When the St. Paul’s Towers Resident Council met at the beginning of 2020, Council President Laura Galvin presented the idea of developing resident liaisons to promote connection across different levels of care within the community. This idea kicked off the creation of the Three Levels of Care (TLC) program, which seeks to create well-meaning relationships, increase socialization, and decrease isolation by connecting residents in Independent and Assisted Living.
SPT resident Irene Olson realized that as an Independent Living (IL) resident she didn’t know a great deal about Assisted Living (AL). She found herself asking, “What happens when we move to Assisted Living one day?” Olson was inspired to get involved, developing initiatives such as shared lunches and apartment visits so that IL residents could create lasting relationships with residents in AL.
“TLC is a way to break down silos between the continuum and live together as equals,” notes Connie Yuen, St. Paul’s Towers Assistant Health Care Administrator. “I am so proud of Ms. Olson and the residents who set up such a fantastic program that focuses on inclusion and community building.”
The TLC program is currently paused while sheltering in place but Olson is excited to continue growing the program once shelter in place is done. There are discussions about making the TLC program a permanent committee at St. Paul’s and after working on connecting IL and AL residents, the plan is to “expand to SNF (skilled nursing),” says Olson.
The TLC program shows great promise. Resident volunteers partnered with the Assisted Living Activities Coordinator to get more AL residents involved in community events and to develop relationships one on one. These volunteers, including Olson, help bring AL residents to dinner, happy hour, concerts, classes, and activities. They even developed a wheelchair brigade, which Olson says was created “to increase participation and socialization.”
Resident volunteers work hard to make sure that the experience is not only fun but also meaningful. Volunteers check in with AL residents, asking what would make the experience meaningful for them and tailoring the program to their needs.
For Joe, one of the AL residents that Olson worked with at the TLC program’s inception, the focus was on maintaining old friendships and getting to know new residents. Olson set out to make this happen for Joe by bringing him to the main dining room for meals and art classes to see his friends. All of this work helped them “develop such a strong bond over a short time,” notes Olson.
Though the TLC program is currently only at St. Paul’s Towers, Olson hopes that it will inspire “all Covia communities to get more involved at the AL level.” She notes, “It’s so easy to spend time with the resident in their room, play a game together, and find out what they need and how we can achieve something meaningful together. TLC is so easy at SPT. Everything is an elevator ride away so go see someone who is looking forward to spending time with you.”
Watch our video interview with Jerry here.
Jerry Brown, Covia’s Senior Director of Affordable Housing, has no idea how he got exposed to COVID-19. “Between March 12 and June 28, I probably saw less than 20 people total the whole time,” he says. Nevertheless, on June 28th, “I got a really bad upset stomach. I thought I probably had food poisoning. And that lasted a straight 48 hours, two days. And then that Sunday, I felt like an elephant was sitting on my chest. I could not get my breath.”
A trip to the emergency room confirmed his suspicions: he had COVID-19.
At first, the doctors thought he could be treated at home. “I thought I was doing fine for seven days. But the next Sunday, the elephant was sitting back on my chest again and just could hardly breathe at all.” After the hospital confirmed he had COVID-19, Jerry was admitted to the hospital to a floor designated for COVID-19 patients. “There were 70 rooms. All of these rooms are individual rooms that have special air filtering so that it doesn’t get into the rooms of the rest of the hospital,” Jerry explained. “I was lucky enough to get the last room that was available that night. I didn’t get in to my room until three o’clock the next morning, but I did get in there, and I felt so much better once the nurses and the CNAs all came around and started taking care of me.”
He thought he would be in the hospital just a couple of days, but ended up staying 10 days as his medical team determined what treatment regimen would work best for him. “They said, ‘We don’t really have a set treatment for this. Everybody is different. So what we’re going to do is just sort of throw things at you over the next few days to see what works for you.’”
Remdesivir proved unsuccessful, and his medical team was unable to get approval from the Federal Government for a plasma treatment. What ultimately worked was a steroid treatment. “The problem with the steroids and the reason that was [treatment] number three is because steroids don’t really work well with people who have diabetes.” Although Jerry’s diabetes is not severe and well controlled with Metformin, “when I started taking the steroids, which made me feel a lot better breathing-wise, my sugar levels went to 700. That’s the reason I had to stay in the hospital, so long. With that sugar level, I could have had a stroke or kidney problems.”
From the outset, his medical team told Jerry he had one goal: Stay out of the ICU! “They actually wrote it on the white board in my hospital room. There were 18 ICU rooms and they were full the whole time I was there. Over that 10 days, seven people died. You would hear that through the nurses and the medical staff and the doctors were very honest.”
Although he’s doing better, Jerry is not fully recovered. “I exercise my lungs. I speak through Zoom with a therapist. But we’ll see how it goes. Right now I’m breathing fine. I can walk about 40 feet before I get tired and need to sit down.”
He also knows that this is still a scary situation – and understands it, having lived through the AIDS crisis of the early 1980’s. “I came to San Francisco in 1979. I got transferred with my job to San Francisco, and it was right at the top of the AIDS crisis. So that was really scary for me. And we all know that that lasted a little while before we figured out that it didn’t need to be as scary as we thought because there were things you could do to make sure that you didn’t get it. I’m sure that’s going to happen with COVID-19 too. But this disease is a little different because it’s in the air. How do we manage that, other than with these masks and watching our hands and social distancing?”
