Interventions for Appendicitis

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Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on symptoms of appendicitis and when to seek care]			Early recognition of need for referral and appropriate referral
Primary Care
Sensitization on symptoms of appendicitis and when to seek care			History and physical examination for gastrointestinal diseases Early recognition of need for referral Provide analgesics
Referral Facility: General
sensitization on symptoms of appendicitis and when to seek care	Sensitize on disease prevention of appendicitis		History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy Surgical procedures for appendicitis, mechanical bowel obstruction
Referral Facility: Specialist
Sensitization on symptoms of appendicitis and when to seek care	Sensitize on disease prevention of appendicitis		History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on symptoms of surgical emergencies when to seek care] Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of ileus and obstruction]	Integrated counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use Counselling on seeking care for abdominal pain and mass Health education on recognition of signs and symptoms in postoperative patients		Early recognition of need for referral and appropriate referral
Primary Care
Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of obstruction]	Integrated counselling on healthy diet (high fibre and low saturated fat), physical activity, weight management, and alcohol and tobacco use Condition-specific nutrition assessment and counselling Assess for risk factors for obstruction (History of abdominal/Pelvic surgery, hernia)		History and physical examination Early recognition of need for referral
Referral Facility: General
Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of obstruction]	Integrated counselling on healthy diet (high fibre and low saturated fat), physical activity, weight management, and alcohol and tobacco use Condition-specific nutrition assessment and counselling Assess for risk factors for obstruction (History of abdominal/Pelvic surgery, hernia)		History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy Surgical procedures for appendicitis, mechanical bowel obstruction
Referral Facility: Specialist
			History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy Surgical procedures for appendicitis, mechanical bowel obstruction

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement [community sensitization on symptoms of surgical emergencies when to seek care] Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of ileus and obstruction]	Integrated counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use Counselling on seeking care for abdominal pain and mass Health education on recognition of signs and symptoms in postoperative patients		Early recognition of need for referral and appropriate referral
Primary Care
Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of obstruction]	Integrated counselling on healthy diet (high fibre and low saturated fat), physical activity, weight management, and alcohol and tobacco use Condition-specific nutrition assessment and counselling Assess for risk factors for obstruction (History of abdominal/Pelvic surgery, hernia)		History and physical examination Early recognition of need for referral
Referral Facility: General
Community engagement [community sensitization on healthy diet, fluid intake, risk factors and symptoms of obstruction]	Integrated counselling on healthy diet (high fibre and low saturated fat), physical activity, weight management, and alcohol and tobacco use Condition-specific nutrition assessment and counselling Assess for risk factors for obstruction (History of abdominal/Pelvic surgery, hernia)		History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy Surgical procedures for appendicitis, mechanical bowel obstruction
Referral Facility: Specialist
			History and physical examination for gastrointestinal diseases Point of care testing Basic laboratory tests Basic imaging: Ultrasound Pharmacological intervention as clinically indicated including electrolytes, fluids, analgesic Non-surgical reduction of intestinal obstruction Laparotomy Surgical procedures for appendicitis, mechanical bowel obstruction