• Rest for a few days after the abortion.
• Avoid strenuous activity for a few weeks after the abortion.
• Resume normal activity within 48 hours or as specified by your physician.

• Do not have sexual intercourse until 3 weeks after the abortion.
• You should stop having vaginal bleeding after around 2 weeks.
• You should have your first menstrual cycle in about 4 to 6 weeks.
• Your physician should be notified if you develop:

• If any symptoms such as shortness of breath, dizziness, palpitation, extreme sweating, fatigue and/or chest pain occur, stop the activity you are doing, sit down, and report to the physician
• Chest pain could be felt as: o A sharp burning or cramping pain in the chest or arms or both. o An ache that starts in or spreads to your neck, jaw, throat, or upper back, especially between the shoulders.
• Take one tablet of nitroglycerine and put it under your tongue. (as advised by your physician).
• If pain persists for more than five minutes, take another tablet of nitroglycerine and put it under your tongue.
• Call your physician and go to the nearest hospital emergency room.
• Call your physician even if the pain is relieved and inform him/her about your chest pain,
• Keep the prescribed nitroglycerin with you whereever you go & keep it in a dark bottle. Check the expiry date of the medicine.

• Avoid eating a high fat diet
• Avoid fried foods, junk foods, greasy foods, full fat cheese, butter, sour cream, and so on. Eat frequent small portions and refrain from physical activity for two hours after eating
• Avoid excessive caffeine intake
• Physician can give you more information about your diet.

• Stop smoking.
• Carry out regular follow–up care.

• Take the right dose of the medication as ordered by your physician, since too much of the drug can cause bleeding and too little can cause clotting. For this reason, you must have blood tests done periodically.
• Take the anticoagulant as ordered. Do not stop taking it unless your physician tells you to.
• Never take a double dose to make up for the missed one.
• If you take multivitamins check with your physician to ensure they are safe.
• Check with your physician or pharmacist before taking over – counter drugs to be sure they do not contain aspirin or other substances that may affect blood clotting.
• Take other medications only as prescribed by your physician.

• Avoid eating foods rich in vitamin K since vitamin K increases the risk of blood clots and affects the treatment with anticoagulants. Food rich in vitamin K include green leafy vegetables (spinach, lettuce, cabbage, parsley, broccoli), cereals (peas and beans), soybean oils and pickles.
• Maintain your usual diet as prior to starting anticoagulant therapy.
• If a change in the diet is to be made (for example, starting on a weight reducing one), consult your physician.
• Physician can give you more information about your diet.

• While you are taking anticoagulant medications, your blood will clot more slowly if you are injured. Therefore, you should take precautions against even minor cuts and bruises. The following safety measures will help you prevent problems.
• Use a soft toothbrush.
• Avoid putting toothpicks or other sharp objects in your mouth.
• Protect your feet from injury. Do not walk barefoot.
• Avoid using cutting tools or other sharp objects that could result in injury. If you injure yourself, keep pressure on the injury for 10 minutes. If the bleeding does not stop, reported to ER.
• Protect yourself from falling. Put a non slippery mat in your bathtub or shower. Wear low- heeled shoes with non slip soles.
• When you visit any doctor, inform him/her that you are taking
• Call your physician immediately if you experience any of the following symptoms:

§  Unusual bleeding or bruising.

§  Pink or red urine or black stools.

§  Bleeding from the nose and/or gums.

§  Unusual vaginal bleeding or excessive menstrual flow.

§  Reddish spots on your skin.

§  Avoid injections as it can cause bleeding.

§  Avoid Aspirin as it can increase bleeding.

1. Do not use any mouth washes or Rinses for 24 hours following tooth extraction.
2. If bleeding persists after this time, or is excessive, place a rolled up clean handkerchief over the socket and bite steadily and firmly on this for 30 Minutes timed by the clock, do not disturb the handkerchief during this period. This usually stops any bleeding– if not repeat the process. If there is still bleeding return to the Hospital for advice.
3. Be sure to take any pills or medicines which the dentist prescribes for you, and to return for any follow– up appointments.
4. Eat and drink carefully— only soft cool food and keep it away from the socket.
5. After 24 hours do use gentle hot salt mouth washes to keep the socket clean, especially after meals (half a teaspoonful of ordinary table salt in a glass of hot water).

