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Caring for Older Adults: Experiences from the Pandemic with Particular Emphasis on the Situation of Convalescent Post-COVID-19

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Aging".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 9171

Special Issue Editors

Prof. Dr. Barbara Ślusarska

E-Mail Website
Guest Editor
Department of Family and Geriatric Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland
Interests: nursing; nurses and COVID-19; geriatric care; gerontology, patient-centered care; family medicine; primary care, public health
Prof. Dr. Ewa Rudnicka-Drożak

E-Mail Website
Guest Editor
Department of Family Medicine, Medical University of Lublin, 20-059 Lublin, Poland
Interests: geriatrics; gerontology; public health; family medicine; primary care
Dr. Grzegorz Józef Nowicki

E-Mail Website
Guest Editor
Department of Family and Geriatric Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland
Interests: nursing; nurses and COVID-19; work environments; clinical nursing; patient-centered care; health care, quality; geriatrics; public health
Dr. Katarzyna Naylor

E-Mail Website
Guest Editor
Independent Laboratory of Emergency Medicine, Centre for Medical Simulation, Medical University of Lublin, 20-093 Lublin, Poland
Interests: medical education; cardiac arrest; stress amongst HCWs, medical simulation; HCW and COVID-19
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The primary purpose of this Special Issue is to present scientific evidence related to new challenges concerning caring for older patients from the perspective of the pandemic, focusing on the situation of COVID-19 survivors. During the pandemic, new epidemiological, clinical, therapeutic, nursing-care and rehabilitation aspects emerged, the consequences of which are noticed in the phenomenon of "long COVID-19 occurrence" in people after contracting the virus. In addition, the pandemic exposed a need to revise the approach and include an interdisciplinary perspective on the problems of caring for older patients, as in this age group, the problem of long COVID-19 is more severe than in the case of other age groups. Sharing experiences from teams cooperating in the healthcare system to provide the best care and increase the quality of life for the older adults in the light of pandemic experiences and prolonged health effects is a fundamental challenge in responding to similar epidemiological crises and other healthcare challenges in the future.

This Special Issue of the International Journal of Environmental and Public Health, “Caring for Older Adults: Experiences from the Pandemic with Particular Emphasis on the Situation of Convalescent Post-COVID-19”, was created to serve as an international and interdisciplinary forum for the dissemination of research results regarding progress in care for the older adults. We expect manuscripts related to the issue with broad interdisciplinary perspectives, including epidemiology, vaccination, clinics, therapy, rehabilitation, and public health problems. We are looking for crucial scientific evidence concerning the impact of access to care on the health outcomes of geriatric patients, the effectiveness and safety of therapy and rehabilitation in the long-term COVID-19 phenomenon in the older adults, nutritional problems, social support and mental health in periods social distancing, the increased risk of depression in conditions of social isolation, problems in professional nursing care, informal care resources, and new challenges in ensuring optimal care in the living environment.

Manuscripts can cover any aspect of care from the perspective of informal caregivers, systems that support active and creative aging, and psychosocial counseling for geriatric COVID-19 patients and their families. The studies can be quantitative, qualitative, or blended in nature, and reviews that meet established review standards are also welcome. The data can be obtained from primary or secondary sources. 

Prof. Dr. Barbara Ślusarska
Prof. Dr. Ewa Rudnicka-Drożak
Dr. Grzegorz Józef Nowicki
Dr. Katarzyna Naylor
Guest Editors

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

  • geriatric care
  • epidemiology of geriatric syndromes
  • family caregivers and volunteers in geriatric care
  • interprofessional cooperation focused on the geriatric patients
  • COVID-19
  • convalescent interventions
  • public health

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Published Papers (3 papers)

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Research

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9 pages, 748 KiB  
Article
High Anti-CoV2S Antibody Levels at Hospitalization Are Associated with Improved Survival in Patients with COVID-19 Vaccine Breakthrough Infection
by Matthias Wolfgang Heinzl, Lisa Kolenchery, Michael Resl, Carmen Klammer, Anne Black, Florian Obendorf, Lukas Schinagl, Roland Feldbauer, Johannes Pohlhammer, Thomas Wagner, Thomas Berger, Benjamin Dieplinger and Martin Clodi
Int. J. Environ. Res. Public Health 2022, 19(23), 15581; https://doi.org/10.3390/ijerph192315581 - 24 Nov 2022
Cited by 3 | Viewed by 1265
Abstract
Background: Although vaccination against COVID-19 is highly effective, breakthrough infections occur, often leading to severe courses and death. The extent of protection provided by individual antibody levels in breakthrough infections is still unknown and cut-off levels have yet to be determined. Methods: In [...] Read more.
Background: Although vaccination against COVID-19 is highly effective, breakthrough infections occur, often leading to severe courses and death. The extent of protection provided by individual antibody levels in breakthrough infections is still unknown and cut-off levels have yet to be determined. Methods: In 80 consecutive fully vaccinated patients hospitalized between August and December 2021 with COVID-19 breakthrough infection (Delta variant), anti-CoV2S antibody levels were analyzed for the endpoint of death. Results: Ten out of the 12 patients who died (83.3%) had antibody levels < 600 U/mL; 5 (41.7%) of these had antibody levels < 200 U/mL. Only 2 patients with a level of >600 U/mL died from vaccine breakthrough infection. Correction for the number of comorbidities and age revealed that anti-CoV2S antibody levels at the time of hospitalization were a significant predictor for reduced risk of death (OR = 0.402 for every 1000 U/mL, p = 0.018). Conclusions: In this retrospective data analysis, we show that almost all patients who died from COVID-19 vaccine breakthrough infection had antibody levels < 600 U/mL, most of them below 200 U/mL. In logistic regression corrected for the number of comorbidities and age, anti-CoV2S antibody levels at the time of hospitalization proved to be a significantly protective predictor against death. Full article
(This article belongs to the Special Issue Caring for Older Adults: Experiences from the Pandemic with Particular Emphasis on the Situation of Convalescent Post-COVID-19)
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Review

