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Red Cross Virtual Family Assistance Center

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Red Cross Virtual Family Assistance Center

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American Financial Solutions is a division of the North Seattle Community College Foundation, a non-profit organization. We provide budget, debt and credit counseling services.

866-732-3511
https://www.myfinancialgoals.org/covid-19 Army Emergency Relief
Financial Assistance for Army members

866-878-6378 or call Red Cross SAF at 877-272-7337
https://www.armyemergencyrelief.org/covid19/ Aunt Bertha The Social Care Network
Search for free or reduced cost services like medical care, food, job training, and more.
https://www.auntbertha.com/ Because I Said I Would
Because I Said I Would is a 501(c)(3) nonprofit dedicated to the betterment of humanity through promises made and kept. We are launching a new Unemployment Transition Program for COVID-19 Job Loss which aims to improve mental health outcomes by providing individuals with skills training that builds resiliency and leads to life-sustaining employment. As part of the program, we are also seeking families who have lost someone to COVID-19 to be recipients for our service projects.

(216) 226-3770

https://becauseisaidiwould.org/unemployment/ AND https://becauseisaidiwould.org/bereavement/
The Brave of Heart Fund
The Fund is designed to provide financial support in the form of charitable relief grants to support the families of healthcare workers who lose their lives to COVID-19.
(855) 334-7932 https://www.braveofheartfund.com/ CARES Act
The CARES Act was passed by the Federal Government to provide financial support to citizens while they are being affected by the virus. The attached link allows the client to check the status of that payment.

800-829-1040
https://www.irs.gov/coronavirus-tax-relief-and-economic-impact-payments

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American Financial Solutions is a division of the North Seattle Community College Foundation, a non-profit organization. We provide budget, debt and credit counseling services. 866-732-3511 https://www.myfinancialgoals.org/covid-19 Army Emergency Relief Financial Assistance for Army members 866-878-6378 or call Red Cross SAF at 877-272-7337 https://www.armyemergencyrelief.org/covid19/ Aunt Bertha The Social Care Network Search for free or reduced cost services like medical care, food, job training, and more.

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When you're young and agile, it's easy to climb stairs, play hopscotch, or ride a bike. Balance is something you rarely think about, because it comes naturally. We've put together 6 Easy At-Home Exercises to improve your balance and prevent falls.

Unfortunately, that begins to change as you get older. After the age of 50, reflexes and coordination slow down, muscle mass and strength decrease, and changes to your eyes affect depth perception and night vision. All of these changes together significantly increase the risk of a fall, fracture, or more serious injury.

You might be interested in reading our Top Picks Nutrition Drinks for Adults and Seniors for 2021.

You may not be able to turn back the clock and recapture your youth, but you can improve balance and prevent falls with easy at-home exercises. Setting aside 20-30 minutes each day to build muscle and improve coordination can help you stay mobile for years to come.

Here are 6 easy at-home exercises to try during in 2021.

You can do all of these with items you already have at home to help better your balance and stand on more solid ground.

1. Stand on one leg.

Did you ever hold balance competitions with your childhood friends or siblings? If so, you'll probably recognize this exercise. Stand behind a table or desk and place your hands on top. Keep your right foot planted on the ground and lift your left foot. Hold the position for 30 seconds, then switch feet. After you've practiced for a few weeks or months, stop using the table. The goal is to stand on each leg for at least a minute without any external support.

2. Rock the boat.

Begin this exercise by standing behind a table or chair with your feet together. Once you're centered, lift your left leg off the floor and out to the side. Hold for two to three seconds and bring your foot back. Repeat with your right leg. To maximize the balance boosting effects, do at least three reps on each side.

3. Walk the tightrope.

This exercise sounds a little scary, but there aren't any balancing poles, safety nets, or skyscrapers involved. Start by laying a long piece of string or jump rope on the floor. If these items aren't available, simply imagine a straight line that begins at your feet and extends outward.

Lift your arms and hold them out to your sides for balance. Walk without veering from the line for 10 to 20 steps, heel to toe Or from one end of the room to the other. Once you've finished the line, turn around and go back the other way. Repeat four times. If you want to make it more challenging, hold your foot in the air for two or three seconds each time you take a step.

4. Shuffle-step.

This exercise is a lot like dancing. Stand up and put your feet together. While facing forward, take a step to the right and slide your left foot over. Do this from one side of the room to the other. Once you reach the wall, shuffle-step back the other way. After you get the hang of it, try speeding up your footwork. If you want to add an extra challenge, put small obstacles in your path, like a bean bag or a rolled-up pair of socks.

5. Sit-to-stand.

For this exercise, you'll need a table or desk and a chair without wheels. Put the chair behind the table, as if you were preparing to eat a meal, and sit down. Plant your feet firmly on the ground, straighten your back, and scoot your buttocks forward so you're sitting near the front of the chair.

Lean with your chest over the table. Shift your body weight forward, squeeze your glutes, and slowly stand up. After 10 seconds or so, slowly sit back down. Try to do this exercise without using your hands, but If you feel wobbly or unstable, you can lean on the table or desk for support.

6. Squats.

Squats are a great way to build core strength, and a sturdy core is key to good balance. Start this exercise with your feet shoulder-width apart and your hands at your sides. Tighten your abs, bend your knees, and push your buttocks out like you're sitting down in a chair. You don't have to go down too deep; a 30-degree angle is fine. Once you achieve the squat position, slowly stand up. Repeat several times until you feel your quads and glutes starting to burn. If you want to make the exercise a little more challenging, hold a five-pound barbell in each hand.

By incorporating these and other simple exercises into your normal workout routine, it's possible to slow down age-related balance issues while significantly lowering the risk of a fall. Before starting any new exercise regimen, make sure to schedule an appointment with your primary care physician.

If you want to maximize the benefits of exercise, it's important to consider nutrition as well.

Chad Birt is a freelance B2B and B2C medical writer who resides in Astoria, Oregon. When he isn't behind a keyboard, you can find him hiking, camping, or birdwatching with his wife Ella and their two dogs, Diane and Thoreau.

