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Rules for the Bone Marrow Transplant Patient

These rules and guidelines are prepared to guide you and your family.

  • Stick to physician’s prescription in using all medication.
  • Make sure to come for regular check-ups. Please arrive on an empty stomach and without having used any medication.
  • Chemotherapy will inhibit optimum functioning of immune system for about an year.
  • This is why it is very important to give extra care and attention to personal hygiene,   nutrition, use of protective mask, accepting visitors, handshakes and sexual relations throughout the entire year.

Guidelines for Daily Life:

  • Your home should be especially clean following the transplant. Allocate a separate room for the patient. Remove dust magnets like thick carpets and curtains from the patients room. Do not clean and air this room whilst he/she is still inside. If the   room/home lacks central heating make sure to light and clean fire stove when the patient is out of the room. Keep the rooms temperature steady.
  • The patients room must be away from any type of indoor/outdoor construction activity.
  • All house plants and any kind of pet including cats, dogs, fish and birds must be removed from the house for a year due to risk of infection.
  • Make sure to keep the rest of the house equally clean and tidy.
  • Pay attention to hand hygiene, take a bath at least two times a week or shower frequently, allocate a separate towel for the patient and prevent the use by anyone else.      Wash and iron the towel after each use. Use only moisturizing soaps.
  • Use paper towels for hand and face hygiene.
  • Do not accept guests for the first 100 days. Narrow down the number of guests as much as possible in the following period. Refrain from close contact including kissing,    handshaking and cuddling.
  • Change the patients bed linen at least twice a week and frequently air the mattress.
  • Do not use feather and wool pillows.
  • Make sure to wash all new clothes before use. Especially keep away from corduroy or plush textiles.
  •  Make sure that the patient uses two masks whilst travelling or outdoors.
  • The patient should not swim for a year (sea or pool) and should not use saunas.
  • Prevent direct contact with sunlight for one year. Any outdoor walking should take place around dusk.
  • Women should not get epilation for one year. Depilatory creams may be used if physician approves.
  • Give extra care to hygiene during getting patients haircut.
  • Brush the teeth with soft brush 3 times a day. Try not to get gums bleeding.
  • Do not use deodorants, perfumes make-up or hair dye for one year.
  • Do not smoke or consume alcohol. Steer clear of smoky, dusty and dirty environments.
  • Do not come in contact with people that have colds, flu or infections.
  • Immediately seek for medical attention in the presence of any abnormality like bleeding, bruising, and swelling appear on any part of the body.
  • Dress according to climate. Avoid getting ill.
  • Menstruation irregularities may develop in women following the transplant. Seek medical attention from gynecology department in accordance with physicians recommendations.
  • Treatment will cause a loss in sense of thirst, hunger and taste for the first three months after the transplant. This is why patients have to drink three liters of water per day. Drinking less can result in serious electrolyte disorder raising the potential of getting ill. Liquid intake may also be supported by drinking milk, diluted yoghurt, tea, fruit juice or soup. Chew sugar-free chewing gum for building an appetite, suck on sweets for a sense of taste. Drink homemade lemonade 30 minutes before meals if feeling nausea.
  • Do not drink spring water from unknown sources. Only drink bottled water.
  • All milk taken outside should be boiled at least 15 minutes.
  • Use single use pasteurized or homemade yoghurt.
  • Thoroughly rinse all fruit and vegetables, leave them in water with vinegar for 30 minutes and peel all skin before consuming.
  • Eat seasonal fruit and vegetables. Avoid consuming processed foods and drinks with additives.
  • Thoroughly cook all food.
  • Strictly avoid eating processed meats (salami, sausage, bacon, and pepperoni) spices, raw onions and garlic, tomato paste, animal fat, offal, dried legumes, pickles, creams, kebabs, pizzas, burgers and any sort of ready foods. Only eat home cooking from fresh produce.
  • Thoroughly cook all meats and vegetables, make sure eggs are not cracked.
  • Do not crack nutshells in your mouth.
  • Refrain from eating strawberries as they grow close to the soil.
  • Do not eat frozen, stale food or conserves. Consume all food within 24 hours.
  • Store food in airtight containers.
  • Use latex gloves to prepare food.
  • Use mask whilst preparing food for the patient.
  • Pay attention to use by and sell by dates of all foods.
  • Do not discuss distressing issues with the patient. Keep patient’s morale high.

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