Information & Tips Archives - THE GRAND

COVID-19 Update May 29, 2020

May 29, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced during his regular press briefing Tuesday afternoon that he is creating the Congregate Care Unified Response Team, which will start aggressive COVID-19 testing in all Ohio nursing homes.

All staff members in nursing homes will be tested.  Based on subsequent information received from the Ohio Department of Health (“ODH”), it is unclear at this time if ODH will test all residents.  Once ODH clarifies if mass resident testing will occur, we will update you as we are made aware of the next steps.

Continued Safety Measures:

The steps taken to limit risk and exposure include, but are not limited to, screening and monitoring staff, essential visitors and residents with temperature checks, oxygen levels, and vital signs up to three times daily. The Grand is encouraging social distancing and limiting visitation to only necessary situations including ancillary deliveries (food, drugs, etc.). We have asked staff not to work at other jobs and pushed all to “STAY HOME” if not at work. We have increased intensity and frequency of disinfection and cleaning. We aggressively review and screen all admissions. We currently have adequate supplies of protective equipment for staff and residents. We are monitoring the situation daily and adapting as needed to continue to provide the best quality of care. We discuss issues with and follow the guidance of our Medical Directors and Attending Physicians daily.

Communication Options:

If there are any specific updates about your loved one, rest assured, we will contact you directly.  We still encourage you to reach out to our residents.  The telephone is a viable option.  Remember you can leave a message for our residents at http://www.grandofdublin.com/resident-messages or schedule a Skype call by emailing grand-family@grandofdublin.com.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update May 6, 2020

May 8, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced additional business openings today.  Social distancing will remain; barriers will appear in stores to assist with this, but we still must remain vigilant in keeping each other safe.  We don’t know exactly what it will look like, but we know life won’t look the same.

So far, there has is no proposal to ease or update restrictions for Skilled Nursing Facilities.  Visitation restrictions will remain at this time.

With more business opening up, the Governor stated they “expect” cases and numbers to increase.   Knowing this, The GRAND of Dublin will continue to fight this virus and take precautions to limit risk and work exposure.

We will still follow Ohio Department of Health and CDC requirements.  We continue to restrict visitors, wear appropriate protective gear, social distance and monitor temperatures, oxygen levels, respiratory symptoms, and vital signs multiple times per day.

We continue to work with residents and families to keep in touch!  COMMUNICATION IS KEY.  We encourage you to reach out to our residents by phone, a text based message at http://www.grandofdublin.com/resident-messages/ or schedule a Skype call by emailing grand-family@grandofdublin.com.

On May 1, 2020, medical procedures that did not require an overnight stay restarted. Dental and veterinary services also resumed.  On May 4, 2020, manufacturing, distribution, and construction businesses began to reopen if they could meet mandatory safety requirements for customers and employees.  General office environments were also allowed to reopen if they met mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

Today, Governor Dewing states that on May 12, 2020, “virtually all retail will open up and 89% of the private economy” will be open.  Barber shops and hair salons will reopen May 15, 2020.  Restaurants and bars are set to open with outside dining on May 15th and inside dining on May 21st.  Restaurants and bars will have to create a floor plan consistent with social distancing rules, but it does not seem there will be limits on occupancy.

The Governor called this re-opening plan a “gamble” with “danger signs”.  Please know, Skilled Nursing Facilities are not pulling back, they are not letting up.  Our staff continues to dedicate themselves to being cautious and doing what they can to limit exposure and spread.

We will continue to keep you updated as we hear anything new about Skilled Nursing Care specifically.  Thank you for your continued patience and understanding during this difficult time.  When in doubt, please give us a call.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update April 30

April 30, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced there is no plan to reopen nursing homes for visitors for Skilled Nursing Homes.  this week that Ohio will begin to reopen May 1st

I know we are all excited and anxious to see our loved ones after being apart for so long, but bear with us as the state of Ohio works through getting us back to a new norm. Rest assured, The GRAND of Dublin continues to take precautions to limit risk and work exposure.

We continue to follow Ohio Department of Health and Center Disease Control which are restricting visitors, wearing appropriate protective gear, social distancing and monitoring temperatures, oxygen levels, respiratory symptoms, and vital signs multiple times per day.

