School of Medicine (MF, GCB, DCS), University of Connecticut, Farmington, CT.
School of Medicine (MF, GCB, DCS), University of Connecticut, Farmington, CT.
Am J Geriatr Psychiatry. 2020 Aug;28(8):829-834. doi: 10.1016/j.jagp.2020.04.027. Epub 2020 May 5.
The coronavirus disease 2019 (COVID-19) pandemic has brought challenges to delivery of care for older adults on inpatient psychiatry. We describe two cases: patient A, a 62-year-old woman who initially refused screening for potential COVID-19, bringing up questions about threshold for capacity when public health is at risk and questions about whether screening for infection should be different in older adults. The other case, patient B, is that of an 83-year-old man who was on the unit when patient A tested positive, and brought up concerns for risk of dissemination in the context of wandering, spitting behaviors, and inability to adhere to room isolation or masking measures. We review measures taken to decrease risk of transmission and improve screening for infection in older adults.
2019 年冠状病毒病（COVID-19）大流行给老年精神病住院患者的护理带来了挑战。我们描述了两个病例：患者 A，一位 62 岁的女性，最初拒绝接受可能 COVID-19 的筛查，引发了在公共卫生受到威胁时的能力阈值问题，以及是否应在老年人中进行不同的感染筛查问题。另一个病例是患者 B，他是一位 83 岁的男性，当患者 A 检测呈阳性时，他正在住院治疗，这引发了人们对在游荡、吐痰行为和无法遵守房间隔离或戴口罩措施的情况下传播风险的担忧。我们回顾了为降低老年患者传播风险和改善感染筛查而采取的措施。
