TO: Residents and Staff FROM: David Swartley, President/CEO DATE: April 24, 2020 RE: Coronavirus (COVID-19) – Update #9
Welcome to update #9.
There is not a lot of new guidance this week for the majority of our residents.
Internally, we continue to have staff devoting time to securing Personal Protective Equipment (PPE). The shortages reported in the daily news cycle are accurate; thus far, we have had adequate supply but are planning for the weeks ahead.
There are a couple of points that I will reiterate from yesterday’s Resident Association “ZOOM” meeting. When walking outside, you do not need to wear a MASK; however, please take one with you. Frequently, you may encounter other folks and start a conversation. Stop the spread; put on your mask during these times AND continue to practice social distancing. If you find the mask uncomfortable (as I do), think about our caregivers who are wearing them for full days, non-stop. For me, it puts it into perspective.
I reported earlier this week that we had no COVID-19 positives in residents or staff at Moravian Manor Communities. While that remains the case, we are continuing to plan for our care areas with the assumption that will not be the case forever.
Our community has been touched by two COVID-19 deaths in recent days. In March, a skilled nursing resident was transferred for treatment at a specialty hospital. Testing for COVID-19 last week, before the resident was returned to us, yielded a positive COVID-19 result. Tragically, the resident passed away at the hospital. We also learned this week that the mother of an employee has succumbed to COVID-19. The mother lived outside of the area, and our employee has not had recent contact.
While in both cases the disease did not originate in (or enter) Moravian Manor Communities, the emotional toll is real. In both situations, I ask that you keep their families and our staff in your thoughts and prayers.
I want to express my appreciation, once again, for the spirit that you all bring to Moravian Manor Communities. Our Resident Association, “May Day” fund is off to a solid start. At the same time, many of you participated in decorating your windows in support of our caregivers. Also, this week, many of you stepped outside and “made a joyful noise” in the recognition of our staff.
I assure you that these actions are appreciated more than you will ever know. As stated in the paragraphs above, the virus is real, and our staff is working hard caring for residents with this at the forefront.
Our infection control team is incredible. Our COVID-19 team processes the daily guidance from the Center for Disease Control and the Pennsylvania Department of Health. The team is working tirelessly to protect our residents and our staff. The work is exhausting as the guidance changes frequently as we learn more about the Coronavirus.
At the request of several residents, I have attached the chart that I used in the video production earlier this week. To the best of my knowledge, North Dakota State University produced this document. To be candid, I find myself fluctuating daily from the “Fear Zone” to the “Growth Zone.” Hopefully, this is an excellent reminder to all of us what to focus on daily. Your actions this week lead me to believe that many of you are very well implanted in the Growth Zone!
Thank you for your support of our team. You all continue to make Moravian Manor Communities thrive, even in difficult times!
Understandably, pet owners are concerned about the COVID-19 outbreak and how it may impact their beloved furry family members. This blog includes some information shared on the websites of some locally, nationally and internationally well-regarded sources in the veterinarian field.
On Wednesday, April 22, federal agencies announced that two cats have become the first pets in the United States to test positive for coronavirus. Both animals, which are from separate areas of New York state, had minor respiratory symptoms and are expected to make a full recovery, a release from the U.S. Department of Agriculture and the U.S. Centers for Disease Control and Prevention says.
One cat was tested after its owner had already tested positive for COVID-19. The other came from a home where no one has a confirmed case of the virus, and officials speculate the animal may have contracted the virus from a family member who didn’t realize they had the virus or through contact with an infected person outside the home.
This blog includes some information shared on the websites of some locally, nationally and internationally well-regarded sources in the veterinarian field.
“We don’t want people to panic. We don’t want people to be afraid of pets” or to rush to test them en masse, Dr. Casey Barton Behravesh, a CDC official who works on human-animal health connections, told the Associated Press. “There’s no evidence that pets are playing a role in spreading this disease to people.”
“Most basic: Treat pets as you would other human family members. That means pets shouldn’t interact with people or animals outside their home, cats should remain indoors if possible, owners should avoid busy dog parks and dogs should be walked on a leash, maintaining a 6-foot distance from other people and animals.”
What do we know about COVID-19 virus and companion animals? The current spread of COVID-19 is a result of human-to-human contact. To date, there is no evidence that companion animals play a significant a role in spreading the disease. Therefore, there is no justification in taking measures against companion animals, which may compromise their welfare.
