Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the Coronavirus Disease 2019 Pandemic
Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the Coronavirus Disease 2019 Pandemic
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DOI：
10.1016/j.jamda.2020.07.038
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发表时间：
2020-10-01
影响因子：
7.6
通讯作者：
Sinha, Samir K.
中科院分区：
文献类型：
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作者：
Stall, Nathan M.;Johnstone, Jennie;Sinha, Samir K.
在2019冠状病毒病（COVID-19）大流行的最初几个月，加拿大养老院实施了严格的禁止访客政策，以降低在这些环境中引入COVID-19的风险。现在人们越来越担心，与家庭照顾者和访客接触受限相关的风险已开始超过与预防COVID-19感染相关的潜在好处。许多居民持续严重和潜在的不可逆转的身体，功能，认知和心理健康下降。随着加拿大从第一波大流行中走出来，全国各地的养老院都谨慎地开始重新开放这些场所，但人们普遍批评新的访客政策过于限制，不公平，而且可能有害。我们回顾了加拿大10个省和3个地区的养老院访客政策以及有关该主题的国际政策和报告，以制定10个提供信息，数据驱动和专家审查的指南，以便加拿大养老院重新开放给家庭护理人员和访客。(C)2020年AMDA -急性后和长期护理医学协会。
During the first few months of the coronavirus disease 2019 (COVID-19) pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable, and potentially harmful. We reviewed the nursing home visitor policies for Canada's 10 provinces and 3 territories as well as international policies and reports on the topic to develop 10 provi-informed, data-driven, and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors. (C) 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.