by Bobby Anderson, Staff Writer

Now, more than ever, people need quality care at home from providers who can make sense of a daily changing healthcare environment.
For more than 50 years, people have turned to Interim HealthCare for that quality, compassionate care.
Ashley Simms, LPN, has been with Interim for two of those years, serving now as the assistant manager of sales operations.
“We realize for seniors and those with serious underlying health conditions home is the best place for them to be during this time,” Simms said.
While state and local governments mandate people stay at home to flatten the curve on Covid-19, care is needed more than ever inside the home.
“I think at this time it’s so critical … because legislatively there’s a lot of focus on hospitals which is important but these patients are going to come home and somebody has to take care of them,” Simms said. “There are so many factors that go into Covid that many people don’t consider such as fear and mental health.”
Interim HealthCare offers a full suite of services including: home healthcare, hospice care, personal care and support, veteran and spouse care, palliative care, behavioral health as well as neonatal and pediatric home care.
Interim offers services in Canadian, Cleveland, Grady, Kingfisher, Lincoln, Logan, McClain, Oklahoma, Payne and Pottawatomie counties.
The care extends beyond medical.
“Our social workers work diligently to help assist patients in obtaining necessary and basic items such as food and shelter which helps to drive down fear for our patients, especially in a time of crisis like this,” Simms said.
For several years, healthcare delivery has been trending more and more to a home setting to help curb rising medical costs. That means patients are coming home quicker and sicker than they ever have before.
And the hospital penalties for patients who readmit for the same diagnosis within 30 days can be substantial.
That’s why hospitals and other facilities rely on providers like Interim to stand in the gap and make sure patients safely recover at home.
With Covid-19 forcing more and more Oklahomans to stay at home, monitoring these high risk patients and intervening before they become sick has taken on an even greater importance.
Simms said Interim has long provided telehealth options for patients for daily monitoring of things like blood pressure, oxygen saturation and weight.
“A lot of times that provides calm to those patients because they are able to see somebody,” Simms explained. “It helps us keep an eye on our patients. Due to the restrictions that have been loosened for healthcare in general right now if the patient has a smartphone we’re able to FaceTime with them.”
Being unable to get out to doctor appointments can cause a sense of panic. Simms understands that.
“We’re also trying to drive down the fear with our patients because we’re trained and we know how this process works,” Simms said. “We’re not scared and know how to take care of you. There’s a lot of fear circling. We have to be the forefront of education.”
Being able to talk to patients in their own home at their own pace is an invaluable piece of the puzzle. Simms said Interim providers are able to have those conversations that rely on facts not the latest headlines.
“I believe we do an excellent job during this scary time,” Simms said. “At the top, it’s important we support our nurses. I think being the calm in the storm is what we do best. Before Covid, we took high-risk patients.”
“Because that’s already our platform, Covid was just a step up for us. We’re able to educate why (a patient) might be at more risk. We’re able to take that time, take those precautions and provide that education.”
Interim is locally owned and part of a national network of more than 300 offices.
Employing more than 75,000 healthcare workers, Interim provides care to more than 50,000 patients each day.
Simms explained Interim revolves around key concepts including: preparation and training, monitoring and reporting, alternative methods of care, high standards of safety and an emergency preparedness plan.
And in these trying times, Simms said Interim has made it a greater focus to love on its frontline staff.
From lunches and breakfasts to special personal protective equipment including floor mats and car seat covers, Interim is protecting those who protect us all.
“At Interim we believe we are all in this together and I think being the calm in the storm is what we do best.”

