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CVD RISKRoutine care summaryDIABETESHYPERTENSIONSTROKEAssessAssess at leastevery 5 yearsAdviseUrge patient tostop smokingAssess Advise TreatControl BPto preventstroke/heart attack14080Assess Advise TreatControlglucose tosave eyes,kidneys,feetHbA 1c
HELPLINE NUMBERSHelpline Services provided Contact number/sGeneral counsellingLifeline National Counselling Line Counselling for any life crisis and referral to relevant services 0861 322 322 (24 hour national helpline)Child line SA (ages 0 – 16 years) For children and young adolescents who are in crises, abuse or at risk of abuse and violence 0800 055 555 (24 hour toll free)AbuseStop Gender Violence Support for children, women and men experiencing domestic violence 0800 150 150 (24 hour toll free)Safeline Abuse counselling, court preparation, anti-abuse awareness campaigns and group therapy 0800 035 553 (24 hour crisis line 0723674588)Rape Crisis Counselling and court support for rape survivors > 13 years 021 447 97 62 (24 hour service)Chronic conditionArthritis Foundation Education and monthly support groups for patient with arthritis and/or fibromyalgia 0861 30 30 30 (National helpline)Epilepsy South Africa Education, counselling and support groups for patient with epilepsy and his/her family 0860 37 45 37 (National helpline)Diabetes South Africa Education, dietary plans, support groups and workshops for patient with diabetes 086 111 3913 (National helpline)Heart & Stroke Foundation Education and support groups for patient with stroke, any heart condition or CVD risk. 0860 143 278 (National helpline) · www.heartfoundation.co.zaNational AIDS helpline Counselling and information for patient who has HIV or thinking of testing 0800 012 322 (24 hour national helpline)Mental healthS A Depression and Anxiety group Counselling and support for patient with mental illness and/or family with suicide crisis line 0800 567 567 (Toll free service 8am–8pm)Substance abuse Counselling for patient and family with substance abuse, referral to rehabilitation centre 0800 12 13 14 (24 hour toll free)Alzheimer’s South Africa Information, training and support groups for carers 0860 102 681 (National helpline) · www.alzheimers.org.zaAlcoholics Anonymous Counselling, education and support groups for patient with alcohol abuse 0861 435 722Health workerDrug and Poisoning Advice on the management of exposure to or ingestion of poisonous substances 021 689 5227 and 021 931 6129 both 24 hours a day, 7 days a weekNational HIV & TB Health Care Worker Hotline For HIV and TB related clinical queries 0800 212 506 (08:30–16:30 Monday to Friday)Medicines Information Centre Advice on medicine related query like drug interactions, side effects, dosage, treatment failure 021 4066829 (08:30–16:30 Monday to Friday)Nutrition Information Centre (NICUS) For all nutrition related queries for health workers and the public. 021 9331408 (08:30–16:30 Monday to Friday) www.sun.ac.za/nicusAdministrationLegal Aid Advice line Information and guidance on any legal matter. They will return messages left after hours. 0800 110 110 (07:00–19:00 Monday to Friday) (National helpline)Medic Alert Assistance with application for Medic Alert disc or bracelet 086 111 2979 (09:00–16:00 Monday to Friday) (24 hour emergencies 021 4610000)Your helplinesTB HIV CHRONIC RESPIRATORYDISEASECHRONIC DISEASESOF LIFESTYLEMENTAL HEALTH EPILEPSY MUSCULOSKELETALDISORDERSWOMEN'S HEALTH
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CONTENTS: SYMPTOMSAssess and manage
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THE UNCONSCIOUS PatientManage the u
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WEIGHT LOSSRecognise the patient wi
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LYMPHADENOPATHY (enlarged lymph nod
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COLLAPSE• Unconscious 1• Fit 2
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HEADACHE• Sudden onset of severe
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FACE SYMPTOMSRecognize the patient
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NOSE SYMPTOMSRunny or blocked noseA
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CHEST PAINRecognise the patient wit
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WHEEZE/TIGHT CHESTInitial Managemen
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ABDOMINAL PAIN WITH OR WITHOUT SWEL
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DIARRHOEARecognise the ill patient
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GENITAL SYMPTOMSAssess the patient
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VAGINAL DISCHARGE• It is normal f
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OTHER GENITAL SYMPTOMSFirst assess
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ABNORMAL VAGINAL BLEEDING• BP < 9
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URINARY SYMPTOMSRecognise patient w
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JOINT SYMPTOMSRecognise the patient
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NECK PAINRecognise the patient with
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FOOT SYMPTOMS• If the problem is
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BURNSAttend urgently to the patient
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PAINFUL SKINFirm, red lump which so
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GENERALISED ITCHY RASHIf status unk
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GENERALISED NON ITCHY RED RASHIs pa
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CHANGES IN SKIN COLOURYellow skinDa
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SUICIDAL PatientRecognise the patie
Page 56 and 57: CONFUSED Patient• The confused pa
Page 58 and 59: TRAUMATISED/ABUSED PatientRecognize
Page 60 and 61: TB: DIAGNOSISExclude TB in the pati
Page 62 and 63: TB: ROUTINE CAREAssess the patient
Page 64 and 65: Manage the patient with a positive
Page 66 and 67: HIV: ROUTINE CAREAssess the patient
Page 68 and 69: Advise the patient with HIV• Supp
Page 70 and 71: ASTHMA AND COPD: DIAGNOSIS• The p
Page 72 and 73: CHRONIC OBSTRUCTIVE PULMONARY DISEA
Page 74 and 75: CARDIOVASCULAR DISEASE (CVD) RISK:
Page 76 and 77: DIABETES: ROUTINE CAREAssess the pa
Page 78 and 79: HYPERTENSION: DIAGNOSISCheck blood
Page 80 and 81: HEART FAILURE: ROUTINE CARE• The
Page 82 and 83: ISCHAEMIC HEART DISEASE (IHD): DIAG
Page 84 and 85: PERIPHERAL VASCULAR DISEASE (PVD)
Page 86 and 87: DEPRESSION AND ANXIETY: DIAGNOSISAs
Page 88 and 89: SUBSTANCE ABUSEIdentify the patient
Page 90 and 91: Advise the patient with psychosis
Page 92 and 93: EPILEPSYDr• If the patient is fit
Page 94 and 95: GOUT• Gout is a metabolic disease
Page 96 and 97: CONTRACEPTIONGive emergency contrac
Page 98 and 99: THE PREGNANT Patient• Fitting•
Page 100 and 101: ROUTINE ANTENATAL CAREAssess the pr
Page 102 and 103: POSTNATAL CAREAssess the mother and
Page 104 and 105: PREP ROOM ASSESSMENT OF THE Patient
Page 108: 103TB HIV CHRONIC RESPIRATORYDISEAS
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