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6 Easy At-Home Exercises. Improve Balance & Prevent Falls | Carewell

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When you're young and agile, it's easy to climb stairs, play hopscotch, or ride a bike. Balance is something you rarely think about, because it comes naturally. We've put together 6 Easy At-Home Exercises to improve your balance and prevent falls. Unfortunately, that begins to change as you get older.

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Dr. Hotez answers questions about the vaccines

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Dr. Hotez answers questions about the vaccines

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Video series

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Work out at home for free with these Go4Life exercises for older adults.

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Connecting within the Veterans & Senior Communities during COVID

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Connecting within the Veterans & Senior Communities during COVID

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My wife and I absolutely love this place. Since starting to practice yoga here about two months ago (we've been going two to three times a week), it has has positively impacted every aspect of our lives. Not only are the classes very helpful for treating stress, increasing a sense of awareness and presence, and providing a physical challenge, but the teachers and staff are nice, respectful, and professional. Great yoga family here! Read more...

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My wife and I absolutely love this place. Since starting to practice yoga here about two months ago (we've been going two to three times a week), it has has positively impacted every aspect of our lives.

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Building Resiliency to Isolation and loneliness

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Building Resiliency to Isolation and loneliness

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Building Resiliency to Isolation & Loneliness:
How to Increase Our Resiliency During the COVID-19 Crisis
Friday, April 3, 2020
2:15 PM ET / 11:15 AM PT
As our communities face the growing impacts of COVID-19, it's natural for many people to become trapped in thought patterns of fear and helplessness. It's especially difficult when we can't spend time with our support system or use our typical coping strategies. In times like this, we rely on our resiliency skills to adapt the best we can.

This webinar will discuss the crisis we face physically, cognitively, and emotionally in the time of COVID-19. Participants will:

Learn how crisis situations, loneliness, and isolation impact us as individuals

Explore where resiliency comes from

Learn practical and achievable ways to increase your resiliency

Meet the Presenter:
Patrick Hendry, NCPS is the Vice President of Peer Advocacy, Supports, and Services at Mental Health America. He has worked as a mental health advocate for the past twenty-nine years. His areas of expertise include peer provided services, self-directed care, recovery-based trainings, organizational development, and management and sustainability. He is the former Executive Director of the Florida Peer Network and has assisted in the development of numerous peer-run programs and organizations. Patrick is a strong supporter of the inclusion of mental health consumers in all aspects of the behavioral health system.

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Building Resiliency To Isolation & Loneliness: How To Increase Our Resiliency During The COVID-19 Crisis

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Building Resiliency to Isolation & Loneliness: How to Increase Our Resiliency During the COVID-19 Crisis Friday, April 3, 2020 2:15 PM ET / 11:15 AM PT As our communities face the growing impacts of COVID-19, it's natural for many people to become trapped in thought patterns of fear and helplessness.

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WEBINAR: Older Adults & Isolation During COVID-19

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Encouraging older adults to stay active and safe

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Encouraging older adults to stay active and safe

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Your organization may not be able to offer group exercise classes during the COVID-19 outbreak, but it is important to encourage older adults to stay active and maintain gains in strength, balance, and flexibility that reduce fall risk, strengthen the immune system, and improve quality of life.

Older adults may be concerned about their safety as they prepare to exercise at home, but research has shown that the risks of exercise at home are no greater than exercising in a group setting. Use these tips and resources when communicating with older adults about the importance of staying active during this time.

Encourage activity! If older adults are already engaging in outbreak-appropriate physical activity, tell them to keep it up! Exercise is key to healthy aging. It's important to keep exercising to strengthen their immune systems and maintain their fitness. The National Physical Activity Guidelines recommends engaging in 150 minutes of moderate-intensity physical activity a week.

Sit Less. Move More. Use this infographic to help older adults identify ways to move more and sit less during the day. For example, get up during every commercial on TV and do an active chore or march in place. If possible, taking a walk outside is a great way to stay active and enjoy the benefits of fresh air and sunshine.

Move Your Way. If older adults are too busy for exercise, they can get stuff done and stay physically active at the same time. Physical activity isn't a chore if you make chores physical activity! Use this infographic and video for tips on how to make everyday tasks more energetic.

Practice all 4 types of exercise: Use this infographic to remind older adults to practice all 4 types of exercise for the most benefits. Offer examples of each type of exercise for endurance, strength, balance, and flexibility.

Stay Safe during exercise: Exercising at home, with appropriate exercises and guidance, is generally safe and healthy. Offer reminders to help older adults to stay safe such as:

Listen to your body. Always warm up before exercising and cool down afterward. Gauge your level of effort with the "talk test". You should be exercising at a level that allows you to talk, but not sing.

Be aware of your environment. Make sure you are in reach of a counter, back of a couch, or a sturdy chair that is pushed up against a wall in case you lose your balance and need to hold on to something. It may also be helpful to put a chair/couch behind you in case you need to sit or lose your balance.

Hydrate. Drink water before, during, and after exercising, even if you don't feel thirsty.

Wear appropriate shoes and clothing. Choose shoes that are made for the type of activity you want to do and choose clothes that work with your activity and the temperature of your environment.

Stay Motivated! Exercise is good for almost everyone, yet it is hard to fit exercise into our daily life. These tips can help older adults overcome common barriers to exercise and get moving to improve your health. Participate in a group exercise class online, such as the Go4Life Workout Videos.

Tags: best practices, exercise, healthy living, COVID-19, coronavirus

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Encouraging older adults to stay active and safe during the coronavirus pandemic | NCOA

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Your organization may not be able to offer group exercise classes during the COVID-19 outbreak, but it is important to encourage older adults to stay active and maintain gains in strength, balance, and flexibility that reduce fall risk, strengthen the immune system, and improve quality of life.