by Bobby Anderson, Staff Writer

Social distancing. Infection risk. Quarantines.
The news during this pandemic has been enough to make your head spin.
Fear has been prominent no matter who you listen to and nearly everyone agrees – at least for now – it’s probably a good idea to just stay home.
For more than 30 years, Diana Hendrix worked in nursing home administration. She understands that life does go on and she also understands vulnerable populations.
That’s why six years ago she started Guardian Angels Concierge Service.
Little did she know that her business one day would be saving lives.
“Most of my seniors are pretty concerned. They don’t want to get sick,” she said. “They don’t understand why all this is happening but they still don’t want to get sick and don’t want their families to get sick.”
That’s where Guardian Angels comes in, to provide essential services during this time. Grocery shopping, light housekeeping and cooking still remain essential and Hendrix and her staff are able to provide those services.
”The one thing I’m trying to get out there is don’t be afraid to call us. Just because this is happening in the world if you need help call us,” Hendrix said. “I can do a certain amount of interviewing on the phone and pulling things together without actually being with a client. But even when I do have to see a client we’re very protective.”
In business since 2014, Hendrix brings her healthcare administration experience to her clients.
“I thought there would be a better way to help our seniors but I didn’t want to do any nursing. There are plenty of nurses out there and home health agencies. So I started out grocery shopping and making sure seniors ate and took their medicine.”
Grocery shopping and cooking was the easy part of.
Per regulations, Hendrix isn’t allowed to administer medication to clients but she can be there to remind her patients when they’re due.
The big thing I try to do for every family is try to find a solution for whatever is going on in their life,” Hendrix said.
As most non-essential stores have closed, errands are fewer for Hendrix.
“We’re still doing a lot of cooking which we do a lot of breakfasts, sandwiches for lunch and we do a great deal of crockpot and casserole cooking so clients can have them several days,” Hendrix said.
Hendrix and her staff are still able to still walk pets and provide other services just on a limited basis.
“We’re not taking any of our furry friends to the vet right now,” she said. “The vet I use is saying unless it’s an emergency we’re not really going into the vets.”
Another service is escorting patients to doctor’s appointments, which has taken on a new look.
“What they’re doing is they’re saying stay in your car and we’ll call you when the doctor is ready to see you,” Hendrix said. “They’re saying the fewer the better. They’ll take my client’s temperature, escort them into the doctor’s office and turn around and bring them back to the car.”
“They’re not wanting people to be in the waiting room at all.”
Things may look different but Hendrix and her staff are getting things done in this new normal.
“We’re trying our hardest not to go to stores. We’re doing as much as we can online,” said Hendrix.
Shoe coverings are donned before going into a client’s homes as well as gloves and sanitizing wipes.
Right now, the largest service is Hendrix is fulfilling is home organization including down-size packing. Regular housekeeping and laundry is also offered.
“When I started to look at the governor’s list to see if we were necessary,” she said. “The reason we fell into that essential spot was that if we didn’t come the client would not be able to do it. Picking up a load of laundry is hard for clients who use a walker or wheelchair. Making their bed, running a vacuum cleaner are things they need help with to stay at home.”
As the quarantine wanes on, Hendrix has noted her regular clients call more often.
But Hendrix and her staff are still there and talking with clients and reminiscing with them, brighten their days as they go along.
“It’s amazing I’m talking to them almost every day and I’m telling my staff to make sure you give them a call,” Hendrix said. “Those that started out with me … they’re still calling me.”
“I commend every administrator out there because I know they have a hard job.”
You can find out more about Guardian Angels online at guardianangelsokc.com or on Facebook.

OU Medicine and its academic partner, the University of Oklahoma Health Sciences Center, recently received $100,000 from CompSource Mutual Insurance Company to assist healthcare providers on the front line of treating patients during the COVID-19 pandemic.
To avoid potentially exposing their families to the virus, many healthcare providers are not going home at the end of a long workday, but are staying away from home for everyone’s safety. The donation from CompSource Mutual will be used to provide meals and a place to stay for those physicians, nurses and other healthcare providers.
“We’re grateful to CompSource Mutual for their generous support of our healthcare team to combat this pandemic,” said Dr. Dale Bratzler, Enterprise Chief Quality Officer of OU Medicine. “This donation will fund temporary housing and food for OU Medicine and OU Health Sciences Center team members living away from home to protect their families from potential exposure to COVID-19.”
CompSource Mutual Insurance Company, an Oklahoma-based business that provides workers’ compensation coverage, donated a total of $250,000 in Oklahoma to assist medical personnel and families coping with lost wages and other hardships because of the pandemic. Other recipients include the Tulsa Area COVID-19 Response Fund formed by the Tulsa Area United Way and the Tulsa Community Foundation, as well as the United Way of Central Oklahoma’s COVID-19 Response Fund.
“Our policyholders include many Oklahoma businesses that are currently experiencing the emotional, physical and financial tolls of this pandemic,” said CompSource Mutual President and CEO Jason Clark. “We are committed to being a reliable partner in our communities’ responses, which we first demonstrated earlier this month by implementing measures to help CompSource policyholders who are struggling financially to pay their premiums. This donation is the next step and supports our guiding principle to improve the communities in which we live and work. I am grateful to our leadership team for approving this vitally important assistance for three organizations who are working directly in support of first responders, medical professionals and affected families in our state.”

