Coronavirus Outbreak Explained: How To Care For A COVID-19 Patient Safely At Home?

Coronavirus Outbreak Explained: How To Care For A COVID-19 Patient Safely At Home?

Here are some recommendations from experts on how to take care of a COVID-19 positive patient at home while keeping oneself safe
Coronavirus Explainers
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Coronavirus Outbreak Explained: How To Care For A COVID-19 Patient Safely At Home?‘If you are caring for someone with COVID-19 at home, frequently monitor your symptoms and vital parameters like temperature and oxygen concentration as well,’ advise experts to the caretakers of those undergoing home treatment
Highlights
  • Those patients who have stable condition can be managed at home: Experts
  • COVID-19 patients must remain fully isolated at home, say experts
  • Experts recommend following strict hygiene while looking after a patient

New Delhi: As the COVID-19 pandemic rages on and the number of new cases continues to be among the highest in the world health authorities in the country and international health agencies like the World Health Organisation (WHO) and Centres for Disease Control and Prevention (CDC) have agreed that patients with mild or no symptoms can be self-isolated and treated at home or in a non-healthcare setting. NDTV spoke with experts to learn about how the household can provide care to the COVID-19 patient at home while keeping themselves safe from the highly contagious coronavirus.

Also Read: As The World’s First Case Of COVID-19 Reinfection Confirms In Hong Kong, Experts Say Second Time Infections Are Possible But Rare

Who can be treated at home?

According to Dr. Vishal Sehgal, Medical Director, Portea Medical, a private healthcare firm, the government guidelines allow patients who are asymptomatic or mildly symptomatic to be managed at home. He further added,

Patients who have severe symptoms like problem in breathing cannot be managed at home and must seek medical supervision at a COVID-19 centre or hospital as early as possible. However, patients who do not have the risk of developing COVID related complications and have mild symptoms such as fever, sore throat, body ache with normal oxygen saturation and normal respiratory rate can be managed well at home.

He further said that earlier, the government’s guidelines said that COVID-19 patients who have co-morbid conditions which refer to the presence of one or more additional physiological or psychological conditions like hypertension, diabetes, liver-issues among others could be managed only at hospitals or COVID care centres. However later on the guidelines were modified and those patients who had stable co-morbidities were allowed to be managed at home. Similarly, there was an age criterion earlier under which patient below the age of 10 years and above the age of 60 years were to be treated at the hospital only. This criterion now holds true only for those who have severe symptoms while the rest of the people in these age groups can receive the treatment being in home isolation.

Dr Vandana Boobna, Senior Consultant, Internal Medicine, Max Super Speciality Hospital, Shalimar Bagh, Delhi said that patients can be well taken care of at home. She asserted,

Most patients suffer from asymptomatic to mild disease and recover well and not every patient requires admission and they can be well taken care of at home only, under the guidance of a physician and supporting care of caregiver at home. However, this needs strong vigilance, monitoring and continuum of care under the guidance of a physician.

Also Read: Coronavirus Outbreak Explained: Air Conditioners That Recirculate Indoor Air May Increase The Risk Of COVID-19 Transmission, Say Experts

Caring For The COVID-19 Patient At Home

The first step towards taking care of a COVID-19 patient at home, according to experts, is to have them in complete isolation. They recommend the patient to stay in a properly ventilated separate room with a bathroom that is dedicated for the patient only. According to Dr. Sehgal,

Home treatment is applicable to only those households that have a provision of a separate room and a dedicated bathroom for the COVID-19 patient, away from others. The patient is required to stay in isolation for 17 days which includes 10 days of treatment and 7 days of post-COVID quarantine to monitor the symptoms before letting the patient come out.

Dr. Boobna highlighted that while nursing a COVID-19 patient at home, the caregiver must focus on the patient’s liquid intake. She said that adequate hydration is extremely important for faster recovery from COVID-19. Along with proper hydration, she recommends a healthy diet that is rich in proteins and vitamins and proper rest. She also recommends following strict hygiene while caring for a COVID-19 patient at home.

