scholarly journals COVID-19-Associated Deaths in San Francisco: the Important Role of Dementia and Atypical Presentations in Long-term Care Facilities

2020 ◽  
Vol 35 (11) ◽  
pp. 3413-3415 ◽  
Author(s):  
Janice K. Louie ◽  
Hyman M. Scott ◽  
Wendy Lu ◽  
Anna Chodos ◽  
Amie DuBois ◽  
...  
Keyword(s):  
San Francisco ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Atypical Presentations

scholarly journals Lessons from Mass-Testing for COVID-19 in Long Term Care Facilities for the Elderly in San Francisco

2020 ◽  
Author(s):  
Janice K Louie ◽  
Hyman M Scott ◽  
Amie DuBois ◽  
Natalya Sturtz ◽  
Wendy Lu ◽  
...  
Keyword(s):  
San Francisco ◽  
Health Care Workers ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Care Workers ◽  
Care Facilities ◽  
Asymptomatic Infections ◽  
Significant Mortality

Abstract COVID-19 can cause significant mortality in the elderly in Long Term Care Facilities (LTCF). We describe four LTCF outbreaks where mass testing identified a high proportion of asymptomatic infections (4-41% in health care workers and 20-75% in residents), indicating that symptom-based screening alone is insufficient for monitoring for COVID-19 transmission.

The role of geriatric intermediate care facilities in long-term care for the elderly in Japan

Health Policy ◽  
1998 ◽  
Vol 43 (2) ◽  
pp. 141-151 ◽  
Author(s):  
Tatsuro Ishizaki ◽  
Yasuki Kobayashi ◽  
Nanako Tamiya
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Intermediate Care ◽  
Term Care ◽  
Care For The Elderly ◽  
Care Facilities ◽  
Intermediate Care Facilities

Research review: The role of the nurse practitioner in long-term care facilities

2005 ◽  
Vol 26 (1) ◽  
pp. 56-57
Author(s):  
Barbara Resnick
Keyword(s):  
Nurse Practitioner ◽  
Long Term Care ◽  
Research Review ◽  
Term Care ◽  
Care Facilities

scholarly journals The role of genomics in understanding COVID-19 outbreaks in long term care facilities

2020 ◽  
Author(s):  
Dinesh Aggarwal ◽  
Richard Myers ◽  
William L. Hamilton ◽  
Tehmina Bharucha ◽  
Niamh Tumelty ◽  
...  
Keyword(s):  
Long Term Care ◽  
Control Measures ◽  
Sequencing Data ◽  
Term Care ◽  
Genomic Epidemiology ◽  
Infection Control Measures ◽  
Care Facilities ◽  
Epidemiology Studies

A review was undertaken of all genomic epidemiology studies on COVID-19 in long term care facilities (LTCF) that have been published to date. It was found that staff and residents were usually infected with identical, or near identical, SARS-CoV-2 genomes. Outbreaks usually involved one predominant lineage, and the same lineages persisted in LTCFs despite infection control measures. Outbreaks were most commonly due to single or few introductions followed by spread rather than a series of seeding events from the community into LTCFs. Sequencing of samples taken consecutively from the same cases showed persistence of the same genome sequence indicating that the sequencing technique was robust over time. When combined with local epidemiology, genomics facilitated likely transmission sources to be better characterised. Transmission between LTCFs was detected in multiple studies. The mortality rate amongst residents was high in all cases, regardless of the lineage. Bioinformatics methods were inadequate in one third of the studies reviewed, and reproducing the analyses was difficult as sequencing data were not available in many cases.

scholarly journals Are healthcare aides underused in long-term care? A cross-sectional study on continuing care facilities in Canada

BMJ Open ◽  
2017 ◽  
Vol 7 (5) ◽  
pp. e015521 ◽  
Author(s):  
Mubashir A Arain ◽  
Siegrid Deutschlander ◽  
Paola Charland
Keyword(s):  
Long Term Care ◽  
Continuing Care ◽  
P Value ◽  
Educational Training ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Care Facilities

ObjectivesOver the last 10 years, appropriate workforce utilisation has been an important discussion among healthcare practitioners and policy-makers. The role of healthcare aides (HCAs) has also expanded to improve their utilisation. This evolving role of HCAs in Canada has prompted calls for standardised training, education and scope of practice for HCAs. The purpose of this research was to examine the differences in HCAs training and utilisation in continuing care facilities.DesignFrom June 2014 to July 2015, we conducted a mixed-method study on HCA utilisation in continuing care. This paper presents findings gathered solely from the prospective cross-sectional survey of continuing care facilities (long-term care (LTC) and supportive living (SL)) on HCA utilisation.Setting and participantsWe conducted this study in a Western Canadian province. The managers of the continuing care facilities (SL and LTC) were eligible to participate in the survey.Primary outcome measuresThe pattern of HCAs involvement in medication assistance and other care activities in SL and LTC facilities.ResultsWe received 130 completed surveys (LTC=64 and SL=52). Our findings showed that approximately 81% of HCAs were fully certified. We found variations in how HCAs were used in SL and LTC facilities. Overall, HCAs in SL were more likely to be involved in medication management such as assisting with inhaled medication and oral medication delivery. A significantly larger proportion of survey respondents from SL facilities reported that medication assistance training was mandatory for their HCAs (86%) compared with the LTC facilities (50%) (p value <0.01).ConclusionThe utilisation of HCAs varies widely between SL and LTC facilities. HCAs in SL facilities may be considered better used according to their required educational training and competencies. Expanding the role of HCAs in LTC facilities may lead to a cost-effective and more efficient utilisation of workforce in continuing care facilities.

The role of unregulated care providers in managing heart failure patients in long-term care facilities

2017 ◽  
Vol 26 (5-6) ◽  
pp. 849-861 ◽  
Author(s):  
George A Heckman ◽  
Veronique M Boscart ◽  
Teresa D'Elia ◽  
Sharon Kaasalainen ◽  
Carrie McAiney ◽  
...  
Keyword(s):  
Heart Failure ◽  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
Heart Failure Patients ◽  
Care Facilities

Plan for the control of Legionella infections in long-term care facilities: Role of environmental monitoring

2012 ◽  
Vol 215 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Sandra Cristino ◽  
Pier Paolo Legnani ◽  
Erica Leoni
Keyword(s):  
Environmental Monitoring ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Comparison of symptomatic and asymptomatic infections due to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in San Francisco long-term care facilities

2020 ◽  
pp. 1-3 ◽  
Author(s):  
Janice K. Louie ◽  
Juliet E. Stoltey ◽  
Hyman M. Scott ◽  
Stephanie Trammell ◽  
Ejovwoke Ememu ◽  
...  
Keyword(s):  
San Francisco ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Asymptomatic Infections ◽  
Respiratory Coronavirus

scholarly journals The Pivotal Role of Long‐Term Care Facilities in the Epidemiology ofAcinetobacter baumannii:Another Brick in the Wall

2010 ◽  
Vol 50 (12) ◽  
pp. 1617-1618 ◽  
Author(s):  
Tali de Medina ◽  
Yehuda Carmeli
Keyword(s):  
Long Term Care ◽  
Pivotal Role ◽  
Term Care ◽  
Care Facilities
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