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Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic

OBJECTIVE: We developed interim guidance for the care of patients with cognitive impairment in hospital during the COVID‐19 pandemic. METHODS: A Guidance Committee and Readers Group were recruited. The content was identified by the Committee and content‐specific subgroups, resulting in a draft docum...

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Detalles Bibliográficos
Autores principales: Martin‐Khan, Melinda, Bail, Kasia, Yates, Mark W., Thompson, Jane, Graham, Fred
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675584/
https://www.ncbi.nlm.nih.gov/pubmed/33051999
http://dx.doi.org/10.1111/ajag.12831
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author Martin‐Khan, Melinda
Bail, Kasia
Yates, Mark W.
Thompson, Jane
Graham, Fred
author_facet Martin‐Khan, Melinda
Bail, Kasia
Yates, Mark W.
Thompson, Jane
Graham, Fred
author_sort Martin‐Khan, Melinda
collection PubMed
description OBJECTIVE: We developed interim guidance for the care of patients with cognitive impairment in hospital during the COVID‐19 pandemic. METHODS: A Guidance Committee and Readers Group were recruited. The content was identified by the Committee and content‐specific subgroups, resulting in a draft document, which was sent to the Readers for review. People with dementia and care partners were involved in all aspects of the process. RESULTS: Infection control measures can lead to an escalation of distress. In an environment where visiting bans are applied to care partners/advocates, hospitals need to ensure care partners can continue to provide decision‐making support. Health‐care professionals can proactively engage care partners using videoconferencing technologies. Developing models of care that proactively support best practice can minimise the risk of delirium, mitigate escalating symptoms and guide the use of non‐pharmacological, pharmacological (start low, go slow) or physical restraint in managing behavioural and psychological symptoms.
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spelling pubmed-76755842020-11-19 Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic Martin‐Khan, Melinda Bail, Kasia Yates, Mark W. Thompson, Jane Graham, Fred Australas J Ageing Innovation and Translation OBJECTIVE: We developed interim guidance for the care of patients with cognitive impairment in hospital during the COVID‐19 pandemic. METHODS: A Guidance Committee and Readers Group were recruited. The content was identified by the Committee and content‐specific subgroups, resulting in a draft document, which was sent to the Readers for review. People with dementia and care partners were involved in all aspects of the process. RESULTS: Infection control measures can lead to an escalation of distress. In an environment where visiting bans are applied to care partners/advocates, hospitals need to ensure care partners can continue to provide decision‐making support. Health‐care professionals can proactively engage care partners using videoconferencing technologies. Developing models of care that proactively support best practice can minimise the risk of delirium, mitigate escalating symptoms and guide the use of non‐pharmacological, pharmacological (start low, go slow) or physical restraint in managing behavioural and psychological symptoms. John Wiley and Sons Inc. 2020-10-13 2020-09 /pmc/articles/PMC7675584/ /pubmed/33051999 http://dx.doi.org/10.1111/ajag.12831 Text en © 2020 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Innovation and Translation
Martin‐Khan, Melinda
Bail, Kasia
Yates, Mark W.
Thompson, Jane
Graham, Fred
Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title_full Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title_fullStr Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title_full_unstemmed Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title_short Interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of COVID‐19 pandemic
title_sort interim guidance for health‐care professionals and administrators providing hospital care to adult patients with cognitive impairment, in the context of covid‐19 pandemic
topic Innovation and Translation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675584/
https://www.ncbi.nlm.nih.gov/pubmed/33051999
http://dx.doi.org/10.1111/ajag.12831
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