Ethical and Logistical Considerations of Caring for Older Adults on Inpatient Psychiatry During the COVID-19 Pandemic.

Journal Article (Journal Article)

The coronavirus disease 2019 (COVID-19) pandemic has brought challenges to delivery of care for older adults on inpatient psychiatry. We describe two cases: patient A, a 62-year-old woman who initially refused screening for potential COVID-19, bringing up questions about threshold for capacity when public health is at risk and questions about whether screening for infection should be different in older adults. The other case, patient B, is that of an 83-year-old man who was on the unit when patient A tested positive, and brought up concerns for risk of dissemination in the context of wandering, spitting behaviors, and inability to adhere to room isolation or masking measures. We review measures taken to decrease risk of transmission and improve screening for infection in older adults.

Full Text

Duke Authors

Cited Authors

  • Fahed, M; Barron, GC; Steffens, DC

Published Date

  • August 2020

Published In

Volume / Issue

  • 28 / 8

Start / End Page

  • 829 - 834

PubMed ID

  • 32409192

Pubmed Central ID

  • PMC7198992

Electronic International Standard Serial Number (EISSN)

  • 1545-7214

Digital Object Identifier (DOI)

  • 10.1016/j.jagp.2020.04.027


  • eng

Conference Location

  • England