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5 Tips Caring for Someone with Alzheimer’s During COVID-19 Outbreak

Caring for a loved one with Alzheimer’s disease during the pandemic brings about challenges, especially given the social distancing measures put in place.

Experts offer the following 5 simple tips on how to navigate the complex and quickly changing environment.

  1. Focus on safe hygiene

Because those with Alzheimer’s and other types of dementia may forget to wash their hands, Beth Kallmyer, vice president of care and support at the Alzheimer’s Association, encourages caregivers to be extra vigilant in helping individuals practice safe hygiene.

“In some situations, caregivers [can] help them do that either by setting up a schedule to do hand washing on a regular basis or having signs in the bathroom or by the kitchen sink to remind them to wash their hands for 20 seconds,” Kallmyer told Healthline.

Repetition can help encourage behavior changes in those with moderate dementia.

“Physical demonstration of the behavior can be helpful where you guide the person by modeling good hygiene yourself,” Meuser said.

  1. Plan for gaps in caregiving

This pandemic is extremely challenging for someone with Alzheimer’s disease as they cannot grasp the magnitude of the situation. They need to remain at home and avoid medical appointments if at all possible until the situation is safer

As adult day care programs shut down and health services become less available due to public health containment strategies for COVID-19, families should anticipate that less help and support may be available for their loved one.

Avoid judging yourself by the standards you held as a caregiver a few months ago.

When it comes to managing regular doctor’s appointments, you can scheduling online doctor visits through Medihome like telehealth sessions and discuss with doctors the risks of having to transport your loved one to the office.

  1. Ask care facilities about communication policies

In order to protect the health of their residents, many facilities are restricting access to outside visitors.

  • Purchasing a tablet and loading it with contact information for family members and friends, photos, social media sites, and games is a great way to keep your loved one connected.
  • Video chatting is one thing, but be sure to introduce your loved one to group video chats that include other friends and family.
  • Host a virtual dinner, commemorate someone’s birthday, graduation, or anniversary.
  • Challenge them to an online game.
  • Challenge them on Instagram to create a story of the average day

Rather than news, you should try to get them to watch something more positive by streaming a show simultaneously so you can watch it together. It’s particularly important to turn to technology to connect with older adults who may be feeling lonelier than ever.

Technology offers several ways for the isolated to still stay connected with the outside world

  1. Explain the pandemic in relatable terms

Talk to your loved one about the pandemic in a way they can understand.

Stay calm and reassuring. Say something like, “We have to stay inside because that’s most safe for us, but we’ll do it together. I’ll be with you and we’ll be okay.”

Because memories fade in reverse with Alzheimer’s, a person with moderate dementia may still remember their youth clearly. Drawing on early memories to explain and contextualize the present may help explain the pandemic.

  1. Practice self-care

The Alzheimer’s Association suggests the following ways to reduce anxiety about the pandemic:

  • Pay attention to your own level of stress.
  • Stay present by engaging in activities in your home with the person you’re caring for, such as folding clothes or cooking.
  • Stay off social media if it makes you anxious.
  • Keep news to a minimum.

Caring for yourself now is actually caring for your loved one with dementia in the long-term because you want to be in a good place emotionally and physically when you can reinitiate your full care responsibilities

Source: Healthline

How to Use Telehealth Services During the COVID-19 Outbreak and Beyond

Telehealth facilitates offer care from a distance through electronic information systems, specially during Covid-19 outbreak. Today, almost anyone with a smartphone or laptop computer can access telehealth services.

Telemedicine originally delivered care through the telephone system, such as a Dial-a-Nurse line. Today, telehealth encompasses a broad range of electronic delivery systems that include live video chats, mobile health (also called mhealth) apps, online visits, and secure messaging via text or email.

During the current COVID-19 outbreak, many healthcare providers are discouraging people from traveling to a medical office or urgent care facility unless absolutely necessary, since the novel coronavirus transfers easily from person to person. For mild to moderate symptoms of COVID-19 or any illness, telehealth services might represent a better, more efficient way to receive initial care.

When Should You Consider Using Telehealth?

