402 7. 2. 2 Continue multivitamins or iron preparation until the patient"s conditi1Jt1 has completely resolved. 7. 2. 3 Continue taking the milk and other protein-rich food. 7. 3 rf there was no improvement, ask the patient or his con1panion if new symptoms hnvc developed since the last visit. 7. 4 Examine the patient for any new signs which could have developed si nee the last visit. 7. 5 Proceed ";th Phrn B or C depending on the signs and/or symptoms identified. PLAN 8: 1. Refer the patient to a doctor within the week 2. If diabetes is suspected, advise patient to avoid sweets, soft drinks, instant powdered juices and processed/ca1med foods. Advice patient also to minimize use of sweeteners, nnd Hmit intake of carbohydrates and fatty foods. Diabetes Sll Spccted if nny of the following is present: 2. 1 Feeling thirsty very often (Polydypsia). 2. 2 Frequent urination \'lith normal or increased volume of urine (Polyuria) 2. 3 Feeling hungry often (Polyphagia). 2-4 Marked weight loss and U1e patient is not under any reducing program 2. 5 Frequent skin infection. 2. 6 \. \found sometimes takes longer time to heal. 2. 7 Family history revealed that some relatives have or had diabetes 3. Provide lhe doctor with appropriate clinical record or referral note containing a briefhist OI} ', pertinent physical examination findings, laboratory results (if available) and management initiated at the referring level (see Figure 3. 2 for a s. tm]Jle referral form). PLAN C: L Refer the patient immediate ly to a hospital (preferably the nearest one) since the patient might be suffering from stroke, heart failure, severe malnutrition or severe diabetes. 2. Make the patient as comfortable as possible. 3-Do not give t J1e patient any t Jt. ing by mouth unless the patient is fully conscious. 4-Provide tbe agency where the patient is being referred to with appropriate cl. inica J record or referral note containing a brief history, pertinent physical examination findings. laboratory results (if available) and management started al the referring level (see Figure 3. 2 for a sample referral form). 