Department of Culture and Society, Division Ageing and Social Change, Linkoping University, 601 74 Norrkoping, Sweden.
Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Int J Environ Res Public Health. 2020 Dec 12;17(24):9303. doi: 10.3390/ijerph17249303.
There has been supporting evidence that older adults with underlying health conditions form the majority of the fatal cases in the current novel coronavirus disease (COVID-19) pandemic. While the impact of COVID-19 is affecting the general public, it is clear that these distressful experiences will be magnified in older adults, particularly people living with Alzheimer's disease and related dementia (ADRD), making them the most vulnerable group during this time. People with differing degrees of ADRD are especially susceptible to the virus, not only because of their difficulties in assessing the threat or remembering the safety measures, but also because of the likelihood to be subject to other risk factors, such as lack of proper care and psychological issues. Therefore, in this article, we will discuss the challenges related to home-based care for people with ADRD during a pandemic and propose a formulation of systematic solutions to address these challenges and to alleviate the social and economic impact resulting from the crisis.
有证据表明,患有基础疾病的老年人是当前新型冠状病毒病(COVID-19)大流行中大多数死亡病例的主要群体。虽然 COVID-19 的影响正在影响公众,但很明显,这些痛苦的经历在老年人中会被放大,特别是患有阿尔茨海默病和相关痴呆症(ADRD)的老年人,使他们成为这个时期最脆弱的群体。不同程度患有 ADRD 的人尤其容易感染病毒,不仅因为他们难以评估威胁或记住安全措施,还因为他们更容易受到其他风险因素的影响,例如缺乏适当的护理和心理问题。因此,在本文中,我们将讨论大流行期间在家中照顾患有 ADRD 的人的相关挑战,并提出一套系统的解决方案来应对这些挑战,减轻危机带来的社会和经济影响。