Tag Archives for COVID-19

The Impact of COVID-19’s Social Isolation on Seniors

Published in RINews Today on November 16, 2020

As COVID-19 cases continued to surge across the nation, AARP Foundation in collaboration with the United Health Foundation (UHF), released a report last month taking a look as to how the COVID-19 pandemic impacts seniors who find themselves socially isolated.  According to the recently released report, “The Pandemic Effect A Social Isolation Report,” two-thirds of adult respondents say they are experiencing social isolation and high levels of anxiety since the beginning of the pandemic.  

The 60-page report, released on Oct. 6, noted that many seniors who are affected have not turned to anyone for assistance, because many find themselves socially isolation, because of lacking reliable and meaningful social support networks.  Previous research studies have found the health risks of being social isolation can be more harmful than being obese, and long-term isolation is equivalent to smoking 15 cigarettes a day. 

Social Isolation and Seniors

The study, funded by AARP Foundation with the support of a grant from United Health Foundation, was designed to explore the impact of the COVID-19 pandemic on adults of all ages, to understand levels of social isolation during the pandemic, and to assess knowledge of how social isolation can impact a person’s health.  The online survey contacted 2,010 U.S. adults age 18 and older, from Aug. 21-25. 

The researchers say that key signs to identify if someone is at risk for social isolation are access to food, healthcare, transportation and other vital resources. But they say that “it’s connections, companionship, and a sense of belonging that we need as humans.”

The AARP Foundation’s report found that for adults 50 and older who have experienced social isolation during the COVID-19 crisis, more than seven in 10 adults agree that this made it more difficult to connect with friends. Half of the respondents also said that they are feeling less motivated, more than four in 10 (41 percent) report feeling more anxious than usual and more than a third (37 percent) have experienced depression. 

The researchers also found that a third of women age 50 and over reported going 1 to 3 months without interacting with people outside of their household or workplace, and adults with low and middle incomes who report experiencing social isolation also say they felt more depressed than adults with higher incomes. Furthermore, only 11 percent of adults regardless of age turned to a medical professional when feeling down or sad, and almost a third reported that they did not look to anyone for support.

Getting Help to Strengthen Social Connections

Commander Scott Kelly, renowned astronaut who spent 340 days isolated in space, has teamed up with AARP Foundation and the UHF to spread the word about the seriousness of social isolation and provide tips on how to successfully emerge from it.  

“Living on the International Space Station for nearly a year with literally no way to leave wasn’t easy, so I took precautions for my mental and physical health seriously,” said Commander Kelly in a statement announcing the release of the report. “I’m advocating for individuals, particularly vulnerable older adults, to use available tools like Connect2Affect.org to strengthen their social connections,” he said.

Getting the Help You Need

Working closely with the UHF to help seniors impacted by the COVID-19 pandemic, the AARP Foundation recently expanded its website, (Connect2Affect.org) which was originally launched in 2016. The site offers a wealth of resources for socially isolated seniors to strengthen their social bonds.

This website provides help to individuals to assess their risk for social isolation, and to find support services in their local area. The website includes a Social Isolation Risk Assessment, a questionnaire to help individuals determine how connected they are to others and which resources would benefit them most.

Individuals can also tap into Chatbot, a component of the website, designed to provide friendly conversation with the goal of helping rebuild social connections. Chatbot conversations are secure, private and accessible 24/7.

“Social isolation is taking a toll on individuals and communities nationwide, and it’s especially pernicious for those who are 50 or older. This survey shows that older adults who have lower incomes and who are women are at greatest risk,” said Lisa Marsh Ryerson, president of AARP Foundation. “The tools and resources at Connect2Affect.org are designed to help older adults build and maintain the social connections they need to thrive,” she said.

Adds, Dr. Rhonda Randall, executive vice president and a chief medical officer at UnitedHealthcare added, “Many people don’t know that social isolation can have lasting effects on not only mental health — but also physical health. We’re focused on finding practical solutions to the lack of connections, companionship and the sense of belonging that we all need as humans.” 

For a copy of “The Pandemic Effect: A Social Isolation Report,” go to https://connect2affect.org/wp-content/uploads/2020/10/The-Pandemic-Effect-A-Social-Isolation-Report-AARP-Foundation.pdf.

COVID-19 Key Issue for Older Voters

Pubished in the Pawtucket Times on November 2, 2020

With Tuesday’s presidential election, hopefully most voters will have reviewed the policy and political positions of President Donald J. Trump and his Democratic challenger, former Vice President Joe Biden.  Throughout the months of this heated political campaign, especially during the two debates and at the town meetings each candidate held on the same evening, their positions diverged sharply on major issues, specifically the economy, immigration, foreign policy, global warming, abortion and COVID-19. In the final stretch of the presidential campaign, winning the war against COVID-19 has quickly become the top issue of voters. 