• Maintain adequate rest and sleep. Take advantage of the baby's sleeping for rest and sleep.
• Avoid lifting heavy objects for the first six weeks or until the wound has healed completely.

• Wash nipples and areola (dark area around the nipple) with water only. Do not use soap to prevent drying of the skin.
• Do not use any ointment on breasts unless prescribed by your physician. 
• Express breast milk and rub on areola before and after breast-feeding since beast milk contains a natural skin lubricant.
• Wear a well-fitting supportive bra.

• Report any signs of wound infection such as redness, edema (swelling), pain and discharge from wound.
• Keep the wound clean and dry.

• Report any foul odor.
• Vaginal bleeding is expected to gradually slow down over the next week.
• A few small clots in the discharge are considered normal.

• Alterations in patterns of bleeding: increased amount, presence of clots, and a foul smelling discharge.
• High temperature.
• Tenderness, swelling, warmth in any area of the legs.
• Swelling, warmth, tenderness in any area of the breasts.

• Avoid self use of drugs especially analgesics.
• Take medications as prescribed by your physician.

Follow a high calorie, low protein, low sodium and low potassium diet as advised by your physician. 

Remain at bed rest with alternating activity in between.

• Weigh yourself daily.
• Monitor urine output. 
• Maintain oral hygiene to minimize dryness of oral cavity. 
• Monitor and record blood pressure as indicated.
• Prevent skin breakdown by massaging bony areas.
• Monitor blood tests as indicated to assess the degree of anemia.
• Avoid carrying heavy weights.
• Provide a safe environment at home since renal patients have the tendency to bleed, get bone fractures with weakness, and confusion might be present at times.
• Report to your physician any change caused by the disease and/ or treatment.
• Report evidence of inadequate protein intake such as swelling of extremities or delayed healing.
• Report signs of fluid overload such as vision changes, headache, swelling of extremities.
• Report worsening signs of renal failure such as nausea, vomiting, decreased urine output and ammonia odor breath

• Digoxin (example:Lanoxin): This medication helps the heart to pump stronger.
• Diuretics (example: Lasix): This group of medication removes excess fluid from the body, thus easing the workload of the heart. Inform your physician in cases of low blood pressure and drowsiness.
• Antihypertensive medications (example: Capoten). Used to lower the blood pressure and make it easier for the heart to do its work.
• Potassium supplements are used to replace the mineral potassium, which is washed out of the body by some diuretics. A low potassium level may irritate the heart. The physician may recommend foods high in potassium such as banana, orange juice, tomato, water melon.

• Read the labels of foods you buy because many prepared foods, crackers, cheese, pickles, soy sauce, sodas and canned meat contain a lot of salt.
• Cut down on salt used in cooked and on the table.
• Limit the amount of water and fluids as recommended by your physician.

• Stop what you are doing if you feel shortness of breath or chest pain. Sit down and rest.
• Be moderate in activity and exercise. Inactivity weakens the heart and the body. Exercise is important. Short periods of moderate exercise such as walking three times a week is advisable. Rest after activity. Ask your physician for help in designing an exercise program for you.

• Weigh yourself every day at the same time with same Balance. Weight gain may indicate that you are retaining fluid that may cause shortness of breath. Notify the physician if you gain weight.
• Do regular follow – up care so that the disease process is assessed in terms of control or progression and treated accordingly. 
• Stop smoking.  
• Avoid going out in very hot or cold weather.

• Increased urination.
• Increased thirst.
• Increased appetite.
• Fatigue and weakness.

• Take your anti- diabetic medicine regularly as prescribed by your physician.
• Do not stop the medication on your own without contacting your physician.
• If you obtain a normal blood sugar readings ,your blood sugar is under but you still need to continue with the medication, diet, and exercise as advised by the physician
• If your blood sugar is often low, or often high, you need to contact your physician.

