A  Review on Home Care Recommendations for Patients with Suspected COVID-19 Presenting with Mild Symptoms:

Vahid  Zamanzadeh; Javad  dehghannezhad; Zhilla  Heydarpoordamanabad; Hadi  Hassankhani; Malcolm  Boyle; Abbas  Dadashzadeh

doi:10.5937/afmnai38-30415

Vahid Zamanzadeh Professor of Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery Tabriz University of Medical Sciences، Tabriz، Iran.
Javad dehghannezhad PhD Candidate in nursing, nursing and midwifery faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Zhilla Heydarpoordamanabad
Hadi Hassankhani PhD, Associate professor, Center of Qualitative Studies, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran:
Malcolm Boyle PhD, Associate Professor, Academic Lead in Paramedic Education, Griffith University, School of Medicine, Queensland, Australia.
Abbas Dadashzadeh Assistant Professor, School of Nursing & Midwifery، Tabriz University of Medical Sciences، Tabriz، Iran.

DOI: https://doi.org/10.5937/afmnai38-30415

Keywords: COVID-19, Home Care, Recommendations, Mild Symptoms, Nursing

Abstract

Aim

Caring for a COVID-19 patients at home is a global challenge. This study aimed to review recommendations put forward on home care for patients with suspected COVID-19 presenting with mild clinical features.

Design This is a review of the scientific literature covering COVID-19 and home care from the medical related electronic databases PubMed, ProQuest and CINAHL.

Methods

The electronic databases were search from the beginning of 2019 to the end of August 2020. The search terms included home care, COVID-19, coronavirus disease 2019, caring, and nursing care. Articles were included if they reported on aspects of home care for managing patients with mild clinical features of COVID-19. Articles were excluded if they reported on management from healthcare facilities, were about therapeutic management not possible in home care, and non-study type articles. Reference lists of retrieved journals were also reviewed.

Results

There was a total of 1,970 articles identified, 950 studies were duplicates and removed, leaving 500 title and abstracts for review. Review of the title and abstracts found 60 articles meet the inclusion criteria. After analysis of the full text articles, 12 articles were included in this study. The main areas covering home care can be summarized as home-based quarantine, management of contacts, early diagnosis at home, appropriate nutrition and adequate fluid intake, establishment of a monitoring center, and telemedicine

Conclusion

The use of home quarantine for people with mild clinical features of COVID-19 is possible with support services and will assist in reducing the demand on hospitals.

Author Biography

Malcolm Boyle, PhD, Associate Professor, Academic Lead in Paramedic Education, Griffith University, School of Medicine, Queensland, Australia.

