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Minor Illness Symptoms Advice Red Flags
Acne Routine appointment.
Back Pain Patient Action: * Numbness/tingling genitals/buttocks
* Speak to pharmacist re: over the counter (OTC) * Difficulty peeing
pain medication * Loss of bladder/bowel control
* Use hot and cold compression packs * High temperature
Routine appointment if: * Weight loss
* Had for more than 2 weeks * Swelling/deformity of the back
Add to triage if: * Pain started following a serious accident
* Pain is severe or getting worse instead of better
* Patient is struggling to cope
Colds and Nasal Congestion * Blocked/runny nose Patient Action: * Temp above 39 degrees
* Sort throat * Rest/sleep * Confusion/disorientation
* Headache/muscle ache * Keep warm * Sharp chest pain
* Cough * Drink fluids * Symptoms have lasted longer than 3 weeks
* High temp * Speak to pharmacist re: OTC medication * Coughing up blood
* Pressure in ears/face * Symptoms can last longer in children
Conjunctivitis * Itchy/watery eyes Under 2yrs - triage. Over 2yrs - pharmacy * Loss of vision/sensitive to light
* Sticky coating on eyelashes
* Burning sensation
Constipation Common and usually harmless. Should settle within a * Symptoms have lasted longer than 6 weeks
few days - can take up to 4 weeks. * Swollen stomach
Patient Action: * Vomiting
* Patient to check self care leaflet for dietary advice. * Feverish
* Patient to check any medications they are taking to * Feeling unwell
see if constipation is a side effect. If due to * Bloods in stools
medication and patient cannot control symptoms - * Weight loss
speak to pharmacist.
* Speak to pharmacist re: OTC medication
Coughs Symptoms can last 3-8 weeks. * Coughing up blood
Patient Action: * Lasting longer than 3-4 weeks
* Patient to check self care leaflet for advice on * Chest/shoulder pain
avoiding triggers * Breathless
* Speak to pharmacist re: OTC medication * Weight loss (over 6 weeks or more)
* Hoarse voice for more than 3 weeks
* Temp 39 degrees or over
Diarrhoea (Adults Only) Symptoms can last up to one week. * Still dehydrated despite using rehydration sachets
Patient Action: * Bloody stools/bleeding bottom
* Drink fluids * Diarrhoea for 7 days + or vomiting for 2 days +
* Speak to pharmacist re: OTC medication
Fungal Nail Infections Patient Action:
* Patient to check self care leaflet for advice on
lifestyle changes to prevent/lessen symptoms
* Speak to pharmacist re: OTC medication
Minor Illness Symptoms Advice Red Flags
Haemorrhoids (Piles) * Bleeding after passing a stool Patient Action:
* Itchy bottom * Patient to check self care leaflet for advice on
* Lump hanging out of the anus lifestyle changes to prevent/lessen symptoms
* Mucus discharge * Speak to pharmacist re: OTC medication
* Soreness/redness/swelling of anus
Hayfever * Sneezing Patient action: Appointment with practice pharmacist if:
* Itchy nose/throat * Speak to pharmacist re: OTC medication * Wheezing/breathless/tight chest
* Headache/sinus pain * Pregnant/breastfeeding
* Red/itchy/watery eyes * Symptoms not relieved with OTC medication
* Fatigue Triage if:
* Photophobia
* Ear pain
* Severe coughing/swollen lymph glands
Headaches and Migraines Patient Action: * Stiff neck
* Patient to check self care leaflet for advice on * Drowsy
lifestyle changes to prevent/lessen symptoms *Vomiting
* Speak to pharmacist re: OTC medication * Change in speech/personality
* Odd sensations/numbness/weakness
* Sudden/severe headache
* Photophobia/blind spots
Heartburn and Indigestion Patient Action: * Vomiting blood or dark lumps (coffee grounds)
* Patient to check self care leaflet for advice on * Swallowing problems
lifestyle changes to prevent/lessen symptoms * Unexplained fever/night sweats/weight loss/swelling in
* Speak to pharmacist re: OTC medication abdomen
Infant Colic Patient Action:
* Patient to check self care leaflet for advice on
comforting baby and treatments available
* Speak to HV if concerns about baby's symptoms or
parent/guardian feels unable to cope
Minor Burns and Scalds Patient Action: * Chemical/electrical burns
* Patient to check self care leaflet for advice on * Large/deep burns (larger than hand-size)
treatment * White/charred skin
* Speak to pharmacist re: OTC pain medication * Burns of face/hands/arms/feet/legs/genitals and cause
blisters
* DO NOT SEE GP IF BURNS ARE SEVERE - SEE
MINOR INJURY UNIT OR A&E
Minor Illness Symptoms Advice Red Flags
Oral Thrush Adults Patient Action:
* red mouth & white patches * Patient to check self care leaflet for advice on
* cracks at corners of mouth prevention
* things not tasting properly * Speak to pharmacist re: OTC medication if
* unpleasant taste in mouth symptoms are no better in 7-10 days
* pain e.g. sore gums/tongue * If recurrent bouts - routine appointment with GP
* difficulty eating & drinking who may request blood tests
Kids
* white coating on tongue
* don't want to feed
* nappy rash
Sleeping Problems Routine appointment * Linked to bereavement/depression/mental health
Sore Throat Extremely common and likely to get better in 3-7 * Drooling/difficult to swallow - urgent!
days and a maximum of 2 weeks. Most last for an * Persistent high temp over 38 degrees for more than 3
average of 8 days. Patient will not need antibiotics for days that doesn’t come down with paracetamol or ibuprofen
most throat infections. * Symptoms last longer than 10-14 days
Patient Action: * Hard to breathe/drinks fluids
* Speak to a pharmacist re: OTC medication
Sprains and Strains Sprain: injured ligament ,usually thumb, Patient action: * Pain is severe and not controlled by OTC medication
wrist, knee or ankle - treat with gentle * Speak to pharmacist re: OTC pain medication * No improvement after 3-4 days self treatment
exercise as pain allows. * Deformity of affected body part/severe bruising/swelling
Strain: Overstretching/tearing of muscle, * Can’t move affected joint
usually back or legs and following * Numbness of affected area
exercise - rest.
Sunburn See Practice Nurse if blistered. Pharmacy if normal
sunburn
Temperature and Fever in Children High temp is classed as 38 degrees or Patient Action: * Rash or is very unwell
more. Natural and healthy response to * Patient to check self care leaflet for advice on * Temp lasting more than 5 days
an infection. Should go down on it's own treatment * Temp doesn't come down with paracetamol/ibuprofen
after 3-4 days. * Speak to pharmacist re: OTC medication * Showing signs of dehydration
* Appointment with GP if under 3mths old
Threadworms * Itchy bum Patient Action: * Speak to GP if pregnant or breastfeeding or need to treat
* Waking in the night * Patient to check self care leaflet for advice on a child under the age of 2yrs.
* Worms in poo (look like white thread) treatment
* Speak to pharmacist re: OTC medication - very
easy to treat. Will be advised to treat all members of
the household
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