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CORONAVIRUS
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Symptoms
The most common symptoms of coronavirus (COVID-19) are recent onset of:
  • New continuous cough and/or
  • High temperature
  • loss or change to your sense of smell or taste  

For most people, coronavirus (COVID-19) will be a mild illness If you have coronavirus symptoms:
  • Do not go to a GP surgery, pharmacy or hospital
  • You do not need to contact 111 to tell them you're staying at home
  • Testing for coronavirus is not needed if you're staying at home
  • Plan ahead and ask others for help to ensure that you can successfully stay at home and consider what can be done for vulnerable people in the household
  • Ask your employer, friends and family to help you to get the things you need to stay at home
  • Wash your hands regularly for 20 seconds, each time using soap and water, or use hand sanitiser
  • If you feel you cannot cope with your symptoms at home, or your condition gets worse, or your symptoms do not get better after 7 days, then use the NHS 111 online coronavirus service. If you do not have internet access, call NHS 111. For a medical emergency dial 999
  • Visit NHS 111 Online for more information

Stay at Home
  • If you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started. (See ending isolation section below for more information)
  • If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill
  • It is likely that people living within a household will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community
  • For anyone in the household who starts displaying symptoms, they need to stay at home for 7 days from when the symptoms appeared, regardless of what day they are on in the original 14 day isolation period. (See ending isolation section below for more information
  • If you can, move any vulnerable individuals (such as the elderly and those with underlying health conditions) out of your home, to stay with friends or family for the duration of the home isolation period
  • If you cannot move vulnerable people out of your home, stay away from them as much as possible
Find out more about UK Gov Coronavirus Response
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What we have to say about your health and well being
12
Nov 2018
Cerebral Palsy

Cerebral palsy refers to conditions that affect co-ordination and movement. It is caused by a problem in the brain usually occurring before, during or soon after birth. In the UK one in 400 children are affected with life expectancy the same as anyone else.


Most often, it is down to abnormal development of the baby’s brain whilst it is growing in the womb such as damage to the white matter due to reduction in the baby’s blood or oxygen supply. It may also occur as a result of infections caught by the mother such as chickenpox or rubella.

The risk of developing cerebral palsy is increased in babies being born prematurely or at low birth weight. If the mother is over 35 or has abnormal blood pressure the risk also increases. 10% of cerebral palsy cases are due to injuries at birth such as asphyxiation, a lack of oxygen reaching the brain during birth.

There are 3 main types of cerebral palsy with most people having a combination.

  1. Spastic Cerebral Palsy caused by damage to the motor cortex and characterised by tight and stiff muscle tone, reducing a person’s movement range, which can be painful. Muscles often spasm causing exaggerated jerky movements. Damage to the motor cortex can also cause problems with sight.

  1. Dyskinetic Cerebral Palsy caused by damage to cerebellum or basal ganglia resulting in uncontrolled, involuntary muscle contractions. Patients may find it difficult to maintain an upright position or control the tongue, vocal chords and breathing affecting speech and language.

  1. Ataxic Cerebral Palsyis a type of cerebral palsy which due to the inability to activate the correct pattern of muscles during movement affects balance and spatial awareness. Most people can walk but will be unsteady with shaky movements. Ataxia can also affect speech and language. It occurs due to damage to the cerebellum which is responsible for coordination and fine motor skills.

Symptoms are usually noticeable within the first 2-3 years of a child life and affects people in different ways. They include:

  • Weak arms or legs or random uncontrolled movements
  • Delays in reaching developmental milestones such as not sitting by eight months or walking by 18 months

If you are concerned about the development of your child; speak to the GP in the first instance. The GP can help by referring your child to a specialist team to check for any problems. The specialist team may conduct several tests which could include brain scans such as cranial ultrasound, MRI’s and CT scans.

There is currently no cure for cerebral palsy, but treatment aims to help people with the condition to live a normal and independent life.

  • Physiotherapy is one of the most important treatments that can help improve movement. It involves stretches and exercises to encourage movement and increase muscle strength.
  • Speech therapy helps children who struggle with communication by allowing themto practise their speech with exercises, or teaching them an alternative method of communication, such as sign language or pictures.
  • Occupational therapy can be useful to children in boosting a child’s self-esteem and independence as they can identify problems that your child has in carrying out everyday tasks by improving fine motor skills such as picking up small objects.

There are medications to help manage the condition and relieve symptoms. These include medications that help with muscle stiffness, sleeping, drooling and gastro intestinal complaints. Many children develop epilepsy due to the brain damage and may require ant-seizure medication.

Some patients have difficulty swallowing food which can be a problem, as it increases the risk of choking or chest infection. In this case swallowing techniques and exercises can be taught. Dietary changes, such as eating soft foods can also be helpful.

Support groups available across the country ensure children and parents have access to the resources they need. These include:

  • March of Dimes- Their mission is to improve health and wellness for new mothers and babies.
  • The Cerebral Palsy Foundation- contributes millions each year to cerebral palsy research

References

  1. https://www.nhs.uk/conditions/cerebral-palsy/

  1. https://www.scope.org.uk/support/disabled-people/ageing

https://www.cerebralpalsyguide.com/treatment/medications/

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