COVID-19: CHALLENGES IN LONG-TERM CARE FACILITIES FOR OLDER ADULTS IN HISPANIC AMERICAN COUNTRIES

Autor: Patrick Alexander Wachholz, Alessandro Ferrari Jacinto, Ruth Caldeira de Melo, José Luis Dinamarca-Montecinos, Paulo José Fortes Villas Boas
Jazyk: English<br />Portuguese
Rok vydání: 2021
Předmět:
Zdroj: Geriatrics, Gerontology and Aging, Vol 14, Iss 4, Pp 259-266 (2021)
Druh dokumentu: article
ISSN: 2447-2123
DOI: 10.5327/Z2447-212320202000085
Popis: INTRODUCTION: Little is known about management and mitigation of COVID-19 in long-term care facilities (LTCF) for older adults in Latin America. OBJECTIVE: To describe how the management of LTCF in Hispanic American countries plan and adapt their routines for coping with COVID-19 and whether they have been able to fulfill recommendations published by the World Health Organization (WHO). METHODOLOGY: A cross-sectional study was conducted by online survey of managers of LTCF located in Hispanic American countries. A 46-item questionnaire (adopting the WHO principles) was sent to participants. Descriptive statistics were used to summarize the data. RESULTS: Twenty-three care home managers replied, responsible for a total of 874 older people (range: 5 - 270). One questionnaire was excluded because of missing responses. Fourteen LTCF (63.60%) were private, for-profit facilities. The rate of compliance with WHO recommendations exceeded 70% for the majority of items. Just over half of the institutions had developed a strategic management plan, or had identified strategies for dealing with deaths of suspected cases. Difficulty acquiring personal protective equipment (PPE) was reported by 59.10% of the LTCF surveyed. The homes' capacity for SARS-Cov-2 testing was limited (36.36% of the institutions did not have any tests). CONCLUSIONS: The rate of compliance with recommendations published by the WHO for dealing with COVID-19 was greater than 70% at the majority of the LTCF surveyed. More than half of the institutions had strategic management plans. Availability of PPE and SARS-Cov-2 testing capacity were very unsatisfactory.
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