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The KGS COVID-19 Strategy for Older Adults

The Korean Geriatrics Society  made COVID-19 preventive strategy for older adults. It includes two separate guidelines for older adults residing in community and long-term care facilities, respectively. This guideline is published on Annals of Geriatric Medicine & Research which can be downloaded free.

For community-dwelling older adults

 A. Wash your hands frequently. Rub your hands with soap and water for 20 seconds or more, especially after nose-blowing,  coughing, and visiting public places.
 B. Hand sanitizers containing 60% alcohol can be used instead of soap and water. 
 C. Try to avoid touching your face, nose, and eyes with your bare hands.
 D. Stay at home and avoid visiting crowded or enclosed spaces.
 E. When going out, wear facemasks for the safety of yourselves and others.
 F. Keep yourselves healthy with indoor exercise, regular eating, and sun exposure.
 G. When prescribed medicines whose stocks are low, ask healthy family for prescription.

For residents and health-care workers in long-term care facilities

A. Blocking spread INTO facilities
 1. Managing visitors
  - Regulation of interviewers: communication with residents via video-telephoning is recommended
  - Minimizing work experience of trainees and strict education regarding infection control
  - Minimizing volunteer activities
 2. Post signs at the entrances requesting that visitors not enter if they have one of the respiratory symptoms or signs: fever 37.5°C or more, coughing, or dyspnea.
 3. Educate healthcare workers to stay at home if they have respiratory symptoms.
 4. Educate healthcare workers to abstain from joining external meetings and dining together and to wear facemasks if they should meet people.
 5. Check all incoming inpatients for respiratory symptoms. Refer to local public healthcare centers for COVID-19 tests if they have any of them.
B. Blocking spread WITHIN facilities
 1. Check all residents and healthcare workers for fever or respiratory symptoms.
 2. All healthcare workers should wear facemasks and wash hands before and after contacting residents. Especially, care assistants should wash their hands and discard gloves every time they change residents in their care.
 3. Make clear to residents and workers the actions required to protect against COVID-19 infection.
 4. Suspected COVID-19 patients should be reported to public healthcare centers, isolated from others, and tested for infection.
C. Blocking spread BETWEEN facilities
 1. Minimize transfers to other facilities unless the residents have respiratory symptoms or emergency state.
 2. Phone calls should precede transfer other facilities if the residents have respiratory symptoms.