Management of COVID-19 in a French Nursing Home: Experiences from a Multidisciplinary Mobile Team

BackgroundLong-term residential care facilities and nursing homes are known to be particularly vulnerable to viral respiratory diseases and have expressed the need for multidisciplinary collaboration to help manage outbreaks when they occur.MethodIn April 2020, Tours University Medical Center create...

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Bibliographic Details
Published in:The Journal of frailty & aging 2021, Vol.10 (4), p.363-366
Main Authors: Poupin, Pierre, N’Diaye, D, Chaumier, F, Lemaignen, A, Bernard, L, Fougère, B
Format: Article
Language:English
Subjects:
Antibiotics
Brief Reports
COVID-19
Decision making
Decision trees
Disease management
Disease transmission
Dissemination
Epidemics
Geriatrics
Guardians
Hospitalization
Hospitals
Human resources
Humanities and Social Sciences
Infectious diseases
Information dissemination
Interdisciplinary aspects
Masks
Medical screening
Medical supplies
Multidisciplinary teams
Nursing
Nursing homes
Older people
Palliative care
Pandemics
Personal protective equipment
Residential care
Respiratory diseases
Severe acute respiratory syndrome coronavirus 2
Social distancing
Specialists
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Summary:BackgroundLong-term residential care facilities and nursing homes are known to be particularly vulnerable to viral respiratory diseases and have expressed the need for multidisciplinary collaboration to help manage outbreaks when they occur.MethodIn April 2020, Tours University Medical Center created a multidisciplinary mobile team to help local nursing homes deal with outbreaks of coronavirus disease 2019 (COVID-19). The team included a geriatrician, infectious disease experts, and palliative care specialists.ResultsOn April 8th, 2020, the first intervention took place in a 100 residents nursing home with a total of 18 confirmed cases among 26 symptomatic residents and five deaths. The nursing home staffs’ main requests were a multidisciplinary approach, consensus decision-making, and the dissemination of information on disease management.ConclusionThree lessons emerged from this collaboration: (i) intensify collaborations between hospitals and nursing homes, (ii) limit disease transmission through the use of appropriate hygiene measures, broad screening, and the isolation of sick residents and sick employees, and (iii) provide sufficient human resources.
ISSN:2260-1341
2273-4309
DOI:10.14283/jfa.2021.16