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1.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 84(8-B):No Pagination Specified, 2023.
Article in English | APA PsycInfo | ID: covidwho-20243542

ABSTRACT

Older adults with dementia experience hospitalizations and post-acute care transitions more than people without dementia and rely on family caregivers for support. Family caregivers of older adults with dementia, therefore, play a crucial role during care transitions, and caregiver engagement is acknowledged as a critical factor in promoting quality of care. Despite this, "engagement" has been exclusively defined from the perspective of clinical care providers in other settings, and little is known about the post-acute care experiences and perceptions of family caregivers. The purpose of this dissertation was to describe the meaning of engagement to family caregivers navigating post-acute care transition, to elucidate their perspectives on barriers and facilitators of engagement, and to explore their support needs.Following an interpretive descriptive approach and guided by Meleis's Middle Range transition theory, semi-structured interviews were conducted with a purposive sample of 15 family caregivers of older adults with dementia. Using an inductive coding process, similar codes were categorized by grouping codes that describe similar concepts related to the caregiver experiences and perceptions. The process helped to develop themes from the categories and a conceptual framework that described the meaning of engagement.Thematic findings revealed family caregivers' descriptions of the meaning of engagement during post-acute care transitions is linked to being there, having meaningful connection with professional care providers, and having communication with the person with dementia. Limited communication and not being able to be there were seen as barriers to engagement. Nine family caregivers' level of engagement was impacted by the COVID-19 pandemic new visitation policies. Facilitator to engagement were linked to having good communication with professional care providers and having past post-acute care transition experience. The support needs of family caregivers were also related to their relationship with healthcare providers and receiving support from family and friends. The study supports highlighting communication as an integral part of transition and makes an argument to expanding the Meleis's Middle Range transition theory. Findings of the study contribute to the dementia caregiving literature and make an appeal to healthcare providers and policymakers to include family caregivers as part of the care team. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

2.
Online Journal of Issues in Nursing ; 28(2):1-8, 2023.
Article in English | ProQuest Central | ID: covidwho-20242218

ABSTRACT

(20171 purported that "increased nursing education enrolments to cater for possible future nursing shortages, (ii) decreased state expenditure on health services and, (iii) graduate employment dictated by staff vacancies rather than ensuring sustainability of the future workforce" (p. 251) are contributing factors. Sample and Data Collection Convenience sampling technique was used, and to ensure sufficient data sampling, two cohorts of graduating students were Invited to participate. The online survey data collection Incorporated closed and opened ended questions about participant engagement with the profession of nursing. All study participants, including the graduates with a previous Diploma of Nursing, provided a 100% response rate to their intention to register with the Nursing and Midwifery Board as a registered nurse (RN).

3.
Antipode ; 55(4):1089-1109, 2023.
Article in English | Academic Search Complete | ID: covidwho-20239942

ABSTRACT

We situate the contemporary crisis of COVID‐19 deaths in seniors' care facilities within the restructuring and privatisation of this sector. Through an ethnographic comparison in a for‐profit and nonprofit facility, we explore what we identify as brutal and soft modes of privatisation within publicly subsidised long‐term seniors' care in Vancouver, British Columbia, and their influence on the material and relational conditions of work and care. Workers in both places are explicit that they deliver only bare‐bones care to seniors with increasingly complex care needs, and we document the distinct forms and extent to which these precarious workers give gifts of their time, labour and other resources to compensate for the gaps in care that result from state withdrawal and the extraction of profits within the sector. We nonetheless locate more humane and hopeful processes in the nonprofit facility, where a history of cooperative relations between workers, management and families suggest the possibility of re‐valuing the essential work of care. [ FROM AUTHOR] Copyright of Antipode is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

4.
(Re)designing the continuum of care for older adults: The future of long-term care settings ; : 237-259, 2023.
Article in English | APA PsycInfo | ID: covidwho-20237542

