Physical health checks for adults

 A hand drawn heart with an ECG line through it
Image created by a service user

The printed version of this leaflet provides spaces to write appointments, physical health check readings and make notes. We have provided space in this online version in case you wish to print this and make notes.

Your next appointment

Date:
Time:
Location:

Why and when will I have physical health checks?

We’ve asked you to have an initial physical health check so that we can:

If you start medication or are on a treatment pathway that may involve being prescribed medication, you will be asked to attend a physical health check appointment.

Once you have started taking medication, you will have a physical health check review at three months.

After your initial physical health check, or your three month review, your checks will be held once a year.

What will the physical health check involve?

We will ask you some lifestyle and health questions.

We will carry out the following checks:

We will also take a blood sample* and let you and your GP know if you need any further investigations.

* see below for more information about these checks.

How will I find out the results of my physical health check?

After your physical health check a doctor in the team will check the results and these are sent to your GP.

If you would like a copy of your physical health check results please ask a member of the team.

More information about physical health checks

Medical questions and history

You will be asked about:

Weight check

It’s entirely up to you if you want to be weighed.

A height to weight ratio chart

However, we recommend you do as it is important to monitor weight, particularly if you are taking medication. Certain medications require weight to be monitored on a weekly basis for the first six weeks. If you start taking medication that requires this, we will speak to you about it.

If you do have a weight check, you do not need to know how much you weigh unless you want to know.

If you do want to know your weight, you can make a note of your weight here if you want to:

Date:
Weight:

Blood sugar check

What happens when I have my blood sugar tested?

Target blood sugar levels differ for everyone, but generally speaking:

Date:
Blood sugar level:

Blood pressure check

What happens when I have my blood pressure taken and what does it feel like?

Sometimes blood pressure can be checked by using a wrist blood pressure monitor instead. We will always talk you through the process.

Date:
Blood pressure level:

ECG (Electrocardiography) check

If you are starting medication, it is important that we carry out an ECG which checks your heart. It is important that we monitor this as sometimes changes can occur. An ECG is also recommended if there is a history of heart problems, or if your medication dose increases. You can also request one at other times if you have any concerns.

What will happen in my appointment?

Some clinicians have different equipment and carry out an ECG by using a little gadget that goes onto your knee and takes a reading.

We will talk you through the process and what the ECG will involve.

If you would like someone with you in the room with you, you can bring a family member, carer or a friend.

What should I wear to my appointment?

Will it hurt?

Prolactin

There is great debate about what are high levels of prolactin, but normal ranges tend to be:

Blood tests

References and resources

You can use this space to make any notes about your health and health record, or write any information you think your care team might like to know such as allergies, things that have happened to you recently etc.

 

 

 

 

 

 

Leaflet reference: L1136
Version: v1
Date: 20 / 07 / 2021
Archive date: 20 / 07 / 2024

 

Peer mentor support: for information about the support available to you as a friend, family member or carer 01642 524708
9am – 4pm
Monday to Friday 
Crisis intensive home treatment team: for advice regarding the person you are supporting 01642 524708
8am-10pm
Monday-Sunday
Out of hours advice about the person you are supporting 0800 0516171

What is peer support?

Peer support means being supported by someone with lived experience of mental health challenges. A peer support worker is someone who has chosen to share their own experiences to support others towards improving their wellbeing.

Read more about peer support.

Peer mentor support for friends, families and carers of people receiving support from the Tees crisis intensive home treatment team

If your loved one is receiving support from our Tees crisis intensive home treatment team (IHT), you might also feel you need some support.

Our peer mentors are on hand to:

How does it work?

We will endeavor to make contact with you during the first three days of the care journey but please feel free to contact us (number above) or your loved one’s IHT at any time.

Friends, family and carers are highly valued by our service and we would welcome any input from yourself to improve and enhance the patients care

Contact us

If you would like to talk to a peer mentor, please contact us at the peer mentor support service (details above).

Leaflet reference: L1143
Version: v1
Date: 29 / 06 / 2021
Archive date: 28 / 06 / 2024

Ward/service/team name Teesside perinatal community mental health team
Address Lancaster House
Preston Farm Industrial Estate
Westland Way
Stockton-on-Tees
TS18 3TS
Telephone 01642 368303
Email tewv.teesperinatal@nhs.net
Service opening hours Monday – Friday 9am – 5pm

What is the perinatal mental health team?

The Teesside perinatal community mental health team provides a community service to support women who are experiencing mental health difficulties during pregnancy or in the first year after they have had their baby.

