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Case 6: Acute pain and depression with Asthma
Case Summary

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Patient Details

59 year old woman

Current medical history

Back pain
Asthma since childhood
Depression last two years since losing job after marriage break up

Results

BP 150/80 mmHg
Continues to smoke 5-10 cigarettes per day
Respiratory rate 22 per minute
U&E’s all within normal range
Peak Flow Rate 300 (Predicted 390)
SaO2 97% on air

Current Medication

Lansoprazole 30 mg once daily
Gabapentin 600 mg three times daily
Tramadol 50 mg - 100 mg 4-6 hours
Salbutamol MDI 2 puffs as required
Beclomethasone 100 micrograms 2 puffs twice daily
Mirtazapine 30 mg every night
Zopiclone 7.5 mg 1 every night

Current Function

Has been suffering from pain and complaining of drowsiness and weight gain. Has suffered from low mood for the last two years and has tried multiple antidepressants. Can be difficult to engage depending on mood, but has sought advice today as says pain unbearable and received letter to review medication.

Most Recent Consultations

Most recent consultations have been for pain and management. Prior to that consultations were regarding low mood after break up of marriage and poor sleep. Also complaining about increased breathlessness. Ordering salbutamol inhaler each month.