RxDx brings COVID Care @Home
IS HOSPITALIZATION NECESSARY FOR ALL COVID-19 PATIENTS?
A pandemic like the novel Coronavirus has an infection spread rate faster than the recovery rate, at least, in the initial stages before vaccination or medication specific to the virus is available for public.
While it would be ideal to have all COVID suspected or confirmed cases hospitalized under stringent infection prevention and control measures, the burden on healthcare system may be too much to meet the demand of medical support to the fullest extent.
Authoritative bodies have hence released guidelines advising mildly symptomatic or presymptomatic patients to be under care at their own homes after cautious clinical judgement. Routine medical assessment of the patient must continue until the patient has completely recovered from the COVID infection.
WHICH GUIDELINE SHOULD WE FOLLOW IN INDIA?
The Ministry of Health & Family Welfare, Government of India, has released a Revised Guideline for Home Isolation of Very Mild/Presymptomatic COVID-19 cases .
WHICH GUIDELINE SHOULD WE FOLLOW IN KARNATAKA?
WHO CAN STAY HOME WITH COVID-19?
Those who are suspected with or confirmed to have COVID-19 infection can stay at home in isolation if they
- Are presymptomatic or
- Present mild symptoms and
- Have been assessed by a doctor
However, such cases must have
- Necessary facility available at home for self-isolation and family quarantine as required
- 24 / 7 care giver’s presence at home
- Care-giver and a hospital / clinic must be in constant communication throughout the duration of home isolation [Check out RxDx COVID Care @ Home available in 7, 11, 15 days packages]
- Care giver and those in close contact with patient need prophylactic Hydroxychloroquine as prescribed by doctor
Throughout the duration of home isolation, patients must adhere to following
- Arogya Setu app downloaded and kept active all times (Bluetooth, Wi-fi)
- Monitor health and update supervising medical personal regularly
Patient and care-giver must both follow Home Quarantine guidelines strictly. Patient must also fill in an undertaking on self-isolation [MoHFW – Annexure I & II].
WHEN DO YOU NEED MEDICAL ATTENTION?
During regular health monitoring, patient / care-giver experiences / notices a development of serious signs like
- Breathing problems
- Continued chest pain or pressure
- Confusion, Inability to arouse
- Bluish discolouration of lips / face
- Or as per treating physician’s suggestion
WHEN CAN YOU DISCONTINUE HOME ISOLATION?
Home quarantine for COVID patients can end
- 17 days after the onset of symptoms OR
- 17 days after the date of sampling, for presymptomatic cases
- AND no fever for 10 days.
Once out of the Home Isolation, patient DOES NOT NEED to get tested for COVID again, [MoHFW]
WHO CAN’T STAY IN HOME ISOLATION WITH COVID?
According to the WHO guidelines, patients suspected of COVID-19 infection with following conditions need to be in isolation in a healthcare facility based on priority.
- Exhibiting mild symptoms, but having a risk of poor outcome (underlying conditions like heart issues, respiratory diseases, diabetes, cancer, etc), or
- Have a high risk of illness
- Exhibiting moderate to severe symptoms and have underlying conditions
COVID CARE AT HOME
RxDx brings forth a comprehensive medical care package for presymptomatic or mildly symptomatic COVID positive cases with lab confirmation.
Check out the RxDx COVID Care @ Home package available in 7, 11, and 15 days options.
HOW TO TAKE CARE OF COVID PATIENT AT HOME
HOW TO PROTECT ONESELF WHEN TAKING CARE OF A COVID PATIENT
- Use protective gear to prevent exposure to patient’s bodily fluids, especially oral and respiratory secretions
- Must wear a triple layer mask whenever in the same room with patient
- Use disposable gloves during patient handling
- Don’t forget to wash hands / sanitize them with alcohol rub
- Must follow strict hygiene protocol during sanitization or disposal of face mask, gloves, PPE kit, as applicable. Clean or dispose the equipment at frequent and regular intervals.
FACE AND HAND HYGIENE
- Must avoid touching face, mouth, or nose
- Must maintain strict hand hygiene, following contact with patient / anything in the patient’s vicinity, before and after food preparation, after using washrooms, and whenever hands look unclean
- Must wash visibly unclean hands with soap and water for at least 40 seconds.
