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Preliminary check

1

test

Do you have severe chest pain?

yes
yesSee a doctor

no
yes
2


2

test

Do you cough up blood?

yes
yesSee a doctor
3

no
yes
3


3

test

Is the in-breath louder than the out-breath (stridor)?

yes
yesSee a doctor
4


Breathlessness

4

test

Is the patient out of breath when speaking?
(note: do their shoulders move to help them breathe)

yes
yesSevere breathlessness
go to5

no
yes
5


5

test

Do you now struggle with a normal activity such as walking, which didn’t happen before?

yes
yesADL limited by breathlessness
go to6

no
yes
6


6

test

How many sit to stands OR what distance walked in 2 minutes?

 :

yesTime/ distance?
7


7

test

What number does the patient point to for breathlessness?

 

yesNumber on scale?
proceed 8


Sputum

8

test

can you hear crackles with your ear or stethoscope?

yes
yessputum needs clearance
9

no
yes
9


9

test

Can you feel the crackles with your hand?

yes
yessputum needs clearance
10

no
yes
10


10

test

Are the crackles high in the lungs?

no
yes
11

yes
nosputum needs clearance
11


11

test

Do you hear bronchial breathing or reduced breath sounds?

no
nogo to doctor
12

yes
yes
12


12

test

Do you feel aches around your shoulders or chest from coughing and bringing up sputum?

yes
yesneeds pain relief in sputum clearance
13

no
yes
13


13

test

Are you drinking enough water?

yes
yes
14

no
yesDe-hydrated
14


14

test

Do you (the patient) have a lot of sputum?

yes
yes Sputum needs clearance
15

no
yes
15


15

test

Does the amount of sputum bother you?

yes
noteEducation in sputum clearance
16

no
yes
16


16

test

Has your sputum changed colour or is it thicker?

yes
yes
17

no
yes
19


17

test

Do you have bronchiectasis or COPD?

yes
yesConsider going to doctor
18

no
yes
18


18

test

Do you feel ill/ have a temperature?

yes
yesconsider going to doctor
19

no
yesdrink water and monitor
19


19

test

Do you have problem with bringing up sputum?

yes
yes
20

no
yes
23


20

test

Is the problem of bringing up sputum due to pain?

yes
yesPain causing retention: requires clearance, massage and light exercises
go to21

no
yes
21


21

test

Is the problem of bringing up sputum due to weakness?

yes
yesWeakness: use sputum treatment
go to22

no
yes
22


22

test

Is the problem of bringing up sputum due to a social reason or embarrassment?

yes
yesEmbarrassment, clear chest at home

no
23


23

test

Do you wet yourself when coughing?

yes
yesCough conrol and pelvic floor exercises

no
24


24

test

Outcome measures (done after treatment): Is the sputum now clearer?

no
25

yes
yesRepeat treatment


25

test

Outcome measures (done after treatment): Can the patient now manage their own secretions?

yes
yesRepeat treatment


 

Long Covid

 

Have you had COVID-19 and still feeling its after-effects, or are you back to the same energy level you had before your virus?

 
 

Energy conservation

  • Pace activities, work in stages, review management of time
  • Reinforce pacing, breakdown activities into achievable parts
  • Use high stool for tasks indoors
  • Decrease bending by crossing one leg over the other for socks, trousers, shoes
  • Sit when possible to cook, dress, shower, clean teeth...
  • integrate posture and avoid breath holding during activities
  • keep a note to identify causes of fatigue and ways to solve and cope with it...
  • do the most important things when energy levels are highst and intersperse heavy and light activities

 

Safety check

Is your sickness COVID-19?

Quick check

 

Could you have COVID-19? (temperature/cough/change of taste or smell)

 
 
 

If so, ISOLATE!

 

Without a test, it can be difficult to know what illness a person has. Depending on the person, COVID-19 can have many different signs and many of those signs also are caused by other health problems. Signs can be mild, uncomfortable, or very serious

Trouble breathing?

or severe chest pain

Are there danger signs: trouble breathing or severe chest pain? Is there a high fever (102°F/ 39°C or higher) and medicine for fever isn’t helping?

 

The person needs help in a health facility. Call ahead to know where to go and what to do. Anyone taking care of the person could also be infected, even if they have no signs. Protect yourself and others from getting sick.

Aches and pains?

with sore throat and no taste

 

Are there aches and pains, congested or runny nose, sore throat, cannot taste or smell normally? These are signs of coronavirus but also could be from another virus or illness. It is hard to know for sure without a test, but the care is the same

 

This could be coronavirus or it could be another virus. If available, get a test to know for sure. You can treat at home. No matter what the illness, protect others from getting sick.

Wet cough or sneezing?

Is there a wet cough or sneezing? If coronavirus is not yet in your region then a wet cough, sore throat, runny nose and fever are more likely to be signs of a cold or flu than coronavirus.

 

If the person is older than 55, has heart disease, existing lung problems, or diabetes, the risk of serious illness is greater. Seek medical advice sooner.

Itchy eyes, headaches?

and breathing problems

Does the person often get signs of allergies (congested or runny nose, itchy eyes, headaches, breathing problems) and has no fever? Probably these are just their regular allergies.

If the person gets worse and emergency signs appear, they need help in a health facility. Protect others from getting sick.

Also check here with ADAPT information

Useful safety measures

How to make a mask