We continue to work with residents and families to keep in touch!   We encourage you to reach out to our residents by phone, a text based message at http://www.grandofdublin.com/resident-messages/ or schedule a Skype call by emailing grand-family@grandofdublin.com.

Governor DeWine’s current Plan:

Beginning May 1, 2020, generally, medically necessary procedures that do not require overnight stays in a healthcare facility can restart. Dental and veterinary services may resume under certain circumstances as well.

Beginning on May 4, 2020, manufacturing, distribution, and construction businesses may reopen if they meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

Also on May 4, 2020, general office environments may reopen if they can meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

On May 12, 2020, consumer, retail and services, may reopen if they can meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

We will keep you updated as we hear anything new about Skilled Nursing Care specifically.  Thank you for your continued patience and understanding during this difficult time.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update April 24

April 24, 2020

Dear Families, Friends and Staff Members,

I want to generally update you as to the status of our facility.  We are doing our best to limit any fear of the unknown.  Please keep in mind, specific patient information cannot be shared in a public setting like this.  If in doubt or concerned for your loved one, call us.  We are happy to discuss your loved one and update you with specifics.  Rest assured we are still contacting family and friends directly with pertinent information whether there is an episodic event or general information to keep you updated.

This Coronavirus pandemic has changed our county, our state and the world.  There is no script or decision tree as new situations arise.  As we all learn and adapt each day, two things must remain constant.  First, our loved ones will remain our focus and their safety and well-being our singular goal.  Second is communication.  That being said, I want to share the following update:

Safety Measures:

As you know, we are still following all directives and guidelines released by local public health departments, the Ohio Department of Health, the CDC and other governmental agencies.  We are tracking and reacting to these updates daily.

For the safety, we are still restricting visitors, and monitoring temperatures, oxygen levels, respiratory symptoms and vital signs multiple times per day.  We practice social distancing by limiting group activities and communal dining amongst other things.  As needed, staff wears appropriate masks and other protective wear and takes all precautions to limit exposure.

Community and Family Thanks:

The amount of support and offers of assistance from our families and the local community have been amazing in this time of need.  We have had family members and local businesses make and/or donate protective equipment for our residents and staff.  We have seen people change their own businesses and repurpose to help support healthcare in general.  While this pandemic has brought a lot of heartache and tribulations to families and business alike, it has also been heartwarming to see overwhelming support from our communities and families.

Communication Options:

To reiterate, it is and will remain vitally important for family and friends to stay in touch with our residents.  They need to feel the love and support of their friends and relatives. We encourage you to reach out to our residents.  The telephone is still a viable option.  Additionally, The GRAND’s Facebook is set so you can leave a message for our residents at http://www.grandofdublin.com/resident-messages/

To schedule a Skype video or group phone call, please call the facility at (614) 889-8585 and ask for the activity department, social work or email grand-family@grandofdublin.com for scheduling.

Please continue to stay in communication. The Grand of Dublin again wants to thank our staff for their continued dedication and compassion. We also want to thank our families and patients for their continued support.  We understand how hard this situation is on our staff, our family members and our loved ones.  Please continue to stay patient and stay safe.

We Are In This Together,

Blu Johnson
Administrator

COVID-19 Update April 22

April 22, 2020

To our families and friends,

Social distancing to help control the COVID-19 outbreak has affected all of us in many ways. While it’s the best thing we can do for our loved ones, we understand this is particularly hard for families of the people we serve.  Healthcare around the country is taking on a new shape.  It won’t be like this forever, but it will be forever changed.  In light of that, the one constant there is a need is to promote communication of our loved ones with their friends and families.

It is vitally important for family and friends to continue contact with our residents.  They need to feel the love and support of their friends and relatives. We encourage you to reach out to our residents, and we will be happy to help coordinate your communication with them in any way we can.  The telephone is still a viable option.  Additionally, The GRAND of Dublin has set up their Facebook so you can leave a message for our residents at http://www.grandofdublin.com/resident-messages/

To schedule a Skype video or group phone call, please call the facility at (614) 889-8585 and ask for the activity department, social work or email grand-family@grandofdublin.com for scheduling.

Facility has increased daily monitoring to multiple daily temperatures and respiratory symptom checks for all staff members, our loved ones and essential visitors. We are still monitoring the latest information from local and state of Ohio Departments of Health, the CDC and the Centers for Medicare and Medicaid Services (CMS).  We are working on additional methods to communicate and keep everyone informed of any potential cases of COVID-19, while being respectful of all private health information.  If you have questions regarding your loved one’s that has not been addressed please reach out so we can discuss or a care conference can be set.

