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01/2020 journal articles

THE COVID-19 PANDEMIC IN UK CARE HOMES – REVEALING THE CRACKS IN THE SYSTEM

R. Devi, K. Hinsliff-Smith, C. Goodman, A.L Gordon

Jour Nursing Home Res 2020;6:58-60

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CITATION:
R. Devi ; K. Hinsliff-Smith ; C. Goodman ; A.L Gordon (2020): The COVID-19 pandemic in UK Care Homes – Revealing the Cracks in the System. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.17

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COVID-19 EPIDEMIC IN THE NURSING HOME – THE GERMAN EXPERIENCE

S. Grund, M. Gosch, T. Laurentius, C. Bollheimer, C. Becker, J.M. Bauer

Jour Nursing Home Res 2020;6:55-57

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CITATION:
S. Grund ; M. Gosch ; T. Laurentius ; C. Bollheimer ; C. Becker ; J.M. Bauer (2020): Covid-19 epidemic in the nursing home – The German experience. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.16

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STRATEGY FOR RESIDENTS OF NURSING HOMES FACING THE SARS-COV2 EPIDEMIC IN FRANCE

S. Vienne-Noyes, L. Andre, Y. Rolland

Jour Nursing Home Res 2020;6:53-54

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CITATION:
S. Vienne-Noyes ; L. Andre ; Y. Rolland (2020): Strategy for residents of nursing homes facing the SARS-Cov2 epidemic in France. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.15

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NURSING HOME CARE IN AUSTRIA DURING SARS-COVID-19 PANDEMIA 2020

R. Roller-Wirnsberger, S. Lindner, A. Matijevic, E. Stolz, G. Wirnsberger

Jour Nursing Home Res 2020;6:50-52

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CITATION:
R. Roller-Wirnsberger ; S. Lindner ; A. Matijevic ; E. Stolz ; G. Wirnsberger (2020): Nursing Home Care in Austria during SARS-COVID-19 Pandemia 2020 . The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.14

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THE EXPERIENCE OF MANAGING COVID-19 IN IRISH NURSING HOMES IN 2020

D.W. Molloy, C. O’Sullivan, R. O’Caoimh, E. Duggan, K. Mcgrath, M. Nolan, J. Hennessy, G. O’Keeffe, K. O’Connor

Jour Nursing Home Res 2020;6:47-49

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CITATION:
D.W. Molloy ; C. O’Sullivan ; R. O’Caoimh ; E. Duggan ; K. Mcgrath ; M. Nolan ; J. Hennessy ; G. O’Keeffe ; K. O’Connor (2020): The experience of managing COVID-19 in Irish Nursing Homes in 2020. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.13

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COVID-19 IN LTC – REFLECTIONS FROM ONTARIO CANADA

A. Moser, P. Pariser, A. Verma, F. Razak, B. Wong, L. Pus, S. Feldman

Jour Nursing Home Res 2020;6:45-46

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CITATION:
A. Moser ; P. Pariser ; A. Verma ; F. Razak ; B. Wong ; L. Pus ; S. Feldman (2020): COVID-19 in LTC – Reflections from Ontario Canada. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.12

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STRUGGLING WITH COVID19 PANDEMIC IN NURSING HOMES: THE CASE OF SPAIN

L. Rodríguez-Mañas

Jour Nursing Home Res 2020;6:43-44

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CITATION:
L. Rodríguez-Mañas ; (2020): Struggling with covid19 pandemic in Nursing Homes: the case of Spain. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.11

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COVID-19 EPIDEMIC IN THE NURSING HOMES IN BELGIUM

S. Gillain, J.-L. Belche, J.-F. Moreau

Jour Nursing Home Res 2020;6:40-42

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CITATION:
S. Gillain ; J.-L. Belche ; J.-F. Moreau (2020): COVID-19 epidemic in the Nursing Homes in Belgium. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.10

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NEW ZEALAND NURSING HOMES (AGED RESIDENTIAL CARE FACILITIES) AND COVID-19 PANDEMIC

X.J. Walker, D.L. Waters, N. Millar

Jour Nursing Home Res 2020;6:38-39

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CITATION:
X.J. Walker ; D.L. Waters ; N. Millar (2020): New Zealand Nursing Homes (Aged Residential Care Facilities) and COVID-19 Pandemic. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.9

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COVID-19: PREVENTION AND OUTBREAK MANAGEMENT IN NURSING HOMES: EXPERIENCES FROM THE NURSING HOMES OF THE CITY OF ZURICH

H. Geschwindner, G. Bieri-Brüning

Jour Nursing Home Res 2020;6:35-37

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CITATION:
H. Geschwindner ; G. Bieri-Brüning (2020): COVID-19: Prevention and Outbreak Management in Nursing Homes: Experiences from the Nursing Homes of the City of Zurich. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.8

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DEALING WITH COVID-19 IN DUTCH NURSING HOMES

