By: Dr. Nadeem Kothdivale via the CSSL Family Caregivers Guide
Looking Out for Signs of Infection
Despite the best care, elderly, bedbound, and palliative patients are all at risk of infection, most common being urinary tract and chest infections. Be mindful of signs of infection, as this will require a doctor’s assessment in order to determine the source and to start the appropriate treatment. Some of the signs to look out for include fever, new cough, lethargy, recent change in behaviour/ appetite, cloudy urine, foul odour urine, burning in urine. If possible, collect a sample of urine in a sterile cup, in the event that the doctor wishes to send for further testing.
Mental, Spiritual and Social Issues
Apart from physical symptoms, patients often find themselves in mental and emotional turmoil as they deal with their diagnosis. This often leads to depression and/or anxiety. Speak with patients and if you feel they are struggling to cope with their emotions, do inform relatives and seek the necessary intervention. Get to know your patient. Know who they were before their diagnosis. Very often, some patients grow in their spirituality while others fall away. It is important to note that spirituality is not always linked to religion. Explore what spirituality means for your patient and give them the support that they need or arrange for external support. Encourage your patient to spend time and socialise with their friends and family. This has been shown to reduce the incidence of depression in the elderly.
Conclusion
Caretaking for patients involves much dedication and hard work. Always remind yourself of why you got into the field. And while your patients may not always say it, rest assured that once done properly, you will touch their lives when they need it most. Don’t ever hesitate to ask for assistance and seek the support of a doctor if needed.
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