Aged Care Insite Issue 120 Aug-Sep 2020 | Page 7

news COVID crisis Aged care pandemic death rate in UK revealed. Aged care residents died at three times the normal rate in the UK during the COVID-19 peak in April, according to official government statistics. On April 12, 1300 people died in care homes in comparison with 407 the previous year and although only 495 of those deaths have been attributed to COVID-19, the excess 805 deaths could be attributable to the virus. The UK’s aged care sector has been in crisis throughout the pandemic and early mistakes by the government have seen the number of care home deaths soar to 20,000. A lack of staff PPE and a failure to isolate positive cases among residents have been identified as serious failures in infection control. According to the data there have been 66,000 deaths of care home residents in England and Wales between 2 March and 12 June this year, compared to just under 37,000 deaths last year – as reported by the BBC. Twenty thousand of those deaths mentioned COVID-19 on the death certificate but another 10,000 of the excess deaths were registered to other, non- COVID related causes. Figures also showed that there were higher cases of COVID-19 among temporary care staff who work across multiple homes and moreover, homes which give staff sick pay are likely to have fewer cases of COVID-19 among residents. These figures coincided with the announcement that from early July staff and residents in care homes would receive regular coronavirus tests. Staff will be tested for the virus weekly while residents will receive a test every 28 days. Only Spain has more COVID-19 deaths than the UK in aged care across the major European states. 5.3 per cent of all deaths in aged care have been COVID-related in the UK while Spain sits at 6.1 per cent, according to the Guardian. This is in stark comparison to Germany at 0.4 per cent and Hungary at 0.2. ■ The eyes have it Using eye-tracking tech to understand mild cognitive impairment. Eye-tracking technology may help to make the preferences of people who have mild cognitive impairment (MCI) known. In a new study, researchers from Flinders University recruited older people at outpatient memory clinics, including caregivers, to investigate the ways older people with and without MCI process information. To do so, they used eye-tracking technology, which measures eye position and movement along with pupil size to detect zones in which a person has a particular interest at a specific time. The materials participants were asked to read mirrored the types of official forms given to aged care residents when assessing quality of care and quality of life outcomes. Eye-tracking technology was used to map how each person focused as they read. Researchers looked at the relationships between cognitive capacity, task complexity and the tendency for participants to overlook or ignore one or more of the attributes presented (a tactic called attribute non-attendance or ANA). ANA remained relatively low for participants with good cognition regardless of task complexity, while it increased notably in participants exhibiting MCI. Lead researcher Kaiying Wang said the study helped identify those who needed more support in formulating their decisions. The researchers said estimates indicate 10–20 per cent of older people in developed countries have MCI, with that figure set to rise in coming decades. Caring Futures Institute researcher Professor Julie Ratcliffe, from Flinders University, said: “This new eye tracking technology will help us to find new ways to drive the inclusivity of older people with cognitive impairment and dementia in these important assessments. “It is very important that older people’s preferences about quality of care and quality of life are used to inform economic evaluation of policy and practice in health and aged care.” Ratcliffe and her team said they are working with older people to develop new quality indicators. ■ agedcareinsite.com.au 5