Tagged: Sct isolation
This topic contains 7 replies, has 5 voices, and was last updated by nemoetomnis 2 weeks, 6 days ago.
My partner is due to start the SCT protocol next month. Most of it will be in an outpatient basis at home. However, the reinfusion part of the process requires a 4-week inpatient stay in isolation at a distant hospital.
From what I understand, this time is the highest risk, with my partner’s system severely compromised, needing blood transfusions and rigorous infection control.
What can I do to support during this time?
It seems that I would probably be the greatest infection carrier risk if I were to visit daily. I can’t bring in favourite foods because of the controls on diet the protocol demands.
Being on the end of a Zoom call doesn’t bring practical help.
It’s 4 weeks confined to a single room. I fear for the effect that will have.
What suggestions might you have, please?
Hi nemoetomnis,
Looking after your partner could be challenging in its own right while they are at home.
Therefore, when – as you say yourself – it is simply impossible for you to help your partner for weeks, I suggest this: look after yourself!
Take some time, although I obviously don’t know what other commitments you may have (work, family etc) to look after your own health (rest, exercise, eating healthily). Maybe pamper yourself too! Your partner will be in excellent hands.
You deserve it,
Regards
Rabbit
I didn’t say it was impossible, and I am appealing for suggestions.
I can’t see what I can usefully do, but maybe others can? Has anyone here been through this process, either as patient or carer, and is able to say what helped?
Is there a positive impact of simply me being present for even a short time every day? Would me being at home and a airplane trip away be hard to take?
Hi nemoetomnis
Like you we are due to begin the SCT protocol soon. As I understand it you can visit but you will be suitably gowned, masked and gloved to do it. Have a look at the info pack for carers of myeloma it can be downloaded from the website.hth
Hi just checking in to see how it’s going?
We’re due to start in a fortnight but completely opposite info to you no isolation whatsoever!!!
5 days in SCT centre then transfer to local hospital for checks one day, then home for 5 days the back to local hospital for 2-3wks. I’m literally crapping bricks at all the potential infection involved in al this coming and going so if you’ve got 4wks isolation whilst hard it’s something to be grateful for.
Lablady
I had an ASCT in 2021 during Covid. So no problem with visitors as no one was allowed any!
I was in hospital for about 2 weeks. The first of which was pretty horrible due to the initial treatment. The second week was waiting until my platelet and neutrophil counts got up above a certain level. They infused a couple of bags of platelets to help me along!
I could not have managed at home for the next month without the full time help of my wife, who took time off work to care for me. I bought a mobility chair which I slept in for the first few weeks, as it made it much easier to get up and down. I needed to use support rails to get up when in bed.
But in the end it was all worth it. I was back to mostly normal in around 3 months.
Hi thanks for responding to my post my husband is only 54 so not elderly. After 5years and a lot of treatment we seem to be running out of options which is scary. At the beginning we’ve went through stem cell it involved a 4 week stay in isolation I didn’t visit as was in covid .Then lenolidmide maintenance fatigue was a real problem so be prepared for a slow recovery.My husband set him self small goals like short walks and after time being able to walk to end of street.Hope all goes well x
I thought i should relate our experience in case others find it helpful.
In short, I was useful as an on-hand assistant for whatever my partner asked for and for help around hygiene functions.
The location was Aberdeen Royal Infirmary, in their isolation rooms in Haemotology. That’s top floor, level 7, so I rarely used the stairs when coming and going. It’s a long walk to any services like the coffee concessions, M&S or canteens.
My partner was really knocked about by the initial chemo dose – extreme nausea that meant keeping anything down was a battle, even soups. Eventually, TPN infusions were put in place. The TPN infusions take 48 hours per bag, with the machines beeping for attention every 4 hours. One machine had a flat battery that wouldn’t recharge, so it beeped every 30 seconds.
I was on hand to help with loo visits and replacing commode basins. Once infusions began, I would move the stand around the room if partner wanted to sit in the chair or (much later) walk a lap of the ward.
I was present for doctors’ rounds and other specialist consults – dietitians, physio, palliative (for nausea supprt) – to basically hear and remember discussions and decisions, and to make sure that these were followed up properly when it came to medication dispensing time.
I would take worn clothing and pillowcases away to Clan for laundering. We’d brought our own pillow as the ward-supplied ones are very thin and lumpy, which we learned during the initial stabilisation episode a few momths earlier.
I’d fill in menu cards (hardly used after the first week once nausea took hold), fetch cups of water, make Complan milkshakes, remove trays to the ante-room once finished with, fetch ice pops from the ward freezer (the Anchor staff were greatvfor fetching these for me). Really, the aim was to provide whatever was asked for as quickly as possible without having to buzz and wait for the nurses or auxiliaries. Not because it was a long wait (it wasn’t – the team is excellent), but it was simply less stressful to ask me.
I would sit in the armchair most of the time. There’s a limited number of reclining chairs and the others aren’t that comfortable for a non-patient, let alone someone weak and with spinal fractures, so if you are spening a lot of time in the chair, ask the auxiliaries if they can find a reclining one that isn’t currently in use. It was a very big help for me.
This was our life for 4 weeks. It is a stressful environment to be in full-time, even as a helper. I could at least go back to Clan every evening and eat what i wanted and sleep in a quiet room without disturbance. Not so for my partner.
In summary, yes, I was useful and the assistance was valued by my partner. If you have to take on a similar role, bring books or a movie subscription (the guest wifi is adequate) and be prepared to spend hours by yourself as your partner sleeps through most of the day.
Good luck….
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