“For responsible pet owners, preparing in advance is key. Make sure you have an emergency kit prepared, with at least two weeks’ worth of your pet’s food and any needed medications. Usually we think about emergency kits like this in terms of what might be needed for an evacuation, but it’s also good to have one prepared in the case of quarantine or self-isolation when you cannot leave your home.”
• Animal owners without symptoms of COVID-19 should continue to practice good hygiene during interactions with animals. This includes washing hands before and after such interactions and when handling animal food, waste, or supplies.
• Until more is known about the virus, those ill with COVID-19 should restrict contact with pets and other animals, just as you would restrict your contact with other people. Have another member of your household or business take care of feeding and otherwise caring for any animals, including pets. If you have a service animal or you must care for your animals, including pets, then wear a cloth face covering; don’t share food, kiss, or hug them, and wash your hands before and after any contact with them.
• Routine testing of animals for SARS-CoV-2 is NOT recommended. Veterinarians are strongly encouraged to rule out other, more common causes of illness in animals before considering testing for SARS-CoV-2.
“Pets are an important part of our family, and one of the bright spots in the stay-at-home mandates is that we get to spend more time with them. The pets of the world are probably delighted with that aspect of the current crisis.”
What if my pets not feeling well or is showing signs of flu-like illness? If your pet shows any signs of illness, such as coughing, sneezing or lethargy, call your veterinarian immediately, and keep them indoors to prevent further spread. Signs of illness in dogs and cats are usually associated with various common viral and bacterial infections (kennel cough, canine flu, etc.) that are neither coronaviruses nor transmissible to people.
Should my pet wear a mask? No. There’s no scientific evidence that face masks protect pets from infectious diseases or air pollutants, and masks have the potential to be unnecessarily scary or uncomfortable for pets.
Is there a COVID-19 vaccine for cats and dogs? There is no COVID-19 vaccine for pets at this time. The vaccine for canine coronavirus is not effective against the virus that causes COVID-19.
I am well, my pet is well – how can I maintain a normal routine? While respecting social distancing as required, you can continue to walk your dog. Ensure both you and your dog remain at least 6 feet away from others. You should avoid dog parks. While you spend more time at home, try to dedicate more time to playing with your dog or cat. It’s a great time to bond, teach them new tricks or focus on behavior training.
Because COVID-19 is an emerging infectious disease, new information is being released constantly. To determine good sources for information, it may be wise to reach out to your trusted veterinarian for organizations they recommend you follow for ongoing information sources.
DISCLAIMER: The information contained in this article is for informational purposes only and is NOT intended to serve as any form of advice for you or your pet. If you have any concerns about your pet’s health, please contact your veterinarian directly.
The current “Stay at Home” COVID-19 order can make it challenging to stay active. But exercise is the key to healthy aging, so our community partner, the Lititz recCenter, has provided some tips…
Fitness Classes
During this time of “distancing,” the training staff at Lititz recCenter is providing a variety of fitness activities on their website at http://lititzrec.com/fitness-from-a-distance/. On this page, scroll down to these three free classes:
• SilverBalance (for stability, balance, and posture) • SilverYoga (for flexibility, breathing, and meditation) • SilverStrong (an advanced class to improve the cardio and strength)
Staying Limber
Staying flexible and limber as we age can help increase range of motion and make everyday tasks easier. Daily stretching may allow for greater movement in joints and improves posture. It also helps to release muscle tension and soreness, and reduces the risk of injury. Lastly, it may also help increase circulation, muscle control, and improve balance and coordination. Stretching is convenient, requires minimal equipment, and can be done anywhere.
The Lititz recCenter offers the following stretching tips:
• Take a deep breath and slowly exhale as you stretch. • Hold each stretch for 20 to 30 seconds to give the muscle ample time to relax. • Don’t bounce while you stretch, as this increases your risk of injury. • Only stretch until you feel tension in the muscle, not to the point of pain. • Always warm up before stretching by moving around for 5 to 10 minutes, such as going for a walk.
Neck Stretch
Stretch the neck by slowly bringing your chin toward your chest and turning your head side to side (Hold each position for 15 seconds)
Chest Stretch
Stretch your chest by extending both arms to the side, palms facing forward.
Ankle Stretch
Stretch your ankles by sitting in a chair and slowly moving your foot up and down and side to side.
Hold each position 30 seconds and repeat on other foot.
Hamstring Stretch
Lie on your back and extend one leg perpendicular to your body.
Grasping around the back of your thigh, slowly pull the leg towards you, keeping your other leg and hip on the ground. Do not pull on your knees when stretching.
Quadriceps Stretch
Start your hips by lying on your back, bringing one knee out to the side of your body.
