Challenging behavior of nursing home residents during COVID-19 measures in the Netherlands

Leontjevas, Ruslan; Knippenberg, Inge; Smalbrugge, Martin; Plouvier, Annette O A; Teunisse, S.; Bakker, Christian; Koopmans, Raymond T.C.M.; Gerritsen, Debby L.

doi:10.1080/13607863.2020.1857695

Cited by 56 publications

(90 citation statements)

References 23 publications

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“…This population has been more difficult to reach than those living in the community due to additional restrictions imposed in the social care systems [6] . One of the studies reports a decline in cognition and ADL in around half the residents [32] in keeping with other emerging evidence on the topic [38] , and the other one reports significant increase in levels of anxiety and depression [31] . Decisions such as not referring care homes residents to hospitals and the blanket ban on visitors, conflicted with individual human rights and have likely contributed to both mortality and accelerated deterioration [39] .…”

Section: Discussionsupporting

confidence: 67%

The effect of COVID-19 isolation measures on the cognition and mental health of people living with dementia: A rapid systematic review of one year of quantitative evidence

et al. 2021

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Background COVID-19 prevention and control policies have entailed lockdowns and confinement. This study aimed to summarize the global research evidence describing the effect of COVID-19 isolation measures on the health of people living with dementia. Methods We searched Pubmed, PsycINFO and CINAHL up to 27th of February 2021 for peer-reviewed quantitative studies about the effects of isolation during COVID-19 on the cognitive, psychological and functional symptoms of people with dementia or mild cognitive impairment. The Joanna Briggs Institute critical appraisal tool was used to conduct the quality assessment. PROSPERO registration: CRD42021229259. Findings 15 eligible papers were identified, examining a total of 6442 people with dementia. 13/15 studies investigated people living in the community and 2 in care homes. Out of 15 studies, 9 (60%) reported changes in cognition and 14 (93%) worsening or new onset of behavioral and psychological symptoms. Six studies (46%) reported a functional decline in daily activities in a variable proportion of the population analyzed. Interpretation COVID-19 isolation measures have damaged the cognitive and mental health of people with dementia across the world. It is urgent to issue guidance that balances infection control measures against the principles of non-maleficence to guarantee fair and appropriate care during pandemic times for this population.

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Section: Discussionsupporting

confidence: 67%

The effect of COVID-19 isolation measures on the cognition and mental health of people living with dementia: A rapid systematic review of one year of quantitative evidence

et al. 2021

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“…Of the 16 studies included, 2 were conducted in the USA [ 32 , 33 ], 3 in the United Kingdom [ 34 , 35 , 36 ], 1 in Australia [ 37 ], 1 in Germany [ 38 ], 1 in Canada [ 39 ], 1 in Sweden [ 40 ], 1 in Spain [ 41 ], 3 in the Netherlands [ 42 , 43 , 44 ], 1 in Slovenia [ 45 ], 1 in Malaysia [ 46 ], and 1 in several Latin American (Peru, Mexico) and European (Spain and Italy) countries [ 47 ]. Fifteen were in English and only one was in Spanish [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…With regard to methodology, the 16 studies included 5 mixed methods studies [ 38 , 39 , 42 , 43 , 45 ], 7 qualitative studies [ 32 , 34 , 35 , 37 , 41 , 46 , 47 ], 1 short report [ 36 ], 1 rapid scoping review [ 44 ], and 2 studies using another approach such as a letter or report containing a first-hand testimony [ 33 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

Long-Term Care Facilities and Nursing Homes during the First Wave of the COVID-19 Pandemic: A Scoping Review of the Perspectives of Professionals, Families and Residents

Palacios‐Ceña

Fernández-Peña

Ortega-López

et al. 2021

IJERPH

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The COVID-19 pandemic has had significant repercussions for nursing home residents, their families, and professionals. The objective was to describe the perspectives of residents, their families, and nursing home employees during the COVID-19 pandemic. A scoping review was carried out using the PRISMA Extension for Scoping Reviews. The inclusion criteria were: qualitative and/or mixed methods studies in English, French, Portuguese, and Spanish. The review covers studies published from 11 March 2020 to 15 February 2021. CINAHL, PubMed, Web of Science, ScienceDirect, Scopus, British Nursing Index, Proquest, PsycInfo, and Google Scholar databases were used. We conducted a systematic narrative synthesis, presenting the results narratively and showing descriptive statistics on the studies reviewed. Sixteen documents were obtained from 175 results. Two studies focused on residents and one on their families. The remaining studies looked at professionals. Nursing homes had great difficulty managing resources, which was exacerbated by emotional exhaustion among residents, employees, and family members. In nursing homes, creative initiatives and new forms of leadership appeared to meet emerging needs during the pandemic. The results of the study show the impact of the pandemic on nursing homes and the response capacity present among residents, family members, and professionals.

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“…Although data remain scarce, worries remain about the potential for increased use of psychotropic medications (eg, antipsychotics, benzodiazepines, and antidepressants) among residents during the pandemic, possibly in response to an increase in depression, anxiety, and responsive behaviors coupled with less access to nonpharmacological interventions. 17 , 18 , 19 Using Ontario databases, Stall et al 19 reported small absolute increases (1.0% to 1.6%) in the mean monthly proportion of nursing home residents dispensed antipsychotics and antidepressants (including trazodone hydrochloride) during the period from March 1 to September 30, 2020, relative to January 1 to February 29, 2020. Beyond psychotropics, 19 , 20 , 21 , 22 other therapies of interest that have yet to be investigated in this population include opioids, anticonvulsants, and antibiotics.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Medication Prescribing Before and After the COVID-19 Pandemic Among Nursing Home Residents in Ontario, Canada

et al. 2021

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Key Points Question How are COVID-19 and related disruptions in care associated with changes in the dispensation of medications commonly used among nursing home residents? Findings In this population-based cohort study with an interrupted time-series analysis of all nursing home residents from the 630 facilities in Ontario, Canada, the emergence of the COVID-19 pandemic was associated with significant increases in the use of antipsychotics, benzodiazepines, antidepressants, anticonvulsants, and opioids and no meaningful changes in the use of antibiotics or selected cardiovascular medications. Meaning The finding of increased use of medications with the potential for adverse effects among nursing home residents during the initial wave of the pandemic warrants ongoing monitoring for prescribing appropriateness and related resident outcomes.

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Challenging behavior of nursing home residents during COVID-19 measures in the Netherlands

Cited by 56 publications

References 23 publications

The effect of COVID-19 isolation measures on the cognition and mental health of people living with dementia: A rapid systematic review of one year of quantitative evidence

The effect of COVID-19 isolation measures on the cognition and mental health of people living with dementia: A rapid systematic review of one year of quantitative evidence

Long-Term Care Facilities and Nursing Homes during the First Wave of the COVID-19 Pandemic: A Scoping Review of the Perspectives of Professionals, Families and Residents

Comparison of Medication Prescribing Before and After the COVID-19 Pandemic Among Nursing Home Residents in Ontario, Canada

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