• Store insulin vials in the refrigerator.
• Check the label on the bottle (type of insulin, expiry date).
• Roll gently the insulin vials of intermediate and long acting insulin to ensure that all sediment is mixed into the liquid.
• Do not administer cold insulin. Warm it by rotating the vial between the hands.
• Wash your hands thoroughly and dry them. Clean the cap of the insulin vial with an antiseptic swab.
• Rotate the vial of insulin between your hands to mix the insulin. If crystals remain in the bottom, it means the insulin is not good for use.
• Draw an amount of air equal to the amount of the dose of insulin that you require, up into the syringe.
• With the insulin vial upright, plunge the needle through the rubber cap, pushing air into the vial, then turn the insulin vial upside down and carefully draw the correct dose of insulin.

• Read instructions and consult your physician, pharmacist or nurse. 
• Withdraw short acting insulin first then intermediate or long acting insulin
• Draw air into your syringe equal to the amount of long or intermediate acting insulin and inject the air in the vial,then witharaw the needle and leave the vial aside.
• Inject air into your short acting insulin vial in the same manner but do not withdraw the needle.
• Turn the bottle upside down, withdraw the short acting dose of insulin by , remove the needle, and insert it in the bottle of long or intermediate acting insulin, then withdraw the correct amount of insulin. The fluid should always cover the bevel of the needle.

• Use the upper arms, the thighs and the abdomen for insulin injections.
• Rotate sites to prevent tissue damage and to aid in absorption.
• Take the next injection at least 2cm apart from the pervious one, and then change to another area when the whole area has been used.
• Clean the site with alcohol where you intend to inject, and then pinch the skin between the thumb and forefinger of one hand.
• Hold the syringe by its barrel in the other hand; insert the Needle quickly at a 45 degree angle (90 degree angle around the umbilicus) Into the tissue lying under the skin, depending on needle length and the amount of subcutaneous tissue at the site.
• Press the plunger all the way down to inject all the insulin.
• Withdraw the needle quickly while placing an antiseptic swab gently over site. Apply a light pressure to the site.
• Ask the patient educator or the physician to teach you how, when and which sites you will inject with insulin.

• Follow regular daily exercises.
• Be involved in moderate levels of activity (jogging, walking …….).
• Follow a specific exercise plan that is mutually decided by the physician and you to fit into daily activities and to prescribe the proper diet and adequate insulin as necessary.
• Exercise at the same time every day
• Check blood glucose before beginning to exercise.

• Ask your doctor about your diet.
• Eat three or more regularly spaced meals each day especially before the insulin dose.
• Avoid food concentrated with, salts, and foods high in cholesterol. consult your physician
• Follow a weigth control diet, to keep your weight at normal level. consult your physician

• Quit smoking.
• Do an eye check up once a year and consult your doctor for any vision Diabetes might affect.
• Keep an identification card saying" I am diabetic"
• Watch out for symptoms of hypoglycemia (low blood sugar) such as irritability, tingling of lips and tongue or fingers, hunger and mental confusion.
• Carry with you at all times some sugar or candy to eat when you hypoglycemia.
• Try to find out the cause of the hypoglycemic attack and consult your physician. It may be due to insulin overdose, over exercise or little eating.
• Watch out for conditions that are acute complications of diabetes mellitus (diabetic ketoacidosis, hyperglycemia) manifested by the following symptoms: thirst, loss of appetite, fatigue, abdominal pain, nausea and vomiting.
• Test you blood sugar as instructed by your physician.
• Watch for any infection : a. High temperature and skin infection.b. Sores in your mouth. c. Changes in color or sensation in your fingertips or toes. 
• Do blood tests as ordered to detect any complications such as diseases of the kidneys or other complications.
• Wash your feet daily, dry them thoroughly and inspect them for lesions. Foot ulcer is a common complication of diabetes.
• Apply a non medicated moisturizing cream in your feet to prevent dryness Do not apply cream in between the toes.
• Use only warm water in washing. Do not use hot water. Test the water hand to check it's temperature
• Wear comfortable shoes, do not wear tight shoes, and never stay barefoot.
• Cut nails straight, not deep into the corners. Avoid injuries. Cuts may not heal easily.

• Be sure to use your:

• Wear non-slip footwear.
• Call the nurse to help you if you are unsteady when moving from bed to chair or retrieving hard to reach items.
• Make sure your wheelchair is locked and that the foot pedals are up when moving in or out of it.
• Pause for a few seconds when changing position such as lying to sitting or sitting to standing, This allows your body to adjust to the change.
• Avoid bending to pick up items, Ask for help.
• Tell your doctor or nurse of any episode of dizziness or light headedness.
• Stay on your ward unless your doctor has written an order for off-ward privileges, This allow health caregivers monitor your health care needs better.

