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Ankle soft tissue injuries in children - patient information

Description
This factsheet explains what an ankle soft tissue injury is and how it is treated in children.
Url
/Media/UHS-website-2019/Patientinformation/Childhealth/Ankle-soft-tissue-injuries-in-children-3992-PIL.pdf

Simple (undisplaced) phalanx (finger) fractures in children - patient information

Description
This factsheet explains what a phalanx (finger) fracture is and how it is treated in children.
Url
/Media/UHS-website-2019/Patientinformation/Childhealth/Simple-undisplaced-phalanx-finger-fractures-in-children-3969-PIL.pdf

Clavicle (collarbone) fractures in children - patient information

Description
This factsheet explains what a clavicle fracture is and how it is treated in children.
Url
/Media/UHS-website-2019/Patientinformation/Childhealth/Clavicle-collarbone-fractures-in-children-3968-PIL.pdf

Breastfeeding at home with breast milk fortifier - patient information

Description
This factsheet explains how to breastfeed your baby at home with the addition of breast milk fortifier.
Url
/Media/UHS-website-2019/Patientinformation/Neonatal/Breastfeeding-at-home-with-breast-milk-fortifier-2985-PIL.pdf

UHS maternity and neonatal service Badgernotes guide

Description
Your digitalpregnancy care record BadgerNotes What is BadgerNotes? BadgerNotes is an easy-to-use online platform and app that gives pregnant women access to their maternity notes at any time. It works alongside the BadgerNet system used by midwives and doctors. What BadgerNotes lets you do • View your maternity notes on your phone, tablet or computer • Check upcoming appointments and receive reminders • See test results and important updates • Read personalised pregnancy information based on your stage of pregnancy • Upload your birth plan and preferences • Complete questionnaires (where available) • Keep everything secure, digital and in one place — no more carrying paper notes Why it’s helpful • Up-to-date information available whenever you need it • Helps improve communication with your maternity team • Reduces the chance of missing information or documents • Makes your pregnancy journey more convenient and organised How to get the Badgernotes app Download the Badgernotes app on Apple store or Google play Or use the web browser www.badgernotes.net 3 Before you begin 7 8 You will need: • The account activation phrase emailed to you • The email address that you shared with us during your self-referral • Your mobile phone to receive the verification text via the number you shared with us at time of your self-referral 4 Logging in When you open the BadgerNotes app, you will see the opening screen with a create account button to create an account and a smaller link to login if you already have an account from a previous pregnancy. • If you tap create account, you will be asked to confirm your email address and your account activation phrase • When you press the Next button, you will be asked to agree to BadgerNotes Privacy Policy and Terms and Conditions. • If you tap Log In you will be taken to the login screen, where you can login using your existing email and password, or by using your NHS login. 5 Setting the language You can change the language displayed in BadgerNotes from the top right of the opening screen. 1 2 • Tap the Eng button to select a different language. • A Change language dialogue box will appear. If you tap English a list of other supported languages are displayed. 1 If you’re already logged in If you’re already logged in, you can still change the language. • Open the menu by tapping the menu button, then tap English 3 • A Change language dialogue box will appear. If you tap English a list of other supported languages are displayed 4 . • The supported languages are: English, Welsh, Polish, Punjabi, Bengali, Spanish, Portuguese, Romanian, Lithuanian, Somali, and Maori. 3 4 6 Have you used Badger Notes or Maternity Notes previously? You can add your new care record to your existing account; you need to keep using your existing login details or choose forgotten password to rest the account. • Log in using your existing password • Tap the menu icon in the top left-hand corner to open the menu 9 Enter the account activation phrase that has been provided by your midwife. This will add your current pregnancy. Once the account is activated you will see the option appear under care records. Complete your pre- booking questionnaire Your community midwife will ask you to complete this before she meets you for your booking appointment. This can be revisited and updated until the day of your booking appointment. 7 Care plan The care plan section is a week-by-week timeline of your pregnancy, and the information personalised after your booking appointment Learn about your baby’s development • View reading recommended by your midwife by tappin1g5the 16 Reading label • Learn about what might happen each week 14 • View your booked appointments Write a personal diary entry and add a photo Maternity record The maternity record section contains information recorded by those looking after you in your pregnancy 15. The antenatal care summary report will grow into a chronological record of some of your pregnancy key events. • View information from your medical record • View who is in your care team 16 8 Conversations Share your thoughts and questions about your antenatal care, birth plan and postnatal care to your midwife – they will review this at your next appointment. Select the Conversations tab and select either: - Antenatal support conversation - Postnatal support conversations 19 20 - Birth plan Library Select the Library tab in the bottom right hand corner 19 to view our hospital’s library of pregnancy leaflets, videos and links to verified web pages. We have some leaflets in different languages. As more multilingual leaflets become available, we’ll add them. For National Leaflets, select your preferred language at the top of the screen to see which leaflets are available in that language. 20 9 If you need help with the BadgerNotes app Visit www.badgernotes.net/help for troubleshooting and advice. If this doesn’t solve your problem, contact your midwife. If you need this guide in another format If you require this guide in another format, such as a different language email:uhsdigitalmaternity@uhs.nhs.uk University Hospital Southampton NHS Foundation Trust Tremona Road, Southampton Hampshire, SO16 6YD www.uhs.nhs.uk
Url
/Media/UHS-website-2019/Docs/uhs-maternity-and-neonatal-service-badgernotes-guide.pdf

