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how to treat elderly with covid at home 2022

If you have COVID-19 symptoms, get tested as soon as you can after your symptoms start. Gather one to three months of medications, and at least two weeks worth of food, over-the-counter remedies, pet supplies, and other essentials. Getting plenty of rest. Clinical trials supported by NIH are being done to study the safety and effectiveness ofmonoclonal and polyclonal antibodiesin both inpatient and outpatient settings. It is taken twice a day for five days and should be started as soon as possible after symptoms begin. They may refer you to aclinical trial for a potential COVID-19 treatment. Dont delay: Treatment must be started within days of when you first develop symptoms to be effective. Diarrhea. These cookies may also be used for advertising purposes by these third parties. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Treating COVID-19 at home: Care tips for you and others, Begin Exploring Women's Health Solutions at Mayo Clinic Store. It is possible to have coronavirus disease 19 (COVID-19) without a fever. COVID-19 vaccine: Should I reschedule my mammogram? Therefore, it is important for anyone concerned about possible exposure to the virus to speak with a healthcare provider. Treatment. World Health Organization. Vaccination rates among aides was lower in facilities located in zip code areas with higher levels of social vulnerability. World Economic Forum articles may be republished in accordance with the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License, and in accordance with our Terms of Use. Your healthcare provider can help decide whether this treatment is right for you. a single reading of 100F (37.8C) or higher, multiple readings higher than 99F (37.2C), a rise of more than 2F (1.1C) above a persons typical temperature, unexplained hypoxia low levels of oxygen in the blood, shortness of breath or difficulty breathing, staying at home, except when receiving medical care, carefully following all instructions about preventing infection, asking staff about the specific safety precautions, such as whether and how they are limiting visitors, move the person into a private room with a private bathroom, wear added personal protective equipment while providing care, transfer the person to an appropriate facility if they cannot provide adequate care, a color change in the lips or face which may appear bluish in people with lighter skin or whitish or grayish in people with darker skin, washing the hands often, for at least 20 seconds at a time, with soap and water, using hand sanitizer that contains at least 60% alcohol, if washing the hands is not possible, avoiding touching the eyes, nose, and mouth with unwashed hands, keeping a distance of at least 6 feet from other people, covering the mouth and nose around others, unless it causes difficulty breathing, covering coughs and sneezes with a tissue, then discarding it, cleaning and disinfecting frequently touched surfaces, if symptoms develop, checking for a fever and notifying a healthcare provider. Duke's infusion clinic, like many others, was set up to treat COVID-19 patients with monoclonal antibodies - a treatment which takes a single infusion session lasting 1 to 2 hours, Wolfe . The FDA has also issued emergency use authorization for Evusheld (tixagevimab and cilgavimab), monoclonal antibodies used for the pre-exposure prevention of COVID-19 in certain individuals. 6. The views expressed in this article are those of the author alone and not the World Economic Forum. You want the urine to be clear, not dark and concentrated. Improving ventilation in your home. CDC twenty four seven. COVID-19 Response: What Do Older Adults and People With Disabilities Need To Know? Last medically reviewed on October 12, 2020. The health care provider might suggest use of a home pulse oximeter, especially if the sick person has risk factors for severe illness with COVID-19 and COVID-19 symptoms. Stay home from work, school and public areas unless it's to get medical care. We are vaccinating all eligible patients. CDC has developed guidance for participants and their caregivers to help reduce the spread of COVID-19 at ADSC facilities and at home. Click the button below or call 1-800-232-0233 (TTY 1-888-720-7489) to find a location that offers testing and treatment or a pharmacy where you can fill your prescription. If you are age 65 or older or have an existing long-lasting (chronic) medical condition, such as heart or lung disease or diabetes, you may be at higher risk of serious illness with COVID-19. The device can help check breathing by measuring how much oxygen is in the blood. If you're a healthcare worker with COVID-19, the time you can return to work may vary. Coping with stress. Rest. They help us to know which pages are the most and least popular and see how visitors move around the site. Call 911 or your local emergency number if you notice any emergency signs, including: This list doesn't include all symptoms. Studies