Again, I want to thank each of you for your cooperation and understanding during this trying time. Please reach out to the facility at (614) 889-8585 with further specific questions.  Please stay in touch and stay safe.  We will get through this together.

 

Sincerely,

Blu Johnson
Administrator
The GRAND of Dublin

COVID-19 Update April 7

April 7, 2020

Dear Families, Friends and Staff Members,

We hope this message finds everyone doing well, staying safe, and remaining in good health and spirits.  Everyone’s cooperation and embrace during this crisis has been exceptional.

We are asking for families to refrain from bringing in items to their loved ones. It is difficult, but another way that we are attempting to mitigate risk as we continue to learn more about the spread of this very serious virus. We are asking at this time, that this request also include mailed in items. The only items we are able to accept currently, are ESSENTIAL items. This would include items such as medications or incontinence supplies. Please understand, as soon as we are able to safely decrease restrictions, we happily do so!

I feel it is important to continue communications between our loved ones, family members, the community and medical professionals.  If you wish to be on our email distribution list, please reach out to The GRAND of Dublin at (614) 889-8585.

I will again direct you to our facility Facebook page.  The GRAND’s Facebook page is located at https://www.facebook.com/thegrandofdublin/ or by searching for The GRAND of Dublin on Facebook. At the facility’s page you can leave messages directly for our loved ones.  If you wish to leave a message, go to the following link and your message will be delivered. http://www.grandofdublin.com/resident-messages/

To schedule a Skype video or group phone call, please call the facility at (614) 889-8585 and ask for the activity department, social work or email grand-family@grandofdublin.com for scheduling.

For safety, the facility continues to monitoring daily temperatures and respiratory symptoms of all staff members, our loved ones and essential visitors. We continue to monitor the latest information from local and state of Ohio Departments of Health, the CDC and the Centers for Medicare and Medicaid Services (CMS).  We remain in close contact with our medical doctors and have protocols in place for dealing with residents if they were to exhibit symptoms of the virus.

I want to thank each of you for your cooperation and understanding during this trying time. Please reach out to the facility at (614) 889-8585 with further specific questions.  Please stay in touch and stay safe.  We will get through this together.

Sincerely,

Blu Johnson
Administrator

COVID-19 Update – TRUMP DECLARES NATIONAL EMERGENCY

March 13, 2020

ATTENTION FAMILY AND VISITORS:

RE:    COVID-19 Update – TRUMP DECLARES NATIONAL EMERGENCY

Vrable Healthcare, Inc. and The GRAND of Dublin continue to work with all governmental bodies to limit the transmission of COVID-19.  President Trump recently declared a national emergency.  In his speech he called for skilled nursing facilities to suspend all visitations to nursing homes absent emergent / end-of-life circumstances.

Effective immediately, The GRAND of Dublin will be following governmental recommendations and temporarily halt visitation[1].

Again, we love to have visitors and family and understand spending time with family is of the utmost importance. Therefore, we are suggesting alternate means of communication.  Alternate means of communications can include Skype, Facetime, Facebook, etc.  The GRAND of Dublin will assist however they can to help accommodate this.

In the event of true end-of-life emergency, we will do our best to accommodate an emergent visit.  Outside activities and activities from outside vendors will also remain on hold.  We are asking families to cancel any outside appointments that are not medically necessary.

The health and safety of our residents and families continues to be our highest priority. Because the population we care for is especially vulnerable to potential infection, it is absolutely essential that we take these preventive steps.

The GRAND of Dublin and Vrable Healthcare will continue to follow governmental recommendations on additional prevention steps, including following handwashing and sanitation procedures.  Based on this, our process may be updated or changed at any time.  We thank you greatly for your consideration and for working with us to best limit risk to those we love.

Sincerely,

Blu Johnson,
Administrator

[1] Absent hospice or other emergent, end-of-life circumstances.

 

 

 

March 13, 2020

 

ATTENTION FAMILY AND VISITORS:

 

RE:    COVID-19 Update – TRUMP DECLARES NATIONAL EMERGENCY

 

Vrable Healthcare, Inc. and The GRAND of Dublin continue to work with all governmental bodies to limit the transmission of COVID-19.  President Trump recently declared a national emergency.  In his speech he called for skilled nursing facilities to suspend all visitations to nursing homes absent emergent / end-of-life circumstances.

