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Parents Moving In

Are Infections Plaguing Your Life?

by Leigh Kelly

Are Infections Plaguing Your Life?

Thinking about the rate of infections that seems to be plaguing us these days makes one wonder what the major cause of this happening is.

We have known for years that overuse of antibiotics has made some bugs resistant…

But could another contributing factor be to do with cleaning standards?

The Problem With Traveling

Now I don’t know if you are a traveler or not, but I hear so often how sick people become after taking a flight.They come back with a virus that they cannot shake.

This happened to me 2 years ago and I seem to hear more and more people in the same situation.

An article came across my desk that the reason for this was due to the quick turnaround of flights…

And the substandard (or should I say non-existent) cleaning that happens to get the plane back in the air again.

I Wouldn’t Leave My House This Way…

The rubbish is cleared but the table tops are not wiped down.

Nothing is done to them.

So you come along and sit down in your allocated seat and pull out your table when you are in the air or to eat.

You are not provided with anything to clean your hands, with the exception of some long haul flights particularly with Asian airlines who bring around heated hand towels.

Read More: The Gross Truth About Germs And Airplanes

Sharing Germs

Just think about it…

The person before you has some virus or bacteria.

They probably cough and splutter all around the space you are now occupying.

Without cleaning your hands, your table or arm rests you are then likely to contaminate yourself with whatever is left behind from the previous occupier.

This Happens Everywhere

Now if this is the problem with travel…

Could sub-standard cleaning be part, if not all, of the problems we are experiencing with superbugs?

I don’t know for sure but to me this stands to reason.

If the bugs are not being cleared from the surfaces, then you and those in your care are going to be at risk.

Sharing The Responsibility

As caregivers we know it.

But do we pass this knowledge on or teach others who do not have our backgrounds and knowledge?

Beyond The Training…

Okay, so a life of caring for children and other people may have set you up with the training you need to keep from getting ill.

But does the rest of the family and anyone that comes to visit understand the importance and the risk to everyone if cleaning standards are substandard?

How often do you reinforce hand washing?

This fun but very real video may bring a bit of a smile at the things we do every day unconsciously that can contribute to infections.

Environmental Cleaning

However I want to focus now on environmental cleaning.

How much time is spent explaining the importance of keeping the environment clean?

How often are the tables, window ledges, beds etc wiped down?

I know when I did my training we had to do ward tidies at the clinic every day on the morning shift.

While we did not have to wash the floors, we were responsible for all the patients’ equipment and surfaces surrounding the patient.

And the same goes for homes where care is given.

Whose Responsibility?

Do we, as caregivers do this today or do we rely on someone else to do it?

How often do we check or observe that is has been done?

How likely is it that the surfaces surrounding your loved ones are harboring bacteria or viruses?

What Are Your Standards?

We know that when there is an outbreak it is likely to indicate a breakdown in cleaning standards.

How easy would it be if all the surfaces were cleaned daily with the expected outcome that the rate of infections would be reduced?

Remember, wherever a group of people live, there is likelihood of increased infections.

The Importance Of A Clean Environment

You see, we spend a lot of time talking about the importance of handwashing…

BUT do we spend the same amount of time on the importance of keeping the environment clean as well?

The following video is really good, but please note while most of the training is in English some of the conversations are in French with sub-titles.

It is 20 mins long but it does show how to clean and how important it is to do it correctly at a clinic, but it can be applied to your home as well:

 

Now this video by Bill Gates is looking at a worldwide epidemic.

He says “The next outbreak? We are not ready.” It is about being prepared and working towards prevention:

Be Prepared

How prepared are you for an outbreak in your home?

I am not necessarily talking about an Ebola outbreak, but a norovirus or influenza outbreak.

I have already talked about the importance of keeping surfaces clean and how this helps to contain or even prevent an outbreak.

Now in a hoe it is on a lesser scale to a worldwide epidemic but the principles are the same, as is the impact on people.

Have you considered how you could prevent an outbreak rather than react to a crisis?

It would be much easier for everyone if more attention was paid to reducing the likelihood of an outbreak in the first place.

Have a parent that’s a little hard to handle? Download our free Challenging Behaviors Guide to discover how you can figure out what’s going on and maintain the relationship with your parent.

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Are We Inadvertently Killing Our Elderly?

by Leigh Kelly

are-we-inadvertently-killing-our-elderly

While I don’t want to be an alarmist, this series that came out in 2002, albeit a while ago, it is still relevant today I believe: http://www.ccfj.net/NHSTLseries.html

So why should I bring this up now?

You will all be experiencing the heat wave we are going through at the moment and probably finding you are drinking more fluids than you would perhaps normally.

However it is good to remember that the older one gets the less likely they are to reach for or call for a glass of water. From the age of 60 thirst becomes blunted which quite simply means they don’t feel thirsty.

Therefore it is up to us as caregivers to think for our patients and offer fluids very frequently – at least 50 mls an hour, to enable them to remain hydrated.

Signs And Symptoms

To remind you of the signs and symptoms of dehydration check out this video:

However there are two early signs left off this list: falls and headaches.

Just think about how you feel when you are out in the hot sun and haven’t had a drink.

Now I know you get very busy and it is not easy to remember all the little things that need to be done.

But if a person does not ask for a drink, then it is likely to be forgotten or overlooked.

Failing to give a person adequate fluids is abuse though, as you will see in this blog article: http://www.nursinghomesabuseblog.com/dehydration/

Take Extra Care

On top of this, if a person dies as a result of dehydration, then you are likely to be culpable or blameworthy as the death could have been prevented as you can see in this article: http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11317558

Admittedly the nurse here appears to have had inadequate supervision.

But at the end of the day, two basics in the care of the elderly need to be understood by all your staff…

  • As people age their thirst becomes blunted
  • They are unlikely to ask for a drink

So if you don’t ensure they have enough fluid they may quietly slip away from you and die.

This can be labeled as abuse, and the neglect and death from dehydration is preventable.

Learn more here:

Get Creative In Providing Fluids

So how can you very simply provide fluid for those in your care?

  • Have fluid rounds in addition to the normal morning, afternoon tea and supper
  • Offer ice blocks sometimes as a variety
  • Watermelons are very inexpensive at certain times of year and it a very enjoyable way to help with hydration
  • Jelly is another easy way to get people to take fluids

Have a discussion among your colleagues and see what other enjoyable ways you can get fluid into people. You may be surprised at what you come up with.

More Resources

At a recent workshop I was at on fluid and electrolyte balance the presenter talked about an excellent book you may be interested in.  “Fluid & Electrolyte Balance – Nursing Considerations” by Norma Metheny which can be purchased here: http://www.jblearning.com/catalog/9780763781644/

And of course for Care Training Online members it may be timely for you to review, do or redo the Hydration topic online.

Have a parent that’s a little hard to handle? Download our free Challenging Behaviors Guide to discover how you can figure out what’s going on and maintain the relationship with your parent.

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