权利与风险：长期护理中隔离对居民和家庭的影响。
Rights versus Risks: The Impact of Isolation on Residents and Families in Long-Term Care.
机构信息
Associate Vice-President, Global Health, Global Health Office, McMaster University, Hamilton, ON.
Senior Research Analyst, Global Health Office, McMaster University, Hamilton, ON.
出版信息
Healthc Policy. 2022 Jun;17(SP):133-144. doi: 10.12927/hcpol.2022.26849.
Abstract
Early in the COVID-19 pandemic, the Ontario government created directives for long-term care (LTC) homes. As a result, residents were isolated in their rooms and visitors were banned. This commentary examines these practices and their impact on LTC residents and their families. A review of relevant documents showed the practices were unnecessary and physically and psychologically detrimental. Moving forward, family should be recognized as essential members of residents' care teams and allowed in LTC homes during outbreaks. This would entail providing them with the necessary protective equipment and adequate training to ensure infection prevention protocols are maintained.
摘要
在 COVID-19 大流行早期，安大略省政府为长期护理院 (LTC) 制定了指令。因此，居民被隔离在自己的房间里，访客被禁止入内。本评论探讨了这些做法及其对 LTC 居民及其家人的影响。对相关文件的审查表明，这些做法是不必要的，对居民的身心健康都有害。展望未来，应将家庭视为居民护理团队的重要成员，并在疫情期间允许其进入 LTC 院。这需要为他们提供必要的防护设备和充分的培训，以确保感染预防协议得到遵守。
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2
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Front Psychiatry. 2020 Oct 26;11:585373. doi: 10.3389/fpsyt.2020.585373. eCollection 2020.
3
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