New Brunswick

Some nursing home residents still waiting for first hug since March

It's been three weeks since the government announced that physical contact would be allowed in nursing homes, but many residents are still waiting for their first hug since March.

Physical contact still banned in some homes, despite government announcement

After nearly six months of physical distancing, the government announced on Aug. 28 that nursing home residents woud be allowed physical contact with one designated person. Some are still waiting. (Juli Miller)

It's been three weeks since the government announced that nursing home residents could get hugs from loved ones, but Bonnie Aigner is still waiting. 

"Nothing has changed," said the Upper Coverdale resident. 

Despite the Aug. 28 announcement, physical contact still isn't allowed at her mother's Moncton nursing home. 

Sussex resident Greg Loosley was able to hug his wife on Sept. 3 — the first one since COVID-19 put long-term care facilities into lockdown. 

But he's still waiting to be able to take his wife of 52 years to his apartment for a meal and a change of scenery. 

Other homes, meanwhile, are encouraging hugs and off-site visits for the emotional well-being of residents. 

Greg and Carol Loosley have been married for 53 years. They had their first hug since March on Sept. 3. They're still waiting for an off-site visit at Greg's apartment. (Submitted by Kelly McMillan)

Loosley finds the discrepancies between home almost cruel. 

When the government announced that designated support people, known as DSPs, would be reintroduced and that off-site visits would be allowed "effective immediately," it left the implementation up to individual long-term care homes. 

When asked about discrepancies on Friday, Abigail McCarthy, a communications officer with the Department of Social Development, said each home was responsible for ensuring that public health guidelines were followed.

"As always, it will be up to each facility to develop their individual plan based on Public Health guidance to make sure that visits can be as safe as possible for residents and staff," said McCarthy, declining further comment. 

Aigner was told that her mother's nursing home didn't have enough staff to proceed with DSPs and off-site visits. The plan is to start next week, but Aigner isn't holding her breath. 

After all, she got her hopes up after the Aug. 28 announcement. 

Bonnie Aigner says her mother, Donna Alcox, pictured here at her nursing home, is craving physical contact. (Submitted by Bonnie Aigner)

"Yeah, I was real excited. I went, 'Oh, great, now I'll be able to go and see her and give her that quick little hug that she's looking for.' And so far, it's still the same."

Aigner said her mother, Donna Alcox, doesn't understand why her daughter doesn't visit as often and won't touch her. 

"It is almost a form of elder abuse, denying them this and taking so long, dragging their feet. Like really, four weeks? Come on."

Aigner said her mother's home is already screening people on the way in, and all visitors have to wear masks and wash or sanitize their hands on entry.

Loosley said family members are willing to do whatever it takes to be able to hug their loved ones and take them out for a change of scenery after six months. 

"Absolutely," he said. "It would be worth it just to have her here." 

Loosley looks around at life returning to almost normal for everyone else — children back in school, planes flying in and out of the province, unrestricted travel in the Atlantic provinces — and he can't push his wife's wheelchair across the Kiwanis Nursing Home parking lot to his apartment for a coffee. 

For months, window visits were the only way that loved ones could spend any time with residents of nursing homes. For many, it wasn't enough. (Pierre Fournier/CBC)

Officials with the Kiwanis Nursing Home did not respond to CBC's request for an interview. 

Loosely said his wife now refers to the home as a "prison" — something she never did before. He worries about her mental health. 

The owner of a Salisbury nursing home understands the importance of off-site visits. 

"It's good for them to get out and resume normal life and visit with family," said Jason Wilson, who owns Silver Fox Estate.

"It's particularly good for their mental health. It can be depressing for them if they're boxed in from the outside world … It really boosts their spirits and it's healthier for them." 

That's why his facility resumed off-site visits just as soon as the government lifted restrictions on them. 

Wilson said it's not like family members would deliberately put the residents at risk.

"These people aren't coming in and bringing their loved ones to a rock concert. They're bringing them for a meal or a drive in the country or a coffee."

He said his facility will continue to encourage a "common-sense approach" to off-site visits, "so we can continue to have these people living their best lives.

"Their time is limited here. We want them to make the best of it."

Wilson said there are conditions on off-site visits, including that they have to be arranged in advance. Residents and family members are expected to follow public health protocols for COVID-19, and they have to let the facility know where they're going, in case contact tracing is ever required.

Requirements

As the province has pointed out, the exact approach and start dates are developed by individual long-term care homes. 

Some have capped DSPs at one per resident, others are allowing two. Some, like Silver Fox Estates, have adopted the minimum requirements possible to follow Public Health guidelines. Others have gone way beyond them.

The guidelines for one of the province's largest chains of nursing homes, said community masks are not good enough for DSPs. They have to wear "medical masks." 

Nine slides of the 23-slide document for designated support people is dedicated to hand washing and includes these bullet points: 

  • Skin that is cracked or has cuts or abrasions is more difficult to keep clean. Cuts and abrasions can be a source of infection and a port of entry for micro-organisms. It is important to keep them covered to prevent infection.
  • Natural nails longer than 3-4 mm (1/4 inch) are difficult to clean.
  • Jewelry is hard to clean around and can harbour germs. Always remove hand and arm jewelry before performing hand hygiene.

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