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15 pages, 779 KiB  
Review
Links between COVID-19 and Alzheimer’s Disease—What Do We Already Know?
by Ewa Rudnicka-Drożak, Paulina Drożak, Grzegorz Mizerski, Tomasz Zaborowski, Barbara Ślusarska, Grzegorz Nowicki and Martyna Drożak
Int. J. Environ. Res. Public Health 2023, 20(3), 2146; https://doi.org/10.3390/ijerph20032146 - 25 Jan 2023
Cited by 19 | Viewed by 4984
Abstract
Alzheimer’s disease (AD) is a life-changing condition whose etiology is explained by several hypotheses. Recently, a new virus contributed to the evidence of viral involvement in AD: the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the COVID-19 coronavirus disease. AD was [...] Read more.
Alzheimer’s disease (AD) is a life-changing condition whose etiology is explained by several hypotheses. Recently, a new virus contributed to the evidence of viral involvement in AD: the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the COVID-19 coronavirus disease. AD was found to be one of the most common COVID-19 comorbidities, and it was found to increase mortality from this disease as well. Moreover, AD patients were observed to present with the distinct clinical features of COVID-19, with delirium being prevalent in this group. The SARS-CoV-2 virus enters host cells through the angiotensin-converting enzyme 2 (ACE2) receptor. ACE2 is overexpressed in brains with AD, which thus increases the viral invasion. Furthermore, the inhibition of the ACE2 receptor by the SARS-CoV-2 virus may also decrease the brain-derived neurotrophic factor (BDNF), contributing to neurodegeneration. The ApoE ε4 allele, which increases the risk of AD, was found to facilitate the SARS-CoV-2 entry into cells. Furthermore, the neuroinflammation and oxidative stress existing in AD patients enhance the inflammatory response associated with COVID-19. Moreover, pandemic and associated social distancing measures negatively affected the mental health, cognitive function, and neuro-psychiatric symptoms of AD patients. This review comprehensively covers the links between COVID-19 and Alzheimer’s disease, including clinical presentation, molecular mechanisms, and the effects of social distancing. Full article
(This article belongs to the Special Issue Caring for Older Adults: Experiences from the Pandemic with Particular Emphasis on the Situation of Convalescent Post-COVID-19)
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12 pages, 332 KiB  
Review
The Relationship between Social Frailty and Depressive Symptoms in the Elderly: A Scoping Review
by Xiaojing Qi and Jie Li
Int. J. Environ. Res. Public Health 2022, 19(24), 16683; https://doi.org/10.3390/ijerph192416683 - 12 Dec 2022
Cited by 6 | Viewed by 2247
Abstract
Background: Various studies have highlighted the correlation between social frailty and depressive symptoms in the elderly. However, evidence of how these two domains influence each other is not clear. The purpose of this scoping review is to summarize the current literature examining social [...] Read more.
Background: Various studies have highlighted the correlation between social frailty and depressive symptoms in the elderly. However, evidence of how these two domains influence each other is not clear. The purpose of this scoping review is to summarize the current literature examining social frailty and depressive symptoms. Method: We conducted a scoping review allowing for the inclusion of multiple methodologies to examine the extent and range of this research topic. Result: The search initially yielded 617 results, 14 of which met the inclusion criteria. Five studies were identified from China, six were identified from Japan, two were identified from Korea, one was identified from Ghana, and one was from Asia. The evidence reviewed indicated that five studies met category 5 criteria, and the others met level 3 criteria. The findings from these studies showed that there is a significant relationship between social frailty and depressive symptoms. Conclusion: This scoping review shows that worse social frailty contributes to a significant degree of depression. Further research on screening social frailty and possible interventions in community and medical settings to prevent the elderly from developing depressive symptoms is needed. Full article
(This article belongs to the Special Issue Caring for Older Adults: Experiences from the Pandemic with Particular Emphasis on the Situation of Convalescent Post-COVID-19)
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