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COVİD-19 PANDEMİ SÜRECİNDE YAŞLI BAKIM HİZMETLERİNİN YÖNETİMİ

Yıl 2022, Cilt: 1 Sayı: 2, 81 - 92, 13.02.2023

Öz

Covid-19 pandemi sürecinde bakımevindeki yaşlı bireyler, riskli grupta yer alan ve itina gösterilmesi gereken bireylerdir. Pandemi sürecinde ise medyada bakımevleri ile ilgili istenmeyen birçok haber yer almıştır. Yine bu süreçte bakımevlerinde kalan bireyler arasında vaka ve ölüm oranlarının yüksek olması, sorunun ciddi olduğunu ortaya koymaktadır. Bunun nedenlerinden birisi de salgın sürecinin doğru ve etkin yönetilemeyip gerekli önlemlerin alınmamasından kaynaklanıyor olabilir. Bakım evlerinin pandemi gibi özel durumlarda iyi yönetilmesi, bir sonraki olası kriz dönemine daha hazırlıklı olmasını sağlayacaktır. Bakımevlerinde birçok yeni yapılandırılmaya gitmek kalıcı değişiklikler yapmakla mümkündür. Değişiklik yaparken en doğru ve uygulanabilir sistemi ortaya koyup, düzenlemelere gidilmelidir. Bir sonraki krizde aynı sorunları yaşamamak için bu yapısal değişiklikleri gerçekleştirerek ve geliştirerek devam edilmesi gerekmektedir. Bu derleme makalesinde Covid-19 pandemi sürecinde yaşlı bireylerin sağlık hizmet yönetiminin nasıl olduğu ve alınması gereken önlemler ele alınmıştır.

Kaynakça

  • 1. WHO. Infection prevention and control guidance for long-term care facilities in the context of Covid-19: interim guidance, 21 March 2020. World Health Organization; 2020.
  • 2. Altın Z. Covid-19 pandemisinde yaşlılar. Tepecik Eğitim ve Araştırma Hastanesi Dergisi 2020;30:49-57.
  • 3. Buenaventura RD, Ho JB, Lapid MI. Covid-19 and mental health of older adults in the Philippines: a perspective from a developing country. International psychogeriatrics 2020;32(10):1129-33.
  • 4. Padala SP, Jendro AM, Orr LC. Facetime to reduce behavioral problems in a nursing home resident with Alzheimer's dementia during Covid-19. Psychiatry research 2020;288:113028.
  • 5. O'Caoimh R, O'Donovan MR, Monahan MP, Dalton O'Connor C, Buckley C, Kilty C, et al. Psychosocial impact of Covid-19 nursing home restrictions on visitors of residents with cognitive impairment: a cross-sectional study as part of the engaging remotely in care (ERiC) project. Frontiers in Psychiatry 2020;11:1115.
  • 6. Aki ÖE. Covid-19 pandemic and the mental health of elderly. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2020;23(3).
  • 7. Blain H, Rolland Y, Schols JM, Cherubini A, Miot S, O’Neill D, et al. August 2020 Interim EUGMS guidance to prepare European long-term care facilities for Covid-19. European Geriatric Medicine 2020;11(6):899-913.
  • 8. Mitchell S, Maynard V, Lyons V, Jones N, Gardiner C. The role and response of primary healthcare services in the delivery of palliative care in epidemics and pandemics: A rapid review to inform practice and service delivery during the Covid-19 pandemic. Palliative Medicine 2020;34(9):1182-92.
  • 9. Tarteret P, Strazzulla A, Rouyer M, Gore C, Bardin G, Noel C, et al. Clinical features and medical care factors associated with mortality in French nursing homes during the Covid-19 outbreak. International Journal of Infectious Diseases 2021;104:125-31.
