CARE |
Self-care |
Non-Formal |
Formal |
CAREGIVER |
Self-care |
Spouse |
Son |
Father/mother |
Grandson |
Brother |
Nephew |
Cousin |
Daughter-in-law |
Neighbor |
Formal Caregiver |
CONDITION OF THE ELDERLY PERSON - How are you? What about the elderly person? How many people are in the house? How many people on the ground? |
Descriptive |
HOUSE RESIDENTS - How many residents are there in the house? |
Number of residents |
QUESTION 1 |
How is the care of elderly people at home in times of social distancing to prevent coronavirus? |
Calm |
Can carry out all planned activities on the day |
Tiring |
Running |
Unable to carry out planned activities on the day |
Mental stress |
No food or supplies |
No medicine |
QUESTION 2 |
Was there a change in the routine to adapt to the care of elderly people?/Was there an increase in care demands during the pandemic? |
No |
Yes |
QUESTION 3 |
Is the elderly person isolated? |
No |
Yes |
QUESTION 4 |
Does anyone in the house work? And do they leave the house to go to work? |
Nobody works |
Works in Essential Activities and leaves the house |
Works in Non-Essential Activities and leaves the house |
Works in Non-Essential Activities and works from home |
QUESTION 5 |
How is the health of the elderly person? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
QUESTION 5.1 |
For how long? |
Number in days |
QUESTION 6 |
Did the elderly person take a rapid COVID test? |
No |
Yes |
QUESTION 6.1 |
If so, what is the result? |
Negative |
Positive |
QUESTION 6.2 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
QUESTION 7 |
Is the caregiver isolated? |
No |
Yes |
Not applicable |
QUESTION 8 |
How is the caregiver’s health? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
Not applicable |
QUESTION 8.1 |
For how long? |
Number in days |
QUESTION 9 |
Did the caregiver take a rapid COVID test? |
No |
Yes |
Not applicable |
QUESTION 9.1 |
If so, what is the result? |
Did not take the test/does not apply |
Negative |
Positive |
QUESTION 9.2 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
QUESTION 10 |
How is the health of the other people in the house? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
Not applicable |
QUESTION 10.1 |
For how long? |
Number in days |
QUESTION 11 |
Has anyone else in the house taken the rapid test? |
No |
Yes |
QUESTION 11.1 |
If yes, who? Consider people other than elderly people and caregivers. Example: if the caregiver was the spouse, this question should not be considered, but if the caregiver was the child and the husband took the test, this question should be answered. |
Not applicable |
Elderly person’s spouse |
Elderly person’s son |
Elderly grandson |
Elderly person’s parents |
Brother of the elderly |
Caregiver’s spouse |
QUESTION 11.2 |
If so, what is the result? |
Didn’t take the test |
Negative |
Positive |
QUESTION 11.3 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
QUESTION 12 |
Has the elderly person already been vaccinated against the flu? |
No |
Yes |
QUESTION 12.1 |
Who vaccinated? |
HCS‡
|
FHU§
|
QUESTION 13 |
Has the caregiver already been vaccinated against the flu? |
0 Not applicable |
1 No |
2 Yes |
QUESTION 13.1 |
Who vaccinated? |
Not applicable |
HCS‡
|
FHU§
|
QUESTION 14 |
Have you received visits from HCS? How often? |
No |
Weekly |
Every 15 days |
Monthly |
QUESTION 15 |
Was there use of health services? |
No |
Yes |
OUTCOME |
Continued HCS‡ care after calls ended |
He no longer wanted to receive the HCS‡ face-to-face visit because of the pandemic, nor the research calls (he signed the form and did not withdraw from the research) |
HCS‡ discharge after calls or termination of calls |
Hospitalization |
Death |
Reason for hospitalization or death |
Descriptive |