Coronavirus Outbreak Explained: How To Care For A COVID-19 Patient Safely At Home?
Caring for the COVID-19 patient at home

She added that temperature, pulse and oxygen saturation of the patient must be checked twice a day and the physician looking after the case must be kept informed with the statistics.

According to Dr Vivek Pal Singh – Sr Consultant, Internal Medicine, BLK Super Speciality Hospital, Delhi the caregiver needs to ensure that the COVID-19 patient at home has an oxygen level that is more than 96 per cent and respiratory rate less than 16 per minute in the resting state.

Also Read: COVID-19 Explainer: What Is Far UV-C Light, And Can It Kill The Coronavirus On Surfaces?

The Caregiver Must Monitor Their Own Health As Well: Experts

With the COVID-19 patient in complete isolation, the rest of the family members need to go into quarantine, say experts. Dr. Sehgal said,

No person from the house of a COVID-19 patient should go outside the house. This means that the family members need to make arrangements for groceries and other necessary items in such a way that there is no interaction with people outside.

He suggests that there should be only one family member designated with the task of taking care of the patient. While talking about the dos and don’ts to be followed by the caregiver, Dr. Sehgal said,

The caregiver must wear a mask all the time. They should ensure that they have a pair of disposable gloves on while handling the utensils or laundry of the patient. The caregiver must maintain a physical distance of at least six feet from the patient and must enter the room if necessary.

He further said that all frequently touched areas of the house like doorknobs, light switches, TV remotes, cabinets, kitchen counters and other items and places should be disinfected regularly.

Dr. Sehgal recommends that all caregivers and other family members must monitor their own health and vital parameters like temperature, heart rate and oxygen level at least twice a day. In case, any family member exhibits symptoms, they should seek their doctor’s opinion immediately.

Coronavirus Outbreak Explained: How To Care For A COVID-19 Patient Safely At Home?
Caregivers must not forget to monitor their own health too: Experts

According to Dr. Boobna, the caregiver must contact a doctor immediately if he or she experiences any of the following symptoms:

  • Breathlessness
  • Falling Oxygen Levels
  • Nails and lips turning blue
  • Low Blood Pressure
  • Drowsiness or mental confusion

Dr. Singh suggested that watching out for symptoms and following precautions is necessary for the family members because they may have come in touch with the patient before being tested positive. He said,

Before being tested positive or being symptomatic, the patient has technically already transmitted the virus among his family members as it is established beyond doubt that COVID has airborne transmission also. So it all boils down to the fact that virus can be there in all family members only a few may show symptoms. So it’s better to be extra careful which is why basic hand hygiene and proper usage of the mask is desirable for the caregiver.

Also Read: Coronavirus Vaccine: Oxford University’s COVID-19 Vaccine Candidate Exhibits Strong Immune Responses, Says The Lancet Study

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene.  

World

3,04,91,096Cases
87,62,381Active
2,07,76,975Recovered
9,51,740Deaths
Coronavirus has spread to 188 countries. The total confirmed cases worldwide are 3,04,91,096 and 9,51,740 have died; 87,62,381 are active cases and 2,07,76,975 have recovered as on September 19, 2020 at 3:48 am.

India

53,08,014 93337Cases
10,13,964 -3790Active
42,08,431 95880Recovered
85,619 1247Deaths
In India, there are 53,08,014 confirmed cases including 85,619 deaths. The number of active cases is 10,13,964 and 42,08,431 have recovered as on September 19, 2020 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths
DistrictCases
Akola757
Aurangabad1974
Dhule228
Jalgaon1039
Mumbai45478
Mumbai Suburban5363
Nagpur692
Nashik1575
Palghar1421
Pune9920
Satara629
Solapur1291
Thane13660
Yavatmal150
Ahmednagar190
Amravati291
Beed54
Bhandara41
Buldhana88
Chandrapur32
Hingoli208
Jalna201
Kolhapur646
Latur139
Nanded176
Nandurbar42
Parbhani78
Raigad1462
Ratnagiri350
Sangli145
Gadchiroli42
gondia69
Osmanabad125
Sindhudurg114
Wardha11
Washim13

