Implementation of Home Telemedicine in Elderly with Dementia During the Covid-19 Pandemic: A Systematic Review
Abstract
Dementia is defined as a decrease in intellectual abilities which can cause changes in behavior, disruption in social life, and disruption in daily activities. Palliative care is a useful solution in the future to improve the quality of life for dementia sufferers during the COVID-19 pandemic. This systematic review aims to find out how the implementation of home telemedicine can become the main choice for elderly people with dementia during the COVID-19 pandemic. A database search was carried out by the PRISMA protocol focusing on Scopus, Proquest, Sage, ScienceDirect, and CINAHL identified based on MeSH-adjusted keywords, and A total of 2440 article journals were identified. Then deletion so that it remains 1086 article journals were reviewed. Then excluded (238) articles from journals based on 5 years, experimental test method with Randomized Controlled Trial design (RCT) and Experiments in language English, full text to be reviewed for feasibility so that 10 articles were obtained for review. From all articles, media innovation is very useful in implementing palliative care because of the various impacts of the global pandemic through the experiences of people with dementia and their care partners. The role of home-based palliative care using home telemedicine can potentially reduce the long-term impact of palliative care. The important role of palliative care integrated with long-distance services in informing health service priorities is to restore the quality of life and health of elderly people with dementia so that they are better prepared to face the future.
References
Aker, N. et al. (2021) ‘Challenges faced during the COVID-19 pandemic by family carers of people living with dementia towards the end of life’, BMC Health Services Research, 21(1), pp. 1–10. Available at: https://doi.org/10.1186/s12913-021-07019-6.
Arighi, A. et al. (2021) ‘Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters’, Neurological Sciences, 42(4), pp. 1247–1251. Available at: https://doi.org/10.1007/s10072-020-05009-w.
Bolt, S.R. et al. (2021) ‘Practical nursing recommendations for palliative care for people with dementia living in long-term care facilities during the COVID-19 pandemic: A rapid scoping review’, International Journal of Nursing Studies, 113. Available at: https://doi.org/10.1016/j.ijnurstu.2020.103781.
Brody, A.A. et al. (2022) ‘Transitioning to Remote Recruitment and Intervention: A Tale of Two Palliative Care Research Studies Enrolling Underserved Populations During COVID-19’, Journal of Pain and Symptom Management, 63(1), pp. 151–159. Available at: https://doi.org/10.1016/j.jpainsymman.2021.06.017.
Chahyani, W.I. and Hastuti, M.S. (2021) ‘Mixed Dementia: Tinjauan Diagnosis dan Tatalaksana’, Muhammadiyah Journal of Geriatric, 1(2), p. 46. Available at: https://doi.org/10.24853/mujg.1.2.46-51.
Emmerton, D. and Abdelhafiz, A.H. (2021) ‘Care for Older People with Dementia During COVID-19 Pandemic’, SN Comprehensive Clinical Medicine, 3(2), pp. 437–443. Available at: https://doi.org/10.1007/s42399-020-00715-0.
Fusi-Schmidhauser, T. et al. (2020) ‘Conservative Management of COVID-19 Patients—Emergency Palliative Care in Action’, Journal of Pain and Symptom Management, 60(1), pp. e27–e30. Available at: https://doi.org/10.1016/j.jpainsymman.2020.03.030.
Gilissen, J. et al. (2020) ‘International COVID-19 Palliative Care Guidance for Nursing Homes Leaves Key Themes Unaddressed’, Journal of Pain and Symptom Management, 60(2), pp. e56–e69. Available at: https://doi.org/10.1016/j.jpainsymman.2020.04.151.
Groom, L.L. et al. (2021) ‘Telemedicine and Telehealth in Nursing Homes: An Integrative Review’, Journal of the American Medical Directors Association, 22(9), pp. 1784-1801.e7. Available at: https://doi.org/10.1016/j.jamda.2021.02.037.
Hansjee, D. (2018) ‘An acute model of care to guide eating & drinking decisions in the frail elderly with dementia and dysphagia’, Geriatrics (Switzerland), 3(4). Available at: https://doi.org/10.3390/geriatrics3040065.
Jeba, J., Taylor, C. and O’Donnell, V. (2021) ‘Projecting palliative and end-of-life care needs in Central Lancashire up to 2040: an integrated palliative care and public health approach’, Public Health, 195, pp. 145–151. Available at: https://doi.org/10.1016/j.puhe.2021.04.018.
