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10.1016/j.jamda.2021.03.010 http://scihub22266oqcxt.onion/10.1016/j.jamda.2021.03.010 33861980!7980137!33861980     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Am+Med+Dir+Assoc 2021 ; 22 (5): 948-954.e2 Nephropedia Template TP {{tp|p=33861980|t=2021. The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being |pdf=|usr=}}{{33861980}} gab.com Text The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being JO: J Am Med Dir Assoc http://www.kidney.de/pget.php?&tw=1&pmid=33861980 #FOAvip OBJECTIVE: Quantify the effects of the COVID-19 pandemic on nursing home resident well-being. DESIGN: Quantitative analysis of resident-level assessment data. SETTING AND PARTICIPANTS: Long-stay residents living in Connecticut nursing homes. METHODS: We used Minimum Data Set assessments to measure nursing home resident outcomes observed in each week between March and July 2020 for long-stay residents (eg, those in the nursing home for at least 100 days) who lived in a nursing home at the beginning of the pandemic. We compared outcomes to those observed at the beginning of the pandemic, controlling for both resident characteristics and patterns for outcomes observed in 2017-2019. RESULTS: We found that nursing home resident outcomes worsened on a broad array of measures. The prevalence of depressive symptoms increased by 6 percentage points relative to before the pandemic in the beginning of March-representing a 15% increase. The share of residents with unplanned substantial weight loss also increased by 6 percentage points relative to the beginning of March-representing a 150% increase. We also found significant increases in episodes of incontinence (4 percentage points) and significant reductions in cognitive functioning. Our findings suggest that loneliness and isolation play an important role. Though unplanned substantial weight loss was greatest for those who contracted COVID-19 (about 10% of residents observed in each week), residents who did not contract COVID-19 also physically deteriorated (about 7.5% of residents in each week). CONCLUSIONS AND IMPLICATIONS: These analyses show that the pandemic had substantial impacts on nursing home residents beyond what can be quantified by cases and deaths, adversely affecting the physical and emotional well-being of residents. Future policy changes to limit the spread of COVID-19 or other infectious disease outbreaks should consider any additional costs beyond the direct effects of morbidity and mortality due to COVID-19. Twit Text FOAVip The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being ????J Am Med Dir Assoc http://www.kidney.de/pget.php?&tw=1&pmid=33861980 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33861980 #FOAvip English Wikipedia <ref>{{Cite pmid|33861980}}</ref> The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being #MMPMID33861980 Levere M; Rowan P; Wysocki A J Am Med Dir Assoc 2021[May]; 22 (5): 948-954.e2 PMID33861980show ga OBJECTIVE: Quantify the effects of the COVID-19 pandemic on nursing home resident well-being. DESIGN: Quantitative analysis of resident-level assessment data. SETTING AND PARTICIPANTS: Long-stay residents living in Connecticut nursing homes. METHODS: We used Minimum Data Set assessments to measure nursing home resident outcomes observed in each week between March and July 2020 for long-stay residents (eg, those in the nursing home for at least 100 days) who lived in a nursing home at the beginning of the pandemic. We compared outcomes to those observed at the beginning of the pandemic, controlling for both resident characteristics and patterns for outcomes observed in 2017-2019. RESULTS: We found that nursing home resident outcomes worsened on a broad array of measures. The prevalence of depressive symptoms increased by 6 percentage points relative to before the pandemic in the beginning of March-representing a 15% increase. The share of residents with unplanned substantial weight loss also increased by 6 percentage points relative to the beginning of March-representing a 150% increase. We also found significant increases in episodes of incontinence (4 percentage points) and significant reductions in cognitive functioning. Our findings suggest that loneliness and isolation play an important role. Though unplanned substantial weight loss was greatest for those who contracted COVID-19 (about 10% of residents observed in each week), residents who did not contract COVID-19 also physically deteriorated (about 7.5% of residents in each week). CONCLUSIONS AND IMPLICATIONS: These analyses show that the pandemic had substantial impacts on nursing home residents beyond what can be quantified by cases and deaths, adversely affecting the physical and emotional well-being of residents. Future policy changes to limit the spread of COVID-19 or other infectious disease outbreaks should consider any additional costs beyond the direct effects of morbidity and mortality due to COVID-19. |*COVID-19[MESH] |*Health Status[MESH] |*Mental Health[MESH] |*Nursing Homes[MESH] |*Pandemics[MESH] |Cognition[MESH] |Connecticut/epidemiology[MESH] |Depression[MESH] |Humans[MESH]The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident (epmc).pdf DeepDyve Pubget Overpricing