And our governor does nothing about it. He even banned municipalities from enacting their own mandatory masks rules. I am truly terrified, even thought about leaving my job and start some travel assignments, just to get out of here.
Almost no one is wearing masks in public establishments. Restaurants and attractions are at full capacity. We had 21,000 new cases of Covid 19 yesterday alone. ?
I am not looking forward to working on a Covid unit again. I know it's about to happen, but inside of me, I don't think I have the strength to go through it again.
Almost no one is wearing masks in public establishments. Restaurants and attractions are at full capacity. We had 21,000 new cases of Covid 19 yesterday alone. ?
I am not looking forward to working on a Covid unit again. I know it's about to happen, but inside of me, I don't think I have the strength to go through it again.
I am at a loss..
I feel the same way. Don't want to do it again. It is more dangerous now to caregivers to care for these patients. The patients we are seeing in the hospital with serious Covid 19 symptoms are the unvaccinated. If they don't care enough to protect the community, I do have a hard time caring for them. The first time around, it was patients who could have been safer but were not blatantly opposed to public health interventions.
I know there are nurses who think nursing has a sacred duty. Say we have an obligation. I am not Mother Theresa. And easing suffering in her world probably didn't mean putting them on a ventilator with one-to-one nursing care. It meant a cool cloth and a prayer.
Over time the sisters of the convents have sold their hospitals to profit centered corporations (yes, for profit and not for profit versions) and the game has changed. We still have a core mission statement that centers on religious values. Is it really obviously acted upon at all levels of administration? Meh... Easter isn't considered a paid holiday.
We have more covid+ in the hospitall now than we did in the peak last year. The main variant circulating here is Delta. Public health reported a man in his 30's with no significant health history died in the ICU while on a vent. Our county was less than 50% vaccinated the week he died.
I just hear all those phrases... when parents were not sympathetic to children who would not listen to their wisdom. "I told you so" and "well, don't come crying to me when you end up sick"
It really is: there doesn't seem to be a way to combat it anymore because it is so disconnected from reality.
I think what I was most impressed with as I was reflecting back on the conversation was that he didn't get here by choice. This was a process that happened to him, and in some ways, you can't blame him because he now exists in this world where he is only hearing the the conspiracy theory.
When my dad was in his final years I relied on a friend of the family to take him to doctors appointments, etc. Dad had vascular dementia and so it wasn't always obvious to people that he had some deficits. One of them was problem solving in all aspects. So when the family friend got him hooked on Fox News.... oh my.
Dad passed in Nov 2019 from heart issues, but I have been so glad every day of Covid that he did not have to endure it. And that I did not have to endure the nightly conversations that was him parroting Fox News.
I did chuckle after he died when I found a list of phone numbers for Fox News in his address book. Always the teacher, he was trying to contact some of the presenters to help them improve their performance. No idea how he wanted to do that but cracks me up just thinking about it.
Hold on stop it.Leave Trump out of this otherwise you will also look misinformed and part of your own cult.Social media created the mess with their hysteria on one end and uncaring Governor Cuomo on the other refusing to protect the nursing home patients.
Florida has been different from the onset,have many relatives ,and seems like during the worst of the lockdown went out,visited each other ,had hairdressers go to their homes, even with immuno suppressed young ones and elderly,some travelled to eastern europe, South America, amazingly only one got covid , a moderate case of it, recovered.All this risk taking scared the hell out of me, but they fared better, no mental issues from being isolated and scared by the media.Even allnurses is m-e-d-I-a.
Where would you have sent the stable Covid patients after discharge from acute care but too sick to go home? Do some research before you decide on an answer......if you have one. It was a complicated mess. No one on this site has been able to provide a single alternative except for the ones that weren't available at the time.
Where would you have sent the stable Covid patients after discharge from acute care but too sick to go home? Do some research before you decide on an answer......if you have one. It was a complicated mess. No one on this site has been able to provide a single alternative except for the ones that weren't available at the time.
The patients who were sent to nursing homes! Needed to get out of acute care beds to make room for those waiting in the ER. Patients who didn't need acute hospital care but couldn't be sent home safely.
Specializes in NICU, PICU, Transport, L&D, Hospice.
52 minutes ago, subee said:
The patients who were sent to nursing homes! Needed to get out of acute care beds to make room for those waiting in the ER. Patients who didn't need acute hospital care but couldn't be sent home safely.
Yep.
Not to mention that some of those covid patients actually originated from long term facilities or assisted care environments. They were discharged "home". I wonder what people believe was done in other states then or what is going to happen now. Where will discharged patients convalesce if they require additional care and assistance?
Not to mention that some of those covid patients actually originated from long term facilities or assisted care environments. They were discharged "home". I wonder what people believe was done in other states then or what is going to happen now. Where will discharged patients convalesce if they require additional care and assistance?
I think they go to rehabs and nursing homes just like anyone recovering from an illness.
Last time I floated to our rehab I had a covid recovery patient that still needed oxygen and physical therapy (young man, but obese with diabetes) and got short of breath with any type of exertion. I don't think they are infectious forever and this guy was not in isolation despite recovering from covid. No reason for him to stay in an acute care hospital bed but he couldn't yet go home.
