patient thinks her hands are clean and they are not, keeps putting hands and fingers in food items making them spoil? Always scratching scalp, picking nose, putting fingers in mouth, using bathroom 6 times a day with diaper change and wants to always be in the kitchen
Here's my experience:
I had an elderly friend of mine whose hands I thought were clean. Shortly after I started hanging around with him and we started eating together, I started noticing I was suddenly experiencing excessive gas that caused me to belch excessively. I never thought anything of him touching some of the food we were eating. It wasn't until very recently when I reached the point of noticing an increasing problem with heartburn, acid reflux, a swollen esophagus and eventually gurgling air bubbles from one specific spot of my stomach. The problem area expanded to much deeper down inside my digestive system. It wasn't until the problem started tripping my cough and gag reflexes and started getting far more dangerous to the point of nausea. I was on anti-acid medication that stopped working. It was then I did some research and so far all of the research pointed straight to the h.pylori infection. I even stumbled upon a blog board of other people who have had the same exact symptoms that so many people have. No one seems to know they have h.pylori causing these problems. A friend of mine said there was a special news broadcast a while back about on h.pylori. This would've been back about 2012. I didn't know about the news broadcast since I don't have TV service or get the paper.
* What really causes h.pylori is when someone has traces of fecal matter on their hands and they touch the food you eat. You may hear the water running and think they are washing their hands, but if people don't scrub their hands very well with soap and water, their hands won't be clean. It requires a very good antibacterial soap to really clean your hands very well. I'm a strong believer in antibacterial soap since I've had h.pylori and I've had it for too long now. I'm glad I'm finally under the right treatment that's actually working.
One thing to know about h.pylori is that it thrives on sugar, I found this out for myself from my own experience. Carbs and starches such as what's in potatoes and pasta also converts to sugar. Getting a good start on eliminating h.pylori requires a serious diet change for those who have it. Eliminating sugar, carbs, and starches will help to starve off h.pylori while you're undergoing treatment. The first thing you want to do is an internal flush to clean yourself out before eliminating sugar, carbs and starches, (which turn convert to sugar). I heard somewhere online that after you eliminate h.pylori, you're still vulnerable for the next five years after treatment, (since it can return if you're not careful what you put in your mouth). Thorough hand scrubbing is definitely going to be a very smart move especially during recovery from h.pylori. H.pylori will spread the longer it lingers in your body, and it can reach your heart eventually. I suspect my one elderly friend who was always in and out of the bathroom may have actually had h.pylori because he was always saying he was sick. He's the one who took very frequent squad rides to the ER when he would block himself up or have and emphysema attack. I didn't know that he would actually die shortly after I met him, we only know each other right around a year before he landed in a nursing home. He died shortly after landing in a nursing home, and I highly suspect h.pylori among other contributing factors caused his death. He could've lived well past 100 head of me taking much better care of himself because there are people who do live well past 100 though not many. My friend had the potential to have live much longer than he really did but he neglected himself to the point he died sooner than he should've. He was much healthier when I met him, but at some point he just started self-neglecting and going downhill. One of the problems I really didn't realize until it was too late was that he really didn't keep his hands clean, and I was eating some of the food he was serving after touching. Fecal matter starts on someone's hands. They touch that food they serve you, and you eat that food. In fact, I noticed one of the sugar wafers I ate tasted kind of funny. I have a bad habit of giving this person the benefit of the doubt until things started adding up. I'm just sorry I didn't realize what was really going on much sooner than I did, because had I known, I never would've eaten any of the food he touched. This is why hand scrubbing is so very important. Not keeping your hands clean cannot only infect you, but also others.
I think what I'm going through now may very well be why some people won't eat food that others have touched, because you don't know how clean or dirty someone's hands really are until you get something like h.pylori. When you get it, my doctor said it's very tough to get rid of, which is why it's so important to eliminate sugar, carbs and starches. Anything with sugar should be eliminated during treatment. Pasta, breads and other similar carbs should also be eliminated as well as potatoes and anything similar because all of these convert to sugar that feeds and prolongs h.pylori, worsening the problem of h.pylori. I hope someone out there can use my experience as an example of why proper hand scrubbing with a good antibacterial soap is so important. What happened to me actually happened to millions of others who don't even know they're infected but are still going through the same problem I was before treatment. Proper handwashing is very important and should be regularly practiced.
Keep her nails short if you can. And as Pam says, guide her to the sink and help her wash when she comes into the kitchen. Don't make a fuss about it, just say something like "oh, I'm glad you've come to help, let's get washed up first", help her find the soap and towel and then hand her a clean apron.
Probably was something they both did in their own childhood. I noticed the same thing on the tv show "Everybody Loves Raymond" as Ray would also use the kitchen sink to wash his hands.