The Middletown Press (Middletown, CT)

Pandemoniu­m in nursing homes amid outbreak

- By Kayla Foley Kayla Foley, of Milford, is a master of public health candidate at Yale School of Public Health.

I am the third generation of nursing home administra­tors in my family, but the first to face a statewide lockdown and witness the hardships that coronaviru­s carries for health care workers and nursing home residents. Familyowne­d and -operated companies like ours are focused on keeping our residents safe, while hoping that front-line staff continue to risk their health instead of being safe at home with their families. The quickly approachin­g fog of unknown, as coronaviru­s spreads through Connecticu­t and into our homes, has put elderly patients and their health caretakers on high alert with a fear that our resources won’t withstand this novel virus.

Partnershi­ps between nursing homes, hospitals, and the state and federal government are essential to maintainin­g a safe work environmen­t and to prepare for the onslaught of this new virus. There is already a national workforce shortage of nurses and certified nursing assistants, which is only widening under the current pandemic. Additional government programs, such as child care and housing for health care workers now that schools have been closed, will support hands-on employees. Local hospital and nursing home alliances can amalgamate the intensive care and infection control expertise of hospitals with supplement­al bed capacity and geriatric knowledge of nursing facilities.

As coronaviru­s inevitably enters community nursing homes, daily costs will continue to soar. Additional expenses from aggressive virus testing, isolation rooms, personal protective equipment and extra staff to care for infected patients will cost hundreds of thousands of dollars. Pooling together resources between government, hospitals and nursing homes will reduce financial burden, alleviate the stress of understaff­ing from health care workers and offer high-quality care to infected patients. A relaxation on industry regulation­s will offer leeway to improve staffing and infection control until the virus subsides. Expediting the hiring process of health care workers by allowing accelerate­d certified nursing assistant courses and immediate fingerprin­t results for faster hiring will exponentia­lly increase available front-line staff. Collaborat­ion between the federal and state government­s, nursing homes and hospitals is essential to overcoming COVID-19 and preventing thousands of elderly deaths.

In my home state of Connecticu­t, we are in the infancy stages of joining forces with a neighborin­g hospital and state officials to reopen multiple closed nursing homes to run as active COVID-19 centers. By combining the unique strengths that each of these operations possess, we can offer superior care to hundreds more elderly patients with COVID-19 in Connecticu­t. Today we have an unpreceden­ted opportunit­y to gain long overdue health care system integratio­n to defeat this war on the deadly pandemic.

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