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re: At Least 23% of COVID-19 Deaths are from Nursing Homes & LTC Facilities

Posted on 4/23/20 at 5:42 pm to
Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 4/23/20 at 5:42 pm to
quote:

Do you think the staff is going to sit & fight a dementia patient to eat?


Yes. As long as it’s a part of the resident’s care plan, it’s state law and a job responsibility.

quote:

I think a lot of residents are going to give up


Residents too demented to understand what’s going on seem unaffected. Those cognitive have actually been extremely understanding, helpful, and overwhelmingly positive. It’s the families that have been difficult which I totally understand.
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
31216 posts
Posted on 4/23/20 at 5:55 pm to
quote:

I’m wondering how many of our families will attempt to take their people home. Some would maybe be ok but for others it would not end well.


GF is in a nursing home and the last 9 months before going in he lived with us. The first 6 were OK but his dementia got worse and I slept maybe 2 hours a night the last 3 months. They did get his medicine figured out which helped a lot. He does well at the home and is in great physical shape, I took him out to play golf at least 2 days a week. I am afraid he will crater mentally and physically so we are looking at bringing him her and paying for a night sitter, we should have done that before. I was kinda broken at that point and he really took to life in the care facility because he interacted with people all day long.

His aphasia is getting worse since he doesn't interact with other residents as he did and for obvious reasons the staff interaction is at a minimum.

We have dealt with plenty of older relatives dying from various causes slow and fast but never spent every day worrying about them catching a death sentence on a Thursday.

The home hasn't had it too bad though, 1 worker then about a week later 2 residents (after the room lockdown) but they are
Posted by LSUJML
Central
Member since May 2008
56852 posts
Posted on 4/23/20 at 6:02 pm to
All I’m going to say is I really wish the admit person wouldn’t have talked my mom out of the camera in my Grandpas room & I am thankful that he is in his right mind & knows to tell us when something is wrong

I am pushing to have him brought home with home health
Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 4/23/20 at 6:10 pm to
Why is your grandfather in a facility?
Posted by LSUfanGuy13
Member since Mar 2017
432 posts
Posted on 4/23/20 at 6:13 pm to
quote:

While extremely sad, we are shutting down our economy, putting millions out of jobs, putting millions of million of people future quality of life in jeopardy, for mainly people that have lived a long fruitful life already

Its an "interesting" situation


It's more "interesting" to watch people price out the lives of others.
Posted by LSUJML
Central
Member since May 2008
56852 posts
Posted on 4/23/20 at 6:19 pm to
He wanted to go
He has really bad arthritis & has trouble with his hands, he can’t do buttons, pull up his pants....
He still shaves his face tho

He’s slow & sometimes his legs give out so he’s a fall risk, he fell getting up to go pee in the middle of the night, he’s really good at just sliding down but it’s still a fall
He hated everyone “taking care of him” so he thought it would be best
I think he thought he would die soon, now you can tell he regrets going

Up until the day he left he was still fixing his meals (not full on cooking) & doing his laundry & cleaning up kitchen
Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 4/23/20 at 6:22 pm to
quote:

He hated everyone “taking care of him” so he thought it would be best


Then what you’re pushing him to do is robbing him of his dignity. If he’s receiving any facility-provided physical therapy, you should look into frequency of home-based therapy weekly. There’s no comparison, facility rehab is the way to go.
Posted by LSUJML
Central
Member since May 2008
56852 posts
Posted on 4/23/20 at 6:32 pm to
He’s not on any therapy
He does his own therapy every morning he learned 4 years ago when he broke his ankle

Guess I should have said that better
He doesn’t want us having to take care of the more personal things he can no longer do

As far as “taking care of him” not much has changed, we still buy his groceries & bring supper every night as well as doing his laundry
Only thing is now he has someone help him get dressed & help him in the shower

Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 4/23/20 at 6:42 pm to
Then yeah, the social benefit of facility-based care may be lost with current restrictions. Ultimately a family decision. Home health won’t come dress him every morning/night or shower him a couple times a week, at most. You’re looking at private care which is 1) incredibly difficult to staff consistently without agency and 2) incredibly expensive as needs increase. Just playing devil’s advocate here.
Posted by LSUJML
Central
Member since May 2008
56852 posts
Posted on 4/23/20 at 7:01 pm to
That’s what I meant
We used it briefly when he had surgery a few years ago
It is expensive & will ultimately be his decision as to what he wants to do

Thank you for all the info, I know this isn’t easy for any of us & y’all are doing everything y’all can to care for our family members
Posted by tiger91
In my own little world
Member since Nov 2005
40270 posts
Posted on 4/23/20 at 8:07 pm to
I wouldn’t blame anyone who did that could afford it. Problem is some of ours are comatose tube feeders that a family cant/doesn’t have time to take care of. Some have no family. Some are too demented and a danger to themselves and families.

