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Caregivers were traumatized by COVID-19 public health and long-term care policies

Family caregivers of residents in longterm care homes experienced a collective trauma as they were kept away from their loved ones during the pandemic….

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Many caregivers were prevented from seeing and taking care of their loved ones in long-terms care homes during the COVID-19 pandemic. THE CANADIAN PRESS/Ryan Remiorz

We all watched as the horrors unfolded in long-term care (LTC) in Canada during the COVID-19 pandemic. Canadian LTC residents represented 81 per cent of the national reported COVID-19 deaths.

News reports documented our national shame as older residents suffered throughout the pandemic. They experienced inhumane treatment, ranging from physical and social solitary confinement to severe neglect, and even death from dehydration and malnourishment.

Residents were confined to their rooms for extended periods of time without access to recreation programs or visitors, including essential family caregivers who often provided the majority of daily care, like feeding and dressing, as well as socialization.

The Canadian military was deployed to some of the hardest-hit LTC homes across Canada. They documented disturbing accounts of abuse and substandard care — residents were left for days in soiled bedding and were documented choking on their food due to improper feeding. Some LTC homes had insect infestations and poor infection prevention and control practices.

Global News reports on the deployment of the military to longterm care homes.

Family caregivers watched as the tragedies and distress occurred, while they were forbidden from visiting their loved ones in these homes.

Collective trauma

Essential family caregivers are defined as any trusted individual chosen by the resident or their substitute decision-maker who provides care and companionship to a resident.

In many provinces, LTC homes began drafting strict rules allowing only a small number of essential family caregivers — one or two — into LTC homes at varying stages throughout the pandemic, and initially only for residents receiving palliative care. This access was often regulated by varying rules. These designated family members were often the only connection LTC residents had to the world outside their room.

Collective trauma can be understood as a “cataclysmic event” that significantly, directly or indirectly, impacts a unique group of people. Our research shows that essential family caregivers of residents in LTC experienced collective trauma caused by prolonged separation, resulting in feelings of extreme helplessness and hopelessness.

Family caregivers felt powerless in the face of draconian visitation bans levied by governments. They had to watch helplessly as their loved ones deteriorated. Relationships between essential family caregivers and LTC staff and management became strained, and often adversarial. Families felt that they were being purposefully kept out to hide the ongoing negligence exposed early on in the pandemic.

Technological substitutes

After months of separation, LTC homes attempted to use technology to facilitate communication between family caregivers and residents. Another study showed that technology was a poor substitute for in-person communication. This was often due to scheduling issues, poor utility and the devices not being able to adapt to the physical or cognitive needs of the resident.

Additionally, LTC homes lack technological infrastructure, like Wi-Fi or tablets, to support that mode of communication. The majority of homes also do not train their staff to use technologies — facilitating video calls, for example, requires staff to set up the devices for the resident.

Often, calls were inappropriately set up. In one situation, residents were placed in a noisy common area, making it hard for families and residents to hear one another. Video conferencing was also a source of distress and agitation for some residents with dementia. The lack of privacy also prevented residents and families from discussing the care provided.

The futility of these video conferences led family caregivers to give up. Technology, in this case, was promoted as a lifeline to essential family caregivers but it turned out to be an inadequate means of communication.

Finally, essential family caregivers were forced to undergo repeated and invasive polymerase chain reaction (PCR) testing. During times of high community spread, caregivers completed twice-weekly testing to retain their weekly access to residents. One study participant noted completing 50 PCR tests in an eight-month period to merely retain uninterrupted weekly access to her loved one in LTC.

During a period of limited testing, this meant hours of additional time and strain on family caregivers, often adult female children of residents who had to take time off work.

two hands holding a phone. The screen shows an elderly man in a wheelchair and a woman wearing a face mask standing behind him
Esther Hladkowicz holds an image of her and her father Heinz Ziebell, that was taken during their first visit in eight months because of COVID-19 restrictions. THE CANADIAN PRESS/Justin Tang

Family caregivers also recalled seeing their loved one in person again and experiencing the “shock” from seeing the damage firsthand. The physical, cognitive and psychological harm done to their loved ones from prolonged confinement was described as a “nightmare.”

Many recounted their loved ones’ physical decline from being able to walk to becoming wheelchair-bound. They also witnessed residents’ deterioration, severe weight loss to the point of being “skin and bones,” unexplained injuries and often drastic cognitive changes.

The inability to protect and be there for their loved ones in LTC during COVID-19 is an additional burden that essential family caregivers will have to shoulder.

Preparing for future pandemics

As we prepare for potential future pandemics, collectively we must fix the issues that persist within the LTC sector. The future of care must involve more publicly funded and quality models of home care that allow older adults to age in place in their private households.