 

Effective immediately, The GRAND of Dublin will be following governmental recommendations and temporarily halt visitation[1].

Again, we love to have visitors and family and understand spending time with family is of the utmost importance. Therefore, we are suggesting alternate means of communication.  Alternate means of communications can include Skype, Facetime, Facebook, etc.  The GRAND of Dublin will assist however they can to help accommodate this.

 

In the event of true end-of-life emergency, we will do our best to accommodate an emergent visit.  Outside activities and activities from outside vendors will also remain on hold.  We are asking families to cancel any outside appointments that are not medically necessary.

The health and safety of our residents and families continues to be our highest priority. Because the population we care for is especially vulnerable to potential infection, it is absolutely essential that we take these preventive steps.

The GRAND of Dublin and Vrable Healthcare will continue to follow governmental recommendations on additional prevention steps, including following handwashing and sanitation procedures.  Based on this, our process may be updated or changed at any time.  We thank you greatly for your consideration and for working with us to best limit risk to those we love.

 

Sincerely,

 

Blu Johnson,
Administrator

[1] Absent hospice or other emergent, end-of-life circumstances.

COVID-19 Update

March 12, 2020

ATTENTION FAMILY AND VISITORS:

RE:     COVID-19 Update

Vrable Healthcare, Inc. and The GRAND of Dublin are working in coordination with the Centers for Medicare and Medicaid Services (“CMS”), the Ohio Department of Health (“ODH”) and the Centers for Disease Control and Prevention (“CDC”) on limiting the transmission of COVID-19.

ODH recently released additional guidance on how skilled nursing facilities should continue to be proactive in limiting risk. The GRAND of Dublin has already begun screening visitors, staff and residents and taken other precautions outlined in the Joint Director’s Notice from ODH.

Effective immediately, The GRAND of Dublin will be following governmental recommendations and limiting the entrances of visitors to only the main, front entrance.  All visitors will be required to check-in and undertake screening and must clear the screening to be approved to visit.  Visitors must also present a valid government identification card and provide their name address and telephone number.

The GRAND of Dublin is limiting the number of visitors to one (1) visitor per resident, per day, absent emergent circumstances.  While we love to have visitors and family and understand spending time with family is of the utmost importance, we are suggesting alternate means of communication.  Alternate means of communications can include Skype, FaceTime, Facebook, etc.  The GRAND of Dublin will assist however they can to help accommodate this.  In the event of true emergency, we will do our best to accommodate an emergent visit.  At this time we will be eliminating outside activities and activities from outside vendors.  We also ask that you limit any outside appointments that are not medically necessary.

The health and safety of our residents and families are always our highest priority. Because the population we care for is especially vulnerable to potential infection, it is absolutely essential that we take these preventive steps.

The GRAND of Dublin and Vrable Healthcare continues to follow governmental recommendations on additional prevention steps, including following strict hand-washing and sanitation procedures.  Based on this, our process may be updated or changed at any time.  We thank you greatly for your consideration and for working with us to best limit risk to those we love.

Sincerely

 

Blu Johnson,

Administrator

Drug Class Series: Antiemetics

Drug Class Series: Antiemetics

Andrea Hartley, CPhT
Pharmacy Technician/Central Supply Manager
The GRAND of Dublin

Continuing the series of articles featuring common drug classes, this article is about antiemetics, or medications that treat or prevent nausea and vomiting.  The nausea and vomiting can be from any cause, including motion sickness, illness, drug side effects, and chemotherapy reactions.

Below I list some of the more common antiemetic medications and the most notable information about them.

dimenhydrinate (Dramamine); usually used for motion sickness; available OTC as an oral tablet and a prescription injection.

diphenhydramine (Benadryl); usually used for motion sickness, also commonly used as an antihistamine in preventing and treating allergic reactions as well as itching; available OTC as a tablet, capsule and liquid to be taken by mouth and as a prescription injection.

meclizine (Bonine); usually used for motion sickness and vertigo, also an antihistamine; available as OTC and prescription tablets.

promethazine (Phenergan); available in an oral tablet OTC and as a prescription in the form of a rectal suppository and injection.  Also an antihistamine used for minor allergies and used to relax patients in a clinical setting.