Many less-severe symptoms in adults and children—whether related to COVID-19 or not—can be effectively assessed through an initial telehealth visit. These symptoms and conditions include:

  • Canker sores, cold sores, and other mouth lesions
  • Chickenpox (varicella zoster virus)
  • Conjunctivitis (“pink eye”)
  • Common cold, flu, and allergy symptoms
  • Constipation or diarrhea
  • Coughing
  • Fever
  • Headaches, including migraine
  • Heartburn and gastroesophageal reflux disease (GERD)
  • Insect bites
  • Minor injuries, such as sprains
  • Painful urination
  • Rashes and other skin conditions
  • Sinus pain and pressure
  • Sore throat

Sometimes the healthcare professional conducting the virtual visit can diagnose and treat the condition based on their interview with you and the visual signs of your illness. Many times, however, a virtual visit becomes a triage tool that enables the healthcare provider to direct you to a particular course of action:

  • Come into the office
  • Head to an urgent care center
  • Go to an emergency room
  • Proceed to an outpatient X-ray facility or laboratory

When it comes to COVID-19, telehealth offers a way for your doctor to evaluate your symptoms without potentially exposing a waiting room full of people to the virus. If your practitioner suspects you may be infected with the novel coronavirus, he or she can direct you to a testing facility and provide instructions for follow-up care.

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Specific to COVID-19, people in a high-risk group (immunocompromised, elderly, or pregnant) should skip the virtual visit and phone their doctor’s office for instructions on how to proceed if they develop a fever, cough, and shortness of breath—the three classic signs of an infection with COVID-19.

Even people considered low-risk should call for emergency medical assistance if they believe they might be infected with the novel coronavirus and also exhibit these additional symptoms:

  • Chest pain or pressure
  • Confusion, delirium, or difficulty arousing the person from sleep
  • Severe shortness of breath or difficulty breathing
  • Turning blue around the lips

Beyond COVID-19, any person experiencing serious or potentially life-threatening symptoms should call 911 for emergency medical assistance rather than try to utilize telehealth. A few such signs and symptoms include:

  • Chest pain or other signs of a heart attack
  • Difficulty breathing
  • Seizures
  • One-sided weakness, facial drooping, or other signs of stroke
  • Suspected broken bones
  • Unexplained change in mental status, such as fainting or becoming delirious

Feelings of fear, anxiety, sadness, and uncertainty are normal during the COVID-19 pandemic. Telehealth can also provide the ability to help you care for your mental health while at home. Learn about the best online therapy options available to you.

Can Prescriptions Be Refilled by Telehealth?

Depending on the situation and state prescribing laws, a healthcare provider may be able to issue new prescriptions or refill existing ones during a virtual visit. Not all types of drugs will be eligible for this service, even if your provider offers it.

How to use Telehealth service in Vietnam

Although the COVID-19 outbreak may be driving the mass adoption of telehealth and virtual visits today, the accessibility of telemedicine makes it a convenient option to use all the time for mild to moderate symptoms. Why take a half-day off work to drive to a doctor’s clinic and sit in a waiting room full of sniffling patients when you can simply dial up a doctor on your smartphone, tablet, or laptop to receive care in the comfort of your own home or office?

Because of its convenience, accessibility, and—for many people—affordability, telehealth may well represent the future of healthcare delivery for adults and children in the post-coronavirus world.

Medihome is one of the best-known telehealth providers that allows patients to receive medical advice and instructions at home by providing them with a platform to connect with real doctors.

Users can make health-related inquiries, look up medications, and search for the nearest clinics and pharmacies at the comfort of their own home. Apart from typed-in questions, Medihome also allows users to contact available doctors via phone calls for a better diagnosis of their condition.

Medihome offers live video visits and medical aid in most common medicine subspecialties, including obstetrics, gynecology, oncology, urology, cardiology, gastroenterology, pulmonology, endocrinology, nutrition, pediatrics and andrology. The app is available for download for iOS and Android users.

Patients can access telehealth appointments with doctors or caregiver in two ways: booking online on Medihome app or through call center 19009204. Patient telehealth appointments will be scheduled through their doctor’s office.

 “Telehealth appointments will provide peace of mind for patients,” said Dr. Vu Quoc Binh – President of Dr.Binh Tele_Clinic. “In this new age we are living in, we are working hard to make access to care as easy and safe as possible for our patients.”

For patients who prefer to see their doctor in person, Dr.Binh Tele_Clinic is always open and continue to welcome patients for their appointments. The health care organization is closely monitoring COVID-19 and is following guidance from the Center for Disease Control and Prevention, and World Health Organization, MOH of Vietnam in the care of patients.

Warning: People must not buy chloroquine to treat coronavirus

Vietnam has not used chloroquine to treat Coronavirus, neither has the health ministry recommended the drug to prevent the disease.

Drugs containing hydroxychloroquine have not been approved by the Vietnamese Ministry of Health (MoH) to cure Covid-19, thus, people should not use them on their own without doctors’ prescription.

warning-people-must-not-buy-chloroquine-to-treat-coronavirus

The MoH made the recommendation on March 23 after noting that the price of chloroquine/ hydroxychloroquine, a drug used to treat malaria, was rising.

Many people have bought the drug after rumors circulated that the drug could prevent and treat coronavirus.