J.M.G.A. Schols, E.P. Poot, N.M. Nieuwenhuizen, W.P. Achterberg

Jour Nursing Home Res 2020;6:30-34

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It is absolutely no surprise that the Dutch nursing home sector with a total of 125.000 residents would be affected by the COVID-19. Before the first case in the Netherlands was registered, alarming signals had already arrived from other countries, indicating that the frail and disabled, multimorbid nursing home population is an easy prey for this virus. In the meantime, despite a visitor lockdown since mid-March, a considerable amount of residents and staff have been infected and around 1700 residents have died from COVID-19 (mid-May). The future will learn what the long-term consequences of this crisis will be for residents and staff and what finally will be the main lessons learnt. This article shows that it is clear that we have some way to go, to ensure that the Dutch nursing home sector, despite its good infrastructure, will be sustainably and proactively recognized, resourced and equipped to fulfil its unique role in long-term care. Moreover the sector has to find its way in preparing itself for the temporary future 1,5 meter society.

CITATION:
J.M.G.A. Schols ; E.P. Poot ; N.M. Nieuwenhuizen ; W.P. Achterberg (2020): Dealing with COVID-19 in Dutch nursing homes. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.7

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AN ASPIRATIONAL APPROACH TO NURSING HOME OPERATIONS DURING THE COVID-19 PANDEMIC

M. Wasserman, A.G. Wolk, A. Lam

Jour Nursing Home Res 2020;6:24-29

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COVID-19 has infected nearly half of all nursing homes in the United States. Tens of thousands of residents have lost their lives, and many more have been hospitalized. Emerging data suggest that few nursing facilities have the organizational structure, training, resources, physical plant, and operational capability to keep the COVID-19 infection completely out of a facility. Key infection prevention strategies (such as cohorting, universal masking of patients/staff, focused ventilation, point-prevalence testing, and preventing movement of healthcare workers between facilities) have been inconsistently and haphazardly applied. With these challenges in mind, the California Association of Long Term Care Medicine (CALTCM) proposed a model for a virtual centralized Support and Guidance Center that develops and disseminates real-time expert-driven recommendations to the traditional organizational structure of a nursing facility. We recommended that all senior congregate facilities transition to an incident command management structure. This would allow local leadership teams to focus on day to day management, transferring the responsibility of training, PPE procurement, engineering, testing, and real-time expert-driven recommendations to a centralized entity. Clinical and operational aspects of this model are based on emergency preparedness principles. While this approach is aspirational, the principles delineated in this document can be used to guide policy decisions as we work to mitigate the impact of this virus.

CITATION:
M. Wasserman ; A.G. Wolk ; A. Lam (2020): An Aspirational Approach to Nursing Home Operations During the COVID-19 Pandemic. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.6

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COVID-19 IN ITALIAN NURSING HOMES: FROM GUIDELINES TO PRACTICE

G. Pezzoni, C. Luchetti, M. Cesari

Jour Nursing Home Res 2020;6:22-23

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he COVID-19 pandemic has pushed the world at urgently elaborating new strategies to cope with the many healthcare issues raising from such unprecedent and complex situation. This article is focused on the many problems faced by Italian nursing homes. In particular, it is described which countermeasures were suggested in the guidelines, and the obstacles encountered in their implementation. It is then explained the importance of reshaping the current “hospital-centered” healthcare system into a more modern model, giving more value to the centrality of the person.

CITATION:
G. Pezzoni ; C. Luchetti ; M. Cesari (2020): COVID-19 in Italian Nursing Homes: from guidelines to practice. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.5

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COVID 19 AND RESIDENTIAL CARE HOMES IN HONG KONG

J. Woo

Jour Nursing Home Res 2020;6:20-21

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CITATION:
J. Woo (2020): Covid 19 and Residential Care Homes in Hong Kong. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.4

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ELECTROLYTE IMBALANCES IN NURSING HOME RESIDENTS: A REVIEW OF PREVALENCE, MANAGEMENT AND CONSIDERATIONS

L. Pickenhan, C. Rungg, N. Schiefermeier-Mach

Jour Nursing Home Res 2020;6:14-19

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Background: Electrolyte imbalances strongly impact on morbidity and mortality rate in elderly adults. In particular, residents of long-term care facilities may develop life-threatening conditions as a result of altered serum electrolyte concentration. European nursing homes have restricted availability of general practitioner, therefore the role of nurses in medical care, prevention practices, early symptoms identification and communication with physicians is indispensable. Many of the risk factors associated with electrolyte imbalances are modifiable or preventable and have to be adequately recognized and managed by health professionals in nursing home settings. Objective: The aim of this review is to discuss prevalence and management of electrolyte imbalances in long-term care facilities with focus on nursing homes. Design: Narrative literature review. Methods: Search was performed in MEDLINE/PubMed and CINAHL databases. Key search terms associated with electrolyte imbalances including hyper- and hypo-states of sodium, potassium and magnesium were utilized in the subject search in combination with nursing homes, long-term care and older adults. Results and Conclusions: Published research studies reported higher prevalence of electrolyte imbalances and related mortality rate in nursing home residents when compared to older community adults. Serum sodium imbalances, hyponatremia and hypernatremia, were the most commonly identified. High incidence was also documented for hypomagnesemia and associated hypokalemia. Risk factors strongly associated with electrolyte imbalances included nursing home resident’s dietary/ hydration status, presence of comorbidities and type of prescribed medications. In this review we also summarise early signs of electrolyte imbalances and assessments that can be performed locally by nursing personnel. Strengthening awareness for electrolyte imbalances is an important quality-improvement effort from the perspective of nursing home residents and their families that might lower unnecessary hospital transfers, EI complication rates and residents’ mortality.

