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GENERAL LACK OF ENERGY/FEELING TIRED ALL THE TIME – NERVOUS TENSION

Nervous tension may be playing some part in producing your lack of energy, especially if you are refusing to acknowledge or express some of your real feelings. It is when you try to force natural feelings like anger, sadness or anxiety underground that they are likely to surface in the form of unpleasant symptoms like extreme tiredness. Don’t force yourself to appear bright, cheerful and optimistic when you don’t really feel like that at all. Talk about and express your feelings—let them out and share them with your loved ones. I am sure that you will all have more energy to deal with what is happening if you can do this.

Try not to burn up energy raging against things that cannot be changed. Use what energy you have positively, to make the most of your situation. If you can no longer manage activities that have been important for you, think about whether you can modify them in some way so that you can manage. Ask for help— obstinately insisting on being independent could mean that you will miss out on some things that you could have managed with a bit of help. Look for appealing alternatives that are within your capabilities. In short, try to make the most of the time and energy that you do have. It is actually quite likely that you will gain energy as a result!

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FRACTURES – DESCRIPTION

A fracture is a broken bone; it may be complete or incomplete, as in a greenstick fracture in a child. It is recognised by pain, swelling and loss of function but sometimes this last sign is not present. Just because somebody can still move his fingers does not mean that the wrist has NOT been broken.

Fractures may be complicated by causing damage to arteries and nerves, or compound, that is involving lacerations or exposing the bone. With large fractures there is always marked loss of blood internally (so you can’t see it) and the risk of shock is present.

The essence of first aid treatment is to immobilise the fractured bone. Don’t try to straighten a crooked limb — splint it as it is.

Splints are easily improvised. Strap one leg to another or one arm to the side of the body, or put one arm in a sling. A piece of wood, a stick, even a ruler, bandaged against the broken limb will do to immobilise the ends of the broken bone.

All suspected fractures must be seen by a doctor. FINGERS

These may be splinted with bandages, or by strapping to the adjoining fingers. BONES OF THE ARM

May be immobilised in a sling, or strapped to the side.

CLAVICLE (COLLARBONE)

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