COVID-19 has changed the way we do everything, especially getting care. Older adults are at higher risk for complications from the coronavirus, so it’s best to avoid unnecessary exposure. But sometimes you need to see a doctor in person. What if you have to go to the hospital? Now that some restrictions have been lifted, we asked experts what to expect and how to get the best care.
what to expect
Marc Rabinowitz, MD, an internal medicine specialist in Bucks County, Pennsylvania, said that despite changes in safety restrictions due to COVID-19 guidelines, healthcare facilities still have high levels of requirements and protections.
“The restrictions that have been lifted do not apply to health care facilities,” Rabinowitz said. In medical facilities such as hospitals and nursing homes, safety protocols such as wearing masks and maintaining social distance are still in place.
at your physician’s office
Doctors’ offices still have safety protocols in place to protect patients and staff from COVID-19.
Here are some things you can expect:
- Masks may be required.
- Doctors and staff may wear masks and gloves.
- There may be fewer people in the waiting room at one time.
- Visitors may be restricted.
- Staff can disinfect and sanitize regularly.
- Offices may be set up to maintain social distancing.
Some healthcare facilities still restrict visitors, so your family or caregiver may have to wait outside. But they can still be involved in your visit, says Alexis Halpern, MD, a geriatric emergency medicine physician at NewYork-Presbyterian/Weill Cornell Medical Center. Your doctor can call or video chat with your family so they are updated and involved in decision-making.
in hospital
“Please do not stay home because you fear you may be exposed or infected with coronavirus while in the hospital,” Halpern said. Hospitals have protocols in place to protect you from getting sick.
Many of the new safety protocols remain in effect since the pandemic began, and some are new.
Here’s what you can expect:
- Doctors and staff will wear personal protective equipment such as masks, face shields and gloves.
- Masks may be required.
- Visitors may be restricted.
- You may need to show proof of being fully vaccinated against COVID-19.
- You may be tested for COVID-19.
- You may be screened for temperature and symptoms upon arrival.
The hospital is as safe as ever, if not safer. If you need care, don’t avoid them.
If you experience severe chest pain, shortness of breath, weakness on one side, or difficulty speaking clearly, seek help immediately. They are signs of a heart attack or stroke and require immediate attention.
The rise of telemedicine
Many doctors now use telemedicine, also known as telemedicine. This means that instead of going to the doctor’s office, you can have long-distance calls from your phone, iPad or computer through video platforms such as Zoom, FaceTime, Skype and WhatsApp.
Telemedicine is safe and convenient. You can consult your doctor or get answers to your questions without leaving home. Your family can get involved, even if they are far away. It is covered by Medicare and commercial insurance. Agreements may vary depending on the state in which you live.
Telemedicine is great for routine visits, checkups, and consultations. You can tell your doctor how you are feeling or show them your symptoms.
For other things, an office visit is best. Your doctor may need to check your blood pressure, listen to your lungs, take a blood sample, or perform a physical examination.
Your doctor will help you decide which type of visit is best for you.
The future of telemedicine
Telemedicine is likely here to stay.
“Even though the COVID-19 pandemic has receded, some of my baby boomer patients are more tech-savvy, but they still prefer telemedicine. I expect this trend to continue,” said David M. D., an internist in Wilmington, Delaware. J. Maleh, MD, says.
Telemedicine may not completely replace office visits, but it may become a regular part of your care.
Mahler said many of his patients come in for regular annual physicals in person and then use telemedicine for follow-up conversations. “That’s something we’re working on because patients are more willing to use telemedicine as a convenient option when they may not need to be seen in the office,” he said.
New trends in long-term care
In addition to safety requirements, many things have changed in long-term and skilled nursing facilities. The pandemic has left a lasting mark on how these facilities operate and how easy it is to access care in them.
Staffing shortages have caused many facilities to close or operate at reduced capacity. Many health care workers have left the workforce since the pandemic began. Some people are afraid of coming into contact with someone who may have COVID-19. Mahler said some people turn to private work because they can make more money.
Today, more and more people are caring for loved ones at home and hiring home caregivers. Many people have switched to remote working, making it easier to care for loved ones.
“Obviously, there’s an advantage to staying home because you’re not exposed to other people who are sick or potentially sick,” Rabinowitz said. But asking for help can be more difficult. “Shortages of health care workers create difficulties in providing optimal care for seniors,” he said.
How to get the best care
These resources may help you find care.
- Aged Care Locator Can help you find local information about housing, support services, health care and insurance.
- Family Caregiver Alliance Provides information about nursing, home care, nursing homes and finances.
- Welfare Check Network Can help you find out if you can get financial assistance for food and medicine.
- Programs like FamilyWize, GoodRX, and NeedyMeds Prescription drug discounts may be available to help you offset the increased cost of care due to the pandemic.