Over the months, Trump, 74, has barnstormed throughout the country, especially in battleground states, hoping to capture enough electoral votes to win a second term on Nov. 3.  While states reduce the size of gatherings to reduce the spread of COVID-19, throughout the campaign Trump’s rallies have continued to bring thousands of supporters together, with many flaunting local and state coronavirus-related crowd restrictions by not wearing masks or social distancing.  

However, Biden, 77, is always seen wearing a mask, urging his supporters at online and drive-in events to support his candidacy.  At those events, the former vice president called Trump rallies “super-spreader events,” and he stressed the importance of following the advice of public health and medical experts as to preventing the spread of COVID-19.

Differing Views on COVID-19

The 2020 presidential campaign has been overshadowed by the COVID 19 pandemic, with 9 million confirmed cases, 227,000 Americans dying from the coronavirus and an economic downturn forcing more than 31 million people to file for unemployment. During his rallies, Trump claimed “the nation has turned the corner,” calling for the country to “return to normalcy” even as COVID 19 hot spots were popping up across the nation.  Trump also promised the development of a vaccine and distribution after the election and treatment regimens.  Lately, he has suggested that physicians and hospitals are just inflating the number of COVID-19 deaths for profit, drawing the ire of the American Medical Association.

At an Oct. 18 Nevada rally, Trump charged that if Biden is elected there will be more coronavirus pandemic lockdowns because “he’ll listen to the scientists.” The president charged that will result “in a massive depression.”

In stark contrast, Biden countered Trump’s call for normalcy and his rosy assessment of a COVID-19 vaccine release by stating, “We’re about to go into a dark winter…He [has no clear plan, and there’s no prospect that a vaccine is going to be available for the majority of the American people before the middle of next year.”

 Oftentimes, Trump’s messaging of the importance of wearing a mask has not been clear, often times contradicting the Centers for the Disease Control and Prevention and the White House COVID-19 Task Force.  “I was okay with the masks.  I was good with it, but I’ve heard very different stories on masks,” he said during his town hall on NBC on Oct. 15.   The president opposes a mandate requiring the wearing of masks and favors leaving this decision to state governors and local leaders.

Turning a Deaf Ear to Public Health Experts

As COVID-19 spreads like wildfire across the nation, Trump and many of his supporters at his large campaign gatherings and even some GOP lawmakers continue to not wear masks or practice social distancing to stop the spread of the disease, their actions ignoring the warnings of the Centers for Disease Control and Prevention and Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and a member of the White House COVID-19 Task Force.

According to an Oct. 12 CNN tweet, “Dr. Fauci says Pres. Trump resuming in-person rallies is “asking for trouble” and “now is… a worse time to do that because when you look at what’s going on in the United States it’s really very troublesome. A number of states, right now, are having increase in test positivity.”

During an interview with CNBC on Oct. 28, Reuters reported, that Dr. Fauci stated, “We are in a very different trajectory.  We’re going in the wrong direction,” noting the COVID-19 cases are increasing in 47 states and hospitals are being overwhelmed by these patients.”

“If things do not change,” Dr. Fauci warned, “If they continue on the course we’re on, there’s gonna be a whole lot of pain in this country with regard to additional cases and hospitalizations and deaths.”

Now researchers are beginning to shed light on Trump’s large rally gatherings and the spread of the COVID-19 among the supporters who attended the events.

Zach Nayer, a resident at Riverside Regional Medical Center in Newport News, and a colleague reviewed the number of new COVID-19 cases for the 14 days before and after each Trump rally from late June to a Sept. 25 Newport News event, and published their findings on Oct. 16 on the health news site STAT.

According to the researchers, the spikes in COVID-19 cases occurred in seven of the 14 cities and townships where rallies were held: Tulsa, Oklahoma; Phoenix; Old Forge, Pa.; Bemidji and Mankato in Minnesota; and Oshkosh and Weston, Wis.

Meanwhile on Oct. 30, Stanford researchers, studying 18 Trump rallies (between June 20 and Sept. 22) concluded that those large events resulted in more than 30,000 confirmed cases of COVID-19 and likely caused more than 700 deaths among attendees and their close contacts.

No End in Sight

Don’t expect the COVID-19 pandemic to end soon as the number of those infected and deaths continue to spiral out of control.  

