GUIDELINES ON HOME ISOLATION

Most COVID19 patients with mild symptoms do not need hospitalization. They need to self-isolate in their homes for a speedy recovery.

Don’t panic and follow these guidelines for home isolation

Before starting the home isolation process, do note:

  • Home isolation must be advised only for mild / very mild /pre-symptomatic cases and advised by the treating doctor
  • A separate room and bathroom are mandatory for the patient. If this is not feasible, then the doctor must be informed immediately
  • A caregiver should be available 24×7 to take care of the patient
  • If the patient has a family member living in the same house falling in any of the below criteria, then a separate living arrangement for them is required to be made until the patient has recovered. Given their vulnerability, the below categories are highly at risk:
    • Above 65years old
    • Pregnant
    • Suffering from a chronic illness like – Cancer, Asthma, Respiratory Disorder, Diabetes, BP, Cardiac Disorder, Kidney Disease
  • Patient to follow the advice of Delhi Govt Health official as required

Home Isolation Guidelines for Patients

AAROGYA SETU

The patient should download the Aarogya Setu App and keep their location tracking and notifications on 24×7

MASKS

  • Always use a triple-layered mask and dispose-off the mask after 8 hours of using it
  • If the mask is wet or gets dirty then change it immediately. Before disposing off the mask, use a hypochlorite solution on it and dispose it in a closed bin

DISINFECTION AT HOME

• How to make a 1% sodium chloride solution at home?

  • Disinfect with 1% sodium hypochlorite solution
  • Use gloves and masks while using the solution
  • The solution can be used to mop the floor of your house and also clean other surfaces like windows, chairs, switchboards, dining table, toilets etc.
  • Do NOT USE this solution on any metallic surfaces like doorknobs, security locks etc. these surfaces will get rusty over time.
  • To clean these surfaces, use any sanitizer

• Use 1% hypochlorite solution to clean the surfaces and items you touch often like – table, chair, remote. Laptop and mobile phones may be wiped with 70% alcohol rub on a tissue

SAFETY IN ROOM

  • Always use a separate bathroom and cover the lid before flushing
  • Windows of your room should always be opened. In case AC is being used, leave one window open
  • Be in your room and do not go to other rooms of your house during home isolation
  • Do not touch doors, windows, tables etc. to avoid the risk of spreading the infection to your loved ones
  • Avoid touching your face, eyes without washing your hands
  • Wash your hands with soap and water for at least 40 seconds OR use a hand sanitizer which has 70% alcohol content
  • Do not share your personal items like towel, utensils etc with the rest of your family members

REST AND RECOVERY

  • Regularly take medicines as advised by your doctor. do inform your doctor if you are on other medications
  • Rest as much as you can and keep yourself hydrated all the time. You can have water, soup, juice etc
  • During recovery, smoking and drinking alcohol is strictly prohibited

DIET

Low carb and high protein diet with lots of fruits and veggies are highly recommended – 3 times, every day

Vegetarians can have –

  • Grains including brown rice, whole wheat, porridge, millet
  • Proteins like beans, pulses
  • Fresh fruits and veggies like red bell pepper, carrots, beetroot and leafy vegetables
  • Citrus fruits like orange, fresh lime which are rich in Vitamin C will help build your immunity and decrease the risk of spreading infection
  • Ginger, garlic, turmeric are immunity- boosters – include these in your daily diet
  • Always eat home-cooked food
  • Food should be cooked in low cholesterol oil
  • Fruits and veggies should be washed thoroughly

Vegetarians should strictly avoid –

  • Refined flour, junk food, deep-fried and bakery products
  • Packed juices or cold drinks are a no-no
  • Unsaturated fats like cheese, coconut, butter and palm oil

Non-vegetarians can have –

  • Store non-veg items separately
  • Low-calorie protein like skinless chicken, fish and egg whites

Non-vegetarians should strictly avoid –

  • Fried and processed meat, mutton, liver
  • Restrict your non-veg intake to 2-3 times a week
  • Egg yolks are allowed only once a week

