7 Ways to Reduce Coronavirus Nursing Homes Deaths

7 Ways to Reduce Coronavirus Nursing Homes Deaths

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7 Ways to Curb Coronavirus Deaths at Nursing Homes

Start with changes to staffing policies these experts say

Francisco Seco/Associated Press Nursing homes continue to be hot spots for COVID-19, especially as cases increase in the South and West. Both for infection and death. Even now, 44 percent of all virus-caused deaths, or more than 56,000 deaths in all, have occurred in long-term care facilities, according to a July 13 report from the nonprofit Kaiser Family Foundation. And that doesn't account for four states — Alaska, Hawaii, Montana and South Dakota — that . Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP the Magazine. But a full-scale “second wave” could arrive as early as mid-September, a specter that is troubling to experts and advocates. They urge that steps be taken now to curb the number of future deaths, and in interviews they recommend seven staffing policies that they say could protect residents and staff. Sunil Parikh, infectious diseases physician at the Yale School of Medicine Courtesy Yale University

Doctor Hospitals nursing homes face similar problems

As COVID-19 swept across New England, Sunil Parikh, M.D., has played a rare dual role in aiding both the ailing residents and worried managers of Connecticut's nursing homes.
Parikh, an infectious diseases physician at the Yale School of Medicine, helped colleagues at Yale New Haven Hospital review the cases of a flood of patients from nursing homes. Then he became part of the weekly calls state health officials led, counseling facilities on navigating COVID-19. He noticed that both his hospital and nursing homes faced similar challenges, such as shortages of masks and gowns. "But there was this disconnect between the two groups,” said Parikh, also an associate professor of epidemiology at the Yale School of Public Health. If the nursing homes had sufficient testing, gear and other tools, they could keep more residents healthy and ease the crush on overburdened hospitals, he concluded. Nursing homes need to be able to test all residents and staff even if they aren't showing symptoms. That would be expensive, and Parikh said state and federal governments likely would have to share the cost. "I feel this aggressive approach is needed given how explosive and devastating COVID-19 can be in these settings,” he says. “The downstream effects would be huge." "There are certain things that would cost more to do, but the real cost is loss of life for the failure to do things,” says Elaine Ryan, AARP vice president for state advocacy and strategy integration. AARP is urging Congress to require COVID-19 testing of staff and residents, provide personal protective equipment (PPE) to staff and have enough staff to meet residents’ needs. Several sources mentioned the story of a small assisted living facility in Bristol, Connecticut. In mid-March, Tyson Belanger, owner of Shady Oaks Assisted Living, brought 22 staff members to live on-site full time to prevent them from carrying in the virus as they went about their lives in the community between Hartford and Waterbury. The last live-in staff members left after 70 days, and the home had no coronavirus cases, he said in a telephone interview. As of July 7, the facility continued to have no cases, according to a report from the Connecticut Department of Public Health. This won't work for most places — Belanger spent about $250,000 of his own money on payroll and supplies — but Belanger's experience shows how in long-term care. To date, 1,071 cases and 371 deaths have been reported among Connecticut assisted living residents; 8,850 cases and 2,755 deaths among the state's nursing home patients. , especially in densely populated communities, the more it is likely to end up in a nursing home." Here are seven practical changes that can protect staff members and improve their working conditions. Flowers & Gifts 25% off sitewide and 30% off select items See more Flowers & Gifts offers >

1 Increase pay

Workers should be paid more so they need to work only one job to make ends meet, say several experts, including Sal Rosselli, president of the California-based National Union of Healthcare Workers. The need to work at two or three places to equal full-time pay potentially spreads the virus. Nonunion nursing home workers often make only minimum wage, and union workers $18 an hour, Rosselli says. Nursing assistants make a median wage of $12.84 an hour, one report found.

2 Start paying for sick leave

Many nursing homes do not give staffers a . So ailing employees may feel financial pressure to work. AARP NEWSLETTERS %{ newsLetterPromoText }% %{ description }% Subscribe More on caregiving AARP NEWSLETTERS %{ newsLetterPromoText }% %{ description }% Subscribe AARP VALUE & MEMBER BENEFITS See more Health & Wellness offers > See more Flights & Vacation Packages offers > See more Finances offers > See more Health & Wellness offers > SAVE MONEY WITH THESE LIMITED-TIME OFFERS
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