Grandmother has a case of shingles and I'm concerned - any advice?
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I am looking for advice about a shingles outbreak in the family.
My 85 year old grandmother (who is mostly housebound and cant walk very far) was diagnosed by her Doctor with shingles today - the rash is mostly on her legs.
The doctor says there is not much sense in giving her antibiotics as those need to be administered early to really help. She does not seem to feel anymore pain than she usually does -she's been on morphine for pain for quite a few years- and is mostly acting "like herself" (although she WAS a bit funny a couple of days ago and didn't feel well, she felt a lot better in the morning).
I know it's not usually a huge problem, but she's my nan so naturally I'm a bit worried about her and would like some further reassurance (and since it's basically snowstorm city in the UK right now, I don't want to call the doctor back and add to their already high workload when she's already been out).
Questions:
1) She is on morphine daily for various pains caused by arthritis (amongst other things) could this be why she doesn't seem to be experiencing a lot of pain from the shingles? If so, is that likely to keep the pain away for the rest of the illness?
2) Is there anything in particular I should watch out for, to make sure she's ok?
3) Could it be the case that the shingles are what made her feel "funny" a few days ago? At the time we were worried it might be her diabetes (type 2, age related) but she seemed fine the day after.
4) Almost everyone in our family has already had chickenpox (my mam has even had it twice) - does this make us all immune to shingles, too? And if not, can it be passed on via a third party? A couple of our relatives have conditions such as lung damage or kidney failure, and I don't want to risk them catching anything... Plus, getting it myself wouldn't be a walk in the park either!)
Thank you in advance for any help, I'm trying not to worry about it, but it's difficult.
0 likes, 5 replies
ruth27266 sarah83321
Posted
Sorry to hear about your grandmother , it’s not a nice illness but some get it worse than others. She may or not get a lot of nerve pain , mine was very itchy. As it’s a virus , people do feel ill at the beginning sometimes with a fever and unwell. Shingles is a virus that everyone who has had chicken pox had and it lodges in the body near the spine until it activates for some reason . If people haven’t had chicken pox they can catch chicken pox from someone with shingles but only if they are in contact with blisters that are oozing. If the rash is covered or not weeping it’s ok .You don’t get shingles from it . Mine lasted 8 weeks and not too much nerve pain but it varies so much for people. Hopefully she will recover soon . https://www.nhs.uk/conditions/shingles/
Merry19451 sarah83321
Posted
Hi Sarah,
Your Grandmother was acting and feeling a bit funny as an individual has constitutional symptoms such as a headache, fever chills, and sweating, aches and pains, malaise, fatigue, and exhaustion prior to the Herpes Zoster-Shingles rash showing.
It may be that your Grandmother has diabetic neuropathy in her legs, and may have reduced sensation in her legs, or the arthritic changes in her spine may have caused decrease sensation. Certainly, if she is on daily Morphine, that will help with the Shingles pain.
As she is a diabetic patient,
her skin around the rash is more susceptible to a secondary staphylococcus infection. Her skin should be inspected daily for any signs of infection.
As Ruth stated, you cannot catch shingles from another person, only chickenpox if you have never had it. The lesions would need to be exposed ie uncovered, to be contagious. The individuals with lung and kidney disease should only visit your Grandmother if her vesicle-blisters are totally covered. If they had chickenpox, they have nothing to worry about, however.
I would advise excellent handwashing technique after washing and drying her legs. Any fluid from the blisters is contagious to those naive to chickenpox. I would buy vinyl gloves from the pharmacy.
Your grandmother's blood sugar is apt to be a bit higher due to the infection by the Varicella virus. Your Grandmother is apt to be more tired, and in need of more sleep.
I would increase the frequency of blood glucose monitoring. I do not know what medications she is on.
Your Grandmother is already immunocompromised due to her diabetes and age. Her risk for infection, just went up. If she seems "off," or confused, get her checked out. The elderly often don't have a fever when they have an infection, FYI.
They might seem confused, lose their appetite, become paler, or flushed, and their urine output drops. Their tongue might appear dry.
I hope this helps you.
I am a Nurse Practitioner in the States. I have had Herpes Zoster-Shingles in my right ear every three to five weeks for the past twenty one years and twice in my right eye.
Best Wishes
Merry Juliana
Darren-Moberly sarah83321
Posted
sarah83321
Posted
THANK YOU for all your info and suggestions everyone, she's feeling better already and we're keeping an eye out for infections or anything like that.
Merry19451 sarah83321
Posted
I am happy your grandmother is doing better. I am grateful that she has you in her life! I am certain, so is she!
Fondly,
Merry Juliana