From: David Swartley, President/CEO Date: October 22, 2020 RE: Coronavirus (COVID-19) Update #27
As I’ve discussed in my earlier updates, Moravian Manor Communities has been rigorously following all infection control protocols stipulated by the Pennsylvania Department of Health (DOH) and the U.S. Centers for Disease Control (CDC) for dealing with COVID-19. Despite our best efforts, recent testing confirmed on October 21, 2020, that four staff members and as well as a contract health care provider have tested positive for COVID-19.
While this is certainly not the news I desire to share, it is not surprising considering the recent worldwide virus surge. The good news is our four staff, and our external health care provider are all asymptomatic. Again, this means that all five healthcare workers are well at present. They will all need to self-quarantine for fourteen days. All cases were identified by proactive weekly testing that has been ongoing every week at Moravian Manor Communities.
Unfortunately, this also means we are required to halt external visitation in our care areas. Our visits had just restarted earlier in the week. Stopping visitation is tough news for our residents, resident family members, and staff. These positive tests also mean that all staff will need to be tested in the next two weeks (and ongoing until we have no positive test results for two weeks).
Moravian Manor Communities always has had a robust infection control system in place. In recognition of our team’s work under the direction of Dr. Lynn Swisher, our skilled nursing center was one of four facilities (in Pennsylvania) DOH selected to work on the antibody testing program. Ironically, our team was meeting (via telephone) with the Pennsylvania Department of Health regarding the antibody testing program when we received word of our positive test results.
The staff members who have tested positive all work in our care areas, so there is no known exposure to our Residential living areas. As I have stated numerous times over the past number of months, it is your simple actions that will keep both you and your loved ones safe. Wash your hands, wear a mask, and social distance. Social distancing will be increasingly difficult with the arrival of the holidays and cold weather.
Thank you for doing your part to keep Moravian Manor Communities a safe place to live and work.
For those of you seeking additional information, continuous updates are available at the following websites:
Converting Favorite Recipes for Heart Healthy Diets, from Sodexo USA
Autumn is upon us and colder days call for hearty soups and meals. Sumptuous foods don’t have to be bad for your though, it just takes some re-imagining. However, it can seem intimidating, or a daunting task, to adjust your recipes when shifting to a heart healthy diet. Hopefully, after reading this, you will have learned some easy tricks to reduce or eliminate things like fats and salt from your favorite recipes. And discover a favorite recipe converted to be heart healthy for you!
One of the first things to understand is that cooking is both an art AND a science. The science of cooking explains how things work the way they do, and the art of cooking is being able to manipulate or finesse recipes to meet the needs of your particular palette. When it comes to the science of flavor, there are four categories of ingredients that come into play:
Fats
Salt
Alcohol
Acidity
These four types of ingredients are known as “flavor enhancers” – they help to turn bland foods that taste flat into foods with rich flavors. We’ll focus on three of these ingredients in this article.
FATS
The first one we will focus on is fats. In some cases, it is difficult to entirely eliminate fats from recipes. Our best plan of action is to reduce the amount of fats we use in recipes and replace them with heart healthy alternatives. In most savory applications, such as sautéing, you can replace butter with smaller amounts of heart healthy fats like olive or sesame oil. In some sweet applications, such as baking a cake, if a recipe calls for oil, you can substitute in an equal amount of applesauce to maintain moisture in the batter and eliminate fat content.
SALT & ACIDITY
The second, and perhaps most important, ingredient to focus on in heart health is salt. Salt is one of the easiest ways to “add flavor” to recipes, but is an ingredient that causes issues in many diets. If you want to eliminate added salt entirely from your diet, the easiest way to do so is to utilize acidity as a new flavor enhancer. Now, substituting the acid for salt is a scientific answer, but how you choose to use acidity is an art, as using too much can easily overwhelm the dishes you prepare. As with many ingredients, your best bet will be to use a little, then taste the food and add more if necessary. Here are some general guidelines for utilizing acidity, but of course these are just guidelines, and you can play around with the ingredients to determine what works for you.
Lemon Juice: this is one of the most widely used, and readily available, acidic items in the standard kitchen. Think of the lemon wedge served with seafood when you go out to eat. Just a little splash will help brighten flavors. Lemon juice is most helpful with seafood, hearty green vegetables, and some broth-based soups.
Apple Cider Vinegar: this is another widely utilized ingredient in kitchens. This works best with pork chops, pork tenderloin, pork shoulder, and light green vegetables like cabbage or lettuce.
Red Wine Vinegar: this is a rich and robust vinegar. This works well with beef, chicken thighs, white beans, chickpeas, and hot vegetable preparations such as mixed vegetables, brussels sprouts, or broccoli.
