Name* First Last Email* PhoneName of workplace*Province*Select province...Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern CapeDistrict (Eastern Cape)*Select district...Alfred NzoAmatholeBuffalo CityChris HaniJoe GqabiNelson Mandela BayOR TamboSarah BaartmanDistrict (Free State)*Select district...Fezile DabiLejweleputswaMangaungThabo MofutsanyanaXhariepDistrict (Gauteng)*Select district...City of EkurhuleniCity of JohannesburgCity of TshwaneSedibengWest RandDistrict (KwaZulu-Natal)*Select district...AmajubaeThekwiniHarry GwalaiLembeKing CetshwayoUguuMgungundlovuuMkhanyakudeuMzinyathiuThukelaZululandDistrict (Limpopo)*Select district...CapricornGreater SekhukhuneMopaniVhembeWaterbergDistrict (Mpumalanga)*Select district...EhlanzeniGert SibandeNkangalaDistrict (Nort West)*Select district...BojanalaDr Kenneth KaundaDr Ruth Segomotsi MompatiNgaka Modiri MolemaDistrict (Northern Cape)*Select district...Frances BaardJohn Taolo GaetseweNamakwaPixley Ka SemeZF MgcawuDistrict (Western Cape)*Select district...Cape WinelandsCentral KarooCity of Cape TownEdenOverbergWest CoastYour role*Select your role...Master TrainerFacility TrainerRegistered Nurse (RN)Clinical Nurse Practitioner (CNP)Medical Officer (MO)SpecialistAllied Health ProfessionalNational Department of Health (NDoH)Western Cape Department of HealthEducatorKnowledge Translation UnitOtherSpecify role further*Which guide is your feedback related to?*Select a guide...PACK Adult 2017 (Western Cape Edition)Adult Primary Care 2016/2017PACK Adult 2016-2017 (Western Cape Edition)Primary Care 101 2013/14Other/not applicableWhich page is your feedback related to? (PACK 2017)*Select page...Not related to specific pageContents: symptomsContents: chronic conditionsPrescribe rationallyScreen the client in the prep roomAddress the client's general healthThe emergency clientThe unconscious clientThe injured clientSeizures/fitsWeight lossFeverLump/s in neck, axilla or groinWeakness or tirednessCollapse/fallsDizzinessHeadacheEye/vision symptomsFace symptomsEar/hearing symptomsNose symptomsMouth and throat symptomsChest painCough or difficulty breathingWheeze/tight chestBreast symptomsAbdominal pain (no diarrhoea)Nausea or vomitingDiarrhoeaConstipationAnal symptomsGenital symptomsGenital symptoms in a manVaginal dischargeGenital ulcer syndromeOther genital symptomsCervical screeningPositive syphilis resultAbnormal vaginal bleedingSexual problemsUrinary symptomsBody/general painJoint symptomsBack painNeck painArm symptomsLeg symptomsFoot symptomsBurn/sBites and stingsSkin symptomsPainful skinItch with localised rashItch with no rashGeneralised itchy rashGeneralised non-itchy red rashSkin lump/sUlcers and crustsChanges in skin colourNail symptomsSelf harm or suicideAggressive/disruptive clientAbnormal thoughts or behaviourStressed or miserable clientTraumatised/abused clientDifficulty sleepingExposed to infectious fluids: post-exposure prophylaxisReview the client on post-exposure prophylaxisTuberculosis (TB): diagnosisDrug-sensitive (DS) TB: routine careINH mono-resistant TB: routine careDrug-resistant (DR) TB: routine careHIV: diagnosisHIV: routine careAsthma and COPD: diagnosisUsing a peak expiratory flow meterAsthma: routine careChronic obstructive pulmonary disease (COPD): routine careCardiovascular disease (CVD) risk: diagnosisCardiovascular disease (CVD) risk: routine careDiabetes: diagnosisDiabetes: routine careHypertension: diagnosisHypertension: routine careHeart failure: routine careStroke: routine careIschaemic heart disease (IHD): initial assessmentIschaemic heart disease: routine carePeripheral vascular disease (PVD): diagnosis and routine careMental health care act (MHCA)Alcohol/drug useDepression: diagnosisDepression and/or anxiety: routine careSchizophrenia: diagnosis and routine careDementia: diagnosis and routine careEpilepsy: diagnosis and routine