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10.1093/ageing/afaa113 http://scihub22266oqcxt.onion/10.1093/ageing/afaa113 32402088!7239229!32402088     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Age+Ageing 2020 ; 49 (5): 701-705 Nephropedia Template TP {{tp|p=32402088|t=2020. Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery |pdf=|usr=}}{{32402088}} gab.com Text Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery JO: Age Ageing http://www.kidney.de/pget.php?&tw=1&pmid=32402088 #FOAvip The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19-72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents may test positive whilst pre-symptomatic. In this article, we provide a commentary on challenges and dilemmas identified in the response to COVID-19 for care homes and their residents. We highlight the low sensitivity of polymerase chain reaction testing and the difficulties this poses for blanket screening and isolation of residents. We discuss quarantine of residents and the potential harms associated with this. Personal protective equipment supply for care homes during the pandemic has been suboptimal and we suggest that better integration of procurement and supply is required. Advance care planning has been challenged by the pandemic and there is a need to for healthcare staff to provide support to care homes with this. Finally, we discuss measures to implement augmented care in care homes, including treatment with oxygen and subcutaneous fluids, and the frameworks which will be required if these are to be sustainable. All of these challenges must be met by healthcare, social care and government agencies if care home residents and staff are to be physically and psychologically supported during this time of crisis for care homes. Twit Text FOAVip Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery ????Age Ageing http://www.kidney.de/pget.php?&tw=1&pmid=32402088 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32402088 #FOAvip English Wikipedia <ref>{{Cite pmid|32402088}}</ref> Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery #MMPMID32402088 Gordon AL; Goodman C; Achterberg W; Barker RO; Burns E; Hanratty B; Martin FC; Meyer J; O'Neill D; Schols J; Spilsbury K Age Ageing 2020[Aug]; 49 (5): 701-705 PMID32402088show ga The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19-72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents may test positive whilst pre-symptomatic. In this article, we provide a commentary on challenges and dilemmas identified in the response to COVID-19 for care homes and their residents. We highlight the low sensitivity of polymerase chain reaction testing and the difficulties this poses for blanket screening and isolation of residents. We discuss quarantine of residents and the potential harms associated with this. Personal protective equipment supply for care homes during the pandemic has been suboptimal and we suggest that better integration of procurement and supply is required. Advance care planning has been challenged by the pandemic and there is a need to for healthcare staff to provide support to care homes with this. Finally, we discuss measures to implement augmented care in care homes, including treatment with oxygen and subcutaneous fluids, and the frameworks which will be required if these are to be sustainable. All of these challenges must be met by healthcare, social care and government agencies if care home residents and staff are to be physically and psychologically supported during this time of crisis for care homes. |*Coronavirus Infections/diagnosis/epidemiology/prevention & control/therapy[MESH] |*Delivery of Health Care/organization & administration/standards[MESH] |*Homes for the Aged/organization & administration/standards[MESH] |*Long-Term Care/methods/standards[MESH] |*Nursing Homes/organization & administration/standards[MESH] |*Pandemics/prevention & control[MESH] |*Pneumonia, Viral/epidemiology/prevention & control/therapy[MESH] |*Quarantine/organization & administration/psychology[MESH] |Aged[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |COVID-19 Testing[MESH] |Clinical Laboratory Techniques/methods/standards[MESH] |Health Services Needs and Demand[MESH] |Humans[MESH]Commentary: COVID in care homes-challenges and dilemmas in healthcare (epmc).pdf DeepDyve Pubget Overpricing