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Guidelines for Managing Home Isolation Effectively


Due to corona explosion there are long queues in the hospitals and patients are not getting enough beds for their treatment. Therefore, Corona infected patients can get themselves treated at home as per the Government guidelines. Here are a few tips to help you treat yourself or your family members at home.


While giving tips on COVID home treatment, Dr. Sachin Verma, Director Holy Basil Mediclinic /Diabetes and Infectious Disease Specialist at Ivy Hospital, Mohali informed that patients can be considered eligible for home isolation by strictly following below mentioned Do’s and Don’ts’ of COVID:
1.)    Patient should be mildly symptomatic or asymptomatic.
2.)    Should have all required facilities that majorly includes a well ventilated room away from others and availability of a caregiver on 24 x7 basis as communication between the caregiver and hospital is of the utmost importance for the entire duration of home isolation.
3.)    Patients above the age of 60 years with Hypertension, Diabetes, Heart disease, Chronic lung/liver/ kidney disease, Cerebro-vascular disease etc. should only be allowed home isolation after medical officer’s recommendation and proper evaluation.
4.)    Patients suffering from HIV, Transplant recipients, Cancer therapy etc. are not eligible for home isolation.
5.)    As per protocol and as prescribed by the treating medical officer, the care giver and all close contacts should consume Hydroxychloroquine prophylaxis.
6.)    Should have Arogya Setu App downloaded on mobile.
7.)    Should regularly monitor his health and inform health status to the District Surveillance Officer.

Instructions for Patients:
1.)    Should wear triple layer medical mask all the time.
2.)    Discard mask after 8 hours of use or earlier if they become wet or visibly soiled. Mask should be discarded only after disinfecting it with 1% Sodium Hypo-chlorite.
3.)    Patient must stay in a separate room away from other people in home, especially elderly and those with medical conditions.
4.)    Adequate hydration must be well taken care of by drinking plenty of fluids. Patient must also take rest.
5.)    Must follow respiratory etiquettes.
6.)    Hands must be washed for at least 40 seconds with soap and water or with alcohol based sanitizer.
7.)    Personal items not to be shared with other people.
8.)    Surfaces touched more often in the room to be cleaned with 1% hypochlorite solution.
9.)    Physician’s instructions and medication advice to be followed strictly by the patient.The patient should self-monitor his/her health and report promptly to the Physician if develops any deterioration of symptom.
10.)    The patient should self-monitor his/her health and report promptly to the Physician if develops any deterioration of symptom.

 

Instructions for Care givers:
1.)    Mask: Should wear a triple layer medical mask appropriately while attending the ill person.
2.)    Hand Hygiene: Hand Hygiene must be ensured after contact with ill person or his immediate environment. Practicing hand hygiene before and after removing gloves is also equally important.
3.)    Exposure to patient/patient’s environment:
•    Avoid direct contact with oral or respiratory secretions. Use triple layer medical mask and disposable gloves while handling the patient.
•    Avoid sharing cigarettes, eating utensils, dishes, drinks, used towels or bed linen.
•    Food must be served to the patient in his room.
•    Utensils and dishes used by the patient should be cleaned with soap/detergent and water wearing gloves.
•    The waste should be disposed of as per CPCB (Central Pollution Control Board) guidelines.

Warning Signs to leave Home Isolation and admitted:
Immediate medical attention must be sought if these warning signs or symptoms develop:
•    Difficulty in breathing
•    Developing bluish discolorations of lips/face
•    Dip in oxygen saturation (SpO2 < 95%)
•    Persistent pain/pressure in the chest,
•    Mental confusion or inability to arouse,
•    Slurred speech/seizures
•    Weakness or numbness in any limb or face

When is Home Isolation considered over:
Patient will stand discharged after 10 days of symptom onset and no fever for 3 days. Further, the patient will be advised to isolate at home and self-monitor health for another 7 days. There is no need for testing after the home isolation period is over.
Hope these tips will prove helpful to you in managing Home Isolation.