What is Sepsis?
Sepsis is a life-threatening medical emergency caused by the body’s overwhelming response to an infection. Sepsis develops when an existing infection triggers an extreme immune system response in the body. The body responds by releasing proteins and other chemicals to fight it. Sepsis occurs when this response gets out of control, triggering extensive inflammation. Severe sepsis can lead to septic shock, a medical emergency and without urgent treatment, it can be fatal.
Stages of Sepsis
There are 3 stages of Sepsis – see flow chart opposite:
Sepsis Symptoms
It’s possible to mistake the symptoms above for those of another condition, like?pneumonia, COVID-19, or cancer.
In addition, sepsis symptoms can be particularly hard to identify in infants, children, and people with:
It’s best to seek medical assistance right away if you suspect sepsis. A health professional can examine you or the person you care for to make a diagnosis.
Who does sepsis affect?
Sepsis can affect anyone, but people with any kind of infection, especially bacteraemia, are at a particularly high risk.
Other people who are at a high risk include:
- People older than 65 years old,?new borns?and infants, and pregnant people.
- People with medical conditions such as?diabetes,?obesity,?cancer?and?kidney disease.
- People with weakened immune systems.
- People who are in the hospital for other medical reasons.
- People with severe injuries, such as large?burns?or wounds
- People with weaker immune systems, including people with?HIV?or those undergoing chemotherapy treatment for cancer
- People in intensive care units (ICUs)
- People exposed to invasive devices, like intravenous catheters or breathing tubes
Treatment for sepsis
Sepsis needs treatment in hospital straight away because it can get worse quickly.
You should get antibiotics within 1 hour of arriving at hospital.
If sepsis is not treated early, it can turn into septic shock and cause your organs to fail. This is life threatening.
You may need other tests or treatments depending on your symptoms, including:
- treatment in an intensive care unit
- a machine to help you breathe (ventilator)
- surgery to remove areas of infection
- You may need to stay in hospital for several weeks.
Recovering from sepsis
Most people make a full recovery from sepsis. But it can take time.
You might continue to have physical and emotional symptoms. These can last for months, or even years, after you had sepsis.
These long-term effects are sometimes called post-sepsis syndrome, and can include:
- feeling very tired and weak, and difficulty sleeping
- changes in your mood, or anxiety or depression
- post-traumatic stress disorder (PTSD)
DO.
- ask your work about changes to your working hours or conditions while you’re recovering
- do some gentle easy exercises to build your strength (see https://www.nhs.uk/live-well/exercise/strength-exercises/)
- get regular rest and sleep
- try to prevent infections – for example, by washing your hands regularly
- try to eat little and often if you have a small appetite
DON’T
- do not try to rush your recovery – give yourself time
Pam had a stroke 7 years ago and up until then she was a very active lady, enjoying many holidays and travelling experiences abroad.
Pam is an artist who during her travels enjoyed painting “on the spot”. She has exhibited at the Chelsea Art Exhibition, the Mall Gallery and the Not The Turner Prize show. She used to get her inspiration while travelling and loves painting on the spot in both watercolours and oils.
She was born in the Belgian Congo and from the age of ten travelled variously in the south of France, Switzerland and Belgium before settling in Chieveley. She started painting when she was very young and her experience of living in hot countries and abroad has influenced her work. She has painted in Cuba, Zanzibar, Morocco and Australia.
Pam’s stroke was sudden and life changing, she has muscle weakness down one side and is wheelchair bound. She finds this frustrating and challenging as it prevents her from doing a wide range of activities. However, she ‘chooses to stay living in the comfort of her own home where she has some wonderful neighbours, she enjoys a high quality of life and remains as independent as she can. This has been achieved by Pam having a live in carer there to support her needs.
Pam loves to get out and about and to meet new and interesting people. She often goes out with her live in carer to places such as:
- Antique Fairs and Antique shops
- Swimming
- Painting Exhibitions
- Book Fairs
- Going to local Garden Centres
- Visiting friends
Her live in carer facilitates and welcomes friends and families that visit.
Pam’s live-in care also helps Pam to continue enjoying her beautiful garden by assisting with:
- Planting new plants
- Some light gardening
- Keeping the bird feeders topped up
- Feeding the fish
- Watering the plants
Pam also enjoys watching DVDs with her live-in carer and listening to music together. She recognises that having some quality companionship is a vital part of her maintaining emotional wellbeing.
We work hard to find the perfect live in carer for our clients, we know how much live in carers support and enhance the quality of life for people.
If you know someone that has got to the stage where they need a bit more than the regular pop in carer visits, we would be more than happy to visit them in their home and talk about the options available to them.