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We must care for older adults mental health

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We must care for older adults mental health

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American Foundation for Suicide Prevention

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No matter your age, mental health and well-being are influenced by numerous factors and are susceptible to change. Right now, most people, across all sectors of society, are being affected by the global health crisis related to the coronavirus. One particular group we should keep in mind during this challenging time is older adults, whose routines and usual support systems may be disrupted.
The most powerful factors that impact mental health and well-being for older adults include:
Mental health conditions. Often undiagnosed, mental health conditions (either previous or current) can have their first onset in later adulthood. Depression and severe anxiety are not a normal part of aging, and can be addressed with clinical treatment and social support. The stress of COVID-19, the uncertainty it creates, and the potential for older adults to be more susceptible to the virus, can exacerbate any underlying risk for depression or anxiety.

Physical health, pain and disability. Medical conditions are prevalent for most older adults and can often be well managed. When pain or chronic illness lead to functional disability, the individual's sense of identity and well-being can be significantly impacted. During this COVID outbreak, being in an older age demographic and having chronic health conditions are criteria for "high-risk" vulnerability to the virus. This can compound the stress many older adults feel.

Social isolation, feeling lonely or disconnected. Any regular contact with family, neighbors, clubs, faith communities, and social services (such as meal delivery or home care personnel) can serve as important points of contact. These can be a lifeline for social connection. Social distancing can create further isolation, and the current crisis is affecting almost everyone's routines, mass transportation, and some "non-essential" social services. This means that the usual social support and contacts older adults have with others may be diminished.

Losses, are a more frequent experience for older adults and generally include the death of friends/family, and other kinds of losses such as driving, autonomy, financial, or functioning in various roles. Older adults' capacity to adapt and heal through grief and loss is generally vast. Yet grief can become complicated for some. When losses occur in combination with other stressors, mental health deterioration can occur. The COVID outbreak can feel like a threat that could bring about even more potential loss adding to the older adults' baseline experiences of loss.

Disruption in routine, such as eating, sleep, daily structure, sense of purpose, and relationships. There is a good chance that COVID has affected the older adult's usual routines: where they can shop, eat, walk and socialize.

Everyone has a role to play in supporting older adults during the COVID outbreak. Here are some things you can do:

1. Regularly check in on your older adult friends, neighbors and family members.

2. Call or video-chat with them, since texting and social media may not be the best method of connecting.

3. Ask how they are doing during this period of time, how their routines might have had to change, and what kinds of things they are doing to cope with the stress.

4. Encourage them to keep doing the activities that are allowable during COVID for their local area, and that they identify as being most helpful for them, such as daily exercise or a walk, stretching, listening to or playing music, reading, enjoying favorite or humorous shows, puzzles, games, social activities, and meditation or prayer. (Here are some activity ideas from AARP, and the National Institute on Aging.)

5. Help them seek medical advice or care if they are experiencing symptoms of physical or mental health decline.

6. Offer to bring them a meal, run an errand, or walk their dog, if your town allows for these activities.

7. Seek advice from them based on their experience and wisdom.

8. Express gratitude and appreciation for any support you get from your relationship with them. Let them know what you admire about the way they conduct their life.

Most importantly, simply communicate regularly with the older adults in your life, and express support. Let them know you're there for them and that you care. Make sure they know you are grateful they're part of your life.

It's important that we all care for each other during this challenging and uncertain time. By taking a few simple actions, you can make all the difference in an older person's life when they may need it the most.

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COVID-19: We Must Care for Older Adults' Mental Health

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No matter your age, mental health and well-being are influenced by numerous factors and are susceptible to change. Right now, most people, across all sectors of society, are being affected by the global health crisis related to the coronavirus.

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When seniors experience loneliness and isolation, it can lead to depression and physical ailments. Psychological and sociological factors have a significant influence on how well we age. That's why keeping a senior loved one engaged with family and friends is important. Video chatting is a great way to connect across the miles and can go a long way to preventing your loved one from feeling lonely and disconnected.

Recent studies have shown that video chatting can reduce the risk of depression. Researchers at Oregon Health and Science University looked at the efficacy of four different types of digital communications to see which ones would best connect seniors to friends and family. They reviewed:

The study showed that of all those platforms, when seniors used video chat they had almost half the probability of depressive symptoms. It appears that video chat has the potential and the power to keep our older loved ones connected and engaged.

Introducing Seniors to Video Chatting

Regardless of age, it is possible to introduce seniors to video chatting and encourage them to use it frequently. Here are some tips that may help.

Address the basics first; is your loved one going to use a smartphone or a computer? Will the computer be a desktop or a tablet, a PC or a Mac? Is the smartphone an iphone or Android? Select the one that they are most apt to use and that does not intimidate them. Here's what is most important, and the key to success; select a device the senior will use, and that will be near him or her when you call, not in the other room out of earshot.

Next, select the video chat platform you want to use. Each platform has its own particular features, so select one that fits the phone and/or computer you will be using and that seems easiest for your loved one. Here are some links with options for you to consider.

If you are using a smartphone, most apps work on both and including Facetime, Skype, Google Hangouts, Google Duo, Tango, Whatsapp and more.

If you are using a computer, there are a range of video chat platforms that are good for Mac and including Skype, Google Hangouts and Facebook video chat.

You can easily chat between a and most apps are built for that, including Whatsapp, Skype and ooVoo.

Now it's time to introduce video chatting to your loved one. It's a good idea to demonstrate the idea by calling someone they love to talk to. That will help to quickly surmount the objection of using the phone or computer to stay in touch. Once the senior sees a loved one's face, the benefits of this mode of communication become crystal clear. It's important for you to place the first call so the senior can experience video chatting and how much fun it can be. Then you can teach him or her how to use the technology.

When you are ready to begin teaching your loved one how to use video chat, break it down into small, simple steps and connect it to processes they understand. For example, turning on the app is like picking up the phone. Using the keyboard is like dialing the phone. These are the first steps:

1. Show the senior how to find the green phone icon on the phone menu, or the video chat icon on the computer

2. Next, demonstrate how to find the person they want to call in the listing. Compare this to finding a person in an address book or phone book

3. Ask the senior to click on the person's name and then demonstrate how to proceed from there

If you notice your loved one getting tired or frustrated at this point, stop. It's important to teach only as much as he or she can absorb, and are interested in, at any one time.

