| Isolation |
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“Covid-negative client, displays no symptoms, has to stay in his room because the care unit is closed due to a covid-positive client, family member wants to put on PPE and pick up client in PPE, to take them outside so they are no longer in a sad mood and will eat and drink again.”
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“Yes, that too, it would be more pleasant to be able to go outside with a few people to keep the situation on the care unit bearable. In many cases, this prevents agitation and behavioral problems among clients with dementia.”
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| Isolation and psychotropic drugs |
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“Sedating patients who are infected and don't remain in their rooms. Isolating and sedating ‘walkers,’ with as a result: an unpleasant end of life.”
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“Severe agitation with a PG-resident who can be calmed by family and requires more sedating medication out of necessity.”
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“Psychiatric drugs became necessary to improve the quality of life, with drowsiness and decreased mobility as a result.”
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“Sir now receives an increase of clozapine-medication, while it is unclear whether a nonmedicated visit of family could be more effective.”
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| Freedom restriction |
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The residents' world was already small, now it is even more limited because they can no longer receive family and friends, and are also locked inside the nursing home.
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The fact that residents cannot go outside themselves is very restrictive and increases psychological complaints.
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| Freedom restriction and tailoring to residents |
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“It would be nice if national policy would be that those to whom it relates, and to whom sitting in the courtyard is not enough, could go for a daily walk around the house or (duo)cycling accompanied by a member of staff.”
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“I find it difficult that they are not allowed to go outside under the condition that they have no social contact, don't go to the supermarket etc. A stroll around the block of a client with dementia accompanied by a member of staff, without any other form of social contact, should be possible.”
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“The client with the spinal cord injury has complete autonomy over his life, despite the dependence on care. He would be capable of adhering to social rules. However, he is in a total lockdown and I am in an intelligent lockdown.”
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“It feels unethical to restrict someone in their freedom, if your expectation is that he would act responsibly.”
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“In my opinion, riding around on empty parking lots or visiting quiet parks barely increases the risk of infection, but increases the feeling of freedom.”
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“Taking away the option of going out for fresh air from a cognitively competent person on an uninfected care unit, even when they adhere well to regulations, is something I consider a strong intervention of their right to lead their own life. The risk of spreading corona verses the restriction of freedom is, in my opinion, disproportional. ”
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| Communication |
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“What is difficult is that most of the contact is through telephone, there is no face-to-face contact. It makes communicating different, and more difficult.”
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“Immediate incident with a resident, rectal blood loss. Considering the stage of dementia, we will wait and see, and temporarily stop using anticoagulants. Scared wife on the phone, fears cancer, cries. Reassured with difficulty. A personal conversation would have been better.”
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| Less help |
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“There is little deployment of volunteers, spiritual care or psychologists possible, because they are also required to work from a distance as much as possible. This has caused the deployment of help with her mood to be slowed down.”
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| Alternatives for therapies and care |
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