Ethics, care and ageing during the Covid-19 pandemic

• Published in: Gériatrie et psychologie neuropsychiatrie du vieillissement Vol. 18; no. 2; p. 151
• Main Authors: Gzil, Fabrice, Clause-Verdreau, Anne-Caroline, Brugeron, Pierre-Emmanuel, Hirsch, Emmanuel
• Format: Journal Article
• Language: French
• Published: France 01.06.2020
• Subjects: Aged; Aged, 80 and over; Aging; Clinical Laboratory Techniques - statistics & numerical data; Cognition Disorders - complications; Cognition Disorders - psychology; Coronavirus Infections - diagnosis; Coronavirus Infections - epidemiology; Coronavirus Infections - therapy; COVID-19; COVID-19 Testing; Family; Female; France - epidemiology; Geriatrics - ethics; Geriatrics - trends; Health Services Accessibility; Humans; Male; Pandemics; Patient Education as Topic; Patient Isolation - psychology; Personal Autonomy; Personal Protective Equipment; Pneumonia, Viral - epidemiology; Pneumonia, Viral - therapy; Surveys and Questionnaires; France; long term care; ethics; elderly; care
• ISSN: 2115-7863
• DOI: 10.1684/pnv.2020.0869

At the beginning of the Covid-19 epidemic, National forum for ethical reflection on Alzheimer's disease and neurodegenerative diseases conducted a national survey to identify the difficulties encountered by professionals working in the field of old age and autonomy, families and volunteers, and the initiatives they have implemented. Seven major difficulties were identified: the isolation induced by the prohibition of visits, the lack of protective equipment and tests, the difficulties of people with cognitive difficulties in understanding measures to avoid the spread of the epidemic, the sustainability of overwork for professionals, the concern of the families of residents, complex situations at home and difficulties in accessing care. Four initiatives are being implemented: information and training for teams, compensation for interrupted visits, consultations and exchanges between professionals, actions to benefit people living at home. The Covid-19 epidemic hit the elderly sector at a very special moment in its history, several years of effort by the sector to reinvent itself around strong values. They have been a resource during this period of crisis. An ambitious law on old age and autonomy therefore appears to be a necessity.