Interventions for Malignant skin melanoma

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate pregnant women with skin moles on need to monitor change in size and colour of mole during pregnancy	Refer pregnant women with changes in skin moles to hospital for assessment		Home based follow up of treated people for monitoring of recurrence
Primary Care
	Refer pregnant women with changes in colour or size of skin moles to hospital for assessment		Home based follow up of treated people for monitoring of recurrence
Referral Facility: General
			Surgical excision Adjuvant therapy after delivery
Referral Facility: Specialist
			Surgical excision Adjuvant therapy after delivery

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate people with skin moles on need to monitor change in size and colour of mole	Educate people with skin moles on need to monitor change in size and colour of mole		Home based follow up of treated people for monitoring of recurrence
Primary Care
	Refer people with changes in colour or size of skin moles to hospital for assessment		Home based follow up of treated people for monitoring of recurrence
Referral Facility: General
	Assess people with non-sickle cell bone pain or pathological fractures for multiple myeloma		Surgical excision Adjuvant radiation therapy Adjuvant interferon alfa		Treatment of complications End of life support
Referral Facility: Specialist
	Assess people with non-sickle cell bone pain or pathological fractures for multiple myeloma		Surgical excision Adjuvant radiation therapy Adjuvant interferon alfa		End of life support Treatment of complications

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate people with skin moles on need to monitor change in size and colour of mole	Educate people with skin moles on need to monitor change in size and colour of mole		Home based follow up of treated people for monitoring of recurrence		Home-based end of life support
Primary Care
	Refer people with changes in colour or size of skin moles to hospital for assessment		Home based follow up of treated people for monitoring of recurrence
Referral Facility: General
	Assess people with non-sickle cell bone pain or pathological fractures for multiple myeloma		Surgical excision Adjuvant radiation therapy Adjuvant interferon alfa		Treatment of complications End of life support
Referral Facility: Specialist
	Assess people with non-sickle cell bone pain or pathological fractures for multiple myeloma		Surgical excision Adjuvant radiation therapy Adjuvant interferon alfa		End of life support Treatment of complications