UHS maternity and neonatal service Badgernotes guide

Description
Your digitalpregnancy care record BadgerNotes What is BadgerNotes? BadgerNotes is an easy-to-use online platform and app that gives pregnant women access to their maternity notes at any time. It works alongside the BadgerNet system used by midwives and doctors. What BadgerNotes lets you do • View your maternity notes on your phone, tablet or computer • Check upcoming appointments and receive reminders • See test results and important updates • Read personalised pregnancy information based on your stage of pregnancy • Upload your birth plan and preferences • Complete questionnaires (where available) • Keep everything secure, digital and in one place — no more carrying paper notes Why it’s helpful • Up-to-date information available whenever you need it • Helps improve communication with your maternity team • Reduces the chance of missing information or documents • Makes your pregnancy journey more convenient and organised How to get the Badgernotes app Download the Badgernotes app on Apple store or Google play Or use the web browser www.badgernotes.net 3 Before you begin 7 8 You will need: • The account activation phrase emailed to you • The email address that you shared with us during your self-referral • Your mobile phone to receive the verification text via the number you shared with us at time of your self-referral 4 Logging in When you open the BadgerNotes app, you will see the opening screen with a create account button to create an account and a smaller link to login if you already have an account from a previous pregnancy. • If you tap create account, you will be asked to confirm your email address and your account activation phrase • When you press the Next button, you will be asked to agree to BadgerNotes Privacy Policy and Terms and Conditions. • If you tap Log In you will be taken to the login screen, where you can login using your existing email and password, or by using your NHS login. 5 Setting the language You can change the language displayed in BadgerNotes from the top right of the opening screen. 1 2 • Tap the Eng button to select a different language. • A Change language dialogue box will appear. If you tap English a list of other supported languages are displayed. 1 If you’re already logged in If you’re already logged in, you can still change the language. • Open the menu by tapping the menu button, then tap English 3 • A Change language dialogue box will appear. If you tap English a list of other supported languages are displayed 4 . • The supported languages are: English, Welsh, Polish, Punjabi, Bengali, Spanish, Portuguese, Romanian, Lithuanian, Somali, and Maori. 3 4 6 Have you used Badger Notes or Maternity Notes previously? You can add your new care record to your existing account; you need to keep using your existing login details or choose forgotten password to rest the account. • Log in using your existing password • Tap the menu icon in the top left-hand corner to open the menu 9 Enter the account activation phrase that has been provided by your midwife. This will add your current pregnancy. Once the account is activated you will see the option appear under care records. Complete your pre- booking questionnaire Your community midwife will ask you to complete this before she meets you for your booking appointment. This can be revisited and updated until the day of your booking appointment. 7 Care plan The care plan section is a week-by-week timeline of your pregnancy, and the information personalised after your booking appointment Learn about your baby’s development • View reading recommended by your midwife by tappin1g5the 16 Reading label • Learn about what might happen each week 14 • View your booked appointments Write a personal diary entry and add a photo Maternity record The maternity record section contains information recorded by those looking after you in your pregnancy 15. The antenatal care summary report will grow into a chronological record of some of your pregnancy key events. • View information from your medical record • View who is in your care team 16 8 Conversations Share your thoughts and questions about your antenatal care, birth plan and postnatal care to your midwife – they will review this at your next appointment. Select the Conversations tab and select either: - Antenatal support conversation - Postnatal support conversations 19 20 - Birth plan Library Select the Library tab in the bottom right hand corner 19 to view our hospital’s library of pregnancy leaflets, videos and links to verified web pages. We have some leaflets in different languages. As more multilingual leaflets become available, we’ll add them. For National Leaflets, select your preferred language at the top of the screen to see which leaflets are available in that language. 20 9 If you need help with the BadgerNotes app Visit www.badgernotes.net/help for troubleshooting and advice. If this doesn’t solve your problem, contact your midwife. If you need this guide in another format If you require this guide in another format, such as a different language email:uhsdigitalmaternity@uhs.nhs.uk University Hospital Southampton NHS Foundation Trust Tremona Road, Southampton Hampshire, SO16 6YD www.uhs.nhs.uk
Url
/Media/UHS-website-2019/Docs/Services/Maternity/UHS-maternity-and-neonatal-service-Badgernotes-guide.pdf