When you return to the lesson, start at the beginning and ask your loved one to conduct the steps for you. Then proceed to teach the remaining steps. Remember to teach the senior how to turn up the sound on the phone or computer so they can hear.

Once you have completed the lesson(s) and the senior can video chat, it's important to manage expectations. Make sure he or she understands that, like the phone, the person they are calling cannot pick up if they are not next to the device. Calling does not necessarily mean that the other person is available to chat. Encourage your loved one to schedule a call with friends and family members. For example, a grandchild might be available to chat every Saturday morning, and a son or daughter might want to talk Sunday afternoon. Then the senior will experience success when they call and someone answers.

If possible, find out if your loved one's friends use video chat. If they are part of a group at a senior center, church, or civic organization, contact the organizer and ask if they know if any members use video chat. Then you can schedule calls between your loved one and his or her friends. The organizer might also be interested in teaching the entire group how to video chat, adding a new dimension to their social group.

Nothing replaces time together in person, face-to-face. The ability to share hugs with loved ones fulfills the need for love and attention. However, when miles make that impossible, video chatting brings people together and provides essential communication and connection. Teaching your senior loved one how to video chat will be worth the effort when it helps to reduce the risk of loneliness, isolation, and depression.

Other Useful Resources

If you or your family member is considering in-home care as part of a plan to age in place, contact Family Matters In-Home Care today for a free consultation. Our team is dedicated to supporting your family and helping older adults enjoy life in the comfort of their own home for as long as possible.

Some of the services offered by Family Matter In-Home Care include: Alzheimer's & Dementia Care, Bed & Wheelchair Transfer Assistance, Companionship, Housekeeping & Meal Preparation, Personal Care, Recovery Care, and Transportation.

Serving the San Francisco Bay Area, Greater San Diego, and now Oregon, Family Matter In-Home Care has offices in Campbell, CA, Roseville, CA, San Marcos, CA, San Mateo, CA, and Portland, OR.

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How to Introduce Seniors to Video Chatting To Combat Loneliness

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When seniors experience loneliness and isolation, it can lead to depression and physical ailments. Psychological and sociological factors have a significant influence on how well we age. That's why keeping a senior loved one engaged with family and friends is important.

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Chair exercises like stretching are perfect for seniors because they can be adapted for physical limitations, minimize the risk of injury due to falls, and still give health benefits. The only equipment needed is a sturdy, non-slip chair.

Stretching helps ease joint pain and muscle aches and also improves mobility, flexibility, coordination, and circulation. On top of the physical benefits, it also reduces stress and boosts mood.

We found a simple and quick 4 minute routine of seated stretching exercises for seniors. This free video takes seniors through 12 gentle stretches that ease tension and improve flexibility throughout the body.

Follow along with the 12 seated stretching exercises for seniors

Not everyone will be able to use this ideal position due to physical conditions, surgery, or injuries. To prevent injury, just do the best possible and focus on keeping the body aligned and comfortable.

For a deeper stretch, extend arms toward toes while bending forward at hip.

Reminder: safety and comfort are most important

The most important thing in exercise is to keep your older adult comfortable and injury-free.

Follow the instructor's movements only as far as is comfortable. None of these movements should cause pain.

Even if someone can only do some of the range of motion or needs to skip some stretches, they'll still benefit from the routine. Over time, their flexibility and strength will improve and they'll be able to do more and more.

Remind your older adult to always move slowly and gently and to pay attention to their body. It's better to do a little less rather than risk getting hurt.

Next Step Get 12 free, simple seated stretching exercises for seniors in a quick routine
Recommended for you:
By DailyCaring Editorial Team
Image: Sundara Senior Living
This article wasn't sponsored and doesn't contain affiliate links. For more information, see How We Make Money.

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12 Easy and Gentle Seated Stretching Exercises for Seniors in 4 Minutes [Video] - DailyCaring

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Chair exercises like stretching are perfect for seniors because they can be adapted for physical limitations, minimize the risk of injury due to falls, and still give health benefits. The only equipment needed is a sturdy, non-slip chair. Stretching helps ease joint pain and muscle aches and also improves mobility, flexibility, coordination, and circulation.

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Mental Health America

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Following screening, you will be provided with information, resources and tools to help you understand and improve your mental health.

Please note: Online screening tools are meant to be a quick snapshot of your mental health. If your results indicate you may be experiencing symptoms of a mental illness, consider sharing your results with someone. A mental health provider (such as a doctor or a therapist) can give you a full assessment and talk to you about options for how to feel better.

If you provide us your information and are in need of support, we will do our best to respond. However, we are not a crisis support line. If you are in need of immediate assistance, please call the National Suicide Prevention Hotline at 1-800-273-TALK, or text "MHA" to 741-741 to talk to a trained counselor from the Crisis Text Line. Warmlines are also an excellent place for support.

For all other screening-related questions and non-emergency support, please contact screening@mhanational.org.

Mental Health America Inc., sponsors, partners, and advertisers disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens.

MHA Screening is made possible through the generous contributions of individuals and organizations that share our vision of a mentally healthy America. This portion of our campaign is supported, in part, through philanthropic contributions from The Allergan Foundation, Alkermes, Janssen, Neurocrine Biosciences, Takeda Lundbeck Alliance, and The Faas Foundation.

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Following screening, you will be provided with information, resources and tools to help you understand and improve your mental health. Please note: Online screening tools are meant to be a quick snapshot of your mental health. If your results indicate you may be experiencing symptoms of a mental illness, consider sharing your results with someone.

