August 2020 | Page 8

leadingage new york TOGETHER I Want to Visit My Mother! Restricted visitation over the last six months has residents and families needing to reconnect, but visits may look different once they resume. In March 2020, when the COVID-19 pandemic was beginning to explode, the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS) and the New York State Department of Health (DOH) directed all nursing homes to restrict family visitation in order to control the spread of infection. Various alternatives to maintain family contact such as Zoom or Skype were introduced as a substitute, and although this has helped maintain a connection, it does not offer the same closeness and physical contact of an actual visit. Six months later, while some community businesses including service and retail establishments are reopening, nursing homes are still unable to offer families and residents the ability to enjoy face-to-face visits. When this will change is hard to say. Recently, CMS has offered a series of recommendations for nursing homes to follow toward reopening. The reopening recommendations provide a three-phase approach. In Phases 1 and 2, visitation is still restricted except for end-of-life and compassionate care situations. Moving through the different phases and loosening restrictions in areas like communal dining and activities is dependent on several factors such as testing, the supply of personal protective equipment and case status within the local community. It is not until Phase 3 that visitation restrictions are lifted to allow for the resumption of family visits. However, even at that time, visitors must be screened for fever and signs of respiratory symptoms, wear face coverings and maintain social distancing. Additionally, ProCare staff have assisted some members in developing infection control policies and procedures and preparing for focused Infection Control surveys by DOH. While some might see some of these measures as overly restrictive, the risk for infection among vulnerable nursing home residents remains high. Nursing homes experienced a high (See I want to Visit My Mother on page 9) 8 Adviser a publication of LeadingAge New York | Summer 2020