Care Guide:

Home Nursing Care for Palliative Patients

Palliative Care is for patients who are critically ill or have life-limiting diseases. The aim of palliative home care is to provide relief and support for patients, as compared to treating the disease aggressively, in the comfort of their own home. At Jaga-Me, we believe in providing a dignified and comfortable journey for palliative patients so they may live their life to fullest.

Jaga-Me’s Nurses will provide a holistic home palliative care plan for your loved one, ensuring a comfortable journey for your care recipient in the comfort of his or her home.

Our Palliative Home Care Services

Pain Management

Our Jaga-Me Nurses (JagaPros) will administer medication to patients based on the level of pain they are experiencing. The administration of non-opioids/opioids medication will be tailored to relieve the level of pain the patient is experiencing. Opioids are drugs that act on the nervous system to help relieve pain. Our JagaPros can step in to administer drugs that are injectables (injections) when the patient can no longer take medications orally.

Effects of Strong Opioids | How to Manage?

Constipation: Use Appropriate Dosage of Laxatives

Nausea: Anti-nausea drugs can be used to combat nausea symptoms

Drowsiness: Reduce dosage of opioids. Just inform our nurse!

Seek advice from your nurse or doctor on how to manage and alleviate discomfort for your loved ones. The effects of opioids can vary for different individuals.

Wound Care Management

Our JagaPros will assess the wound before taking the necessary action to address the wound. Wounds can become chronic if it is not healed properly. Chronic wounds cause discomfort when it develops into an infection caused by other medical conditions such as diabetes or poor nutrition. It is imperative for caregivers to understand that wound care is vital to prevent infection and discomfort in palliative patients. Wound care management improves quality of life as it eliminates discomfort and pain for your loved ones.

Wound Dressing Products We Use

Wound Dressing Set

  • 1 Tray with built-in gallipots.
  • 4 Non woven swabs.
  • 3 disposable forceps.
  • 2 patient drapes.
  • 6 cotton balls.
  • 1 hand towel.
  • 1 Limpet bag.

Saline Solution
A cleansing solution for wound dressing.

Medication

Recommended medicine by doctors to promote healing.

Adhesive Tapes
To secure the wound dressing.

Getting wound dressing products in Singapore
Our JagaPros will select the type of wound dressing based on the assessment of the type of wound the patient has. Be assured that every care received by the patient is personalized and tailored to suit the caregiver and patient’s needs.

Wound dressing products mentioned above are all available at our JagaStore! JagaStore delivers these dressing products to your doorstep, giving you convenience and greater savings.

14 Steps to Wound Care | Tips from a Jaga-Me Nurse

  1. Ensure hands are washed thoroughly before commencing wound dressing.
  2. Loosen patient’s dressing. After loosening patient’s dressing, wash hands again.
  3. Open the clean dressing set. Hands should be washed again after opening the set.
  4. Dry hands using the hand towel from the dressing set.
  5. Use the disinfected forceps without touching the ends of it that hold the gauze.
  6. Pour recommended amount of cleansing solution on the gauze.
  7. Use the forceps to pick up the old dressing. If the old dressing is dry, soak the dressing with saline water before proceeding.
  8. Use only 1 gauze for every stroke of cleansing and throw the gauze after each use.
  9. Observe the gauze for any blood, pus and odour. Check the colour of the blood and pus as well.
  10. Observe the wound size and depth of the wound.
  11. Apply dressing to the wound.
  12. Secure the dressing with adhesive tape.
  13. Throw all dressing products wrapped in a plastic bag into the bin.
  14. Inform your nurse/doctor if the patient is experiencing fever, excessive pus, blood, odour or experiencing pain.

You can try out these simple wound dressing steps for your loved ones. If you prefer having professional help, our JagaPros can help carry out the wound dressing procedure with utmost care and professionalism. If you have any queries do seek help from your nurse/doctor or contact Jaga-Me for home care services

Pressure Ulcers

Pressure Ulcers are a common occurrence for palliative patients who are immobile. Palliative patients are prone to dry skin and this encourages the development of pressure ulcers. Thus, pressure ulcer management is key to ensure the comfort of your loved ones. Our JagaPros will ensure that preventive measures are taken to avoid the development of pressure ulcers.

