ESV SARAS

Non pharmacological management is asked routinely in the KFP so learn this list

  • E – Education
  • S4 – Syptomatic, Supportive, Specific, Secondary Prevention
  • V – Vaccination
  • S4 – Screening – Routine, Associated, Family, Contact
  • A3 – Activities – Atmospheric pressure, exercise, post-seizure
  • R3 – Referal – Allied/Specialist, Rehab,  Social Support
  • A5 – Admin – paperwork, driving, public health, care plan, document
  • S3 – Safety netting – optional and mandatory review, safety, suicide risk
  1. Education
  2. Symtomatic management
  3. Supportive management
  4. Specific management
  5. Secondary prevention
  6. Vaccination
  7. Screening – Routine
  8. Screening – Associated conditions
  9. Screening – Family screening
  10. Screening – Contact screening
  11. Activities – atmospheric pressure
  12. Activities – sport/exercise/concussion
  13. Activities – post seizure
  14. Referral – Allied/Specialist
  15. Referral – Rehabilitation
  16. Referral – Social support
  17. Administrative – paperwork
  18. Administrative – public health
  19. Administrative – driving restrictions
  20. Administrative – care plan
  21. Administrative – document advice given
  22. Safety Netting – review – optional and madatory
  23. Safety Netting – safeguarding vs confidentiality
  24. Safety Netting – suicide risk

In more detail

  1. Education
    1. About the medical condition
    2. Support groups ie coeliac
    3. DM (+/- SGLT2) and DKA
    4. Inhalers and technique
  2. Symtomatic management
    1. RICE (but does not tend to score marks)
    2. Simple Analgesia
    3. Cold
    4. Heat
    5. TENS
    6. Soft foods for sore throats
    7. Emolliants for itchy rashes
    8. Short fingernails for itchy rashes
    9. Exercise (MS)
    10. Nil by mouth and NGT
  3. Supportive management
    1. Fluids
    2. Nutrition
    3. Vapouriser
    4. Rest
    5. Regular sleep
    6. Exercise
    7. Ergonomics
    8. Relaxation (mindfullness, meditation, yoga, breathing)
    9. Delerium prevention in elderly
      1. Adequate hydration and nutrition
      2. Adequate pain relief
      3. Adequate sleep
      4. Correction of visual and hearing impairments
      5. Lighting appropriate to time of day
      6. Quiet
      7. Single rooms
      8. Clock and Calendar
      9. Family involvement
      10. Avoidance of restraints
  4. Specific management
    1. Orthotics ie heel raise
    2. Splints
    3. Crutches
    4. Intermittent compression devices (DVT prophylaxis)
    5. Lubricating eye drops
    6. Artificial saliva
    7. Deactivate ICD in palliative patients
    8. Epipen for anaphylaxis
  5. Secondary prevention
    1. SNAP (but does not tend to score marks) unless specific to question:
      1. Stop smoking (if smoker with COPD)
      2. Mediteranean/DASH diet
      3. Limit alcohol intake
      4. Physical exercise 150 min/week – 5 x 30 minutes moderate
      5. Lose weight
        1. MDT of dietician, exercise physiologist, psychologist
        2. Bariatric Surgery
    2. Folate and Iodine (pregnancy)
    3. Thiamine (alcohol excess)
    4. Aspirin
    5. ACE
    6. Statins
    7. DOAC (AF, VTE)
    8. Bisphosphenates, Denosumab, Vit D, Calcium (Osteoporosis)
    9. HFrEF – ACE/ARB, Beta Blockers, MRAs, Sacubitril/Valsartan, SGLT2, Diuretics, Digoxin
    10. Falls prevention
    11. S.aureaus decolonisation with
      1. Mupirocin (Bactroban) 2% ointment nasal BD for 5/7 +
      2. Chlorhexidine 2% body wash OD for 5/7 and/or
      3. Bleach baths (60ml per tub) ) OD for 5/7
      4. Also sanitise clothes and linen
  6. Vaccination
    1. influenza
    2. pneumococcal
    3. zoster
    4. dTpa
  7. Screening – Routine
    1. ATSI
    2. Breast
    3. Cervical
    4. CKD
    5. Colon
    6. Diabetes
    7. Osteoporosis
    8. Prostate
  8. Screening – Associated conditions
    1. Mental health associated with new Dx of disease
    2. DEXA scan
    3. Neuropathy – B12 deficiency
    4. Coeliac – Iron, Calcium and Vitamin D, B12, Folate, Zn, Vitamins A D E K
    5. Autoimmune – Other autoimmune
  9. Screening – Family screening
    1. heamochromatosis
    2. hypercholesterolaemia
    3. coeliac
    4. BRCA1/BRCA2
  10. Screening – Contact screening
    1. chlamydia
    2. gonorrhoea
    3. syphilis
    4. HBV
    5. HCV
    6. HIV
  11. Activities – atmospheric pressure
    1. flying
    2. swimming
    3. diving
  12. Activities – sport/exercise/pregnancy/concussion
    1. sexual activity
    2. seat belt use in pregnancy – above/below bump
    3. contact sport post concussion
    4. contact sport post EBV splenomegally
    5. bed rest – no for low back pain
  13. Activities – post seizure
    1. no driving
      1. Private 6 months (first) 12 months (recurrent)
      2. Commercial 5 years (first) 10 years (recurrent)
    2. no solo swimming
    3. no ladders
  14. Referral – Specialist
    1. Allied health
      1. Psychologist
      2. Physiotherapist
      3. Occupational Therapist
      4. Dietician
      5. Diabetes educator
      6. Speech therapist
      7. Optometry
      8. Orthotics
    2. Medical Specialist
    3. Genetic Counsellor
    4. Self Help
      1. This way up
    5. Headspace (12-25 year olds)
  15. Referral – Rehabilitation
    1. pulmonary
    2. cardiac
  16. Referral – Social support
    1. Aboriginal Health Worker
    2. Social worker
    3. Meals on wheels
    4. ACAT
    5. NDIS
    6. Disease specific groups
  17. Administrative – paperwork
    1. WCC
    2. Medical Certificate
    3. Centrelink
    4. Fitness to fly
    5. Opiod contract
    6. Authority to prescribe
  18. Administrative – public health
    1. Reporting
    2. Prevent transmission
      1. PPE for staff
      2. Masking in public (for infectious people)
      3. Isolation day care/school/work
      4. Not sharing utinsils/clothing/bedding
      5. Hand washing – particulary after gastro
      6. No school for 2 days after gastro
      7. No swimming pool for 2 weeks after gastro
  19. Administrative – driving restrictions
    1. private
    2. commercial
    3. licence cancellation
  20. Administrative – care plan
    1. Sick day plan
    2. Care Plan – GPMP & TCA
    3. Webster pack
    4. HMR
    5. CTG (Closing the Gap enrollment)
    6. NDSS (National Diabetes Support Service enrollment)
    7. ATSI Health Check booking (715)
    8. Advanced Care Planning
    9. Will
    10. Power of Attorney (financial)
    11. Enduring Guardian (health)
  21. Administrative – document advice given
    1. Cover your ass
    2. Check with Prescription Shopping Program / Smart Script etc
    3. Set reminders for follow up
  22. Safety Netting – review – optional and mandatory
    1. Review if A B C happens…
    2. Review if A B C does not happen…
    3. Mandatory review in X days
  23. Safety Netting – Safeguarding vs Confidentiality
    1. Sexual abuse
    2. Child abuse
    3. Homicide risk
  24. Safety Netting – suicide risk
    1. Lifeline phone number for depression
    2. Open door policy…