careContraceptionThe pregnant clientRoutine antenatal careRoutine postnatal carePrevention of mother-to-child transmission (PMTCT) of HIVMenopauseChronic arthritis: diagnosis and routine careGout: diagnosis and routine careFibromyalgia: diagnosis and routine careLife-limiting illness: routine palliative careProtect yourself from occupational infectionProtect yourself from occupational stressCommunicate effectivelySupport the client to make a changeHelpline numbersWhich page is your feedback related to? (APC 2016-17)*Select page...Not related to specific pageCommunicate effectivelyContents: symptomsContents: chronic conditionsRoutine care summaryInitial assessment of the patientPrescribe rationallyThe emergency patientThe unconscious patientThe injured patientSeizures/fitsWeight lossFeverLymphadenopathy (enlarged lymph node/s)Weakness and/or tirednessCollapseDizzinessHeadacheEye/vision symptomsFace symptomsEar symptomsNose symptomsMouth and throat symptomsChest painCough and/or difficult breathingWheeze/tight chestBreast symptomsAbdominal pain (no diarrhoea)VomitingDiarrhoeaConstipationAnal symptomGenital symptomsGenital symptoms in a manVaginal dischargeGenital ulcer syndromeOther genital symptomsCervical screeningPositive syphilis resultAbnormal vaginal bleedingSexual problemsUrinary symptomsBody/general painJoint symptomsBack painNeck painArm symptomsLeg symptomsFoot symptomsBurnsBitesSkin symptomsPainful skinItch with localised rashItch with no rashGeneralised itchy rashLumpsGeneralised non itchy red rashUlcers and crustsChanges in skin colourNail symptomsSuicidal patientAggressive/violent patientConfused patientStressed or miserable patientTraumatised/abused patientDifficulty sleepingTB: diagnosisDrug-sensitive (DS) TB: routine careINH mono-resistant TB: routine careDrug-resistant (DR) TB: routine careHIV: diagnosisHIV: routine careAsthma and COPD: diagnosisUsing a peak expiratory flow meterAsthma: routine careChronic Obstructive Pulmonary disease (COPD): routine careCardiovascular disease (CVD) risk: diagnosisCardiovascular disease (CVD) risk: routine careDiabetes: diagnosisDiabetes: routine careHypertension: diagnosisHypertension: routine careHeart failure: routine careStroke: routine careIschaemic Heart disease (IHD): diagnosisIschaemic Heart disease: routine carePeripheral vascular disease (PVD)Mental Health Care Act (MHCA)Depression and anxiety: diagnosisDepression and/or anxiety: routine careAlcohol and/or drug usePsychosis and/or maniaDementiaEpilepsyChronic arthritisGoutFibromyalgiaContraceptionContraception: routine careThe pregnant patientRoutine antenatal care: the booking visitRoutine antenatal care: follow-up visitsPostnatal careMenopauseProtect yourself from occupational infectionPost-exposure prophylaxis (PEP)Protect yourself from occupational stressHelpline numbersWhich page is your feedback related to? (PACK 2016-17)*Select page...Not related to specific pageContents: symptomsContents: chronic conditionsPrescribe rationallyScreen the client in the prep roomAddress the client's general healthThe emergency clientInjured clientThe unconscious clientSeizures/fitsWeight lossFeverLymphadenopathy: enlarged lymph node/sWeakness and/or tirednessCollapse/fallsDizzinessHeadacheEye/vision symptomsFace symptomsEar symptomsNose symptomsMouth and throat symptomsChest painCough and/or difficulty breathingWheeze/tight chestBreast symptomsAbdominal pain (no diarrhoea)VomitingDiarrhoeaConstipationAnal symptomsGenital symptomsGenital symptoms in a manVaginal dischargeGenital ulcer syndromeOther genital symptomsCervical screeningPositive syphilis resultAbnormal vaginal bleedingSexual problemsUrinary symptomsBody/general painJoint symptomsBack painNeck painArm symptomsLeg symptomsFoot symptomsBurnsBites and stingsSkin symptomsPainful skinItch with localised rashItch with no rashGeneralised itchy rashLumpsGeneralised