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A way forward to opening up social circles

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We are starting to enter into a new normal. Restrictions are being lifted and we are beginning to decrease social distance, yet we must continue to work together to reduce the risk of viral transmission. Until accurate testing is available and herd immunity is achieved, this can be achieved through self-awareness and communication.
Covid CARE calls in four specific elements to consider and discuss with others as you start broadening your social circles:
Covid CARE is a model to build trust through communication to co-create a healthier social expansiveness.
What will be our "new normal"?
There are people who are taking physical distancing very seriously, and others who feel anger and frustration at being told what to do by our Government. Our current political climate is fragmenting us further. We are impacted by the economic damages brought on by the closing of the economy, isolation from friends and family, and fear of sickness and death.

These stories and feelings can either tear us apart or bring us together. It will be our choice to make: Will our new normal be one based on scarcity and fear or on an abundance of hope and love? Finding that point where the freedom of the individual is balanced with care for others is key. It is here that we can create a new normal where we can all be seen and cared for equally, regardless of privilege; an opportunity to integrate ourselves back into society as supportive rather than oppressive.

COVID CARE provides us a model in which to move forward together.
A Word about Shame and Judgement
Shame is a powerful tool used to maintain conformity to a social standard. It works. It also causes death, depression, isolation, and deep suffering far greater than any virus ever could. Being judgmental about others' choices shuts people down from being honest. Not knowing what someone is doing during the age of coronavirus is potentially deadly. It is far better to know if someone is not following measures to reduce viral transmission, so that you can protect yourself, than to shame and judge them to where they don't disclose that to anyone else (while not changing their behavior). Listening to their reasons and having an open discussion is far more effective to have them care about their choices.

The Container includes the people who are in your household/domicile, living space, work space, or whom you might interact with without social distancing or precautions. Some other terms used are circle, cohort, contact circle, COVID pod, COVID-bonded, germacule, droplet bonded,and primary community. You could have a primary container - those that you share space with - and a secondary container, such as work spaces or visitors who have their own primary residences or containers. Those with bigger containers have bigger risks of infections associated with them.

Your container can have people at different social distances and include people who are in multiple containers. It should include the people who you directly intersect with: anyone who comes within 6 feet of you for more than 10 minutes. As time goes on, these containers may change, with people moving away or closer. While it may seem like a hassle, drawing out your contacts can be a visual way to show others. This way, others can better make a decision knowing who is who and what they are willing to enter.

Many people know who is in their container, and feel safe within those choices, but many people do not have that privilege. Essential/front line workers, incarcerated, houseless and people in detention, have no say or ability to protect themselves from viral transmission. We have a social responsibility to them to understand our ability to make choices and continue to account for this when we begin to open up our container to others.

You can create your own Container diagram here to share with others.

We often take people that we live with for granted. Maybe we have not clearly sat down and spoken our boundaries and risk reduction etiquette out loud, but have a common understanding of each other while we are in the place of "stay at home" measures. As we move towards broadening our containers, we need to create agreements with each other to help navigate these changes.

Agreements may have allowances for those not at the same level. For example, if one person in the container socializes with others at less than 6 feet, the other members of the container may wish to stay more than 6 feet from them, and ask for extra cleaning of shared spaces or wearing of masks when near each other. The highest risk person or the person with the lowest risk tolerance would ideally set the standards of acceptable behavior for the container.

In some containers, it is difficult to have perfect risk reduction behaviors, such as maintaining 6 foot distance from strangers, wearing masks, or staying at home. In these situations, disclosure about the additional risks to others must be made as one broadens the social network. This is not about getting an infection that can easily be treated with an antibiotic, but something that can kill someone even with two degrees of separation.

This is the most controversial and difficult place to navigate as we reduce social distancing and open society back up. Forsaking joy, love, pleasure and others for the period of time until herd immunity is reached will cause inordinate suffering. We each have our own personal tolerance for illness, disease and death. It is imperative that we understand this in order to take into account everyone else in our container and community at large. Risk Tolerance does not supersede public health policies and government regulations.
Why consider risk tolerance and not just risks themselves?
Risk tolerance is subjective and can dictate the behaviors we impart unconsciously to others. We each form our risk tolerance based on personal history and societal risks. Understanding risk tolerance and being responsible for your choices is critical to our ability to open up our society as safely as possible. Low or high risk tolerance does not make one better or worse, but with COVID-19, the need to be clear and conscious with one's choices is critical to the health of society.

The more someone is at risk of disease and death due to where they live, their health, pre-existing conditions, economic status, race, or age, the lower their risk tolerance. Others feel that they have less to lose if they get sick, and are willing to take on more risks. One cannot know everyone's level of vulnerability who we come in contact with. Essential workers and those they care for have died due to others' inadvertent exposure.

I use a backpack as a metaphor to explain the concept of risk tolerance:

The more you carry in your backpack (personal risks, precautions you are using), the slower you move (lower tolerance), but the more likely you are to survive. The less you carry, the faster you move (high tolerance) but the less likely you will survive by putting yourself and others at higher risk.
As risk tolerance increases, so does the potential harm to others. You are responsible for protecting others from yourself, otherwise that is a consent and boundary violation.
Higher risk frontline and essential workers, people of color, migrant workers and those residing in nursing homes are at especially high risk and may not have the ability to protect themselves with this conversation, so it is up to those of us who can, to help everyone stay healthy.

The following scale is not inclusive of all situations and is just a guide. This is not prescriptive . The intent here is to create a common vocabulary so we can communicate where we each stand.

0: Very Strict - Have been in very strict isolation alone or with others in a container, which may include the following:

Stays exclusively within the container/household.

6 feet apart with others within the household/container.

Strict etiquette including hand washing, masks and social distancing are used 100% of the time within the container.

Groceries delivered and wiped down.

No one outside is allowed in.

Infection control protocols outside of the bedroom. Bleach or sanitizing all surfaces touched by more than one person, no shared bathroom spaces.

People in this category are more likely to be at a higher risk of death from contracting the disease or be in a container with someone who is. They may value social responsibility towards others, and/or want to flatten the curve. Areas with a high density of people, such as a city, may be at this level for the foreseeable future, until adequate testing and contact tracing is readily available. Getting through this pandemic without illness to self or others is a strong priority.

