Table 2.

Aspects to be Considered Around Dilemmas Caused by Visiting Policies

Level	Considered Aspects
Resident	Residents' view on risk of COVID-19
	Connotation of receiving visitors for resident: •Saying goodbye to loved ones •Presence in the dying phase •Receiving additional care •Mutual support in crisis •Impact on quality of life
	COVID-19 confirmed?
	COVID-19 related symptoms?
	Life expectancy: •Months to years •Weeks to months •Dying phase
	Symptoms as a result of the visitor's restriction∗, for example: •Loneliness •Depressive symptoms, depression •Decreased intake •Neuropsychiatric symptoms (increased or decreased) •Physical complaints (for example pain) •Physical or mental deterioration
	Are alternative solutions for social contact applicable and satisfactory? •Technical solutions •Creative real-life solutions
	Are alternative solutions to decrease symptoms proportional?
Visitor	COVID-19 confirmed?
	COVID-19 related symptoms?
	Connotation of visiting the resident for specific visitor: •Being able to say goodbye to loved one •Being involved in resident's disease process/process of decline •Being involved in resident's care process •Being involved in resident's daily life •Mutual support in crisis •Impact on quality of life visitor
	Has specific visitor a structural role in the care process: •Assisting with intake •Assisting in communication, ie, in case of dysarthria or language barrier •Involved in daily routine
	Are alternative solutions for social contact applicable and satisfactory for the specific visitor? •Technical solutions •Creative real-life solutions
	Sufficient availability of personal protection equipment for visitors?

Note: Several aspects are illustrative, this is a noncomprehensive list.

^∗As estimated by the physician.