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. @GregAbbott_TX @DanPatrick @travisfortexas @SenatorNichols @CMSGov #TeamTexasHHS #MichelleDionneVahalik #PhilWilson #VictoriaFord
When is @TexasHHSC going to distinguish between #EssentialFamilyCaregivers and casual visitors to #nursinghomes?
#EssentialCarePartner #eldercare https://twitter.com/LouiseAronson/status/1282348028318248960
When is @TexasHHSC going to distinguish between #EssentialFamilyCaregivers and casual visitors to #nursinghomes?
#EssentialCarePartner #eldercare https://twitter.com/LouiseAronson/status/1282348028318248960
Additionally, @TexasHHSC, please see the following articles by experts, stating the harm that is occurring to residents in the absence of their #EssentialCarePartners...
The 1st, by @CharchuRn https://twitter.com/NathanStall/status/1284655062724284418?s=20
The 1st, by @CharchuRn https://twitter.com/NathanStall/status/1284655062724284418?s=20
Experts make case for allowing more family-member visits in nursing homes https://www.mcknights.com/news/experts-make-case-for-allowing-more-family-member-visits-in-nursing-homes/
"CMS’s guidance should take into account visitors who are 'essential care partners' & give nursing home leadership more leeway to allow these visitors reentry—under careful procedures, of course..." (continued...)
— @DavidCGrabowski @jasonkarlawish https://www.washingtonpost.com/opinions/2020/07/13/residents-good-nursing-homes-should-consider-re-allowing-visitors/
— @DavidCGrabowski @jasonkarlawish https://www.washingtonpost.com/opinions/2020/07/13/residents-good-nursing-homes-should-consider-re-allowing-visitors/
"...for many nursing home residents, a visit is not simply a social call. Many family members are not company as much as essential caregivers and care monitors. Their involvement is vital, especially at facilities with shortages in staffing."— @DavidCGrabowski @jasonkarlawish
. @TexasHHSC, this applies to the U.S. and to Texas too: https://twitter.com/NathanStall/status/1277640935942356993?s=20
"We are not considering the risks of what lockdown is doing, we are only focusing on preventing #COVID19 from getting into homes." @TexasHHSC: 
https://twitter.com/NathanStall/status/1277710281779675136?s=20
https://twitter.com/NathanStall/status/1277710281779675136?s=20
"The risks associated with ongoing and prolonged visitor restrictions have started to outweigh the risks associated with potential #COVID19 infection...”
@TexasHHSC https://twitter.com/NathanStall/status/1277784316291043329?s=20
@TexasHHSC https://twitter.com/NathanStall/status/1277784316291043329?s=20
@TexasHHSC, "The goal was to protect residents from the coronavirus as the pandemic began to escalate...and now, families argue, the harms of isolation exceed potential benefits" by @judith_graham https://twitter.com/NathanStall/status/1282709701080363011?s=20
The collateral damages of lockdown in #LTC: depression, weight loss, pressure ulcers, falls & worsening responsive behaviors.
From veteran reporter (and LTC expert) @MoiraWelsh...
This applies not just to Ontario, but also to Texas LTCFs: https://twitter.com/NatalieGNichols/status/1279082831881388033?s=20
From veteran reporter (and LTC expert) @MoiraWelsh...
This applies not just to Ontario, but also to Texas LTCFs: https://twitter.com/NatalieGNichols/status/1279082831881388033?s=20
@TexasHHSC "Advocates are calling on the state to mandate that each resident in a senior care facility have at least one 'support person visitor' who would undergo the same screening for COVID-19 as people who work at the facility." https://twitter.com/CANHR_CA/status/1280247661048684544?s=20
@TexasHHSC, England/Wales data reveals that, beyond deaths linked to Covid-19, there were 83% more deaths from dementia than usual in April, because a reduction in essential medical care and family visits were taking a devastating toll. — @guardian https://twitter.com/NatalieGNichols/status/1276605967409479680?s=20
“The collateral damages are extreme...Many people are going to spend their final days, their final mo's living in lockdown – isolated, lonely, w/no direct contact w/their loved ones.” @NathanStall, geriatrician, Mount Sinai Hospital (continued...) https://www.theglobeandmail.com/canada/article-tk-toll-of-ltc-visitor-restrictions/
“...We absolutely need family bc they are known to be a vital safeguard for residents…against abuse and neglect.” — @DrVivianS
Since the COVID-19 pandemic began, NH residents in Canada have died of dehydration & malnutrition amid allegations of neglect...
It's the same in Texas
Since the COVID-19 pandemic began, NH residents in Canada have died of dehydration & malnutrition amid allegations of neglect...
