Caregiving in The Comfort of Home - LifeSpan Resources

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Caregiving in The Comfort of Home - LifeSpan Resources
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

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