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  • Preparing to Care for Sick Family Members

    A good friend from out of town visited me 2 weeks ago. We
    talked about bird flu, and she wanted to know what she could do
    to protect and care for her four year old at home if the bird flu was
    coming here to this country. I really had to think about what to tell
    her, and I am still thinking about it.


    I told her that most sick people are going be cared for at home, but
    if there is any difficulty with breathing or the sick person is
    unconscious, to seek medical assistance immediately.

    For family members being treated at home, as a nurse, the first
    concern that comes to mind is protective gear for the caregiver.
    Most parents might not think of the fact that they need to
    protect themselves so that they can stay well to be there for their
    chilren. By protective gear, I mean gloves, and masks, and I
    would also include goggles to protect the mucus membranes of your
    eyes from virus being coughed into your face. Sick kids will not be
    covering their coughs, and they will contaminate every surface
    around them. Speaking of contaminated surfaces brings to mind the
    need for bleach which should be diluted 1 tsp bleach to 1-cup water
    to clean any items contaminated with body fluids. You will, of course
    wear gloves, mask and goggles while cleaning to protect yourself
    from contaminated items as well as the bleach, and ventilate the
    area to avoid toxic fumes.


    So what would you want to have available for the care of a sick
    family member, especially a child? Remember that what is safe
    for adults is not always safe for kids. You should discuss this with
    your family doctor in advance to be safe especially when you
    are considering a child's needs. You will need to ask about what
    he or she recommends for fever, pain, diarrhea, and coughing.
    Medications that comes as liquids or can be crushed are best.

    You will need to have a thermometer, and lots of linen available
    for frequent bed changes and cleanups. Plastic bed pans are practical
    and can be purchased at medical equipment stores if you want them
    for adults.

    This post is just a preliminary look at some basic items to have
    ready in the home. There are many issues that I have not addressed
    here as I am just beginning to look at this for myself. I have
    recently accepted a position at a large medical center. All hospitals
    have disaster plans. My feeling is that part of those plans should
    involve community outreach programs to teach in advance of pandemic
    how families can care for their sick at home. I am hoping to be involved
    in helping to make this happen in my community. Any suggestions that
    you have to add for home care would be welcome.

  • #2
    Re: Preparing to Care for Sick Family Members

    Perhaps someone else has already mentioned this. It would also be a good idea to accustom young children to gloves and masks before they're needed. Gloves aren't really scary but the sight of people in masks could be frightening to a baby or toddler.

    Western

    Comment


    • #3
      Re: Preparing to Care for Sick Family Members

      I purchased some 30 x 30 inch disposable underpads for the sick room. They are absorbent with plastic undercoating to protect the sheets. Meant to minimize washing linens.

      For ill bedridden children, a closed top "sippy cup" may be useful even if they have outgrown it when well.

      Some disposable paper gowns may be desirable for caregivers of patients with diarrhea, again, trying to minimize the need to perform clothes washing.

      One of the most challenging aspects for us has been to identify a space that can be closed off and kept warm/cool yet at negative pressure compared to the rest of the house.
      Separate the wheat from the chaff

      Comment


      • #4
        Re: Preparing to Care for Sick Family Members

        Here's a pretty good discussion about setting up a sick room - http://www.newfluwiki2.com/showDiary.do?diaryId=1681 I'm also in the process of stocking up for a sick room.

