Home Based Care

2. Home Based Care

3. “Be joyful in hope, patient in affliction, faithful in prayer. Share with God’s people who are in need. Practice hospitality.“ Romans 12:12-13 “May the God of hope fill you with all joy and peace as you trust in him, so that you may overflow with hope by the power of the Holy Spirit.“ Romans 15:13

4. The Bible has given the Church a mandate to care for the sick and families of the sick Minimum 50% of hospital beds by year 2000 will be AIDS patients. Health facilities will not be able to cope PLWA’s cannot always care for themselves. To assist in the physical, emotional and spiritual comfort of the ill, control infection, prolong life as much as possible and prepare for dying and death, are all within the reach of home based care

5. It is a lower cost care option for care and support It is a nurturing, loving, less threatening environment Health specialisation is NOT essential for home care. Lay people can learn

6. CUTE EAR EGARDING IDS

7. “God anointed Jesus of Nazareth with the Holy Spirit and with power, who went about doing good and healing all who were oppressed by the devil, for God was with Him.” Acts 10:38 “Be joyful in hope, patient in affliction, faithful in prayer. Share with God’s people who are in need, practice hospitality.” Romans 12:12-13

10. GOD LOVES ME JUST THE WAY I AM

15. HOUSE WORK GARDENING FARMING FINANCIAL ASSISTANCE EXTENDED FAMILY & CHILDREN PWA OBTAINING & PREPARING FOOD EMOTIONAL PREPARATION GOOD COUNCIL (ETERNITY) GOOD COUNCIL (FAMILY CARE) TRANSPORTATION COMMUNICATION AREAS OF HELPING PWA

16. Care in dealing with blood and/or body fluids

17. Care in dealing with open wounds or sores

18. X PRIORITIES FOR CARE LIFESTYLE CHANGE Addictive behaviours must go (smoking, alcohol, drugs) Sexual expression needs to have alternatives (to non-genital forms) Rest (get plenty, 8 hours per night and frequent daily naps) Healthy diet (frequent 5-7 nutritious small meals including fruit, dairy food, chicken, beef, beans, lentils) Treat any symptoms early as they appear Have healthy emotional state (wanting pro-longed, quantity life) Be spiritually healthy (know Jesus Christ personally and fellowship daily with Him)

19. SYMPTOMS & CARE NUTRITION Eat small amounts often Eat foods patient likes Eat nutritious energy- giving foods Avoid patient being around cooking smells - can cause nausea, Avoid eating raw vegies - difficult to digest Take vitamin supplements if possible For constipation drink plenty of water

20. SYMPTOMS & CARE FEVERS Drink plenty of water / liquids (min 2 litres per day) Remove unnecessary clothing / blankets Ventilate, open windows, fresh air Bathe / wash with cool water and wet cloth - Basin with cool (not cold or hot) water and cloth - Bath tub, soak in water - Cover person with cloth on forehead,armpits and insides of thighs - Re-soak every 1-2 minutes - Continue bathing until fever comes down - Put on fan if possible

21. TEA SYMPTOMS & CARE DIARRHOEA Drink lots of fluid (tea, unsweetened fruit juice, soup, water) Rehydration drink (1 litre boiled water, 8 tsp. sugar, 1/2 tsp salt) Wash anus skin, buttocks after every stool and apply Vaseline or effective barrier cream to protect skin Continue eating solid foods for as long as possible (porridge, rice, banana, potato) Give rehydration drink when drying out (dry tongue, sunken eyes) If anal area raw, sit in warm / salt bath 3- 4 times a day

22. Make activities easier Get enough rest Give assistance where necessary Give bed-ridden patient gentle arm/leg movement several times a day. Swing from one side to back, to other side several times a day to prevent bedsores Keep person clean and dry Assist person when walking / walking stick SYMPTOMS & CARE TIREDNESS & WEAKNESS

23. Rinse mouth with warm salt water For white patches suck lemon Eat soft, mashed food Apply gentian violet solution to sores on lips mouth Suck ripe piece tomato for thrush and mouth hygiene Eat bland rather than spicy food Use straw for liquids & soup Cold food, drink or ice helps numb mouth and relieves discomfort SYMPTOMS & CARE SORE MOUTH & THROAT

24. SYMPTOMS & CARE SKIN PROBLEMS Encourage not to scratch any sore / lesion. Relieve itching by cooling skin with water or by fanning it. Apply lotion like Calamine. Draw boils / abscesses by tying a sliced onion over the site and cleansing with salt water Keep skin dry and clean For open sores - wash with clean water and soap - apply gentian violet or antiseptic - cover with dressing / clean cloth that has been washed and dried in the sun For dry skin - avoid soaps and detergent - use bath oils and skin creams For shingles - keep sores dry - apply Calamine 2 X per day to relieve itch - mild pain can be relieved by paracetemol

25. SYMPTOMS & CARE SKIN PROBLEMS (cont.) If wound has bad smell, if grey / brown liquid oozes out or if skin turns black and forms bubbles or blisters, medical help should be sought immediately as this may be a start to gangrene Prevent infection resulting from sores that don’t heal adequately, including bed sores Preventing bed sores - get out of bed as much as possible - change position, when lying down, every 2 hours to relieve pressure - use soft bed sheets and padding - should be hung to air daily and changed each time bedding is soiled. - straighten bedding often - put cushion under body so bony parts rub less

26. SYMPTOMS & CARE PAIN Take medication as prescribed at regular intervals Change positions frequently in bed Raise any swollen parts, on pillows Use oil / lotion to gently massage sore muscles Talk with person, help healthy mind Be quiet and gentle in presence of sick person

27. SYMPTOMS & CARE COUGH, DIFFICULTY IN BREATHING Do not allow too many visitors in the room Raise person’s head and upper body on pillow. Raise head of bed on blocks Keep room with fresh air, no smoking lamps, stoves or fires near bed Sit with person having difficulty in breathing it can be very frightening Home remedy cough mixture - piece of sliced onion (drawn by pouring sugar over it) and drink it

28. SYMPTOMS & CARE CONFUSION & DEMENTIA Provide support Keep dangerous objects out of way Avoid leaving person unattended Keep medicines out of patient’s way

29. SYMPTOMS & CARE TB...TUBERCULOSIS TB is common among PWA although person with TB is not always HIV infected Medication can cure TB but will not cure HIV / AIDS Extremely important to follow instructions for TB medication Avoid spreading TB germ, TB is easily contracted Washing and sunlight kill the TB germ Good ventilation is important in the house and room where the infected person is staying

30. SYMPTOMS & CARE PREGNANCY & HIV / AIDS If possible, a woman (including her husband) should be tested for HIV infection before she gets pregnant, if previous exposure to the virus was possible A baby born to an HIV positive mother has 30-50% chance of contracting HIV It is important to treat the baby born to an HIV infected mother as healthy and normal All babies born to HIV positive mothers will test HIV positive at first even though they may not really be positive Although there is some risk of an HIV positive mother passing the virus to her baby in her breast milk, breast feeding is still vitally important to the new baby as this will protect the infant from other infections such as diarrhoea (diarrhoea is the #1 cause of infant death worldwide) Immunizations are very important to protect the baby from various diseases Any infections in both mother and baby, before and after birth, should be treated promptly In some cases there is a combination therapy that can be given to the HIV positive mother to treat the unborn baby