1: Strict - Have been in strict isolation alone or with others in a container, which may include the following:

Does not optionally leave the house/container except to get groceries and go to work.

No social distancing with members of one's container.

Strict etiquette including hand washing, masks and social distancing are used 100% of the time when outside of the container.

Groceries delivered and/or wiped down before being allowed into the container.

No visitors are brought inside the container.

Person to person connection is done virtually or across a wide berth >6 ft + masks.

Exercise alone or with others, distance strictly maintained.

For some, while they may want to be at this level, they cannot due to their societal, economic, and/or personal situation. Essential workers may be strict when they are able to make those decisions but their work puts them at higher risk, so their risk tolerance is higher than their desire.

2: Fairly Strict - Have been in fairly strict isolation alone or with others in a container, which may include the following:

Leaves the house to go to work, where etiquette to reduce transmission is not strictly available.

Fairly strict etiquette including hand washing, masks, and social distancing are used 80-100% of the time when outside of the container.

Minimizes grocery and other shopping (once a week or less).

Exercise with others where distance may not always be strictly maintained for brief moments.

May socialize with others outside of the container, at 6 ft apart or less than 6 ft with masks.

No sexual activity with anyone outside of the container. (Sexual activity is any behavior where sexual touch is exchanged.)

No one in the container has prolonged (more than 10 minutes) exposure with those outside the container.

People in this category may need more social exchange with others but still want to reduce the risks of infection as much as possible. Other circumstances, such as needing to continue work or take care of someone outside of the primary container, may require this level of risk tolerance.

3: Somewhat Open - Have chosen to be somewhat open with their container alone or with others, which may include the following:

Leaves the container to exercise, go to the store, work and other activities several times a week.

Etiquette including hand washing, masks and social distancing are used about 80% of the time when outside of the container.

Sometimes socializes with others who are not in one's container

Maintains social distance

Less than 10 people

No more than twice a week.

Sometimes socializes with others at less than a 6 foot distance if they have been following fairly strict or somewhat open protocols as well.

May engage in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity is limited to no exchange of bodily fluids including open mouth kissing and oral sex.

People in this category may be found in places with lower Covid infections. Those who have lower risk of death and disease to themselves, and do not share space with others at high risk, may be in this category.

4: Moderately Open - Have chosen to be moderately open with their container alone or with others, which may include the following:

Leaves the container to exercise, go to the store, work, and other activities multiple times a week.

Etiquette including hand washing, masks and social distancing are used around 40-60% of the time when outside of the container.

Regularly socializes others who are not in one's container

May not maintain social distance

More than 10 people

No regard to how often one socializes.

May engage in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity can include exchange of bodily fluids including open mouth kissing and oral sex.

People here may believe they have no risk factors, or do not believe they know anyone who is at risk if they get the infection, or may be wanting to get infected.

They may have already been infected, tested positive for antibodies, and feel sure that they are no longer a vector for infecting others. Please note, that at the time of this writing, we do not know whether having antibodies to SARS-CoV-2 imparts immunity.

5: Very Open

Leave the container to exercise, go to the store, work and other activities multiple times a week with no precautions that have been shown to reduce viral transmission.

Etiquette including hand washing, masks and social distancing are used about 0-40% of the time when outside of the container.

Regularly socializes with others who are not in one's container

Does not maintain social distance

More than 10 people

No regard to how often one socializes.

Engages in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity can include exchange of bodily fluids including open mouth kissing and oral sex.

Some people desire infection, have tested positive for antibodies, or do not want to be told what to do.
Anyone with this risk tolerance has the social responsibility to take strong precautions from possibly infecting others who may be vulnerable, including essential workers.
As members of a greater community, the choices we make will help support one another. Some of these choices are based on hard science, such as hand washing protocols. Others we are still figuring out, such as the benefits of wearing masks.

Clean hand protocol - Wash your hands often with soap and water for at least 20 seconds, especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.

If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Secure Shared Space - Determined by those within a container. This may be a place where you do not feel the need to have strict measures such as wiping down surfaces after touch, wearing gloves, or covering your face.

Physical (social) distance - 6 feet is an old determination that has been the set standard for shared air space. Previous studies, using aircrafts as a model, have determined that this is the distance needed to avoid sharing small droplets. However, a sneeze or cough can carry viral particles much further.

Covering your coughs and sneezes - All coughs and sneezes, even if they are due to environmental allergies, need to be covered. The ideal is a clean paper tissue that is immediately thrown away into a closed container. Hands need to be washed or use of hand sanitizer immediately afterwards.

Masks - Are worn to protect others from you, not the other way around. Wearing a mask in public can have an overall impact of slowing down the transmission of the virus. The CDC does recommend the use of a mask, even a plain cloth mask, whenever you are out in public. If everyone was to wear a mask in public, it reduces the inadvertent transmission of people who may be asymptomatic as well. Please remember to wash your cloth masks regularly.

See this good NYTimes article for further information: A User's Guide to Face Masks

Gloves - Are not well recommended since some people use the wearing of gloves to touch anything. Gloves can give a false sense of protection. If you are going to wear gloves, they must be put on after a 20 second hand wash or use of alcohol sanitizer. Do not touch your face with your gloved hand or you will self contaminate.Take off the gloves as soon as they are no longer needed. Pull one off first, then use the clean hand to go under the glove to pull the other one off. Do not reuse them and dispose of them in a closed container.

Sex - The virus lives in saliva, any exchange of bodily fluids carries a risk of transmission. The virus has been found in stool, so any anal play can transmit the virus to your respiratory passages (mouth) and should be avoided unless you are in a mutually monogamous container with them. Sexual activity is not limited to exchange of bodily fluids and this might be a chance to discover the array of sensual and intimate activities that are available to us.