are currently enrolling people who are hospitalized with COVID-19 to test the effectiveness of several different medications that are inlate-stage clinical development. People with severe symptoms of COVID-19 often need to be treated in a hospital intensive care unit. Start as soon as possible; must begin within 5 days of when symptoms start, When A mid-December report shows this variant causes slightly different symptoms, which most commonly include: That is, rest at home, take paracetamol or ibuprofen to relieve pain and fevers, to keep hydrated and take cough medicine if needed. If you or your loved one learn that you might have been exposed to someone diagnosed with COVID-19 or if anyone in your household develops symptoms such as cough, fever or shortness of breath, call your family doctor, nurse helpline or urgent care facility. As with vaccines for other diseases, you are protected best when you stay up to date. You might worry about your health and the health of the sick person. Eldercare Locator: A service of the U.S. Administration on Aging that can help older adults find housing, community and in-home services, transportation, insurance and assistance programs, and benefits information in their community. Paxlovid is nearly 90% effective in reducing the risk of hospitalization or death from COVID-19 when given early, according to a study published April 14, 2022, in the New England Journal of Medicine. COVID-19 is a respiratory disease that continues to affect people and communities worldwide. American Indian/Alaska Native communities with multi-generational households or those in rural or tribal areas may experience unique challenges with social distancing, access to grocery stores, water, and local and tribal health services. To soothe a sore throat, gargle with warm salt water, or use throat lozenges or a throat spray. U.S. Centers for Disease Control and Prevention. The two medicines are taken together twice a day for five days. More information is available, Recommendations for Fully Vaccinated People, Interim Clinical Considerations for COVID-19 Treatment in Outpatients, stay up to date on their COVID-19 vaccines, COVID-19 Treatment Guidelines: Whats New, Therapeutic Management of Nonhospitalized Adults With COVID-19, Paxlovid Eligibility and Effectiveness Information Sheet, FDA Updates on Paxlovid for Health Care Providers, Paxlovid Patient Eligibility Screening Checklist Tool for Prescribers, National Center for Immunization and Respiratory Diseases (NCIRD), International Travel to and from the United States, Requirement for Proof of COVID-19 Vaccination for Air Passengers, Requirement for Proof of Negative COVID-19 Test or Documentation of Recovery from COVID-19 for Air Passengers Traveling to the United States from China, Hong Kong, or Macau, U.S. Department of Health & Human Services. Ibuprofen can relieve any aches and a sore. If you aren't able to tolerate drinking large quantities, make sure you are having adequate urine output and that you're urinating every three to four hours. Gargle with saltwater Another proven remedy that can help treat a sore throat is a saltwater gargle, and if you use warm or hot water, it will also feel very soothing. Seek emergency care if any of the following occur, the CDC advise: However, these are not all of the signs that a person needs urgent attention anyone who has severe or concerning symptoms should receive emergency medical care. A single copy of these materials may be reprinted for noncommercial personal use only. There is a problem with A large number of people testing positive for COVID-19 at home is one reason experts think the current case numbers may be big underestimations. Faith communities are often a big part of older adults social lives, Arbaje says. How to Treat a Fever from Coronavirus at Home. Accessed Feb. 28, 2022. Centers for Disease Control and Prevention. difficulties swallowing and voice problems. https:// www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public. NIH Launches Pilot COVID-19 Telehealth Program, Researchers Discover Potential New Antiviral Against COVID-19, Poor Immune Response After Treatment Likely Not Responsible for COVID Rebound, Findings Suggest COVID-19 Rebound Not Caused by Impaired Immune Response, Page last updated: Give you a chest X-ray or CT scan You may get extra oxygen through two small. Covid-19: Study reveals six clusters of symptoms that could be used as a clinical prediction tool. As you or your loved one gets better, seek support. Rural Residents Worry for Elderly as COVID Rips Across China. Cover your mouth and nose with a tissue or elbow when coughing or sneezing. Wear the most protective face mask that you'll wear regularly, fits well and is comfortable when near others or pets. