What is it like living in a Nursing Home during the Pandemic

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jimmy m
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18 Jan 2021, 8:51 am

I read an article by Chuck Dinerstein about one of his friends living in a Nursing Home during the pandemic. These are excerpts from his friend's diary:

Day 275

Recently I found myself Googling "heritability of hermit-like tendencies." After nine months of self-quarantine, I've become a bit worried that isolation is becoming too agreeable. I go from reading to watching Netflix to Zooming, with snacking in between. The days go by so fast it feels like the sun is setting every five minutes. That's when I think about my distant relative (to be truthful, not all that distant) who lived a century ago, alone in a stone hut in the woods in Posey County, Indiana. I really can't compare myself to Cousin Barter as my hut is warm and cheerful with dinner left at the door and an interesting spouse to talk to. Family lore is that the bearded cousin managed to survive with only one trip into town each year for supplies. We barely make it through the week before we have to dash through the IGA with masks on tight.

The lock-down we thought might last a month has become a familiar and almost comfortable way of life after ten months. I wonder if Cousin Barter planned to live in the woods his whole life or if the years just flew by, and before he knew it, he was famous as the hermit of Posey County. By then, the idea of living in town probably terrified him just as the thought of dinner at a noisy restaurant now seems overwhelming to me.

Day 280

Rejoice. First one, then two vaccines are being approved. There will be an end to this horror, but first, there are roadblocks: fewer doses are shipped than promised; a few people have allergic reactions; people like us living independently in our senior community are excluded from the first wave to be vaccinated. The light doesn't show at the end until the tunnel is straight.

Day 283

Not everyone is eager to line up to be vaccinated. A friend says he will not exercise his privilege and cut in front of people in developing countries or people of color here. Non-productive people like us should wait to be vaccinated until essential workers like checkout clerks, bus drivers, and teachers feel safer working. A neighbor recounts an allergic attack she once had and, unable to weigh competing risks, she seems more afraid of the epi-pen than the ventilator. And how can we trust our leaders who bungled other aspects of this pandemic to get the vaccine right? Don't overthink it, I say to myself. When they arrive with their picnic coolers, I'll ask where to line up.

Day 285

Early this morning, they did arrive. In one day, they vaccinated 40 skilled-nursing patients and over a hundred employees and administrators. No reports of any side-effects. No word yet of the date for our turn.

Day 290

It appears vaccination is the only way this horror will end. Many of our fellow citizens put their own needs first and will not accept directions from the experts to stay home.

Television images of hospital workers hustling to save patients share the split-screen with crowds of travelers in airports headed home for the holidays. Thousands of our countrymen die every day, and yet the population remains divided between the entitled selfish and the caring conscientious. To be fair, maybe the human need for social interaction is too great to overcome. Joking and reminiscing with the family on Zoom is fun while it lasts, but when it ends abruptly, a cool breeze seems to blow through the room, and one longs for a hug.

Day 306

When my friend Molly turned 90, her lovely daughter insisted that she come live with her. I could envy Molly but not if it means living in Texas. That is until recently, when Molly reported that she was vaccinated. She had received an email out of the blue from her neighborhood hospital in Houston telling her when to show up for her shot. "That's why," she reported to her still-waiting New York friends, "You should all move to a red state."

Molly is now picturing shopping mask-less and playing bridge again. We are still waiting for some hint of our turn. We hear CVS is returning to this community next week for staff and volunteers who have changed their minds and will now agree to be vaccinated. Another time is set for the nursing home residents to get their second shot, but still, no date is on the calendar for those of us who live independently. However, we have been asked to indicate our interest in the vaccine for an unknown time in our unknown future.

We're a compliant group. We can wait.

Source: Pandemic Diary, January 2021


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Kitty4670
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20 Jan 2021, 9:53 pm

People are dying in nursing homes, cuz employees don’t care enough, that sooo sad, I hate nursing homes, I hope I don’t have to go to a nursing home when I’m in my 70s, but I hope I don’t make it to 70s. My mom was in a nursing home,cuz of her cancer.



jimmy m
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20 Jan 2021, 9:59 pm

My mother was in a nursing home for about three years before she passed away. In general, they took good care of her. We visited her often. But all nursing homes are not alike. We selected the nursing home based on first hand experience.


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kitesandtrainsandcats
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21 Jan 2021, 12:49 am

Kitty4670 wrote:
People are dying in nursing homes, cuz employees don’t care enough,


There are those who do not care.
And there are those who do care.

And then there are businesses and the government ...

From https://www.nytimes.com/2020/12/31/opin ... homes.html

Quote:
Ask anyone in long-term care why the pandemic has been so damaging, and “staffing” will be the reply. Sufficient numbers of well-trained nurses and aides have always been the key to managing disease, and during the pandemic, homes with higher staff-to-resident ratios have had fewer positive coronavirus cases and casualties. Such facilities are, however, rare.

It’s hard to hire for a job that involves helping others bathe and eat, dressing wounds, and cleaning and providing emotional support — for low wages, little paid time off, a short career ladder and unpredictable part-time hours. Factor in the risk of getting sick and dying, and retention, let alone recruitment, becomes far more difficult. In 2020, direct caregiving may have been the most dangerous job in America.

It’s telling that many nursing homes have chosen to hire temporary subcontractors (who are actually paid at higher rates) rather than increase wages and benefits for permanent employees.


But maybe with that, things will get better,
(bold is the New York Times own)
Quote:
Joe Biden is about the age of the average nursing home resident. Over the summer, he announced a $775 billion proposal to provide care for children, seniors and people with disabilities. The plan, though notional at this point, would eliminate the 800,000-person waiting list for long-term care under Medicaid and pay for 150,000 new community health workers for seniors. It could also help transform millions of low-wage, high-turnover, often transient gigs into stable careers.

But to prevent another disaster on the scale of the coronavirus, the Biden-Harris administration (and state and local regulatory bodies) should go further.


Quote:
And certified nursing assistants must be paid a living wage — in most places, $20 or more per hour. A recent study found that such an increase would finance itself by elevating the standard of care. With stable, better-paying jobs, nursing-home staff members could also avoid working in multiple facilities, helping reduce the transmission of the coronavirus and other, future viruses.


Most telling is this from workers
Quote:
Yet Danielle, like many workers I interviewed, has thought about quitting. “There are jobs that offer $45 per hour to do Covid testing,” she said. As if to nudge her out the door, her nursing home was recently purchased by a large corporation, nullifying the union contract, and management reneged on the promise of holiday bonuses.

The facility hadn’t yet received its shipment of vaccines, but Danielle, who called herself a “usually pro-vaccine person,” told me that she and most of her co-workers weren’t planning to get the shot. Scientists agree that the vaccines are safe and well worth the risk, but it’s easy to understand Danielle’s mistrust. After all the death she’s witnessed, she doesn’t believe that pharmaceutical companies or the government or her bosses have suddenly come to value caregivers’ lives.


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