• Keep a record of daily urine output and fluid intake.
• Weigh yourself every morning to detect fluid overload. 
• Take blood pressure daily. Blood pressure may increase when there is is swelling in extremities.
• Take a bath or shower daily to decrease the possibility of further infection.
• Wash hands frequently to prevent infection.
• Avoid scratching insect bites or lesions to prevent infections.
• Apply lotion to lubricate your skin.
• Report signs and symptoms of renal failure such as fatigue, nausea, vomiting and diminished urine output.
• Report signs and symptoms of infection such as high temperature, any preceding history of an inflammation of the pharynx or tonsils, as glomerulonephritis may recur.

• Use medications as prescribed by your physician only.

• Follow a special diet as instructed by your physician.
• Take a low sodium, low potassium , low phosphorous diet and normal protein diet.
• Restrict fluids intake as advised by your physician.

• Clean the site with soap and water to avoid infection. Dry the site.
• Check the pulse in your vascular access everyday. 
• Check the site for ecchymosis (bluish and purple marks on the skin). If present, inform your physician.
• Check the site for signs of infection such as redness, pain, discharge. Do not carry heavy objects and do not measure blood pressure from the extremity that has the vascular access.
• Do not allow pricks and blood tests from that extremities.
• Avoid wearing tight clothes and wearing a watch on the affected arm.
• Report signs of infection in general such as high temperature and chills.
• Report signs of infection at the vascular access site such as pain, swelling , discharge, and/or redness.
• Expect feelings of nausea and dizziness during the procedure, is a painless but timely procedure.
• Follow doctor's instructions to eliminate complications.

Have your Vaccines and give it to your children according to MOH schedule according to MOH recommendations. 

• Avoid holding, hugging or kissing anyone who has a cold or the flu

• preparing or eating food
• Treating a cut wound 
• Tending to someone who is sick

• Using the bathroom or helping a child use the bathroom (don"t forget the child hands).
• Handling raw meat/poultry/eggs.
• Changing a diaper.
• Touching pets.
• handling garbage.
• Sneezing or blowing your nose or helping a child blow his/her nose.
• Touching any body fluid like blood or mucus.
• being in contact with a sick person.
• Playing outside or with children and their toys

•  Take medications (iron, vitamins...) as prescribed by your physician. Never take without the permission of your physician.

• Eat small frequent meals throughout the day.
• Avoid greasy, highly seasoned food and beverages containing caffeine.
• Eat dry crackers or toast before arising from bed to prevent nausea that occurs in the early morning
• high protein snacks (e.g. milk and derivatives, fruits and vegetables) to maintain a normal blood sugar.
• Drink fluids between meals.

• Avoid any odor that bothers you (it could be food, perfume, herbs or spices). 
• Perform oral hygiene frequently to prevent dryness and irritation of the oral mucosa.
• You should contact your physician if you have any of the following:

• Any pregnant woman should report to her doctor the following symptoms:

• Remember to take your medications as prescribed by your physician. Remind yourself that your blood Pressure can be controlled.
• Monitor your blood pressure as advised by your physician.
• Report to your physician the side effects of your Medications mainly hypotension (dizziness and/or Fainting sensation).

• Decrease sodium intake by avoiding salty foods and Cutting down on salt used in cooking and on the table. Sodium salt retains water in the body, which increases Blood pressure. Try using salt substitutes that contain
• Read the labels of the foods you buy, as they may be high In salt / sodium.
• Reduce weight if needed. in the early morning
• Increase fruits and vegetables 3-4 serving per day normal blood sugar.
• Decrease fatty food, fried food and red meat.

• Quit smoking now. Smoking increases the narrowing of your blood vessels thus increasing your blood pressure. 
• Avoid stressful situations.
• Do regular follow-up care, so that the disease process is assessed in terms of control or progression and treated accordingly.
• Call your physician immediately in case you experience symptoms of hypotension such as dizziness, fainting sensation and/or syncope.