If we decide that the perinatal service is the best service to support your partner or family member, they will be allocated to one of the clinicians within the team.

How can the team help me?

We understand that it can be very challenging if a loved one experiences mental health difficulties, particularly during pregnancy and after having a new baby, and this can be difficult for partners and families to deal with.

This is where our service can help.

The team will then work with your partner or family member to agree a care plan to help meet their individual needs and find solutions to support them on their road to recovery. This can include:

We are happy for you to be involved in all of this, with you partner’s or family member’s permission.

As well as us providing support to your partner or family member, we can also support you and refer you for a carers assessment.

A carers assessment explores your individual needs and supports you to get the help that you need.

Who works in the team?

We are a team of professionals who will work together to provide the best possible care for you and your family.

The team is made up of:

Contact us

You can contact us at any time if you are concerned about your partner or family member and baby. Call 01642 368303 between 9am and 5pm.

Out of hours support

If you or your partner, need help outside of the perinatal team’s normal working hours, you can go direct to the crisis assessment suite at Roseberry Park Hospital, Middlesbrough.

You can also contact the our crisis team on 0800 0516171.

More information

The websites listed below offer more information to carers on many areas including:

Local

Middlesbrough and Redcar and Cleveland Carers Together http://carerstogether.co.uk
Stockton Adult Carers’ Support Service https://www.stockton.gov.uk/adult-services/support-for-carers/
Hartlepool Carers https://www.hartlepoolcarers.org.uk/

National

Carers UK www.carersuk.org/
Carers Trust https://carers.org/
MIND www.mind.org.uk
Association for Postnatal Illness www.apni.org
Action on Postpartum Psychosis www.app-network.org
Pandas Foundation www.pandasfoundation.org.uk
The Royal College of Psychiatrists www.rcpsych.ac.uk

 

Leaflet reference: L1142
Version: v1
Date: 16 / 06/ 2021
Archive date: 15 / 06 / 2024

What are multi-resistant gram negative bacteria (MRGNB)?

Bacteria or germs are found on everybody. They live on our skin or inside our bodies. More often than not they do not cause any harm. Gram negative bacteria are germs that are often found living naturally within the human digestive system (gut). Multi-resistant bacteria are germs that no longer respond to antibiotics people may have been treated with in the past.

MRGNB is a term covering many different bacteria including Escherichia coli (E-coli). Often when E-coli has become resistant to antibiotics it is called an Extended-spectrum beta-lactamase which is shortened to ESBL.

Who is affected by MRGNB?

These bacteria are most common in people who have had lots of courses of antibiotic treatment and those who have poor immune systems.

The bacteria can be found in different areas of the body without causing illness – this is called colonisation and doesn’t usually need any treatment.

How are MRGNB spread?

MRGNB can be spread by direct contact, for instance touching a person who is already carrying the bacteria or by touching contaminated objects or environments. They can also be spread from one part of your body to another.

Can MRGNB cause infections?

MRGNB most commonly cause urine infections. They can also cause chest and wound infections including pneumonia and blood poisoning (septicaemia).

Can these infections be treated?

People who are colonised with MRGNB do not usually need any antibiotic treatment. In most cases the bacteria will disappear over time. Even though MRGNB are resistant to many antibiotics, there are still treatment options available if the MRGNB is causing an infection. Your doctor or physical health nurse practitioner will assess if treatment is required.

How can the spread of MRGNB to other people be prevented?

The prevention of spread of MRGNB can be achieved by practicing good hand hygiene. This includes patients, healthcare staff and visitors. It is especially important to wash your hands after you’ve used the toilet and before eating meals. Hands should also be washed after touching wounds and any medical devices such as urinary catheters.

In hospitals extra precautions will be taken to avoid spreading infections such as staff wearing gloves and aprons while assisting patients who have MRGNB with any personal care or bed making. The patients’ room will also be cleaned every day and any medical equipment used on more than one patient will be cleaned in between each patient use. 

Will I still be able to leave the ward?

Outside leave should still be able to take place as planned.

Will having an MRGNB affect my discharge from hospital?

Having MRGNB will not delay your discharge home. Once at home, normal bathing or showering and household cleaning is all that is needed and there are no restrictions to activities or your friends and family. If you become unwell or develop a fever or wound infection please contact your GP as usual.

L1004
Version 2
Date: 19 / 05 / 2021
Archive: 18 / 05 / 2024

What is a care plan?

The Trust believes collaboration is essential to recovery focused care planning, therefore service users and their carers or family members are as important in this process as the mental health team that supports them.

