Comatose patients should be bathed regularly using warm water and mild soap. Their skin must be pat dry because any moisture that remains can lead to sores, too. Frequently changing their bedsheets, inspecting for any leaks from the catheter, and changing diapers are equally important.
Comatose patients rely heavily on their caretakers to bathe them, change them, and clean them if they soil themselves. If a patient is allowed to remain soiled, urine and feces can degrade the skin and increase the risk of a pressure sore as well as become a serious infection if there is already an open sore present.
You may enter a stage called a coma, when you do not wake up or respond at all. When you are in a coma, all physical needs (such as bathing, turning, and bowel and bladder care) will be taken care of by someone else. Urinary and bowel changes. You will make less urine as death nears.
BOWEL AND BLADDER CARE:
Patients may not have control of their bowel or bladder. Catheters or diapers will be used until bowel and bladder control returns.
In the short term, a person in a coma will normally be looked after in an intensive care unit (ICU). Treatment involves ensuring their condition is stable and body functions, such as breathing and blood pressure, are supported while the underlying cause is treated.
Typically, a coma does not last more than a few days or couple of weeks. In some rare cases, a person might stay in a coma for several weeks, months or even years. Depending on what caused the person to go into a coma, some patients are able to return to their normal lives after leaving the hospital.
Whether they dream or not probably depends on the cause of the coma. If the visual cortex is badly damaged, visual dreams will be lost; if the auditory cortex is destroyed, then they will be unable to hear dreamed voices.
If your family member is comatose, a mouth sponge, kind of like a little chunk of sponge on a stick, can be used to swab a bacteria killing solution called Peridex on the teeth a couple of times a day. Even a very small amount of this product will do quite a bit to reduce the effect of the comatose period on the teeth.
They make sure the person gets fluids, nutrients, and any medicines needed to keep the body as healthy as possible. These are sometimes given through a tiny plastic tube inserted in a vein or through a feeding tube that brings fluids and nutrients directly to the stomach.
Bodily functions
Some people in a coma require a ventilator to breathe, but comatose people still require food, which their body digests as usual. In a coma the hair still grows, and muscles mass still responds to stimulus—nurses often move coma patients to keep their muscles from atrophying.
As many as 15 to 20 percent of patients who appear to be in a coma or other unresponsive state show these inner signs of awareness when evaluated with advanced brain-imaging methods or sophisticated monitoring of electrical activity.
A coma occurs when there is little-to-no brain activity. The patient is unable to respond to touch, sound, and other stimuli. It is also rare for someone in a coma to cough, sneeze, or communicate in any way. Some can breathe on their own, although many who are in a coma require a machine to help them breathe.
If we pinch their hand, they will move it away. But these signs of consciousness are not always evident, nor do we see them in every patient. A patient who awakens from a coma may also develop a so-called locked-in syndrome, being completely conscious but paralyzed and unable to communicate, except through eye blinks.
Comatose patients rely heavily on their caretakers to bathe them, change them, and clean them if they soil themselves. If a patient is allowed to remain soiled, urine and feces can degrade the skin and increase the risk of a pressure sore as well as become a serious infection if there is already an open sore present.
Some examples of early responses to watch for are: Localized response: These are appropriate movements by the patient in response to sound, touch, or sight. Turning toward a sound, pulling away from something uncomfortable, or following movement with the eyes are examples.
People who do wake up from a coma usually come round gradually. They may be very agitated and confused to begin with. Some people will make a full recovery and be completely unaffected by the coma. Others will have disabilities caused by the damage to their brain.
Coma is a state of consciousness that is similar to deep sleep, except no amount of external stimuli (such as sounds or sensations) can prompt the brain to become awake and alert. A person in a coma can't even respond to pain. A wide range of illnesses, conditions and events can cause coma.
Coma patients might feel pleasure and pain like the rest of us.
Usually, coma patients have their eyes closed and cannot see what happens around them. But their ears keep receiving sounds from the environment. In some cases, the brains of coma patients can process sounds, for example the voice of someone speaking to them [2].
People in a state of coma are alive but are unable to move or be aware of or respond to their surroundings. They lose their thinking abilities but retain non-cognitive function and normal sleep patterns.
Annie Shapiro (1913–2003) was a Canadian apron shop owner who was in a coma for 29 years because of a massive stroke and suddenly awakened in 1992. Apart from the patients in the true story Awakenings, Shapiro was the longest a person has been in a coma like state and woken up.
On Aug. 6, 1941, 6-year-old Elaine Esposito went to the hospital for a routine appendectomy. She went under general anesthetic and never came out. Dubbed the "sleeping beauty," Esposito stayed in a coma for 37 years and 111 days before succumbing in 1978 — the longest-ever coma, according to Guinness World Records.
People in a coma are completely unresponsive. They do not move, do not react to light or sound and cannot feel pain. Their eyes are closed. The brain responds to extreme trauma by effectively 'shutting down'.