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COVID-19 and Ontario’s Long-Term Care Homes

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TLDR
There are several measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes, if implemented.
Abstract
Ontario long-term care (LTC) home residents have experienced disproportionately high morbidity and mortality, both from COVID-19 and from the conditions associated with the COVID-19 pandemic. There are several measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes, if implemented. First, temporary staffing could be minimized by improving staff working conditions. Second, homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Third, the risk of SARS-CoV-2 infection in staff could be minimized by approaches that reduce the risk of transmission in communities with a high burden of COVID-19.

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Citations
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Dexamethasone in Patients Hospitalized for COVID-19

TL;DR: In participants who were not on invasive mechanical ventilation but required supplemental oxygen at the time of enrollment, dexamethasone reduced the risk of death, and reduced the need for mechanical ventilation, in the usual care group.
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Barriers and facilitators to person-centred infection prevention and control: results of a survey about the Dementia Isolation Toolkit

TL;DR: The Dementia Isolation Toolkit (DIT) as mentioned in this paper was developed to address the gap in ethical guidance on how to safely and effectively isolate people living with dementia while supporting their personhood.
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Nursing Job Stability in Ontario: Comparing Long-Term-Care Homes with Other Health Care Sectors

TL;DR: In this paper , the authors compare the long-term care home (LTCH) sector with other health care sectors in terms of worker and job characteristics and job turnover (distinct from occupational turnover).
References
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Journal ArticleDOI

Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system.

TL;DR: The results indicate that interRAI items retain reliability when used across care settings, paving the way for cross domain application of the instruments as part of an integrated health information system.
Journal ArticleDOI

Behavioral and psychological effects of coronavirus disease-19 quarantine in patients with dementia

Annachiara Cagnin, +131 more
TL;DR: Quarantine induces a rapid increase of BPSD in approximately 60% of patients and stress-related symptoms in two-thirds of caregivers and were associated with increased patients’ neuropsychiatric burden (p<0.0001); health services need to plan a post-pandemic strategy.
Journal ArticleDOI

COVID-19 in Nursing Homes: Calming the Perfect Storm.

TL;DR: The pandemic of viral infection with the severe acute respiratory syndrome coronavirus‐2 that causes COVID‐19 disease has put the nursing home industry in crisis and there is an opportunity to improve nursing homes to protect residents and their caregivers ahead of the next storm.