Does dementia put a person at greater risk for coronavirus?

I am a caregiver for a loved one with dementia. Does dementia put a person at greater risk for catching coronavirus?  Are they more likely to have a severe case?

Nearly 6 million people in the U.S. are living with Alzheimer’s disease or a related dementia (ADRD). While there is no indication those with ADRD are at increased risk from coronavirus, many are 60 or older, which is a group at high risk of complications and death from coronavirus infection. In addition, ADRD illnesses can make it more difficult for afflicted individuals to take precautions to protect themselves from the coronavirus or to seek help if they become ill.

If you know someone with ADRD please keep these special precautions in mind:

  • Any illness, including COVID-19, can first show up as increased confusion. If your loved one shows rapidly increased confusion, contact your healthcare provider for advice.

  • Forgetfulness is a key symptom of ADRD. Patients may need written reminders or other support to remember recommendations from one day to the next.

  • They’ll need help washing their hands. Their technique may not be up to par so you can demonstrate or leave a picture on the bathroom mirror. Consider leaving signs and other reminders around the home to ensure they’re remembering to wash their hands and that they’re doing it properly.

  • In a pinch, alcohol-based sprays are good, quick alternative to handwashing with soap. If your loved one cannot get to a sink easily use the spray or gel.

  • Increase regular cleaning of all surfaces you and your loved one comes into contact with. Don’t forget doorknobs, kitchen cabinet knobs and handle, light switches or remote controls.

For many patients with ADRD, social distancing might be difficult or impossible. Do your best to limit contact and proximity from other people including:

  • Following the general guidelines as much as you can with social distancing of 6 feet and reducing any unnecessary trips outside your home.

  • Keeping your loved one home from Adult Day programs, senior centers, religious and family events.

If your loved one with ADRD is in a facility:

  • update your contact information and add an extra contact in case of emergency so the facility can always reach someone to advocate for your loved one.

  • The facility may need to ask you to stay away to protect their residents. Ask for a regularly scheduled telephone or video chat.

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