COVID-19 TREATMENT GUIDELINEIN TANZANIA, MARCH 2021
Posted by ULY CLINIC
24 Machi 2021, 19:54:23
The guidance is based on proper case management aspects intended for clinicians involved in the care of patients with suspected or confirmed COVID-19. It is not meant to replace clinical judgment or specialist consultation but rather to strengthen frontline clinical management and the public health response.
NOTE. THIS GUIDELINE IS THE POPERTY OF MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN
12. NURSING CARE AND MONITORING
Patients with COVID-19 need nursing care regardless of disease severity starting from the initial assessment and triaging, sample collection, care of patients with mild-to-moderate symptoms, care of the critically-ill patient, and care of the dead body. There is no licensed cure for COVID- 19 but patients are managed with symptomatic and supportive interventions, therefore during patient care a nurse is obliged to ensure that a patient receives the right care during caring patient of COVID-19 all care providers should adhere to the following hints as a part to reserve human kind;
• Welcome the patient and relatives
• Great the patient and relatives
• Introduce self to client/patient and relative
• Involve patient on plan of care
• Attend emergency complain
• Inform the clients about their care and alternative
• Obtain consent before each procedure
• Ensure confidentiality and privacy are maintained during service delivery care
• Ensure spiritual needs and culture of the patient/client
• Orient the patient on important facility/unit area, visit hours, ward round, equipment etc.
• When relatives are visiting the patient in a facility, basic IPC Standards should be applied. (Putting on a mask, hand hygiene etc.),
• Inform client about their rights and responsibilities
• Inform client where to sick help or submit complain
• Give feedback of important information
• In case of death, last office procedures and precautions to both health care workers and relatives.
a. Common problems for patient with CORONA and suggested nursing interventions
a. Common problems for patient with CORONA and suggested nursing interventions are
• Anxiety related to fear of complication of COVID 19 viruses
• Hypoxia related to poor oxygen supply to the brain
• Air way obstruction related to secretion
• Pain related to disease complication
• Hypoglycemia related to loose of appetite (Tested or suspected to be low).
• Immobility related to loose of energy
• Infection related to complication of COVID 19 viruses
• Unpleasant smell related to sweats and long stay without general body cleanliness like bath and oral mouth
a.i. Anxiety related to fear of complication of COVID 19 viruses
Intervention needed
• Comprehensive counseling of patient and relatives
a.ii. Hypoxia related to poor oxygen supply to the brain
Intervention needed
• Deliver oxygen
• Administer antihistamine
a.iii. Air way obstruction related to secretion
Intervention needed
• Suctioning
a. iv. Pain related to disease complication
Intervention needed
• Give Paracetamol
a. v. Hypoglycemia related to loose of appetite (Tested or suspected to be low).
Intervention needed
• Feed, assist feeding or encourage feeding
• Resuscitate the patient in case is unable to feed orally with 5%, 10% or 50% Dextrose
a. vi. Immobility related to loose of energy
Intervention needed
• Change the patient at the interval of 2hourly
a. vii. Infection related to complication of COVID 19 viruses
Intervention needed
• Administer prescribed antibiotics
• Dust items direct or close to the patient like bed, cupboard, drip stands, floor etc
• Offer clean hospital linen daily and PRN
• All linen to be washed within health facilities
a. viii. Unpleasant smell related to sweats and long stay without general body cleanliness like bath and oral mouth
Intervention needed
• Encourage bath/oral mouth, assist bath/oral mouth or bath the patient
Note:
Point of care testing should be done without waiting for a Clinician (Urine dip stick, RBG, etc.). Nursing care documentation of all the procedures and necessities done to patients is highly emphasized.
Updated,
24 Machi 2021, 20:17:47
References
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