Developing a clinical screening tool for identifying COVID‐19 infection in older people dwelling in residential aged care services

Objective To develop and conduct preliminary feasibility testing of a clinical screening instrument for early identification of COVID‐19 infection in older people residing in residential aged care services (RACS). Methods A qualitative study was conducted using a multi‐modal approach involving exami...

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Bibliographic Details
Published in:Australasian Journal on Ageing 2021-03, Vol.40 (1), p.48-57
Main Authors: Gnanasambantham, Kavitha, Aitken, Georgia, Morris, Brett, Simionato, Jessica, Chua, Eu‐Hua, Ibrahim, Joseph E.
Format: Article
Language:English
Subjects:
Aged
assisted living facilities
COVID-19 - diagnosis
COVID‐19
Feasibility Studies
Female
Homes for the Aged
Humans
Male
mass screening
Nursing Assessment - methods
Nursing Homes
residential aged care service
Symptom Assessment
Victoria
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Summary:Objective To develop and conduct preliminary feasibility testing of a clinical screening instrument for early identification of COVID‐19 infection in older people residing in residential aged care services (RACS). Methods A qualitative study was conducted using a multi‐modal approach involving examination of existing literature and national guidelines for COVID‐19 clinical screening, formulation of a discussion document with peer review and feasibility testing of a prototype screening tool. Results Existing COVID‐19 clinical screening tools do not consider age‐related impacts on clinical presentation. The qualitative analysis identified the important clinical elements to include were a lower threshold for temperature, occurrence of a recent fall and change in functional status. The new elements also had to be simple and feasible to implement. Overall feedback was positive with all participants recommending the use of the new tool. Conclusion A new screening tool for RACS residents was developed addressing the pathophysiological changes with ageing and atypical features of COVID‐19 infection.
ISSN:1440-6381
1741-6612
DOI:10.1111/ajag.12884