Intervention Instrument
|
COLUMN
|
QUESTION
|
LEGEND
|
CAREGIVER |
Self-care |
Non-Formal |
Formal |
TYPE OF CAREGIVER |
Self-care |
Spouse |
Son |
Father/mother |
Grandson |
Brother |
Nephew |
Cousin |
Daughter-in-law |
Neighbor |
Formal Caregiver |
CONDITION OF THE ELDERLY PERSON - How are you? What about the elderly person? How many people are in the house? How many people on the ground? |
Descriptive |
CAREGIVER STATUS |
Descriptive |
RESIDENTS OF THE HOUSE - How many residents are there in the house? |
Number of people living in the house |
QUESTION 1 |
How is the care of elderly people at home in times of social distancing to prevent coronavirus? |
Calm |
Can carry out all planned activities on the day |
Tiring |
Running |
Unable to carry out planned activities on the day |
Mental stress |
No food or supplies |
No medicine |
INTERVENTION 1 |
Use a calm, reassuring approach. |
INTERVENTION 2 |
Encourage the verbalization of feelings, perceptions and fears |
INTERVENTION 3 |
Provide the caregiver with realistic information about aspects of caring for the elderly person. |
INTERVENTION 4 |
Evaluate the possibility of rotating care |
INTERVENTION 5 |
Encourage caregiver dialogue with family members regarding care |
QUESTION 1.1 |
If the answer is Tiring, Rushing or Unable to carry out the activities planned for the day: Why does the Lord say this |
Descriptive |
QUESTION 2 |
How do you feel about the care provided to elderly people during this pandemic? |
Calm/tranquil |
Satisfied |
Sad |
Tired out |
Overloaded |
Sold off |
Distressed |
Stressed |
Insecurity |
QUESTION 2.1 |
How often? |
No, never |
Rarely |
Sometimes |
Often |
Ever |
INTERVENTION 6 |
Encourage family participation online as appropriate |
INTERVENTION 7 |
Request services from other healthcare professionals for the patient as appropriate |
INTERVENTION 8 |
Act on behalf of the caregiver when overload becomes evident/Explain the operating system of the health care network, such as the call to the core of the multidisciplinary support team that will offer support to the caregiver and the family in social and psychological matters. |
INTERVENTION 9 |
Encourage leisure activities at home (You can send material via WebWhats Comercial) |
QUESTION 3 |
Is the elderly person isolated? |
No |
Yes |
QUESTION 4 |
How is the health of the elderly person? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
QUESTION 4.1 |
How much time? |
Number in days |
QUESTION 5 |
Did the elderly person take a rapid COVID test? |
No |
Yes |
QUESTION 5.1 |
If so, what is the result? |
Negative |
Positive |
QUESTION 5.2 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
QUESTION 6 |
Is the caregiver isolated? |
No |
Yes |
Not applicable |
QUESTION 7 |
How is the caregiver’s health? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
Not applicable |
QUESTION 7.1 |
How much time? |
Number in days |
QUESTION 8 |
Did the caregiver take a rapid COVID test? |
No |
Yes |
Not applicable |
QUESTION 8.1 |
If so, what is the result? |
Negative |
Positive |
Not applicable |
QUESTION 8.2 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
QUESTION 9 |
How is the health of family members? |
No symptoms/all well |
Shortness of breathe |
Cough |
Tiredness |
Pain |
Fever |
Runny nose |
No sense of smell and/or taste |
Not applicable |
QUESTION 9.1 |
How much time? |
Number in days |
QUESTION 10 |
Has anyone else in the house taken the rapid test? |
No |
Yes |
QUESTION 10.1 |
If yes, who? Consider people other than the elderly person and caregiver. Example: if the caregiver was the spouse, this question should not be considered, but if the caregiver was the child and the husband took the test, this question should be answered.