Kaasalainen, S. et al. (2021) ‘Improving end-of-life care for people with dementia in LTC homes during the COVID-19 pandemic and beyond’, Canadian Geriatrics Journal, 24(3), pp. 164–169. Available at: https://doi.org/10.5770/CGJ.24.493.
Kinley, J., Denton, L. and Levy, J. (2018) ‘Improving the approach to future care planning in care homes’, International Journal of Palliative Nursing, 24(12), pp. 576–583. Available at: https://doi.org/10.12968/ijpn.2018.24.12.576.
Lai, F.H. yin et al. (2020) ‘The Protective Impact of Telemedicine on Persons With Dementia and Their Caregivers During the COVID-19 Pandemic’, American Journal of Geriatric Psychiatry, 28(11), pp. 1175–1184. Available at: https://doi.org/10.1016/j.jagp.2020.07.019.
de Lasa, C. et al. (2022) ‘Invited letter: Integrated palliative care in a geriatric mental health setting during the COVID-19 pandemic’, International Journal of Geriatric Psychiatry, 37(1), pp. 1–3. Available at: https://doi.org/10.1002/gps.5654.
Lau, B.H.P., Lou, V.W. and Cheung, K.S.L. (2018) ‘Exemplary care among chinese dementia familial caregivers’, Healthcare (Switzerland), 6(4), pp. 1–14. Available at: https://doi.org/10.3390/healthcare6040141.
Lovell, N. et al. (2020) ‘Characteristics, Symptom Management, and Outcomes of 101 Patients With COVID-19 Referred for Hospital Palliative Care’, Journal of Pain and Symptom Management, 60(1), pp. e77–e81. Available at: https://doi.org/10.1016/j.jpainsymman.2020.04.015.
Macchi, Z.A. et al. (2021) ‘Lessons from the COVID-19 pandemic for improving outpatient neuropalliative care: A qualitative study of patient and caregiver perspectives’, Palliative Medicine, 35(7), pp. 1258–1266. Available at: https://doi.org/10.1177/02692163211017383.
Marinello, R. et al. (2021) ‘Telemedicine-assisted care of an older patient with COVID-19 and dementia: bridging the gap between hospital and home’, Aging Clinical and Experimental Research, 33(6), pp. 1753–1756. Available at: https://doi.org/10.1007/s40520-021-01875-2.
Nurfianti, A. and An, A. (2020) ‘The Effectiveness of The Mini-Cog and MMSE As Vital Instrument Identifying Risk of Dementia As A Nursing Process Reinforcement’, NurseLine Journal, 4(2), p. 114. Available at: https://doi.org/10.19184/nlj.v4i2.13708.
Onder, G., Rezza, G. and Brusaferro, S. (2020) ‘Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy’, JAMA - Journal of the American Medical Association, 323(18), pp. 1775–1776. Available at: https://doi.org/10.1001/jama.2020.4683.
Park, E.A., Jung, A.R. and Lee, K.A. (2021) ‘The humanoid robot sil-bot in a cognitive training program for community-dwelling elderly people with mild cognitive impairment during the COVID-19 pandemic: A randomized controlled trial’, International Journal of Environmental Research and Public Health, 18(15). Available at: https://doi.org/10.3390/ijerph18158198.
Roach, P. et al. (2021) ‘Understanding the impact of the COVID-19 pandemic on well-being and virtual care for people living with dementia and care partners living in the community’, Dementia, 20(6), pp. 2007–2023. Available at: https://doi.org/10.1177/1471301220977639.
Sekhon, H. et al. (2021) ‘Telemedicine and the rural dementia population: A systematic review’, Maturitas, 143(September 2020), pp. 105–114. Available at: https://doi.org/10.1016/j.maturitas.2020.09.001.
Veronese, N. and Barbagallo, M. (2021) ‘Specific approaches to patients affected by dementia and covid-19 in nursing homes: the role of the geriatrician’, Ageing Research Reviews, 69(April), p. 101373. Available at: https://doi.org/10.1016/j.arr.2021.101373.
Vislapuu, M. et al. (2021) ‘The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study’, BMC Health Services Research, 21(1), pp. 1–12. Available at: https://doi.org/10.1186/s12913-021-07041-8.
WHO (2021) ‘Clinical management Clinical management Living guidance COVID-19’, Who, (January), pp. 16–44.
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