Talk about on the job training, Hailee Stull became a registered nurse less than a year ago. Now, she finds herself working on the frontlines of a worldwide pandemic.
“I never imagined something like this would happen in my lifetime, much less my first year on the job.”
Stull works in the Emergency Department at INTEGRIS Southwest Medical Center. She says it has been amazing to watch her team rise to the challenge. “Policies and procedures for the COVID-19 situation have been frequently changing since the beginning of the outbreak. We’re dealing with changes sometimes from shift to shift and doing our best to keep up and stay informed.”
She adds, “I’ve watched my coworkers adapt and thrive with every change thrown our way. It has been fascinating to watch and experience the creativity, teamwork and generosity on full display.”
Stull says patients and visitors have been impacted by the ever-changing environment as well. “They’ve had to deal with visitor restrictions, symptom screenings at every entrance and waiting in their cars to be seen. This crisis has proven to me just how resilient we all can be.”
But she admits caring for coronavirus patients on top of other emergencies can be a juggling act. “My role as an ER nurse is to not only care for COVID-19 patients, but to also care for other emergent patients. People are still breaking bones and having strokes. Those things don’t stop just because of a virus.”
Stull’s sense of duty helps her push past the fear. “Dealing with the unknown is always scary. I have seen what this virus has the capability to do to people. It is frightening to put myself in direct contact with this virus,” she reveals.
However, as a nurse this isn’t the only frightening disease I am in contact with. I do the best I can to protect myself while caring for my patients.”
Stull says she has always wanted to be a nurse and nothing, not even a pandemic, can change that. “I have always been a caregiver at heart and always will be – long after this pandemic is a thing of the past.”

Paul H. and Evelyn Bourne were the first two COVID-19 patients to require hospitalization at INTEGRIS Canadian Valley Hospital in Yukon. The married couple came to the hospital together, both were listed in critical condition and both required intubation to breathe.
Six weeks later, we are happy to announce that both are making progress.
Evelyn, who was transferred to another hospital, was taken off of the ventilator today (Wednesday, April 29) and is showing improvement. While Paul is headed to INTEGRIS Jim Thorpe Rehabilitation.
The 71-year-old spent 11 days on a ventilator, a total of 23 days in the hospital and then another 15 days in a long-term acute care facility. But today, he got one step closer to going home. Here is the emotional send-off.
Paul is expected to spend approximately 14 days at INTEGRIS Jim Thorpe working to regain his strength and coordination. We hope Evelyn will soon follow his lead. It’s stories like these that keep our caregivers going. This is what makes our job worthwhile.

* As of this advisory, there are 3,280 confirmed positive cases of COVID-19 in Oklahoma.
* There are three additional deaths; zero occurred in the past 24 hours and the others died between April 24-April 25.
* One in Tulsa County, a male in the 65 and older age group.
* One in Carter County, a female in the 50-64 age group.
* One in Wagoner County, a female in the 65 and older age group.
* There are 197 total deaths in the state.
Note: The number of total cumulative negative specimens, total cumulative number of specimens to date, and the number currently hospitalized reported below are compiled through the Executive Order reports submitted to the governor. These reports are not submitted on the weekend, and therefore, those numbers found in this report will be updated Tuesday. All other numbers listed in this report are current.
* The American Association on Health and Disability (AAHD) has created a survey to assess health care and health care access challenges people with disabilities are encountering with the COVID-19 pandemic. The survey is open until May 1 and can be found here.
* A list of COVID-19 testing sites in the state can be found here.
* For more information, visit coronavirus.health.ok.gov.