ABSTRACT

Where and how people die is a significant concern of human life and society (Worpole, 2009). In these days, people die either in their home or in an end-of-life care facility, such as hospice. Hospice is a place to provide end-of-life care to individuals certified as "terminal." Hospice care or end-of-life care is a multidisciplinary care and support (non-curative) system designed to address the physical, emotional, psychosocial, and spiritual concerns of terminal patients and their families. Thus, the facility design is significantly different in various dimensions. For example, hospice patients are mostly bed-bound, and a patient's family accommodation plays a significant role in the patient's dying experience. Providing a supportive physical environment of hospice has an imperative impact on the patient "quality of life" and the possibility of a "good death." With the COVID-19 challenges, it has become significant to explore the best possible solutions of hospice facility design. This chapter discusses the 11 therapeutic goals of hospice care environment which was developed by Kader and Diaz Moore in 2015 considering dying experiences. The physical settings of hospice along with the carefully designed organizational environment can contribute to the realization of desired therapeutic goals and have a positive effect on the lives of dying patients. This chapter discusses each therapeutic goal and how hospice facility design can support these goals with a few examples and presents six major design-related challenges of post-pandemic (COVID-19) hospice care facilities. Lastly, several prospective design concepts have explored considering pandemic resiliency. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

5.
(2023) (Re)designing the continuum of care for older adults: The future of long-term care settings xxxi, 362 pp Cham, Switzerland: Springer Nature Switzerland AG|Switzerland ; 2023.
Article in English | APA PsycInfo | ID: covidwho-20235490

ABSTRACT

This book broadens the visioning on new care environments that are designed to be inclusive, progressive, and convergent with the needs of an aging population. The contents cover a range of long-term care (LTC) settings in a single collection to address the needs of a wide audience. Due to the recent COVID-19 pandemic, rethinking the spatial design of care facilities in order to prepare for future respiratory and contagious pathogens is one of the prime concerns across the globe, along with social connectedness and autonomy in care settings. This book contributes to the next generation of knowledge and understanding of the growing field of the design of technology, programs, and environments for LTC that are more effective in infection prevention and control as well as social connectedness. To address these issues, the chapters are organized in four sections: Part I: Home- and community-based care;Part II: Facility-based care;Part III: Memory care and end-of-life care;and Part IV: Evidence-based applied projects and next steps. (Re)designing the Continuum of Care for Older Adults is an essential resource for researchers, practitioners, educators, policymakers, and students associated with LTC home and healthcare settings. With diverse topics in theory, substantive issues, and methods, the contributions from notable researchers and scholars cover a range of innovative programming, environments, and technologies which can impact the changing needs and support for older adults and their families across the continuum of care. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

6.
(Re)designing the continuum of care for older adults: The future of long-term care settings ; : 309-335, 2023.
Article in English | APA PsycInfo | ID: covidwho-20233703

ABSTRACT

The COVID-19 (coronavirus disease 2019) pandemic has posed greater challenges to older adults, especially those who live in congregated long-term care facilities (LTCFs) in dense urban settings. These facilities struggle with high rates of COVID-19 infections and other challenges that undermine LTCF residents' well-being. These challenges, including social isolation and limited access to nature and community, have been exacerbated by the pressures of the pandemic. This has led to feelings of loneliness, depression, and other mental health issues among residents and a higher risk of psychological stress and infection among nurses. The pandemic has challenged the existing built environment of LTCFs. Issues regarding physical and mental health, quality of life (QoL), infection control, and pandemic resiliency have been shown to be increasingly interwoven. This chapter envisions innovative approaches toward a post-COVID-19 environment for older adults and their caregivers. This chapter provides an extensive review and synthesis of the lessons learned from LTCFs during the pandemic, with a focus on how their experience was impacted by design. The authors also draw from current design trends to identify their potential to support residents', staff, and visitors' needs during and after pandemics. From these learnings, the following design principles were developed: (1) small household model, (2) biophilic design, (3) intergenerational community, and (4) multi-tier infection control strategies. These design principles were then translated to a prototype through a graduate capstone studio project, which provides a visual illustration of how these evidence-based design solutions can be applied within a dense urban environment. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