        Here's what I'm doing (I'm not a medically trained person, so please do not take any of this as medical advice. This is just what I have compiled from different sources. I hope those who are medically trained will chime in)

        Infection control/cleaning:
        OUTSIDE PATIENT ROOM/DISINFECTING STATION
        • Bleach, bleach and more bleach
        • Respirator masks with antimicrobial agent which protects the filtration media from microbial deterioration (?) I have only n95 masks + goggles
        • Disposable caps
        • Disposable isolation gowns (full length, full sleve)
        • Gloves (nitrile, if anyone has latex allergies)
        • Disposable booties
        • Spray bottles for bleach and/or disinfectant solution
        • Lysol or Clorox wipes
        • Foot operated trash can/lots of bags
        • Washbasins for disinfection
        • Antibacterial soap, alcohol gel, fingernail scrub brushes
        • Ice packs


        INSIDE PATIENT ROOM/BATHROOM - Remember - whatever comes out of this room MUST be disinfected. My rule of thumb, if I can't disinfect it, I'll toss it.
        • Liquid-proof bedcovering (probably something that covers the whole bed)
        • Liquid-proof pillowcoverings
        • Surgical masks for the patient to help protect caregiver (more comfortable than the n95 - I don't want to restrict airflow just have a little protection)
        • Plastic sheeting for doorways, vents (read about airflow below), and I also plan to have some for the floor because the room I chose will be carpeted
        • Supplies for Bathroom/Antibacterial soap
        • Vent fan for negative air flow - There are instructions online on how to make one of these with a squirrel cage fan & hepa filter. I'll post a link if anyone's interested.
        • Toiletries for Patient
        • Comfort Items for patient - books,magazines, etc
        • Water Pitcher (cool water) carafe (warm water). Cups/straws. Green tea bags, gatorade, OSP solution to keep hot water hot, disposable styro cups for warm/cold liquids. Anything the patient will reuse like a water pitcher will stay in the patient's room
        • Water supply just for the patient, separate than household.
        • White towels/sheets, (so it all can be soaked in bleach)
        • Disposable leakproof bed pads
        • Big bucket or bin with lid (for soaking soiled items in bleach)
        • Bleach
        • Lysol or Clorox Wipes
        • If you have the money, UV Light Air Purifier (not filter) - you don't want air blowing around hard, just gentle circulation and directed outside.
        • Blood Pressure monitor (automated may be easier to use, but consider batteries) timer
        • Stethoscope
        • Bedpan & measuring cup
        • Thermometer
        • Notebook & Pen
        • CPAP machine (if you have one) - I have one (I have apnea) that also has the option for a humidifier - as it can be very drying
        • Steam tent supplies
        • I have a CPR mask/bag (but don't know if it would be useful?)

          PS - Since my isolation bathroom has a bathtub, I will be sure to fill it up before the water goes out and use it for patient care/cleaning/sponging bathing


        MEDICAL SUPPLIES
        I plan to keep these with other supplies so they don't get contaminated - I will use a pill box to keep track of vitamins and meds for each day but won't carry it back and forth to the room, only the meds themselves.
        • Oral Rehydration Solution (ORS) Supplies
        • Table Salt (1lb)
        • Table Sugar (10lb)
        • Baking Soda (6oz)
        • Tums Ex (500 tablets)
        • Acetaminophen (100 tablets)
        • Ibuprofen (100 tablets)
        • Benadryl(60 tablets)
        • Green tea (1lb)
        • flu-shot
        • pneumovax-shot
        • Mucinex (to encourage wet cough)
        • Robitussin DM (to surpress dry cough)
        • Vitamin C, Vitamin D, Elderberry
        • Supply of existing prescriptions for each person
        • Nice to have if I can get a Rx: Tamiflu (antiviral), Amantadine (antiviral)
        • Relenza (antiviral), Antibiotics, Hydrocodone (?)

        I don't know if Emetrol (anti nausea) is a good idea - anyone?

        PS This is all IN ADDITION to my first aid kit - it's pretty extensive too because I am going to treat what I can at home and avoid hospitals in all shapes and forms. For example, silver sulfadine cream for burns, strong pain meds, betadyne, steristrips, medical glue, temporary dental cavity filler, much more, etc.

