Saturday, January 9, 2021

Nursing Home Care During a Pandemic: Quality v Quantity?

 

Until recently, I never would have imagined comparing nursing homes with prisons, but during the pandemic, I find myself doing just that.

My grandmother turned 94-years-old in December.  She’s seen a lot in her lifetime and so has her 96-year-old husband. Until November 16th, they lived at home with assistance with groceries and a little other help from family.  Overall, they were very independent. 

But that Monday, she fell and broke her hip.  She was transported by ambulance to the local hospital.  That’s the last day she was hugged.  The last day anyone from her family was close to her. It’s been 54 days.

I’m sure she was scared that night.  In the hospital by herself with doctors and nurses asking numerous questions, not to mention the pain she must have been in.  Due to COVID-19, family members were not allowed in with her to ease her nerves, help answer questions or just hold her hand and reassure her that everything would be ok.

She was transported to another hospital that night and surgery followed the next day. All of this was communicated to her family via phone and explanations from nurses and doctors. She remained in the hospital for four days.  Our family was given three options of nursing homes and we had about two hours to decide where she would go for rehab. 

No tours, no time decide, just three places we weren’t familiar with to take care of our elderly family member.  We picked one based on photos on the internet and their COVID positivity rate, which was zero at the time.

Window visits and phone calls turned into reality.  Things I had seen on TV since March, but never thought I would have to experience personally.  After all, we’d been careful with our loved ones. They’d stayed in the house for months – no trips for ice cream, no visits with extended family or friends, we did our best to keep them safe, to keep COVID-19 away from them.

Phone calls broke our hearts. She pleaded on the phone, wanting us to understand that the care she was getting wasn’t good. “I’ve never been treated so poorly in all my life,” is a phrase that I’ll remember forever. But what could we do? Was she just frustrated being there? Was the care poor? It doesn’t really matter, her perception was her reality.

No one in my family is a therapist, no one could help her rehab and get better, good enough to return home. That’s doesn’t even take into consideration nursing, etc. We felt she needed to stay there.

There’s no larger helpless feeling than to rely on people you have never met to take care of your loved one. Faith, trust… these are words I use to describe very few in my life and that’s after years of knowing them! 

Roughly 9 days later, we got a call that she fell in the night and broke her shoulder. Suddenly, this strong, independent woman had a broken hip and a broken shoulder. What more could she endure? We quickly found out. COVID-19 Positive. 

While I stayed home on Thanksgiving and didn’t see family, it seems as though a staff member at the nursing home, didn’t do the same. All of the sudden patients and staff were testing positive at an alarming rate. Those 8 months we kept her safe from COVID, suddenly didn’t matter.

We couldn’t comfort her. We could only call. For her 130ish pound frame, a broken hip, a broken shoulder and now COVID… no one to comfort her. There were window visits, which we did, but sometimes blinds were closed, sometimes the phone was too far from her.

She’s a bit better now. I can’t believe she survived, to be honest. She shares her room with a roommate, she’s been moved to four different rooms. I’m not sure if she ever finds out their names. It reminds me of prison. She was quarantined 14 days when she got there and tested positive the day she would have moved to “gen pop.”

Roughly a month in a room with the door closed. A TV in a space that is roughly the size of a prison cell.  Nursing homes and prisons are the only ones who don’t allow visitors during COVID. Our elderly didn’t break the law.

I realize the intent is to “keep them safe.” However, what kind of damage is this causing their quality of life? I’m pretty sure at 94, she doesn’t care about quantity anymore.

She’s supposed to get the vaccine on February 5th. If she was at home she could have gone next week for it. So I’m not sure she’s getting any advantage where she is currently.  Then what? Will she be granted visitation? Those with vaccines can come in? Still no one? We haven’t been told.

I realize that nurses and staff at nursing homes are overworked. With 48 cases in the past 3 weeks in the nursing home and other staff members positive, I know they are working a skeleton crew. But that doesn’t matter to me. Because we are talking about MY loved one. I want only the best for her and I know she isn’t getting it.

How can we do better? Because we need to do better.  Families are not equip to take care of those who need skilled nursing care. Nursing homes range in price but are roughly $7.000 to $8,000 or more a month when paid for privately. She’s not getting that type of care. For that amount, I want web cams so I can at least see if she is sleeping or eating.

Hugs, time to chat, help with cutting up food, asking what foods she likes, THAT is care. Care my family would give if we were able to visit. Let’s lift the ban and allow nursing home residents to be cared for.

I truly believe we are failing them. Let’s go for quality and not quantity.