  • 10. Rakasiwi AM, Nahdliyyah AI. Physiotherapy management to prevention of Covid-19 by improved physical activity in elderly. Procedia of Social Sciences and Humanities 2021;1:141-7.
  • 11. Mete B, Tanir F, Kanat C. The effect of fear of Covid-19 and social isolation on the fragility in the elderly. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2021;24(1).
  • 12. Li Y, Mutchler JE. Older adults and the economic impact of the Covid-19 pandemic. Journal of Aging & Social Policy 2020;32(4-5):477-87.
  • 13. İlgili Ö, Kutsal YG. Impact of Covid-19 among the elderly population. Turkish Journal of Geriatrics 2020;23(4):419-23.
  • 14. Brown KA, Jones A, Daneman N, Chan AK, Schwartz KL, Garber GE, et al. Association between nursing home crowding and Covid-19 infection and mortality in Ontario, Canada. JAMA Internal Medicine 2021;181(2):229-36.
  • 15. Cesari M, Proietti M. Covid-19 in Italy: ageism and decision making in a pandemic. Journal of the American Medical Directors Association 2020;21(5):576.
  • 16. Kaleli I. Covid-19 Pandemisine Yönelik Gerontolojik Müdahale Önerileri. Geriatrik Bilimler Dergisi 2020;3(3):147-54.
  • 17. Fallon CK, Kilbride MK. Dying at home of Covid-19: Meeting the need for home-based care. Elsevier; 2020.
  • 18. Stall NM, Farquharson C, Fan‐Lun C, Wiesenfeld L, Loftus CA, Kain D, et al. A hospital partnership with a nursing home experiencing a Covid‐19 outbreak: description of a multiphase emergency response in Toronto, Canada. Journal of the American Geriatrics Society 2020;68(7):1376-81.
  • 19. Liang Y, Xu J. Crisis response of nursing homes during Covid-19: Evidence from China. International Review of Economics & Finance 2021;72:700-10.
  • 20. Morciano M, Stokes J, Kontopantelis E, Hall I, Turner AJ. Excess mortality for care home residents during the first 23 weeks of the Covid-19 pandemic in England: a national cohort study. BMC Medicine 2021;19(1):1-11.
  • 21. Davidson PM, Szanton SL. Nursing homes and Covid‐19: We can and should do better. Journal of Clinical Nursing 2020.
  • 22. Abrams HR, Loomer L, Gandhi A, Grabowski DC. Characteristics of US nursing homes with COVID‐19 cases. Journal of the American Geriatrics Society 2020;68(8):1653-6.
  • 23. Liu M, Maxwell CJ, Armstrong P, Schwandt M, Moser A, McGregor MJ, et al. Covid-19 in long-term care homes in Ontario and British Columbia. CMAJ 2020;192(47):E1540-E6.
  • 24. Aykaç N, Yüksel Eryiğit Ö, Elbek O. Evaluation of the measures taken in nursing homes of the istanbul metropolitan municipality during the Covid-19 pandemic. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2021;24(1).
  • 25. Logar S. Care home facilities as new Covid-19 hotspots: Lombardy Region (Italy) case study. Archives of gerontology and geriatrics 2020;89:104087.
  • 26. Bayle C, Cantin D, Vidal J-S, Sourdeau E, Slama L, Dumesges N, et al. Asymptomatic SARS COV-2 carriers among nursing home staff: A source of contamination for residents? Infectious Diseases Now 2021;51(2):197-200.
  • 27. Ouslander JG, Grabowski DC. Covid‐19 in nursing homes: calming the perfect storm. Journal of the American Geriatrics Society 2020;68(10):2153-62.

