To better understand how COVID19 vaccines work, it helps to first know the mechanisms our bodies use to fight illness. When germs, invade our bodies, they attack and multiply. Our immune system uses several methods to fight off such infections. Our Blood contains red blood cells, which carry oxygen to tissues and white blood cells which fight infection. Different types of white blood cells fight infection in different ways:

• Macrophages are white blood cells that are formed in response to an infection or accumulation of damaged/dead cells. Macrophages are large, specialized cells that engulf and destroy target cells.
• B-lymphocytes are defensive white blood cells. That fight bacteria and viruses by making antibodies, which attach specific infections and are able to lock onto the surface of an invading cell and mark it for destruction by other immune cells.
• T-lymphocytes are another type white blood cell. They recognize, attack and destroy cells in the body that have been infected.

When a person is infected with the COVID-19 virus, it can take several days or weeks for their body to make and use all the germ-fighting tools needed to overcome the infection. After the infection, the body retains some T-lymphocytes, that go act quickly if the body encounters the same virus again. Experts are still learning how long these cells remember and protect a person against the virus that causes COVID-19.
How COVID-19 Vaccines Work

COVID-19 vaccines help our bodies develop immunity to the virus without us having to get the illness. Different types of vaccines work in different ways to offer protection, but with all types of vaccines, the body is left with a supply of T-lymphocytes and B-lymphocytes that will remember how to fight that virus in the future.

It typically takes a few weeks for the body to produce T-lymphocytes and B-lymphocytes after a vaccine is administered. This means that a person can be infected with COVID-19 just before or just after vaccination and then get sick because the vaccine did not have enough time to provide protection.

Types of COVID-19 Vaccines Under Development

• mRNA vaccines contain material from the virus that causes COVID-19. The “m” stands for messenger. The messenger RNA gives our cells instructions for how to make a protein that is unique to the virus. Our bodies recognize that the protein should not be there and build T-lymphocytes and B-lymphocytes that will remember how to fight the virus that causes COVID-19 if we are infected in the future.
• Protein subunit vaccines Instead of the entire pathogen, subunit vaccines include only the components, or antigens, that best stimulate the immune system. Although this design can make vaccines safer and easier to produce, it often requires the incorporation of adjuvants to elicit a strong protective immune response because the antigens alone are not sufficient to induce adequate long-term immunity.
• Vector vaccines contain a weakened version of a live virus—a different virus than the one that causes COVID-19—that has genetic material from the virus that causes COVID-19 inserted in it (this is called a viral vector). Once the viral vector is inside our cells, the genetic material gives cells instructions to make a protein that is unique to the virus that causes COVID-19. Using these instructions, our cells make copies of the protein. This prompts our bodies to build T-lymphocytes and B-lymphocytes that will remember how to fight that virus if we are infected in the future.

 
 
As of the writing of this article there are two COVID-19 vaccines available in the United States, the Pfizer-BioNTech COVID-19 Vaccine and the Moderna COVID-19 Vaccine. The Pfizer and Moderna vaccines are made using messenger RNA, or mRNA. Both options require two shots. The first shot starts building protection. A second shot a few weeks later is needed to get the most protection the vaccine has to offer.
 
Washington state is providing vaccinations in phases. To determine when you are eligible to receive a COVID-19 vaccine you can use the Washington State Department of Health Phase Finder Tool. The Phase Finder tool is designed to help people in Washington find out if they are eligible for a COVID vaccine now or if not, sign up to be notified when they become eligible. It asks a series of questions related to the four phases of vaccine distribution (living situation, age, health conditions, risk factors, work situation and zip code) to inform eligibility. You can also view a map of vaccine locations in Washington.

​Downsizing can be emotionally challenging for many seniors, but some may actually look forward to moving into a smaller place that requires less upkeep. Some seniors may bring up the idea of downsizing themselves, however, in some cases it may be necessary for family or friends to sit down with their loved one and discuss options as their ability to keep up with basic household tasks changes.

Sensitivity when having these talks is essential, and the subject likely should not be brought up unless the senior is experiencing physical or medical or issues including cognitive decline that are hindering their quality of life. Approach the topic of downsizing and moving gently. Be careful that the senior doesn’t feel like they are being ganged up on by friends and family. Make sure that you express authentic care and concern in order to avoid feelings of confrontation. Ultimately you want them to know that their wellbeing that is top priority.

1. Finding a New Place to Call Home
One of the most important things to address when downsizing is where to go next. You must consider if your loved one can still live safely alone. Are there memory issues? Is mobility a concern? Do they need help dressing, bathing or taking medications? What is the budget? Is it possible to stay near loved ones? What type of setting will your loved one be most comfortable in? Figuring out where they will move helps to determine how much downsizing will be necessary. Also the certainty of a destination may help the senior feel more comfortable about moving and less reluctant about the process. Some of the most common downsizing options for seniors include:

• Renting or buying a smaller home or condominium.
• Independent Retirement Community.
• Moving in with a family member.
• Assisted Living.
• Adult Family Home.
• A Memory Care Setting.
• Skilled Nursing facility.

 
 
2. Make a Plan
As soon as it has been agreed that downsizing and moving will be in the best interest of your loved one, it’s time to start planning. Based on the space available in the new home decide what will be going with the move. Set a date to move into the new home and work backward from there in there. This will determine when packing needs to be complete, when the movers need to arrive and when to transfer services such as cable and internet. Also be sure to cancel services that will no longer be needed such as weekly lawn care or security system monitoring. Each plan will be a little different depending on an individual’s situation so it helps to write down a list of tasks, set dates for each task and share the written plan with everyone who will be involved in the process.

3. Begin De-cluttering
It’s essential when deciding what to take on the move, to know the measurements of the new living space. This can help determine which items go to the new home, especially when considering large pieces of furniture.

Go through the house room by room and separate items into five Categories:

1. Items to keep
2. Items to pass along to family
3. Items to donate
4. Items to sell
5. Items to throw away

When trying to determine which category an item should go into, consider the following questions:

• Is it a necessity?
• Are their multiples of this item?
• Is this used regularly?
• Does it have sentimental value?
• Is it valuable?
• Will this fit into the smaller space?

 
It can be difficult to sort through a lifetime of belongings. Many things may have strong personal significance. Sometimes taking pictures of Items that have sentimental value will help a senior preserve the memory of a cherished item while letting go of the physical object that they may not truly need.

4. Contact a Senior Move Manager
If a senior or their families begin to feel overwhelmed, don't have the time, live too far away or simply prefer to have professional assistance hiring a senior advisory agency may be a good option. These individuals specialize in helping seniors downsize or move into a senior living community. These services can range from helping choose a new residence, assisting with downsizing in the home, to assisting with packing and moving and even cleaning up the old residence afterwards.