Pull your foot towards your body until you feel a stretch. You can use a belt or a towel to help if you cannot reach your foot, and this can be done in a standing position as well.
Hip Stretch
Stretch your hips by lying on your back, bringing one knee out to the side of your body.
Lower Back Stretch
Stretch your lower back by lying on your back, knees bent and feet together. Keep feet flat on the floor. Keeping knees together, lower your legs to one side, twisting your torso until your feel a stretch. Hold and repeat on other side.
Tips for Tight Muscles
Any new exercise or even stretching exercises can lead to tight muscles. These tips can help alleviate any soreness one experiences. If your pain persists, consult your physician. Stop and call 911 if you experience major muscles pain, dizziness or Nausea.
1. The Rice Principle
You may feel some muscle soreness when you begin a regularly scheduled exercise program. This is possibly due to the lack of conditioning and or/ overexertion. If you experience any musculoskeletal injury or soreness, stop exercise and follow the “RICE” principle. • Rest • Ice the area for roughly 15 minutes then wait 15 minutes before reapplying. • Compression: Secure a bandage to hold the ice firmly around the injured area. • Elevate the injures area. If the pain persists – consult your physician.
2. Exercise Safety
• Always warm-up and cool-down • Start slowly and progress gradually • Drink plenty of water… before, during and after. • Breathe evenly and never hold your breath. • Maintain proper body alignment and avoid lifting too much weight. • Don’t over train… rest days are important.
3. Flexibility Component
• Frequency: 3 to 7 days per week. Stretching is encouraged after each exercise session, during the cool-down phase. • Intensity: Stretch each muscle to the point of slight discomfort, do not bounce. • Time: Hold each stretch for at least 15 to 30 seconds. Hold the stretch, not your breath. • Type: Any slow stretch that incorporate each muscle group of the body. • What You Should Know: Specific stretches will be personalized for each participant if necessary, based on their health history and musculoskeletal limitations. Stretches should be held steady.
4. Benefits of Stretching Exercises
• Increases flexibility and enhances coordination. • Improves posture, joint mobility and circulation
NOTE: Always consult a doctor before starting a new exercise routine. If you have any muscle or joint injuries or previous surgeries, be sure to ask your doctor or physical therapist what stretches are best for you. Never stretch to the point of pain or hold your breath d
TO: Residents and Staff FROM: David Swartley, President/CEO DATE: April 17, 2020 RE: Coronavirus (COVID-19) – Update #8
Greetings! As I write update #8, I find it hard to believe that we have been “at this” for almost two months. In some ways, it feels like a week; in other ways, more like a year.
A special thanks to all of you for complying with all the guidance over the Easter and Passover holidays. I found being physically separated from our family and friends to be very hard. However, the weekend at Moravian Manor Communities was quiet, and there were no issues of significance.
As I shared in our Resident Association meeting (via ZOOM) this week, our dietary staff prepared 230 take-out dinners this past Sunday. Kudos to our team, and also to all of you, for staying home and ordering take-out meals. Also, our shopping duties have increased astronomically. I apologize for anyone who was expecting food over the weekend and had to wait a few days. At this point, we are stating that upon ordering your groceries, please expect delivery within 72 hours. Please do not wait until the last minute to order food; it is a service in high demand. And please, no tipping of our staff is permitted. Our local stores are backed up for about two weeks with their home delivery.
During our Thursday Resident Association meeting, I was asked about maintenance service. They will address the following issues:
• Heating/Cooling issues • Water temp/pressure issues • Plumbing issues that hinder use • Appliance issues hindering use • Items such as grab bars or non-skid strips if it is needed for the residents’ safety • Refrigerator filter changes- some models will not dispense water or ice if the filter is due for a change and we want to be sure residents have drinking water • TV/Phone/Internet issues
If you have specific questions, please email or call Jackie Brendle. Some situations will not fit neatly into a list!
At the time of this writing, we remain a COVID-19 free facility. We are grateful for this; our infection control team led by Donna Gerofsky is doing an incredible job. There are daily risks with residents and staff that need to come and go from our facility. We remain vigilant with our temperature testing of all employees two times/day. Our COVID-19 Task Force is currently meeting three times/week to review any changes from the Center for Disease Control or the Pennsylvania Department of Health.
The question most often asked of me is, “what next?” I fully expect Pennsylvania to follow New York State’s lead in extending the “Stay at Home” order until May 15. At that point, there should be enough “smoothing” in the virus to begin reopening businesses gradually. It is not yet clear what this would mean for our care areas. The Department of Health will guide us through that process.
