Caregiving in The Comfort of Home - LifeSpan Resources
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March 2021 LifeSpan Resources, Inc. Caregiving in 33 State St., PO Box 995, New Albany, IN 47150 812-948-8330 The Comfort of Home® Caregiver Assistance News “ C a r i n g f o r y o u … c a r i n g f o r o t h e r s ” Covid-19 and Lung Disease Having a chronic lung disease means ◆◆ s welling of the that a person may be in the high-risk feet, ankles, category for severe illness and comp- and legs lications from Covid-19. Therefore, it is important to follow all the guidelines Some people think to minimize the risk of infection, such that using oxygen as staying home to be physically dis- will reduce their independence, or they tanced from others, washing hands, will become addicted using hand sanitizer. Don't touch your to it. However, oxygen face and when you must go out—wear therapy can greatly a mask. improve energy The Covid-19 virus can damage levels, the ability to the lungs, heart and brain, increas- breathe, and overall quality of life. ing the risk of persistent health Using this therapy can add years to a problems. Covid can scar the lungs’ person’s life. The doctor will use tiny air sacs and cause long-term various tests to find out when, and breathing difficulty even if the scars how much, oxygen is needed. partially heal. Lung Health Emergencies Oxygen Containers Adapted from The Comfort of Home: Caregiver Series, © 2021 CareTrust Publications. www.comfortofhome.com Oxygen comes in different kinds of If the person in your care is hav- containers and is given through soft ing a flare-up from lung disease or prongs inserted into the nose, or experiencing new symptoms, call the through a tube inserted surgically doctor. During this time of Covid, it is directly into the throat. more important than ever to maintain control of chronic lung disease, includ- Liquid oxygen—oxygen is stored as ing taking medications as prescribed. a very cold liquid in a container like When lung disease (COPD) pro- a thermos. When released the liquid gresses to the point that the lungs changes to a gas that is breathed like can’t supply enough oxygen to meet compressed gas; the liquid can be the needs of the body, the doctor transferred to small portable contain- may prescribe home oxygen therapy. ers; liquid oxygen is more expensive Symptoms that show oxygen may be than compressed gas. needed— Concentrator—this electrically ◆◆ excessive sleepiness powered device separates the oxygen ◆◆ morning headaches and irritability from the air, concentrates it, and then ◆◆ poor concentration stores it; a tank of oxygen is needed in ◆◆ worsening shortness of breath case of power failures.
Caregiving in The Comfort of Home® C a r e g i v e r Assista n c e N e ws l e tte r March 2021 Oxygen tanks—oxygen is stored under pressure in a tank with a regulator that controls the oxygen flow rate; the tanks can be large or portable. The doctor will prescribe a specific flow rate of oxygen, and you will need to make sure that not too much, or too little, is given. Different flow rates may be given for sleeping and when active. Care must be taken to avoid having anything flammable in the room where the oxygen container is kept, such as a cigarette lighter or gas range. Belly Breathing and Pursed-Lip Breathing Diaphragmatic breathing, also known as belly breathing, helps a person to relax and get more air out of the lungs. Have the person in your care practice this breathing technique by sitting in a comfortable chair or lying down. Have her put one hand on her abdomen and one hand on her chest. As she breathes in, have her notice how the abdominal muscles relax and then, as she exhales, tell her to tighten the abdominal muscles to help push air out. The chest should not move. The exhalation (breathing out) should always take longer than the inhalation (breathing in). It is very important that the person in your care does these exercises while calm and relaxed so she will be able to get into the habit of breathing this way. Pursed-lip breathing helps to keep the breathing tubes open during exhalation and to improve the ability to slowly get more air out of the lungs. This type of breathing is used mainly for people with COPD (emphysema or bronchitis). To practice this technique, have the person in your care take a breath in through the nose and slowly let the breath out through pursed lips (as if she was whistling). Pursed-lip breathing and belly breathing are done together. Conserve Energy People with COPD must conserve their energy so they won’t become exhausted. Encourage the person to— ■■ take it easy; move slowly ■■ sit while doing chores © 2021 CareTrust Publications ■■ avoid lifting and bending; keep household items within easy reach ■■ rest after eating ■■ use a cart with wheels to carry things ■■ use helping devices such as a long-handled reacher or long-handled tongs 2 ■■ use a bath bench and hand-held shower head in the bathtub