But because LTC homes will remain to provide extensive and complex care for a growing number of older people and others, like people with disabilities, we propose the following starting points:

1) Policy: There need to be laws, ideally at the federal level, to prevent families from being locked out of LTC homes. Efforts have been made, like Bill 203, More Than a Visitor Act in some provinces, but have yet to be implemented.

2) Practice: Adopting a trauma-informed care approach, that emphasizes safety, trust, support, collaboration, empowerment and the consideration of cultural, historical and gender issues. This approach should be integrated into health-care providers’ practices and care guidelines.

3) Interventions: The Ontarian LTC Commission’s final report highlighted the need for counselling services to be offered to staff and residents, yet no suggestion was made to extend these services to family caregivers. Our research clearly highlights the need for such supports to family caregivers of those living in LTC.

The cumulative consequences of ongoing visitation restrictions in LTC have yet to be fully realized, and will continue to emerge over time for these family caregivers. The combined psychological, social and physical harms incurred by this collective group of caregivers must be recognized. We must prevent these same horrors and collateral damage from occurring again.

Charlene Chu receives funding from CIHR, SSHRC, NFRF, Alzheimer Society of Canada, Center for Aging and Brain Health, and AGE-WELL NCE.

Vivian Stamatopoulos has received funding from the Social Sciences and Humanities Research Council (SSHRC CRSH)

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International

Beloved mall retailer files Chapter 7 bankruptcy, will liquidate

The struggling chain has given up the fight and will close hundreds of stores around the world.

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It has been a brutal period for several popular retailers. The fallout from the covid pandemic and a challenging economic environment have pushed numerous chains into bankruptcy with Tuesday Morning, Christmas Tree Shops, and Bed Bath & Beyond all moving from Chapter 11 to Chapter 7 bankruptcy liquidation.

In all three of those cases, the companies faced clear financial pressures that led to inventory problems and vendors demanding faster, or even upfront payment. That creates a sort of inevitability.

Related: Beloved retailer finds life after bankruptcy, new famous owner

When a retailer faces financial pressure it sets off a cycle where vendors become wary of selling them items. That leads to barren shelves and no ability for the chain to sell its way out of its financial problems. 

Once that happens bankruptcy generally becomes the only option. Sometimes that means a Chapter 11 filing which gives the company a chance to negotiate with its creditors. In some cases, deals can be worked out where vendors extend longer terms or even forgive some debts, and banks offer an extension of loan terms.

In other cases, new funding can be secured which assuages vendor concerns or the company might be taken over by its vendors. Sometimes, as was the case with David's Bridal, a new owner steps in, adds new money, and makes deals with creditors in order to give the company a new lease on life.

It's rare that a retailer moves directly into Chapter 7 bankruptcy and decides to liquidate without trying to find a new source of funding.

Mall traffic has varied depending upon the type of mall.

Image source: Getty Images

The Body Shop has bad news for customers  

The Body Shop has been in a very public fight for survival. Fears began when the company closed half of its locations in the United Kingdom. That was followed by a bankruptcy-style filing in Canada and an abrupt closure of its U.S. stores on March 4.

"The Canadian subsidiary of the global beauty and cosmetics brand announced it has started restructuring proceedings by filing a Notice of Intention (NOI) to Make a Proposal pursuant to the Bankruptcy and Insolvency Act (Canada). In the same release, the company said that, as of March 1, 2024, The Body Shop US Limited has ceased operations," Chain Store Age reported.

A message on the company's U.S. website shared a simple message that does not appear to be the entire story.

"We're currently undergoing planned maintenance, but don't worry we're due to be back online soon."

That same message is still on the company's website, but a new filing makes it clear that the site is not down for maintenance, it's down for good.

The Body Shop files for Chapter 7 bankruptcy

While the future appeared bleak for The Body Shop, fans of the brand held out hope that a savior would step in. That's not going to be the case. 

The Body Shop filed for Chapter 7 bankruptcy in the United States.

"The US arm of the ethical cosmetics group has ceased trading at its 50 outlets. On Saturday (March 9), it filed for Chapter 7 insolvency, under which assets are sold off to clear debts, putting about 400 jobs at risk including those in a distribution center that still holds millions of dollars worth of stock," The Guardian reported.

After its closure in the United States, the survival of the brand remains very much in doubt. About half of the chain's stores in the United Kingdom remain open along with its Australian stores. 

The future of those stores remains very much in doubt and the chain has shared that it needs new funding in order for them to continue operating.

The Body Shop did not respond to a request for comment from TheStreet.   