MANAGEMENT OF ELDERLY CARE SERVICES DURING THE COVID-19 PANDEMIC PROCESS

Yıl 2022, Cilt: 1 Sayı: 2, 81 - 92, 13.02.2023

Öz

During the Covid-19 pandemic, elderly individuals in the nursing home are individuals in the risk group and need to be taken care of. During the pandemic process, there were many unwanted news about nursing homes in the media. Again, the high incidence and death rates among individuals staying in nursing homes during this period reveals that the problem is serious. One of the reasons for this may be due to the fact that the epidemic process is not managed correctly and effectively and the necessary precautions are not taken. Good management of nursing homes in special situations such as pandemics will enable them to be better prepared for the next possible crisis period. Many new restructurings in nursing homes are possible by making permanent changes. While making changes, the most correct and applicable system should be put forward and regulations should be made. In order not to experience the same problems in the next crisis, it is necessary to carry out these structural changes and to continue by improving them. In this review article, how the health care management of elderly individuals and the precautions to be taken during the Covid-19 pandemic process are discussed.

Kaynakça

  • 1. WHO. Infection prevention and control guidance for long-term care facilities in the context of Covid-19: interim guidance, 21 March 2020. World Health Organization; 2020.
  • 2. Altın Z. Covid-19 pandemisinde yaşlılar. Tepecik Eğitim ve Araştırma Hastanesi Dergisi 2020;30:49-57.
  • 3. Buenaventura RD, Ho JB, Lapid MI. Covid-19 and mental health of older adults in the Philippines: a perspective from a developing country. International psychogeriatrics 2020;32(10):1129-33.
  • 4. Padala SP, Jendro AM, Orr LC. Facetime to reduce behavioral problems in a nursing home resident with Alzheimer's dementia during Covid-19. Psychiatry research 2020;288:113028.
  • 5. O'Caoimh R, O'Donovan MR, Monahan MP, Dalton O'Connor C, Buckley C, Kilty C, et al. Psychosocial impact of Covid-19 nursing home restrictions on visitors of residents with cognitive impairment: a cross-sectional study as part of the engaging remotely in care (ERiC) project. Frontiers in Psychiatry 2020;11:1115.
  • 6. Aki ÖE. Covid-19 pandemic and the mental health of elderly. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2020;23(3).
  • 7. Blain H, Rolland Y, Schols JM, Cherubini A, Miot S, O’Neill D, et al. August 2020 Interim EUGMS guidance to prepare European long-term care facilities for Covid-19. European Geriatric Medicine 2020;11(6):899-913.
  • 8. Mitchell S, Maynard V, Lyons V, Jones N, Gardiner C. The role and response of primary healthcare services in the delivery of palliative care in epidemics and pandemics: A rapid review to inform practice and service delivery during the Covid-19 pandemic. Palliative Medicine 2020;34(9):1182-92.
  • 9. Tarteret P, Strazzulla A, Rouyer M, Gore C, Bardin G, Noel C, et al. Clinical features and medical care factors associated with mortality in French nursing homes during the Covid-19 outbreak. International Journal of Infectious Diseases 2021;104:125-31.
  • 10. Rakasiwi AM, Nahdliyyah AI. Physiotherapy management to prevention of Covid-19 by improved physical activity in elderly. Procedia of Social Sciences and Humanities 2021;1:141-7.
  • 11. Mete B, Tanir F, Kanat C. The effect of fear of Covid-19 and social isolation on the fragility in the elderly. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2021;24(1).
  • 12. Li Y, Mutchler JE. Older adults and the economic impact of the Covid-19 pandemic. Journal of Aging & Social Policy 2020;32(4-5):477-87.
  • 13. İlgili Ö, Kutsal YG. Impact of Covid-19 among the elderly population. Turkish Journal of Geriatrics 2020;23(4):419-23.
  • 14. Brown KA, Jones A, Daneman N, Chan AK, Schwartz KL, Garber GE, et al. Association between nursing home crowding and Covid-19 infection and mortality in Ontario, Canada. JAMA Internal Medicine 2021;181(2):229-36.
  • 15. Cesari M, Proietti M. Covid-19 in Italy: ageism and decision making in a pandemic. Journal of the American Medical Directors Association 2020;21(5):576.
  • 16. Kaleli I. Covid-19 Pandemisine Yönelik Gerontolojik Müdahale Önerileri. Geriatrik Bilimler Dergisi 2020;3(3):147-54.
  • 17. Fallon CK, Kilbride MK. Dying at home of Covid-19: Meeting the need for home-based care. Elsevier; 2020.
  • 18. Stall NM, Farquharson C, Fan‐Lun C, Wiesenfeld L, Loftus CA, Kain D, et al. A hospital partnership with a nursing home experiencing a Covid‐19 outbreak: description of a multiphase emergency response in Toronto, Canada. Journal of the American Geriatrics Society 2020;68(7):1376-81.
  • 19. Liang Y, Xu J. Crisis response of nursing homes during Covid-19: Evidence from China. International Review of Economics & Finance 2021;72:700-10.
  • 20. Morciano M, Stokes J, Kontopantelis E, Hall I, Turner AJ. Excess mortality for care home residents during the first 23 weeks of the Covid-19 pandemic in England: a national cohort study. BMC Medicine 2021;19(1):1-11.
  • 21. Davidson PM, Szanton SL. Nursing homes and Covid‐19: We can and should do better. Journal of Clinical Nursing 2020.
  • 22. Abrams HR, Loomer L, Gandhi A, Grabowski DC. Characteristics of US nursing homes with COVID‐19 cases. Journal of the American Geriatrics Society 2020;68(8):1653-6.
  • 23. Liu M, Maxwell CJ, Armstrong P, Schwandt M, Moser A, McGregor MJ, et al. Covid-19 in long-term care homes in Ontario and British Columbia. CMAJ 2020;192(47):E1540-E6.
  • 24. Aykaç N, Yüksel Eryiğit Ö, Elbek O. Evaluation of the measures taken in nursing homes of the istanbul metropolitan municipality during the Covid-19 pandemic. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2021;24(1).
  • 25. Logar S. Care home facilities as new Covid-19 hotspots: Lombardy Region (Italy) case study. Archives of gerontology and geriatrics 2020;89:104087.
  • 26. Bayle C, Cantin D, Vidal J-S, Sourdeau E, Slama L, Dumesges N, et al. Asymptomatic SARS COV-2 carriers among nursing home staff: A source of contamination for residents? Infectious Diseases Now 2021;51(2):197-200.
  • 27. Ouslander JG, Grabowski DC. Covid‐19 in nursing homes: calming the perfect storm. Journal of the American Geriatrics Society 2020;68(10):2153-62.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Hazer Yetgin 0000-0002-2435-0852

Özkan Yılmaz 0000-0001-8110-3164

Yayımlanma Tarihi 13 Şubat 2023
Yayımlandığı Sayı Yıl 2022 Cilt: 1 Sayı: 2

Kaynak Göster

Vancouver Yetgin H, Yılmaz Ö. COVİD-19 PANDEMİ SÜRECİNDE YAŞLI BAKIM HİZMETLERİNİN YÖNETİMİ. Balkan Sağlık Bil Derg. 2023;1(2):81-92.

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