Harmony Healthcare Blog

COVID-19 Seniors at Risk: Top 8 Things to Prevent Death

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Fri, Apr 10, 2020

Find me on:


Edited by Kris Mastrangelo

COVIDBLOGjpg

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The CDC, CMS, AHCA and all State Associations are working around the clock to assist Skilled Nursing Facilities with navigating through this unprecedented time.  The resources are available, but it may difficult for operations to problem solve and prioritize due to the overwhelming risk and mortality of the senior population from COVID-19.

Coronavirus is a member of larger “family of viruses” called Coronaviruses (which includes the common cold). The name is derived from the shape of the virus at the molecular level, it looks like a “crown” with projections.  Those spikes on the virus allow it to stick to human cells and proceed to take over the normal cellular structure and then replicate itself.  This family of viruses has been around over 50 years.  COVID-19 (SARS-CoV-2) is the 7th coronavirus known to effect humans.

More recently, in 2002, SARS (Severe Acute Respiratory Syndrome), in 2012, MERS (Middle East Respiratory Syndrome), and in 2017 SADS (Swine Acute Diarrhea Syndrome) resulted in the below Death Rates. 

Virus

Year

Death Rate

Pathogens

SARS

2002

1%

Bats

 

MERS

2012

1 in 3

SADS

2017

No humans infected but

25,000 piglets

COVID-19

2020

3.2%

 

Per the NSVH, the demographics of the age and mortality show that:

78.23 % of deaths thus far are 65 years old or older!

  • 65-74 years old 22.02%
  • 75-84 years old 27.92%
  • 85 and older years old 28.29%

     

    COVID-19
    Deaths and % Deaths by Age
    Reference: National Vital Statistics System (NVSS)

    Age

    COVID-19 Deaths

    COVID-19

     % Deaths

    Under 1 year

    0

    0.00%

    1 - 4 years

    1

    0.02%

    5 - 14 years

    0

    0.00%

    15 - 24 years

    4

    0.10%

    25 - 34 years

    38

    0.93%

    35 - 44 years

    102

    2.51%

    45 - 54 years

    236

    5.81%

    55 - 64 years

    504

    12.40%

    65 - 74 years

    895

    22.02%

    75 - 84 years

    1,135

    27.92%

    85 years plus

    1,150

    28.29%

    Total

    4,065

    100.00%

     

As of 4.8.20, per the CDC, the U.S. has 399,752 cases of COVID-19 totaling 12,827 deaths and a 3.2% mortality.

The key takeaway here is that our nation’s seniors (those age 65 and older) are the most at risk to this disease. Furthermore, the residents of nursing homes have the grates risk due to their co-morbidities and pre-existing medical conditions.

To stop the spread of COVID-19 and to keep nursing facility residents safe, please be mindful of the following:

  1. Transparency is key. The CDC and other health organizations can only eliminate this threat with the data they receive from infected individuals across the country. Be sure to report all cases and track the symptoms (or lack thereof) for those quarantined.  Sharing the experience of symptoms with family, friends, colleagues and public health officials to reduce the spread of infection. 
  2. Work collaboratively (Nursing Home Staff and the Community) to social distance from one another; in turn, keeping those near who have not become exposed to COVID-19 safe.
  3. Data is Everything. Data gathering and analysis starts with local public health officials and is used by medical professionals and researchers worldwide. Cooperate with the local DPH.
  4. Do not stigmatize the Nursing Home population for their plight, help them.
  5. Do not allow visitors to enter the facility if they have symptoms or exposed to COVID-19.
  6. Teach families how to communicate with loved ones via Skype, FaceTime or phone as much as possible. Visual (Face to face) connection is best.  Phone is second best.
  7. Provide residents with activities they enjoy. Families are encouraged to communicate and emphasize these specifics to Nursing Home Staff.
  8. Educate the healthcare staff on infection control and implement systems that include ongoing

The below data (from the CDC and NVSS) aids to visualize the risk of death by age and % death by age for seniors in the U.S.

