Provincial and state policies tend towards disincentivizing removal of residents from LTC during the pandemic due to perceived increased risks in the community.
Planning, risk and resource evaluation, clear communication, and follow-up arerequired to successfully transition a well-selected resident from LTC to the community.
Several tools exist to support communication and decision making around leaving LTC.
Family/informal caregiver fears are heightened by media reports describing abandonmentand lack of proper PPE use.
Fears can be mitigated by frequent, transparent communication that is both push and pull in nature.
Increased oversight of LTC homes by provincial oversight committees during the pandemic can ensure that provision of routine care, infection prevention measures, and effective communicationare in place.
If a resident leaves to community and has to return,appropriate isolation and screening measures would be required.
Tupper, S; Ward, H; Groot, G; Ellsworth, C; Dalidowicz, M; Boden, C. What decision support or communication materials are available for helping LTC directors discuss care options with residents' family members? 2020 Apr 14; Document no.: LTC040801 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 23 p. (CEST rapid review report)