*The total includes laboratory information provided to OSDH at the time of the report. Total counts may not reflect unique individuals.
**This number is a combination of hospitalized positive cases and hospitalized persons under investigation, as reported by hospitals at the time of the report. The data reflect a change in calculation and should not be compared to prior data.

by Greg Schwem

The ongoing stay-at-home order has forced most of us to seek amusement by posting photos of ourselves from bygone eras to our social media accounts.
“Share your high school senior picture” was trending last week; a challenge I was about to undertake until I read how doing so could invite hackers to glean more information about me, such as where I attended school, where I currently lived and who did such a horrible job cutting my hair in 1980.
Security experts also warned that more information could be easily obtained once this information was known, as many people choose to use their high school as a security answer or worse, their password. Those of you who attended Catholic schools need not worry; even the most skilled hacker is probably going to give up before guessing, “AcademyOfOurLadyOfGoodCounsel1994.”
Despite not participating, I enjoyed seeing these throwback photos, from graduation and other events, posted by friends. Did everybody in the 1970s wear thick, black horn-rimmed glasses and look like they worked for the Apollo space program?
Ladies, if you attended college in the early 1980s, did the law require you to part your hair down the middle and then feather it back with enough aerosol to start a salon?
And guys, did you not realize that only David Coverdale, from Whitesnake, and Jon Bon Jovi could pull off the big hair, pompadour look? The rest of you had that “just exited a wind tunnel” look.
Tom, my long-time comedian friend in New York, often reminds me why he has never jumped on the fashion bandwagon. “The hipper your clothes are today, the more ridiculous photos of you are going to look in 20 years,” he says on stage.
I won’t argue.
When scientists find a vaccine for COVID-19, the “all clear” signal is given, and life returns to whatever is subsequently defined as “normal,” we will all be left with treasure troves of photos taken during the pandemic. And in future decades, when those photos find their way into school history books (assuming schools and books still exist) or onto social media sites, viewers won’t need to look at a hairstyle, a car in the background or an item of clothing to determine the photo was indeed shot in 2020.
For starters, the viewer only has to see the photo’s dimensions. It will most likely be shot vertically, with a 9-by-16 aspect ratio. The photo will contain only one subject. Correction, one HUMAN subject. Animals may be included, but more people? Absolutely not, for they will all be standing at least 6 feet away and, therefore, out of frame.
The subject will be wearing sweatpants and a faded T-shirt containing some semblance of the slogan, “We’re All in this Together.” He or she will be shoeless. Men will have facial stubble; sadly, so will some women. Hairstyles won’t have complimentary names like “The Rachel,” “Charlie’s Angels” or “The David Hasselhoff.” Instead, all hair will fall into the “Dang, That Should Have Been Cut Weeks Ago” category.
Photos of celebratory occasions will feature one participant, perfectly centered, wearing a “Happy Birthday” or “Congratulations” party hat, while grainy, square images of others hover overhead. The word “Zoom” will appear somewhere.
The “guess where this photo was taken” game will be boring once everybody realizes the answer is always the same: “Uh, your house?” Kids who play sports won’t appear in photos wearing brightly colored uniforms while baseball diamonds and soccer fields glisten behind them. Instead, the background will be a basement wall or a garage door. Youth basketball players, take heart: At least the vertical photos will make you look taller than you are.
Since the stay-at-home order began in mid-March, I have neglected to take many photos, so anxious am I to erase this moment from my life, rather than record it for future viewing. I did break down last weekend and post a selfie, snapped while my wife cut my hair. The pandemic, I realized, would not date it.
Trust me, even without a global health crisis, that image is horrifying and depressing.
(Greg Schwem is a corporate stand-up comedian and author of two books: “Text Me If You’re Breathing: Observations, Frustrations and Life Lessons From a Low-Tech Dad” and the recently released “The Road To Success Goes Through the Salad Bar: A Pile of BS From a Corporate Comedian,” available at Amazon.com. Visit Greg on the web at www.gregschwem.com.)