After a craniotomy - patient information

Description
This factsheet contains craniotomy aftercare information.
Url
/Media/UHS-website-2019/Patientinformation/Brain-and-spine/After-a-craniotomy-1986-PIL.pdf

Trastuzumab Main

Description
Chemotherapy Protocol GASTROINTESTINAL (UPPER) CANCER TRASTUZUMAB (21 day-Maintenance) Regimen • GI (upper) – Trastuzumab (21 day-Maintenance) Indication • Trastuzumab, in combination with capecitabine and cisplatin or cisplatin and fluorouracil, is recommended as an option for the treatment of people with human epidermal growth factor receptor 2 (HER2) positive metastatic adenocarcinoma of the stomach or gastro-oesophageal junction who have not received prior treatment for their metastatic disease and who have tumours expressing high levels of HER2 • WHO performance status 0, 1, 2 Toxicity Drug Trastuzumab Adverse Effect Cardio toxicity, acute respiratory distress syndrome, infusion related effects The adverse effects listed are not exhaustive. Please refer to the relevant Summary of Product Characteristics for full details. Monitoring Regimen • HER2 status before initiating therapy • Cardiac function must be assessed prior to starting trastuzumab. Thereafter in the adjuvant setting it should be assessed every 12 weeks unless there is clinical evidence of cardiac failure. In the metastatic setting cardiac function should be assessed every 12 weeks for 24 weeks then every 24 weeks thereafter, again, unless there is clinical evidence suggestive of cardiac failure • Blood pressure prior to each trastuzumab administration • FBC, U&Es and LFTs every 12 weeks in conjunction with cardiac monitoring Dose Modifications No dose modifications for haematological toxicity are necessary for trastuzumab. If treatment with trastuzumab is not tolerated it should be stopped. Version 1.1 (July 2014) Page 1 of 6 GI (upper) –Trastuzumab (21 day-Maintenance) Please discuss all dose reductions / delays with the relevant consultant before prescribing if appropriate. The approach may be different depending on the clinical circumstances. The following is a general guide only. Liver Impairment Drug Trastuzumab Dose (% of original dose) No dose adjustment necessary Kidney Impairment Drug Trastuzumab Dose (% of original dose) No dose adjustment necessary Cardiac The LVEF should be forty or above before starting cycle one of trastuzumab. Subsequent Echocardiograms The flow chart below describes the process to be followed if there is an asymptomatic decline in LVEF during trastuzumab treatment. Version 1.1 (July 2014) Page 2 of 6 GI (upper) –Trastuzumab (21 day-Maintenance) In general patients who develop symptomatic cardiac dysfunction should have trastuzumab discontinued, be commenced on ACE inhibitor therapy and be referred to a cardiologist. Further treatment should be discussed with the relevant oncology consultant. Version 1.2 (July 2024) Page 3 of 6 GI (upper) –Trastuzumab (21 day-Maintenance) Regimen 21 day cycle until disease progression or intolerance (6 cycles will be set in Aria) Drug Dose Trastuzumab 6mg/kg Days 1 Route Intravenous Infusion in 250ml sodium chloride 0.9% over a minimum of 30 minutes Dose Information • Trastuzumab will be dose banded in accordance with national dose bands (21mg/ml) • If the patient misses a dose of trastuzumab by fourteen days or less, then the usual maintenance dose of 6mg/kg should be given as soon as possible. Do not wait until the next