I offer a weekly word of encouragement to our staff as well. The challenge I laid out to our team members I share below (abbreviated):
Earlier this week, I was meeting with Chaplain Rich. He asked me a thought-provoking question, “What are we learning from all of this?”
The question can be directed at Moravian Manor Communities as a whole, or to each one of us individually. I would ask that we all ask that question of ourselves during this crazy time in history.
I read an interesting article by David Baum this week entitled, “Circles of Care.” In his article, he asked four questions:
a. What can I do to transform myself? b. What can I do to transform my essential relationships? c. What can I do to transform my work and a sense of purpose? d. What can I do to transform the larger world of which I am a part?
I have found myself “dancing in my shoes” with the lack of activity outside of work. After many years of complaining that I never have enough downtime, this discomfort seems ironic.
The French mathematician, Pascal, stated, “All humanity’s problems stem from man’s inability to sit quietly in a room alone.” Great food for thought.
With the comments above in mind, I offer a challenge to you (and to myself), “in what area can I grow during this interesting time?”
John Wesley said, “Do all the good you can. For as long as you can. As best as you can. For as many people as you can.”
You are all living that quote. Please keep up the good work; at the same time, take care of yourself and chose one area that you can grow in during this time.
Thank you! You are all special people.
The challenge above is one for each one of us to consider. Thank you for your ongoing support of each other and our staff. It means a lot and is necessary. It is a sign of a very healthy community.
I am very appreciative of the Resident Association initiative to raise money for our front-line staff. Thank you for recognizing their efforts!
Have a great weekend. Stay strong, hang in there, and keep walking!!
TO: Residents and Staff FROM: David Swartley, President/CEO DATE: April 3, 2020 RE: Coronavirus (COVID-19) – Update #6
Happy April! I am writing once again to bring everyone up-to-date on the most recent developments regarding COVID-19. This past week, as expected, the COVID-19 cases in Lancaster, Pennsylvania, have climbed significantly. Also, there are more and more retirement communities with a positive test for COVID-19. At the time of this writing, Moravian Manor Communities does not have any identified cases at this time. We tested some residents and staff for COVID-19; thus, far, all results have been negative. While we rejoice the reality of today, I realize that our news could change by the time you receive this memo!
In the spirit of continuously planning, our COVID-19 team continues to meet regularly and fine-tune our plans. My update today will be relatively brief. Below I outline some of the significant updates.
• We implemented Residential Living residents receiving a daily call as part of a “check-in” system this week. Thanks to all of you who are assisting with this critical effort.
• All staff is wearing masks when they are in the building (unless they are alone in an office).
• We have also moved our Information Technology Services (IT) to emergency-based services for our residents. We do not want any more staff/resident contact than necessary.
• We have taped “six-foot” markers in the café. During lunchtime hours, there was inadequate social distancing while waiting in line to pick up food. No dining is permitted in the café.
• We are “spreading out” our employees in the break room to one per table. We have added tables in the Zinzendorf Room for additional seating for our employee breaks and lunches.
• We will reopen Health Center South (currently unoccupied) for any Skilled Nursing, Assisted Living, or Personal Care resident who would test positive for COVID-19. The Pennsylvania Department of Health is encouraging residents who test positive to be isolated to one area if possible. We have the unintended good fortune of having that area vacant at present and plan to use this to our advantage! If a resident in Residential Living tested positive for COVID-19, they would self-isolate in their home unless more medical care is warranted.
I hope you can live the balance between being cautious while enjoying life. Most people tend to focus on negative statistics. Keep in mind that ninety percent of COVID-19 tests come back as negative. Most who test positive recover thoroughly!
Dealing with Coronavirus is a stressful time. This week I read online an individual saying, “in normal times I am a guy who would talk to my house plants. Now I am playing board games with them!”
I was reading a devotional this week written by a not-for-profit leader during the Great Recession (in 2008). Remember, we thought that would never end either, and it did! The author of the devotional quoted Psalm 89: 1-2.
“I will sing of your steadfast love, O Lord, forever; With my mouth, I proclaim your faithfulness to all generations. I declare your steadfast love is established forever, Your faithfulness is as firm as the heavens.”
Regardless of your beliefs, I hope you can hold on to the word “steadfast” in these verses. God is steadfast and will see us through these times.
Thank you for your support and endurance during this difficult time. Remember to keep walking and moving if you can do so. I have also attached a short tip sheet from Hospice and Community Care on how to deal with stress. While it is intended for caregivers, it applies to all of us.
Each time you hear from me, we are one week closer to the end of this! Stay strong!