non-itchy red rashUlcers and crustsChanges in skin colourNail symptomsSuicidal clientAggressive/violent clientConfused clientStressed or miserable clientTraumatised/abused clientDifficulty sleepingTB: diagnosisDrug-sensitive (DS) TB: routine careINH mono-resistant TB: routine careDrug-resistant (DR) TB: routine careHIV: diagnosisHIV: routine careAsthma and COPD: diagnosisUsing a peak expiratory flow meterAsthma: routine careChronic obstructive pulmonary disease (COPD): routine careCardiovascular disease (CVD) risk: diagnosisCardiovascular disease (CVD) risk: routine careDiabetes: diagnosisDiabetes: routine careHypertension: diagnosisHypertension: routine careHeart failure: routine careStroke: routine careIschaemic heart disease (IHD): initial assessmentIschaemic heart disease: routine carePeripheral vascular disease (PVD): diagnosis and routine careMental health care act (MHCA)Depression and anxiety: diagnosisDepression and/or anxiety: routine careSubstance abusePsychosis and/or mania: diagnosis and routine careDementia: diagnosis and routine careEpilepsy: diagnosis and routine careChronic arthritis: diagnosis and routine careGout: diagnosis and routine careFibromyalgia: diagnosis and routine careContraceptionContraception: routine careThe pregnant clientRoutine antenatal careRoutine postnatal carePrevention of mother-to-child transmission (PMTCT) of HIVMenopauseLife-limiting illness: routine palliative careProtect yourself from occupational infectionProtect yourself from occupational stressCommunicate effectivelySupport the client to make a changeHelpline numbersWhich page is your feedback related to? (PC101 2013-14)*Select page...Not related to specific pageCommunicate effectivelyContents: symptomsContents: chronic conditionsThe unconscious patientSeizures/fitsWeight lossFeverLymphadenopathy (enlarged lymph node/s)Weakness and/or tirednessCollapseDizzinessHeadacheEye/vision symptomsFace symptomsEar symptomsNose symptomsMouth and throat symptomsChest painCough and/or difficult breathingWheeze/tight chestBreast symptomsAbdominal pain with or without swelling (no diarrhoea)VomitingDiarrhoeaConstipationAnal symptomGenital symptomsGenital symptoms in a manVaginal dischargeGenital ulcer syndromeOther genital symptomsCervical screeningPositive syphilis resultAbnormal vaginal bleedingSexual problemsUrinary symptomsBody/general painJoint symptomsBack painNeck painArm symptomsLeg symptomsFoot symptomsInjured patientBurnsBitesSkin symptomsPainful skinItch with localised rashItch with no rashGeneralised itchy rashLumpsGeneralised non itchy red rashUlcers and crustsChanges in skin colourNail symptomsSuicidal patientAggressive/violent patientConfused patientStressed or miserable patientTraumatised/abused patientDifficulty sleepingTB: diagnosisTB: routine careHIV: diagnosisHIV: routine careAsthma and COPD: diagnosisAsthma: routine careChronic Obstructive Pulmonary disease (COPD): routine careCardiovascular disease (CVD) risk: diagnosisCardiovascular disease (CVD) risk: routine careDiabetes: diagnosisDiabetes: routine careHypertension: diagnosisHypertension: routine careHeart failure: routine careStroke: routine careIschaemic Heart disease (IHD): diagnosisIschaemic Heart disease: routine carePeripheral vascular disease (PVD)Mental Health Care Act (MHCA)Depression and anxiety: diagnosisDepression and/or anxiety: routine careSubstance abusePsychosis and/or maniaDementiaEpilepsyChronic arthritisGoutFibromyalgiaContraceptionContraception: routine careThe pregnant patientRoutine antenatal carePostnatal careMenopausePrep room assessment of the patientProtect yourself from occupational infectionRoutine care summaryHelpline numbersType of feedbackSelect feedback type...Spelling/grammar/printing errorContent errorContent unclearContent missingSuggestion for improvementTrainingOtherFeedback/comment*Upload file/image Drop files here or
