Doctor insights on:
How Do I Help Prevent The Spread Of Diarreah And Throwing Up In A Nursing Home
Good hygiene: Good hygiene is key, for both nurses/staff and the nursing home residents. Always wash your hands thoroughly after caring for a resident, and make sure the residents wash their hands frequently as well, especially after throwing up or going to the bathroom. Sanitize tables, furniture, and other surfaces frequently. Finally, limit contact of sick residents with healthy residents. ...Read moreSee 1 more doctor answer
C diff: C difficile is an infection that has increased in frequency in the past two decades. Prevention is on many fronts including resisting using too many antibiotics, isolation of patients that have the illness, and freqent hand washing. Note that hand-washing and not simple alcohol on the hands is the only thing that kills thebactera. ...Read more
Blood: Through blood to blood contact. Other body fluids contact. ...Read more
Ask for help: Most common danger is falls. Never try to do dangerous maneuvers without asking for help. Early morning in the bathroom is often the most dangerous. Stairs are another. Eat well and sleep well and keep up a good exercise routine. Talk with anyone who will listen and read and watch news shows and keep your brain active. As soon as you start to feel ill, ask for help and get a checkup. ...Read more
See below: People who live in a nursing home have very little control over their environment, e.g. Medication, meals, showers, outings, etc are all done on schedule where the resident has little say. To get back a sense of control, the resident might try to take control over any aspect of the environment, e.g. Refusing meds, showers, etc. Therefore, being on resident committee might be very empowering. ...Read more
Needs to be clarifed: Each nursing home patient has one attending physician. Each nursing home has own policy and procedure about the role of attending physician for accepting or rejecting recommendations from podiatrist, specialists, dentist or others. Some attending physicians prefer working together with pyschiatrist or rehab physician. Please ask for unit manager nurse about the role of attending physcian. ...Read more
Dobutamine: We usually would not administer Dobutamine in a nursing home setting. It needs to be closely monitored and this monitoring is usually not possible in a nursing home. Dobutamine is usually given for acute hemodynamic instablity and this is again not usually a nursing home treatment. ...Read moreSee 1 more doctor answer
Loss of independence: The elderly are not different than the rest of us. They want to retain their independence and sense of freedom as long as possible. Being in a nursing home often means that they will lose some of their freedom and it is a hard concept to accept. ...Read more
See below: Some activities will depend on an overall physical health status as well: walking vs. Wheelchair; whether this person requires full assistance or partial. There are activities, e.g. Groups to stimulate brain activity, to preserve things that are still there for as along as possible; they still might go on trips to the community with the supervision; might receive individual or group psychotherapy. ...Read more
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