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Beaufort DriveBucksWillen, MK15 9EYTel:
The Bridge Primary Care Network (PCN)
“Understanding PCNs and what it means for patients”
If you missed our webinar on Wednesday 8th July at 12.30 pm for patients to understand more about the role of the PCN within Primary Care and the services that patients of The Bridge (NPMC, NPMC@Willen, Kingfisher and Brooklands) can access, here is a recording for your information, please click on the link and enter the password yNMNhHi3
Our aim is to provide a service that encourages partnership in decision-making, supports you in managing your diabetes and helps you to adopt and maintain a healthy lifestyle.
Diabetes care at the Medical CentreWe hold diabetes clinics every day except Thursday. it is important to make an appointment with one of our receptionists.
Introduction Being diagnosed with diabetes can be a stressful and worrying time. We hope that this information will help you understand a little more about your condition and the care that we provide you with.
Diabetes mellitus is a condition in which the amount of glucose (sugar) in the blood is too high because the body cannot use it properly. Glucose comes from the digestion of starchy foods such as bread, rice, potatoes, chapattis, yams and plantain, from sugar and other sweet foods, and from the liver which makes glucose.
Insulin is vital for life. It is a hormone produced by the pancreas, which helps the glucose to enter the cells where it is used as fuel by the body. The main symptoms of untreated diabetes are increased thirst, going to the toilet all the time – especially at night, extreme tiredness, weight loss, genital itching or regular episodes of thrush, and blurred vision.
For more information visit: Diabetes UK
Types of DiabetesThere are two main types of diabetes. These are:
Keeping healthyTo keep well and healthy, everyone with diabetes needs good and regular healthcare. The early detection, treatment and continued control of your diabetes is very important as this will reduce your chances of developing the serious health problems (complications) linked to diabetes, such as heart disease, kidney disease and blindness.
There is a lot that can be done to reduce the severity of any complications from this disease.
Diabetes care – your diabetes care team, who does what?To achieve the best possible diabetes care, you need to work together with healthcare professionals as equal members of your diabetes care team.
Here at the Medical Centre that team is made up of:
Diabetic Clinic Manager: Liz HurrySpecialist Diabetic GP: Dr Rocque and Dr Karia Specialist Diabetic Practice Nurse: Linda Sterry / Jacqui Harrison / Rachel Worsley / Nicola HudsonHealthcare Assistants: Clare Campbell
It is essential that you understand your diabetes as well as possible so that you are an effective member of this team. Please feel free to contact our Diabetic Clinic Manager, on the phone on 01908 611767 or via email if you have any queries at all: firstname.lastname@example.org
Diabetes – your annual review – what does it involve?We recognise that living with diabetes becomes a lifelong learning process, whether you have just been diagnosed or had diabetes for some time. Monitoring your health when you have diabetes is crucial to preventing some of the complications associated with diabetes. This involves knowing your blood glucose, blood pressure and blood fat levels as well as the condition of your feet and getting your eyes screened for retinopathy
We have redesigned the care we give to our patients with diabetes and invite all our patients with diabetes to attend an annual diabetic review at the Medical Centre.
How does the Annual Review Work?Stage OneA 30 minute appointment in the morning with the Health Care Assistant in preparation for your annual diabetic check.
At this appointment the following tests which are recommended yearly will be carried out. We will then send you the results prior to your review appointment in order to assist you in planning for your review.
Laboratory tests and investigations
Stage TwoAn appointment for an ‘annual review’ with Jacqui, Linda, Rachel or Nicola, our diabetic nurses. This should be made for three weeks after your preparation appointment in order for us to have time to send you results and relevant information.
Preconception care for women with diabetes
If you have type 1 or 2 diabetes controlling your blood glucose levels is extremely important as this can improve your chances of a safe and successful outcome for both you and your baby. So if you are planning a pregnancy please make an appointment with the Diabetes nursing team to discuss this further. It is important to ensure you are on suitable medications before and during a pregnancy.
Diabetes in pregnancy
If you become pregnant while you have diabetes or develop diabetes during pregnancy we will work closely with you and your midwife to support you in having a positive, healthy pregnancy. You will be referred for specialist hospital care, under the care of Dr Chandran. It is important to have regular checks to reduce problems from abnormal blood glucose levels, and you may need to have insulin
The following list of responsibilities is given to help you play your part in your own diabetes care.
It is your responsibility:
Asthma remains a serious illness and if you are at all concerned that your asthma is getting worse you should ask for an emergency appointment with your doctor or nurse. Please make it clear to reception staff that you are asthmatic when you phone.
Two of our practice nurses have specialist asthma qualifications. They run clinics in order that asthma may be assessed, advice offered, queries answered and correct treatment ensured.
Patients on asthma medication should be seen at least once a year in the asthma clinic for a check up with the nurse.
The following factsheets, available from Patient UK give information and advice on a variety of asthma related topics:
What is asthma; who does it affect? Management of Adult Asthma Management of Childhood AsthmaMedicines inside inhalers; types of inhaler devicesPeak Flow Meter
Further information:NHS Direct Index of conditions
Asthma UK- an independent UK charity dedicated to conquering asthma. It funds research, offers help and advice, and campaigns for a better deal for people with asthma
Asthma UK - All about Asthma
We offer an annual appointment to patients with established heart disease.
The purpose of this clinic is to support you in managing your heart condition and to ensure that the quality of your health remains at its best. It has been proven that correct management of people with cardiovascular disease will reduce the risks of death, heart attacks and admission to hospital.
