Empowering the Caregivers
The World War II veteran had no family by his side as he lay dying a few months ago, so Ella Wilverding and her union co-workers stepped into the role.
They took turns sitting vigil with the man, talking to him, holding his hand, and making him as comfortable as possible during his final days.
“We have a policy,” explained Wilverding, a certified nursing assistant (CNA) at the Oregon Veterans’ Home in Lebanon, Ore., and the president of United Steelworkers (USW) Local 9559. “No one dies alone.”
This is the kind of compassionate, top-quality care that ensues when responsible staffing levels empower nurses, CNAs and other nursing home workers to provide the time and attention that residents need.
Right now, states set their own staffing requirements, and some have none at all. Fortunately, the U.S. Centers for Medicare & Medicaid Services (CMS) recently took the first step in fixing this broken system of care by proposing minimum mandatory staffing requirements for nursing homes across the country.
CMS will take public comments for about two months before issuing a final rule—a window that enables advocates like Wilverding to shine a light on the incredible difference that robust staffing makes and to fight for standards strong enough to revolutionize an essential part of the health care system.
“I wish every facility could be like this,” Wilverding said of the Lebanon location, where she works with seven veterans on an average day shift.
Under Oregon law, each resident there receives at least 2.16 hours of CNA care every day, plus assistance and services from other staff members. Oregon’s staffing standards now rank among the strongest in the nation, but Wilverding champions further improvements, knowing that they would enable workers to provide ever-better care.
The Lebanon site consists of a dozen houses, with as many as 14 residents in each, spread among four neighborhoods on a manicured campus.
CNAs like Wilverding prepare meals, wash the dishes and handle laundry in addition to helping veterans with bathing, dressing and other tasks. If residents’ needs increase—such as when the staff mobilizes to provide around-the-clock end-of-life care, for example—the facility schedules additional workers for support.
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