According to the COVID Tracking Project, COVID-19 cases increased by 97,080 on Oct. 31, by far the largest one-day jump since the beginning of the pandemic last March, with Midwestern states leading a wave of infections, hospitalizations and deaths across the nation just before the Tuesday’s presidential election.  Experts say that those statistics refutes Trumps charges that the number of COVID 19 cases is growing due to increased testing. 

America’s oldest seniors have lived through the 1918 flu pandemic, the stock market crash of 1929, the Great Depression and World War II. Now they, along with aging Baby Boomers, face the risk of severe illness and death from COVID-19.  Among adults, the risk for severe illness from COVID-19 increases with age. According to AARP, 95 percent of the people across the nation that have died of COVID-19 were 50 and older even though most of the coronavirus cases have been reported in younger than 50.

Before older voters cast their ballots they must consider which presidential candidate’s leadership style can marshal the nation’s resources and devise the best strategy to combat COVID-19 and stop its spread. 

Do we reopen the nation, opening schools and businesses or do we consider lockdowns if recommended by the nation’s public health and medical experts?  Do we consider a “national mask mandate” or do we just leave it up to state governors to decide whether to implement an order requiring people to wear them in public? 

Your vote matters. For you older voters, it just might save your life.

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AARP’s new COVID-19 Dashboard for national/local Nursing Home Data

Published in RINewsToday.com on October 26, 2020

While public health experts are predicting a second spike of the COVID-19 virus, expecting it to hit the nation as early as – now – and reaching its peak in December, AARP releases its Nursing Home COVID-19 Dashboard created to provide four-week snapshots detailing the infiltration of the virus into the nation’s nursing homes and its impact on residents and staff.  AARP’s latest Public Policy Institute analysis is the result of the Washington, DC-based aging advocacy group’s successful efforts to push for the public reporting of nursing home COVID-19 cases and deaths.

Using data collected by the Centers for Medicare & Medicaid Services—which is self-reported by nursing homes—the AARP Public Policy Institute, in collaboration with the Scripps Gerontology Center at Miami University in Ohio, created the AARP Nursing Home COVID-19 Dashboard to provide four-week snapshots of the virus’ infiltration into nursing homes and impact on nursing home residents and staff. The first release of the dashboard on October 14 reveals that nursing homes in every state reported shortages of PPE, ranging from 8 percent of facilities in the best-performing states, to 60 percent in the lowest-performing state. The dashboard also compared state and national data on COVID-19 cases and deaths, staff cases and staffing shortages.

Key Findings of AARP’s First Dashboard

The AARP Public Policy Institute will analyze data and report on key findings as the dashboard is updated over time.  Here are some observations about AARP’s first Dashboard (using data from August 24 to September 20, in which 95 percent of the nation’s 15,366 nursing homes submitted data for this time period):

According to the database, in every state, nursing homes indicated a shortage of PPE (defined as not having a one-week supply of N95 masks, surgical masks, gowns, gloves and eye protection during the previous four weeks). Nationally, about one quarter (25.5 percent) of nursing homes had a PPE shortage during the Aug. 24 to Sept. 20 reporting period. In the highest performing state, 8 percent of nursing homes had a PPE shortage; in the lowest-performing state, 60 percent did not have a one-week supply.

The researchers note that while considerable attention has been paid to infections among nursing home residents, it is also critically important to consider direct-care staff. In the four weeks ending Sept. 20, one-quarter (24 percent) of nursing homes had at least one confirmed COVID-19 case among residents, and twice as many (50 percent) had at least one confirmed staff case. Per 100 nursing home residents, there were 2.6 COVID-19 resident cases and 2.5 staff cases, corresponding to a total of about 55,000 cases nationally.

Finally, there is considerable variation across states. COVID-19 deaths in the four weeks ending Sept. 20 averaged 0.5 per 100 residents across the nation (about 1 out of every 200 residents). At the state level, the death rate was as high as 1.2 per 100 residents (about 1 out of 80), and several states reported no resident deaths in the past month.

Looking at Rhode Island, AARP’s first dashboard detailed the following: 

·         2.2 COVID cases per 100 residents

·         0.2 COVID deaths per 100 residents

·         1.7 staff cases per 100 residents

·         19.7 percent of nursing homes without a 1-week supply of PPE

·         28.9 percent of nursing homes with staffing shortages

AARP’s dashboard will be updated every four weeks to track trends over time and will evolve to include more categories to follow other measures of interest.

As Others See It – in Rhode Island

“We have been very clear in our messaging: No state has done a good enough job to protect nursing home residents and staff,” said AARP Rhode Island State Director Kathleen Connell. “That said, it is good to see that in the first round of data postings on the AARP Nursing Home COVID Dashboard shows Rhode Island in better-than average shape compared to other states. But to our point, anyone in Rhode Island with a loved one in a nursing home expects – hopes and prays – for more than ‘better than average.”