A care plan is a jointly agreed, written plan between you and your care co-ordinator or lead professional which outlines your assessed needs, any risks to yourself or others, personal goals and progress towards your recovery.

Your care plan should:

Your involvement in your care plan:

 Your family members, carers and supporters:

 Staff:

Leaflet reference: L830
Version: V3
Date last updated: 16 / 03 / 21
Archive date: 16 / 03 / 2024

The name of the service York and Selby IAPT (improving access to psychological therapies) long term conditions wellbeing service
The address of the service Huntington House
Jockey Lane
Huntington
YO32 9XW
The telephone number 01904 556840
The email address TEWV.IaptYorkSelby@nhs.net
The service opening hours 9am – 5pm
(some appointments are available outside these hours)

How can talking therapies help me?

Looking after your wellbeing whilst coping with a physical long-term condition can be really difficult.

People with physical long-term conditions can also suffer from stress and low mood, anxiety and depression. If you are feeling this way, you are not alone.

The service which you have been referred to is a place for you to join up the physical with the emotional symptoms for the benefit of both.

The service provides talking therapies for people managing a physical long-term condition and experiencing other difficulties, including:

The service supports people to:

Who will be providing the service?

The service is provided by the York and Selby IAPT long-term conditions wellbeing service.

You can find out more at yorkandselbyiapt.co.uk.

This is a new service and it may not be available in all practices.

How does it work?

If you feel you need more support, talk to any healthcare professional at your GP surgery. They can book you in for a Wellbeing Review. This could be at your surgery, by telephone, or video call.

The Wellbeing Review is a chance for us to hear how things are for you, and ask you some questions so we can figure out together the best next steps. You are welcome to bring a carer or family member for support should you wish. You don’t have to do it alone.

What happens next?

Options will be discussed at the end of the Wellbeing Review. The team will offer a level of IAPT support matched to how you are feeling.

If you have any further questions, we’ll be happy to answer them at the Wellbeing Review.

Leaflet reference: L1123
Version: V1
Date last updated: 23 / 02 / 2021
Archive date: 23 / 02 / 2024

You are being discharged from our inpatient ward, please find below the details of your 72 hour follow up appointment.

Ward name:

___________________________________________________________________

Your care co-ordinator / lead professional is:

___________________________________________________________________

You can contact them on:

___________________________________________________________________

Your 72 hour follow up is:

Date: ­­__________________________ Time: ______________________________

Your GP’s contact details are:

___________________________________________________________________

Contact details post discharge from our inpatient ward

Between 9am to 5pm, Monday to Friday:

You can contact your care co-ordinator / lead professional or the duty worker listed above.

At any other time:

Please contact your GP, or contact NHS 111, or contact our 24 hour freephone crisis helpline – 0800 0516171.

In an emergency:

Please contact 999.

Your targets:

We have discussed together some targets you want to achieve. These are:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Our website

Our website has information about mental health conditions, treatments and local and national organisations offering support at. www.tewv.nhs.uk

Medication

We will give you an agreed supply of medication. Please make an appointment with your GP to arrange a further prescription. Your GP’s number is listed above. Find out more about your medication at www.tewv.nhs.uk or speak to your GP.


Leaflet reference:
L1119
Version: V1
Date last updated: 12 / 01 / 2021
Archive date: 12 / 01 / 2024

This information will be discussed with you and explained by the professional responsible for your care.

What do we mean by trauma?

A response to a discreet or prolonged circumstance; which at some point is perceived by the person to be an uncontrollable serious threat to physical or psychological integrity and which overwhelms emotional resources or a capacity to function.

Something that happened to you that still haunts you today. And if it doesn’t still haunt you, it sure did for a long time

(Beth Filson, Lived Experience).

We are giving you this leaflet about trauma because we know that it is a major factor in many people’s mental health and wellbeing.

Examples could be:

How are these things relevant to mental health?

We know that people can experience intrusive images and thoughts, fear, shame, anger, nightmares and avoidance after a traumatic event. If this does not resolve then this can develop into post-traumatic stress disorder.

However there are many reactions to trauma, particularly if the trauma was when young or was ongoing. Hearing voices is particularly triggered by loss or trauma, even in those people not distressed by them. Other reactions can include depression, self-harm, alcohol and drug misuse, psychosis, relationship difficulties, dissociation, forensic issues, eating problems, suicidality etc.

People who are most distressed and disabled over long periods of their lives are usually those with an accumulation of traumas.

