Questions abound about navigating the health system during COVID-19

By Sally Crocker

Drs Office Web

The gradual rollback of COVID-19 social-distancing guidelines in Texas and across the U.S. has many vulnerable populations, including adults 65 and over and those with underlying health conditions, asking questions.

Dr. Kayla Fair
Dr. Kayla Fair, HSC Assistant Professor of Public Health Education

“Older adults and those managing chronic medical conditions may experience challenges navigating the many recent changes in our healthcare system in response to COVID-19, including transitions to telehealth visits,” said Kayla Fair, DrPH, MPH, BSN, RN, HSC Assistant Professor of Public Health Education.

“This can be further complicated if they are not comfortable with technology and/or online health platforms, or have limited access to computer or internet service.”

Prior to joining the HSC School of Public Health, Dr. Fair has done “a little bit of everything” as a nurse caring for patients in settings that include critical care, pediatrics and transplant, as well as working to improve the health of communities both as a researcher and practitioner.

“As a nurse, I have had several conversations with family members and friends about whether they should go to previously scheduled appointments now or wait it out,” she said. “Ultimately, this is a conversation that patients should be having with their providers, as every situation is unique. Your provider’s office can supply additional information about the best course of action.”

Sometimes a phone call can take care of prescription refills and other needs between office appointments.

Patients should also utilize the expertise of other healthcare team members, including local pharmacists, Dr. Fair said.

“Your pharmacist is another good resource for medication questions and the specifics on your insurance plan’s approved refill schedules. The pharmacy may also have information on discounts or prescription coupons to help with out-of-pocket costs.”

Providers are continuing to give updated guidance, especially now as communities move into the summer months, on how appointments are being managed. For instance, what to do on arrival, whether patients should wait in the car until they are called, how companions and special assistance accommodations are being addressed, whether masks and gloves should be worn to the office, if temperature checks are required at the door, and what to do if you have any cold, flu, COVID-19 or other potentially infectious symptoms before or on the day of an appointment.

“It’s an important time to communicate with your provider, especially for those who may be immuno-compromised, recovering from surgery or undergoing chemotherapy, radiation or other cancer treatment, and any patient with questions,” Dr. Fair said.

“I am concerned about recent reports that many patients are delaying or avoiding emergency medical care due to fears about being exposed to COVID 19.  If at any time you feel that you or a loved one is experiencing a life-threatening or rapidly deteriorating health status, please seek care immediately. Do not delay,” she advised.

Signs and symptoms that you or someone you know may be in need of immediate medical care can include shortness of breath or difficulty breathing, chest or abdominal pain, facial drooping or uncontrolled bleeding.

Any concerning change in health status should be addressed immediately. Call 911 for any life-threatening emergency.

Resources for high-risk groups, including those older than 65 and those managing chronic health conditions during COVID-19, include:

CDC Recommendations for High Risk Groups, for adults over 65, people with asthma or chronic medical conditions, and HIV patients.

When to Seek Emergency Care – never avoid emergency rooms or wait to see doctors if you feel your symptoms are truly serious.

American Heart Association: What Heart Patients Should Know About Coronavirus, for patients with heart disease.

American Cancer Society: Coronavirus, COVID 19 and Cancer website for cancer survivors.

American Diabetes Association: Coronavirus and Diabetes for individuals with diabetes.

US Department of Health and Human Services: Interim Guidance for COVID 19 and Persons with HIV.

Stay Safe and Informed about Coronavirus Disease, offering resources and weekly webinars/information sessions for patients with chronic lung conditions.

Asthma and Allergy Foundation of America: Coronavirus: What People with Asthma Need to Know, for those with asthma and allergies.

The University of North Texas Health Science Center at Fort Worth Center for Geriatrics, an interdisciplinary Center guided by values and committed – through education, research and patient care – to improving the quality of life and promoting optimal aging for older adults.

Caregiver Action Network: COVID 19 and Family Caregiving, a resource for caregivers, including guidance on communicating with medical providers.

Alzheimer’s Association: Coronavirus: Tips for Dementia Caregivers, offering coronavirus resources for caregivers of dementia patients.

Recent News

Kari Northeim
  • Our People
|Sep 28, 2023

HSC’s Dr. Kari Northeim and Parker County collaborators awarded SAMHSA grant for rural EMS training and education

  Dr. Kari Northeim, School of Public Health assistant professor of population and community health at The University of North Texas Health Science Center at Fort Worth, has been awarded the SAMHSA Rural EMS Training and Education grant in conjunction with HSC community partners, Parke...
Graci Finco
  • Research
|Sep 28, 2023

SBS researchers publish innovative study in Nature Scientific Reports 

People with leg amputations, including those with diabetes, run the risk of overuse injuries like osteoarthritis, muscle atrophy or bone breaks in their intact limbs.   Now, new research is quantifying the impacts of amputations and diabetes, a leading cause of amputation, on those overuse ...
Frank Filipetto Cropped For Social
  • On Campus
|Sep 28, 2023

HSC’s Texas College of Osteopathic Medicine to host symposium on ‘Creating Change in Health Care Delivery’

Americans have soured on the U.S. health care system, according to a Gallup poll taken earlier this year. Most of those surveyed rate health care quality as subpar, including 31% saying it is “only fair” and 21% — a new high — calling it “poor.” The U.S. ranked nearly last compared w...
Tarri Wyre
  • On Campus
|Sep 26, 2023

SaferCare Texas empowers Community Health Workers to complete HSC Mental Wellness microcredential

Tarri Wyre saw the growing need to expand her mental health education. The community health worker and ambulatory care manager for Memorial Hermann Health in Houston turned to the Mental Wellness microcredential, offered by The University of North Texas Health Science Center at Fort Worth’s SaferC...