Ulcer Prevention | Tips from a Jaga-Me Nurse

Treatment | What We Can Do

Our JagaPros will set and personalise treatment goals for the patient. Our nurse will conduct an assessment and a reassessment of the pressure ulcer wound before each dressing change. Our nurse will also determine the level of pain and administer pain medication accordingly.

The wound dressing will be selected based on:

  • Keeping the wound area moist
  • Chance of bacterial growth
  • Presence of odour
  • The condition of the skin tissue
  • The size, depth and location of the wound
  • The presence of wound tunnelling
  • The individual patient’s need of care

In addition, our JagaPros will inform the patient and family about what skin condition changes to look out for, and how to map the plan of care accordingly.

Simple Home Oral Care

Many palliative patients suffer from poor oral health because of the misconception that oral care should only be maintained when food is consumed. In our experience, we believe it is important for palliative patients to maintain their oral hygiene. The mouth region is the gateway to our internal organs. Therefore, it is necessary to keep the patient’s mouth clean and bacteria free. Although saliva helps to clear bacteria from the mouth, saliva flow might be affected due to consumption of medication. This will result in bacterial decay in the patient’s mouth. Thus, oral care is vital for palliative patients as it helps prevent pneumonia and gum diseases.

Oral Health | Tips from a Jaga-Me Nurse

Check with our friendly JagaPros when you engage our services if you have any queries about the necessary oral care for your loved ones. Alternatively, clarify any doubts you have about oral health with your nurse/doctor.

Oral Care Products

Oral swabs are available at our JagaStore! Our JagaStore offers great convenience and savings as we deliver these products directly to your doorstep.

Active Dying Phases

Dying is a natural process in life. Thus, we always strive to ensure that our loved ones will have a comfortable journey towards the end. It is vital for caregivers to recognize the symptoms of a patient actively dying.

  • Not eating/drinking

Many caregivers often panic and force feed their care recipients when they stop eating/drinking. This is a natural process of the body shutting down. 

  • Swallow reflex affected

If a patient starts to cough when given food/fluids, it shows he has little to no swallow reflex. It is important to call your nurse/doctor when your care recipient shows signs of this. This indicates that the patient needs to have their medication (e.g. pain medication) injected by a professional nurse/ doctor instead of taking them orally. Jaga-Me provides professional service for injections. If you need professional help to administer injections for your palliative patient at home, check out our Jaga-Me website for more information on how you can engage our nurses to perform these procedures.

  • Breathlessness

Patient breathing becomes shorter and he/she may start to pant. This is known as Cheyne Stokes breathing. It is where patient’s breathing may suddenly stop and restart again. Do not panic when this happens as it is a normal symptom of a patient dying.

  • Sleeps more often

The patient might sleep more and may even be drowsy when awake. This might be a result of opiates being administered to the patient. Check with your doctor/nurse in regards to medication.

  • Skin colour & body temperature changes

The skin around the patient’s fingers and toes might look blue (known as cyanosis). This happens because the body is conserving energy for core functions instead. The colour of the patient’s skin might turn grey as well. The temperature of the patient’s body will be cold and there might be some swelling on the patient’s hands and feet. This is known as oedema.

  • Hallucinations

Your loved one might experience hallucinations. This is caused by the body’s chemical imbalance. Ensure that family members are there to reassure the patient. Holding your loved one’s hands or gentle stroking will help him/her feel calm and assured. Putting on soft music in the room will also be helpful.

Emotional Support 

It is imperative for caregivers to understand the procedures and treatments used in palliative care. Our nurses will be there to explain the treatment and care procedures to you every step of the way. It is also important for caregivers to understand their own limitations and seek help. Our JagaPros will provide you with companionship and a listening ear. We will be there to relieve any sense of helplessness you experience on this journey. Let Jaga-Me share your caregiving responsibility.

At Jaga-Me, we believe in providing quality home care services for your loved ones. We understand our caregivers and care recipients’ needs and concerns. Our team of JagaPros consists of qualified nurses, care aids, and doctors that will help you in times of need. Jaga-me provides on-demand quality home care services, allowing you to enjoy a good night’s sleep or a worry-free day while we take care of your loved ones. Book our professional services now or check out the FAQ support page if you have any queries!

Let Jaga-Me share your responsibility in caregiving.