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[quote=Anonymous]Hi OP,

I am currently at home with 85 year old Mom who has home nursing aids.

I suspect if Mom got Covid and if I  could not do her care I would call 911 and she would go to the hospital for a day or so at which point she would be discharged to a nursing home that would take Covid.

My understanding is the ER will not treat/keep the extreme elderly that long and try to discharge them pretty quickly to a nursing home (even with Covid).

If she were to survive all of this then I'd bring her back to the house with outside caregivers again.

I don't feel like there are really great options but I'm at peace with what I am doing and know that Mom may not survive all of this.

In the meantime she is still Covid free and just ate salmon, rice and green beans for lunch in her own home and just did exercises with her caregiver.

We take temperatures of each caregiver and ask and log the CDC nursing home entry questions upon entry.

We also have latex gloves and masks on hand.  Typically we don't wear masks but the caregivers wear gloves when they need to.  I'm getting ready to buy some of these
shields https://hardwirellc.com/products/hardwire-face-shield just to have on hand.  I don't plan on having staff wear them daily but want to have them on hand along with the gloves and masks. The shields are made in Maryland in Pocomoke City.

We do a lot of cleaning at the house.

My sister wanted me to put Mom in a nursing home before all of this started. Of course the nursing homes were on lock down so I sat in parking lots of nursing homes evaluating them from the parking lots.

I have Mom's DNR and State of Maryland MOLST paperwork on file at the local hospital.

I don't feel like I have a good plan but this is my plan:

1.  Take temps at every shift change and log. We also ask all of the CDC nursing home questions at the temp check and log answers.
2.  I gave a stack of masks to each caregiver for their personal use and for their family members.
3.  I have a blank Healthcare POA form in case I get sick and I have to give Mom's healthcare POA signed over to head caregiver temporarily.
4.  I'm going to buy the shields to have on hand.
5.  I say a prayer each morning and night that each caregiver and caregiver family stays safe.
6.  I've dropped off Mom's DNR and Molst Maryland form at the local records office at local hospital.
7.  I have Mom's initial paperwork on file at 2 local nursing homes, sent from PCP's office at start of this situation.
8. We get all groceries via Instacart from ACme. We have good service in this area.  All groceries are wiped down.

Big picture Mom may not survive this.  I am at peace with the situation.  If she gets Covid and I can't staff with myself and caregivers (I can't lift) then I'll call 911.
I figure she will be at hospital for a day or so and social worker there will figure out options from there.

I'll be interested to see what your other replies are.

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