Give yourself time to deal with feelings of shock , denial confusion disappointment anger, guilt sadness and frustration that may manifest as exhaustion , disturbed sleep , changed eating patterns.
Help the parents by visiting , phone calls , sms , cards consider memorial mementoes. Be an active listener to reduce pent up stress and grief , be an active support to everyday living and routine chores where possible. After respectfully seeking the parents permission – do not usurp parent’s roles they sometime need to busy themselves. Allow parents to plan the grieving and funeral processes.
Found in 6-17% of the adult population and associated with symptoms of fatigue and sleep that is not refreshing, poor concentration low or depressive mood. Other presentations may be altered driving behaviour , cognitive deterioration , and non breathing periods during sleep.
Often associated factor are airway obstruction , obesity difficult to control hypertension, fatigue, poor motivation or depression.
Investigation includes clinical history , screening questionnaire, appropriate physical examination, and sleep studies by polysomnogram which may be done in certain case by home telemetry or formal laboratory hospital based sleeps studies.
Treatment is by correction of underlying physical factors and the use of C-pap positive pressure devices occasionally dental splinting and corrective ENT surgery may be appropriate.
The patient health summary is the most useful information you can present to a doctor you are seeing for the first time or when attending Accident & Emergency or being admitted to hospital. Patient health summaries are readily printed by your GP and ususally are 1-2 A 4 pages that are easily carried and read by a health professional. They also faciltate any practitioner contacting your regular doctor and assist in providing the address for communicating results , correspondence and discharge summaries to.
We encourage you to ask your doctor to print you a copy to carry
Approximately 1000 children die from inhaled foreign bodies per year and around the age of 3 yo. Mostly between 1 –2 yo. The most common inhaled objects are food and nuts but potentially any small item.
A history of choking /coughing with associated respiratory distress like wheeze noisy whistling breathing , “ turning blue “ with coughing or wheeze., a subsequent quiescent asymptomatic phase may prevail then be followed by respiratory complications like bronchitis or pneumonia with symptoms of cough , fever and being generally unwell.
Metal and glass objects may show on xray but plastic and food or other organic objects will not . A swallowed battery is a an urgent medical emergency because of its corrosive nature. Especially beware hearing aid , watch and other button batteries.
It is recommended that hard lollies , popcorn , raw carrot , raw apple be avoided under 15 months and nuts not be offered until after 4 yo
Chest thrusts or back slaps are appropriate during choking episodes.
If suspicious of foreign body ingestion or aspiration a GP or A&E review is appropriate Specialist paediatrician ENT review may be required.
Community immunity protects those members of the community who cannot or have not already been vaccinated – like the immunocompromised with serious other illness like cancer or dialysis, old age debility , those undergoing chemotherapy and new borns not yet vaccinated. To achieve community immunity at least 92% of the community need to be vaccinated.
Potentially life threatening diseases that are vaccinated against in Australia are: Diptheria , Whooping cough , Tetanus , Poliomyelitis, Measles, gastroeneteritis from Rotavirus.and chickenpox
Additionally significant diseases like cancer of the cervix, meningococcal infection, hepatitis B pnemococcal disease are also vaccinated through school and retired age group programs .