Coma is a state of unconsciousness with minimal brain activity with the patient being totally unresponsive and cannot be woken. Accidents, head injuries, stroke, trauma, brain infections, the reasons that lead to coma can be many but the outcome in the form of coma is a hard blow for the family of the patient. It is difficult to say that the patient is aware or unaware of his surroundings, people and the situation, but what is certain is the unresponsiveness and inability to communicate or move voluntarily. A coma can last just for few weeks, during which time the person may start to gradually wake up and gain consciousness, or progress into a different state of unconsciousness called a vegetative state or minimally conscious state.
A coma patient has very little or no reflexes. He may or may not be able to even cough or swallow or breathe on their own. Some patients may require a breathing apparatus to help them breathe. Though after initial stay in the ICU and then then physically recover in a hospital ward, they may not need clinical emergency assistance further. It is then that one needs to contemplate if the right care of such patients can be taken by the family in the usual domestic environment. A sense of frustration and helplessness creeps in the family to see their kin in a vegetative state but in need of fluid management, nutrient rich food and assistance for their bodily functions.
V-Golden Age Health & Mediecare (India) Pvt. Ltd. is one of its kind facility, an assisted living home offering step-down care for the aged as well as all those with a life-limiting illness, injury or in need of a short-term rehab after an accident or special situations. What makes the facility unique is its commitment to the cause and a refreshing approach of providing specialized attention and assistance, emotional and physical security, social companionship, a sense of belonging within the comforts of a homely atmosphere.
Our Coma Care Management Includes:
Maintaining fluid and body composition: Making sure the patient gets fluids, nutrients, and any medicines needed to keep the body as healthy as possible. These are sometimes given through a tiny plastic tube inserted into a vein or through a feeding tube that brings fluids and nutrients directly to the stomach.
Breathing assistance: patient may need a ventilator or a breathing machine that pumps air into the lungs through a tube placed in windpipe.
Monitoring: Measuring and recording the vitals such as blood pressure, pulse and respiratory state regularly. Monitoring digestive and urinary tracts, long term catheters, fluid or feed tubes etc. and replace these if needed. Our nursing staff has been trained for the same.
Helping with ADL: Activities of Daily Living (ADL) are self-care activities of the patient that he can no longer perform like washing, dressing, grooming, toileting and eating. In addition taking care of the patient’s medication an ensuring that he or she does not get bedsores because of lying in same position for long.
Regular Reflex Tests: Constant checking of patient’s reflexes like pupil movement, reaction to pain and other such clinically approved simple tests to check his progress if any. Eye responses, verbal responses, motor responses on a Glasgow coma scale are measured periodically.
Optional Therapies: Special physical therapies to prevent joint, muscle or bone deformities due to non-movement.