He’s concerned at the number of young people who aren’t taking COVID-19 seriously. “I see so many people that aren’t wearing masks or social distancing, and that’s very scary for me. I saw a lot of that in San Francisco. I live on Nob Hill and the younger people were still playing basketball and not wearing a mask and running without a mask. Hopefully they will get over it, being young and having strong bodies and a good immune system. But there are so many people around them that could get COVID.”
Aside from practicing good infection prevention habits of handwashing, wearing a face covering, and maintaining your distance, Jerry wants to remind people that, whether it’s COVID-19 or any other illness, “you are your own best advocate for your medical care.”
While he was in the hospital, “Every night I would put my questions together about nine o’clock. I would think of everything I wanted to ask them, ‘Can I do this? Can I do that?’ And then I would have my questions ready. It made me feel better too, you know, just getting an answer to things I had questions about.”
He also advises everyone to update your health care and financial directives (such as wills or trusts) “now – not when you are in the hospital bed.” He also recommends purchasing an oximeter – a battery-operated finger device that gives instant reading of your pulse and blood oxygen levels. “One of the first signs of COVID is not enough oxygen in the blood. To be up walking at a natural movement pace the reading should be 90 or above. You can purchase at most drug stores or on line for around $30. I now check mine twice a day.”
The experience has made him reflect on the importance of connections. “I thought about the people from the 1918 flu. How awful. They didn’t have Zoom. They didn’t have the Internet. They didn’t have a way to connect to people. And even though I was in that room alone, I spoke with my family every day. We FaceTimed. I Zoomed friends. People dropped things off. I got cards and I was surprised they let flowers come to the room, and all of that made the experience. I had the feeling that people were caring about me. We figured out ways to connect with each other.”
All of us at Covia wish Jerry and all who are affected by COVID-19 connection and comfort during these difficult times.
Watch our video interview with Jerry here.
“Ice cream has always been a big deal at Canterbury Woods,” says Robert Kershner, Director of Dining Services at Canterbury Woods in Pacific Grove. In 2019, Kershner reports that Canterbury Woods bought over 1200 gallons of ice cream – serving about 5 gallons daily.
“When we were restricted to our homes during the first stages of Shelter-in-Place, it was a natural choice to turn to ice cream to try to ease the stress and concerns on campus,” Kershner says. Since residents were no longer able to get their favorite flavors in the dining room, Kershner and his team turned to favorites like Dove Bars, Good Humor Cones, and It’s Its (ice cream sandwiches from San Francisco) to bring back comforting memories of years ago.
Each Thursday, two teams wearing masks and gloves “walk throughout the campus, knocking on every door to offer some edible comfort,” Kershner explains. Pushing a cart with a cooler attached and ringing a bell as they go through the 6 acre community, the ice cream delivery teams have become an important part of the week for many folks who now refer to Thursdays as “Ice Cream Day”.
Now, the “Good Humor Crew” has become highly popular as they make their rounds. Kershner says that people want to hear the full list of choices, and then sometimes ask for two. “One of our happy customers said it makes everyone feel like a kid again!” shared Mary Lou Kelpe, Life Enrichment Coordinator.
Ice cream has also become an important part of keeping the Webster House community connected. “I thought this would be a nice diversion for the residents to be outside eating a cold ice cream on a summer day,” explains Executive Director Linda Hibbs. “This is the first community social activity for our residents that have been sheltered in place.”
Each Wednesday at 2:00, about one-third of the residents meet outside for ice cream sandwiches, ice pops, or sorbet and an opportunity to meet and catch up while staying a safe distance apart. “The residents have the ability to socialize with their friends which I feel is best for their overall well-being,” says Hibbs. The ice cream is really just the cherry on top.
At Canterbury Woods, Kershner says it’s difficult to find words to describe what made these visits special. “When people open their doors and see who we are, the looks on their faces are very rewarding,” he says. “These folks were missing interaction, and that’s exactly what we’re doing.”
To all of our Covia family,
As you are well aware, the presence of COVID-19 in our country has impacted all of us in ways large and small. Every day, the story seems to shift as another news article or chart or special report appears. Coronavirus at the same time seems at once close and also very far away. It has affected all of our lives, even if we know no one who has become infected.
Through all of the sudden changes, the social distancing, the shelter-in-place orders, I have seen how everyone at Covia has worked together to care for each other. It is a sign of the strength of the communities we have built that things have gone as smoothly as they have in the midst of such uncertainty. It is a sign of the value we place on community that we have been able to provide multiple sources of connection even as we have been required to distance ourselves from one another.
We chose the name Covia as a way to announce that we “come together on the path of life.” I can think of no better place to be on this unexpected path than with all of you.
Thank you for everything you do. Stay safe, stay well, and stay connected.
President and CEO
News and updates about Covia’s response to COVID-19 can be found on our website at https://covia.org/covid-19-response-and-resources/