• Graves disease: due to the presence of a substance made by the body (immunoglobulin) which stimulates the gland.
• Toxic multinodular goiter or nodule: these nodules enlarge and work excessively in thyroid hormone production.
• Thyroiditis: due to inflammation in the thyroid gland which results in 'leakage' of the thyroid hormones into the blood.

• Use the prescribed drugs (antithyroid drugs) as advised by your physician.
• Continue the drug regimen because it may take several weeks to relieve symptoms, until a maintenance dose is established.

• Follow a high calorie, high protein diet as advised by your physician to compensate for the hypermetabolic state.
• People with hyperthyroidism may have an excessive appetite. Choose your snacks wisely (for example raw vegetables) if this happens at unusual times (right after a meal or middle of night).

• In case you have any eye irritation, dryness and/or excessive tearing, avoid smoky environments and sun light by wearing sun glasses. 
• Use artificial tears as per doctor's approval.
• Long term follow up is very important.

•  Take medications as prescribed by your physician.

• Exercise your legs and move around. This will prevent the formation of clots clots in the major veins of the legs.
• You may return to work 4-6 weeks after the operation. Ask your physician.
• You may resume sexual intercourse 6 weeks after the operation. Ask your physician. • Avoid carrying heavy objects.

• Do not lift heavy objects and do not make any strenuous activity after the operation for at least one month and as advised by your physician. 
• Avoid having tub baths for 3 to 6 weeks.
• Do not introduce anything into the vagina for 6 weeks (tampons, vaginal douche...).
• You will have a blood stained discharge from the vagina for weeks. This will usually stop after 6 weeks.
• Your physician should be notified if you develop :

• Choose low-salt or reduced-salt condiments. Condiments are the extra sauces sauces that make food tasty such as mustard, ketchup, and BBQ sauce, soy sauce, and teriyaki sauce. Use very small amounts of these.
• Avoid cured and high-salt meats such as bacon, sausage, bologna, , pepperoni and ham.
• Limit the amount of prepackaged and processed foods such as frozen meals, macaroni and cheese, pizza rolls, and chicken nuggets. These types of foods are usually loaded with sodium. Choose foods that are lowest in sodium.
• Stay away from pickled foods and those packaged in brine (salt water) such as olives and pickles.
• Choose fresh or frozen vegetables instead of canned. If you like canned vegetables, pick low-salt or no-salt veggies options or rinse them off before eating.
• Limit snack foods that are high in salt. Try unsalted nuts and peanuts.
• Leave the saltshaker in the cabinet not on the table. Try not to salt your food food or at least cut down on the amount of extra salt.
• Stay away from canned soup. Canned soups are super high in sodium! Many soups and broths contain a whopping 600-950 mg of sodium per serving (or more!).
• Reading a food label for sodium content:
• Begin by reviewing the serving size and sodium content information. See the shaded areas on the sample label. The sodium content for that’ serving is 440 mg.
• If you eat the same sized serving as the one listed on the label, then you are eating the amount of sodium that is listed.
• But if the amount you actually eat is either larger or smaller, the amount of sodium you will be eating will also be larger or smaller.
• For example, if you eat a double portion of the food shown on the label, you will also be eating twice as much sodium as listed on the label.

• Meningitis is a serious infectious disease that has to be treated in the hospital.
• Take anti-infective drugs as prescribed by your physician.
• Use medications to control your pain and temperature and keep your physician informed about any developments.

• Encourage oral fluids to prevent dehydration (loss of fluids from the body) related to high temperature and vomiting.
• Maintain a well balanced diet to enhance recovery and compensate for energy loss.

• Keep adequate level of activity as tolerated. Periods of bed rest are good for comfort.
• Avoid any sudden or unnecessary movements of head and neck and extreme neck flexion. Maintain the alignment of your body while turning or moving to decrease the pressure in the brain.
• Have someone assist you with activities and movements.

• Carefully treat high temperature by drinking plenty of fluids, doing sponge baths and taking medications as prescribed by the doctor. 
• Dim the light and provide ice packs on forehead to relive headache. If approved by physician.
• Keep head slightly elevated to decrease the pressure in the brain.
• Encourage your contacts to be examined and immunized or treated.
• Avoid unnecessary environmental stimuli to prevent excitation. A calm environment is desirable.
• Avoid contamination with items or articles freshly soiled by discharges from nose, any skin lesion.