1167496 21656

301273

834432 22078

31791 440

DistrictCases
Chittoor319
Guntur511
Krishna557
Kurnool795
Sri Potti Sriramulu Nell*296
Anantapur428
East Godavari356
Prakasam104
Srikakulam183
Visakhapatnam103
West Godavari199
Y.S.R.205
Vizianagaram23

609558 8096

84423

519891 11803

5244 67

DistrictCases
Bengaluru Rural40
Bengaluru Urban529
Mysuru107
Bagalkote103
Ballari60
Belagavi337
Bidar219
Chikkaballapura149
Dakshina Kannada179
Dharwad61
Gadag45
Kalaburagi669
Mandya346
Tumakuru36
Uttara Kannada95
Vijayapura201
Chamarajanagara0
Chikkamagaluru19
Chitradurga14
Davangere204
Hassan205
Haveri24
Kodagu4
Kolar29
Koppal5
Raichur369
Ramanagara3
Shivamogga67
Udupi1176
Yadgir538

502982 8626

101148

394026 10949

7808 179

DistrictCases
North Goa57
South Goa69

27379 596

5730 118

21314 470

335 8

DistrictCases
Chengalpattu1314
Chennai23324
Kanchipuram503
Madurai322
Namakkal83
Ranipet133
Thanjavur130
Thiruvallur774
Thiruvarur67
Tiruppur116
Vellore71
Virudhunagar185
Ariyalur444
Coimbatore188
Cuddalore477
Dharmapuri15
Dindigul175
Erode75
Kallakurichi324
Kanniyakumari110
Karur88
Nagapattinam99
Perambalur133
Pudukkottai53
Ramanathapuram119
Salem258
Sivaganga46
Tenkasi103
The Nilgiris17
Theni129
Tiruchirappalli119
Tirunelveli433
Tirupathur45
Tiruvannamalai496
Tuticorin333
Villupuram509
Krishnagiri43

530908 5488

46506

475717 5525

8685 67

DistrictCases
Kannur357
Kottayam73
Alappuzha76
Idukki40
Kasaragod333
Kollam118
Kozhikode90
Malappuram119
Palakkad224
Pathanamthitta98
Thiruvananthapuram104
Thrissur106
Ernakulam60
Wayanad36

126381 4167

35795 1415

90085 2740

501 12

DistrictCases
Raipur46
Korba100
Balod41
Baloda Bazar85
Balrampur17
Bastar2
Bemetara21
Bijapur2
Bilaspur100
Dantewada0
Dhamtari6
Durg31
Gariyaband10
Janjgir-Champa56
Jashpur77
Kabirdham52
Kanker19
Kondagaon0
Korea39
Mahasamund54
Mungeli87
Narayanpur0
Raigarh47
Rajnandgaon52
Sukma0
Surajpur9
Surguja14

81617 3842

36580 544

44392 3281

645 17

DistrictCases
Hyderabad2475
MedchalMalkajgiri75
Ranga Reddy183
Suryapet87
Vikarabad40
Warangal Urban32
Adilabad22
Jagitial77
Jangoan8
Jayashankar Bhupalapally9
Jogulamba Gadwal40
Kamareddy11
Karimnagar17
Khammam26
Kumuram Bheem Asifabad8
Mahabubnagar30
Mancherial43
Medak11
Nalgonda33
Narayanpet3
Nirmal21
Nizamabad76
RajannaSircilla16
Sangareddy26
Bhadradri Kothagudem5
Mahabubabad10
Mulugu3
Nagarkurnool8
Peddapalli5
Siddipet7
Wanaparthy1
Warangal Rural4
YadadriBhuvanagiri40