- Can dry hands with disposable paper tissues or
- Use clean cloth towels (dedicated for the care-giver) but replace wet towels with fresh dry ones
- If hands look clean, sanitize with alcohol rub
- Care-giver must ensure patient adheres to prescribed treatment regimen
- Care-giver and anybody coming in close contact with the patient must check their own health regularly and take temperature daily
- Caregiver or anybody in close contact with patient must promptly report any symptoms they experience suggestive of COVID infection to doctor/clinic/hospital consulting the COVID patient
HOW TO PREVENT INFECTION SPREAD WHEN TAKING CARE OF COVID PATIENT
- Use triple-layer face masks and disposable gloves to clean / touch any surface, clothes, linen used by or exposed to the patient
- Any potentially contaminated items need to be sanitized or disposed as applicable as soon as possible
- No item must be shared with patient, example, utensils, cutlery, food, drinks, towel, linen, and furniture??
- Utensils and cutlery used by patient must be cleaned with soap / detergent and water
- Must use gloves while cleaning items designated for patient’s personal use
- Must adhere to hand hygiene after removing gloves or cleaning / touching patient’s used items
RESPONSIBILITY OF COVID PATIENT
- Must have a triple layer medical mask on at all times
- Must discard mask every 8 hours of usage or any time it’s wet / soiled
- Patient’s mask must be disinfected with 1 % Sodium Hypochlorite before disposal
- Home isolation must be in a room strictly restricted for the patient use and away from other family members, the elderly, particularly anybody with any chronic issues like heart issues, high blood pressure, or kidney disorders
- Patient must rest and hydrate well
- Need to maintain strict respiratory hygiene
- Can’t share personal items with anybody
- Wash hands with soap and water for 40 seconds or use alcohol-based sanitizer
- Any surface frequently touched by patient for example furniture-top in the patient’s room, door knob, handles etc with 1 % hypochlorite solution
- Patient must diligently follow treating physician’s instructions and prescription
- Must self-monitor daily temperature and other health factors if any
- Must report development of new symptoms or deterioration of existing ones to the doctor right away
GENERAL INFORMATION ON COVID
COVID SUGGESTIVE SYMPTOMS
COMMONLY OBSERVED SYMPTOMS
- Dry Cough
LESS COMMONLY REPORTED SYMPTOMS
- Aches and Pains
- Sore Throat
- Loss of Taste or Smell
- Rash on Skin
- Discolouration of Fingers or Toes
- Difficulty Breathing or Shortness of Breath
- Chest Pain or Pressure
- Loss of Speech or Movement
[WHO guidelines] [@Taseer: LINK?]
WHO IS AT HIGHER RISK FOR SEVERE ILLNESS WITH COVID?
Chronic disorders, underlying medical conditions, advanced age, etc can increase the chance of a COVID-positive patient developing dangerous or even life-threatening complications. Those matching any of the below criteria must remain under strict medical vigilance.
- Older age
- Lung diseases like asthma, COPD, etc
- High blood pressure, heart disease, diabetes, obesity
- Chronic kidney disorders
- Immunocompromising conditions like cancer, transplants, AIDS, prolonged use of Prednisolone like drugs
TYPES OF COVID CASES
PRESYMPTOMATIC VS ASYMPTOMATIC
A person infected with COVID-19 may or may not develop symptoms.
People who carry an infection but don’t experience any symptoms.
A handful of confirmed true asymptomatic cases exist but WHO reports that they haven’t received any documented asymptomatic transmission information.
Those who have been infected and haven’t been symptomatic yet, but may become so during the long incubation period of the novel Coronavirus or SARS-CoV-2 averaging at 5-6 days but at times running up to 14 days. A lab test has confirmed they have the COVID infection.
People are contagious at this stage of infection.
Symptomatic COVID patients can transmit infection to others.
VERY MILD – MILDLY SYMPTOMATIC
Those experiencing one or more symptoms of COVID-19 and have lab confirmation of positive COVID-19 infection, but the symptoms are manageable at home without hospitalization requirement.
People are contagious.
However, they have no underlying condition to be at risk of symptom severity.
SEVERE ILLNESS FROM COVID
People who have one or more symptoms from the list of serious COVID signs and / or underlying conditions that can put them at risk of developing complications