scholarly journals High death rate of older persons from COVID-19 in Quebec (Canada) long-term care facilities: chronology and analysis

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Marie Beaulieu ◽  
Julien Cadieux Genesse ◽  
Kevin St-Martin
Keyword(s):  
Older Persons ◽  
Excess Mortality ◽  
Long Term Care ◽  
Human Resources Management ◽  
Armed Forces ◽  
Term Care ◽  
Content Type ◽  
Canadian Armed Forces ◽  
Care Facilities

Purpose Among the ten Canadian provinces, Quebec has experienced the most significant excess mortality of older persons during COVID-19. This practice paper aims to present the chronology of events leading to this excess mortality in long-term care facilities (LTCFs) and a comprehensive analysis of the phenomenon. Design/methodology/approach Documented content from three official sources: daily briefings by the Quebec Premier, a report from the Canadian Armed Forces and a report produced by Royal Society of Canada experts were analysed. Findings Two findings emerge: the lack of preparation in LTCFs and a critical shortage of staff. Indeed, the massive transfer of older persons from hospitals to LTCFs, combined with human resources management and a critical shortage of permanent staff before and during the crisis, generates unhealthy living conditions in LTCFs. Originality/value To our knowledge, this paper is the first to analyse official Quebec and Canadian statements concerning COVID-19 from the angle of quality of life and protection of older adults in LTCFs.

scholarly journals Nasal Carriage of Epidemic Methicillin-Resistant Staphylococcus aureus 15 (EMRSA-15) Clone Observed in Three Chicago-Area Long-Term Care Facilities

2013 ◽  
Vol 57 (9) ◽  
pp. 4551-4553 ◽  
Author(s):  
Sanchita Das ◽  
Christopher J. Anderson ◽  
Althea Grayes ◽  
Katherine Mendoza ◽  
Maureen Harazin ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Long Term Care ◽  
The United States ◽  
Health Concern ◽  
Term Care ◽  
Methicillin Resistant ◽  
Content Type ◽  
Chicago Area ◽  
Care Facilities

ABSTRACTThe spread of pandemic methicillin-resistantStaphylococcus aureus(MRSA) clones such as USA300 and EMRSA-15 is a global health concern. As a part of a surveillance study of three long-term care facilities in the Greater Chicago area, phenotypic and molecular characterization of nasal MRSA isolates was performed. We report a cluster of pandemic EMRSA-15, an MRSA clone rarely reported from the United States, detected during this study.

Promoting Resident and Family Councils: a pilot evaluation

2016 ◽  
Vol 20 (2) ◽  
pp. 101-109
Author(s):  
Jamie Znidarsich ◽  
Susan Davies ◽  
Susan Mary Sullivan
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Original Research ◽  
Structured Interviews ◽  
Term Care ◽  
Content Type ◽  
Long Term Care Facility ◽  
Care Facilities ◽  
The Status

Purpose – The purpose of this paper is to evaluate the status and impact of a recently formed Resident and Family Council to determine whether the group was achieving the goals of improving long-term care facility relationships, enhancing communication and promoting positive change within the facility. Design/methodology/approach – The pilot evaluation was designed to develop recommendations for future sustainability, of the council, as well as providing wider lessons about the benefits and potential pitfalls of such groups. Data were gathered utilizing participatory qualitative research methods. Semi-structured interviews were conducted with nine council members, representing all groups within the Resident and Family Council. Documents relating to the work of the council and observational field notes maintained during meetings were also analyzed. Findings – A number of themes and dynamics were identified relating to communication, collaboration and future sustainability. Practical implications – Recommendations for initiating Resident and Family Councils should include surveying interest within long-term care facilities, involving the facility ombudsmen or volunteer coordinator, and assessing resources within the community, such as volunteer organizations or partnering with local education organizations. Originality/value – This original research can serve as a template for establishing Resident and Family Councils within long-term care facilities.

scholarly journals Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities

2010 ◽  
Vol 62 (2) ◽  
pp. 104-113 ◽  
Author(s):  
Thomas Hadjistavropoulos ◽  
Theresa Dever Fitzgerald ◽  
Gregory P. Marchildon
Keyword(s):  
Practice Guidelines ◽  
Older Persons ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Fluoroquinolone Impact on Nasal Methicillin-Resistant and Methicillin-Sensitive Staphylococcus aureus Colonization Durations in Neurologic Long-Term-Care Facilities