We do appreciate that some people have found their difficult life experiences made them stronger. For some people, what services call a ‘symptom’ may have been a way of surviving the trauma.

What has this got to do with my care?

We will aim to take your life experiences, including trauma, into account when planning your care.

We will co-ordinate the appropriate help and services to meet your needs. This may include a crisis team for out of hours support or psychological therapy.

We will aim to support you in your distress around the trauma related issues which are relevant to you currently.

Relationships are often the source of hurt in people’s lives but they can also be the source of healing. We recognise the importance of safe and trusting relationships for people who have experienced trauma and adversity.

What treatment could this involve?

Sources of further information about trauma

 

Leaflet reference: L729
Version: v6
Date last updated: 29 / 12 / 2020
Archive date: 29 / 12 / 2023
Ward/service

/team name

North Yorkshire and York
perinatal mental health service
Tees, Durham and Darlington
perinatal mental health service
Address Huntington House
Jockey Lane
York
YO32 9XW
Lancaster House
Falcon Court
Preston Farm
Stockton
TS18 3TS
Telephone 01904 556 724  01642 368303
Email tewv.northyorksperinatal@nhs.net  tewv.teesperinataladmin@nhs.net
Service opening hours 9am – 5pm Monday to Friday  9am – 5pm Monday to Friday
Lead contact name Kerry Webb Dr Laura Pocklington

Mindful hypnobirthing classes

We offer mindful hypnobirthing classes to provide techniques to mums and birthing partners to minimise the fear-tension-pain cycle, resulting in shorter and more comfortable births.

Three two-hour classes are provided, currently online (via Microsoft Teams) due to Covid-19 restrictions but as soon as is safe to do so, we will offer the classes face-to-face at local venues (venues to be confirmed).

What is hypnobirthing?

Hypnobirthing is a combination of education, mindfulness, deep relaxation and self-hypnosis which helps achieve a more comfortable birth. We aim to give mums and their birth partners the tools they need to minimise the fear-tension-pain cycle, resulting in shorter and more comfortable births.

Hypnobirthing is about your mind-set and your birth partner’s mind-set. We focus our teaching on how your thoughts, and your birth partner’s thoughts and actions, can affect your body during pregnancy and labour.

By including practical hypnobirthing and mindfulness techniques as well as enhanced understanding of birth, we teach you both what you need to know to feel more prepared and informed for the birth of your baby.

We keep the birth partner in mind during the sessions. Everyone in the birthing room has an important role to play. The techniques you learn will have you working together as a team; encourage you to be calm, stay focused or to ask the questions you need to with a deep-seated confidence.

When all of this in place, baby can be born into a gentle, loving environment, with both parents (or a birth partner) connected in the experience through the preparation they have done.

We feel it’s important that you have access to information and that you are given the opportunity to understand how important it is to take time out to relax and let go of the day’s stresses and strains. Through our classes, you can learn quickly about hypnobirthing benefits for baby. This aims to support you to create spaces within your life, during your pregnancy to quickly de-stress and connect to your baby in a positive way. The mindful hypnobirthing techniques you learn in the classes can be used in the workplace as well as in everyday life to relax and calm you, not just at the birth.

About the classes

Teachers

Our classes are taught by two experienced practitioners who work within our perinatal mental health service. Both practitioners have been specifically trained to deliver mindful hypnobirthing.

Confidentiality

Everyone in a class will be working with our perinatal mental health service. Conversations about sensitivity and confidentiality will be had with everyone attending, prior to workshop starting.

Small classes

We keep our mindful hypnobirthing classes small so you will rarely find that a class has over three to four individuals or three to four pairs. This helps us to hold a nurturing space where you can relax and feel comfortable. During hypnobirthing sessions, we want to encourage you to be able to ask questions freely and to process any thoughts you have, and it’s much easier to do that in smaller group.

Benefits of attending mindful hypnobirthing classes

Your birthing partner

It can be daunting to prepare for the birth as a partner; however many classes you take you may still not know what to expect or you might think you know what to expect based on TV or films, or what you’ve heard from friends.

The truth is, even a birthing partner’s preconceptions of birth can influence how a woman births; it can change the type of support and also the direction a birth takes. For a birth partner, understanding what your own fears and worries are, and why they can impact your partner’s labour, and learning what you can do about it, is some of the best preparation you can do.

This mindful hypnobirthing classes really benefit the birth partner, whether it’s your mother, a friend, partner, your husband or your wife. We strongly believe that when the birthing partner feels comfortable, know what to expect and how they can help during the birth it makes an immense difference to the mother and baby.

