Patients with advanced dementia seem to be at higher risk of developing more serious cases of infection by COVID-19, especially since they are usually over 70 years old, with reduced mobility and incapable of taking care of themselves. The same does not apply to cases of mild dementia. On the other hand, the fact of a person with dementia contracting COVID-19 infection does not necessarily mean a worst outcome, since 90% of elderly patients infected succeed in overcoming the disease. Avoid the propagation of COVID-19: the role of caretakers It is very important that the caretakers of these more severe patients take the necessary measures to avoid the propagation of the disease, namely: Using surgical masks when providing proximity care (less than 1-meter distance); Washing hands properly before and after contacting the patient and his environment. The importance of routine in people with dementia Whenever possible, the previous daily routines should be maintained, since these patients are sensitive to change. However, it is a priority to observe confinement and restrict the number of visits to the strictly necessary. Opting for means of distance communication (phone calls or video calls) can be a possible alternative. Precautions to take with patients with dementia Observe the adequate measures of contact restriction; Maintain and carry out the therapeutics in progress; Maintain daily routines, as much as possible; If a program of daily rehabilitation was in place, adapt it to the confinement conditions, trying to keep a routine of adapted exercises to be made at home. Recommendations in case of infection by COVID-19 Ensure hydration and control fever and pain with analgesic and / or anti-inflammatory medication; If significant prostration or agitation occur, contact the attending doctor; Patients with dementia and difficulty swallowing have higher risk of respiratory difficulty during COVID-19 infection; pay special attention to symptoms such as fatigue and shortness of breath; Follow the recommendations of the General Directorate for Health and the orientation of your health team; Be always attentive to the evolution of symptoms associated with COVID-19 infection. If there is clinical aggravation, contact the health teams; Some medications used in hospital context to treat severe infection by COVID-19 may interfere with the medication for dementia, therefore, it is very important, in case of hospitalization, that the patient brings with him an updated list of his current medication. Author : Sofia Nunes Oliveira Meet the Neurology team of Hospital da Luz network . Click here for more information and advice from Hospital da Luz about the epidemics by the new coronavirus COVID-19. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