7.
J Am Acad Psychiatry Law ; 51(2): 181-189, 2023 06.
Article in English | MEDLINE | ID: covidwho-20241843

ABSTRACT

The article by Zhang and colleagues in this issue of The Journal calls attention to an important but underrecognized problem facing today's seniors and their loved ones. The risk of digital financial exploitation, particularly in the wake of the COVID-19 pandemic, has risen considerably in recent years and continues to rise today. Zhang et al. provide a helpful analysis of assessment tools currently available to forensic psychiatrists for the evaluation of financial capacity. Although many of these tools were not originally intended to encompass technologically based transactions, the risks of fraud and scams associated with payment apps, social media, and electronic fund transfers are considerable and growing. Fraudsters frequently target vulnerable older adults, and victims have lost large sums through some of the more prevalent schemes. Several strategies can help to mitigate the risk of severe losses and to increase the likelihood that lost assets can be recovered. Proactive education through increased awareness will prove helpful, but given the growing sophistication of modern digital cons, such as romance scams, increased technological safeguards are warranted in the setting of reduced financial capacity. When losses do occur, there are some resources for recovery and for filing complaints against perpetrators.


Subject(s)
COVID-19 , Crime Victims , Elder Abuse , Humans , Aged , Pandemics , Fraud/prevention & control
8.
Interactive Technology and Smart Education ; 2023.
Article in English | Web of Science | ID: covidwho-2327739

ABSTRACT

PurposeThis study aims to investigate the perceptions of elderly learners in experiencing Zoom learning under the effects of COVID in the case of Hong Kong. Design/methodology/approachAn online survey and focus group interviews have been conducted with quantitative and qualitative approaches, respectively. The survey design was based on the input-process-output (IPO) model conceptual framework and used to assess students' perceptions regarding their Zoom learning experiences at the Elder Academy of Hong Kong Metropolitan University. Thereafter, selected students were invited to participate in focus group interviews to offer more in-depth comments for analysis purposes. Statistical Product and Service Solutions software and SmartPLS were used for data analysis of the survey, and content analysis was used to summarize opinions from the focus group interviews;thus, a comprehensive picture of elderly learners' learning experiences on Zoom is presented. FindingsAn overall positive perception was the result of elderly learners' Zoom learning journeys, particularly in the "input" and "process" stages of the IPO model. Yet, their perception of the "learning outcomes achieved" level in the "output" stage was lower among the rest, thus strongly affected by the factors of "interactions" and "teaching" experienced by elderly learners on Zoom. Although the perception of the youngest age group was more positive, none have agreed that Zoom learning was more favourable when compared with the traditional face-to-face mode. Originality/valueGiven Zoom as the short-term replacement option under the COVID pandemic, this study will provide recommendations for educators/institutions to improve their design of the whole learning process for elderly learners on the Zoom platform.

9.
Hecate ; 47(1/2):140-146,216, 2021.
Article in English | ProQuest Central | ID: covidwho-2315415

ABSTRACT

Janna Thompson, feminist, social justice advocate, and internationally esteemed professor of philosophy, died on 24 June 2022, as a result of multiple brain tumours. [...]the importance of apologies for past wrongs: she observes that authorised apologies on behalf of communities have a range of notable features, but their main point is to "signal that a nation or organization repudiates injustices of the past and is committed to just dealings with groups that were persecuted or oppressed" (Thompson, "Apologising," 2020: 1041). [...]in accordance with her lifelong commitment to social justice, the novel explores the loss of human rights and the low social status blithely assigned to older people by institutions, governments, and culture. Along with the shocking and disproportionate Covid death rate among aged care residents, the epidemic highlighted the abuse of human rights with respect to residents' loss of liberty: they were locked up in their rooms, locked away from families and friends, and locked down in unsafe environments. In her pivotal essays, Sarah Holland-Batt, an award-winning poet, academic and aged care activist,3 has damned the Federal government's failure to prepare Australia's residential aged care facilities for Covid outbreaks (September, 2020), and has exposed the immorality of current Australian society: "We treat older people as a separate and subhuman class, frequently viewing them as a burden on their families, the community and the state" (May, 2020).

