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He describes as his proudest achievements his “modest role at the inception of Family Nurse Partnership in the UK and of my work on ageing”. If you find it difficult to contact your doctor or get to the surgery you can call NHS 111 for medical advice, 24 hours a day. Rash. Unfortunately, children who have eaten or drunk beyond the times given above will not be able to have their operation on that day and will be sent home to wait for another appointment. However, the condition is much more serious if it has spread to the baby’s organs. Don’t apply it to their nostrils because this could cause irritation and breathing difficulties. On admission to the unit for parents and babies, and at weekly intervals for babies, we screen for carriage of antibiotic resistant bacteria, so that if infection arises we know what antibiotics to use.

Not eating for a couple of days is unlikely to do your child any harm, but if they have also gone off drinking, you need to work hard to ensure they do not become dehydrated. After Day 5 If there is a return of a raised temperature after day 5 or if any of the symptoms are not continuing to improve or especially if they are getting any worse, then there is a real risk that there is “Secondary Bacterial Infection”, and these need treating with antibiotics and the sooner the better. Removing the adenoids and tonsils in a single procedure reduces the risk of complications. If the enema works well, you will be able to return home once your child is well and feeding normally. If your child has any medical problems, such as allergies, please tell the doctors. This is a really positive time, as it means your baby is getting better. Aspirin should not be given to children under 16 years old as there is a small risk that it could set off a rare condition called Reye’s syndrome, which can cause brain and liver damage.


You can get teething gel from your local pharmacy. A child’s symptoms can also be relieved by gently cleaning away any crusty discharge with clean cotton wool soaked in boiled, cooled water. Arterio-venous malformation: an abnormal direct connection between arteries and veins. These vaccines don’t offer lifelong protection from whooping cough, but they can help stop children getting it when they’re young and more vulnerable to the effects of the infection. Be as active as possible within your pain limits, and avoid activities that make the pain worse. In some cases, the breathing difficulties are severe enough to need a short stay in hospital, sometimes with steroid medicines to reduce the swollen airway and extra oxygen if their blood levels are low. You can also burn in cloudy and cool conditions.

The National Patient Safety Agency (NPSA, 2010) issued a rapid response alert identifying the post-operative care needs for patients following gastrostomy insertion. You can help prevent the spreading of the virus by following advice from NHS Choices. Try not to show any disgust at what’s in their nappy. This is why the first immunisations are offered to babies younger than this and have to be given at 2 and 4 months of age. If you’re admitted to hospital with a kidney infection, you’ll probably be attached to a drip so you can be given fluids to help keep you hydrated. This procedure uses an endoscope (flexible plastic tube with a camera and light at the end) to insert the gastrostomy device. Since medical resources are scarce the NHS, via the Cambridge City Primary Care Trust, has rightly said that these should be restricted to those who are seriously ill and unable to travel (lack of transport is not a reason).

If you have a high platelet count in your blood, you may be able to directly donate platelets. The washouts may be made more acceptable and easier by the ACE operation (Antegrade Continence Enema). We offer a minor surgery service at the practice including joint injections. 2. Thermometer – this can be useful if someone in the family develops a cold or if a young child becomes ill. Lean meat, fish, poultry, eggs, cheese, beans and pulses are all good source of nutrients. Some children develop a very high fever or complications of flu such as bronchitis, pneumonia and painful middle ear infection.

If you would like more information on this feature, please contact the practice. However, measles can lead to serious and potentially life-threatening complications in some people. In rare cases, these changed cells can become cancerous. The ulcers can be painful and make eating, drinking and swallowing difficult. D&V is a common side effect of many medicines, especially antibiotics. Rather than visit a GP, parents seeking medication for their children can be given the drugs free of charge on the NHS, at a local pharmacy participating in the scheme.