You’ve enjoyed reading, and laughing at, Greg Schwem’s monthly humor columns in Senior Living News. But did you know Greg is also a nationally touring stand-up comedian? And he loves to make audiences laugh about the joys, and frustrations, of growing older. Watch the clip and, if you’d like Greg to perform at your senior center or senior event, contact him through his website at www.gregschwem.com)

Story and photos by Darl DeVault

While Oklahoma seniors have been the most vulnerable to COVID-19, our modern heroes, medical health professionals, have also been impacted by this huge stress event.
Medical outcomes are stark. There are no proven therapies to treat or cure the disease. In Oklahoma, the vast majority of COVID-19 deaths are in seniors 65 or older, as high as 80 percent. The statistics go on and on, unchanging in dire descriptions of how vulnerable aging bodies are to the pandemic.
Another group shares a vulnerability every bit as brutal in descriptions. Our medical health professionals are the next highest death rate in America. Besides the brutal numbers of deaths, there is another facet of their suffering.
They are repeatedly exposed to preventable unmanageable stress. This immersion in the onslaught of a pandemic has the potential to inflict post- traumatic stress disorder.
In honor of the 200th birth anniversary of Florence Nightingale, the World Health Organization (WHO) has designated 2020 as the “Year of the Nurse and Midwife.” Since National Nurses Week is celebrated soon from May 6 through May 12 it is appropriate to ask one “What are you going through?”
Nurse Beth Bierig said last week from New Jersey, “Working on a floor of all COVID-19 positive patients whose change in status happens quickly without warning, makes you feel constantly guarded as to when your own medical health will quickly turn badly as well. You don’t have time to even comprehend how scary the silent killer surrounds every piece of air you work in, but it weighs heavily on your mind.”
Bierig, from Hackensack University Medical Center, goes on to explain how having a servant’s heart can put a nurse in harm’s way. “While performing life sustaining measures on your patients and respiratory fragments flood the air in the process, you can’t help but wonder, will it be saving their life that takes mine?” she said. “I don’t know the effects it will have on myself or other people, because everyone has had different experiences. Every nursing specialty has their own traumas and people are generally drawn to what they can handle.”
Also, “the support nurses receive after this will affect their long-term mental health pertaining to this situation. The whole situation has affected everyone strongly, not only health care providers. We’re living in a historic time and hopefully we all learn from it.”
From the respiratory therapists who manage ventilators, and technicians that manage ICU equipment to the direct caregivers, stress can be overwhelming. The heroes who share their servant’s heart signed up to be properly supported and use their knowledge and ability to affect positive change. Again, at present, there are no proven therapies to cure COVID-19.
Some health care professionals function where they are overwhelmed by the sheer number of deaths that take place right in front of them. Sometimes as often as hourly, these deaths may inflict a PTSD future on the frontlines of medicine.
For those healers who were constantly worried about their own health because of a shortage of personal protective equipment life can change. Just the apprehension of spreading the disease to their family could have a dire outcome.
COVID-19, the severe respiratory illness caused by the novel coronavirus pandemic is extremely transmissible. Properly protected ICU critical care team workers being readied for patient interaction look like preflight prep before blastoff for our moon missions.
These heroes may share an almost as strong an impact as the vulnerable seniors who perished. Some may suffer grave symptoms of psychological stress impacting their ability to deliver medical health care in the future.
Every psyche is different in the many roles played by helping healers who suited up to sustain the COVID-19 patients. Science tells us women are twice as likely to suffer PTSD symptoms.
This pandemic is something different. The onslaught of stress can change brain wiring for the worse — at the level to create PTSD. Later, some may seek to stay away from the situations that remind them of the traumatic events.
Some caregivers may not be able to adaptively overcome the stress and adversity while maintaining normal psychological and physical functioning.
The potential for PTSD is when an individual is placed in a situation where they do not have all the needed equipment, weaponry, support by colleagues in numbers needed, or proper support from superiors. This is also fueled when they feel they do not have the proper protective material and are forced to go in harm’s way relentlessly when they fear for their own survival. On April 3, Oklahoma showed 10.6 percent of its confirmed cases were health care workers.
Situationally produced and yet self-imposed is the stress of sleeping in their cars in their hospital parking lot because they do not want to bring potential illness and death home to their families. This can result in the development of PTSD, depression and other psychiatric disorders.
In a medical scenario where our heroes ran toward the danger and healing is supposed to take place that sounds extremely abrupt. But in many of our hospitals that were overwhelmed by COVID-19 patients presenting repeated unmanageable stressors, that is exactly what was happening.
Often nurses and doctors in COVID-19 hotspots made life and death choices, deciding who was to live and who was to die because of a limited number of ventilators and limited ability to intubate. And there was the randomness of patients dying right in front of them as these patients first entered the hospital.
We must be honest. Nurses and doctors are human and cannot escape that negative impact. People who signed up to work around the sick also take great pride in learning all the ways to be healers.
To suddenly be immersed in the onslaught of hourly and daily negative scenario can have a permanently deleterious effect on the human psyche. It remains to be seen if overwhelming the individual at a high morbidity level has a lasting effect. We know brainwave activity that negativity establishes can create specific pathways in the brain that were not there before.
How do we know what effect this has on these brave people’s body and spirit when these pathways are never compensated for? These individuals may have anxiety and depression from these days forward.
The wild card in all of this are brave medical health professionals who contracted COVID-19 themselves, while trying their best to help others. Hundreds have died around the world. Yes, they signed up for this profession, but not to suffer the same as their patients.
Another stressor is some hospitals, such as the University of Oklahoma Medical Center, are cutting pay and hours because of the strict emphasis on COVID-19 leaving them cash poor.
“A grateful nation will likely create a fund offering therapy and treatment for front line medical professionals who have health problems traceable to saving lives similar to the federal World Trade Center Health Program,” Oklahoman Kara De La Pena, APRN, said. “Considering for many of us who took on preventable risks, the James Zadroga 9/11 Health and Compensation Act of 2010 will be held up as a model for providing us medical treatment. That program is funded through 2090 now.”
The seniors saved and whole world thank our heroes and seek restorative insight into the medical outcomes thrust upon the healers who fight to keep people alive.

