Standards of conduct in residential long-term nursing care in view of the SARS-CoV-2 virus pandemic
DOI:
https://doi.org/10.12775/JEHS.2022.12.07.018Keywords
Coronavirus SARS-CoV-2, SARS-CoV-2, COVID-19, long-term care, elderly people, care facilityAbstract
Introduction: SARS - CoV - 2 virus, which causes COVID - 19 disease, is transmitted mainly by droplets. The symptoms of infection are: fever, wet cough, sore throat, shortness of breath, headache, pain in muscles and bones, general malaise accompanied by exhaustion. Anosomy (loss of smell) and dysgeusia are also common, as well as vomiting, nausea, diarrhea. The diagnosis of SARS-CoV-2 virus infection is based on molecular tests involving the detection of fragments of the viral genome in real time PCR (real time polymerase reaction) in nasopharyngeal swabs, less often throat swabs.
Objective of the work: The aim of the study is to summarize the guidelines for long-term nursing care for a patient infected with SARS - CoV - 2 in the patient's home environment.
Material and methods: The work was based on the method of non-systematic review of scientific literature. The following databases were searched: PubMed, EBESCO, SCOPUS, Web of Science, according to keywords in Polish and English: SARS - CoV - 2, long-term care, nursing, recommendations. The annual limits 2019 - 2020 were assumed as the search period.
Results and conclusions:The SARS-CoV-2 virus appears in residential long-term care facilities primarily through its transmission from the external environment by the entity's employees. Proper management of long-term care facilities is the basis for reducing COVID - 19 transmission, and thus the number of confirmed cases. The knowledge about the recommendations and recommendations of authorized bodies regarding the proceedings limiting the transmission of the virus should be regularly updated.
References
https://www.accessscience.com/content/163220.
Cevik M, Marcus JL, Buckee C, Smith TC. SARS-CoV-2 transmission dynamics should inform policy. Clin Infect Dis 2020; XX(XX): 1–6.
Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S, Schiergens TS, Herrler G, Wu NH, Nitsche A, Müller MA, Drosten C, Pöhlmann S. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell. 2020 Apr 16;181(2):271-280.e8.
Gandhi RT, Lynch JB, Del Rio C. Mild or Moderate Covid-19. N Engl J Med. 2020 Oct 29;383(18):1757-1766.
Sungnak W, Huang N, Bécavin C, Berg M, Queen R, Litvinukova M, Talavera-López C, Maatz H, Reichart D, Sampaziotis F, Worlock KB, Yoshida M, Barnes JL; HCA Lung Biological Network. SARS-CoV-2 entry factors are highly expressed in nasal epithelial cells together with innate immune genes. Nat Med. 2020 May;26(5):681-687.
Spearman P. Diagnostic testing for SARS-CoV-2/COVID19. Curr Opin Pediatr. 2021 Feb 1;33(1):122-128.
Wang MY, Zhao R, Gao LJ, Gao XF, Wang DP, Cao JM. SARS-CoV-2: Structure, Biology, and Structure-Based Therapeutics Development. Front Cell Infect Microbiol. 2020 Nov 25;10: 1 – 17.
Yen MY, Schwartz J, King CC, Lee CM, Hsueh PR; Society of Taiwan Long-term Care Infection Prevention and Control. Recommendations for protecting against and mitigating the COVID-19 pandemic in long-term care facilities. J Microbiol Immunol Infect. 2020; 53 (3): 447-453.
Chen MK, Chevalier JA, Long EF. Nursing home staff networks and COVID-19. Proc Natl Acad Sci USA. 2021; 7; 118(1): 1 – 27.
Graham NSN, Junghans C, Downes R, Sendall C, Lai H, McKirdy A, Elliott P, Howard R, Wingfield D, Priestman M, Ciechonska M, Cameron L, Storch M, Crone MA, Freemont PS, Randell P, McLaren R, Lang N, Ladhani S, Sanderson F, Sharp DJ. SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. J Infect. 2020; 81(3): 411-419.
Thompson DC, Barbu MG, Beiu C, Popa LG, Mihai MM, Berteanu M, Popescu MN. The Impact of COVID-19 Pandemic on Long-Term Care Facilities Worldwide: An Overview on International Issues. Biomed Res Int. 2020 Nov 4;2020: 1 – 7.
Control, E.C.f.D.P.a.: Surveillance of covid-19 at long-term care facilities in the eu/eea, 2020, August 2020, https://www.ecdc .europa.eu/sites/default/files/documents/covid-19-long-term- care-facilities-surveillance-guidance.pdf.
Rybka M, Kądalska E, Wójcik G: Zalecenia dotyczące organizacji procesu udzielania świadczeń pielęgnacyjnych i opiekuńczych w ramach opieki długoterminowej w związku ze stanem epidemii i ryzykiem zakażeń SARS CoV-2 i zachorowań na COVID-19. Polskie Towarzystwo Pielęgniarskie, Warszawa 2020.
Jaruga J: Domy pomocy społecznej w dobie pandemii. Doświadczenia, potrzeby, wyzwania. Helsińska Fundacja Praw Człowieka, Warszawa 2020.
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Copyright (c) 2022 Karolina Widłak, Piotr Pawłowski, Aneta Kościołek, Klaudia Jakubowska, Iwona Adamska-Kuźmicka, Karolina Ziętera, Aleksandra Orzechowska, Mateusz Pawlina
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