planned cycle. Subsequent maintenance doses should be given according to the previous schedule • If the patient misses a dose of trastuzumab by more than fourteen days, a reloading dose of 8mg/kg should be given over 90 minutes. Subsequent maintenance doses should then be given every 21 days from that point Administration Information • Trastuzumab is associated with hypersensitivity reactions. Patients should be observed for six hours following the start of the first infusion of trastuzumab and for two hours following the start of subsequent infusions. If the patient has tolerated the first two infusions with no infusion related effects consideration can be given to reducing this observation period further Extravasation • Trastuzumab - neutral Additional Therapy For treatment of trastuzumab infusion reactions ‘once only when required’ doses of the following should be prescribed; - chlorphenamine 10mg intravenous - hydrocortisone 100mg intravenous - paracetamol 1000mg oral Coding • Procurement – X71.3 • Delivery – X72.3 References 1. Bang YJ, Van Custem E, Fevereislova A et al. Trastuzumab in combination with chemotherapy versus chemotherapy alone for the treatment of HER2 positive advanced gastric or gastro-oesophageal junction cancer (TOGA): a phase 3, open label, randomised, controlled clinical trial. Lancet 2010; 376 (9742): 687-697. Version 1.2 (July 2024) Page 4 of 6 GI (upper) –Trastuzumab (21 day-Maintenance) 2. National Institute for Health and Clinical Excellence (2010). NICE Technology Appraisal Guidance 208. Trastuzumab for the treatment of HER2-positive metastatic gastric cancer. DOH: London. REGIMEN SUMMARY Trastuzumab (21day-Maintenance) Day One 1. Trastuzumab 6mg/kg intravenous infusion in 250ml sodium chloride 0.9% over 30 minutes 2. Chlorphenamine 10mg intravenous when required for infusion related reactions 3. Hydrocortisone 100mg intravenous when required for infusion related reactions 4. Paracetamol 1000mg oral when required for infusion related reactions Version 1.2 (July 2024) Page 5 of 6 GI (upper) –Trastuzumab (21 day-Maintenance) DOCUMENT CONTROL Version Date Amendment 1.2 July 2024 Trastuzumab updated with national dose banding 1.1 July 2014 Header changed Disclaimer added Tabulation used throughout Bolus removed from supportive therapies OPCS codes updated 1 Feb 2012 None Written By Alexandra Pritchard Pharmacist Dr Debbie Wright Pharmacist Dr Debbie Wright Pharmacist Approved By Nanda Basker Pharmacist Donna Kimber Pharmacy Technician Dr Tim Iveson Consultant Medical Oncologist Version 1.2 (July 2024) Page 6 of 6 GI (upper) –Trastuzumab (21 day-Maintenance)
Url
/Media/UHS-website-2019/Docs/Chemotherapy-SOPs1/Upper-gastro-intestinal/TrastuzumabMainVer1.2.pdf

Pegylated interferon treatment for hepatitis B - patient information

Description
This factsheet explains what pegylated interferon treatment for hepatitis B involves and what to expect from the treatment.
Url
/Media/UHS-website-2019/Patientinformation/Digestionandurinaryhealth/Hepatology/Pegylated-interferon-treatment-for-hepatitis-B-3476-PIL.pdf

After evacuation of a chronic subdural haematoma - patient information

Description
This factsheet contains useful information and advice after evacuation of a chronic subdural haematoma.
Url
/Media/UHS-website-2019/Patientinformation/Brain-and-spine/After-evacuation-of-a-chronic-subdural-haematoma-1987-PIL.pdf
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