Inside this issue Flu Vaccination 2004 Coronary Heart Disease & Diabetes
Influenza (Flu), is a debilitating winter illness which
Coronary Heart Disease and Stroke are the major
can be life threatening to the elderly or those
causes of death and ill health in Scotland. If we are
suffering from chronic illness. For many years
to be successful in preventing further illness we
Queen’s Road Medical Group, following advice from
must manage those with the disease so as to
the Chief Medical Officer for Scotland, has offered
reduce their risk of suffering further acute events.
Secondary Prevention Coronary Heart Disease
Screening Clinic. This takes place at the Torry
Neighbourhood Centre on a weekly basis. It is a
nurse led clinic where the risk factors of Coronary
Heart Disease are assessed. Advice is given on
any changes needed including diet, exercise and
smoking status. Current medication is reviewed,
blood pressure and cholesterol levels are
monitored. Our re-call system is changing, but all
patients at risk from heart disease will be offered an
annual review. Please remember that regular reviews of your health could help avoid further heart problems.
Over 120,000 (1 in 40) people in Scotland have
Uptake last year was well over 70% of our target
complications of Diabetes include a high risk of
population. The programme is run in both the
heart disease, stroke, kidney failure, eye disease
Rubislaw Church Hall and the Torry Neighbourhood
and foot ulceration. However, there is increasing
Centre by our own practice nurses and specially
evidence that good control of blood sugar, blood
employed staff. We vaccinated over 1800 people
pressure and cholesterol can delay and even
last year and hope to achieve more this year.
prevent the onset on complications of diabetes.
In conjunction with the Flu vaccine we will be
The Grampian Diabetes Managed Clinical Network
offering the Pneumococcal vaccine to those who
has provided guidelines for Primary Care to assist in
the care of Diabetic patients. At the practice we
Pneumococcus is responsible for tonsillitis, chest
now have a GP and a practice nurse who have
infections and in rare cases meningitis. We have
taken further training in Diabetes management and
been advised to offer this vaccine to all aged 65 and
we are pleased to inform you that from October
over. Once vaccinated you are protected for several
2004 we shall be running a nurse led Diabetic Clinic
years and will not need regular re-vaccination.
at the Torry Neighbourhood Centre. Patients with
type 2 Diabetes will be invited to attend every 6
The programme will run from the beginning of
months for assessment, monitoring and advice on
October until December and those eligible will
their Diabetes and associated risk factors. Patients
receive a letter of invitation and instruction to their
will receive a letter of invitation to attend the clinic. This is an opportunity for our patients with
Diabetes to receive the benefits of practice based
We hope that if eligible you will take the
care and we are looking forward to providing this
vaccinations offered and protect yourself for the
Want to give up smoking?
assistance? Well in this instance the practice can refer you for more intensive smoking cessation advice and counselling. This can again result in a prescription of NRT or even Zyban which is an alternative medication that can also prove effective.
I have not mentioned alternative methods of
If you ask most smokers whether they want to give
acupuncture, laser therapy, and hypnosis as the
up, the majority will say yes. I could bore you with
lots of statistics as to why you should but I can see
The message must always be that whatever works
for you then that is fine. Obviously these other
That is the problem; we are human and believe
methods will cost you money but if you succeed
rightly or wrongly that nothing will ever happen to
think of the overall savings you are going to make.
Nothing in life is easy and there can be no gains
Unfortunately we do know better but push logic to
without some ‘pain’ but if at first you don’t succeed
the back of out minds when difficult decisions have
then try, try again. You know it makes sense!
to be made. We behave like the ostrich and bury our
Additionally when you are young and start to smoke, health problems are not uppermost in your mind and
the attitude of I can easily stop tends to prevail, but
time passes by all too fast and lo and behold you are middle-aged and health problems are now in
NHS Stop Smoking Helpline 0800 169 0 169
A smoker can always regale you with so and so down the road that smoked full strength Woodbines
and never had a day’s illness. Unfortunately this is a
Staff Changes
rarity and if you could be the fly on the wall of my
daily surgery and visits you would soon see and
We are sorry to confirm that Anne Ferenth, Practice
appreciate the devastating diseases that are directly
Nurse at 6 Queen’s Road, left us at the beginning of
August. She has cared for our Queen’s Road
I will provide some useful links and telephone
patients faithfully for 14 years and will be much
numbers at the end of this article as there is a lot of
missed. We wish her well for the future.
help out there! You just have to make use of it!
Anyway what can the practice do for you if you
Staff Fundraising
Well there is good evidence that if the doctor or
nurse advises that your health is suffering many
If you have been here on the last Friday of any
people will actually go away and stop! Great, so
month, you may have noticed that the staff and
expect us to ask whether you smoke and we will try
doctors are dressed more casually than usual. If
they choose to do so, they are “fined” £1 each and the money goes to a nominated charity. Sometimes
We can offer some basic literature on how to
staff raise extra cash by selling home baking too.
manage the process and what help is available. If
you have made a decision to stop it is likely we will
We collected nearly £100 for the Kelly Cumming
Trust and our nominated charity for July –
In Grampian most pharmacies will provide a
September is Aberdeen Breathe-Easy, part of the
personal service on smoking cessation which
involves the issue of Nicotine replacement therapy
(NRT) with only a prescription charge to pay or at no
If you would like to nominate a charity, please
cost if you are already exempt! You will not need a
let us know.
doctor’s prescription! The pharmacist will assess
you fully and issue NRT at the appropriate strength
and arrange follow up initially on a weekly basis for
the first month. You will generally be offered a 3
month reducing course of treatment at NHS cost
Please visit the practice website for more
and bingo, you are now a smoke free zone! If only
information about Queen’s Road Medical Group and
What if low level pharmacy support does not
succeed or there is a requirement for more intensive
Suggestions and Comments ………………………………………………………………………………………………….
We aim to provide an efficient service at all times and welcome any feedback from patients, either about this
newsletter or about the practice generally. Please use this tear off slip and hand it to the receptionist. Thank you.
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Examensrelevante Abschlussprüfung für Rettungsassistenten/innen zur Probe: www.rettungsassistenten-examen.de BEARBEITUNGSZEIT: 180 Min: Medizinische Grundlagen 1. Ordnen Sie die Organisationsebenen des menschlichen Körpers der Reihe nach von der Kleinsten a) Atome-Moleküle-Zel en-Zellorganellen-Gewebe-Organ-Organsystem-Mensch b) Atome-Zel en-Zellorganel en-Moleküle-Gew