“As we see daily reports of increased cases and deaths, safety concerns for nursing home residents and staff should be increasing as well. The pandemic is far from over and among many complicated aspects of dealing with it is transparency. The COVD Dashboard provides the public with a benchmark and tracks monthly changes; people need to pay attention and demand action at all levels to make nursing homes safer. These aren’t just numbers. These are lives,” says Connell.

On the other hand, the Rhode Island Department of Health questions the accuracy of AARP Nursing Home COVID-19 Dashboard as it relates to its Rhode Island findings. “The data don’t accurately reflect the Rhode Island reality in part because of how the questions are phrased,” says Joseph Wendelken, RIDOH’s Public Information Officer, specifically related to PPE data. “The question asks about PPE in the nursing homes. Nursing homes receive a weekly supply of PPE from their corporate warehouses. The question asks about one point in time. On occasion, reporting happens shortly before facilities receive their re-supply,” he says.

“RIDOH has taken several steps to protect nursing home residents, says Wendelken, noting that his department has built Congregate Setting Support Teams to conduct targeted to facilities regarding infection control, PPE, testing, and staffing. 

“We have weekly contact with facilities. We’ve worked with facilities to develop creative plans for reopening. We have implemented regular testing of staff every 10 to 14 days. We will take the lessons and experience we’ve gained from these past seven months and apply them to the increase in cases we see today,” adds Wendelken. 

According to Scott Fraser, President/CEO, of the Rhode Island Health Care Association (RIHCA), the AARP analysis shows what his organization has been saying in the last few weeks and months—that COVID-19 cases in nursing homes continue to drop. “Rhode Island is below the national average in all categories measured for this dashboard,” he says, stressing that the number of cases in nursing homes is dropping as is the number of deaths,” notes Fraser.  

The successful efforts to protect nursing home residents and staff can be directly linked to the measures the facilities have taken since the pandemic first hit, notes Fraser. “We are stocking up on PPE. We initially suspended visitation.  We are testing staff regularly and residents when necessary.  We are carefully monitoring visitors and vendors who come into our homes.  We isolate and quarantine anyone who tests positive or any new resident who moves into our facilities,” he says. 

Fraser says that RIHCA continues to advocate for regular testing of vendors who come into the state’s nursing homes, including ambulance drivers, lab technicians, and hospice workers.  RIHCA continues to call on RIDOH to renew the policy of having two negative tests before a hospital patient can be released to a nursing home and to allow those certified nursing assistants who received temporary emergency certifications to obtain their permanent licenses.

A Call to Action

More than 84,000 residents and staff of nursing homes and other long-term care facilities have died from COVID-19, representing 40 percent of all coronavirus fatalities in the U.S., according to Kaiser Family Foundation’s most recent analysis released on Oct. 8. Yet in its statement announcing the release of its Dashboard, AARP charges that federal policymakers have been slow to respond to this crisis, and no state has done a good enough job to stem the loss of life. 

According to AARP, policymakers have taken some action, such as requiring nursing homes to self-report COVID-19 casers and deaths at the federal level, ordering testing, and providing limited PPE and other resources to nursing homes. But more must be done, says the nation’s largest aging advocacy group in its statement urging elected officials “to acknowledge and take action to resolve this national tragedy — and to ensure that public funds provided to nursing homes and other long-term care facilities are used for testing, PPE, staffing, virtual visits and for the health and safety of residents.”

COVID-19 cases across the U.S. are again on the rise, and nursing homes remain a hotbed for the virus, says AARP promising to “continue to shine a light on what’s happening in nursing homes so that families have the information they need to make decisions, and lawmakers can be held accountable.”

AARP has called for the enactment of the following five-point plan to protect nursing home and long-term care facility residents — and save lives — at the federal and state levels:

·         Prioritize regular and ongoing testing and adequate personal protective equipment (PPE) for residents and staff — as well as inspectors and any visitors.

·         Improve transparency focused on daily, public reporting of cases and deaths in facilities; communication with families about discharges and transfers; and accountability for state and federal funding that goes to facilities.

·         Require access to facilitated virtual visitation, and establish timelines, milestones and accountability for facilities to provide in-person visitation.

·         Ensure quality care for residents through adequate staffing, oversight and access to in-person formal advocates, called long-term care ombudsmen.

·         Reject immunity for long-term care facilities related to COVID-19.

To see AARP Nursing Home COVID 19 Dashboard, go to:

www.aarp.org/content/dam/aarp/ppi/pdf/2020/10/rhodeisland-nursing-home-dashboard-october-2020-aarp.pdf