Article ; Online: Ethical and Logistical Considerations of Caring for Older Adults on Inpatient Psychiatry During the COVID-19 Pandemic.
2020 Volume 28, Issue 8, Page(s) 829–834
Abstract: ... for older adults on inpatient psychiatry. We describe two cases: patient A, a 62-year-old woman ... when public health is at risk and questions about whether screening for infection should be different in older adults ... of transmission and improve screening for infection in older adults. ...
| Abstract | The coronavirus disease 2019 (COVID-19) pandemic has brought challenges to delivery of care for older adults on inpatient psychiatry. We describe two cases: patient A, a 62-year-old woman who initially refused screening for potential COVID-19, bringing up questions about threshold for capacity when public health is at risk and questions about whether screening for infection should be different in older adults. The other case, patient B, is that of an 83-year-old man who was on the unit when patient A tested positive, and brought up concerns for risk of dissemination in the context of wandering, spitting behaviors, and inability to adhere to room isolation or masking measures. We review measures taken to decrease risk of transmission and improve screening for infection in older adults. |
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| MeSH term(s) | Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Female ; Humans ; Inpatients/psychology ; Male ; Mental Health Services/ethics ; Mental Health Services/organization & administration ; Mental Health Services/standards ; Middle Aged ; Pandemics ; Patient Care/ethics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-05-05 |
| Publishing country | England |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 1278145-9 |
| ISSN | 1545-7214 ; 1064-7481 |
| ISSN (online) | 1545-7214 |
| ISSN | 1064-7481 |
| DOI | 10.1016/j.jagp.2020.04.027 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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