References

References:
1. Rothan, H. A., & Byrareddy, S. N. (2020). The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of autoimmunity, 102433. doi.org/10.1016/j.jaut.2020.102433
2. HuiDS, I. A. E., Madani, T., Ntoumi, F., Koch, R., & Dar, O. (2020). The continuing 2019-nCoV epidemicthreatof novel coronaviruses to global health: the latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis, 91, 264-266. doi: 10.1016/j.ijid.2020.01.009
3. World Health Organization, Emergencies/Diseases/Coronavirus disease 2019/Situation reports, (2020a) available:https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.accessed Mars 17, 2020.
4. Hosseiny, M., Kooraki, S., Gholamrezanezhad, A., Reddy, S., & Myers, L. (2020). Radiology perspective of coronavirus disease 2019 (COVID-19): lessons from severe acute respiratory syndrome and Middle East respiratory syndrome. American Journal of Roentgenology, 214(5), 1078-1082. doi:10.2214/AJR.20.22969.
5. World Health Organization."Q&A on coronaviruses (COVID-19)", (2020 b). Retrieved 11 March 2020. Available: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses(accessed Feb 7, 2020.
6. Wang, T., Du, Z., Zhu, F., Cao, Z., An, Y., Gao, Y., & Jiang, B. (2020). Comorbidities and multi-organ injuries in the treatment of COVID-19. The Lancet, 395(10228), e52. doi.org/10.1016/S0140-6736(20)30558-4.
7. Liu, Y., Gayle, A. A., Wilder-Smith, A., & Rocklov, J. (2020). The reproductive number of COVID-19 is higher compared to SARS coronavirus. Journal of travel medicine. doi.org/10.1093/jtm/taaa021.
8. World Health Organization (2020c). Home care for patients with suspected novel coronavirus (nCoV) infection presenting withmild symptoms and management of contacts. Feb 4, 2020. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/patient-management.accessed Feb 7, 2020.
9. World Health Organization (2020d). Infection prevention and control of epidemic-and pandemic-prone acute respiratory infections in health care. 2014. Available: https://apps.who.int/iris/bitstream/handle/10665/112656/9789241507134_eng.pdf;jsessionid=BE25F8EAA4F631126E78390906 050313?sequence=1, accessed 27 February 2020.
10. Okada, P., Buathong, R., Phuygun, S., Thanadachakul, T., Parnmen, S., Wongboot, W., Vachiraphan, A. (2020). Early transmission patterns of coronavirus disease 2019 (COVID-19) in travellers from Wuhan to Thailand, January 2020. Eurosurveillance, 25(8), 2000097 .doi.org/10.2807/1560-7917.ES.2020.25.8.2000097
11. Klompas, M. (2020). Coronavirus disease 2019 (COVID-19): protecting hospitals from the invisible: American College of Physicians. doi.org/10.7326/M20-0751.
12. Koonin, L. M. (2020). Novel coronavirus disease (COVID-19) outbreak: Now is the time to refresh pandemic plans. Journal of business continuity & emergency planning, 13(4), 1-15.
13. World Health Organization. (2020 e). Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19): interim guidance, 19 March 2020 (No. WHO/2019-nCoV/IHR_Quarantine/2020.2).
14. Jiang, X., Niu, Y., Li, X., Li, L., Cai, W., Chen, Y., Wang, E. (2020). Is a 14-day quarantine period optimal for effectively controlling coronavirus disease 2019 (COVID-19)? medRxiv. doi.org/10.1101/2020.03.15.20036533
15. Bryson-Cahn, C., Duchin, J., Makarewicz, V. A., Kay, M., Rietberg, K., Napolitano, N., Lynch, J. B. (2020). A Novel Approach for a Novel Pathogen: using a home assessment team to evaluate patients for 2019 novel coronavirus (SARS-CoV-2). Clinical Infectious Diseases. doi.org/10.1093/cid/ciaa256
16. Xu, H., Huang, S., Liu, S., Deng, J., Jiao, B., Ai, L., Li, S. (2020). Evaluation of the clinical characteristics of suspected or confirmed cases of COVID-19 during home care with isolation: A new retrospective analysis based on O2O. Available at SSRN 3548746. doi.org/10.2139/ssrn.3548746.
17. Glauser, W. (2020). Proposed protocol to keep COVID-19 out of hospitals. CMAJ: Canadian Medical Association Journal, 192(10), E264. doi.org/10.1503/cmaj.1095852
18. Elias, B., Shen, C., & Bar-Yam, Y. (2020). Respiratory Health for Better COVID-19 Outcomes. Hollander, J. E., & Carr, B. G. (2020). Virtually perfect? Telemedicine for COVID-19. New England Journal of Medicine, 382(18), 1679-1681. doi.: 10.1056/NEJMp2003539
19. Zhang, J., Wu, W., Zhao, X., & Zhang, W. (2020). Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine, 3(1), 3-8. doi.org/10.1093/pcmedi/pbaa006.
20. Chauhan, V., Galwankar, S., Arquilla, B., Garg, M., Di Somma, S., El-Menyar, A., ... & Stawicki, S. P. (2020). Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission. Journal of emergencies, trauma, and shock, 13(1), 20. doi: 10.4103/JETS.JETS_32_20
21. Stoecklin, S. B., Rolland, P., Silue, Y., Mailles, A., Campese, C., Simondon, A., Bassi, C. First cases of coronavirus disease 2019 (COVID-19) in France: surveillance, investigations and control measures, January 2020. Eurosurveillance, 25(6). doi.org/10.2807/1560-7917.ES.2020.25.6.2000094
22. Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7(4), 300-302. doi.org/10.1016/S2215-0366(20)30073-0.