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Coronavirus Disease 2019 in Geriatrics and Long-Term Care: The ABCDs of COVID-19
Heather D'Adamo1,2, Thomas Yoshikawa1,2, Joseph G Ouslander3
1Geriatrics and Extended Care, Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, University of California, Los Angeles, California.
Insights
Older adults and those with chronic conditions are most vulnerable to COVID-19. This article offers guidance for managing coronavirus disease 2019 in long-term care facilities.
Area of Science:
- Gerontology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presents unprecedented global challenges.
- Older adults and individuals with underlying health conditions are at higher risk.
- Long-term care facilities house a population with increased vulnerability due to age and comorbidities.
Purpose of the Study:
- To provide essential information on COVID-19 within long-term care settings.
- To offer insights and recommended strategies for managing the pandemic in these facilities.
- To guide healthcare professionals and administrators in long-term care.
Main Methods:
- Review of current epidemiological data on COVID-19.
- Synthesis of expert recommendations for infection control.
- Guidance on clinical management and public health strategies.
Main Results:
- Identification of high-risk populations within long-term care.
- Outline of critical measures for prevention and mitigation.
- Emphasis on the need for rapid adaptation to evolving information.
Conclusions:
- Long-term care facilities require specific, tailored approaches to combat COVID-19.
- Proactive and informed management is crucial for protecting vulnerable residents.
- Continuous access to updated resources is vital due to the dynamic nature of the pandemic.
Abstract:
The pandemic of coronavirus disease of 2019 (COVID-19) is having a global impact unseen since the 1918 worldwide influenza epidemic. All aspects of life have changed dramatically for now. The group most susceptible to COVID-19 are older adults and those with chronic underlying medical disorders. The population residing in long-term care facilities generally are those who are both old and have multiple comorbidities. In this article we provide information, insights, and recommended approaches to COVID-19 in the long-term facility setting. Because the situation is fluid and changing rapidly, readers are encouraged to access frequently the resources cited in this article. J Am Geriatr Soc 68:912-917, 2020.
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