        Comment


        • #5
          Re: Preparing to Care for Sick Family Members

          I'm having a bit of time choosing the sick room - but my decision is an upstairs bedroom and bathroom. One reason is that it is sunny and has good but not too much humidity. I will section the bedroom and bathroom off with plastic sheeting in the hallway, then have the disinfection room, still in the hallway, then more sheeting. Our upstairs is on a different air handling system than the rest of the house anyway. When a person is in the sick room, healthy people will be 2 stories below in a finished basement. Which means the kids won't have access to their bedrooms when someone is sick. So I will have them take any and everything to the basement that they want to have from their rooms.

          Comment


          • #6
            Re: Preparing to Care for Sick Family Members

            Welcome Fab4.

            Comment


            • #7
              Re: Preparing to Care for Sick Family Members

              Yes, welcome, Fab4, and thanks for the link.

              Thanks to all for your contributions to this thread.

              I really like the sippy cup idea for adults as well as kids. It can be
              difficult to use a straw if you are very sick, and fragile. That is why
              we use them in many nursing homes, too.

              I think you are right about those masks, WesternUS. They might
              be frightening for the little ones, but then again, they might be too
              sick to notice.

              Comment


              • #8
                Re: Preparing to Care for Sick Family Members

                Originally posted by Blue View Post
                I think you are right about those masks, WesternUS. They might be frightening for the little ones, but then again, they might be too sick to notice.
                Good point, Blue.

                Some form of communication with those outside the room, other than relying on voice alone, is something else to consider.

                Western

                Comment


                • #9
                  Re: Preparing to Care for Sick Family Members

                  Originally posted by fab4 View Post
                  .[*]Steam tent supplies

                  Could any of our experts elaborate on what steam tent supplies are? I vaguely remember my Mom whompping together one made out of an ancient vaporizer and newspaper when a family member came down with whooping cough (pertussis) and am not entirely sure that make shift contraption was safe. I guess it worked; my relative, happily is still with us these many years later.
                  We were put on this earth to help and take care of one another.

                  Comment


                  • #10
                    Re: Preparing to Care for Sick Family Members

                    Originally posted by Blue View Post
                    Yes, welcome, Fab4, and thanks for the link.

                    Thanks to all for your contributions to this thread.

                    I really like the sippy cup idea for adults as well as kids. It can be
                    difficult to use a straw if you are very sick, and fragile. That is why
                    we use them in many nursing homes, too.

                    I think you are right about those masks, WesternUS. They might
                    be frightening for the little ones, but then again, they might be too
                    sick to notice.
                    I have soleved this problems with my Tiny's.

                    We are playing a game about twice a year since about four years.

                    I lay on the ground, inheritor of an infectious diseases, they have to intervene fast.

                    One fake to call INFO-SANT?, here in Qu?bec this is the 24hours number to get pratical informations from Professionnals on anything, they have all a terminal home that has access to protocols on all diseases, these protocols already approved by oQU?bec National Health Ministery, all this is free of charge, it is a Public Service.

                    While the other ones put some Laetrile gloves, a N95 and check my vital signs.

                    They understand the reeasons for the mask and the gloves and the whole outfit, googles and the one piece pans and shirt.

                    Prepare them prior to nay infectious problems, they thus know why everything is done, why it is done and with what it is being done.

                    Of course do not forget to write down the phones to call in all circumstances, Info-Sant?, 911, neighbords and family members.

                    It really does work, no anxiety, nothing.

                    For instance, whie watching a Japan report on TV they saw few citizens wearing a mask, and they said see either they have the cold or cannot offord to catch one.

                    Just my experience.

                    Snowy

                    Comment


                    • #11
                      Re: Preparing to Care for Sick Family Members

                      Here's a link to the steam tent - (by Dr. Grattan Woodson) http://www.birdflumanual.com/articles/steam_tent.asp

                      Comment


                      • #12
                        Re: Preparing to Care for Sick Family Members

                        Originally posted by fab4 View Post
                        Here's a link to the steam tent - (by Dr. Grattan Woodson) http://www.birdflumanual.com/articles/steam_tent.asp
                        Thanks Fab
                        We were put on this earth to help and take care of one another.

                        Comment

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