Facilities here have guidelines from the state and CDC but also make up their own. Some require patients of any sort, even if they are negative and a hip fracture to go to an isolation ward and quarantine before returning to their own "home".
I think the problem is it's unprecedented territory without any easy answers. Some decisions had to be changed along the way. Ultimately I do hope that while some were fear based and crisis based at first that today we have some evidence of what is and isn't appropriate to work with.
The good news is there is a high rate of vaccination with nursing home residents here in Florida. Recently a local nursing home had a breakout among their residents but they all were asymptomatic and none had to go to the hospital. The quarantined them, and last I heard they all did well.
Where would you have sent the stable Covid patients after discharge from acute care but too sick to go home? Do some research before you decide on an answer......if you have one. It was a complicated mess. No one on this site has been able to provide a single alternative except for the ones that weren't available at the time.
Oh man it was a nightmare!! The first five deaths in our hospital at the beginning of Covid were patients from a locked down dementia unit at a local care facility. The facility did not have a plan to take them back and no one was sure how to know if they were still infectious to others.
I don't think any of them actually died from Covid. They all died because a person with dementia that advanced will not survive out of their routine. They have no ability to understand it is temporary. They were in private rooms (we were not cohorting Covid patients then) with bed alarms and people running in with gowns and masks telling them to not get up. They all just withered and died. So freaking sad.
It took local public health working with the owners of the SNFs to create a Covid wing in one of the facilities. It kept some out of the hospital all together if they could just be managed with some more oxygen and monitored by the SNF doctors.
Not to mention that some of those covid patients actually originated from long term facilities or assisted care environments. They were discharged "home". I wonder what people believe was done in other states then or what is going to happen now. Where will discharged patients convalesce if they require additional care and assistance?
Knowing the methods of our hospital administration and the way corporate discharge planning thinks they will pressure the social workers at the hands on level to tell the families they "have" to come get their person and take care of them. In California family members can sign up for some pay as a caregiver, but it is paperwork and the number of hours can be limited by assessment of need. The max number of hours is no where near 24/7.
During this tough time, you have to prioritize your own safety, so you don't bring souvenirs to your family or friend(s) if you have any in your house.
There are people who are paranoid about this vaccination or other reasons. Nothing really we can do for them but keep ourselves safe, so we can continue to be there for those who can't help themselves. If not, we will be like dinosaurs.
I don't think any of them actually died from Covid. They all died because a person with dementia that advanced will not survive out of their routine. They have no ability to understand it is temporary.
No. I mean they were not symptomatic with Covid. They were medically cleared to return to the assisted living/dementia unit but the facility was not prepared to take back people who still tested positive for Covid. Recall that people can test positive long after they are no longer symptomatic and no longer needing oxygen, etc.
Because they had dementia, they needed the routine of their "home" and lives to thrive. In a solitary room with a loud fan, no social interaction except with people yelling at them to not get out of bed (to prevent falls).These people dressed in what must have seemed bizarre attire to them with all the nurses in PPE. One of the geriatric researchers where I went to nursing school had passed on to us that changing the living environment for a later stage dementia patient often shortened their life considerably.
Specializes in NICU, PICU, Transport, L&D, Hospice.
5 minutes ago, SunDazed said:
No. I mean they were not symptomatic with Covid. They were medically cleared to return to the assisted living/dementia unit but the facility was not prepared to take back people who still tested positive for Covid. Recall that people can test positive long after they are no longer symptomatic and no longer needing oxygen, etc.
Because they had dementia, they needed the routine of their "home" and lives to thrive. In a solitary room with a loud fan, no social interaction except with people yelling at them to not get out of bed (to prevent falls).These people dressed in what must have seemed bizarre attire to them with all the nurses in PPE. One of the geriatric researchers where I went to nursing school had passed on to us that changing the living environment for a later stage dementia patient often shortened their life considerably.
What was the reason that they were out of their "homes" and familiar care settings? Covid was the reason. They were infected and required additional care that took them out of the optimal dementia care environment.
SunDazed, BSN, RN
189 Posts
I feel the same way. Don't want to do it again. It is more dangerous now to caregivers to care for these patients. The patients we are seeing in the hospital with serious Covid 19 symptoms are the unvaccinated. If they don't care enough to protect the community, I do have a hard time caring for them. The first time around, it was patients who could have been safer but were not blatantly opposed to public health interventions.
I know there are nurses who think nursing has a sacred duty. Say we have an obligation. I am not Mother Theresa. And easing suffering in her world probably didn't mean putting them on a ventilator with one-to-one nursing care. It meant a cool cloth and a prayer.
Over time the sisters of the convents have sold their hospitals to profit centered corporations (yes, for profit and not for profit versions) and the game has changed. We still have a core mission statement that centers on religious values. Is it really obviously acted upon at all levels of administration? Meh... Easter isn't considered a paid holiday.
We have more covid+ in the hospitall now than we did in the peak last year. The main variant circulating here is Delta. Public health reported a man in his 30's with no significant health history died in the ICU while on a vent. Our county was less than 50% vaccinated the week he died.
I just hear all those phrases... when parents were not sympathetic to children who would not listen to their wisdom. "I told you so" and "well, don't come crying to me when you end up sick"