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Assessment of Physical Function

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61. Role of Biomarkers for the Prevention, Assessment, and Management of Heart Failure: A Scientific Statement From the American Heart Association

to a proinflammatory response that, when sustained, adversely affects cardiac structure and function. The increased spillover into the circulation of these molecules makes them potentially useful as biomarkers that can be used to assess risk and to provide important insights into the mechanisms involved in the pathogenesis of HF. Cytokines activate target cells by interacting with specific receptors that are anchored to the cell surface. The ectodermal portion of these receptors can be cleaved from the cell (...) Biomarkers in conjunction with the clinical and physical assessment can provide greater diagnostic accuracy than the physical assessment alone. The natriuretic peptides are the best-established and best-evaluated markers to help in the proper diagnosis and exclusion of HF. Numerous studies have addressed this issue, and 2 large meta-analyses have summarized the available data. , These data convincingly demonstrate that natriuretic peptide levels improve diagnostic performance in several settings

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2017 American Heart Association

62. Cardiovascular disease: risk assessment and reduction, including lipid modification

scenarios and and presents the absolute risk of events numerically and and uses appropriate diagrams and text. [2008] [2008] 1.1.27 T o encourage the person to participate in reducing their CVD risk: find out what, if anything, the person has already been told about their CVD risk and how they feel about it explore the person's beliefs about what determines future health (this may affect their attitude to changing risk) assess their readiness to make changes to their lifestyle (diet, physical activity (...) in primary care and exercise referral schemes to promote physical activity. [2008] [2008] Combined interv Combined interventions ( entions (diet and ph diet and physical activity) ysical activity) 1.2.11 Give advice on diet and physical activity in line with national recommendations (see NHS Choices). [2008] [2008] Cardiovascular disease: risk assessment and reduction, including lipid modification (CG181) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

63. Obesity: identification, assessment and management

Contents Introduction 5 Safeguarding children 8 Medicines recommendations 8 Patient-centred care 9 1 Recommendations 10 1.1 Generic principles of care 10 1.2 Identification and classification of overweight and obesity 11 1.3 Assessment 14 1.4 Lifestyle interventions 18 1.5 Behavioural interventions 20 1.6 Physical activity 21 1.7 Dietary 23 1.8 Pharmacological interventions 25 1.9 Continued prescribing and withdrawal 26 1.10 Surgical interventions 27 1.11 Bariatric surgery for people with recent-onset (...) approaches Managing overweight and obesity in adults – lifestyle weight management services Maintaining a healthy weight and preventing excess weight gain among children and adults will replace section 1.1.1 in the 2006 guideline on obesity. (due to be published in February 2015) NICE has developed an obesity pathway that will link all obesity-related guidance, and a related pathway on physical activity. Obesity: identification, assessment and management (CG189) © NICE 2018. All rights reserved. Subject

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

64. Bipolar disorder: assessment and management

functioning and current psychosocial stressors assess for potential mental and physical comorbidities assess the person's physical health and review medication and side effects, including weight gain discuss treatment history and identify interventions that have been effective or ineffective in the past encourage people to invite a family member or carer to give a corroborative history discuss possible factors associated with changes in mood, including relationships, psychosocial factors and lifestyle (...) 23 1.7 Managing bipolar disorder in adults in the longer term in secondary care 25 1.8 Monitoring physical health in secondary care 28 1.9 Promoting recovery and return to primary care 28 1.10 How to use medication 30 1.11 Recognising, diagnosing and managing bipolar disorder in children and young people 37 T erms used in this guideline 40 More information 41 2 Research recommendations 44 Bipolar disorder: assessment and management (CG185) © NICE 2019. All rights reserved. Subject to Notice