The below data (from the CDC) aids to visualize the increase and number # of deaths from 3.14.20 to 4.8.20 by state.

COVID-19
% of Deaths by State (Highest to Lowest)
Reference: CDC

State

# of Cases

4.8.20

# of Deaths

Death %

Kentucky

1149

65

5.657%

Washington

8682

403

4.642%

Oklahoma

1472

67

4.552%

Michigan

18970

845

4.454%

Vermont

575

23

4.000%

New York

142384

5,489

3.855%

Georgia

9156

348

3.801%

Louisiana

16284

582

3.574%

Wisconsin

2578

92

3.569%

Connecticut

7781

277

3.560%

Ohio

4782

167

3.492%

Kansas

912

31

3.399%

Colorado

5429

179

3.297%

Minnesota

1069

34

3.181%

Indiana

5507

173

3.141%

Mississippi

1915

59

3.081%

Alabama

2197

64

2.913%

Arizona

2575

73

2.835%

Alaska

213

6

2.817%

Illinois

13549

380

2.805%

Oregon

1181

33

2.794%

Nevada

2087

58

2.779%

New Jersey

44416

1232

2.774%

California

17620

450

2.554%

Iowa

1049

26

2.479%

Rhode Island

1229

30

2.441%

Maryland

4371

103

2.356%

Massachusetts

15202

356

2.342%

Maine

519

12

2.312%

Missouri

3037

70

2.305%

South Carolina

2417

51

2.110%

Nebraska

478

10

2.092%

Florida

14747

296

2.007%

DC

1211

24

1.982%

Virginia

3333

63

1.890%

Montana

319

6

1.881%

South Dakota

320

6

1.875%

Texas

8939

167

1.868%

Arkansas

997

18

1.805%

New Hampshire

747

13

1.740%

Tennessee

4138

72

1.740%

Delaware

928

16

1.724%

North Dakota

237

4

1.688%

Pennsylvania

14945

250

1.673%

New Mexico

794

13

1.637%

North Carolina

3321

54

1.626%

Idaho

1210

15

1.240%

Hawaii

410

5

1.220%

West Virginia

412

4

0.971%

Utah

1738

13

0.748%

Wyoming

221

0

0.000%

National Totals

399,752

12827

3.209%

 