Importantly it gives the birthing partner a quiet confidence that is picked up on by the mother who feels supported and is able to let go and really go within and focus on the birth.

 

Leaflet reference: L1121
Version: V2
Date last updated: 05 / 01 / 2021
Archive date: 05 / 01 / 2024

 

Service name Mental health rehabilitation service
Address Willow Ward (inpatient)
West Park Hospital
Darlington
DL2 2TS
Primrose Lodge (inpatient)
Durham Road
Chester-le-Street
DH3 3JX
Primrose Lodge
(community)
Durham Road
Chester-le-Street
DH3 3JX
Telephone 01325 552089

01325 552087

 0191 3333711  0191 3870090
Service opening hours 24 hours, seven days a week  24 hours, seven
days a week
 8am – 6pm, seven days   a week
Lead contact name Gemma Readman  Darren Barker  Darren Barker

What is mental health rehabilitation?

A team approach to recover from mental ill health which maximises an individual’s quality of life and social inclusion by encouraging their skills, promoting independence and autonomy in order to give them hope for the future which leads to successful community living through appropriate support.

Why do we need adult mental health rehabilitation teams?

Some people with complex mental health needs will require specialist rehabilitation to optimise their functioning, reduce the need for future admissions and to work towards successful community living.

Our teams

Inpatient wards
Willow ward is a 15 bed mixed sex inpatient rehabilitation ward in West Park Hospital, Darlington. We care for people with severe and enduring mental health problems that require high level support. The maximum stay on this ward is two years.

Primrose Lodge is a 15 bed mixed sex inpatient rehabilitation ward in Chester-le-Street. The ward supports service users with complex mental health needs who cannot be discharged directly from hospital due to high level of need. The team works with people in their care to develop opportunities for future independence and step down into community living. The maximum stay on this ward is nine months.

Both inpatient wards offer a will work with you to recovery from mental ill health which maximises quality of life, social skills, independence, hope for the future and community living.

Community service
The community rehabilitation service at Primrose Lodge in Chester-le-Street supports people across County Durham and Darlington to achieve the highest level of independent living as possible. The average length of time that the service works with an individual is around 12 weeks. The team works with people who have complex needs who have been identified by their care team as having significantly reduced ability to function within their home and community.

What can you expected from the rehabilitation services?

Your team will design a rehabilitation programme following an assessment. Regular meetings will be held with you and your team to discuss your progress and establish goals. We welcome and value the input of your family and friends whilst planning and delivering your care.

Who works in the team?

The team is made up of psychiatric nurses, student nurses, a consultant psychiatrist, medics, psychologists, health care assistants, occupational therapists, physiotherapists, activity coordinators, physical health practitioners, pharmacy, volunteers, chaplaincy, administrative staff and housekeepers.

Other specialists and agencies can being involved in your care as required, such as community mental health teams, GPs, housing advisors, Citizens Advice Group, benefits advisers, patient advocacy and a gym instructor.

Who can refer me?

You can be referred from a community mental health team or your current inpatient ward.

What will happen when I am referred?

Your team will discuss your referral to the mental rehabilitation service with you and you will be offered an assessment.  The assessment will identify your need for rehabilitation services and goals for your recovery. If the assessment indicates a rehabilitation referral, a transition plan will be developed for you, this may include visits to the ward to meet the staff and familiarise yourself with the environment.

As part of the assessment process we may contact your family and / or carers and your community mental health team to get an idea of your needs. We would discuss this with you to ensure you are in agreement for this to happen.

How can the team help me?

If mental rehabilitation is beneficial to your recovery, we will work with you and your care team to arrange a transfer into one of the services. You will be allocated named professionals who will develop a recovery plan with you. This will include a personalised activity plan, therapeutic groups, one to one sessions and skill building exercises.

Will everything I say be kept confidential?

Everything you say, and the information about you will be kept confidential within your care team. The only instance in which we would need to break your confidentiality is if it was felt there was a risk to yourself or others, but we would speak to you about this.

Can my family and friends who care for me get help?

If you have an identified carer, we are able to offer them a carer’s assessment.

What have patients said about our services?

“A special thank you for all you did…our family will be forever grateful”

Carer feedback

“We cannot thank you enough for the fantastic job you have done”

Carer feedback

“You might think you are alone, with guidance and strength you never walk along”

Service user feedback

 

Leaflet reference: L1120
Version: V1
Date last updated: 02 / 12 / 2020
Archive date: 01 / 12 / 2023

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