169169 2123

30636

137508 2151

1025 9

DistrictCases
Baleshwar190
Bhadrak137
Jajapur322
Dhenkanal36
Kalahandi33
Kendrapara164
Khordha238
Koraput16
Sundargarh102
Anugul26
Balangir129
Bargarh16
Boudh34
Cuttack155
Deogarh33
Gajapati61
Ganjam581
Jagatsinghapur91
Jharsuguda8
Kandhamal28
Kendujhar34
Malkangiri20
Mayurbhanj73
Nabarangpur2
Nayagarh86
Nuapada69
Puri103
Rayagada2
Sambalpur16
Sonepur29

171341 4180

33092 66

137567 4101

682 13

DistrictCases
Barwani60
Bhopal1880
Dewas140
Dhar132
East Nimar266
Gwalior211
Indore3839
Jabalpur276
Ujjain799
Agar Malwa15
Alirajpur3
Betul35
Burhanpur351
Chhindwara16
Dindori29
Harda4
Hoshangabad37
Khargone196
Mandsaur112
Morena109
Raisen71
Ratlam51
Sagar228
Shajapur39
Shandol14
Sheopur26
Tikamgarh18
Vidisha37
Anuppur22
Ashoknagar13
Balaghat9
Bhind87
Chhatarpur35
Damoh26
Datia12
Guna8
Jhabua14
Katni3
Mandla15
Narsinghpur17
Neemuch319
Niwari0
Panna20
Rajgarh31
Rewa39
Satna24
Sehore12
Seoni2
Shivpuri15
Sidhi17
Singrauli13
Umaria10

100458 2552

21605

76952 2554

1901 24

DistrictCases
Ahmadabad17125
Anand107
Arvalli134
Banas Kantha147
Bhavnagar146
Gandhinagar410
PanchMahals107
Surat2311
Vadodara1555
Bharuch56
Botad55
Chhotaudepur37
Dang5
Dohad43
GirSomnath45
Jamnagar63
Kachchh99
Kheda98
Mahesana159
Mahisagar125
Narmada25
Naysari35
Patan105
Rajkot135
SabarKantha101
Surendranagar55
Tapi6
Valsad47
Amreli16
DevbhumiDwarka22
Junagadh31
Morbi4
Porbandar11

120336 1410

16076 101

100974 1293

3286 16

DistrictCases
Ajmer379
Banswara91
Bharatpur563
Jaipur2177
Jhalawar329
Jodhpur1748
Kota503
Nagaur500
Alwar90
Barmer34
Bhilwara250
Bikaner112
Chittorgarh188
Churu81
Dausa61
Dholpur60
Dungarpur374
Hanumangarh31
Jaisalmer53
Jhunjhunu64
Karauli17
Pali352
Rajsamand140
SawaiMadhopur26
Sikar231
Tonk171
Udaipur724
Baran59
Bundi5
Ganganagar8
Jalore164
Pratapgarh14
Sirohi130

111290 1817

17717 222

92265 1580

1308 15

DistrictCases
Faridabad867
Sonipat404
Ambala93
Bhiwani60
CharkiDadri43
Fatehabad38
Gurugram2950
Hisar98
Jhajjar114
Jind38
Kaithal48
Karnal104
Kurukshetra55
Nuh68
Palwal120
Panchkula39
Panipat78
Rohtak145
Sirsa50
Yamunanagar19
Mahendragarh47
Rewari56