Remember, home quarantine is all about maintaining physical distance, emotional connect is equally importantly

  • Keep speaking to your friends and family members on the phone
  • You can use this time to catch up on your favorite shows on TV, read a book, play games on laptop/tv
  • Keep monitoring your health every day especially temperature. if the symptoms have changed, speak to your doctors immediately

MONITORING HEALTH

  • Take your body temperature at least twice every day – once in the morning and once before bedtime. If you feel feverish in between, you must check your body temperature immediately
  • In the case of dependent patients, caregivers can also check their temperature
  • Check your pulse at least twice every day for 2 minutes
  • Maintain a diary to record temperature, pulse and other symptoms with date and time and inform the medical team every day
  • If your temperature is more than 100-degree Celcius and pulse rate is more than 100 beats per minute then inform the medical team immediately
  • Apart from these, monitor below symptoms closely, if these symptoms persist, then the patient is required to move to the hospital immediately
    • Difficulty in breathing
    • Constant chest pain or heaviness
    • Hallucinations
    • Face or lips turning blue
  • Patients will end home isolation on the 16th day from the date of sample taking provided their two COVID PCR tests (done on 14th and 15th day from the date of the first positive test) come negative and after confirmation with your treating medical specialist.

Guidelines for Caregivers

  • Download Aarogya Setu app on your mobile phone and location tracking and notifications should be left on 24×7
  • Caregivers themselves should be healthy and should be aged between 24-50yrs
  • The caregiver should not have any underlying health conditions like – Cancer, BP, Diabetes, Cardiac Disorders, Asthma, Respiratory issues or Liver disorders. They should neither be immunocompromised nor pregnant.
  • They should always be in touch with the dedicated team of health workers and doctors assigned by the Government of Delhi for daily updates.
  • If they are in the same room as the patient, they should wear the triple-layered medical mask. While using the mask, do not touch the front of it
  • If the mask gets wet or dirty, dispose it off immediately.
  • The mask should always be removed from the back of the ear and should be disinfected immediately before disposing it off in a closed bin
  • If the caregiver has been to the same room as the patient’s then they should wash their hands properly with soap and water for 40 seconds OR use alcohol-based hand sanitizer.
  • Dry your hands with a paper towel, tissue or hand towel immediately. If the towel gets wet, it should be changed
  • While taking care of the patients, always wear a mask, gloves and plastic apron. The apron should always be clean and should be disinfected with sodium hypochlorite solution
  • Wash hands before and after wearing gloves
  • Avoid coming in direct contact with patient’s cough, sneeze or cough droplets, items used by the patient like – bedsheet, towel, utensils
  • Daily items used by patients like bedsheets, towels, clothes etc should be washed at 60-90 degree Celsius with detergent and water
  • Dry these clothes in the sun
  • Patient’s room, bathroom and other surfaces should be cleaned at least once every day
  • Use detergent to clean these surfaces and then use 1% hypochlorite solution to disinfect
  • While serving food to the patient, keep the food at a distance and always wear disposable gloves while washing the utensils used by them with detergent soap and water. the utensils can be used again.
  • Take your medicines regularly as advised by the doctor
  • Caregivers should also monitor their body temperature and other symptoms daily. if they find any irregularities in the symptoms, they should immediately inform the healthcare team.
  • No family member should move out of their homes during the home isolation period of 15 days
  • Ask your distant relatives or neighbors to help you out during these times with daily essential items by leaving them at your doorstep OR use home delivery services

Instructions for neighbours

Don’t worry if there is any patient in home isolation on your floor. Just take these simple precautions to avoid getting infected:

  • Surfaces in the common areas like handrails of the staircase lift buttons etc should be cleaned frequently with 1% sodium hypochlorite solution
  • Keep in touch with the patient in home isolation through the phone to keep them motivated
  • Help their family members with daily essentials
  • Use a digital platform for monetary transactions