2015 ◽  
Vol 59 (12) ◽  
pp. 7621-7628 ◽  
Author(s):  
Clotilde Couderc ◽  
Anne C. M. Thiébaut ◽  
Christine Lawrence ◽  
Coralie Bouchiat ◽  
Jean-Louis Herrmann ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Confidence Interval ◽  
Long Term Care ◽  
Methicillin Resistance ◽  
Term Care ◽  
Content Type ◽  
Resistance Phenotype ◽  
Care Facilities ◽  
Mrsa Colonization

ABSTRACTStaphylococcus aureusnasal carriage is a risk factor for subsequent infection. Estimates of colonization duration vary widely among studies, and factors influencing the time to loss of colonization, especially the impact of antibiotics, remain unclear. We conducted a prospective study on patients naive forS. aureuscolonization in 4 French long-term-care facilities. Data on nasal colonization status and potential factors for loss of colonization were collected weekly. We estimated methicillin-resistantS. aureus(MRSA) and methicillin-sensitiveS. aureus(MSSA) colonization durations using the Kaplan-Meier method and investigated factors for loss of colonization using shared-frailty Cox proportional hazards models. A total of 285S. aureuscolonization episodes were identified in 149 patients. The median time to loss of MRSA or MSSA colonization was 3 weeks (95% confidence interval, 2 to 8 weeks) or 2 weeks (95% confidence interval, 2 to 3 weeks), respectively. In multivariable analyses, the methicillin resistance phenotype was not associated withS. aureuscolonization duration (P= 0.21); the use of fluoroquinolones (hazard ratio, 3.37; 95% confidence interval, 1.31 to 8.71) and having a wound positive for a nonnasal strain (hazard ratio, 2.17; 95% confidence interval, 1.15 to 4.07) were associated with earlier loss of MSSA colonization, while no factor was associated with loss of MRSA colonization. These results suggest that the methicillin resistance phenotype does not influence theS. aureuscolonization duration and that fluoroquinolones are associated with loss of MSSA colonization but not with loss of MRSA colonization.

scholarly journals The effects of placement on dementia care recipients’ and family caregivers’ quality of life: a literature review

2017 ◽  
Vol 18 (1) ◽  
pp. 44-57 ◽  
Author(s):  
Heehyul Moon ◽  
Peggye Dilworth-Anderson ◽  
Johannes Gräske
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Research Literature ◽  
Term Care ◽  
Content Type ◽  
Care Recipients ◽  
People With Dementia ◽  
Care Facilities

Purpose The purpose of this paper is to review and synthesize the research literature on the quality of life (QoL) of both caregivers (CGs) and care recipients (CRs) with dementia after admission to long-term care facilities. Design/methodology/approach Four databases – AgeLine, Medline, EBSCO, and PyscINFO – were searched and the relevant literature from 2002 onwards was reviewed. Findings The review of 12 studies (five studies, including only family CGs; six studies including residents; one study including both family CGs and CRs) reveals a discrepancy regarding the effects of institutionalization on the CRs’ and CGs’ QoL. Among seven studies on CRs’ QoL change, some reviewed studies found a significant decline in CRs’ QoL after placement with others showing that CRs’ QoL was improved or stable. While some reports indicated that some family CGs benefited from placement, others showed that CGs merely maintained their QoL. However, family CGs in the reviewed studies were more likely to report improved QoL than were their CRs after institutionalization. Research limitations/implications The authors recommend that future studies should focus on understanding the individual’s adaptation to placement, dyadic changes in QoL (including mediators/moderators). They emphasize the need for a comprehensive longitudinal study with more than one wave and includes diverse groups including racial/ethnic minority CGs and CRs. Originality/value This study reviewed and synthesized the research literature on the QoL of both caregiver and the people with dementia they cared for after those they cared for were admitted to long-term care facilities. The conclusions drawn about influences on QoL provide guidance for identifying best practices and research.

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