Retirement and nursing homes
relatives at least once a month, there are many who offered their support in
doing everyday chores several times a week, some of them on a daily basis.
For residents with cognitive or mental impairments, the presence of trusted
persons alone can give them a sense of security and belonging. If their ability
to communicate by speaking gradually deteriorates, it is very helpful if those
close to them know how to interpret their facial expressions and gestures and
translate them to the nursing staff.
The subject matter of many complaints brought to the NPM’s attention shortly
after the pandemic outbreak was visiting bans and restrictions in retirement
and nursing homes. Whilst families at home were able to agree on whether
and in how far they would practice social distancing with a view to the risk
of infection with COVID-19, the residents of care facilities and their relatives
were confronted with a fait accompli.
Unclear legal basis for
visiting bans
Between the end of February and the end of April 2020, visits to care facilities
in Austria were almost completely banned or conditional on special permit
from the home management. Whether the legal basis for these restrictions was
appropriate is more than questionable. In most cases, the requests for visiting
bans were issued by the respective regional government which justified their
actions with existing written recommendations of the Federal Ministry of Social
Affairs, Health, Care and Consumer Protection. Vienna was the only Land to
stipulate visiting restrictions in temporary regulation thereby removing the
pressure from those facilities that had to implement the same.
New media not a
complete substitute for
human relationships
In the first few weeks of the pandemic, relatives were only allowed to say
goodbye to the dying in person. In all other cases, strict measures were
enforced to avoid the risk of infection and forbid visitors from entering homes.
Only palliative and hospice wards were barely affected by these restrictions.
To the credit of those responsible in the homes, it must be acknowledged that
in the first few weeks after the outbreak of COVID-19 in Austria there was little
knowledge of the already active regional spread of the SARS-CoV-2 virus and
there was not enough PPE even for the staff. Much time and creativity were
used to compensate for the negative effects. Residents were helped in using
social media and video telephony to an extent never seen before. The staff
often had to help out with laptops, tablets and smartphones. It became quite
evident that digital media cannot replace physical closeness for those with
poor eyesight or who are hard of hearing as well as those who are cognitively
impaired. This is why a home in Vorarlberg encouraged meeting in the garden
or through a window from the gym into the garden while observing social
distancing at a very early stage. Some permitted visits from a distance, for
example, on adjacent balconies or in the form of “fence visits”. One home
in Tyrol organised postcards with enclosed reply envelopes for the residents
to make easy contact. Regular caregivers in a home in Lower Austria wrote
letters together with the residents and enclosed photos for the relatives.
37
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