Live in care has become a much more preferred option than going into a Care or Residential Home and would be our pleasure to help make that happen.
We will listen to your wishes and needs. We will talk to you to get to know you so we can try to find you a Live-in Carer with common interests and beliefs. This is in addition to the necessary care qualifications, skills, and experience.
Stroke Resources you may find useful.
Stroke Association is a UK Charity. It works to prevent Stroke and to support everyone touched by Stroke. They have a helpline, an online community and run local and online Stroke support groups.www.stroke.org.uk
Around 21 years old I had some investigation done and discovered that I had something called Otto Sclerosis. This is condition where the bones in the ear middle ear do not chime properly, leaving me with a hearing impairment.
At the age of 26 I had given birth to my son and notice that my hearing had worsened. The condition that I have is something that gets worse during pregnancy. I soon had another child and it became more difficult and I was seen by the ENT specialist team in hospital where they decided to give me a hearing aid. Initially I only had one hearing aid and these were analogue hearing aids at the time but it was a bit of a lifeline for me. I remember the first time the hearing aid was switched on in my ear and I could hear my husband behind me making fun of me to see if I could hear him and I could! I could even hear a telephone ringing in the other room, which was first time I’d had that in many, many years, so I knew that this was going be life changing. I was fortunate enough to be given two hearing aids, they were great but then I received a digital version which meant that the clarity of the sound was amazing.
Talking on the phone was always very difficult because I often had to have it on loudspeaker because I really couldn’t hear even with a hearing aid, then discovered that repositioning the ear piece higher than my hearing aid really helped.
During that time phones were not advanced enough but as we know technology always advances and I was given another set of hearing aids, just when you thought things couldn’t get better, you can connect hearing aids to your mobile phone which meant that I can talk and not have to struggle to hear because the sound goes straight into the hearing aids like head phones! It’s fantastic, it looked quite funny to people at first as I didn’t need to hold the phone up to my ear. It’s worth knowing that if you have a compatible phone, you can actually download an app on your phone and connect this to your hearing aids. It means that I can listen to music, I can watch films on my telephone and I can have, conversation on telephone with anybody whether it’s via WhatsApp or the general phone settings and this makes it very private and I can hear every word.
It means that I can hear people properly and not have the background noise because your hearing aids are so clever and advanced that they dampen out the background noise.
I wanted to share my story and thought it would be helpful to educate people about hearing aids and how to look after them. Important things about hearing aids are to check that their batteries are working. If you have the app for yourself or you’re helping someone who isn’t able to tell you if they are working, you can link the hearing aids to the app. Batteries will show on the app and they will tell you how much batteries are left in the hearing aid. You can also click on the system to find my hearing aids because believe it or not people lose them, they have a GPS system which is linked to the hearing aids. Different types of settings on your hearing aids or on your app have music voice or speech. I tend to use the speech because it makes everyone else’s speech and my own speech clarity very good. If you are somewhere noisy the volume can be turned down slightly to ensure that your hearing aids prevent damage to your hearing. One of the best features of hearing aids is the user can turn them off which is ideal for me because I cannot to hear my husband snore!
Things to remember about a hearing aids:
· Face the person you are speaking with:- in my experience if someone’s is not facing me, even though I’ve got my hearing aids in, I probably won’t hear every word you say.
· Speak clearly:- Speak in a clear tone so it’s understandable.
· Don’t cover your mouth when talking:- most people with hearing aids probably lip read.
· Assisting someone to put the hearing aids in:- don’t switch them on until you have them in. It’s rather unpleasant if you turn them on and they’re squeaking in your ear.
· Make sure the right and left hearing aid is in the correct ear:- In the battery compartment there are two colours to distinguish which is for which ear, if you see red that’s for the right ear and blue is for the left ear.
· Proper fit:- make sure you have the whole ear piece fitted correctly. The easiest way is to hold the top of the ear and start with the top of the ear mould and then push it in to place. If it is not fitted correctly, it will cause soreness and poor hearing.
· Change the batteries:- Rule of thumb, change them once a week.
· Dispose the batteries on the recycle bin.
· Maintenance:- Hearing aids are great but if the ear piece is full of wax or moisture they will not work. Carefully disconnect the tube and blow air through, also check that it’s not blocked. Also, you should brush the microphones on the top of the hearing aid with a small brush that comes with the hearing aid.
· Have the tubing replaced regularly:- plastic turns brittle over time, this distorts the hearing. It’s easy to do yourself but if you can’t you can make an appointment with the hearing aid clinics. They can also check that the hearing aids work properly.
· Check ears: – check hearing for wax and build up. Have ears syringed regularly
· Don’t get them wet:- they are not designed to get wet.
