docPHONE MANUAL
Site: | BIOSOFT EDUCATIONAL RESOURCES - Authored by Dr Ananda Perera |
Course: | BIOSOFT HELP FILES |
Book: | docPHONE MANUAL |
Printed by: | Guest user |
Date: | Thursday, 19 September 2024, 5:28 PM |
Description
This is the manual for docPHONE system designed and developed by Dr Ananda Perera.
1. docPHONE FAQs
2. LEGAL TERMS
3. docPHONE APPS
4. docPHONE CLINICAL HELP
5. docPHONE Triage System
docPHONE can basically be accepted as a triage system too. In fact every APP in the docPHONE series with a management advice which consists of : the diagnosis, whom to consult in case it is required, any referral advice in case it is indicated and also most often references for the management and the particular app. docPHONE triage system adopts the following ad hoc definitions until standardized definitions are adopted :
Life Threatening Emergency - Emergency medical service consultation NOW is required. Immediate life saving support is required and most probably Ambulance transport now is required. Or even transport by any vehicle to the nearest most well equipped hospital is required in the absence of a dedicated ambulance transport with trained personnel.
Emergency - Immediate medical consultation within 12 hrs
Urgency - Within 24 hrs medical consultation
ASAP - within 48 hrs
Routine medical consultation - within a week
Medical Selfcare - In this case the recommended actions can be taken by the person at home
6. MEDICAL SELFCARE - INTRODUCTION
ABOUT
247econsult is a website designed, developed and maintained by a group of Sri Lankan doctors for Sri Lankan patients.
SERVICES
All our services have three common overarching principles : MEDICAL SELFCARE, EMPOWERMENT AND ENGAGEMENT.
Medical Self Care :
WHO says the medical selfcare is :
Self-care is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and to cope with illness and disability with or without the support of a health-care provider (WHO 2019, Hatch et al 1983)
Key facts extracted from WHO website as relevant for what we are doing (WHO 2021) :
WHO concept : Tools are required to support medical selfcare.
247eConsult Tools : Apps for many medical selfcare requirements : dieting, exercises, vaccines, symptom checkers, pregnancy and newborn care,
WHO concept : Tools are required to support coping with illness and disability
247eConsult Tools : Apps for Illness Automation System - see details below
WHO concept : 4.3 billion people have no access to essential health care services
247eConsult Tools : Provision of free apps in all the three languages spoken in Sri Lanka
WHO concept : Looming global shortage of health workers
247eConsult Tools : Use of ICT and training and use of locally available resources for healthcare delivery
WHO concept : 1 : 8700 hr ratio of physician care to medical self care
247eConsult Tools : Availability of services 24/7 is a given in ICT
WHO concept : Medical selfcare is sought for convenience, confidentiality, cost, discrimination
247eConsult Tools : All our tools achieve these requirements
WHO concept : Medical selfcare promote persons' active participation in their own healthcare and push then towards greater self-determination, self-efficacy, autonomy and engagement in health. 247eConsult Tools : All our tools are designed to achieve these ends
WHO concept : Sustained adoption of quality, evidence-based self-care interventions reduce deaths and diseases, improve the health and well being
247eConsult Tools : All our tools are designed to achieve these ends
Hatch S, Kickbusch I, editors; World Health Organization Regional Office for Europe. Self-help and health in Europe: new approaches in health care. Albany (NY): World Health Organization Publications Center USA; 1983.
WHO 2019. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO.
WHO 2021 - https://www.who.int/news-room/
7. docPHONE Technology
docPHONE is the brand under which the MOBIOS creates, designs, develops and deploys the medical AI powered chatbots. Chatbot at its simplest is just a small software program. The purpose of a chatbot is to replicate a human conversation. The human conversation will be conducted either as written language or spoken language. The former is a text chatbot and the other a voice chatbot. Based on the type of programming used in the development process a chatbot can also be either simple chatbot or a Artificial Intelligent (AI) chatbot which sometimes is also called an Intelligent Personal Assistant (IPAs). MOBIOS creates all types of chatbots based on these programming methods.
8. PAIN KILLERS
1. ANALGESIC LADDER
THE MODERN ANALGESIC LADDER
STEP 1 : Non-opioid analgesics, NSAIDS,
STEP 2 : Weak opioids
STEP 3 : Strong Opioids
STEP 4 : Nerve blocks - epidurals, PCA pump, neurolytic block therapy, Spinal stimulators
Ref :
Vargas-Schaffer G. Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician. 2010;56(6):514-e205.
Non opioid anagesics are/NSAIDS :
Non-selective NSAIDs
Diclofenac
Diflunisal
Etodolac
Fenoprofen
Flurbiprofen
Ibuprofen
Indomethacin
Ketoprofen
Ketorolac
Mefenamic acid
Meloxicam
Nabumetone
Naproxen
Oxaprozin
Piroxicam
Sulindac
Tolmetin
COX-2 Selective NSAIDs
Celecoxib
WEAK OPIOIDS
Codeine
Tramadol
STRONG OPIOIDS
morphine
oxycodone
hydromorphone
buprenorphine
fentanyl
methadone - Methadone, in step 3, is important because it is currently very useful in the treatment of cancer pain, chronic noncancer pain, and refractory neuropathic pain that does not respond to conventional treatment.15,24,25 Methadone is also very useful in the rotation of opioids15,21–27 in cancer pain.
Adjuvants
NERVE BLOCKS
epidurals, PCA pump, neurolytic block therapy, Spinal stimulators
Adjuvants
steroids
anxiolytics,
antidepressants,
hypnotics,
anticonvulsants,
antiepileptic-like gabapentinoids (gabapentin and pregabalin),
membrane stabilizers,
sodium channel blockers, and
N-methyl-d-aspartate receptor antagonists for the treatment of neuropathic pain,
Cannabinoids
9. OTC DRUGS - HOW TO
HOW TO TAKE OVER THE COUNTER DRUGS (OTC) SAFELY
OCT drugs mean over the counter drugs. They can be purchased by you from a pharmacy over the counter
without any doctor's prescription. Follow the instruction below carefully :
Read the product information leaflet provided with the drug. It will tell you about the ingredients of the drug,
dose, how to take it, how frequently to take it
Also see whether it is to be taken before or after meals
Be aware of any common side effects of the drug
Make sure your age range and the gender is appropriate for the drug
Make sure that if you have any chronic disease like diabetes or blood pressure whether it is safe to take in the first place
Also make sure that whatever the drugs you are taking now will not interfere with any new drug you are taking
Never take more than the recommended dose. Be alert to the exact dose which is advocated
Consult your pharmacist for better use and your safety
Never take two different drugs with the same ingredient
Be very careful that your not ALLERGIC to the drug NOR to any ingredient of the drug
Never use OTC drugs repeatedly or for longer periods
If you develop allergy to a OTC drug you will get the following symptoms : coughing, swelling of the lips,
tongue or face, itchy skin, or hives. If you are concerned about a drug allergy or an allergic reaction to an
ingredient in any type of OTC pain reliever, speak to your doctor or pharmacist before using it.
Allergic symptoms where immediate medical attention is required :
throat and tongue swelling, hoarse voice, a high-pitched sound on breathing in, shortness of breath, wheezing.
fast pulse rate, feeling dizzy, being pale and sweaty, losing consciousness.
Always keep drugs out of reach of children.