{"type":"doc","content":[{"type":"extension","attrs":{"layout":"default","extensionType":"com.atlassian.confluence.macro.core","extensionKey":"toc","parameters":{"macroParams":{},"macroMetadata":{"macroId":{"value":"b28eb656-d8b8-4a5e-bebb-b043b251e72e"},"schemaVersion":{"value":"1"},"title":"Table of Contents"}},"localId":"ef0978af-407d-46a7-ac3a-c82dc588218e"}},{"type":"heading","attrs":{"level":3},"content":[{"text":"Key Objectives","type":"text"}]},{"type":"paragraph","content":[{"text":"To provide parents with advice and information when their child or children have a respiratory syncytial virus (RSV) in a digital care plan. Care plan to be the patient record team","type":"text"}]},{"type":"heading","attrs":{"level":3},"content":[{"text":"Outcome measures","type":"text"}]},{"type":"paragraph","content":[{"text":"Equip parents with the information they need when caring for their child at home and give them advice on when to get support, symptoms to track and measurements to monitor to support the outbreak of RSV.","type":"text"}]},{"type":"heading","attrs":{"level":3},"content":[{"text":"Current Baselines","type":"text"}]},{"type":"paragraph","content":[{"text":"There isn't a lot of information on RSV and trusts are finding it hard to get RSV information to parents.","type":"text"}]},{"type":"heading","attrs":{"level":2},"content":[{"text":"Workflow","type":"text"}]},{"type":"orderedList","attrs":{"order":1},"content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"text":"Carer: Claims their patient PKB record. Giving them the ability to view their child's record","type":"text"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"text":"Carer: Adds RSV care plan to child's PKB record","type":"text"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"text":"Carer: Ability to edit and share care plan","type":"text"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"text":"Clinical team: Views care plan in a virtual appointment to support clinical decision-making","type":"text"}]}]}]},{"type":"heading","attrs":{"level":2},"content":[{"text":"Your child's RSV Monitoring Care Plan Template","type":"text"}]},{"type":"mediaSingle","attrs":{"layout":"center","width":65.0},"content":[{"type":"media","attrs":{"width":262,"id":"b96f2b47-86b9-43f6-98cd-483a94e0d521","collection":"contentId-3591012618","type":"file","height":1280}}]},{"type":"expand","attrs":{"title":"Example care plan template HTML code for Your child's RSV Monitoring Care Plan"},"content":[{"type":"paragraph","content":[{"text":"

","type":"text"}]},{"type":"paragraph","content":[{"text":"","type":"text"}]},{"type":"paragraph","content":[{"text":"

","type":"text"}]},{"type":"paragraph","content":[{"text":"

What is RSV?

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Respiratory syncytial virus (RSV) is a very common respiratory virus that causes lung and respiratory tract infections. It is a highly contagious virus that spreads from person to person through droplets when they cough, sneeze or talk.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

RSV is a common virus that almost all children are infected with by the time they're 2 years old. In older children and adults, RSV may cause a cough or cold, in infants, the virus can cause serious illnesses including bronchiolitis and pneumonia, an infection of their lung which can lead to hospitalisation.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Why the NHS is seeing an increase in RSV

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Due to COVID-19 restrictions since March 2020, there has been a decrease in the numbers of RSV and other respiratory viruses due to good hand washing, social distancing and the reduced contact between children. As restrictions are lifted, an increase of RSV cases in children is being seen by the NHS.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Who's most at risk?

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Several things can increase a child's likelihood of developing the infection.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

These include:

having brothers or sisters who attend school or nursery, as they're more likely to come into contact with a virus
being under 2 months of age
having congenital heart disease
being born prematurely (before week 37 of pregnancy)
having chronic lung disease of prematurity (when injury to the lungs causes long-term respiratory problems in premature babies)

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Prevention

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The best way to prevent the spread of RSV is to:

","type":"text"}]},{"type":"paragraph","content":[{"text":"

stay home and away from toddlers and babies if you are sick
anyone unwell should stay at home until they are symptom-free and feeling better
children shouldn't return to childcare or school until they have been feeling well for 24 hours
good hand hygiene - regularly wash and dry your hands
cough and sneeze into your elbows, carefully discard dirty tissues
do not share food and drink
practise physical distancing
toys should be washed in warm water and detergent at the end of the day (if they are shared)

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Signs and Symptoms

","type":"text"}]},{"type":"paragraph","content":[{"text":"

a runny nose
coughing or sneezing
fever
wheezing and difficulty breathing
decreased appetite
loss of appetite or difficulty feeding due to breathlessness
in very young infants, irritability or decreased activity
shortness of breath or rapid breathing (this requires immediate medical attention)

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Useful information

","type":"text"}]},{"type":"paragraph","content":[{"text":"

What is Respiratory syncytial virus (RSV)
Symptoms, treatment and prevention of RSV
RSV (Respiratory Syncytial Virus): What Parents Should Know
Caring for a child with fever | NHS
How to take your baby's temperature
High temperature (fever) in children

","type":"text"}]},{"type":"paragraph","content":[{"text":"

All of the above information is in the Library section

","type":"text"}]},{"type":"paragraph","content":[{"text":"

What is an abnormal respiratory (breathing) rate for my child?

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Respiratory Rate more than 50 breaths per minute, if aged 6-12 months

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Respiratory Rate more than 40 breaths per minute, if older than 12 months

","type":"text"}]},{"type":"paragraph","content":[{"text":"

How do I take my child's respiratory rate?

","type":"text"}]},{"type":"paragraph","content":[{"text":"

To count the number of breaths, or respirations, your child is taking per minute, observe your child's chest rise and fall or place your hand on your child's tummy and feel the rise and fall. One rise and a fall is one breath.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Count the number of times you see the chest rise and fall or the number of times the tummy rises and falls in 30 seconds and multiply by 2.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Normal respiration rates (breaths per minute) for children who are resting. Breathing may be faster during exercise or crying and slower while asleep.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Normal Resting Respiration Rates

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Age	Breaths per minute
Premature	40 - 70
0 - 3 months	35 - 55
3 - 6 months	30 - 45
6 - 12 months	25 - 40
1 - 3 years	20 - 30
3 - 6 years	20 - 25
6 - 12 years	14 - 22
13 years and older	12 - 18

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Above information taken from - North London Paediatrician

","type":"text"}]},{"type":"paragraph","content":[{"text":"

Symptoms and measurements

","type":"text"}]},{"type":"paragraph","content":[{"text":"

You can track any symptoms related to RSV and take the child's temperature and respiration rate regularly, in this care plan to help you monitor your child.

","type":"text"}]},{"type":"paragraph","content":[{"text":"

","type":"text"}]}]},{"type":"paragraph"}],"version":1}

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