About a month ago, the Centers for Medicare and Medicaid Services (CMS) issued new guidelines that advocate family visitors to return to nursing homes. At this time only three states are not allowing visits. The guidelines provide specifics on how to visit a family member while remaining safe. Unfortunately, it still means making tough choices between a resident's mental and physical health.

Alan Packer said, “We can do hard things—it’s the impossible that takes a little longer.” Well, we have been doing hard things for quite a while now. In fact, it seems that we are in the ‘impossible’ phase now. Truly, I believe we have been working on accomplishing the “impossible” for quite some time now, aided by resilience.

As if life could not get worse. A recent study suggests more people are suffering with stress cardiomyopathy during this COVID-19 pandemic. Stress cardiomyopathy is also called broken heart syndrome.

Caregiving has been defined as the willingness to go at another person’s pace. Just like a pace car in auto racing, there is the person who sets the pace in caring, and the person who follows along. The pace car in racing sets the tempo of the other cars before the race officially begins. The person setting the pace in caregiving can be the care receiver or the caregiver. Ideally, a care receiver with dementia should set the pace, with the caregiver following.

The Centers for Medicaid and Medicare Services (CMS)  recently released recommendations  for state and local officials to gradually reopen nursing homes. The CMS recommendations guide officials to evaluate the feasibility to ease COVID-19 restrictions. State survey agency and state and local health departments participate in the decision-making process. CMS provides questions to answer to assess next steps.

As summer approaches, there is a gradual easing of COVID-19 restrictions in some states. Unfortunately, caregivers at home and in long-term care still continue to face repetitive days of providing care and support.  These individuals are at risk to develop compassion fatigue.