10.
Applied Sciences ; 13(9):5416, 2023.
Article in English | ProQuest Central | ID: covidwho-2314470

ABSTRACT

Featured ApplicationThe present cross-sectional analysis aimed to evaluate the level of interest in oral and dental needs and teledentistry applications among the elderly, as well as whether COVID-19 pandemic outbreaks were influenced by real-time surveillance, using Google Trends. As the number of elderly dental patients continues to increase, there is a growing need for specific interventions that address the biological and psychological issues of this population. Teledentistry represents a healthcare delivery system that can overcome these problems, although the oral and dental care provision methods involved are still unknown to most people. Indeed, there is a need to raise awareness of the indications for teledentistry, the available interventions, and the potential benefits for the oral and dental care of elderly patients.Considering the increasing need for oral and dental care in the elderly, teledentistry has been proposed to improve the education of elderly patients in oral health maintenance and risk factor control, identify patients' concerns in advance, facilitate monitoring, and save time and money. The present cross-sectional analysis of Google search data through real-time surveillance with Google Trends aimed to determine Google users' interest in oral and dental needs and teledentistry applications in the elderly, and to compare search volumes before and after the COVID-19 outbreak. Extracted CVS data were qualitatively analyzed. Pearson and Spearman correlation analyses were performed between searches for "elderly” and "teledentistry”, and all the oral and dental needs and teledentistry applications. The Mann–Whitney U test compared search volumes in the 36 months before and after the beginning of the COVID-19 pandemic. Google users' interest in the elderly and related oral and dental needs was diffusely medium–high, while teledentistry and its applications were of lower interest. Interest in teledentistry and its applications was strongly related to interest in the older population, which is consistent with the assumption that older adults represent the population segment that could benefit most from these tools. A positive correlation was also found between searches for "Elderly” and searches for almost all oral and dental needs typical of the geriatric population. Search volumes increased significantly after the outbreak of the COVID-19 pandemic. More information about teledentistry should be disseminated to increase knowledge and awareness, especially among older patients, about its indications, applications, and advantages.

11.
Ageing Int ; : 1-25, 2022 Jan 15.
Article in English | MEDLINE | ID: covidwho-2312824

ABSTRACT

Elder abuse is evil in human society. The present paper unveils this social issue from two major factors psychological and physical abuse. The study sensitizes the subject matter of study by examining the effects of demographic variables like gender and age on elders. For achieving the purpose of the study the research is a design by exploring and validating the factors of measuring elder abuse through the mix method approach, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). To test the established hypotheses of the effects of the demographic variable on elders the two-way ANOVA was applied. The present study verdicts the development of a sound measurement scale with two influence factors. The separate and composite effect of aging and gender type on elder abuse was evidenced. These findings are crucial especially when the prevalence of elder abuse is higher during COVID-19. The limited novel understudied variable opens an avenue for further research in behavioral and demographic variables like marital status. The present study has practical insinuation for caring the elders in any human society like physical and psychological treatment of elders to avoid abusive situations. In addition, the study attempts to validate the novel issues like psychological and physical abuse of elders in the dimensions of demographic variables. Some rare studies in the Indian continent established the motivation of conducting the research on this dimension.

12.
Australian Journal of General Practice ; 52(4):169-170, 2023.
Article in English | ProQuest Central | ID: covidwho-2305818

ABSTRACT

The Taskforce aims include: 'improving patient access to general practice and GP-led multidisciplinary teams, making primary care more affordable, improving prevention, and reducing pressure on hospitals',3 and these data suggest that increasing general practice funding to support the Taskforce's aims is consistent with community expectations. The use of market researchers to rapidly access data is innovative and highlights the value of consumer input into health policy decision making, reinforcing the need for sharing of routinely collected data to better understand allocation of health system expenditure. Authors Michael Wright MBBS, MSc, PhD (UTS), GAICD, FRACGP, Research Fellow, Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW;Clinical Associate Professor, Sydney University Medical School, University of Sydney, Sydney, NSW Roald Versteeg BBusMan, Chief Policy Officer, The Royal Australian College of General Practitioners, East Melbourne, Vic (at time of submission) References 1.

