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There may be a reason she cannot take paxlovid; her MD can suggest whether or not appropriate for her given her age and her current meds, but once the five day window is over she cannot make the choice.
Someone needs to shop and deliver meals to Mom and caregiver as well as in home test.
There need to be an O2 Oximeter there, cheap at under 20.00 in any pharmacy. Measure O2 and report to MD on his instructions when numbers fall below the number he or she gives you.
Any difficulty breathing is an emergent situation. Dependent on your Mom's wishes for DNR and ventilator you either would or would not hospitalize.
Of course you know anyone visiting should have N95 mask on.
wishing you good luck.
If she's been vaxxed and boosted, she should breeze through it pretty well. It seems everyone I know is getting it now, but they're calling it a really bad cold that makes you exhausted. The ones ending up in the hospital are the unvaxxed ones or with comorbidities.
My mom had the Delta version most likely, and she wasn't yet vaxxed thanks to the hamhanded rollout when they finally got them. She made it through the original infection pretty well, but she did have some pretty unpleasant long-Covid symptoms until she died.