HOMECARE ESSENTIALS 4


JUNE 12, 2012

Day 32

Vitals: BP: 110/80, Temp: 36.6, O2: 89, HR: 68, RR: 27

HOMECARE ESSENTIALS 4

PRIMARY CAREGIVERS

Not all family members can be primary caregivers. Some of them are too busy, or too fearful, or too busy and fearful.  And there are skills required to be primary caregivers: suctioning, perineal care, feeding via NGT, oral care, bed turning and so on. No one in the family is trained in any health-related profession but that is not an excuse. We had to learn along the way.

We decided to retain Patrick, the nurse, to do the evening shift primarily because he knows the rhythm and Melit is already familiar with him.

Comatose patients do require regularity and certain levels of predictability that is comforting and assuring to them. Melit does not respond well to surprises and unpredictability. So, we decided to have three shifts (now that Jezza is home) and to follow the hospital schedules with modifications.

THIS WE LEARN:

Bedside watchers should have four clear tasks:

  1. To be inside Melit’s room during his or her watch and focus his or her attention on her
  2. To follow faithfully the schedule posted on the wall: prayers (angelus, rosary, novena, Divine Mercy), bedside care (vitals, turning, stockings), medications and feeding, sensory stimulation (music therapy, ROM, massage, visual stimulation), special cares (skin care, foot spa, oral care, eye care, dressing, and so forth), and household chores needed for Melit like disposing suctioning canister and changing suction catheter and stuff.
  3. To record and document every activity and note all observations
  4. To report emergency situations right away
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