Hospital at Home (HaH) has been proposed as a solution to relieve pressure on hospital beds during the COVID-19 pandemic; however, caregivers' feelings of inadequacy and concerns on the need for tighter clinical monitoring might lead to unnecessary and potentially harmful hospital admissions in frail older patients with mild or atypical COVID-19. Here we report the case of a 91-year old woman with severe dementia and atypical COVID-19 that could be successfully managed by our HaH thanks to her highly motivated caregivers and the support of a telemedicine solution (TMS) to provide caregiver training and support as well as supplementary telemonitoring. Despite some well-known issues on TMS use, the hybrid in-person and tele-visit approach of TMS-assisted HaH could help to create a “secure” environment, empowering caregivers to manage frail older adults with COVID-19 at home, avoiding unnecessary admissions to closed wards and their negative physical, functional and psychological outcomes.

Telemedicine-assisted care of an older patient with COVID-19 and dementia: bridging the gap between hospital and home

Marinello R.;Brunetti E.;Luppi C.;Bianca D.;Isaia G.;Bo M.
2021

Abstract

Hospital at Home (HaH) has been proposed as a solution to relieve pressure on hospital beds during the COVID-19 pandemic; however, caregivers' feelings of inadequacy and concerns on the need for tighter clinical monitoring might lead to unnecessary and potentially harmful hospital admissions in frail older patients with mild or atypical COVID-19. Here we report the case of a 91-year old woman with severe dementia and atypical COVID-19 that could be successfully managed by our HaH thanks to her highly motivated caregivers and the support of a telemedicine solution (TMS) to provide caregiver training and support as well as supplementary telemonitoring. Despite some well-known issues on TMS use, the hybrid in-person and tele-visit approach of TMS-assisted HaH could help to create a “secure” environment, empowering caregivers to manage frail older adults with COVID-19 at home, avoiding unnecessary admissions to closed wards and their negative physical, functional and psychological outcomes.
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Caregiver education; COVID-19; Hospital at home; SARS-CoV-2; Telemedicine; Aged; Aged, 80 and over; Caregivers; Female; Hospitals; Humans; Pandemics; SARS-CoV-2; COVID-19; Dementia; Telemedicine
Marinello R.; Brunetti E.; Luppi C.; Bianca D.; Tibaldi V.; Isaia G.; Bo M.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1794818
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