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

65. Spinal injury: assessment and initial management

if they are not physically trapped and have none of the following: significant distracting injuries abnormal neurological symptoms (paraesthesia or weakness or numbness) spinal pain high-risk factors for cervical spine injury as assessed by the Canadian C-spine rule. 1.1.17 Explain to a person who is self-extricating that if they develop any spinal pain, numbness, tingling or weakness, they should stop moving and wait to be moved. 1.1.18 When a person has self-extricated: ask them to lay supine on a stretcher positioned (...) pain in adults. 1.2.2 Assess pain regularly in people with spinal injury using a pain assessment scale suitable for the patient's age, developmental stage and cognitive function. 1.2.3 Continue to assess pain in hospital using the same pain assessment scale that was used in the pre-hospital setting. Spinal injury: assessment and initial management (NG41) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 24P Pain

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

66. Falls in older people: assessing risk and prevention

include the following: identification of falls history assessment of gait, balance and mobility, and muscle weakness assessment of osteoporosis risk assessment of the older person's perceived functional ability and fear relating to falling assessment of visual impairment assessment of cognitive impairment and neurological examination assessment of urinary incontinence assessment of home hazards cardiovascular examination and medication review. [2004] . [2004] Falls in older people: assessing risk (...) physical and psychological function. [2004] [2004] 1.1.4 1.1.4 Strength and balance tr Strength and balance training aining 1.1.4.1 Strength and balance training is recommended. Those most likely to benefit are older people living in the community with a history of recurrent falls and/or balance and gait deficit. A muscle-strengthening and balance programme should be offered. This should be individually prescribed and monitored by an appropriately trained professional. [2004] [2004] 1.1.5 1.1.5 Ex

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

67. Fertility problems: assessment and treatment

Fertility problems: assessment and treatment F Fertility problems: assessment and ertility problems: assessment and treatment treatment Clinical guideline Published: 20 February 2013 nice.org.uk/guidance/cg156 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence (...) be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Fertility problems: assessment and treatment (CG156) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 51Contents Contents Recommendations 5 1.1

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

68. Social anxiety disorder: recognition, assessment and treatment

anxiety disorder, but the practitioner is not competent to perform a mental health assessment, refer the person to an appropriate healthcare professional. If this professional is not the person's GP , inform the GP of the referral. 1.2.3 If the identification questions (see recommendation 1.2.1) indicate possible social anxiety disorder, a practitioner who is competent to perform a mental health assessment should review the person's mental state and associated functional, interpersonal and social (...) fear, avoidance, distress and functional impairment be aware of comorbid disorders, including avoidant personality disorder, alcohol and substance misuse, mood disorders, other anxiety disorders, psychosis and autism. 1.2.6 Follow the recommendations in Common mental health disorders (NICE clinical guideline 123) for the structure and content of the assessment and adjust them to take into account the need to obtain a more detailed description of the social anxiety disorder (see recommendation 1.2.8

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

69. Urinary incontinence in neurological disease: assessment and management

function cognitive function social support lifestyle. 1.1.3 Undertake a general physical examination that includes: measuring blood pressure an abdominal examination an external genitalia examination a vaginal or rectal examination if clinically indicated (for example, to look for evidence of pelvic floor prolapse, faecal loading or alterations in anal tone). 1.1.4 Carry out a focused neurological examination, which may need to include assessment of: cognitive function ambulation and mobility hand (...) tape and sling surgery 45 Urodynamic investigations 45 About this guideline 46 Urinary incontinence in neurological disease: assessment and management (CG148) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 47Introduction Introduction The lower urinary tract consists of the urinary bladder and the urethra. Its function is to store and expel urine in a coordinated and controlled manner. The central

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

70. Psoriasis: assessment and management

% of the body surface area is affected or or any type of psoriasis cannot be controlled with topical therapy or or acute guttate psoriasis requires phototherapy (see recommendation 1.4.1.1) or or nail disease has a major functional or cosmetic impact or or any type of psoriasis is having a major impact on a person's physical, psychological or social wellbeing. Assessment and referr Assessment and referral for psoriatic arthritis al for psoriatic arthritis As soon as psoriatic arthritis is suspected, refer (...) types, such as skin types V and VI on the Fitzpatrick scale [12] . 1.2.1.6 Use the Nail Psoriasis Severity Index [13] to assess nail disease in specialist settings: if there is a major functional or cosmetic impact or or before and after treatment is initiated specifically for nail disease. 1.2.1.7 Assess the impact of any type of psoriasis on physical, psychological and social wellbeing by asking: what aspects of their daily living are affected by the person's psoriasis how the person is coping