Champagne or Sherry Vinegar: these are both lighter vinegars, with slightly different flavor profiles, but work fairly well interchangeably. These work well with chicken breasts, mushrooms, and leafy greens (including drizzled on salads).
Please note: replacing salt with acidity works great in savory applications. However, you will notice that a lot of baking recipes call for salt as an ingredient. In most recipes, it is difficult to simply remove the salt without affecting the flavor of the finished product. In some sweet recipes, you can help alleviate this issue by replacing the salt with vanilla extract, but you will need to use a double measure of vanilla versus salt. However, if you are baking something like bread, there is no easy replacement, and you may have to simply leave the salt out of the recipe and deal with the resulting product.
The final piece of advice that I want to provide is this: sometimes, the easier way to intensify flavors for some foods is to roast them, and this works especially well for foods that have a high water content. For instance, when I make mushroom soup (either broth-based or creamy), I always toss the mushrooms with some olive oil, Dijon mustard, paprika, parsley, and chives, then spread on a roasting pan and roast in a 375 degree oven for 25-35 minutes, until most of the moisture is baked out, then put the mushrooms into the soup and allow them to slightly rehydrate, which in turn flavors the broth.
Not every ingredient or every method will work for everyone, it depends on your palette and your food preferences. But this should give you some possibilities and flexibility when it comes to cooking at home on a Heart Healthy Diet. Best of luck, and good eating!
Heart Healthy Creamy Turkey & Wild Rice Soup
1 tablespoon extra-virgin olive oil
2 cups sliced mushrooms, (about 4 ounces)
¾ cup chopped celery
¾ cup chopped carrots
¼ cup chopped shallots
¼ cup all-purpose flour
¼ teaspoon freshly ground pepper
4 cups reduced-sodium chicken broth
1 cup quick-cooking or instant wild rice
3 cups shredded cooked chicken, or turkey
½ cup reduced-fat sour cream
1 teaspoon lemon juice
2 tablespoons chopped fresh parsley
Directions
Step 1: Heat oil in a large saucepan over medium heat. Add mushrooms, celery, carrots and shallots and cook, stirring, until softened, about 5 minutes. Add flour and pepper and cook, stirring, for 2 minutes more.
Step 2: Add broth and bring to a boil, scraping up any browned bits. Add rice and reduce heat to a simmer. Cover and cook until the rice is tender, 5 to 7 minutes. Stir in turkey (or chicken), sour cream, lemon juice and parsley and cook until heated through, about 2 minutes more.
The following is an honest, yet raw account from an anonymous Moravian Manor Communities’ team member, highlighting what it’s been like working as a front-line employee in a COVID-19 Red Zone.
Your life at work is now more emotionally, mentally, and physically draining than it’s ever been. As you enter the building, sanitize your hands. Screen in and get your temp checked. Sanitize your hands. Clock in. Sanitize your hands.
You arrive on your unit. Sanitize your hands. Label and put on your N95. Sanitize your hands. Clean and put on your goggles. Sanitize your hands. Put on the gown.
Within five minutes you are drenched with sweat. You will remain wet for the next 8 to 9 hours. Perspiration runs down your face, but you can’t wipe it away. It runs in your ears and in your eyes. Your underwear is saturated.
On the first day, I didn’t label my mask before putting it on. A co-worker writes my name on for me. She misspells it. I tell her to let it that way. We need something to laugh at.
What to do if you have an itch, or need to blow your nose? It’s a ten-minute process just to remove the mask and put it back on again. Well, while it’s off, might as well get a drink too. Stay hydrated. If you’ve been trying to lose weight, you may lose it now…in water weight. Except you’ve been given chocolate to keep your spirits up. Might as well eat a couple pieces while your mask is off. Wash your hands. Then you go to put your mask back on and the elastic snaps and breaks. What?! You hold it in place to go get another one to replace it. Wash your hands.
Ugh! A resident has pulled the air circulation vent from the window and it’s now blowing on the living room chair instead of out the window.
So many co-workers on other units feel for you. They know it could have just as well happened on their unit. They take the time to write messages letting you know they are thinking of you. So sweet and appreciated!
You are told how beautiful you are. The gown is lovely. Please don’t touch the gown. Wash your hands.
The bridge of your nose is red and sore from the N95. Do pressure sores on employees get reported to the state? A skin condition flares up from the warm, moist environment. You get a corneal ulcer, and then another one, from sweat running in your eyes. A day after having a cracked tooth fixed, you read a news article on dentists fixing a record number of cracked teeth attributed to pandemic stress.
Residents that understand the seriousness worry they will get it and die. They worry for the ones that tested positive. They want it all just to end.
Some residents have no idea what is going on. They just know they can’t see their spouse, or their children. They hate it and just want to go home. They’re getting out of here. Yeah, I want to go home too.