It's the same in Texas
@TexasHHSC, a study published in JAMA over a month ago, on June 15, reports on the experiences & outcomes of 26 Dutch nursing homes who re-allowed visitors. In addition to the reported positive impact on wellbeing, no new COVID infections were reported. https://www.jamda.com/article/S1525-8610(20)30526-0/fulltext?fbclid=IwAR17YXAYm7fLFUBA6uyRjZM2Jxad8KMj3gEe9bquLFuC71gNK1xYhizYXkE
@TexasHHSC, "The harm from [the #EssentialCarePartner ban] goes far beyond emotional damage. It has also led to newly low standards of care in many facilities, charge some patients, their relatives & doctors."
Written re: CA, this applies to TX NHs also https://twitter.com/CANHR_CA/status/1276268828457005058?s=20
Written re: CA, this applies to TX NHs also https://twitter.com/CANHR_CA/status/1276268828457005058?s=20
This is #sad. I hope @TexasHHSC responds better than DPH in this instance—even though it's late & after more NH residents have died & suffered harm from #isolation than from covid—it would beat allowing MORE residents to die of isolation & suffer neglect https://twitter.com/LouiseAronson/status/1281258751714947075?s=20
@TexasHHSC, @LouiseAronson writes in the @nytimes:
"Since late February, the stories from NHs & ALFs have been appalling: people dying of neglect...starving to death; defeated people lying in bed or staring out windows with no hope of reprieve..." https://twitter.com/LouiseAronson/status/1270080825967521794?s=20
"Since late February, the stories from NHs & ALFs have been appalling: people dying of neglect...starving to death; defeated people lying in bed or staring out windows with no hope of reprieve..." https://twitter.com/LouiseAronson/status/1270080825967521794?s=20
@TexasHHSC, Surely Texas can figure out how to protect the elderly from coronavirus without imposing another very real health threat—isolation.
#EssentialFamilyCaregiver #VisitationSavesLives #EssentialCarePartner #NotJustAVisitor #eldercare https://www.wsj.com/articles/isolating-the-elderly-is-bad-for-their-health-11595261640
#EssentialFamilyCaregiver #VisitationSavesLives #EssentialCarePartner #NotJustAVisitor #eldercare https://www.wsj.com/articles/isolating-the-elderly-is-bad-for-their-health-11595261640
@TexasHHSC, perhaps this could be a model for allowing #EssentialFamilyCaregivers inside Texas #nursinghomes. This JAMDA article is by a facility medical director in Cincinnati
https://www.jamda.com/article/S1525-8610(20)30430-8/fulltext
#EssentialCarePartner #eldercare #NotJustAVisitor #MoreThanAVisitor
https://www.jamda.com/article/S1525-8610(20)30430-8/fulltext
#EssentialCarePartner #eldercare #NotJustAVisitor #MoreThanAVisitor
@TexasHHSC, please see this valuable perspective from @NishaOttawa, a Pediatric ID + IPAC physician working in LTC.
"There appears to be an ageist resistance to 'essential visitors' in LTC that belies social supports as a main determinant of health."
https://ottawacitizen.com/opinion/thampi-covid-19-lessons-from-pediatrics-for-the-long-term-care-sector/wcm/aa9907e7-6ece-415a-bf3d-d376db440ae5/
"There appears to be an ageist resistance to 'essential visitors' in LTC that belies social supports as a main determinant of health."
https://ottawacitizen.com/opinion/thampi-covid-19-lessons-from-pediatrics-for-the-long-term-care-sector/wcm/aa9907e7-6ece-415a-bf3d-d376db440ae5/
@TexasHHSC, this is the link to Minnesota's policy that distinguishes between #EssentialCaregivers & casual visitors (no link in 1st tweet). PLEASE consider it when writing Texas guidelines allowing #EssentialFamilyCaregivers inside NFs.
Thank you!
https://www.health.state.mn.us/diseases/coronavirus/hcp/ltccaregiver.pdf
Thank you!
https://www.health.state.mn.us/diseases/coronavirus/hcp/ltccaregiver.pdf
@TexasHHSC, this is an excellent example of how #FamilyCaregivers could safely be allowed in NFs to provide #EssentialCare.
Please read this 5-step plan from the Registered Nurses' Association of Ontario:
#EssentialCarePartner #MoreThanAVisitor https://twitter.com/RNAO/status/1287757304511832064?s=20
Please read this 5-step plan from the Registered Nurses' Association of Ontario:
#EssentialCarePartner #MoreThanAVisitor https://twitter.com/RNAO/status/1287757304511832064?s=20
#TeamTexasHHSC @TexasHHSC, know that “We may have the same numbers of people who...died from loneliness, social isolation, dehydration & malnutrition as actually died from COVID-19 itself."— Dr. Samir Sinha, director of geriatrics at Mount Sinai Hospital https://www.pri.org/stories/2020-07-28/isolation-may-be-greater-risk-covid-19-residents-canadas-nursing-homes