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

71. Assessment of symptoms that may be ovarian cancer: a guide for GPs

to specialist gynaecological oncology unit Refer appropriately to specialist gynaecological, surgical, urological or gastroenterological unit for further review (eg peritoneal tumour, omental cake etc) Patient with vague, persistent abdominal symptoms >1 month Careful clinical history Physical examination Abdominal palpation and pelvic assessment Mass identified clinically No mass identified clinically* ©Cancer Australia 2015. OCG 1/15 canceraustralia.gov.au Assessment of symptoms that may be Ovarian cancer (...) Assessment of symptoms that may be ovarian cancer: a guide for GPs Symptoms Most women diagnosed with ovarian cancer report symptoms. Symptoms of ovarian cancer are often vague and generalised and not gynaecological in nature. Assessment of symptoms If vague abdominal symptoms persist for more than one month consider ovarian cancer and undertake further assessment. CA125 CA125 alone should not be used to either rule in or rule out ovarian cancer. While a very high value may assist in confirming

2015 Cancer Australia

72. Non-alcoholic fatty liver disease (NAFLD): assessment and management

, ischaemic stroke and death from cardiovascular causes. Lifestyle modifications for NAFLD Lifestyle modifications for NAFLD 1.2.12 Offer advice on physical activity and diet to people with NAFLD who are overweight or obese in line with NICE's obesity and preventing excess weight gain guidelines. 1.2.13 Explain to people with NAFLD that there is some evidence that exercise reduces liver fat content. Non-alcoholic fatty liver disease (NAFLD): assessment and management (NG49) © NICE 2018. All rights (...) Non-alcoholic fatty liver disease (NAFLD): assessment and management Non-alcoholic fatty liv Non-alcoholic fatty liver disease er disease (NAFLD (NAFLD): assessment and management ): assessment and management NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng49 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

73. Cirrhosis in over 16s: assessment and management

guidelines on: non-alcoholic fatty liver disease (NAFLD), alcohol-use disorders: diagnosis and management of physical complications, alcohol-use disorders: prevention, alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence, type 2 diabetes in adults, obesity and hepatitis B (chronic). 1.1.2 Discuss with the person the accuracy, limitations and risks of the different tests for diagnosing cirrhosis. 1.1.3 Offer transient elastography to diagnose cirrhosis (...) Cirrhosis in over 16s: assessment and management Cirrhosis in o Cirrhosis in ov ver 16s: assessment and er 16s: assessment and management management NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng50 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

74. Assessment, diagnosis and interventions for autism spectrum disorders

assessment should involve a history-taking element, a clinical observation/assessment element, and obtaining wider contextual and functional information. Specialist assessment should be available for any individuals who need it. Specialist teams should assess if their service is being used equitably. Apparent inequalities should be investigated and addressed. An assessment of mental health needs, well being and risk should be considered for all individuals with ASD presenting to any agency. 4 4 (...) Assessment, diagnosis and interventions for autism spectrum disorders SIGN 145 • Assessment, diagnosis and interventions for autism spectrum disorders A national clinical guideline June 2016 EvidenceKEY TO EVIDENCE STATEMENTS AND RECOMMENDATIONS LEVELS OF EVIDENCE 1 ++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 - Meta-analyses, systematic reviews, or RCTs

2016 SIGN

75. AIUM Practice Parameter for the Performance of a Vascular Ultrasound Examination for Postoperative Assessment of Dialysis Access

