关键词: Alzheimer COVID-19 SARS-CoV-2 care facility caregiver stress dementia health care system high dependency psychiatric unit mental health psychiatric psychiatric intensive care unit psychiatry ward

来  源:   DOI:10.2196/49618   PDF(Pubmed)

Abstract:
The COVID-19 pandemic led to behavioral exacerbations in people with dementia. Increased hospitalizations and lack of bed availability in specialized dementia wards at a tertiary psychiatric hospital in Singapore resulted in lodging people with dementia in the High Dependency Psychiatric Unit (HDPCU). Customizations to create a dementia-friendly environment at the HDPCU included: (1) environmental modifications to facilitate orientation and engender familiarity; (2) person-centered care to promote attachment, inclusion, identity, occupation, and comfort; (3) risk management for delirium; and (4) training core competencies. Such practical solutions can also be implemented elsewhere to help overcome resource constraints and repurpose services to accommodate increasing populations of people living with dementia.
摘要:
COVID-19大流行导致痴呆症患者的行为恶化。新加坡一家三级精神病医院的专门痴呆症病房住院人数增加,床位不足,导致痴呆症患者被安置在高依赖性精神病部门(HDPCU)。在HDPCU创建痴呆症友好环境的定制包括:(1)环境修改,以促进方向和性别熟悉;(2)以人为本的护理,以促进依恋,inclusion,身份,职业,和舒适度;(3)谵妄的风险管理;(4)培训核心能力。这种实用的解决方案也可以在其他地方实施,以帮助克服资源限制和重新调整服务,以适应越来越多的痴呆症患者。
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