13.
Routes to a Resilient European Union: Interdisciplinary European Studies ; : 115-139, 2022.
Article in English | Scopus | ID: covidwho-2299756

ABSTRACT

The pandemic put all underlying structural problems about the living conditions of older persons in Europe on display. The inadequate protection afforded to older persons during this crisis reflects the weak position of this group. Additionally, the growing ageing population in EU entails an urgent challenge to the union. In this chapter, I argue for what policies the EU needs to implement to ensure an equitable society for all ages, both in times of crisis and otherwise. Three different recommendations are also provided;(1) establish commissions for the rights of older persons that implement the evidence-based knowledge that already exists about older persons' conditions, (2) contribute to the jurisprudence instituting the rights for the older persons, including codifying these rights in an international convention, and (3) give special priority to its work for advancing a social market economy by implementing the EU Charter of Fundamental Rights as a central element in EU law and policy for older persons. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022, corrected publication 2022.

14.
Health & Social Care in the Community ; 2023, 2023.
Article in English | ProQuest Central | ID: covidwho-2296782

ABSTRACT

Quality of life (QoL) is an important outcome in aged care, but self-report is not always possible due to the high prevalence of cognitive impairment in older aged care residents. This study aims to assess the impact of family member proxy perspective (proxy-proxy or proxy-person) on interrater agreement with resident self-report by different cognition levels. The influence of proxy perspective and cognition level is a significant gap in the extant literature which this study seeks to address. A cross-sectional study was undertaken with residents classified into cognition subgroups according to the Mini Mental State Examination. Residents completed the self-report EQ-5D-5L, a well-established generic measure of health-related quality of life (HRQoL). Family member proxies completed EQ-5D-5L proxy version 1 (proxy-proxy perspective, where the proxy responds based on their own opinions) and proxy version 2 (proxy-person perspective, where the proxy responds as they believe the person would). Interrater agreement was assessed using the concordance correlation coefficient (CCC) for utility scores and the weighted kappa for dimension-level responses. Sixty-three residents (n = 22 no cognitive impairment, n = 27 mild impairment, and n = 14 moderate impairment) and proxies participated. EQ-5D-5L utility scores were lower for proxies compared with residents (self-report = 0.522, proxy-proxy = 0.299, and proxy-person = 0.408). Interrater agreement with self-report was higher for proxy-person (CCC = 0.691) than for proxy-proxy (CCC = 0.609). Agreement at the dimension level was higher for more easily observable dimensions, such as mobility, compared to less observable dimensions, such as anxiety/depression. Resident self-reported and proxy family member-reported HRQoL assessments, using the EQ-5D-5L, are different but may be more closely aligned when the proxy is specifically guided to respond from the person's perspective. Further research is needed to address the impact of divergences in self-report and proxy-report ratings of HRQoL for quality assessment and economic evaluation in aged care.

15.
BMC Geriatr ; 23(1): 204, 2023 03 31.
Article in English | MEDLINE | ID: covidwho-2301504

ABSTRACT

BACKGROUND: Elder abuse is an important public health concern that requires urgent attention. One main barrier to active responses to elder abuse in clinical settings is a low level of relevant knowledge among nurses. This study aims to develop an educational program to promote an intent to report elder abuse among nursing students and assess its effectiveness, with a focus on the rights of older adults. METHODS: A mixed method design was used with the Analyze, Design, Develop, Implement, and Evaluate model. Twenty-five nursing students from Chungbuk Province participated in the study. Attitude toward older adults and knowledge of, awareness of, attitude towards, and intent to report elder abuse were assessed quantitatively and analyzed using paired t-test. The feasibility of the program and feedback were collected qualitatively through group interviews and analyzed using content analysis. RESULTS: After the education program, attitude toward older adults (Cohen's d = 1.08), knowledge of (Cohen's d = 2.15), awareness of (Cohen's d = 1.56), attitude towards (Cohen's d = 1.85), and intent to report elder abuse (Cohen's d = 2.78) increased, confirming the positive effects of this program. Overall, all participants were satisfied with the contents and method of the program. CONCLUSIONS: The method of program delivery should be improved and tailored strategies to boost program engagement among nursing students should be explored to implement and disseminate the program.


