TY - JOUR
AU - Bellelli, Giuseppe
AB - Background:Il Paese Ritrovato is an Italian nursing home founded in 2018, it isbased on the Alzheimer village model and admits people with mild-to-moderatedementia.Objective:Describe the impact of the SARS-CoV-2 pandemic on people living at Il PaeseRitrovato through a Comprehensive Geriatric Assessment (CGA) regularlyadministered prior to and during the pandemic.Methods:We explored the effects of a person-centered approach. We assessed 64 subjects(enrolled and followed between June 2018 and December 2020), who underwent at least 18months of observation prior to the pandemic. Each subject was evaluated using a CGA onadmission time (T0) and at defined time-points: T6,T12, T18. One last CGA evaluation was performed during theSARS-CoV-2 pandemic (TCovid-19). Temporal trends duringT0–T18, and differences between T18 andTCovid-19 were calculated.Results:The mean age was 82 years with a prevalence for females (77.0%) and Alzheimer’s diseasediagnosis (60%). Psychiatric and behavioral disorders were the most common conditions(80%). We utilized a nonpharmacological approach aimed at promoting the residents’overall wellbeing and observed satisfactory performance during the first 18 months. Incomparison with the pre-pandemic period, TCovid-19 enlightened +11.7% use ofantidepressants and a decline of Mini-Mental State Examination mean values (notstatistically significant), while engagement in activities dropped.Conclusions:The pandemic may have disrupted the existing model of care, but at the same time, itconfirmed that the Il Paese Ritrovato approach, which encompassessymptoms improvement and multicomponent support, is in fact beneficial.
TI - Shifting the Paradigm of Nursing Home Care for People with Dementia: The          Italian Experience of Il Paese Ritrovato and the Impact of SARS-CoV-21
JF - Journal of Alzheimer s Disease
DO - 10.3233/jad-230229
DA - 2024-01-16
UR - https://www.deepdyve.com/lp/ios-press/shifting-the-paradigm-of-nursing-home-care-for-people-with-dementia-B5DLu0Yzl8
SP - 741
EP - 752
VL - 97
IS - 2
DP - DeepDyve
ER -