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IF WE ARE CLOSED CALL 111


Choose wisely. Is A&E the right service for your healthcare needs.pdf


Do you have Asthma, COPD or Diabetes?


Please ensure you see the Nurse for your Annual Health Check! Pre-book in advance. If you cant make the appointment for whatever reason please let us know so it can be offered to others.


Carers


Please let us know if you are a carer! Did you know you are entitled to an annual health check & flu vaccination and much more. See reception for further details


Named Accountable GP


All patients that register at Cassio Surgery will be given a Named Accountable GP who will take lead responsibility for their care. You will be informed when you register who that is.   


Friends & Family Test


Would you recommend Cassio to your friends & family? Ask for a 'Friends and Family test' form from reception or complete now online


Friends & Family Test


PATIENT LEAFLETS/USEFUL LINKS

PATIENT LEAFLETS/USEFUL LINKS

BLOCKED EARS - SELF HELP - Please click on link below for extremely helpful information and guidance. A visit to the Surgery is not always necessary.

Blocked Ears- self care Guidelines

According to NICE guidance ear irrigation is not suitable for:

    • A history of any previous problem with irrigation (pain, perforation, severe vertigo).
    • Current perforation of the tympanic membrane.
    • A history of perforation of the tympanic membrane in the last 12 months. Not all experts would agree with this — some would advise that any history of a perforation at any time, even one that has been surgically repaired, is a contraindication to irrigation because a healed perforation may have a thin area which would be more prone to re-perforation.
    • Grommets in place.
    • A history of any ear surgery (except extruded grommets within the last 18 months, with subsequent discharge from an Ear Nose and Throat department).
    • A mucus discharge from the ear (which may indicate an undiagnosed perforation) within the past 12 months.
    • A history of a middle ear infection in the previous 6 weeks.
    • Cleft palate, whether repaired or not.
    • Acute otitis externa with an oedematous ear canal and painful pinna.
    • Presence of a foreign body, including vegetable matter, in the ear. Hygroscopic matter, such as peas or lentils, will expand on contact with water making removal more difficult.  
    • Hearing in only one ear if it is the ear to be treated, as there is a remote chance that irrigation could cause permanent deafness.
    • Confusion or agitation, as they may be unable to sit still.
    • Inability to cooperate, for example young children and some people with learning difficulties.
    • Vertigo, as this may indicate the presence of middle ear disease with perforation of the tympanic membrane.
    • Recurrent otitis media with or without documented tympanic membrane perforation, as thin scars on the tympanic membrane can easily be perforated.
    • An immunocompromised state, especially older people with diabetes, as there is an increased risk of infection from iatrogenic trauma to the external auditory canal in this group of people.
  • Careful instrumentation should be employed in people who are taking anticoagulants due to increased bleeding risk.
PHYSIO EXERCISES 
For exercise leaflets and videos, follow this link:
Or click on links below:
CHRONIC DISEASE PREVENTION
How to have a Healthy Diet:
How to stay fit and healthy:
 
National Diabetes Prevention Programme:
EPIPEN USERS

The following link will give information on how to use your Epipen with a useful video. Please note this is the manufacturer's instructions.

http://www.epipen.co.uk/patients/epipenr-user-guide



 
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