Deputy Director of the Drug Administration of Vietnam Nguyen Tat Dat said that drugs containing active ingredients of chloroquine/hydroxychloroquine are administered only with physicians’ indications to prevent or treat malaria.

Vietnam has not used chloroquine to treat Covid-19, neither has the health ministry recommended the drug to prevent the disease, Dat added.

Bach Mai Hospital recently treated a man who took 15 chloroquine pills, before exhibiting symptoms including vomiting, respiratory failure and hypotension. The man said he had heard rumors that the drug could prevent and cure Covid-19. He has been recently discharged from hospital.

The Ho Chi Minh City Center for Disease Control on March 22 also warned people not to hoard chloroquine/hydroxychloroquine, adding the drug carries a certain level of toxicity.

To ensure safety and effectiveness in Covid-19 pandemic prevention, the Drug Administration of Vietnam has requested drug retailers across the country not to increase prices or stockpile drugs containing chloroquine/hydroxychloroquine.

Earlier, on March 19, Reuters reported that rumors of chloroquine’s ability to treat Coronavirus have emerged after United States President Donald Trump asked the United States Food and Drug Administration to streamline the regulatory approval process for the generic antimalarial drug hydroxychloroquine as a potential treatment for Covid-19.

Trump’s statement sparked demand for hydroxychloroquine and panic-buying and overdoses. Health officials across the world are issuing warnings over the use of antimalarial drugs.

In Vietnam, a bottle of chloroquine, distributed under the brand name Cloroquin Phosphat and containing about 150-250 pills, is usually sold for around VND100,000 (US$4.3). But recent demand surges have caused the price to jump 1.5-2 times.

As of March 25, the country has confirmed 134 Covid-19 cases, of whom 17 have been cured and discharged from hospital. Many of the currently active cases are Vietnamese nationals returning from Europe and the US as well as foreigners from epidemic-hit regions.

Coronavirus: Are diabetics more prone to COVID-19?

The CDC has determined that COVID-19 is a serious public health threat—and older adults and people with serious chronic medical conditions, including diabetes, are at a higher risk of experiencing complications and getting very sick from it.

People with diabetes do face a higher chance of experiencing serious complications from COVID-19.

In general, people with diabetes are more likely to experience severe symptoms and complications when infected with a virus. If diabetes is well-managed, the risk of getting severely sick from COVID-19 is about the same as the general population.

When people with diabetes do not manage their diabetes well and experience fluctuating blood sugars, they are generally at risk for a number of diabetes-related complications. Having heart disease or other complications in addition to diabetes could worsen the chance of getting seriously ill from COVID-19, like other viral infections, because your body’s ability to fight off an infection is compromised.

Viral infections can also increase inflammation, or internal swelling, in people with diabetes. This is also caused by above-target blood sugars, and both could contribute to more severe complications.

When sick with a viral infection, people with diabetes do face an increased risk of DKA (diabetic ketoacidosis), commonly experienced by people with type 1 diabetes. DKA can make it challenging to manage your fluid intake and electrolyte levels—which is important in managing sepsis. Sepsis and septic shock are some of the more serious complications that some people with COVID-19 have experienced.

Coronavirus-are-diabetics-more-prone-to-COVID-19-medihome

COVID-19 is different from the seasonal flu.

COVID-19 is proving to be a more serious illness than seasonal flu in everyone, including people with diabetes. All of the standard precautions to avoid infection that have been widely reported are even more important when dealing with this virus.

Recommended safety precautions are the same as for flu, such as frequent hand washing and covering coughs and sneezes with a tissue or your elbow. The CDC does not recommend the use of face masks by people who are not infected.

We encourage people with diabetes to follow the guidance of the CDC and to review how you manage sick days—preparing for a sick day can make it easier.

The risks are similar for people with type 1 and type 2 diabetes

In general, we don’t know of any reason to think COVID-19 will pose a difference in risk between type 1 and type 2 diabetes. More important is that people with either type of diabetes vary in their age, complications and how well they have been managing their diabetes

People who already have diabetes-related health problems are likely to have worse outcomes if they contract COVID-19 than people with diabetes who are otherwise healthy, whichever type of diabetes they have.

What should people with diabetes do if they have the virus?

It is recommended that people with diabetes plan ahead of time what to do before they get ill. This includes having the contact information of their health care provider at hand and making sure to have an adequate stock of medications and supplies for monitoring blood glucose at home, so that they do not need to leave the house if they become ill. Peope with diabetes who are infected with the virus may see their glycaemic control deteriorate during the illness. They should practice the “Sick day rules” recommended for any stressful situation to improve their diabetes decompensation. They should also contact their health care provider immediately for advice on how to monitor their blood glucose, get adequate refills for medications (especially insulin) and what adjustments they may need to do in their medication or diet.