CITATION:
L. Pickenhan ; C. Rungg ; N. Schiefermeier-Mach (2020): Electrolyte Imbalances in Nursing Home Residents: a Review of Prevalence, Management and Considerations. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.3

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DO PHYSICAL FUNCTION IN NURSING HOME RESIDENTS CHANGE DURING THEIR STAY?

L. Yong, P. Upendranatha Reddy, J. Tan, D. Avers, P.-H. Ong, W.-P. Wong

Jour Nursing Home Res 2020;6:6-13

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Background: Decline in physical function is associated with increased frailty and hospitalization, resulting in decline of mental status and loss of functional independence. Nursing homes engage residents with variable intensity and frequency of physical activities to reduce functional decline. However the extent to which the physical function of nursing home residents change (that is, improve, maintain or decline) remains unknown. Objectives: The aims of this study were to document the change in physical function and functional category among 222 nursing home residents over a period of 9 months; and to identify the factors associated with changes in their physical function. Design: This is a longitudinal and multi-site study, with outcomes measured at point of recruitment and measurements repeated every three months for nine months. Setting: Three nursing homes in Singapore. Participants: A total of 222 residents (59% male and 41% female) with a mean age of 77.4 years, and an average length of stay of 64 days, participated in the study. Participants did not differ significantly from the 698 total residents in terms of age, number of medical comorbidities and physical function. The key exclusion criteria preventing participation in the study were cognitive status (MMSE < 11) and being placed on cardiac and pulmonary precautions. Measurements: Physical function was measured using the following outcome measures: sit and reach for flexibility, single leg stance for balance, 5 times chair-stand for overall lower extremity muscle strength, 10-meter walk tests for gait speed, and Modified Barthel Index (MBI) for activities of daily living (ADL). Participants were categorised into functional categories (“Fun”, “Functional”, “Frail”, “Failure”) for each test. Factors that are potentially associated with changes in physical function such as number and type of physiotherapy sessions received, number of hospitalisations, age, and length of stay, Charlson Comorbidity Index, and baseline Geriatric Depression Scale were also recorded. Results: There were significant improvements between baseline to 3rd month in flexibility (sit and reach distance from toe in centimeters) [2.69; 95% confidence interval [CI] = 1.05, 4.34; p = .001], balance (single leg stance in seconds) [8.46; 95% CI = 6.81, 10.12; p < .001), MBI [5.06; 95% CI = 2.61, 7.51; p < .001] but not strength and gait speed. Improvements were maintained until 9th month except on flexibility test. Gait speed significantly improved between baseline and 9th month [0.13, 95% CI = .009, .242; p = .035]. The group that improved the most were those who were in the “Failure” group at baseline. Number and type of physiotherapy sessions as well as number of hospitalisations was found to be associated with the extent of improvement in physical function. Conclusions: The study suggests that current rehabilitation framework at these nursing homes has the potential to enhance the physical function of residents who are in the earlier stage of their nursing home stay. Modifiable variables such as number and types of physiotherapy sessions appear to be significant factors associated with these outcomes. Hence, further studies examine the optimum frequency and type of physiotherapy sessions for this population.

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ORAL HEALTH IN NURSING HOMES: WHAT WE KNOW AND WHAT WE NEED TO KNOW

A.M. Foiles Sifuentes, K.L. Lapane

Jour Nursing Home Res 2020;6:1-5

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A “silent epidemic» of oral diseases is afflicting older adults. Older adults develop coronal caries at “approximately one new cavity per year”. Despite the rapidly growing older adult population, no recent data exist for adults aged ≥ 75 years. Oral disease impacts physical, psychological, and social well-being through pain, diminished function, and reduced quality of life. People of color disproportionately experience oral disease, yet little is known about racial/ethnic disparities in older adults. In the United States, the Health and Human Services Oral Health Strategic Framework proposed concrete steps to eliminate oral health disparities. Notably absent from this strategic plan is explicit consideration of nursing home residents. In the United States, federal regulations require nursing homes to evaluate oral health needs and facilitate access to dental care. Compliance to the regulations is unknown. Data are urgently required to provide essential information for program planning and evaluation on “racial and ethnic minorities, rural populations, and the frail elderly”.

CITATION:
A.M. Foiles Sifuentes ; K.L. Lapane (2020): ORAL HEALTH IN NURSING HOMES: WHAT WE KNOW AND WHAT WE NEED TO KNOW. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2020.1

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