At the clinic we will review risk factors, discuss lifestyle changes, review medications and arm you with the knowledge you need to manage your condition.
Two weeks prior to your appointment you will need to have a blood test. This will mean that your cholesterol and other blood tests will be available for discussion at the clinic.
The cardiac monitoring clinic also sees patients who have a high risk of heart disease, but have not actually had a heart attack. They do this through a once off appointment in the clinic and then with support via the practice nursing clinic with any ongoing lifestyle issues. To access this clinic you need to be referred by your GP or practice nurse.
For further informationIf you are interested in accessing further information on heart disease and how to manage it the British Heart Foundation offers a wealth of information to help you.
Cardiac Risk Calculator- This will help you to calculate your risk of heart disease, but cannot be used if you have already had a cardiac event (Heart attack/Stroke)
This is a charity based scheme offering support for those who have suffered from a heart attack, angina, heart bypass or other hear problems.
They have facilities for members to exercise in a safe environment with trained staff. For information please visit their website: www.mkcardiacgroup.org
Our aim is to provide a service that encourages partnership in decision-making, in order to support you managing your high blood pressure. If you have high blood pressure, this higher pressure puts extra strain on your heart and blood vessels. Over time, this extra strain increases your risk of a heart attack or stroke. High blood pressure can also cause heart and kidney disease, and is closely linked to some forms of dementia.
Put simply, blood pressure is the pressure of blood in your arteries.
Your heart is your body’s main pump and it pushes blood through your arteries by contracting and relaxing. When it contracts, it forces blood through your arteries and pushes the pressure of the blood to the highest point – the systolic pressure. When your heart relaxes between beats, your blood pressure is at its lowest – its diasystolic pressure. The two pressures are written as two numbers, with the higher pressure first.
High blood pressure usually has no signs or symptoms, so the only way to know if you have high blood pressure is to have yours measured. However, a single high reading does not necessarily mean you have high blood pressure. Many things can affect your blood pressure through the day, so your doctor or nurse will take a number of blood pressure readings to check if it stays high over time.
You can find out more about high blood pressure, its treatment and the role you can play in reducing it at the Blood Pressure Association website
You probably have high blood pressure (hypertension) if your blood pressure readings are consistently 140 over 90, or higher, over a number of weeks.
You may also have high blood pressure if just one of the numbers is higher than it should be over a number of weeks. In other words:
We do know that your lifestyle can affect your risk of developing it. You are at a higher risk if:
There are some factors that increase your risk of developing high blood pressure, which you cannot control. These include:
Your doctor will then refer you to one of our practice nurses who will work with you to achieve optimum control. They will monitor your blood pressure and see you regularly. During this time you will need to return every couple of weeks for a blood test and for your medication to be adjusted. It is common to find that one medicine on its own is not enough, and your doctor will then add another blood pressure medicine until control is gained. Each time your medicine is increased or you have another one added you need to make an appointment for a blood test to check if your high blood pressure has affected your body and its organs. The results of these tests will help your doctor to choose the best medicines.
Your diet, exercise levels and weight have a real effect on your BP. Being the right weight lowers BP because your heart doesn't have to work so hard. If you have high blood pressure, you can start lowering it today by eating more healthily (reduce salt intake, eat more fruit and vegetables) and being more active. Even a little, regular extra exercise helps. Keeping to healthy alcohol limits will lower your blood pressure. If we work together and control your BP your chances of having a heart attack or stroke will be greatly reduced.
Once your blood pressure is controlled you will be asked to have a blood pressure check six months later, and then, if all is well, to return yearly in the month of your birthday for an annual review with a practice nurse.
At the annual review working together we’ll produce a care plan for the following year, capturing what you intend to do to stay healthy and reduce risk and any help you need to do that.
Prior to your annual check you need to have a blood test taken. It is our responsibility to:
Download this form to record your blood pressure, pulse, blood test results and medications you are taking, including changes. Please bring a copy to your appointments.
You might find it helpful to monitor your blood pressure using a home blood pressure monitor. These are simple to use and can be a really useful way to see what your blood pressure is like in your daily life. You can find out more about home blood pressure monitors on the Blood Pressure Association website.
See here for more information about the blood pressure test
Are there specific days when it is better to have blood taken eg blood clinic? No any day up till 3pm
How soon are the results of a blood test available? Some are immediate (e.g. cholesterol) and some that have to be sent away for analysis? They do vary but a few days is the norm
Should urine samples be the first in the morning? No it doesn’t matter
Are sample bottles available at the desk?Yes
Are the results of urine tests available immediately?Again can the results of some tests be available immediately but others need to be sent away for analysis? You are right. Some are done immediately some sent away
When medication is being introduced to control BP how often should you have urine and blood tests eg every month? Two weeks after every change
How soon after you have had blood and urine tests should you make an appointment? 1 week should be OK
Who should this appointment be with, doctor or nurse? As part of your care when you are first diagnosed with hypertension you will have a named nurse who will manage your care. She will refer you back to your GP if and when you need extra medication, and you will then continue seeing her until you are stable. Then you will return six months later for a blood pressure check and if all is well then yearly in the month of your birthday with any practice nurse.
When medication is being introduced to control BP do you need to repeat both urine and blood tests?You need to repeat your blood tests each time new medication is introduced.
Milton Keynes Survival Guide for people living with a disability
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