Of our remaining 65 or so residents, I’m guessing that maybe 5-8 are well enough physically and cognitively able to go home and BE cared for. Some are behavior problems and that is what got them placed because family couldn’t handle it.

Sad all the way around.
This post was edited on 4/23/20 at 8:14 pm
Posted by tiger91
In my own little world
Member since Nov 2005
40270 posts
Posted on 4/23/20 at 8:09 pm to
quote:

Do you think the staff is going to sit & fight a dementia patient to eat?
Hell no


This is one thing that our CNAs do really well. I swear they’re like magic when it comes to that. If our people don’t eat it’s due to something other than our staff not trying. They by no means force feed but they do have a way with them.
This post was edited on 4/23/20 at 8:14 pm
Posted by tiger91
In my own little world
Member since Nov 2005
40270 posts
Posted on 4/23/20 at 8:11 pm to
Obtuse are the staff helping to FaceTime with you? Our staff has been doing that and families have been doing window visits for those who can — please ask about these things!
Posted by prplhze2000
Parts Unknown
Member since Jan 2007
58882 posts
Posted on 4/23/20 at 8:21 pm to
30% in Mississippi
Posted by AmosMosesAndTwins
Lake Charles
Member since Apr 2010
19015 posts
Posted on 4/23/20 at 8:34 pm to
quote:

I know this isn’t easy for any of us & y’all are doing everything y’all can to care for our family members


It’s a fricky situation all around. One silver lining is I can tell the staff still reporting daily are the ones that want to be there and the ones you want responsible for your family. We’ve had several walk off the job, then, a few days later, their names show up on an unemployment claim. A lot of the trash has been weeded out.
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/23/20 at 11:03 pm to
quote:

Of the 15 states not reporting if the individual resided in a LTC facility include: Washington California Michigan Ohio Maryland Wisconsin Missouri So we can assume the rate is even higher...for example:



I can't read the link because I'm not a WSJ subscriber. So, question:
Of the 15 states that are not reporting, are they merely not reporting whether the individual who died was in a nursing home or LTC? The death was still reported, yes?
Posted by tiger91
In my own little world
Member since Nov 2005
40270 posts
Posted on 4/24/20 at 2:03 am to
quote:


It’s a fricky situation all around. One silver lining is I can tell the staff still reporting daily are the ones that want to be there and the ones you want responsible for your family.


So far as I know the staff that we have out is due to being positive. Fortunately no walk offs yet.
Posted by MidnightVibe
Member since Feb 2015
7896 posts
Posted on 4/24/20 at 2:54 am to
10,700 deaths have been to people living in nursing homes or LTC facilities. And that number only includes 35 states, because 15 of them don't report this information.

A rough, back-of-the napkin extrapolation -- which can be refined to take into account population or the like can follow if need be -- ups that fatality number to 15,285. At time article was posted, the total # of deaths was at 42,103.

That's 36% of total deaths nationally. That's insane. Also insane are the states reporting staggering numbers. 73% of deaths in Minnesota. 55% of deaths in Massachusetts.

I think this data really sheds light on how fundamentally silly our response has been to this virus. I would be a terrible politician because I have this pesky candor problem where basically my only filter is truth. And like Bunny Colvin from The Wire, I'd be willing to pursue radical solutions that my PR person might frown upon him.

What would I have done?
- Social distancing only if healthcare infrastructure is stressed to the point where care is compromised. And even then, only for as long as it takes to show that it is no longer compromised. For most states, literally no social distancing.
- Schools would have remained open. Children are essentially impervious to this. Very few even show symptoms. Get em all good and immune, stat.
- Large gatherings would not only remain allowed, but encouraged. Hell, I might even consider subsidizing such gatherings. Stuff as many people as you can into the VZ Center, 930 club, Anthem, Merriweather Post Pavilion, The Jiffy Lube venue, etc. Encourage making out with strangers. Lots of them.
- Take aggressive measures to protect the most vulnerable. Think, without social distancing, the Feds would have 2 Trillion extra dollars to play with. Daily testing at nursing homes and LTC facilities. Free testing to homes where at least one vulnerable individual resides. Free serology testing to individuals who live with vulnerable individuals or who may want to visit them. And obviously to the staff of such facilities as well. This measure obviously wouldn't have been available right off the bat, but additional funding saved from the bailout would be specifically earmarked for this purpose and the timeline accelerated, possibly significantly.

The beautiful thing about this approach is that the aggressive measures to protect the most vulnerable wouldn't be gobbling up public resources in perpetuity. Over and done in a month.

And this is not merely hindsight reasoning. I have mentioned this several times, just without the specificity.

Also it's not hindsight, because it is still what we need to be doing right now, this very second.
Posted by Polycarp
Texas
Member since Feb 2009
5757 posts
Posted on 4/24/20 at 11:33 am to
A person in my mom’s assisted living center in Sulphur was diagnosed with it. They were really pro active prior to it, so I am optimistic
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