COVID-19
# of Cases by State

3.14.20-4.8.20
Reference: CDC

State

# of Cases
3.14.20

# of Cases
3.18.20

# of Cases
3.23.20

# of Cases
3.25.20

# of Cases
4.8.20

Alabama

5

46

157

242

2197

Alaska

1

6

32

42

213

Arizona

9

27

152

326

2575

Arkansas

9

33

165

230

997

California

314

751

1802

2511

17620

Colorado

77

184

591

921

5429

Connecticut

12

68

327

618

7781

DC

10

31

116

183

1211

Delaware

4

19

56

104

928

Florida

71

314

1007

1682

14747

Georgia

42

199

620

1026

9156

Hawaii

2

14

56

90

410

Idaho

1

9

47

71

1210

Illinois

46

162

1049

1535

13549

Indiana

12

29

259

477

5507

Iowa

17

29

90

124

1049

Kansas

11

18

64

98

912

Kentucky

11

27

104

163

1149

Louisiana

36

257

837

1388

16284

Maine

3

42

89

118

519

Maryland

14

85

244

349

4371

Massachusetts

138

218

646

1159

15202

Michigan

25

83

1035

1791

18970

Minnesota

14

77

169

287

1069

Mississippi

4

34

207

377

1915

Missouri

5

18

128

255

3037

Montana

4

11

34

48

319

Nebraska

28

24

42

53

478

Nevada

19

55

190

278

2087

New Hampshire

7

26

78

108

747

New Jersey

50

267

1914

3675

44416

New Mexico

10

23

65

100

794

New York

420

2495

16900

26358

142384

North Carolina

23

70

297

504

3321

North Dakota

1

6

30

37

237

Ohio

13

86

351

564

4782

Oklahoma

4

19

67

106

1472

Oregon

29

68

161

209

1181

Pennsylvania

42

152

479

851

14945

Rhode Island

14

33

83

123

1229

South Carolina

13

47

195

342

2417

South Dakota

9

11

21

30

320

Tennessee

26

79

505

667

4138

Texas

51

166

719

715

8939

Utah

5

51

181

298

1738

Vermont

2

18

52

95

575

Virginia

30

67

219

391

3333

Washington

568

1014

1996

2469

8682

West Virginia

0

1

12

39

412

Wisconsin

8

106

381

457

2578

Wyoming

2

15

24

30

221

National Totals

                       2,271

                       7,690

                      35,045

                      54,714

                    399,752

 

COVID-19
# of Cases by State

(Highest to Lowest)
Reference: CDC

State

# of Cases

# of Deaths

Death %

New York

142384

5,489

3.855%

New Jersey

44416

1,232

2.774%

Michigan

18970

845

4.454%

California

17620

450

2.554%

Louisiana

16284

582

3.574%

Massachusetts

15202

356

2.342%

Pennsylvania

14945

250

1.673%

Florida

14747

296

2.007%

Illinois

13549

380

2.805%

Georgia

9156

348

3.801%

Texas

8939

167

1.868%

Washington

8682

403

4.642%

Connecticut

7781

277

3.560%

Indiana

5507

173

3.141%

Colorado

5429

179

3.297%

Ohio

4782

167

3.492%

Maryland

4371

103

2.356%

Tennessee

4138

72

1.740%

Virginia

3333

63

1.890%

North Carolina

3321

54

1.626%

Missouri

3037

70

2.305%

Wisconsin

2578

92

3.569%

Arizona

2575

73

2.835%

South Carolina

2417

51

2.110%

Alabama

2197

64

2.913%

Nevada

2087

58

2.779%

Mississippi

1915

59

3.081%

Utah

1738

13

0.748%

Oklahoma

1472

67

4.552%

Rhode Island

1229

30

2.441%

DC

1211

24

1.982%

Idaho

1210

15

1.240%

Oregon

1181

33

2.794%

Kentucky

1149

65

5.657%

Minnesota

1069

34

3.181%

Iowa

1049

26

2.479%

Arkansas

997

18

1.805%

Delaware

928

16

1.724%

Kansas

912

31

3.399%

New Mexico

794

13

1.637%

New Hampshire

747

13

1.740%

Vermont

575

23

4.000%

Maine

519

12

2.312%

Nebraska

478

10

2.092%

West Virginia

412

4

0.971%

Hawaii

410

5

1.220%

South Dakota

320

6

1.875%

Montana

319

6

1.881%

North Dakota

237

4

1.688%

Wyoming

221

0

0.000%

Alaska

213

6

2.817%

National Totals

399,752

12827

3.209%

 

Harmony Healthcare International (HHI) is a premier Nursing Home Consulting and Long Term Care Consulting firm.  We can help educate, train and refine systems for Infection Control.

Please feel free to call Kris Mastrangelo, President and CEO at 617.595.6032

 

Don't forget to register for our Webinar this Monday, April 13th on Trauma-Informed Care!

Click Here to Register

Harmony Healthcare International (HHI) is available to assist with any questions or concerns that you may have.  You can contact us by clicking here.  Looking to train your staff?  Join us in person at one of our our upcoming Competency/Certification Courses.  Click here to see the dates and locations. 


 harmony20 October 29-30 2020 Encore Boston Harbor

Tags: Regulatory, coronavirus, COVID-19

Subscribe to The HHI Blog

Posts by Topic

see all
New Call-to-action
PDPM

Stay connected!

Instagram