|
Not applicable |
Elderly person’s spouse |
Elderly person’s son |
Elderly grandson |
Elderly person’s parents |
Brother of the elderly |
Caregiver’s spouse |
QUESTION 10.2 |
If so, what is the result? |
Didn’t take the test |
Negative |
Positive |
QUESTION 10.3 |
If positive, what is the result? |
Not applicable |
IGM* positive |
IGG† positive |
INTERVENTION 10 |
When you have mild symptoms, advise care at home - SEE COVID-19 care flow |
QUESTION 11 |
Who does the shopping? |
They don’t leave the house/order by phone/order via app |
The elderly person themselves |
The caregiver |
Elderly person’s spouse |
Elderly person’s son |
Elderly grandson |
Elderly person’s parents |
Brother of the elderly |
Elderly nephew |
Elderly person’s son-in-law |
Elderly daughter-in-law |
Elderly person’s neighbor |
QUESTION 12 |
Does anyone in the house work? And do you leave the house to work? |
Nobody works |
Work in Essential Activities and leave the house |
Work in Non-Essential Activities and leave the house |
Works in Non-Essential Activities and works from home |
QUESTION 13 |
Has anyone travelled in the last 14 days? |
No |
Yes |
QUESTION 14 |
Contacts in the last 14 days? |
No |
Yes |
QUESTION 15 |
Has the elderly person already been vaccinated against the flu? |
No |
Yes |
QUESTION 15.1 |
Who vaccinated them? |
Not applicable |
HCS‡
|
FHU§
|
QUESTION 16 |
Has the caregiver already been vaccinated against the flu? |
No |
Yes |
Not applicable |
QUESTION 16.1 |
Who vaccinated them? |
Not applicable/Not taken |
HCS‡
|
FHU§
|
INTERVENTION 11 |
Explain the difference between flu and corona and the protection that vaccines offer. |
QUESTION 17 |
Was there a change in the routine to adapt to the care of the elderly person/their care? |
No |
Yes |
INTERVENTION 12 |
Teach the caregiver strategies for maintaining health care in order to reduce contamination (hygiene and antisepsis) |
INTERVENTION 13 |
Teach how to maintain your own physical and mental health (sleep, exercises at home, relaxation music, nutrition) |
INTERVENTION 14 |
Determine the need for improvements at home to compensate for hygiene and mental health, detail |
INTERVENTION 15 |
Determine needs for changes related to home security detail |
INTERVENTION 16 |
Provide guidance on suitable conditions for living with elderly people, detail |
INTERVENTION 17 |
When coughing and sneezing, cover your mouth and nose with a disposable tissue and throw it in the trash, or protect it with your forearm. Do not use your hands in order to avoid transmitting the virus to objects and people; |
INTERVENTION 18 |
Wash your hands with soap and water for at least 20 seconds frequently. When this is not possible, clean and sanitize your hands with 70% alcohol gel; |
INTERVENTION 19 |
Avoid close contact with people who have cold or flu symptoms; |
INTERVENTION 20 |
Avoid close contact with elderly people, pregnant women, women who are breastfeeding or people who get sick easily; |
INTERVENTION 21 |
Do not share personal objects, such as glasses, cutlery and plates, and clean objects that are frequently touched, such as cell phones. |
QUESTION 18 |
Do you have any of the care you provide for elderly people who are having difficulty? |
None |
To have a bath |
Personal hygiene: using the bathroom, cleaning yourself or tidying your clothes |
Dress up |
Feeding |
Transfer: Get up and walk |
Band Aid |
INTERVENTION 22 |
Person to undertake self-care activities |
INTERVENTION 23 |
Guide the caregiver to encourage the elderly person to take maximum responsibility for their own self-care |
INTERVENTION 24 |
Support the caregiver in setting limits and caring for themselves |
INTERVENTION 25 |
Teach the caregiver strategies for maintaining health care in order to maintain their own physical and mental health |
INTERVENTION 26 |
Encourage the verbalization of feelings, perceptions and fears regarding bathing |
INTERVENTION 27 |
Guide the caregiver to establish a trusting relationship with the elderly person when bathing |
INTERVENTION 28 |
Guide the caregiver to encourage the elderly person to verbalize signs and symptoms related to pain, sensitivity, itching, changes in hearing, tinnitus, vertigo, changes in muscle strength, skin integrity and edema. |
INTERVENTION 29 |
Instruct the caregiver to wash and condition the elderly person’s hair, massaging the scalp with their fingertips, and giving preference to using liquid and neutral soap when bathing. |
INTERVENTION 30 |
Instruct the caregiver to clean the nails, apply creams to the skin, especially bony prominences, comb the hair with wide combs, carefully dry the body folds and between the fingers, and keep the perineum dry and clean at regular intervals. |
INTERVENTION 31 |
Guide the caregiver regarding the signs and symptoms of urinary retention/urinary infection, which are decreased frequency, consistency, odor, volume, color, pain and bladder globe as appropriate. |
INTERVENTION 32 |
