Sepsis and Home Care

If you are receiving home health care (also called home health services), this means that you need some medical care, but not enough to be admitted to a hospital or skilled nursing facility.

There are several advantages to receiving home care, such as you:

  • Aren’t exposed to the microbes (germs) that may circulate in the facility.
  • Have less frequent person-to-person contact with staff, volunteers, and others patients who could expose you to an infection.
  • Are in a familiar and more comfortable environment.

However, there is still a risk that you could contract an infection while you are receiving home care. Any type of infection could cause sepsis. If you are a caregiver to someone receiving home care, this information is important for you as well. Sepsis, which was often called blood poisoning, is the body’s life-threatening response to infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment.

Suggested Citation:
Sepsis Alliance. Sepsis and Home Care. 2023. https://www.sepsis.org/sepsisand/home-care/

Updated October 25, 2023.

 

More About Home Care

Infection Risks

When people receive home care, it is because they are ill, injured, or unable to care for themselves without help. Some of those people may be at increased risk of infection because they:

  • Are very old; the immune system becomes less robust as people age.
  • Are recovering from invasive medical or surgical procedures, or childbirth; open wounds are a source for infection.
  • Have an invasive medical device, such as a urinary catheter or intravenous; breaks in the skin or entries into the body can allow bacteria to enter.
  • Have one or more chronic illnesses, such as diabetes or COPD; people with chronic illnesses may get infections more easily.
  • Have a weakened immune system; a weakened immune system makes it harder to fight infections.
  • Are immobile; staying in one place for extended periods can increase the risk of pressure injuries (ulcers). It can also contribute to pneumonia because deep breathing and exercising helps the lungs expand and air flows more easily.
  • Are malnourished; the body requires nutrients to stay strong and to keep the immune system healthy.
Infection Prevention

Infection prevention is sepsis prevention. There are some simple steps to follow that will help decrease your risk of getting an infection while you are receiving home care.

  • Ask everyone, including the healthcare providers, who enters your home to wash their hands thoroughly with soap and water.
  • Wash your own hands frequently, especially before touching a wound, dressing, IV, or catheter, even if you will be wearing gloves.
  • Ensure there is a clean space to keep dressing or treatment supplies and ensure that the dressing changes are done in a clean environment.
  • Eat a healthy diet.
  • Get all recommended vaccines.
  • Move about as much as you can.
  • Take all medications, including antibiotics, for the recommended length of time as prescribed.
  • Don’t share personal items, such as towel, razors, and toothbrushes to reduce the spread of germs.

If you are the caregiver of someone receiving home care:

  • If the person is incontinent of urine or stool, ensure frequent changes of their briefs or pads. Clean the skin well, but gently. Report any redness or signs of the skin breaking down in the genital area to the home health provider.
  • If the person unable to move about on their own, they need regular positioning from side to back to side so they are not staying too long in one spot. This will reduce the risk of pressure injuries (ulcers or bed sores) from forming. Inspect the skin regularly, especially the hips, coccyx (backside), and elbows. These are the areas that break down most easily.

Related Resources

Sepsis and Home Care

Sepsis and Cancer

Information Guide

Invasive Devices

  • To submit this form you are required to enter your first name, last name, a valid email address and your role.

Information Guide

Cancer

  • To submit this form you are required to enter your first name, last name, a valid email address and your role.

Information Guide

Aging

  • To submit this form you are required to enter your first name, last name, a valid email address and your role.

Other Topics

Lucinda Contos

My mother fell down and couldn’t get back up. We were told she needed emergency surgery due to severe nerve damage and spinal stenosis or she would be paralyzed. We agreed to the surgery. She ended up having surgery on her neck due to the findings on another CT or MRI. She never recovered. My mother was not able to stand on her own or walk. She was bedridden. When she was discharged from the hospital she went to a rehab facility with skilled nursing care. She never improved and then reached her maximum limit of rehab and skilled nursing ... Read Full Story

Submit Your StoryView More Stories

Petra Haans

I didn’t feel good for a long time. I went to the hospital three times but they didn’t take me seriously and sent me away. I had so much pain!
Because they didn’t took me seriously, I started to doubt myself.
But there was so much stress and pain.
Not so many days later the ambulance came and took me to the hospital, they let me be more and more sick, threw up blood. I was in a coma already.
Where the doctors let me threw up blood for two days before they started to do medical research on me.
Because of all this stress, ... Read Full Story

Submit Your StoryView More Stories

Haley Vazquez

Hello! My name is Haley and I am a proud survivor of septic shock. In January of 2019, I had fallen ill. My temperature reached 102.4. As the week progressed, I began to lose feeling in my left leg. Whilst my body was slowly shutting down, My mom and I took a trip to a pediatric clinic where my muddy urine was mistaken for dehydration. A few doctor’s visits and one blood test later, it was clear I needed to head to the ER immediately. After those long hours in the ER, my memory is blank. February of 2019, I ... Read Full Story

Submit Your StoryView More Stories

Deborah Waller

My mother passed away on April 30th, 2024 after 48-hour battle in the hospital with sepsis. My mother started complaining of abdominal pain on April 27th in the afternoon after we went out to lunch. Shortly after we returned home from running errands and grabbing lunch at Kerby’s Coney Island, my mother started vomiting on and off until later in the evening. Initially, she thought, she may have gotten food poisoning. Shortly after midnight on April 28th, my mother passed out getting up to go to the bathroom. She was extremely pale and had no strength to get up. I ... Read Full Story

Submit Your StoryView More Stories

Diana L.

It started with a urinary tract infection I did not even know I had. (Sepsis and Urinary Tract Infections) That weekend, I lost my appetite and was extremely tired. I went to urgent care the next day, where I was given antibiotics for the UTI. The day after, I felt worse, and went to the ER, where I was given a blood transfusion, along with other medications. I was asked if I wanted to admit to the hospital, and I though the medication would work, so I went home. After 2 days, I woke up one morning and was very ... Read Full Story

Submit Your StoryView More Stories