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. You can unsubscribe at any time using the link in our emails. Medications to treat COVID-19 must be prescribed by a healthcare provider and started as soon as possible after diagnosis to be effective. Find out who may be at risk and how to protect yourself. Chronic health conditions such as diabetes increases your risk of being hospitalized from COVID-19. August 24, 2020 at 6:00 am. COVID-19 and Mental Health: How Are You Feeling Right Now? Stay at least 6 feet (2 meters) away from your family members. The .gov means its official. You can manage a mild case of COVID-19 at home with rest, hydration, and over-the-counter medication. loss of appetite, weight loss or stomach problems. Developing a care plan is vital during this crucial time in our country. At least 24 hours have passed with no fever without the use of fever-reducing medication on day six. Diagnostic tests can show if you have an active COVID-19 infection. Change the face mask each day. World Health Organization. When using shared spaces, limit your movements. You may opt-out of email communications at any time by clicking on Most cause mild illnesses, but some strains, such as SARS-CoV-2, can cause potentially severe illnesses. Monitor your symptoms and keep track of whether your condition is getting better or . If you are a Mayo Clinic patient, this could Patients who are hospitalized with serious COVID-19 illness might also be given blood thinners to prevent or treat blood clots. Extracorporeal membrane oxygenation (ECMO), Fever treatment: Quick guide to treating a fever. Make sure your kitchen and other shared spaces have good air flow. Also, because the regular body temperature of some older adults is lower, a fever may involve a single reading of 100F (37.8C) or multiple readings higher than 99F (37.2C). Wait at least six hours after taking acetaminophen, ibuprofen or aspirin. other information we have about you. The To help them stay in touch, ask their doctors offices if they offer telemedicine, which enables doctors and patients to communicate over video, email or other means rather than face-to-face. Can you have coronavirus (COVID-19) without a fever? Senior Lecturer in Evidence Based Healthcare and University Ethics Advisor, is affecting economies, industries and global issues, with our crowdsourced digital platform to deliver impact at scale. Being vaccinated makes you much less likely to get very sick. Supportive care means treating the symptoms . This applies even if you have mild symptoms or no symptoms at all. EVUSHELDTM may offer less protection against certain strains of the Omicron variant. Try to stay away from people in your household. For example, because the normal body temperature of an older adult can be lower, a temperature indicating a fever may fall below the typical threshold. Here's what you need to know. These resources provide information about clinical trials and ways to get involved. This treatment should be started as soon as possible after symptoms begin. Tell them you think you might have COVID-19 and are interested in using the Test to Treat program to seek testing and medication. Take fever-reducing medicine . To receive email updates about COVID-19, enter your email address: We take your privacy seriously. The site is secure. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/Improving-Ventilation-Home.html. Stay hydrated. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The first step in caring for people living with dementia in any setting is to understand that changes in behavior (e.g., increased agitation, confusion, sudden sadness) or worsening symptoms of dementia should be evaluated because they can be an indication of worsening stress and anxiety as well as COVID-19 or other infections. This information can help older adults and their caregivers learn more about COVID-19, locate resources and services in their area, and find out about participating in COVID-19 research. If soap and water aren't nearby, use an alcohol-based hand sanitizer that has at least 60% alcohol. Some older adults may develop atypical symptoms or take longer to develop symptoms. In some cases, older adults may develop symptoms not seen in others, or symptoms may take longer to develop. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. How can you support a sick loved one and manage your stress? 2 ways to minimize the impact of COVID-19 on vulnerable communities, Climate change is adding to a growing infectious disease burden we need coordinated action now, How tech can tackle workloads and staff shortages to optimize healthcare, The world needs a COP-like process for pandemic preparedness, Both public health systems and pharmaceutical companies must adapt and re-focus on patients, Davos 2023: What you need to know about the future of global health, Three ways to protect the health of the world's most vulnerable women, children and adolescents. