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Workshop 3 Making a difference examples of self care at practice level

Workshop 4. Introduction Self care examples from 3 practicesP.A.R.T model for self careSummary and questions. Coughs and colds self care model. Coughs and colds self care model cont. W Who is the appointment for? HHow long have you (or they) had the complaint?A Anything taken?M Medication (existing)?(Developed by Gemma Ravenscroft, Ashfields Primary Care Centre, Sandbach, Cheshire).

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Workshop 3 Making a difference examples of self care at practice level

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    1. Workshop 3 Making a difference – examples of self care at practice level Eleanor Thomas Helena Stone

    2. Explain role of pilot sites in Self care for Primary Care project. Explain role of pilot sites in Self care for Primary Care project.

    3. Coughs and colds self care model Explain Ashfields model for coughs and coldsExplain Ashfields model for coughs and colds

    4. Coughs and colds self care model cont W Who is the appointment for? H How long have you (or they) had the complaint? A Anything taken? M Medication (existing)? (Developed by Gemma Ravenscroft, Ashfields Primary Care Centre, Sandbach, Cheshire) Unfortunately there have been problems implementing this due to staff issues.Unfortunately there have been problems implementing this due to staff issues.

    5. Management of sore throats in adults and children Weaver Vale receptionists protocol – developed by GPs within the practice. Early days but feedback so far looks mixed.Weaver Vale receptionists protocol – developed by GPs within the practice. Early days but feedback so far looks mixed.

    6.

    7. Instructions to receptionists Please supply the following choice of information for the patient: leaflets NHS Direct printout on sore throats prodigy PILs leaflet telephone number and directions to the pharmacy Finally enter a note on the computer that you have had this discussion with the patient (Developed by Weaver Vale Surgery, Winsford, Cheshire)

    8. Self Care Captions Lots of juice keeps you loose With too much booze life’s no cruise Be wise – immunise Walk a mile – makes you smile Lose weight – feel great Stub it out – don’t die out Coughs & sneezes are not diseases Smiles & jokes – healthy folks (Developed by the staff at the Tudors Surgery, Nantwich, Cheshire) Explain the Tudors approach to having a self care topic of the month.Explain the Tudors approach to having a self care topic of the month.

    9. Self Care Messages If you have ‘flu do not ask your GP for antibiotics as these are ineffective on viruses Regular movement and avoiding one position for long periods of time can help minimise the risk of developing back pain Did you know that a child with chicken pox is contagious until the last spot has crusted over? Your local pharmacist can provide you with advice and over the counter remedies for most minor ailments For back pain help yourself by moving within your pain limits, applying ice or heat to the affected area and taking pain killers Head lice treatment is only advised if you inspect the head and see a live louse Self care for a cold - plenty of rest, plenty of drinks, take paracetamol based medicine, ask your pharmacist for advice!

    10. P.A.R.T. model for self care The P.A.R.T. model is used to illustrate pathways for self care – P Prevent the condition developing A Await resolution of the symptoms R Use self management for Relief of symptoms T Learn to Tolerate symptoms that do not resolve or cannot be reasonably alleviated

    11. The PART model to illustrate pathways for self care

    12. Slide 1 – Use the Top 10 conditions presenting in General Practice supplied to populate slide 2 Slide 2 – Take each condition / ailment listed on slide 1 and place it on the matrix on slide 2. There are 4 options to choose from according to whether they frequently occur and if they do their workload implications i) High demand, high complexity; ii) low demand, high complexity; iii) high demand, low complexity; iv) low demand, low complexity. Slide 3 – next take only the conditions you placed in high demand/low complexity sector - for each condition that falls within the high demand / low complexity sector indicate which member of the practice team is best placed to provide prevention, await resolution, relieve symptoms or encourage tolerance. Add extra rows for other healthcare professionals or patients/carers if they are part of your team promoting self care and have a role to play This exercise will determine which stages of which condition you believe that people can wholly and appropriately self care . It will also identify which stages of which conditions you believe need more intensive support from a primary healthcare professional. PART Model

    13. Conditions and ailments

    14. GP workload associated with common conditions in general practice

    15. PART Model Take one condition from low complexity / high demand quadrant On flip chart (page 2) indicate who (patient and / or practice team member) is best placed to provide: Prevention Await Resolution Relief of symptoms Tolerance And list some activities around these areas

    16. PART model

    17. P.A.R.T model - Coughs & Colds

    18. P.A.R.T model - Coughs & Colds

    19. P.A.R.T model - Coughs & Colds

    20. P.A.R.T model - Coughs & Colds

    21. P.A.R.T model - Coughs & Colds

    22. P.A.R.T model - Coughs & Colds

    23. Summary and questions Examples of self care at practice level How the P.A.R.T. model can be used in self care pathways Questions?

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