We are in a time of great uncertainty. We do know, for those that believe in data and science, that social distancing, adequate hand washing, and stay at home measures have reduced the transmission of SARS-CoV-2 virus. Until accurate testing is widely available and contact tracing set up, these are the best measures we have to decrease morbidity and mortality due to COVID-19. Unfortunately, there isn't a clear end in sight.

Rather than despair, we need to find a way to proceed forward with grace and compassion. Communication with those in your day to day life, having clear agreements to meet everyone's needs, and understanding your conscious and unconscious behavior will be critical as we begin to open up our society. Until we have what we need to safely relax social restrictions, talking with those in your container/circle is one small tool that can go a long way as we prepare to ride out this storm together. Shame has no role in helping us stay together. Rather than using shame as a tool to encourage conformity, I recommend using accountability and communication. Using COVID CARE as a model for communication, each can work towards creating a new "normal" where we learn to be self aware, responsible and care for one another.

There is still a lot we don't know about and the tests are still not accurate enough to be reliable.

At this time we have two tests that are available:

Viral test - to check if you have a current Covid infection. There is up to a 30% false negative rate in some of the tests.

Antibody test - to check if you have antibodies to the virus. This tells us that you have some immunity to the virus. We don't yet know that just because someone has developed antibodies, that they are fully protected from reinfection, or how long any immunity lasts.

I see many tests being offered that have not yet been FDA approved and there is no available data on their accuracy.

FDA Test Validation.
FDA Emergency Approved Tests
"The top Covid-19 comorbidities listed by New York, in order, are hypertension, diabetes, high cholesterol, coronary artery disease, dementia, and atrial fibrillation, a heart condition. Chronic obstructive pulmonary disease, another respiratory ailment, but one with an older demographic than asthma, ranks seventh. Renal disease, cancer and congestive heart failure round out the list." NY Times
NYC Health Tracker, Comorbidities
For those who choose to wear a mask, watch this demonstrated in a WHO video, the key is to not to touch the outside of the mask - and to wash your hands if you do.
Facts on use of Face Masks DIY Face Masks, NYTimes CDC Mask Recommendations The History of Social Distancing, NYTimes Social Distancing, NYTimes CDC Prevention Recommendations Evelin Dacker MD is an Integrative Family Physician in Salem, Oregon. Evelin was the Executive Director of Portland. She created the safer sex communication model STARS to help facilitate open and honest sex conversations. She is a sexual health activist, consent educator and TEDx Speaker.

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We are starting to enter into a new normal. Restrictions are being lifted and we are beginning to decrease social distance, yet we must continue to work together to reduce the risk of viral transmission. Until accurate testing is available and herd immunity is achieved, this can be achieved through self-awareness and communication.

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Loneliness in seniors can increase as a result of COVID

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Loneliness in seniors can increase as a result of COVID

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Find suggestions in the link below about how to connect

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Seniors - people over age 65 - are one of the most at-risk groups for COVID-19, the disease caused by the coronavirus. In many countries, they've been encouraged to quarantine themselves in their homes to avoid infection.

Hotlines like the Institute of Aging's Friendship Line, Crisis Text Line, and the Disaster Distress Helpline have all seen increases in calls as a response.

Experts tell Insider there are ways to keep in touch with seniors even while social distancing, whether that's scheduling a Zoom coffee, playing online games, or just designating time in your day to talk to the seniors in your life.

Visit Insider's homepage for more stories.

People over age 65 are at a higher risk of severe disease and death from COVID-19, the disease caused by the novel coronavirus. In many countries, they've been encouraged to stay home as much as possible - even moreso than other age groups.

"We need to work together to protect older people from the virus," World Health Organization Director General Tedros Adhanom Ghebreyesus said in a press conference, while discussing the need for seniors to retreat from public life. "Older people carry the collective wisdom of our societies."

But as seniors have retreated into their homes, fear and anxiety levels have risen.

One-in-three texters to the Crisis Text Line over age 65 mention isolation and loneliness as a pressing issue. AARP foundation president Lisa Marsh Ryerson told Insider that the organization has been receiving hundreds of thousands of calls from concerned seniors.

It's important to remember that "social distancing is just about space," said Ryerson. "It's more important than ever to be sure it doesn't lead to social disconnection."

Here are some tips on how to virtually spend time with the seniors in your life.

Set specific times to talk or eat together

"[Make] a decision to check in with older family members and loved ones each and every day," said Ryerson. "Set a goal and make time for it." That can be done by phone or text or video chat, and it can be a quick call or a dinner over Zoom, but make sure that when you talk you don't spend too long talking about COVID-19.

"It really subsumes not only the conversation, but I think also the mental energy," said Virginia Tech gerontology expert Karen Roberto. "It becomes very taxing to be so engaged with the numbers, and the deaths."

Teach seniors how to use the technology they have access to

The Internet is full of tech tutorials targeted at people who haven't spent a lifetime using the internet, from tutorials on Zoom to apps that teach seniors to use tablets. Sites like GCF Global, which is supported by Goodwill, offer computer literacy training for seniors, while Techboomers.com offers free courses on how to use specific sites like Amazon and Facebook.

Getsetup offers free group classes to seniors on everything from how to use Uber to how to pay bills online. There's also the Grandpad, a tablet that makes voice and video-calling as easy as possible for seniors.

Crystal Cox/Business Insider

Take a walk while on the phone with a friend over 65

If you used to have a set time to go for a neighborhood walk with a friend over 65, you can still do that. Instead, both of you walk in separate places and talk on the phone to one another.

For Ryerson, who lives in a small village with many many older neighbors in the Finger Lakes of New York, it's been important to check in on neighbors and see if they want to have a cup of coffee virtually. "You can even check on a neighbor by knocking on a door, then distance yourself and have a conversation across that distance," she said.

For people who don't feel comfortable walking outside, there are senior-focused exercise videos that can be done indoors, like AARP's fitness series and The National Institute on Aging's Go4Life workouts.