106261 2488

21291 277

83878 2188

1092 23

DistrictCases
Agra933
Aligarh215
Amroha80
Bareilly17
Bijnor157
Bulandshahr166
Firozabad190
Gautam Buddha Nagar1119
Kanpur Nagar286
Lucknow386
Mathura129
Meerut504
Moradabad252
Muzaffarnagar117
Rae Bareli78
Rampur203
Saharanpur298
Sant Kabeer Nagar132
Varanasi243
Auraiya37
Ayodhya120
Azamgarh138
Baghpat68
Bahraich73
Balrampur49
Banda27
Basti214
Bhadohi60
Budaun23
Etah52
Etawah46
Ghaziabad794
Ghazipur159
Gonda59
Gorakhpur166
Hapur225
Hardoi49
Jalaun41
Jaunpur194
Jhansi41
Kannauj69
Kasganj16
Kaushambi6
Mainpuri46
Mau48
Mirzapur22
Pilibhit15
Pratapgarh15
Prayagraj30
Sambhal116
Shamli40
Shravasti23
Sitapur32
Sultanpur97
Unnao42
Ambedkar Nagar92
Amethi206
Ballia60
Barabanki168
Chandauli38
Chitrakoot4
Deoria143
Farrukhabad36
Fatehpur3
Hamirpur3
Hathras43
Kanpur Dehat4
Kheri72
Kushi Nagar67
Lalitpur3
Maharajganj85
Mahoba3
Shahjahanpur25
Siddharth Nagar159
Sonbhadra10

342788 6494

67825

270094 6806

4869 98

DistrictCases
Central4817
East2472
New Delhi3405
North3059
North East1914
North West5463
Shahdara1580
South2329
South East2446
South West2391
West4768

238828 4127

32250 529

201671 3568

4907 30

DistrictCases
Dhubri30
Goalpara19
Marigaon50
Baksa14
Barpeta28
Biswanath16
Bongaigaon12
Cachar80
Charaideo29
Chirang6
Darrang20
Dhemaji47
Dibrugarh61
Dima Hasao86
Golaghat203
Hailakandi57
Hojai89
Jorhat24
Kamrup42
Kamrup Metro276
KarbiAnglong13
Karimganj85
Kokrajhar37
Lakhimpur57
Majuli2
Nagaon143
Nalbari23
Sivasagar20
Sonitpur27
South SalmaraMancachar4
Tinsukia84
Udalguri28
West KarbiAnglong5

152858 2509

28631 423

123687 2074

540 12

DistrictCases
East District3
North District0
South District3
West District0

2303 29

422

1857 68

24 2

DistrictCases
Buxar134
Gaya115
Munger188
Patna279
Rohtas256
Arwal52
Aurangabad75
Banka134
Begusarai243
Bhagalpur266
Bhojpur103
Darbhanga143
Gopalganj123
Jehanabad178
Kaimur (bhabua)105
Lakhisarai72
Madhepura82
Madhubani199
Nalanda123
Nawada122
PurbiChamparan138
Purnia135
Saran101
Siwan139
Vaishali87
Araria68
Jamui47
Katihar175
Khagaria253
Kishanganj75
Muzaffarpur96
Pashchim Champaran57
Saharsa88
Samastipur139
Sheikhpura118
Sheohar20
Sitamarhi73
Supaul87

165218 1167

12609

151750 1710

859 4

DistrictCases
24 Paraganas North1031
24 Paraganas South281
Darjeeling97
Howrah1435
Jalpaiguri88
Kalimpong18
Kolkata2777
Maldah235
Medinipur East153
Medinipur West159
Hooghly604
Murshidabad125
Nadia139
Paschim Bardhaman70
Purba Bardhaman130
Alipurduar39
Bankura116
Birbhum206
Coochbehar210
Dinajpur Dakshin50
Dinajpur Uttar216
Jhargram9
Purulia66

218772 3192

24509 173

190021 2960

4242 59

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

3631 27

165

3414 36

52

DistrictCases
Pondicherry111
Karaikal2
Mahe4
Yanam0

21913 485

4736

16715 462

462 31

DistrictCases
Anjaw0
Changlang31
Dibang Valley0
East Kameng0
East Siang1
Kamle0
KraDaadi0
KurungKumey0
Leparada0
Lohit3
Longding0
Lower Dibang Valley0
Lower Siang0
Lower Subansiri0
Namsai2
PakkeKessang1
Papum Pare8
Shi Yomi0
Siang0
Tawang1
Tirap0
Upper Siang1
Upper Subansiri0
West Kameng0
West Siang1