Sick day rules for people with diabetes

  • Keep hydrated
  • Monitor your blood glucose
  • Monitor your temperature
  • If you are on insulin, also monitor your ketone bodies
  • Follow your healthcare team recommendations

How can the virus be avoided?

Simple, sensible measures should be taken in every-day life in order to avoid infection from the virus:

  • Frequently wash hands with soap and water or use an alcohol-based solution, especially before eating and after being in public.
  • Don’t share food, tools, glasses and towels.
  • Avoid close contact with those who are ill. If someone is visibly ill, coughing or sneezing, keep away.
  • If you get ill with respiratory symptoms, stay at home and notify others and your health care provider of the illness.
  • When sneezing or coughing, cover the nose and mouth with a tissue or with the crook of the elbow. Throw the tissue in the bin.
  • Avoid unprotected contact with wildlife and farm animals.

The World Health Organization recommends that people without respiratory symptoms do not need to wear a medical mask in the community, even if COVID-19 is prevalent in the area. Wearing a mask does not decrease the importance of other general measures to prevent infection, and it may result in unnecessary cost and supply problems.

Source: ADA, IDF

COVID-19 disease advice: When and how to use face mask

The use of personal protective equipment (PPE), such as face mask can reduce the spread of infection when used correctly and in the appropriate context. This may be recommended in workplaces where people are more likely to come in contact with the coronavirus disease.

When to use a mask

– If you are healthy, you only need to wear a mask if you are taking care of a person with suspected 2019-nCoV infection.

You should wear a face mask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office.

If you are not able to wear a face mask (for example, because it causes trouble breathing), then people who live with you should not stay in the same room with you, or they should wear a face mask if they enter your room.

– Wear a mask if you are coughing or sneezing.

– Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water.

– If you wear a mask, then you must know how to use it and dispose of it properly.

How to put on, use, take off and dispose of a mask

– Before putting on a mask, clean hands with alcohol-based hand rub or soap and water.

– Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.

– Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.

– Replace the mask with a new one as soon as it is damp and do not re-use single-use masks.

– To remove the mask: remove it from behind (do not touch the front of mask); discard immediately in a closed bin; clean hands with alcohol-based hand rub or soap and water.

Source: WHO

How to protect yourself from coronavirus?

World Health Organization recommends people take these simple precautions against coronavirus to reduce exposure and transmission

How does the coronavirus spread?

The Covid-19 coronavirus outbreak is a new illness and scientists are still assessing how it spreads from person to person, but similar viruses tend to spread via cough and sneeze droplets.

When an infected person coughs or sneezes, they release droplets of saliva or mucus. These droplets can fall on people in the vicinity and can be either directly inhaled or picked up on the hands then transferred when someone touches their face, causing infection. For flu, some hospital guidelines define exposure as being within six feet of an infected person who sneezes or coughs for 10 minutes or longer.

Stay six feet from infected individuals.

Viruses can also be spread through droplets landing on surfaces such as seats on buses or trains or desks in school. However, whether this is a main transmission route depends on how long viruses survive on surfaces – this can vary from hours to months.

There is anecdotal evidence that the virus can be spread by people before they have symptoms. Some other illnesses such as flu can be passed from one person to another before symptoms occur – but the extent to which this is happening with the Wuhan coronavirus is not well understood yet.

How to protect yourself and others

Wash your hands.

Wash your hands: wet your hands with clean, running water and apply soap. Lather your hands, including the backs, between your fingers, and under your nails and scrub for at least 20 seconds. Rinse.

Cover your mouth.

Cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the bin and wash your hands. If you do not have a tissue to hand, cough or sneeze into your elbow rather than your hands.

Facemasks offer some protection.

Face masks offer some protection as they block liquid droplets. However, they do not block smaller aerosol particles that can pass through the material of the mask. The masks also leave the eyes exposed and there is evidence that some viruses can infect a person through the eyes.

Seek medical help.

Seek early medical help if you have a fever, cough and difficulty breathing, and share your travel history with healthcare providers.

Avoid live animals.

If visiting live markets in affected areas avoid direct, unprotected contact with live animals and surfaces that have been in contact with animals.

Avoid raw foods.

If you are in an affected area avoid eating raw or under-cooked animal products and exercise care when handling raw meat, milk or animal organs to avoid cross-contamination with uncooked foods.

Quarantine yourself after travel from affected areas.

If you have returned from an affected area in China in the last two weeks, stay indoors and avoid contact with other people for 14 days. This means not going to work, school or public areas.

Seek medical advice before leaving home.

If you have returned from an infected area and develop a high temperature, cough, runny nose, sore throat or difficulty breathing do not leave your home until you have been given advice by a doctor.

Source: The Guardian