Special considerations for Home Dialysis Patients
What is Covid19?
Covid19 is an infectious disease that affects the respiratory tract and is caused by newly discovered coronaviruses, although there is currently no vaccine available to prevent the virus, adherence to some precautionary measures and measures may guarantee disease prevention, especially avoiding close contact with patients and maintaining clean hands.
What are the most prominent symptoms of Covid19?
Covid19 patients often suffer from respiratory illnesses ranging from mild to severe, causing a group of lands, most notably fever, cough, shortness of breath, feeling tired and fatigued, in addition to constant pain or pressure in the chest and changing the color of the face so that it is tilted to blue and coronaviruses may cause severe complications including This includes pneumonia, multiple organ failure, and in some cases death.
How is the disease transmitted?
Coronavirus usually spreads from an infected person to a healthy one through:
1- Breathe in the mist that comes from the person with the disease with a cough or exhalation, or even with a loud voice
2- Touching the eye, nose or mouth after coming into contact with the secretions of the affected person scattered on the surrounding surfaces
3- Contact with the positive infected person.
How to protect yourself and others from the Coronavirus?
This is done by exercising caution and proper knowledge about this virus and how to prevent it. Here are some tips and precautionary measures recommended by the World Health Organization and the Centers for Disease Control through which you can protect yourself and others:
Avoid crowded, poorly ventilated places
Avoid eating raw or undercooked meat
Wash fruits and vegetables thoroughly to prevent bacterial contamination
Moisturize the hands with clean running water (warm or cold), then use soap
* Rub hands with soap, making sure that the foam appears on the back of the hand
* Rub the surfaces of the hands, including the back of the hands, between the bumps and under the nails
* Rub hands thoroughly with fingers
* Rub the appearance of hands and fingers interlocking
* Rub the heads of the fingers
* Wash wrists
* Rub hands thoroughly for at least 20 seconds
* Rinse hands thoroughly under clean water
* Dry hands with a clean towel
– Use hand sanitizers containing at least 70% alcohol
– Not to touch the eyes, nose, and mouth with unwashed hands
– Cleaning the most used devices such as phones and computers using antiseptic wipes or alcohol solutions by 70% at least.
– Most frequently used surfaces, such as workspace and door handles, appeared in Clorox solution 1%.
– Cleaning and disinfection of surfaces of common use, such as telephones and computers
– Be sure to stay home if you are sick
– Cover the mouth and nose with tissue during coughing and sneezing, then dispose of them in the trash can
– Avoid visiting the elderly as much as possible, unless necessary
– Avoid visiting patients
– Canceling or postponing all events, large gatherings, and conferences
– Contact your doctor to inquire about the necessary medicines that are difficult to find at home
– Purchase additional quantities of food necessary to stay at home for a long time
– Stay in constant contact with your friends and tell them about your health
– Contact your doctor if any symptoms occur
– If you suffer from symptoms of Covid19 or in the event you return from travel, please isolate yourself in a separate room with the use of plastic tableware and do not share your appliances or bed linen or towels with anyone for 14 days
If you mix with someone who has symptoms of the Coronavirus, you should immediately isolate yourself and not leave the house for 14 days.
What is the effect of Covid19 on the elderly and people with chronic diseases?
The elderly and those over the age of 65 years, children and adults with weak immune systems or health problems such as diabetes, high blood pressure, cancer, respiratory disorder or autoimmune diseases are considered to be among the group most at risk of infection with the Coronavirus (Covid19). They must stay at home and leave only when necessary
What is the effect of Covid19 on individuals with the respiratory disease?
Respiratory diseases such as asthma, respiratory disorders, or chronic lung infections are among the groups most affected by the symptoms of Covid19.
What is the impact of Covid19 on employees and companies?
Encouraging sick employees to take sick leave and stay at home until fully recovering from fever and other illnesses
Immediately return employees to their homes when symptoms of acute respiratory illness, such as coughing and shortness of breath, appear
Urging employees to clean and sterilize their hands with a hand sanitizer containing alcohol of at least 70% and wash their hands with soap and water for at least 20 seconds
Carrying out periodic and continuous cleaning and sterilization in all places, especially tables and door handles
The effect of Covid19 on people who have some skin diseases?
Hand washing may not be appropriate for individuals with some skin diseases, especially dry skin, eczema and psoriasis, as excessive washing leads to skin damage
and hand ulceration. Here are some tips that can be followed in these cases:
1- Use a moisturizing cream after washing hands
2- Wearing rubber or latex gloves when washing dishes, using detergents and washing children’s hair with shampoo
3- Use an alcohol-based hand sanitizer followed by a moisturizing cream
Are there special considerations for Home Dialysis Patients?
Dialysis facilities should continue to follow the guidelines as required regarding monthly monitoring of home dialysis patients onsite at the facility.
While we want to limit exposure for home dialysis patients, COVID-19 is particularly aggressive in individuals who are elderly and those with chronic conditions including end-stage renal disease (ESRD).
It is important that the home dialysis patients do not miss their onsite appointments to ensure that all dialysis procedures are followed to ensure a safe environment for the patient. Facilities should be vigilant in monitoring any changes in guidelines as new information is available