandemic on the residential aged care (RAC) sector, its system components, and the range of COVID-19 response strategies across the sector. Methods: ProQuest, PubMed, CINAHL, Google Scholar and Cochrane Central were searched April-August 2022 for peer reviewed articles and grey literature. One hundred and forty six articles on the impact of the COVID-19 pandemic on the RAC sector and sector interventions/policy responses are included in this review. Results:The World Health Organization’s (WHO) six building blocks of health systems were used to categorise impacts and interventions. The COVID-19 pandemic generally highlighted poor resourcing of the RAC sector and exacerbated workforce shortages; led to increased workload, changes in job demand and declines in worker mental health; revealed poor integration across health and aged care sectors and reduced advance care and palliative care planning. Social restriction measures led to declines in the physical, mental health and cognitive decline of residents in RACFs, in particular those with cognitive impairment. Innovative care models included the introduction of outreach teams and primary care models for RACFs and increased use of telehealth and videoconferencing for social engagement, although there was mixed evidence on the use of telehealth for people with cognitive impairment. Discussion: Additional funding of the RAC sector is required to boost workforce numbers and training, and support worker mental health, along with policies which attract, maintain and support workers from culturally and linguistically diverse (CALD) backgrounds. COVID-19 response strategies in RACFs need to ensure that all residents have access to resources such as telehealth for health and social engagement, including residents with cognitive impairment. Clear guidelines and additional resourcing are required for utilisation of telehealth during a pandemic. Additional research on appropriate COVID-19 responses for residents with cognitive impairment is required, along with a balance between infection prevention and control and social engagement strategies.

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“…The current pandemic can cause COVID19 [ 1 , 20 ], a disease dangerous for many people but there are also many restrictions, e.g., quarantine, remote learning, recommendations on new ways of behaving, e.g., maintaining social distance, limiting the number of people at meetings, etc. These may cause serious stress or even a crisis for young people and trigger strong, often difficult, and inappropriate behaviours, as well as a broad range of mental health problems, including mental disorders and diseases [ 8 , 10 ].…”

Section: Pandemic As a Risk Factor For Students’ Mental Health Problemsmentioning

confidence: 99%

“…A pandemic like the current one of 2020-2022, linked to the new coronavirus strain SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), causing a disease called COVID-19 (coronavirus disease 2019) [ 1 ], can be regarded as a crisis and thus potentially a threat to mental health, which is an important element of general health (alongside physical and social health) at every stage of life [ 2 ]. Mental health is closely related to physical/ somatic health, among other things, in the context of health behaviours and immunological processes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Mental health of university students during the pandemic. Threats to their mental health and proposals for university student support in Poland

Zabłocka-Żytka¹

2022

ppn

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Purpose:The article is an application report. It focuses on the mental health difficulties currently experienced by university students in relation to the COVID-19 pandemic, which may have a significant impact on the study process. The work also presents examples of support implemented at higher education institutions during the pandemic, aimed at maintaining and strengthening students' mental health. Views: Mental health is closely related to physical/somatic health, among other things, in terms of health behaviour and immunological processes. Thus, any physical, life-threatening and therefore life-altering illness has a potentially negative impact on an individual's overall mental health. A pandemic such as COVID-19 in 2020 is a potential additional risk factor for mental health that is not yet well understood. Pandemic-related changes such as remote learning, reduced interpersonal contact, the uncertainty surrounding this pandemic of unknown magnitude, as well as its dynamic and often surprising course may have an impact on the functioning of young people and their daily activities, including studying. Conclusions: It is essential to monitor mental health in different population groups, including students-young adults, specifically in relation to the threat of SARS-CoV-2 coronavirus infection, prevention activities and the treatment of COVID-19 patients. It is important to introduce parallel activities to support students' mental health, in line with the sanitary regime, e.g. by using new technologies. Key words: young adults, mental health of university students, psychological support in the pandemic, mental health in the pandemic.

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SARS-CoV-2 pandemic and the population with dementia. Recommendations under the auspices of the Polish Psychiatric Association

Cited by 11 publications

References 13 publications

Diagnosis of cognitive disorders in primary health care in Poland

Diagnosis of cognitive disorders in primary health care in Poland

The impact of the COVID-19 pandemic on the residential aged care sector, responses and recommendations: A systematic scoping review

Mental health of university students during the pandemic. Threats to their mental health and proposals for university student support in Poland

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