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KOMPAS.com – The emergence of a new Covid-19 transmission group, namely the family group, raises new concerns in the community.
The government, including President Joko Widodo, has warned that the corona virus (Covid-19) can also be transmitted in a home inhabited by a family.
Therefore, the president asked the public to be careful and still adhere to health protocols while at home.
It is important to do so in an effort to prevent the spread of transmission through family groups.
The family group shows that Covid-19 has penetrated the smallest unit of society.
Along with the needs of family members to meet basic needs such as working outside the home, awareness and knowledge of infection prevention are absolutely necessary.
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What should be considered and what should be done if there is a family in the home that is positive for Covid-19?
The spokesperson for the Covid-19 Working Group at Sebelas Maret University Hospital, Tonang Dwi Ardyanto, said that there are a number of things that need to be taken into account if you are feeling symptomatic or have tested positive for Covid-19.
Tonang said the first thing to do immediately is self-isolation according to the Ministry of Health guidelines.
“Then notify your local health or Puskesmas office and provide a list of people who were in close contact for 2 days before symptoms appeared or were captured. swab that gave positive results, “said Tonang when contacted Kompas.com, Monday (7/9/2020).
Tonang said that if the symptoms increase, immediately contact the hospital for more appropriate treatment.
This is also done if there are family members showing symptoms or testing positive for Covid-19.
“Healthy family members take on the role of contact and communication with related parties. Then, monitor the progress of independent isolation of sick family members,” Tonang said.
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If family members are treated in the hospital
If there are family members who test positive for Covid-19 and need to be hospitalized, Tonang said, there are several things that can be done to support them, even if they cannot visit them directly.
The two things are:
- FirstTake advantage of the cell phone to stay in touch with family members who are sick.
- SecondThere is a hospital that facilitates communication via CCTV with the isolation room where the family is cared for.
“We can also send food, fruit or whatever the patient likes, through the nurses in the isolation room. As long as there is no specific record on the patient’s condition, food can be given,” said Tonang.
Also read: See the patterns and causes of family groups in the Covid-19 case in the world
Self-isolation or home care is carried out for people with mild symptoms and no accompanying conditions, such as lungs, heart, kidneys, and immunosuppressed conditions.
This action can be performed on the patient under surveillance, the person under surveillance, and close symptomatic contacts while monitoring the possibility of deterioration.
Some of the reasons that patients receive home treatment are inpatient facilities that are unavailable or unsafe.
The procedure for self-isolation is transmitted in the Fifth Review of the Covid-19 Prevention and Control Guidelines issued by the Ministry of Health in July 2020.
The complete guide can be downloaded here. The following is the procedure for self-isolation:
1. Care
- Place the patient / person in a separate room that is well ventilated (with open windows or doors).
- Limit movement and minimize sharing the same room. Make sure shared spaces (like kitchens, bathrooms) are well ventilated.
- Other members of the family should sleep in different rooms, and if this is not possible, stay at least 1 meter away from the patient (sleep in different beds).
- Limit the number of people caring for the patient. Ideally, a person who is completely healthy without other health problems or immune disorders.
- No visits / visits are allowed until the patient is completely healthy and asymptomatic.
2. Hand hygiene
- Perform hand hygiene (wash your hands) immediately every time there is contact with the patient or the patient’s environment.
- Wash your hands before and after preparing food, before eating, after using the bathroom, and whenever your hands look dirty.
- If your hands don’t look dirty you can use a hand sanitizer, and for dirty looking hands use soap and water.
- If you wash your hands with soap and water, disposable paper towels are recommended. If it is not available, you can use a clean towel and replace it immediately if it is wet.
3. Use of masks
- Surgical masks are worn by patients when around people at home or when visiting healthcare facilities (healthcare facilities) to prevent transmission through droplets.
- Children under 2 years of age are not recommended to wear masks.
- The caregiver wears a surgical mask, especially if they are in the same room as the patient.
- The mask should not be held up during use. If the mask is dirty or wet, immediately replace it with a new one.
- Dispose of the mask in the correct way (do not touch the front, but start at the back by holding the mask strap). Dispose of the surgical mask immediately and wash your hands immediately.
- Wear gloves and a surgical mask if you have to provide oral or respiratory care and when you come in contact with blood, feces, urine, or other bodily fluids such as saliva, sputum, vomit, and others.
- Wash your hands before and after disposing of gloves and masks.
- Do not wear used gloves or masks.
4. House cleaning
- Separate utensils from patient (wash with warm soapy water after use so they can be reused).
- Clean surfaces around the patient, including toilets and showers, regularly. Soap or household detergent can be used, then 0.5% NaOCl solution (equivalent to 1 part bleach solution and 9 parts water).
- Wash the patient’s clothes, sheets, towels, cloth masks with household detergent and water or use a washing machine with a water temperature of 60-90 degrees Celsius with detergent and dry.
- Put it in a special bag and do not shake it, and avoid direct contact of skin and clothing with contaminated materials.
- Wear gloves when washing and always wash your hands before and after wearing gloves.
- Gloves, masks, and other residual materials during treatment should be disposed of in the trash can in the patient’s room, which is then tightly closed before being disposed of as infectious feces.
- Avoid contact with other contaminated items, such as toothbrushes, silverware, towels, clothing, and bedding.
- When healthcare workers provide home health services, always pay attention to PPE and follow recommendations to prevent disease transmission through droplets.
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Infographic: corona virus, symptoms and how to prevent it