metoclopramide (Reglan); available in a regular and disintegrating oral tablet, liquid and injection; also used to treat gastroparesis and esophageal problems and usually used for nausea caused by these problems; available as prescription only.

ondansetron (Zofran);available as a regular oral tablet, an orally disintegrating tablet, an oral liquid and an injection; frequently used in pregnancy to treat nausea and nausea caused by radiation and chemotherapy treatment;  available as prescription only.

prochlorperazine (Compazine); technically an anti-psychotic but it is frequently used as an antiemetic.  It’s available as an oral tablet, rectal suppository and an injection and is prescription only.

scopolamine (Transderm Scop patch); used to prevent motion sickness, it’s available as a prescription only patch that’s worn behind the ear for three days at a time.

chlorpromazine; another one that’s technically an anti-psychotic but it is frequently used as an antiemetic.  It’s available as an oral tablet and injection and is prescription only.

Trimethobenzamide (Tigan); available as an oral capsule and an intramuscular injection.

I hoped this gave you a little information about these common drugs.  Next time I will be giving you information about a relatively new class of drugs:  antivirals.

The 5 Stages of Grief

The 5 Stages of Grief

Catherine Denlinger
Director of Social Services, MSW, LSW
THE GRAND of Dublin

Given the tragedies that happened over the weekend in El Paso and Dayton, I thought I would briefly talk to you about grief and how to cope with loss in general.

There are 5 stages of grief that one typically goes through and there is no timeline on each stage.  Everyone grieves at their own pace and on their own terms. The important thing to remember is that grieving is a natural and a necessary course of emotions that everyone goes through.

Grief Cycle

Below are the 5 stages of grief:

  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance

 

  1. Denial – Initially we are in shock that this happened. We are telling ourselves that this can’t be real.  I must be dreaming.  Please tell me I’m dreaming.  Numbness takes over our bodies and we seem to be frozen, unable to comprehend what’s happening.  This is a normal reaction to loss, tragedy, trauma, etc.
  1. Anger– We are annoyed easily, blame others, question our faith, and feel very negative about everything and everyone. The underlying feeling of anger is pain.  In order to grieve we need to feel angry.  It’s ok to be mad, to be upset, and to be furious.  We need to look for a reason.  Why did this happen?  Why did this happen to me, to us, to him, to her, to them?  Looking for an answer to explain what happened so that we can understand the why.  This is a normal reaction to loss, tragedy, trauma, etc.
  1. Bargaining – If only…What if…Please God…. This stage is when we try to come up with a plan to fix it.  Trying to figure out how we can give something of ourselves and in return we wake up and this was all just a bad dream.  This is when we are going through the guilt.  Why not me? It should have been me? Let me take his/her/their place.
  1. Depression – Emptiness. The loss is real and we feel it.  It’s the heaviness in our bodies and in our hearts.  This is one of the hardest stages to go through for many people.  The pain and loneliness can feel overwhelming.  This is most definitely when you need support from others.  You don’t have to go through this alone.
  1. Acceptance – We never forget, we find peace within ourselves. As hard as it is to do it is necessary.  We must try to live in a world without our loved one.  Things change, we change and we never replace.  We just learn to live with it day by day, month by month, and year by year.

In summary, be in shock, be mad, be a negotiator, be down and at some point…move forward.  It’s okay to experience these emotions.  It’s necessary to be able to move on, to have good days, to feel happy again, to experience pleasures, and to enjoy life.  If you find yourself unable to have these good feelings then please seek help.  There are many resources to help you with the grieving process. You are not alone.

If you’re ever in the situation that you need long term care, skilled care, any care in a Nursing Center and you are going through struggles in your life please reach out to your social worker.  We can help! We have resources to assist you with managing your feelings and improving your mood.  When in a Nursing Center and the social work administers a PHQ-9 mood assessment (discussed in a previous article) they are asking these questions for a reason.  When answering these mood questions and scoring a lot of points, take advantage of the question, “would you like to talk with someone about how you’ve been feeling?” “Would like to talk with a counselor or our physician?” “Would you like to talk with me about how you’ve been feeling?” Social workers in Nursing Centers are not grief counselors; however, we are trained to have the basic skills that are needed to provide support and encouragement to you.  We want to help you.   If you need help, we are here for you.