My Wife's Mother is in a Nursing Home. We were asked weeks ago if we wanted to remove her DNR paperwork because if it was left in place nothing would be done for her if she contracted the disease.
Also I would think the nursing home patient is sicker.
If you look at the following link you'll see that these nursing home deaths only counted if you died on-site in the nursing home, that means no one tried to medically rescue them. You weren't counted if you died in a hospital even if you were transported from a Nursing or Acute Facility. The in-home death rate is over 25% of New Yorks Total deaths. Shame.
Why do nursing home Corona pts die at much higher rates than elderly corona pts living outside nursing homes?
It is possible that elderly patients who die at home are much less likely to be tested for covid-19.
Without a test, they say it wasn't related to Covid-19, so it's an undercount.
As stated, elderly patients in nursing homes are probably sicker than those who live at home.
In addition, nursing homes are relatively crowded places, which typically have two patients per room, and sometimes more, so if one gets sick, odds are they all get exposed.
The elderly patients who are sufficiently mobile eat meals in a cafeteria area shared by everyone, including caregivers. Typically it is far too small a space for a six foot distance between people.
If one or several caregivers has Covid-19, especially if they are asymptomatic yet still infectious, they can go from room to room to room, delivering medicines or personal care to each and every resident, putting each at high risk of multiple exposures to the virus.
Elderly people living at home are only exposed to their immediate family, who presumably try to avoid exposing their relative to any virus, let alone multiple exposures.
Pure speculation on my part, but restricting an elderly person's contact to a few people, even if one of them has Covid-19, would reduce the degree of their exposure.
In a family setting, an elderly person might get immediate and continuous care.
In contrast, in a nursing home facing a Covid-19 outbreak, several caretakers call out sick, which leaves the burden of care to a reduced staff who probably can't handle a significant number of patients in need of advanced care.
It's not easy to get doctor's clearance nor get insurance approval to get admitted to skilled nursing. The person has to be so sick as to be incapacitated and unable to do the minimal care for themselves, like getting up and walking to the bathroom. Also, skilled nursing staffs are notoriously short handed at these facilities. It is not a good situation for patients or caregivers. These are the sickest of the elderly population.