•  Certain factors, known as iron enhancers, help the body absorb more non-heme iron.

• Some food contain iron inhibitors, which decrease iron absorption. Oxalates in spinach and phytates in whole grains inhibit the absorption of iron from these foods. A high fiber intake in general may act as an iron inhibitor.

• Iron is a mineral that is essential to life. The most important role that iron plays is to to carry the oxygen in the blood to every cell in the body. If your blood does not have enough iron, you may feel tired and drained of energy.
• Iron in meat is absorbed better than iron from plant foods. You can increase the adsorption of plant iron by including foods high in Vitamin C.

• Try to combine the excellent, good and fair sources to achieve a more complete diet.
• Avoid drinking coffee and tea with your meals as they decrease the amount of iron absorbed.
• To increase the iron content of foods, try adding sources of iron to your baking (wheat germ, bran, molasses, dried fruit or nuts.) Wheat germ and bran can be sprinkled on top of cereals, vegetables, casseroles or desserts. Cooking with cast iron pots can increase the iron in your food.
• If you are unable to eat a variety of foods mentioned above, or if your doctor advises you that you are low in iron, then iron pills can be taken with your meals.

Limiting the amount of purines in your diet is a change that may help you to manage gout. You may need to make these changes part of your daily routine. Changing what you eat and drink may be hard at first. Think of these changes as lifestyle changes not just diet changes. 

• Choose a variety of items on this diet to avoid getting tired of having the same items everyday. Keep the purine food list in your kitchen to remind you about the diet.
• Carry the purine food list with you to remind you about the diet when you are away away from home. Tell your family or friends about this diet so that they can remind you about it.

• Low-fat foods: Gout increases your risk of heart disease so you should limit the amount of fat in your diet. Choose foods that are baked instead of fried. 
• Liquid intake: Increase the amount of liquids you drink to at least 10 to 12 cups of of liquid each day.
• Alcohol: Limit the amount of alcohol you drink, especially beer. Beer contains a a high amount of purine.
• Maintain a healthy weight: If you are overweight, you should lose weight slowly. Losing weight can help to decrease the amount of stress on your joints, decrease levels of uric acid in your blood. Regular exercise can help you lose weight.

• Take medications with a full glass of water or other fluids and with food as adviced by your physician. This will decrease gastric irritation.
• Inform your physician if you have side effects such as nausea, vomiting, diarrhea, stomach problems, bleeding, bruises, dizziness, difficulty sleeping, or changes in urine.
• Keep list of all your medications. Share the list with all your physicians. 
• Drink 2 or 3 liters of fluid if not contraindicated to decrease gastric irritation and prevent precipitation of medication in the urinary tract.

• Eat plenty of vegetables and fruits. Avoid fatty food.
• Follow a weight – control diet if your are overweight. This will reduce pain and stiffness

• Choose exercises that improve joint motion and make your muscles stronger. Your physician or physical therapist may suggest a few exercises. Gentle exercise also can help lessen your pain.
• Try low impact sports such as walking, biking, or doing exercises in a warm pool if advised by your physician.
• Do not push yourself too hard at the beginning. Slowly build up your endurance level.
• Cut back on your workout when pain and stiffness increase.

• Apply hot packs to joints and muscles prior to exercising to reduce pain and promote circulation if advised by your physician. 
• Apply cold packs to joints and muscles after exercising to reduce inflammation if advised by your physician.
• See your physician as requested for check – ups and blood tests. The results will help him/her monitor the progress of the disease.

• People with family history of osteoporosis.
• Elderly men and women.
• Postmenopausal women.
• Smokers.
• People who do not have adequate calcium intake throughout life.
• People who have medical conditions associated with accelerated bone loss such as chronic intake of cortisone, hypogonadism (low levels of male hormone ), kidney failure, Cushing's disease (hormone disorder), hyperparathyroidism (over production of parathormone by parathyroid gland), hyperthyroidism (excessive secretion of thyroid hormone), and chronic intake of drugs for epilepsy (convulsion).

• 65 year old people and older.
• Patient with fragility fracture.
• Patient on chronic cortisone therapy.
• A man with hypogonadism (low levels of male hormones).
• Patient with a chronic disease known to increase bone loss.

• Bone fracture after minor trauma.
• Loss of height .
• Demineralzed bone that may be evidenced by X-rays.