AIUM Practice Parameter for the Performance of a Vascular Ultrasound Examination for Postoperative Assessment of Dialysis Access AIUM Practice Parameter for the Performance of a Vascular Ultrasound Examination for Postoperative Assessment of Dialysis Access © 2014 by the American Institute of Ultrasound in Medicine Parameter developed in collaboration with the American College of Radiology (ACR) and the Society of Radiologists in Ultrasound (SRU). postDialysisAccess.qxp_1115 12/1/15 3:30 PM (...) of a Vascular Ultrasound Examination for Postoperative Assessment of Dialysis Access. We are indebted to the many volunteers who con- tributed their time, knowledge, and energy to bringing this document to completion. The AIUM represents the entire range of clinical and basic science inter- ests in medical diagnostic ultrasound, and, with hundreds of volunteers, this multidisciplinary organization has promoted the safe and effective use of ultrasound in clinical medicine for more than 50 years. This doc

2014 American Institute of Ultrasound in Medicine

76. Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States: Executive Summary

Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States: Executive Summary Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States: Executive Summary | Circulation: Heart Failure Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 February 2019 January 2019 This site uses cookies. By continuing to browse this site (...) you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States: Executive Summary , MD , MD, PhD , PharmD , MD , MD , MD , MD , PhD , MD , MD , MD , PhD , MD , MD , MD , MD, MPH , MD , MD , MD, PhD , MD , MD, PhD , and MD MDFrom the Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania (MAA); Department

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2013 American Heart Association

77. A Practice Guideline from the American College of Medical Genetics and Genomics and the National Society of Genetic Counselors: Referral Indications for Cancer Predisposition Assessment

the ACMG nor the NSGC “approve” or “endorse” any specific methods, practices, or sources of information. Volume 17 | Number 1 | January 2015 | GeNetiCS in MediCiNe71 A practice guideline for cancer genetics referral | HAMPEL et al ACMG PrACtiCe Guidelines risk assessment or diagnosis, which typically includes personal and family history, genetic and other laboratory results, results from procedures and imaging studies, and physical examination findings. Genetic counseling is an important component (...) A Practice Guideline from the American College of Medical Genetics and Genomics and the National Society of Genetic Counselors: Referral Indications for Cancer Predisposition Assessment 70 ACMG PrACtiCe Guidelines © American College of Medical Genetics and Genomics Cancer genetic consultation services include the evaluation of patients’ personal and family history for concerning features of hereditary cancer predisposition syndromes, development of a differential diagnosis for one or more

2015 American College of Medical Genetics and Genomics

78. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence

Questionnaire [LDQ]) alcohol-related problems (using, for example, Alcohol Problems Questionnaire [APQ]) other drug misuse, including over-the-counter medication physical health problems psychological and social problems cognitive function (using, for example, the Mini-Mental State Examination [MMSE]) readiness and belief in ability to change. Gener General principles for all interv al principles for all interventions entions Alcohol-use disorders: diagnosis, assessment and management of harmful drinking (...) ). 1.2.2.9 Consider measuring breath alcohol as part of the management of assisted withdrawal. However, breath alcohol should not usually be measured for routine assessment and monitoring in alcohol treatment programmes. 1.2.2.10 Consider blood tests to help identify physical health needs, but do not use blood tests routinely for the identification and diagnosis of alcohol use disorders. 1.2.2.11 Consider brief measures of cognitive functioning (for example, MMSE) to help with treatment planning. Formal

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

79. Psychosis with substance misuse in over 14s: assessment and management

of these conditions on them and on other family members. 1.1.10 Offer families, carers or significant others [3] a carer's assessment of their caring, physical, social, and mental health needs. Where needs are identified, develop a care plan for the family member or carer. 1.1.11 Offer written and verbal information to families, carers or significant others [3] appropriate to their level of understanding about the nature and treatment of psychosis and substance misuse, including how they can help to support (...) and further management. Coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings (CG120) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 16 of 40Ph Physical healthcare ysical healthcare 1.3.3 Monitor the physical health of adults and young people with psychosis and coexisting substance misuse, as described in the guideline on schizophrenia (NICE clinical guideline

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

80. Coeliac disease: recognition, assessment and management

Coeliac disease: recognition, assessment and management Coeliac disease: recognition, assessment Coeliac disease: recognition, assessment and management and management NICE guideline Published: 2 September 2015 nice.org.uk/guidance/ng20 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful (...) in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Coeliac disease (NG20) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 22Contents Contents Overview 4 Who is it for? 4 Key

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

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