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Home Based Care - PowerPoint PPT Presentation


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Home Based Care “Be joyful in hope, patient in affliction, faithful in prayer. Share with God’s people who are in need. Practice hospitality.“ Romans 12:12-13 “May the God of hope fill you with all joy and peace as you trust in him, so that you may overflow with hope by the power

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Presentation Transcript
slide3

“Be joyful in hope, patient in affliction, faithful

in prayer. Share with God’s people who are in

need. Practice hospitality.“

Romans 12:12-13

“May the God of hope fill you with all joy and

peace as you trust in him, so that you may

overflow with hope by the power

of the Holy Spirit.“

Romans 15:13

slide4

The Bible has given the Church a mandate to care for the sick and families of the sick

Minimum 50% of hospital beds by year 2000 will be AIDS patients. Health facilities will not be able to cope

PLWA’s cannot always care for themselves. To assist in the physical, emotional and spiritual comfort of the ill, control infection, prolong life as much as possible and prepare for dying and death, are all within the reach of home based care

slide5

It is a lower cost care option for care and support

It is a nurturing, loving, less threatening environment

Health specialisation is NOT essential for home care. Lay people can learn

slide6

CUTE

EAR

EGARDING

IDS

slide7

“God anointed Jesus of Nazareth

with the Holy Spirit and with power,

who went about doing good and healing all

who were oppressed by the devil, for God

was with Him.”

Acts 10:38

“Be joyful in hope, patient in affliction,

faithful in prayer. Share with God’s people

who are in need, practice hospitality.”

Romans 12:12-13

slide10

GOD LOVES ME

JUST THE WAY I AM

slide15

HOUSE WORK

GARDENING

FARMING

FINANCIAL

ASSISTANCE

EXTENDED FAMILY

& CHILDREN

PWA

OBTAINING &

PREPARING FOOD

EMOTIONAL

PREPARATION

GOOD COUNCIL

(ETERNITY)

GOOD COUNCIL

(FAMILY CARE)

TRANSPORTATION

COMMUNICATION

AREAS OF

HELPING

PWA

slide18

X

PRIORITIES FOR CARE

LIFESTYLE CHANGE

Addictive behaviours must go (smoking, alcohol, drugs)

Sexual expression needs to have alternatives (to non-genital forms)

Rest (get plenty, 8 hours per night and frequent daily naps)

Healthy diet (frequent 5-7 nutritious small meals including fruit, dairy food, chicken, beef, beans, lentils)

Treat any symptoms early as they appear

Have healthy emotional state (wanting pro-longed, quantity life)

Be spiritually healthy (know Jesus Christ personally and fellowship daily with Him)

slide19

SYMPTOMS & CARE

NUTRITION

Eat small amounts often

Eat foods patient likes

Eat nutritious energy- giving foods

Avoid patient being around cooking smells - can cause nausea,

Avoid eating raw vegies - difficult to digest

Take vitamin supplements if possible

For constipation drink plenty of water

slide20

SYMPTOMS & CARE

FEVERS

Drink plenty of water / liquids (min 2 litres per day)

Remove unnecessary clothing / blankets

Ventilate, open windows, fresh air

Bathe / wash with cool water and wet cloth

- Basin with cool (not cold or hot) water and cloth

- Bath tub, soak in water

- Cover person with cloth on forehead,armpits and insides of thighs

- Re-soak every 1-2 minutes

- Continue bathing until fever comes down

- Put on fan if possible

slide21

TEA

SYMPTOMS & CARE

DIARRHOEA

Drink lots of fluid (tea, unsweetened fruit juice, soup, water)

Rehydration drink (1 litre boiled water, 8 tsp. sugar, 1/2 tsp salt)

Wash anus skin, buttocks after every stool and apply Vaseline or effective barrier cream to protect skin

Continue eating solid foods for as long as possible (porridge, rice, banana, potato)

Give rehydration drink when drying out (dry tongue, sunken eyes)