Caregiving in The Comfort of Home® C a r e g i v e r Assista n c e N e ws l e tte r March 2021 — Caring for Adult Children Taking Care of Yourself — Know Your Limits st continue es, bec au se an ac cid ent lef t a child disabled, parents mu Sometim the ir chi ldren lon g aft er the child moves into adulthood. to care for ch as from progressive conditions su Maybe the adult child suffers ntal on’s disease or has developme multiple sclerosis or Huntingt disabilities. ficult to give the same level of As you age, it will be more dif reful if caregiving is taking a care that you once did. Be ca ns d realize your physical limitatio physical toll on your health an d out al Area Agency on Aging to fin and ask for help. Call your loc r area. about respite programs in you Inspiration Live Life Laughing! Courage is being scared to death—and saddling up anyway. I’ll be your doctor today. — John Wayne Can I hear you laugh? Memory Care - Practice Patience If the person in your care repeats the same story over and over, take pleasure in how much he enjoys the © 2021 CareTrust Publications story, rather than being frustrated because you have heard it before. 3
Caregiving in The Comfort of Home® Our Purpose To provide caregivers with critical information enabling them to do their job Safety Tips—Avoiding Irritants with confidence, pride, and competence. Ordering Info People with COPD may be affected by irritating substances in the From the publishers of air, or they may have allergies to airborne allergens (substances Caregiving in that are carried on the air that cause allergic reactions like The Comfort of Home® Caregiver Series sneezing or watery eyes) such as pollen. Any kind of air pollution available from… inside or outside of the home should be avoided, including dust, CareTrust Publications LLC smoke, fumes from wood or coal-burning stoves, and strong odors PO Box 10283, Portland, OR 97296 in general. Some people are highly allergic to mold and may have 800-565-1533 trouble breathing if they are exposed to it. or www.comfortofhome.com Comments and suggestions welcome. The most important thing a person with lung disease can ©2021 CareTrust Publications LLC. All rights reserved. Reproduction of any do is STOP SMOKING. Smoking is the number one cause component of this publication is forbidden without a license from the publisher. of COPD and can make any kind of lung disease worse. Some content in this publication is excerpted Medications are available that can help a person stop smoking from The Comfort of Home: Caregivers Series. It is for informational use and not health advice. (such as the “patch”). Sometimes even multiple medications It is not meant to replace medical care but to may be needed. Eating a healthy diet, drinking plenty of water supplement it. The publisher assumes no liability with respect to the accuracy, and juice, and taking vitamin supplements can make with- completeness or application of information drawal easier and less uncomfortable. presented or the reader’s misunderstanding of the text. NEXT ISSUE… Communication Skills
Caregiving in The Comfort of Home® Covid-19 and Lung Disease—March 2021 Caregiver Assistance News “ C a r i n g f o r y o u … c a r i n g f o r o t h e r s ” Q u i c k Q u i z Doctors don’t yet know how long it will take patients to regain their pre-Covid lung strength and endurance. However, the earlier patients start their rehabilitation, the faster they begin to bounce back. Answer True or False to the questions below. 1. iaphragmatic breathing, also known as belly breathing, helps a person to relax D and get more air out of the lungs. TF 2. xygen therapy can greatly improve energy levels, the ability to breathe, and O overall quality of life. TF 3. W hen lung disease progresses to the point that the lungs can’t supply enough oxygen to meet the needs of the body, the doctor may prescribe oxygen therapy. TF 4. Mold generally doesn’t bother people with COPD. TF 5. he most important thing a person with lung disease can do is STOP T SMOKING. Smoking can make any kind of lung disease worse. TF 6. Care must be taken to avoid having anything flammable in the room where the oxygen container is kept, such as a cigarette lighter or gas range. KEY: 1. T; 2. T; 3. T; 4. F; 5. T; 6. T; 7. T; 8. T; 9. T; 10. F TF 7. aving a chronic lung disease means that a person may be in the high-risk H category for severe illness and complications from Covid-19. TF 8. he Covid-19 virus can damage the lungs, heart and brain, increasing the risk T of persistent health problems. TF 9. Using this oxygen therapy can add years to a person’s life. TF 10. orsening shortness of breath and swelling of the feet, ankles and legs is not W a sign that oxygen therapy may be needed. © 2021 CareTrust Publications TF Name Signature Date
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