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Coping with Dementia in the Middle of the COVID-19 Pandemic
Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, t...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606885/ https://www.ncbi.nlm.nih.gov/pubmed/33140593 http://dx.doi.org/10.3346/jkms.2020.35.e383 |
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author | Ryoo, Nayoung Pyun, Jung-Min Baek, Min Jae Suh, Jeewon Kang, Min Ju Wang, Min Jeong Youn, Young Chul Yang, Dong Won Kim, Seong Yoon Park, Young Ho Kim, SangYun |
author_facet | Ryoo, Nayoung Pyun, Jung-Min Baek, Min Jae Suh, Jeewon Kang, Min Ju Wang, Min Jeong Youn, Young Chul Yang, Dong Won Kim, Seong Yoon Park, Young Ho Kim, SangYun |
author_sort | Ryoo, Nayoung |
collection | PubMed |
description | Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, the following three mechanisms have been proposed to underlie the neurological complications associated with COVID-19: 1) direct invasion, 2) immune and inflammatory reaction, and 3) hypoxic brain damage by COVID-19. Next, because the elderly dementia patient population is particularly vulnerable to COVID-19, we discussed risk factors and difficulties associated with cognitive disorders in this vulnerable population. We also reviewed the effects of the patient living environment in COVID-19 cases that required intensive care unit (ICU) care. Furthermore, we analyzed the impact of stringent social restrictions and COVID-19 pandemic-mediated policies on dementia patients and care providers. Finally, we provided the following strategies for working with elderly dementia patients: general preventive methods; dementia care at home and nursing facilities according to the activities of daily living and dementia characteristics; ICU care after COVID-19 infection; and public health care system and government response. We propose that longitudinal follow-up studies are needed to fully examine COVID-19 associated neurological complications, such as dementia, and the efficacy of telemedicine/telehealth care programs. |
format | Online Article Text |
id | pubmed-7606885 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-76068852020-11-05 Coping with Dementia in the Middle of the COVID-19 Pandemic Ryoo, Nayoung Pyun, Jung-Min Baek, Min Jae Suh, Jeewon Kang, Min Ju Wang, Min Jeong Youn, Young Chul Yang, Dong Won Kim, Seong Yoon Park, Young Ho Kim, SangYun J Korean Med Sci Review Article Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, the following three mechanisms have been proposed to underlie the neurological complications associated with COVID-19: 1) direct invasion, 2) immune and inflammatory reaction, and 3) hypoxic brain damage by COVID-19. Next, because the elderly dementia patient population is particularly vulnerable to COVID-19, we discussed risk factors and difficulties associated with cognitive disorders in this vulnerable population. We also reviewed the effects of the patient living environment in COVID-19 cases that required intensive care unit (ICU) care. Furthermore, we analyzed the impact of stringent social restrictions and COVID-19 pandemic-mediated policies on dementia patients and care providers. Finally, we provided the following strategies for working with elderly dementia patients: general preventive methods; dementia care at home and nursing facilities according to the activities of daily living and dementia characteristics; ICU care after COVID-19 infection; and public health care system and government response. We propose that longitudinal follow-up studies are needed to fully examine COVID-19 associated neurological complications, such as dementia, and the efficacy of telemedicine/telehealth care programs. The Korean Academy of Medical Sciences 2020-10-27 /pmc/articles/PMC7606885/ /pubmed/33140593 http://dx.doi.org/10.3346/jkms.2020.35.e383 Text en © 2020 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Ryoo, Nayoung Pyun, Jung-Min Baek, Min Jae Suh, Jeewon Kang, Min Ju Wang, Min Jeong Youn, Young Chul Yang, Dong Won Kim, Seong Yoon Park, Young Ho Kim, SangYun Coping with Dementia in the Middle of the COVID-19 Pandemic |
title | Coping with Dementia in the Middle of the COVID-19 Pandemic |
title_full | Coping with Dementia in the Middle of the COVID-19 Pandemic |
title_fullStr | Coping with Dementia in the Middle of the COVID-19 Pandemic |
title_full_unstemmed | Coping with Dementia in the Middle of the COVID-19 Pandemic |
title_short | Coping with Dementia in the Middle of the COVID-19 Pandemic |
title_sort | coping with dementia in the middle of the covid-19 pandemic |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606885/ https://www.ncbi.nlm.nih.gov/pubmed/33140593 http://dx.doi.org/10.3346/jkms.2020.35.e383 |
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