Subject(s)
Elder Abuse , Students, Nursing , Humans , Aged , Pilot Projects , Elder Abuse/prevention & control , Attitude of Health Personnel , Health Knowledge, Attitudes, Practice
16.
Int J Geriatr Psychiatry ; 38(4): e5915, 2023 04.
Article in English | MEDLINE | ID: covidwho-2306008

ABSTRACT

OBJECTIVES: Empirical evidence about the heightened risks of elder abuse and age discrimination during the COVID-19 pandemic is scarce. This study aimed to track the changes in rates of both, and investigated their associated factors in the community-dwelling older population in Hong Kong. METHODS: In this two-wave, cross-sectional telephone survey, we interviewed a population-based sample of individuals (≥55 years), and captured the situation of elder abuse and age discrimination before the COVID-19 outbreak (n = 1209, Wave 1: October-December 2019) and during the pandemic (n = 891, Wave 2: December 2020-January 2021). Participants reported their experiences of different types of abuse and discrimination, financial health, subjective well-being, satisfaction with environment, health and social services, and resilience. RESULTS: Abuse was reported by 20.2% of the sample before the outbreak and 17.8% during the pandemic; while discrimination was reported by 24.6% and 29.8% at the two time points, respectively. A drop in physical abuse was observed, but it was accompanied by a rise in discrimination in the form of harassment or refusal of services. Findings of logistic regression analysis show that abuse during the pandemic was associated with younger age, poorer subjective well-being, and lower resilience; while discrimination was associated with female gender, being married, and poorer subjective well-being. CONCLUSIONS: Elder abuse and discrimination were prevalent across time points. The pandemic has highlighted the marginalization of older persons in our communities. There is an urgent need for development of effective interventions to end abuse and discrimination.


Subject(s)
Ageism , COVID-19 , Elder Abuse , Humans , Female , Aged , Aged, 80 and over , Pandemics , Hong Kong/epidemiology , Cross-Sectional Studies , Risk Factors , Prevalence , COVID-19/epidemiology
17.
Leadersh Health Serv (Bradf Engl) ; ahead-of-print(ahead-of-print)2022 Nov 29.
Article in English | MEDLINE | ID: covidwho-2302404

ABSTRACT

PURPOSE: This study aims to explore nursing home and home care managers' strategies in handling the COVID-19 pandemic. DESIGN/METHODOLOGY/APPROACH: This study has a qualitative design with semistructured individual interviews conducted digitally by videophone (Zoom). Eight managers from nursing homes and five managers from home care services located in a large urban municipality in eastern Norway participated. Systematic text condensation methodology was used for the analysis. FINDINGS: The managers used several strategies to handle challenges related to the COVID-19 pandemic, including being proactive and thinking ahead in terms of possible scenarios that might occur, continuously training of staff in new procedures and routines and systematic information sharing at all levels, as well as providing different ways of disseminating information for staff, service users and next-of-kins. To handle staffing challenges, managers used strategies such as hiring short-term staff that were temporary laid off from other industries and bringing in students. ORIGINALITY/VALUE: The COVID-19 pandemic heavily affected health-care systems worldwide, which has led to many health-care studies. The situation in nursing homes and home care services, which were strongly impacted by the pandemic and in charge of a vulnerable group of people, has not yet received enough attention in research. This study, therefore, seeks to contribute to this research gap by investigating how managers in nursing homes and home care services used different strategies to handle the COVID-19 pandemic.


