-
Tytuł:
-
Dying at home of Covid-19: Meeting the need for home-based care.
-
Autorzy:
-
Fallon CK; Jackson Institute for Global Affairs, Yale University, Horchow Hall, 55 Hillhouse Avenue, New Haven, CT 06511, USA. Electronic address: .
Kilbride MK; Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: .
-
Źródło:
-
Preventive medicine [Prev Med] 2021 Apr; Vol. 145, pp. 106409. Date of Electronic Publication: 2020 Dec 31.
-
Typ publikacji:
-
Editorial; Research Support, N.I.H., Extramural
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: New York, Academic Press.
-
MeSH Terms:
-
Guidelines as Topic*
COVID-19/*mortality
COVID-19/*nursing
Disabled Persons/*statistics & numerical data
Home Care Services/*standards
Home Nursing/*standards
Vulnerable Populations/*statistics & numerical data
Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; SARS-CoV-2 ; United States/epidemiology
-
Grant Information:
-
K01 HG010903 United States HG NHGRI NIH HHS; T32 HG009496 United States HG NHGRI NIH HHS
-
Contributed Indexing:
-
Keywords: COVID-19; Health care policy; Older adults; Public health
-
Entry Date(s):
-
Date Created: 20210103 Date Completed: 20210405 Latest Revision: 20210514
-
Update Code:
-
20240105
-
PubMed Central ID:
-
PMC7775034
-
DOI:
-
10.1016/j.ypmed.2020.106409
-
PMID:
-
33388327
-
Despite the increased burden of Covid-19 on older adults, ethical and public health frameworks lack adequate guidance for elderly patients who manage severe, even fatal, illness at home. The U.S. Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) recognize the heightened risks of Covid-19 for older adults; however, both organizations presuppose that most cases of Covid-19 will be mild to moderate and recoverable at home. Yet, older adults are least likely to follow this trajectory. Older patients are more susceptible to experiencing severe illness at home from which they may not recover; and if they do seek medical care, they tend to suffer worse outcomes than younger patients in intensive care settings. Given their likelihood of severe illness, worse outcomes in intensive care settings, and potential difficulty accessing resources, frail, disabled, and otherwise vulnerable older patients may face Covid-19 at home without adequate resources, information, or support for home-based care. This editorial proposes three approaches to prevent needless suffering and ensure that this vulnerable population continues to receive needed care.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
