Home Based Care

1
(No Transcript)
2
Home Based Care
3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
CUTE
EAR
EGARDING
IDS
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
GOD LOVES ME
JUST THE WAY I AM
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
AREAS OF HELPING PWA
16
Care in dealing with blood and/or body fluids
17
Care in dealing with open wounds or sores
18
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)
19
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
20
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


21
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
22
SYMPTOMS CARE
TIREDNESS WEAKNESS
23
SYMPTOMS CARE
SORE MOUTH THROAT
24
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
25
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 dont 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

26
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
27
SYMPTOMS CARE
COUGH, DIFFICULTY IN BREATHING
Do not allow too many visitors in the room
Raise persons 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
28
SYMPTOMS CARE
CONFUSION DEMENTIA
Provide support Keep dangerous objects out of
way Avoid leaving person unattended Keep
medicines out of patients way
29
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
30
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