Fortunately, the two residents that tested positive for the virus were asymptomatic. How can they have the virus? There’s no fever. Wash your hands. When will their symptoms start? Check their vitals every shift. Wash your hands. Oxygen levels are at 97 and 98%. So confusing. Wash your hands. Check everyone’s temps every shift. Wash your hands.
We are being “so mean.” They don’t want to stay in their rooms. Wash your hands. Their mask immediately comes off. Wash your hands. They don’t know they have tested positive for a virus that has already killed many people all over the world.
Your shift ends and you do get to go home. Wash your hands.
Ahhh! Strip off the drenched uniform. Get in the shower. Wash it all away. My daughter notices the red line across my forehead from the goggles and the marks from the mask. I assure her they will be gone by morning. Get a good night’s sleep. Tomorrow, you get to do it all over again.
Moravian Manor Communities is ever grateful for our dedicated team during these trials and tribulations. It’s their level of commitment that makes our community a leading health care provider in the Lancaster area.
Please take a moment to watch this important update from David Swartley, President and CEO of Moravian Manor Communities. You can keep up with all of our COVID-19 updates by clicking here.
It’s Fire Prevention Week, commemorating the Great Chicago Fire that began on October 8, 1871 and caused devastating damage. This horrific conflagration killed more than 250 people, left 100,000 people homeless, destroyed more than 17,400 structures, and burned more than 2,000 acres of land.
Fire Prevention Week History
Since 1922, The National Fire Protection Association (NFPA) has sponsored the public observance of Fire Prevention Week. In 1925, President Calvin Coolidge proclaimed Fire Prevention Week a national observance, making it the longest running public health observance in our country. During Fire Prevention Week, children, adults and teachers learn how to stay safe in case of a fire. Firefighters provide lifesaving public education in an effort to drastically decrease casualties caused by fires.
“Serve Up Fire Safety in the Kitchen” – 2020 Theme for Fire Prevention Week
Cooking is the #1 cause of home fires and related injuries, and unattended cooking is the primary cause of fires in the kitchen. With the holidays approaching, it’s important to know that Thanksgiving is the leading day for fires involving cooking equipment. Follow these helpful hints to stay safe in the kitchen:
Never leave the kitchen when boiling, broiling or frying food.
If you are simmering, baking or roasting food, check it regularly and stay inside the home.
Always keep a lid nearby when cooking. If a small grease fire starts, slide the lid over the pan and turn off the burner.
Turn off the stove when finished cooking.
Keep combustibles away from the stove. Towels and oven mitts often start fires.
A common cause of fires is pizza boxes left on top of stoves…dogs jump on stoves to investigate and turn the stove dial on.
Fire Escape Plan – Be Prepared!
Newer homes burn faster than older homes. It is imperative that you exit the home quickly in the event of a fire.
Draw a map of all rooms in your home.
Mark 2 exits from each room (usually a door and a window). Mark a path from each exit to the outside.
Include the location of all alarms in your house.
Choose an outside meeting place to meet up.
Call 911 from outside the house.
Practice twice a year.
Smoke Alarms – Providing a Life-Saving First Alert!
Smoke alarms detect and alert people to a fire in the early stages.
Smoke alarms can mean the difference between life and death in a fire.
Working smoke alarms cut the risk of dying in a home fire in half.
Install smoke alarms in every sleeping room, outside each separate sleeping area, and on every level of the home, including the basement.
Test smoke alarms at least once a month using the test button.
Make sure everyone in the home understands the sound of the smoke alarm and knows how to respond.
Smoke alarms need to be REPLACED at least every 10 years.
Q&A with Gary Gaissert, Moravian Manor Communities, VP of Operations
Q:What training is done at Moravian Manor Communities with regards to fire and emergencies?
A: All Life Plan Communities are mandated to have an emergency preparedness plan in place that includes processes and procedures for both residents and staff. Here at Moravian Manor Communities (MMC), we focus on staff training and responses to all types of emergencies including fire. MMC staff are well trained to respond promptly and effectively to any emergency situation to provide essential services to protect the people and property under its care. We utilize the Incident Management System, which clearly identifies staff responsibilities and assignments enabling us to interact and communicate with the operations of all outside support agencies (fire/police/ems/etc.). Every staff member is required to be recertified annually in the proper use of a fire extinguisher. (Incidentally, we have partnered with Warwick Emergency Services Commission in helping fund the purchase of extinguisher training equipment.) Throughout the year, there are multiple practice drills in all levels of care. We regularly check/test all emergency notification and sprinkler systems to ensure they are in proper working order. In addition, our staff interacts with the local fire and emergency management staff to continually update our response plans. Stay safe!