For the first time in four months, families will be allowed to visit their loved ones inside senior care homes, as Minnesota health authorities cautiously lift lockdown restrictions meant to prevent the spread of the novel coronavirus among vulnerable older adults.
The Minnesota Department of Health is recommending that nursing homes and assisted-living facilities allow certain family members and outside caregivers inside these facilities to help monitor residents' care and alleviate the harmful effects of prolonged isolation and loneliness. These "essential caregivers" will be designated by the facilities and will be allowed to make scheduled visits lasting up to three hours a day, or until caregiving tasks are completed, under new guidelines issued Friday.
The announcement marks the most significant step so far toward the reopening of Minnesota's 1,700 senior care communities, which have come to resemble locked fortresses since the pandemic began. With virtually all visitors barred from nursing homes since mid-March, senior home residents have endured months of wrenching isolation in their rooms.
Across the state, seniors have not hugged or kissed their loved ones for months. Adult children have resorted to waving at their parents from a distance and talking to them through cracks in windows, like visitors to prisons.
"Words cannot express how significant this [guidance] will be for families," said Dustin Lee, chief executive of Prairie Senior Cottages, which operates seven assisted-living and memory care homes statewide. "This has already brought such intense relief that families have been calling us, quite literally, with tears of joy."
Amid encouraging signs that COVID-19 is abating in Minnesota's senior homes, state health regulators are publicly recognizing the critical role that family members play in the care of vulnerable seniors as well as the significant risks posed by isolation and loneliness. It also reflects a growing recognition that while coronavirus outbreaks could stretch on for months or even years, seniors in care homes cannot be cut off from their support networks indefinitely.
Prolonged isolation has been linked to a wide range of serious health problems in older adults, including heart disease and stroke. As a risk factor for early death, social isolation now eclipses obesity, according to national research. At least two residents of Minnesota nursing homes have died partly due to social isolation related to COVID-19 restrictions, according to a Star Tribune analysis of death records.
"Some of the most heartbreaking stories of the whole epidemic, frankly, involve the separation of loved ones from their families and the very real psychological and physical harm that isolation causes," Health Commissioner Jan Malcolm said in an interview Friday. "I think many of us have family and friends in that very situation and we have seen the really incredible toll that [isolation] takes."