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Government

Are Voters Recoiling Against Disorder?

Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super…

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Are Voters Recoiling Against Disorder?

Authored by Michael Barone via The Epoch Times (emphasis ours),

The headlines coming out of the Super Tuesday primaries have got it right. Barring cataclysmic changes, Donald Trump and Joe Biden will be the Republican and Democratic nominees for president in 2024.

(Left) President Joe Biden delivers remarks on canceling student debt at Culver City Julian Dixon Library in Culver City, Calif., on Feb. 21, 2024. (Right) Republican presidential candidate and former U.S. President Donald Trump stands on stage during a campaign event at Big League Dreams Las Vegas in Las Vegas, Nev., on Jan. 27, 2024. (Mario Tama/Getty Images; David Becker/Getty Images)

With Nikki Haley’s withdrawal, there will be no more significantly contested primaries or caucuses—the earliest both parties’ races have been over since something like the current primary-dominated system was put in place in 1972.

The primary results have spotlighted some of both nominees’ weaknesses.

Donald Trump lost high-income, high-educated constituencies, including the entire metro area—aka the Swamp. Many but by no means all Haley votes there were cast by Biden Democrats. Mr. Trump can’t afford to lose too many of the others in target states like Pennsylvania and Michigan.

Majorities and large minorities of voters in overwhelmingly Latino counties in Texas’s Rio Grande Valley and some in Houston voted against Joe Biden, and even more against Senate nominee Rep. Colin Allred (D-Texas).

Returns from Hispanic precincts in New Hampshire and Massachusetts show the same thing. Mr. Biden can’t afford to lose too many Latino votes in target states like Arizona and Georgia.

When Mr. Trump rode down that escalator in 2015, commentators assumed he’d repel Latinos. Instead, Latino voters nationally, and especially the closest eyewitnesses of Biden’s open-border policy, have been trending heavily Republican.

High-income liberal Democrats may sport lawn signs proclaiming, “In this house, we believe ... no human is illegal.” The logical consequence of that belief is an open border. But modest-income folks in border counties know that flows of illegal immigrants result in disorder, disease, and crime.

There is plenty of impatience with increased disorder in election returns below the presidential level. Consider Los Angeles County, America’s largest county, with nearly 10 million people, more people than 40 of the 50 states. It voted 71 percent for Mr. Biden in 2020.

Current returns show county District Attorney George Gascon winning only 21 percent of the vote in the nonpartisan primary. He’ll apparently face Republican Nathan Hochman, a critic of his liberal policies, in November.

Gascon, elected after the May 2020 death of counterfeit-passing suspect George Floyd in Minneapolis, is one of many county prosecutors supported by billionaire George Soros. His policies include not charging juveniles as adults, not seeking higher penalties for gang membership or use of firearms, and bringing fewer misdemeanor cases.

The predictable result has been increased car thefts, burglaries, and personal robberies. Some 120 assistant district attorneys have left the office, and there’s a backlog of 10,000 unprosecuted cases.

More than a dozen other Soros-backed and similarly liberal prosecutors have faced strong opposition or have left office.

St. Louis prosecutor Kim Gardner resigned last May amid lawsuits seeking her removal, Milwaukee’s John Chisholm retired in January, and Baltimore’s Marilyn Mosby was defeated in July 2022 and convicted of perjury in September 2023. Last November, Loudoun County, Virginia, voters (62 percent Biden) ousted liberal Buta Biberaj, who declined to prosecute a transgender student for assault, and in June 2022 voters in San Francisco (85 percent Biden) recalled famed radical Chesa Boudin.

Similarly, this Tuesday, voters in San Francisco passed ballot measures strengthening police powers and requiring treatment of drug-addicted welfare recipients.

In retrospect, it appears the Floyd video, appearing after three months of COVID-19 confinement, sparked a frenzied, even crazed reaction, especially among the highly educated and articulate. One fatal incident was seen as proof that America’s “systemic racism” was worse than ever and that police forces should be defunded and perhaps abolished.

2020 was “the year America went crazy,” I wrote in January 2021, a year in which police funding was actually cut by Democrats in New York, Los Angeles, San Francisco, Seattle, and Denver. A year in which young New York Times (NYT) staffers claimed they were endangered by the publication of Sen. Tom Cotton’s (R-Ark.) opinion article advocating calling in military forces if necessary to stop rioting, as had been done in Detroit in 1967 and Los Angeles in 1992. A craven NYT publisher even fired the editorial page editor for running the article.