If anal area raw, sit in warm / salt bath 3- 4 times a day

slide22

Make activities easier

Get enough rest

Give assistance where necessary

Give bed-ridden patient gentle arm/leg movement several times a day. Swing from one side to back, to other side several times a day to prevent bedsores

Keep person clean and dry

Assist person when walking / walking stick

SYMPTOMS & CARE

TIREDNESS & WEAKNESS

slide23

Rinse mouth with warm salt water

For white patches suck lemon

Eat soft, mashed food

Apply gentian violet solution to sores on lips mouth

Suck ripe piece tomato for thrush and mouth hygiene

Eat bland rather than spicy food

Use straw for liquids & soup

Cold food, drink or ice helps numb mouth and relieves discomfort

SYMPTOMS & CARE

SORE MOUTH & THROAT

slide24

SYMPTOMS & CARE

SKIN PROBLEMS

Encourage not to scratch any sore / lesion. Relieve itching by cooling skin with water or by fanning it. Apply lotion like Calamine.

Draw boils / abscesses by tying a sliced onion over the site and cleansing with salt water

Keep skin dry and clean

For open sores

- wash with clean water and soap

- apply gentian violet or antiseptic

- cover with dressing / clean cloth that has been washed and dried in the sun

For dry skin

- avoid soaps and detergent

- use bath oils and skin creams

For shingles

- keep sores dry

- apply Calamine 2 X per day to relieve itch

- mild pain can be relieved by paracetemol

slide25

SYMPTOMS & CARE

SKIN PROBLEMS (cont.)

If wound has bad smell, if grey / brown liquid oozes out or if skin turns black and forms bubbles or blisters, medical help should be sought immediately as this may be a start to gangrene

Prevent infection resulting from sores that don’t heal adequately, including bed sores

Preventing bed sores

- get out of bed as much as possible

- change position, when lying down, every 2 hours to relieve pressure

- use soft bed sheets and padding

- should be hung to air daily and changed each time bedding is soiled.

- straighten bedding often

- put cushion under body so bony parts rub less

slide26

SYMPTOMS & CARE

PAIN

Take medication as prescribed at regular intervals

Change positions frequently in bed

Raise any swollen parts, on pillows

Use oil / lotion to gently massage sore muscles

Talk with person, help healthy mind

Be quiet and gentle in presence of sick person

slide27

SYMPTOMS & CARE

COUGH, DIFFICULTY IN BREATHING

Do not allow too many visitors in the room

Raise person’s head and upper body on pillow. Raise head of bed on blocks

Keep room with fresh air, no smoking lamps, stoves or fires near bed

Sit with person having difficulty in breathing it can be very frightening

Home remedy cough mixture - piece of sliced onion (drawn by pouring sugar over it) and drink it

slide28

SYMPTOMS & CARE

CONFUSION & DEMENTIA

Provide support

Keep dangerous objects out of way

Avoid leaving person unattended

Keep medicines out of patient’s way

slide29

SYMPTOMS & CARE

TB...TUBERCULOSIS

TB is common among PWA although person with TB is not always HIV infected

Medication can cure TB but will not cure HIV / AIDS

Extremely important to follow instructions for TB medication

Avoid spreading TB germ, TB is easily contracted

Washing and sunlight kill the TB germ

Good ventilation is important in the house and room where the infected person is staying

slide30

SYMPTOMS & CARE

PREGNANCY & HIV / AIDS

If possible, a woman (including her husband) should be tested for HIV infection before

she gets pregnant, if previous exposure to the virus was possible

A baby born to an HIV positive mother has 30-50% chance of contracting HIV

It is important to treat the baby born to an HIV infected mother as healthy and normal

All babies born to HIV positive mothers will test HIV positive at first even though they

may not really be positive

Although there is some risk of an HIV positive mother passing the virus to her baby in

her breast milk, breast feeding is still vitally important to the new baby as this will

protect the infant from other infections such as diarrhoea (diarrhoea is the #1 cause of

infant death worldwide)

Immunizations are very important to protect the baby from various diseases

Any infections in both mother and baby, before and after birth, should be treated

promptly

In some cases there is a combination therapy that can be given to the HIV positive

mother to treat the unborn baby