Photography and Text by Terry “Travels with Terry” Zinn t4z@aol.com

At press time leisure travel is not available or recommended, but it does not keep us from planning and revisiting destinations worthy of future consideration. Reminiscence is the safest kind of pleasure travel, sometimes called arm chair travel. For a few moments we have a respite from current news. In the following months this travel column will revisit previous personal travel experiences. Enjoy.
Some Florida resorts are located amid a massive amount of traffic and tourist activity. The Marriott Pompano Beach Resort and Spa is somewhat off the beaten track, and is boon for motorists, with their own transportation.
While a stroll within a mile of the property can be charming, there are not many cafes, restaurants or shops within the immediate area. If your desire is to get away from it all, and just ensconce yourself in a comfortable setting with pristine and maintained beaches, 2 pools, 2 towers of accommodations and delicious eating experiences, Marriott Pompano Beach Resort and Spa may be your ideal.
When you consider a visit to Florida at any time of year, it is important to keep in mind the annual hurricane season from mid-summer through September. Of course these days, predictable weather patterns of past years seem to be unpredictable. It’s a boon to Pompano that they are far North of Miami Beach with its recent health headlines. It also is North of Fort Lauderdale, and a comfortable distance from its neighbor Lauderdale-By-the-Sea, which is a more active community with its many eateries and entertainment options. Again motorists will find it near enough to quench a typical Florida tourist’s appetite.
Near Pompano is the Hillsboro Lighthouse, privately owned and only open for tours at certain times, being a coast guard operated property. Check them for opening times and tours, as you book your visit.
Happily, sequestered in your ninth floor ocean front room with balcony, you might find the sporadic afternoon thunderstorm a real 3-D entertainment, more impactful than the best free action disaster movie, shown on your large in room TV screen. Be sure and inquire about a corner suite room, for added luxury. As with many upscale hotels, housekeeping may be sporadic, even when alerting them to your out of room schedule.
Check in time is listed at 4 pm, but as someone I know had to do, you might have to wait until 6 pm, which will give you time to explore the property, Atlantic Ocean beach, Spa, and exercise room or grab a bite to eat.
McCoy’s restaurant both comfortably inside or out by the active pools, offers a variety of delectable meal options and beverages with congenial wait staff. If you’re a fan of specially cocktails, with the proper and courtesy instruction, they follow through with your requests most satisfactorily.
Florida still offers what many sun worshipers require and the family welcoming Marriott’s Pompano Beach Resort, might be your new favorite Florida oasis for you and your extended family.
For more information and reservations: www.marriott.com/fllpm

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
3110 N.W. 15 Street – Oklahoma City, OK 73107
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