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Assessment of Physical Function

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81. Melanoma: assessment and management

with excision with a 0.5 cm clinical margin, in preventing biopsy-proven local recurrence at 5 years? This should be investigated in a randomised controlled trial. Secondary outcomes should include cosmetic and functional outcomes. Melanoma: assessment and management (NG14) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 28 of 61Wh Why this is important y this is important Mohs micrographic surgery is a microscopically (...) Melanoma: assessment and management Melanoma: assessment and management Melanoma: assessment and management NICE guideline Published: 29 July 2015 nice.org.uk/guidance/ng14 © 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 of the evidence available. When exercising

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

82. Mental health problems in people with learning disabilities: prevention, assessment and management

and interventions for family members and carers 11 1.5 Social and physical environment interventions 11 1.6 Annual health check 12 1.7 Identification and referral 13 1.8 Assessment 14 1.9 Psychological interventions 20 1.10 Pharmacological interventions 22 1.11 Occupational interventions 25 T erms used in this guideline 26 Putting this guideline into practice 29 Context 31 More information 32 Recommendations for research 33 1 Develop case identification tools for common mental health problems 33 2 Psychological (...) of the mental health problem, and any physical health problems (including sensory impairments). Mental health problems in people with learning disabilities: prevention, assessment and management (NG54) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 381.2.8 All people with learning disabilities and a serious mental illness should have a key worker who: coordinates all aspects of care, including safeguarding concerns

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

83. Guidelines for assessing the utility of data from prevention of mother-to-child transmission

Guidelines for assessing the utility of data from prevention of mother-to-child transmission For more information, contact: World Health Organization Department of HIV/AIDS Avenue Appia 20 1211 Geneva 27 Switzerland E-mail: hiv-aids@who.int www.who.int/hiv UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance Guidelines for assessing the utility of data from prevention of mother-to-child transmission (PMTCT) programmes for HIV sentinel surveillance among pregnant women ISBN 978 92 4 (...) 150561 1WHO Library Cataloguing-in-Publication Data Guidelines for assessing the utility of data from prevention of mother-to-child transmission (PMTCT) programmes for HIV sentinel surveillance among pregnant women. UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance. I.World Health Organization. ISBN 978 92 4 150561 1 (NLM classification: WC 503.4) © World Health Organization 2013 All rights reserved. Publications of the World Health Organization are available on the WHO web site

2013 World Health Organisation HIV Guidelines

84. Eye movement assessment protocol

the responses from each side equally (if at all) and therefore this would not affect any canal paresis measurement although it might affect interpretation of any results suggesting hyper / hypo function. Draft recommended procedure (for consultation) British Society of Audiology Eye movement assessment 2013 © BSA 2013 8 4.3. Room and recording conditions 198 4.3.1. Recording conditions 199 The optimal condition for recording eye movements in the absence of visual 200 fixation is with the eyes open (...) required for each ocular-motor function test. Light to dark and dark to light 370 adaptation is non-linear (Davson, 1962) and not always predictable. Therefore if 371 there is any doubt, recalibration is advisable. 372 373 374 Draft recommended procedure (for consultation) British Society of Audiology Eye movement assessment 2013 © BSA 2013 13 Ch1 Ch2 Common + - + - 375 376 377 378 Figure 1-A Binocular Eye Recordings. Ch1 Ch2 Common + - + - Ch1 Ch2 Common + - + - Figure 1-B Monocular Eye Recordings

2014 British Society of Audiology

85. Hyperhidrosis and bromhidrosis. A guide to assessment and management.

be considered for late onset, recent onset or very severe hyperhidrosis • Blood tests – full blood count – electrolytes and renal function tests – liver function tests – thyroid function tests – HIV serology – fasting blood glucose level • Testing for specific infectious diseases as suggested by the history (eg. tuberculosis) • 24 hour urinary catecholamines FOCUS Hyperhidrosis and bromhidrosis – a guide to assessment and management 268 Reprinted from AustRAliAn F Amily PhysiciAn Vol. 42, no. 5, mA y 2013 (...) Hyperhidrosis and bromhidrosis. A guide to assessment and management. Embarrassing problems 266 Reprinted from AustRAliAn F Amily PhysiciAn Vol. 42, no. 5, mA y 2013 Hyperhidrosis and bromhidrosis A guide to assessment and management Background Hyperhidrosis and bromhidrosis are two common conditions, which are troublesome for patients and carry a significant psychosocial burden. Objective This article details an approach to the assessment and management of hyperhidrosis and bromhidrosis