Subject(s)
COVID-19 , Home Care Services , Humans , COVID-19/epidemiology , Pandemics , Nursing Homes , Norway/epidemiology
18.
Handbook of interpersonal violence and abuse across the lifespan: A project of the National Partnership to End Interpersonal Violence Across the Lifespan (NPEIV) ; : 4699-4719, 2022.
Article in English | APA PsycInfo | ID: covidwho-2272947

ABSTRACT

Although prevalent in the 1990s, research on social and economic determinants of elder abuse, including race, ethnicity, and culture, has lagged in recent years, compromising understanding of elder abuse as a public health problem calling for systems responses. The COVID-19 pandemic has highlighted the tragic impact of substantial disruptions in access to care across fragmented health systems and community-based settings on vulnerable older adults and, in such crisis conditions, the persistence of both violations of older adults' human rights and historical inequities in their treatment. Older adults have been disproportionately affected by COVID-19, particularly older Black/African Americans and Latinx and those living in congregate settings such as nursing homes, assisted living facilities, and prisons, as reflected in reporting of cases, hospitalizations, and deaths. American Indian reservations and indigenous and tribal communities are also struggling with the effects of the pandemic on the health and economic security of their members. The pandemic is exposing challenges that have heretofore been ignored or covered up, or have remained otherwise invisible, such as institutional neglect, poverty, deprivation, and isolation, yet have deepened suffering of older adults. However, little is yet known about older persons' experience of abuse, neglect, and violence during pandemic crisis conditions, such as sheltering-in-place, quarantines or lockdowns, or situations of scarce resources including intensive care unit beds, medical equipment, and personal protective equipment. The risks created by these conditions and their palpable urgency call for critical examination of the contribution of structural inequities to older adults' heightened risk in disaster and post-disaster environments and the disproportionate impact of crisis conditions (Institute of Medicine [IOM], Crisis standards of care: A systems framework for catastrophic disaster response: Volume 1: Introduction and CSC framework. The National Academies Press, Washington, DC, 2012. https://doi.org/10.17226/13351) upon the human rights of diverse older adult populations and communities. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

19.
Revista Latino-Americana de Enfermagem Vol 31 2023, ArtID e3825 ; 2023.
Article in English | APA PsycInfo | ID: covidwho-2256588

ABSTRACT

Objective: to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults during the first year of the COVID-19 pandemic in a capital city from the Brazilian Southeast region. Method: a descriptive and exploratory research study with a cross-sectional design based on the notifications of suspected or confirmed cases of violence against older adults between March 2020 and March 2021. A univariate statistical analysis and Fisher's exact test (p<0.05) were performed. Results: a total of 2,681 notifications were recorded during the period. The main victims were individuals aged between 60 and 64 years old, female, white-skinned and with low schooling levels. The instances of violence were more frequent in the victims' homes. Physical and psychological violence predominated, through physical force/beatings and threats, respectively. Most of the aggressors were male, younger than the victims and generally their children or intimate partners. The aggressions were perpetrated more than once and were driven by generational conflicts. There was low referral to entities for the protection of older adults. Conclusion: the sociodemographic profile found evidences vulnerable victims, subjected to many types of violence, and at a potential risk against their overall health. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

20.
Diagnostic Imaging of Novel Coronavirus Pneumonia ; : 1-242, 2020.
Article in English | Scopus | ID: covidwho-2288585

ABSTRACT

This book presents radiological findings in patients with 2019 Novel Coronavirus Pneumonia (COVID-19). It starts with a general review of COVID-19 Pneumonia discovery, including etiology characteristics, transmission routes and pathogenic mechanisms. In the following chapters, details in clinical classification, imaging manifestations in different groups, and imaging features of family aggregated coronavirus pneumonia are introduced. In addition, key points in differential diagnosis of COVID-19 Pneumonia are summarized in the last chapter. The book provides a valuable reference source for radiologists and doctors working in the area of COVID-19 Pneumonia. © Henan Science and Technology Press 2020.

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