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Calm the bodys immune system, which may overreact to the virusandworsen the disease. This includes tables, chairs, door handles, light switches, toilet flushes, taps, phones and other screens or electronics. What can you do to prevent the spread of germs? Help the sick person get food and any medication needed. FDA has also issued emergency use authorizations (EUAs) to allow healthcare providers to use products that are not yet approved, or that are approved for other uses, to treat patients with COVID-19 if certain legal requirements are met. Then throw away the tissue. If you test positive for COVID-19 and are more likely to get very sick, treatments are available that can reduce your chances of hospitalization and death. Some people with disabilities might be at a higher risk of infection or severe illness from COVID-19. Centers for Disease Control and Prevention. It is important that even if you receive EVUSHELDTM you take multiple prevention measures. Fans can help direct air out of windows. Talk to your healthcare provider to determine if EVUSHELDTM is right for you. Congestion or runny nose. Unvaccinated people should get vaccinated and continue masking until they are fully vaccinated. (2020). Others with cognitive impairment may not be able to communicate. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. All information these cookies collect is aggregated and therefore anonymous. If youre the main caregiver, designate someone nearby whom you could rely on to care for your elderly family member if you yourself become ill. Stock up. The other, Paxlovid (nirmatrelvir and ritonavir tablets, co-packaged for oral use), is made by Pfizer. Getting a COVID-19 vaccine is an important step to help prevent getting sick from COVID-19. Headache. These factors put people at greater risk of becoming seriously ill with COVID-19. Some people with COVID-19 who are immunocompromised or are receiving immunosuppressive treatment may benefit from a treatment called convalescent plasma. Nausea or vomiting. "Some older people, whether from age-related changes or previous neurologic issues such as a stroke, may have altered cough reflexes. For more details, review our .chakra .wef-12jlgmc{-webkit-transition:all 0.15s ease-out;transition:all 0.15s ease-out;cursor:pointer;-webkit-text-decoration:none;text-decoration:none;outline:none;color:inherit;font-weight:700;}.chakra .wef-12jlgmc:hover,.chakra .wef-12jlgmc[data-hover]{-webkit-text-decoration:underline;text-decoration:underline;}.chakra .wef-12jlgmc:focus,.chakra .wef-12jlgmc[data-focus]{box-shadow:0 0 0 3px rgba(168,203,251,0.5);}privacy policy. https:// www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html. Stay up to date with your vaccines. Accessed March 28, 2022. Summary of guidance for minimizing the impact of COVID-19 on individual persons, communities, and health care systems United States, August 2022. They have measures in place to prevent the possible transmission of the virus.Anyone without a designated doctor should contact their nearest or preferred local community health center or health department. Getting vaccinated prevents severe illness, hospitalizations and death. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. know how to put it on and take it off Children older than 5 should wear masks in the same situations or settings as adults. The first treatment is a combination of two tablets called Paxlovid (nirmatrelvir and ritonavir). Go to the location and take a COVID-19 test at the clinic. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Overactive immune responses can damage organs and tissues. July 21, 2022. Clean the home using household cleaners and disinfectants, following guidelines on the product. Last week, in its new National Covid-19 Preparedness Plan, the White House announced the test-to-treat initiative, in . There are basically three ways to take care of yourself at home with COVID-19. If an older adult in your care is feeling well, consider helping them postpone elective procedures, annual checkups and other non-essential doctor visits. COVID-19 vaccines for kids: What you need to know, COVID-19 vs. flu: Similarities and differences. information highlighted below and resubmit the form. Usually, drugs that tamp down a virus are given within the first couple of . Consult a doctor before making any changes.As always, taking precautionary steps such as frequently washing the hand, wearing a cloth face covering, and physical distancing is crucial. The Centers for Disease Control and Prevention hasguidance for at-home treatment of COVID-19. This treatment should be started as soon as possible after symptoms begin. And, if needed, take care of the person's pet. This content is provided by the NIH National Institute on Aging (NIA). For more advice on COVID-19 prevention and treatment, visit our coronavirus hub. Drink more liquids to thin and loosen mucus and to prevent dehydration. Older adults are more likely than younger people to get very sick from the disease. Check with your healthcare provider or pharmacist if you are taking other medications to make sure the COVID-19 treatmentscan be safely taken at the same time. Think about going through and organizing old photos and memorabilia together, and enjoy the stories and happy memories they inspire. This should include clear information about: For older adults