Guide care regarding the occurrence of signs and symptoms of diarrhea, constipation, impaction and fecal incontinence. |
INTERVENTION 33 |
Instruct the caregiver that with each vesico-intestinal complication it is necessary to perform adequate hygiene (soap and water). |
INTERVENTION 34 |
Instruct the caregiver to provide the elderly person with the necessary clothing in an accessible area. |
INTERVENTION 35 |
person to undertake self-care activities |
INTERVENTION 36 |
Instruct the caregiver to assist the elderly person with regard to the use of drawstrings, buttons and zippers. |
INTERVENTION 37 |
Instruct the caregiver to encourage the elderly person to dress themselves according to their physical condition. |
INTERVENTION 38 |
Guide the caregiver to encourage the elderly person to verbalize about their limitations in dressing |
INTERVENTION 39 |
Instruct the caregiver to monitor the condition of the elderly person’s mouth: lips, tongue, mucous membranes, teeth, gums and dental appliances and their adaptation. Pay attention to signs of inflammation, spongy, retracted or bleeding gums; dry, cracked lips; wounds; raw, scarlet tongue; and hyperemia and hypertrophy of the papillae. |
INTERVENTION 40 |
Instruct the caregiver to correctly position the elderly person to facilitate chewing and swallowing, providing appropriate support for the neck. |
INTERVENTION 41 |
Instruct the caregiver to offer the food in an appetizing way, at the appropriate temperature, arranged on the plate, if necessary, cutting the meat, peeling the eggs, when opening packages and/or packaged foods. |
INTERVENTION 42 |
Instruct the caregiver to offer cutlery and devices according to the elderly person’s needs, such as straws and spoons. |
INTERVENTION 43 |
Guide the caregiver to help and/or encourage the elderly person to promote their oral hygiene routine. |
INTERVENTION 44 |
Advise the caregiver to observe non-verbal cues of discomfort, such as facial expressions and excessive movement in elderly people who are unable to communicate effectively. |
INTERVENTION 45 |
Guide the caregiver or family to obtain tools to assist with daily activities: walker, cane, crutches, support bars, adequate lighting, round corners and railings if necessary. |
INTERVENTION 46 |
Guide the caregiver or family to control environmental factors that may negatively influence mobility, such as room temperature, heat or cold, lighting and noise. |
INTERVENTION 47 |
Guide the caregiver to reduce factors that precipitate or increase the experience of pain, such as fear, fatigue, monotony and lack of information. |
INTERVENTION 48 |
Advise the appropriate use of prescribed analgesics to help with pain when it is related to movement. |
INTERVENTION 49 |
Advise changing position every 2 hours, protecting bony prominences and avoiding edema. |
INTERVENTION 50 |
Instruct the caregiver to encourage the elderly person to get involved in position changes when possible. |
INTERVENTION 51 |
Instruct the caregiver to keep the elderly person’s bed clean and with sheets stretched to avoid tension in wounds and shear at the time of mobilization. |
INTERVENTION 52 |
Instruct the caregiver to use appropriate equipment to support limbs and bony prominences, such as cushions. |
QUESTION 19 |
Did the elderly person develop any different behavior during this social distancing? |
None/no |
Unrest |
Sadness |
Aggressiveness |
Confusion |
Memory disorders |
Orientation disorders |
Behavior disorders |
Anxiety |
Fear |
INTERVENTION 53 |
Orientation for the patient concerning time, space and person. |
INTERVENTION 54 |
Provide a calendar. |
INTERVENTION 55 |
Stimulate cognition through exercises such as painting, drawing, puzzles, singing and listening to music, using television and radio, posting photos of the patient’s close family members. |
INTERVENTION 56 |
Provide guidance on the environment in which the elderly person sleeps, darken the environment when it is time to sleep, have adequate ventilation. |
INTERVENTION 57 |
Use calming techniques such as music the elderly person prefers, touch them and be present. |
INTERVENTION 58 |
Recognize the patient’s fears and feelings. |
INTERVENTION 59 |
Allow the elderly person to maintain some of their rituals to limit anxiety |
INTERVENTION 60 |
Inform the caregiver’s perception in a calm, reassuring and non-argumentative way. |
INTERVENTION 61 |
Responding to the tone, rather than the content, of the hallucination or delusion. |
INTERVENTION 62 |
Maintain a well-lit environment that reduces sharp contrasts and shadows. |
QUESTION 20 |
Was there use of health services? |
No |
Yes |
OUTCOME |
Continued HCS‡ care after calls ended |
He no longer wanted to receive a face-to-face visit from HCS‡ because of the pandemic nor the research calls (he signed the form and did not withdraw from the research) |
HCS‡ discharge after calls or termination of calls |
Hospitalization |
Death |
Reason for hospitalization or death |
Descriptive |