7005 154

1886 15

5106 139

13

DistrictCases
Dimapur20
Kiphire3
Kohima7
Longleng0
Mokokchung0
Mon8
Peren2
Phek1
Tuensang3
Wokha0
Zunheboto0

5357 51

1213 20

4129 31

15

DistrictCases
Dadra And Nagar Haveli20

2859 28

218

2639 31

2

DistrictCases
Ranchi148
Bokaro16
Deoghar5
Dhanbad32
Garhwa80
Giridih19
Hazaribagh110
Jamtara2
Koderma58
Simdega48
Chatra1
Dumka5
East Singhbum170
Godda2
Gumla28
Khunti10
Latehar14
Lohardaga8
Pakur4
Palamu27
Ramgarh75
Sahebganj0
SaraikelaKharsawan20
West Singhbhum21

68578 1478

13924 221

54052 1245

602 12

DistrictCases
Gomati74
North Tripura14
Dhalai196
Khowai24
Sepahijala174
South Tripura53
Unakoti49
West Tripura45

21484 535

7107

14142 583

235 7

DistrictCases
Kargil77
LehLadakh43

3635 59

987 15

2600 42

48 2

DistrictCases
Anantnag395
Bandipora175
Shopian255
Srinagar300
Baramulla271
Budgam110
Ganderbal37
Jammu138
Kathua53
Kulgam295
Kupwara231
Rajouri39
Ramban151
Reasi26
Samba25
Udhampur155
Mirpur0
Muzaffarabad0
Doda27
Kishtwar10
Poonch35
Pulwama108

61041 1330

20770 531

39305 784

966 15

DistrictCases
Chamba29
Hamirpur117
Kangra105
Sirmaur11
Solan32
Una41
Bilaspur21
Kinnaur2
Kullu4
Lahaul And Spiti0
Mandi21
Shimla10

11622 432

4430 284

7081 135

111 13

DistrictCases
Jalandhar297
Ludhiana293
Patiala132
Amritsar485
Barnala25
Faridkot74
Firozepur50
Gurdaspur154
Hoshiarpur140
Kapurthala44
Mansa31
Moga65
Pathankot86
S.A.S Nagar137
Sangrur107
Shahid Bhagat Singh Nagar (Nawanshahr)99
Sri Muktsar Sahib71
Tarn Taran163
Bathinda60
Fatehgarh Sahib57
Fazilka53
Rupnagar (Ropar)74

92833 2801

21662 94

68463 2645

2708 62

DistrictCases
Haridwar94
Dehradun370
Nainital323
Almora71
Bageshwar31
Chamoli36
Champawat45
PauriGarhwal36
Pithoragarh43
Rudraprayag30
Tehri Garhwal110
Udam Singh Nagar83
Uttar Kashi24

38007 868

11293

26250 1285

464 4

DistrictCases
Bishnupur7
Chandel5
Churachandpur32
Imphal East10
Imphal West21
Jiribam3
Kakching2
Kamjong5
Kangpokpi26
Noney1
Pherzawl3
Senapati6
Tamenglong2
Tengnoupal9
Thoubal18
Ukhrul4

8607 177

1926 85

6629 91

52 1

DistrictCases
Chandigarh313

9506 250

2978

6415 353

113 4

DistrictCases
East Khasi Hills22
East Garo Hills0
East Jaintia Hills0
North Garo Hills1
Ribhoi0
South Garo Hills0
South West Garo Hills4
South West Khasi Hills0
West Garo Hills5
West Jaintia Hills1
West Khasi Hills1

4445 89

1976

2437 95

32 1

DistrictCases
Aizawl10
Champhai0
Hnahthial0
Khawzawl0
Kolasib11
Lawngtlai2
Lunglei2
Mamit8
Saiha0
Saitual1
Serchhip0

1548 14

575

973 24

0

DistrictCases
Lakshadweep District0

0

0

0

0

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Under the orders of the Budgam administration, the COVID-19 testing camp has been established in Sheikhpora village in Budgam district