• Adequate intake of calcium and vitamin D as recommended by your physician 
• Take the medications only as prescribed by your physician.
• Quit smoking.
• Follow a regular exercise program, such as walking and running and as advised by physician.
• Make sure that you are eating the recommended daily levels of dietary calcium. Calcium is important because in the event of low calcium, the body draws calcium from bones to keep the calcium level in blood normal. It is therefore important to consume the daily required quantity of calcium for age. This can be achieved either by taking calcium-rich foods or calcium tablets. Check with your physician on the exact dose.
• Make sure that you are eating the recommended daily level of vitamin D. Vitamin D is essential for calcium absorption through the intestine . Check with your physician on the exact dose.
• Expose your self to the sun for approximately 15 minutes daily. Vitamin D is synthesized under the influence of the sun
• Apply measures that help avoid falls and fractures:

• When you get medication make sure you know what it is for and what the side effects might be.
• Make sure your doctor knows what allergies or problems you have had with medicines
• If you have a test, ask about the results.
• Make sure your doctor knows about all medications you take.
• Ask questions if you have doubts or concerns.
• Understand your role in your care.
• Understand your rights and responsibilities.
• Remind visitors, family and health caregivers to wash their hands before coming into direct contact with you.

•  Take the medications as prescribed by your physician.

• Have a well balanced healthy diet as advised by your physician.
• Ask your physician about the amount of salt you may take with food.

• Monitor you blood pressure as frequently as advised by your physician. 
• Record your blood pressure measurement and time taken, and bring this record with you to your physician's appointment.

Any pregnant woman should report to her physician the following symptoms: 

•  Take medications as prescribed by your physician to stop the contractions.

• Maintain a well – balanced diet

• Avoid lifting heavy objects.
• Avoid sexual intercourse.
• Avoid over exertion.

• Avoid prenatal breast feeding preperation measures such as nipple rolling. Such increase uterine irritability. 
• Find pleasurable ways to help compensate for limitation of activity and boost your spirit such as reading if you are advised to be on complete bed rest.
• Empty your bladder at least every 2 hours while you are awake to avoid pressure on on the uterus.
• Contact your doctor if you have any of the following symptoms:

• Take medications as ordered by your physician to relieve pain, swelling and inflammation.
• Inform your physician if you have side effects such as nausea, vomiting, diarrhea, stomach problems, bleeding, bruises, dizziness, difficulty sleeping, or changes in urine.
• Keep a list of all your medications. Share the list with all your physicians.
• Do not stop the medications suddenly and inform your physician in any drug changes.

• Maintain an ideal body weight. If overweight, follow a weight reducing diet..
• Eat vegetables, fruits and whole grain products and have sugar and salt in in moderate amounts.
• Follow the instructions of your physician.

• Choose exercises that improve joint motion and make your muscles stronger. Your Your doctor or physical therapist may suggest few exercises. Gentle exercise can also help lessen your pain.
• Perform self- care activities.
• Remain as active as possible. Take advice from your physician and from physiotherapist.

• Apply local heat to relieve pain and stiffness particularly in chronic synovitis synovitis (inflammation of the fluid in the joints) if advised by your physician. 
• Use walking aids such as crutches, canes, or walkers to protect your joints from pressure if needed.
• See your physician as requested for check- ups and blood tests. The results will help your physician monitor the progress of the disease.
• Consult a physiotherapist if needed during the course of treatment.

• Any pregnant woman should report to her doctor the following symptoms:

Do not add salt during cooking or at the table. Avoid high salt foods such as frozen meals, canned or dried foods, “fast foods” and salted meats such as sausage, ham and luncheon meats. 

• Your treatment includes several drugs. Make sure to take them all, preferably on an stomach.
• Continue medications as prescribed by your physician even if you feel better and have no more symptoms.
• Treatment cuatfe Gmo

• Encourage fluids to maintain adequate hydration.
• Encourage a well-balanced diet to enhance recovery.

• After an initial period of isolation/ rest, you may go back to your regular activities such as study, work, and later exercises).
• Some bed rest generally gives you comfort and relief.