Crystal Cox/Insider

Play online games like Words with Friends

There are a number of online games you can play with seniors (or anyone else, for that matter). Some are synchronous, meaning players all have to be present at the same time, like online chess or checkers. Others are asynchronous, meaning one player can make their move and then put their phone down, letting the other player make their move in their own time, like Words with Friends.

Advise seniors in your life to volunteer if they are able

"For those of us who are still able to do it, it's preventive connection for us," said Ryerson. "It's helping us avoid social isolation."

Places to volunteer include Crisis Text Line, which is looking to train counselors, Volunteer Match, which connects people with causes, Be My Eyes, which connects people who can see with blind or low-vision users that need help, and The Smithsonian Digital Volunteer program, where you can help transcribe historical documents.

"Prior to the pandemic, one in four older adults were already suffering from prolonged isolation," said Ryerson, adding that loneliness has been linked with increased risk of heart disease, cognitive decline, and decreased immunity. "My biggest concern is that we'll see a rise in vulnerable, low income older adults. It is important to remind people that they can help themselves and help each other."

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Loneliness is a big risk for older people stuck at home. Here's how to connect with seniors when you can't be together in person.

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Seniors - people over age 65 - are one of the most at-risk groups for COVID-19, the disease caused by the coronavirus. In many countries, they've been encouraged to quarantine themselves in their homes to avoid infection. Hotlines like the Institute of Aging's Friendship Line, Crisis Text Line, and the Disaster Distress Helpline have all seen increases in calls as a response.

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6 ways to stay connected to Seniors during COVID

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6 ways to stay connected to Seniors during COVID

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To slow the spread of the coronavirus among seniors, nursing homes and assisted living communities are following CDC recommendations and restricting all visitors, volunteers, and nonessential personnel, with a few exceptions, such as end-of-life situations.

Also cancelled are all group activities and communal dining. Active screening of residents and health care personnel for fever and respiratory symptoms is being implemented.

But seniors are feeling isolated, anxious, and fearful during this time.

And seniors with dementia are especially likely to be scared, agitated, or confused because they can't understand or remember what's causing these major lifestyle changes.

We share 6 practical tips to help you stay as connected as possible with your older adult while visitors aren't allowed in care communities.

What's realistic right now

Some care communities have promised to help residents use computers or tablets to communicate with family, but haven't yet done so.

The staff is likely being hampered by the need to spend significant time and effort on frequent sanitizing, testing for all residents and staff, as well as reduced staff due to illness.

So realistically, your means of communication will be limited by what your older adult is currently capable of and the help that the facility is able to provide.

In general, just do the best that you can. Use whatever means of communication that is currently available until a better option becomes available.

To monitor your older adult's health and well-being, check in with the facility regularly to find out how they're doing. Ask if they're continuing to implement their care plan or if there have been any modifications.

Be mindful that staff will be overwhelmed with calls from family and with implementing measures to keep seniors safe. They're doing the best they can, so be kind and patient and express your gratitude for their hard work on the front lines.

6 ways to stay connected with seniors when visits are restricted

1. Establish a regular contact schedule
To reassure your older adult that you'll always be there for them, consider setting up a schedule for when you'll contact them and stick to it religiously.

Knowing when to expect a call from you can help them feel more secure and connected during an uncertain time. This is especially important if they aren't able to initiate calls on their own.

If your older adult has Alzheimer's or , but is able to understand reminder notes, consider writing down a clear call schedule and getting it to them via care package or mail.

2. Talk on the telephone
With texting and video calls, sometimes we forget that a good old-fashioned phone call is a wonderful way to stay connected.

The best part is that your older adult already knows how to use their phone and there's no set up needed.

3. Video calls on a computer
If your older adult is able to use a computer, consider doing a video call with them. There's extra comfort and reassurance in seeing someone's face.

You'll also be able to better assess their level of health and well-being. And they'll feel less isolated because they'll be able to see the face of someone they trust.

There are many video calling options available. Here are a few popular services.

offers free options and we find that it's easy to get into the video call because only one person needs a Zoom account. Others can join a "meeting" that the account holder sets up when they send a link via email.

4. Video calls on a mobile phone
If your older adult uses a smartphone regularly, they may already have video calling set up, like on Apple iPhones.

5. Drop off letters or care packages
If your older adult isn't able to use a telephone, smartphone, or computer, ask their care community if you can drop off letters or care packages for them.

If this is allowed, put together a bag of basic supplies, favorite snacks, or comfort items and drop it off for them.

And to remind them that they're loved and missed, you could include special photos or a handwritten letter.

If it's feasible, you could even ask family and friends to send letters to you via email so you can print them out (in large font) and add them to your older adult's care package.

Pre-clean care packages for safety
With older adults at for serious complications from COVID-19, it's better to be safe than sorry.

A suggests that the virus only survives for a few hours on packages, but can live on some surfaces for (like plastic bags or containers).

So if you choose to send a care package, take a few precautions to reduce the chance that you'll be delivering germs along with it.

You might also consider using 2 bags. One clean, new bag to hold all the items and an outer bag that can be immediately discarded once the package is delivered.

Tape a large note to the outside asking for the outer bag to be thrown away and not given to your older adult.

6. Encourage family and friends to send letters and cards
Because the suggests that the virus only survives for a few hours on packages and cardboard, it's less likely that mail would be carrying the virus.

To brighten their day, ask family and friends to send letters, cards, and photos to your older adult.

Everyone loves to get mail, especially when we're feeling disconnected and isolated.

They'll even be able to keep these items displayed in their room as constant reminders that they're loved and missed.
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By DailyCaring Editorial Team
This article wasn't sponsored and doesn't contain affiliate links. For more information, see How We Make Money.

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Nursing Home Lockdown: 6 Ways to Stay Connected with Seniors During a Coronavirus Scare - DailyCaring

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To slow the spread of the coronavirus among seniors, nursing homes and assisted living communities are following CDC recommendations and restricting all visitors, volunteers, and nonessential personnel, with a few exceptions, such as end-of-life situations. Also cancelled are all group activities and communal dining.