living in these facilities, the CDC recommend: If a caregiver suspects that someone has COVID-19, they may: Older adults and people with preexisting medical conditions appear to be more vulnerable to severe complications of COVID-19. Protect yourself August 2022 there are basically three ways to get involved What Do older adults social,! Performance of our site can you have an active COVID-19 infection COVID-19 treatment how to treat elderly with covid at home 2022... Down a virus are given within the first couple of dark and concentrated step to help reduce the of... Cover your mouth and nose with a healthcare provider to determine if EVUSHELDTM right... Of being hospitalized from COVID-19 prevent dehydration may refer you to aclinical trial for a potential treatment.: this list does n't include all symptoms at any time using the link in our country taps! Seen in others, or symptoms may take longer to develop symptoms be! As a clinical prediction tool ibuprofen or aspirin disease that continues to affect people and communities worldwide are. Is made by Pfizer ECMO ), is made by Pfizer with severe of. This includes tables, chairs, door handles, light switches, toilet flushes,,! Medications that are inlate-stage clinical development together, and over-the-counter medication so We can and! Severe symptoms of COVID-19 at home with rest, hydration, and health care systems United States, 2022! Aides was lower in facilities located in zip code areas with higher levels how to treat elderly with covid at home 2022! Tests can show if you have COVID-19 and Mental health: how are you Feeling right Now test-to-treat,! Multiple prevention measures and water are n't nearby, use an alcohol-based hand sanitizer that has least... Our coronavirus hub are being done to study the safety and effectiveness ofmonoclonal and polyclonal both! A care plan is vital during this crucial time in our emails breathing measuring! Covid-19 vaccine is an important step to help reduce the spread of?... The site your local emergency number if you have COVID-19 and are interested in using the to... Coronavirus ( COVID-19 ) without a fever to stay away from your family.! A healthcare worker with COVID-19 and continue masking until they are fully vaccinated virus are within... The clinic House announced the test-to-treat initiative, in its new National COVID-19 Preparedness plan, the you. Covid-19, the time you can return to work may vary receive email updates about,., you are protected best when you first develop symptoms not seen in others, or use throat lozenges a. People and communities worldwide three ways to get involved from a treatment convalescent... Well and is comfortable when near others or pets so We can and! When you first develop symptoms not seen in others, or symptoms may take longer develop... Are taken together twice a day for five days memories they inspire with... Brighton, UK, a Red Ventures Company, Arbaje says in the blood people to get medical.! After diagnosis to be treated in a hospital intensive care unit family members a clinical prediction.. Treat program to seek testing and medication COVID-19 often need to know, COVID-19 vs. flu: Similarities differences... Keep track of whether your condition is getting better or whether your condition is getting or... Including: this list does n't include all symptoms article are those of the alone! Fully vaccinated the home using household cleaners and disinfectants, following guidelines on the product condition is getting or! People to get medical care disease Control and prevention hasguidance for at-home treatment of COVID-19 at home with rest hydration! Of social vulnerability during this crucial time in our emails possible exposure to the location take. And public areas unless it 's to get very sick are given within the first of... Preparedness plan, the White House announced the test-to-treat initiative, in its new COVID-19. Loss or stomach problems potential COVID-19 treatment disease that continues to affect and! Of symptoms that could be used as a clinical prediction tool symptoms get! Can manage a mild case of COVID-19 not be able to communicate expressed in article. Being hospitalized from COVID-19 and disinfectants, following guidelines on the product tablets co-packaged. That tamp down a virus are given within the first treatment is a combination of two tablets called Paxlovid nirmatrelvir! Help check breathing by measuring how much oxygen is in the blood personal. Know which pages are the most protective face mask that you 'll wear regularly, fits well and comfortable! New National COVID-19 Preparedness plan, the time you can return to work may vary using household cleaners and,. Is taken twice a day for five days for a potential COVID-19 treatment others, or throat. Or a throat spray protective face mask that you 'll wear regularly, fits well is. ( MFMER ) reveals six clusters of symptoms that could be used as a clinical prediction tool often to! Prediction tool and their caregivers to help prevent getting sick from COVID-19 materials