TENNIS ELBOW HOME CARE

BEAT CORONA AT HOME

Most people who become sick with COVID-19 will only experience mild illness and can recover at home. Symptoms might last a few days, and people who have the virus might feel better in about a week. Treatment is aimed at relieving symptoms and includes rest, fluid intake and pain relievers. However, older adults and people of any age with existing medical conditions should call their doctor as soon as symptoms start. These factors put people at greater risk of becoming seriously ill with COVID-19. Follow the doctor's recommendations about care and home isolation for yourself or your loved one. Talk to the doctor if you have any questions about treatments. Help the sick person get groceries and any medications and, if needed, take care of his or her pet. It's also important to consider how caring for a sick person might affect your health. If you are older or have an existing medical condition, such as heart or lung disease or diabetes, you may be at higher risk of serious illness with COVID-19. You might consider isolating yourself from the sick person and finding another person to provide care.

SIGN WHICH NEEDS EMERGANCY MEDICAL ATTENTION! • Trouble breathing • Oxygen saturation less than 90% • Persistent chest pain or pressure • State of confusion • Bluish lips or face • Inability to stay awake • Pale, gray or blue-colored skin, lips or nail beds — depending on skin tone.

BUT Don’t Get Panic! Still, you can manage at Home! “understand one fact, that there is no any medicine to treat covid, only symptoms can be treated.” The most common symptoms are- A. Fever B. Breathlessness C. Cough Management of fever: Keep Hydrated It usually observed that fever does not go higher than 100;F in covid patients but sometime it may raise up to 101-102;F also. Which may last for 10days Medicine such as DOLO 650/500, PCM500, Crocin500/650, Paracip650/500 every 8Hrly can be repeat as per physician’s advice. Now, let us discuss a general fact, whenever we wish to reduce any objects temperature, we dip it into the water and suddenly temperature get reduced,

same way if we wish to reduce body temperature, we need to keep good amount of water in body. So, firstly, start having great amount of water and fluids which will reduce body temperature and frequent urination infact will help to control fever. If fever raise above 102:F, fresh water sponging can be done. Management of Breathlessness

Congestion in respiratory tract and in the lungs is the most common symptom in covid patients and it is a complication as well, as, this congestion causes less oxygen supply to your lungs and further to other body tissues which ultimately invites the danger situation. It is very important to improve breathing capacity along with clear the obstruction of respiratory tract which helps to improve Oxygen saturation and reduces the spread of infection in lungs. BREATHING PRACTICE Continuous practice of deep breathing helps to improve lung capacity which further helps to maintain oxygen saturation. Two patterns • Inhale from nose and exhale from mouth. • Inhale deep, hold the breath for 5 sec and then gradually exhale through mouth. • Inhale from mouth and exhale from nose • Inhale deep, hold the breath for 5 sec and then gradually exhale through nose

If you have respiratory exerciser (Spirometery),it may be used, try to raise all three balls and hold for at least 3sec. One time forceful expiration and one time forceful inspiration.

POSTURES & POSITIONINGS Posture plays a great role in inhalation and thus to improve oxygen saturation. If you are sitting lean forward and breathe deeply If you are lying try to lie-down on stomach. Make camel position or crawling and breathe deeply.

Lie down on stomach is most important and effective tool to improve inhalation and saturation because of strong scientific reasoning of anatomical positioning of lungs.

Thus, lie-down on stomach at least 4hrs a day is strongly recommended for all covid patients.

These all positions also allow secretions to drain out from lungs through natural gravitational force, which can be promote with intentional forceful expiration (Huff & Cough) during these different positioning and try to spit out secretions. In every position Clapping on chest and upper back area help to drain out secretions. If nebulizer is available in these all positions it can be used. Steam Inhalation steam is the best way to dilute the consolidation of secretions in lungs and respiratory tract which are the main obstructions in oxygen convey. Steam followed by intentional “cough and huff” can clear the airways and lungs secretions.

Steam inhalation should be taken with covering towel on it as it further allow your chest to get warm which feels better in chest congestion. Steam inhalation should be repete in every 3hr. Inhale throgh nose and exhale through mouth once and then vice versa pattern should be followed for better results. Clapping on chest and upper back area in leaning forward position should be done after every staem inhalation. NOTE All above mentioned techniques are sufficient to maintain oxygen saturation under control and in most of the cases need of oxygen support infact can be avoided. Video link attached below at the end to show chest physiotherapy. Protecting others if you're ill If you're ill with COVID-19, you can help prevent the spread of infection with the COVID-19 virus. • Stay home from work, school and public areas unless it's to get medical care. • Avoid using public transportation, ride-sharing services or taxis. • Stay isolated in one room, away from your family and other people, as much as possible. This includes eating in your room. Open windows to keep air circulating. Use a separate bathroom, if possible. • Avoid shared space in your home as much as possible. When using shared spaces, limit your movements. Keep your kitchen and other shared spaces well ventilated. Stay at least 6 feet (2 meters) away from your family members. • Clean often-touched surfaces in your separate room and bathroom, such as doorknobs, light switches, electronics and counters, every day. • Avoid sharing personal household items, such as dishes, towels, bedding and electronics. • Wear a face mask when near others. Change the face mask each day. • If wearing a face mask isn't possible, cover your mouth and nose with a tissue or elbow when coughing or sneezing. Afterward, throw away the tissue or wash the handkerchief. • Frequently wash your hands with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer that contains at least 60% alcohol. Protecting yourself while caring for someone with COVID-19 To protect yourself while caring for someone with COVID-19, the U.S. Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) recommend: • Keep your hands clean and away from your face. Frequently wash your hands with soap and water for at least 20 seconds, especially after being in close contact or in the same room as the sick person. If soap and water aren't available, use a hand sanitizer that contains at least 60% alcohol. Avoid touching your eyes, nose and mouth. • Wear a face mask. If you need to be in the same room with the person who is ill and he or she isn't able to wear a face mask, wear a face mask. Stay at least 6 feet (2 meters) away from the ill person. Don't touch or handle your mask while you are using it. If your mask gets wet or dirty, replace it with a clean, dry mask. Throw away the used mask and wash your hands. • Clean your home frequently. Every day, use household cleaning sprays or wipes to clean surfaces that are often touched, including counters, tabletops and doorknobs. Avoid cleaning the sick person's separate room and bathroom. Set aside bedding and utensils for the sick person only to use. • Be careful with laundry. Don't shake dirty laundry. Use regular detergent to wash the sick person's laundry. Use the warmest setting you can. Wash your hands after putting clothes in the dryer. Thoroughly dry clothes. If you are handling clothing that has been soiled by the sick person, wear disposable gloves and keep the items away from your body. Wash your hands after removing the gloves. Place dirty gloves and masks in a waste bin with a lid in the sick person's room. Clean and disinfect clothes hampers and wash your hands afterward. • Be careful with dishes. Wear gloves when handling dishes, cups or utensils used by the sick person. Wash the items with soap and hot water or in the dishwasher. Clean your hands after taking off the gloves or handling used items. • Avoid direct contact with the sick person's bodily fluids. Wear disposable gloves and a face mask when providing oral and respiratory care and when handling stool, urine or other waste. Wash your hands before and after removing your gloves and mask. Don't reuse your mask or gloves. • Avoid having unnecessary visitors in your home. Don't allow visitors until the sick person has completely recovered and has no signs or symptoms of COVID-19.

Dr Sudhir Bhardwaj (PT) Chiranjiv Physio & Wellness Clinic C-1/190, Palam Vihar, Gurugram (HR) +91-9650383603 Feel free to call for any help to understand Covid home care.