• Drink plenty of fluids, do sponge baths and take medications as prescribed to decrease your temperature if it is elevated.  
• Deep breathing is good even though it may induce coughing. it prevents the lungs from collapsing and enhances excretion of respiratory secretions.
• Monitor body weight, fluid intake and urine output.
• You may need to be isolated for 1 to 2 weeks.
• Cover the mouth and nose when coughing or sneezing.
• Maintain handwashing and good hygiene.
• There is a need for taking sputum culture during therapy form time to time.
• Report to the physician any exacerbation of symptoms.
• Encourage your contacts to be examined if indicated. Ask physician advice.

Take medications as prescribed by your physician. Complete the entire course of prescribed antibiotics even if the symptoms subside. 

• Drink plenty of water to wash out bacteria, if not contraindicated .

• Report any pain or discomfort. 
• Clean the perineum after each bowel movement and after each sexual intercourse using the front to back method (for females).
• Shower rather than bathe in tub as bacteria may enter.
• Try to urinate every 2 to 3 hours during the day.
• Empty bladder completely each time.
• Urinate immediately after sexual intercourse.
• Any increase in severity of symptoms should be reported to the physician since since urinary tract infections may recur.

Review all the information on the consent form before you sign it. You, your surrogate, must sign a consent form before any surgery can take place. It should be written in words that you understand. If you are not sure about anything, ask.

• What is the name of the surgery that will be done?
• Where or what body part will you be operating on?
• Are there any alternative to surgery?
• What are the risks of this surgery?
• What is likely to happen if I don’t have the surgery?
• Who is in charge of the surgical team?
• About how long will it taka to recover after the surgery?

• While you are still awake, a doctor or nurse will ask you to say your name, your birth date and the part of your body that will be operated on.
• Do not be alarmed by these questions, your doctor knows who you are. This is how they make sure they have everything right.

Just before the surgery begins, everyone in the operating room will take a short “time out” and check for the last time that they have the right patient and are doing the right operation on the right body part. You may be asleep for this part.

1. Take a deep breath from nose and get it out from mouth, wait for a while, then start to drink a bit-by-bit.
2. If the patient cannot catch the OPD Laboratory to start & finish the test within the working hours, he/she can go to Emergency Room, where the Laboratory Technician will be called to start and finish the test but it is better to have the test in OPD Laboratory in the working hours as mentioned before.

1. The patient must be on a regular diet 3 days at least before the test. The carbohydrate content of the regular diet is about 150 gm.
2. Avoid the following medications 3 days before the test:
• Hormonal therapy, contraceptive pills
• Diurtics
• Salicylic Acid
• Corticosteroids
• Insulin & any hypoglycemic therapy must be stopped till the test is over
3. No food or water intake for a period of 8—14 hours prior to the test, small portion of water is allowed if the patient cannot tolerate fasting.
4. As that test needs about four hours, so the patient must keep in mind to start & finish the test within the working hours of OPD (8-12am and 4-8pm), i.e. patient is to attend OPD either 8am or 4pm,so the 4 samples could by collected by the end of the shift

• Stand near what do you want to carry . 
• Bend both hips & knees in front the object
• Hold it firmly & keep it near to you .
• Now you can stand by transferring the weight upon your knees

• Be near and in front what do you want to pull.
• Start to pull by using the leg in the back , with taking care of distribute the weight upon both legs .
• Use both hands .

• As 1 above .
• Start to push by using the leg in front with taking care of distribute the weight upon both legs .
• As 4 above .

• The aim of sitting may extend from way of relaxation to be way of treatment treatment especially if come with good choice or chair that should have strait back , with comfortable (firm) with leg length in its heights , or adjust it by putting small step under the feet that means we reach right angle between back/thighs/knees .
• The same thing with the table , it's high should be as the high between the floor and the level of 90* flexed forearm .

• It could be that one person has back pain due to many causes and it could could be also that the pain progresses in a short time tacking different forms during days or weeks according to severity of the trauma or the continues presence of the cause .
• The pain may be localized (either in the center or one side) or perephralized (either inform of sciatica or femoral nerve distribution depend on the affected level) .
• The pain degree may increase with the increasing of the cause presence time and it may reach the intensity that could prevent the patient from doing specific direction (e.g. bending for word or back word) .
• The pain may take other forms as hotness , or tingling feeling , or muscle weakness or it may effect on bowel or