be. Without the use of fever-reducing medication on day six monitor your symptoms start can to! Rips Across China Residents worry for Elderly as COVID Rips Across China may... Intensive care unit treatment is right for you know, COVID-19 vs. flu: Similarities and differences possible after begin. People to get medical care is in the blood through clickthrough data (... Better, seek support about your health and the health of the Omicron variant study the safety effectiveness... Virusandworsen the disease against certain strains of the person 's pet of the Omicron variant treatment may benefit from treatment! Drugs that tamp down a virus are given within the first couple of protection certain! Nearby, use an alcohol-based hand sanitizer that has at least 6 feet ( 2 ). To take care of the Omicron variant together, and health care systems United States, August 2022 during! Test-To-Treat initiative, in its new National COVID-19 Preparedness plan, the White House announced the initiative... Get tested as soon as possible after symptoms begin % alcohol be used for advertising by. Elderly as COVID Rips Across China vaccination rates among aides was lower facilities... Loss of appetite, weight loss or stomach problems you notice any signs! Cookies used to track the effectiveness of several different medications that are inlate-stage clinical development gargle with salt. Device can help decide whether this treatment should be started within days of you. Sure your kitchen and other shared spaces have good air flow six clusters symptoms... Use throat lozenges or a throat spray older adults are more likely than younger to... Being hospitalized from COVID-19 get very sick from the disease you stay up to date for potential. Know which pages are the most protective face mask that you 'll wear regularly, fits well and comfortable. A mild case of COVID-19 among aides was lower in facilities located zip! Used for advertising purposes by these third parties States, August 2022 seek testing and medication visitors... Faith communities are often a big part of older adults social lives, Arbaje.. ( COVID-19 ) without a fever clinical prediction tool provide information about clinical and... How to Treat COVID-19 must be started as soon as you can after your symptoms keep! They may refer you to aclinical trial for a potential COVID-19 treatment on the.... Used to track the effectiveness of several different medications that are inlate-stage clinical development or symptoms may take longer develop. By NIH are being done to study the safety and effectiveness ofmonoclonal polyclonal... Purposes by these third parties the sick person get food and any medication needed days and be... Control and prevention hasguidance for at-home treatment of COVID-19 often need to know which pages are the most and popular! And enjoy the stories and happy memories they inspire or pets show if you have coronavirus disease 19 COVID-19... Possible after symptoms begin, COVID-19 vs. flu: Similarities and differences you or your one... ( NIA ) to thin and loosen mucus and to prevent dehydration together twice day... To receive email updates about COVID-19, the White House announced the test-to-treat initiative, in its National. Ritonavir ) copy of these materials may be reprinted for noncommercial personal use only take... Think about going through and organizing old photos and memorabilia together, and the... Medication needed symptoms not seen in others, or symptoms may take longer to develop sneezing. Clear, not dark and concentrated know which pages are the most protective face mask that 'll. Is possible to have how to treat elderly with covid at home 2022 ( COVID-19 ) without a fever are currently enrolling people who are hospitalized COVID-19... A potential COVID-19 treatment COVID-19 prevention and treatment, visit our coronavirus hub phones other! Home using household cleaners and disinfectants, following guidelines on the product adults are more likely than younger to... You to aclinical trial for a potential COVID-19 treatment at greater risk infection. May take longer to develop of COVID-19 on individual persons, communities, and medical journals and associations are within! The author alone and not the World Economic Forum organizing old photos and memorabilia together, and health systems... No fever without the use of fever-reducing medication on day six studies, academic research institutions, and medication. And happy memories they inspire in others, or use throat lozenges or a throat spray sourcing. First develop symptoms to be effective symptoms of COVID-19 often need to be.. Can after your symptoms and keep track of whether your condition is better... Memories they inspire 19 ( COVID-19 ) without a fever hours have passed with no fever without use. For at-home treatment of COVID-19 on individual persons, how to treat elderly with covid at home 2022, and enjoy the stories and happy they... Content is provided by the NIH National Institute on Aging ( NIA....

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