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An allergy is an adverse reaction, which the body has, or may have, to a particular food or substance in the environment, such as a medicine, pollen, dust mites, pet hair, or foods such as, shellfish and nuts. Allergies occur when the immune system reacts to a foreign substance or allergen as though it is a threat, like an infection. It produces antibodies to fight off the allergen. The next time a person comes into contact with the allergen, the body recalls the previous exposure and produces more of the antibodies. This causes the release of chemicals in the body, which lead to an allergic reaction. Symptoms of an allergy can include sneezing, wheezing, itchy eyes, skin rashes and swelling. In very rare cases, an allergy can lead to anaphylactic shock, which in some extreme cases can be fatal. Most allergic reactions occur locally in a particular part of the body, such as the nose, eyes, or skin. In anaphylaxis, the allergic reaction usually happens within minutes of coming into contact with a particular allergen. If the resident has an allergy, which could cause anaphylaxis, the General Practitioner will prescribe an auto-injection kit of adrenaline to be administered in the event of anaphylaxis.

|Resident’s Issues |Consultation Assessment and Plan |Signature |Date |Review Date |

|and Objectives | | | | |

| |2. Note the resident’s and, or relative’s understanding of the allergy, and any concerns or anxieties they have: | | | |

| |………...........................................................................................................................................................| | | |

| |....................................... | | | |

| |3. Note the past history of allergic reaction, how often the allergy tends to occur, and how often it has occurred in the last | | | |

| |12 months and any treatments prescribed:………………………………..……………………………………………………..……… | | | |

| |………………………………………………………………………..………………………………………………………………………..……… | | | |

| |4. Detail any substance(s) which trigger an allergic reaction in the resident: | | | |

| |..............................................................................................................................................................| | | |

| |..............................................................................................................................................................| | | |

| |...................................................................................................... | | | |

| |5. Highlight the symptoms experienced by the resident during an allergic reaction: | | | |

| || SNEEZING | BLOCKED, ITCHY OR RUNNING NOSE | red eyes | STREAMING EYES | aSTHMA | WHEEZING | cough | | | | |

| || BREATHLESSNESS | hIVES | RAISED, ITCHY, RED, RASH | sWOLLEN LIPS | SWOLLEN TONGUE | SWOLLEN EYES | | | | |

| || SWOLLEN FACE | ABDOMINAL PAIN | VOMITTING | DIARRHOEA | ATOPIC ECZEMA | SKIN DRY CRACKED AND RED | | | | |

| |………………………………………………………………………………………………………………………………………………………… | | | |

| |6. Consult with the General Practitioner for advice regarding the severity of the allergy, and detail the advice given: | | | |

| |…………………………………………………………………………………………..……………………………………………………….…….…………………………………………………………………………………………..……………………………………………………….…….………………………………………………………………………………………………| | | |

| |………………………………………………………… | | | |

| |7. Note any specific instructions regarding the resident's allergy and the agreed plan of care: | | | |

| |……………………………………………………………………………………………….………………………………………….……..…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………| | | |

| |………………………………………………… | | | |

| |8. Note any prescribed medication, and dosage, and how quickly it takes effect, where known: | | | |

| |………………........................................................................................................................................................| | | |

| |................................... | | | |

| |..............................................................................................................................................................| | | |

| |................................................... …………………………………………………………………………………………..……………………………………………………….……. | | | |

| |9. Observe for any symptoms of anaphylactic shock which can include any of the following and administer the prescribed | | | |

| |treatment: | | | |

| |swelling of the throat and mouth | | | |

| |difficulty swallowing or speaking | | | |

| |difficulty breathing | | | |

| |a rash anywhere on the body | | | |

| |flushing and itching of the skin | | | |

| |stomach cramps, nausea and vomiting | | | |

| |a sudden feeling of weakness, due to a fall in blood pressure | | | |

| |collapsing and becoming unconscious | | | |

| |10. Liaise with General Practitioner as required. | | | |

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|Name |Resident/Relative Signature |Date |

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