Evidence of visible and tangible discontent with increasing violence and its consequences—barren and locked shelves in Manhattan chain drugstores, skyrocketing carjackings in Washington, D.C.—is as unmistakable in polls and election results as it is in daily life in large metropolitan areas. Maybe 2024 will turn out to be the year even liberal America stopped acting crazy.

Chaos and disorder work against incumbents, as they did in 1968 when Democrats saw their party’s popular vote fall from 61 percent to 43 percent.

Views expressed in this article are opinions of the author and do not necessarily reflect the views of The Epoch Times or ZeroHedge.

Tyler Durden Sat, 03/09/2024 - 23:20

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Government

Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The…

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Veterans Affairs Kept COVID-19 Vaccine Mandate In Place Without Evidence

Authored by Zachary Stieber via The Epoch Times (emphasis ours),

The U.S. Department of Veterans Affairs (VA) reviewed no data when deciding in 2023 to keep its COVID-19 vaccine mandate in place.

Doses of a COVID-19 vaccine in Washington in a file image. (Jacquelyn Martin/Pool/AFP via Getty Images)

VA Secretary Denis McDonough said on May 1, 2023, that the end of many other federal mandates “will not impact current policies at the Department of Veterans Affairs.”

He said the mandate was remaining for VA health care personnel “to ensure the safety of veterans and our colleagues.”

Mr. McDonough did not cite any studies or other data. A VA spokesperson declined to provide any data that was reviewed when deciding not to rescind the mandate. The Epoch Times submitted a Freedom of Information Act for “all documents outlining which data was relied upon when establishing the mandate when deciding to keep the mandate in place.”

The agency searched for such data and did not find any.

The VA does not even attempt to justify its policies with science, because it can’t,” Leslie Manookian, president and founder of the Health Freedom Defense Fund, told The Epoch Times.

“The VA just trusts that the process and cost of challenging its unfounded policies is so onerous, most people are dissuaded from even trying,” she added.

The VA’s mandate remains in place to this day.

The VA’s website claims that vaccines “help protect you from getting severe illness” and “offer good protection against most COVID-19 variants,” pointing in part to observational data from the U.S. Centers for Disease Control and Prevention (CDC) that estimate the vaccines provide poor protection against symptomatic infection and transient shielding against hospitalization.

There have also been increasing concerns among outside scientists about confirmed side effects like heart inflammation—the VA hid a safety signal it detected for the inflammation—and possible side effects such as tinnitus, which shift the benefit-risk calculus.

President Joe Biden imposed a slate of COVID-19 vaccine mandates in 2021. The VA was the first federal agency to implement a mandate.

President Biden rescinded the mandates in May 2023, citing a drop in COVID-19 cases and hospitalizations. His administration maintains the choice to require vaccines was the right one and saved lives.

“Our administration’s vaccination requirements helped ensure the safety of workers in critical workforces including those in the healthcare and education sectors, protecting themselves and the populations they serve, and strengthening their ability to provide services without disruptions to operations,” the White House said.

Some experts said requiring vaccination meant many younger people were forced to get a vaccine despite the risks potentially outweighing the benefits, leaving fewer doses for older adults.

By mandating the vaccines to younger people and those with natural immunity from having had COVID, older people in the U.S. and other countries did not have access to them, and many people might have died because of that,” Martin Kulldorff, a professor of medicine on leave from Harvard Medical School, told The Epoch Times previously.

The VA was one of just a handful of agencies to keep its mandate in place following the removal of many federal mandates.

“At this time, the vaccine requirement will remain in effect for VA health care personnel, including VA psychologists, pharmacists, social workers, nursing assistants, physical therapists, respiratory therapists, peer specialists, medical support assistants, engineers, housekeepers, and other clinical, administrative, and infrastructure support employees,” Mr. McDonough wrote to VA employees at the time.

This also includes VA volunteers and contractors. Effectively, this means that any Veterans Health Administration (VHA) employee, volunteer, or contractor who works in VHA facilities, visits VHA facilities, or provides direct care to those we serve will still be subject to the vaccine requirement at this time,” he said. “We continue to monitor and discuss this requirement, and we will provide more information about the vaccination requirements for VA health care employees soon. As always, we will process requests for vaccination exceptions in accordance with applicable laws, regulations, and policies.”

The version of the shots cleared in the fall of 2022, and available through the fall of 2023, did not have any clinical trial data supporting them.

A new version was approved in the fall of 2023 because there were indications that the shots not only offered temporary protection but also that the level of protection was lower than what was observed during earlier stages of the pandemic.

Ms. Manookian, whose group has challenged several of the federal mandates, said that the mandate “illustrates the dangers of the administrative state and how these federal agencies have become a law unto themselves.”

Tyler Durden Sat, 03/09/2024 - 22:10

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