2013 Clinical Practice Guidelines Portal

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

, unexplained symptoms may have ovarian cancer. The guide is based on the Clinical practice guidelines for the management of women with epithelial ovarian cancer. w w w . o v a r i a n c a n c e r p r o g r a m . o r g . a u Patient with vague, persistent abdominal symptoms >1 month Careful clinical history Physical examination abdominal palpation and pelvic assessment Mass identi? ed clinically No mass identi? ed clinically* (...) Assessment of symptoms that may be ovarian cancer: a guide for GPs 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. Types of symptoms reported by women diagnosed with ovarian cancer • Abdominal bloating • Increased abdominal girth • Indigestion • Lack of appetite • Feeling full after only a small amount of food • Weight

2005 Cancer Australia

87. Sports ankle injuries - assessment and management

is a simple dynamic functional task that may be employed by general practitioners clinically to assess proprioception during rehabilitation (Figure 6). 9 A detailed description of this test is beyond the scope of this article. Acute phase management of lateral ligament complex strains once a fracture/dislocation or unstable syndesmotic injury is excluded, acute phase (1–5 days) management can be instituted. The aim is to decrease pain and swelling with ice, compression and elevation where possible. simple (...) surface pain free 2–4 weeks • Progression – slow jog – running in straight lines – slow change of direction – high speed zigzags Return to training: functional exercises and sports specific drills 4–6 weeks • Full ankle range of motion • Roughly 80% strength compared with contralateral lower limb • Running and changing direction at pace pain free • Capable of light controlled skills drills Return to competition 5–8 weeks • After two full pain free training sessionsSports ankle injuries – assessment

2010 Clinical Practice Guidelines Portal

88. Vertigo part 1 - assessment in general practice

Vertigo part 1 - assessment in general practice Reprinted from AustRAliAn F Amily PhysiciAn Vol. 37, No. 5, May 2008 341 clinicAl PRActice Vertigo Part 1 – Assessment in general practice the word vertigo is derived from the latin ‘vertere’ meaning to turn and ‘-igo’ meaning a condition. medically, vertigo refers to a specific symptom describing a false sense of motion, usually spinning or rotatory, in the surroundings or within oneself despite the absence of physical movement. in clinical (...) at the Journal of Neurology, Neurosurgery, and Psychiatry website (see Resources). Note: the head impulse test is usually performed with the clinician sitting face-to-face with the patient and holding the patient’s head from the front. Due care should be taken when performing this test on patients with neck pathology as the manoeuvre requires a rapid repositioning of the head. Romberg test A Romberg test assesses the integrity of peripheral proprioception, cerebellar and vestibular functions. A Romberg test

2008 The Royal Australian College of General Practitioners

89. Cervical spine assessment following trauma

or carotid arterial injuries can be difficult to detect, but may also result in permanent neurologic sequelae. However, spinal cord injury is a very rare occurrence and is most often associated with major trauma. Clinical assessment Assessment of the patient includes: history general physical examination, and evaluation of neurologic status. 5 In acute severe trauma, Advanced Trauma Life Support (ATLS) guidelines should be followed. In other settings a thorough history of the traumatic incident should (...) Acute abnormality may be indicated by tenderness, a gap or step in the continuity of the cervical structures, oedema, haematoma or associated muscle spasm. Neurologic examination includes assessment of sensation, motor function and reflexes to identify objective signs of focal deficit, such as paraesthesia, weakness or decreased/absent deep tendon reflexes. 8 Importantly, pain may not necessarily be a principal feature initially, despite the presence of serious injury, if pain from other injuries

2012 Clinical Practice Guidelines Portal

90. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline

, challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing. With a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction, , assessment of psychological functioning in women with PCOS is vital. This is relevant to clinical care as mood disturbance, in turn, impairs QoL and adversely (...) affects ability to self-manage and optimise lifestyle. Optimal approaches to screening and assessment of psychological functioning in PCOS are unknown and recognition is generally poor; hence, this area was prioritised in the guideline (Section 4). If mood disturbance is detected during screening, further assessment and management is required. Reproductive and reproductive hormonal features are often the best-recognised features in PCOS as they form the basis of the diagnostic criteria. These include

2011 MJA Clinical Guidelines

91. The 2012 Canadian Hypertension Education Program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy

The 2012 Canadian Hypertension Education Program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy The 2012 Canadian Hypertension Education Program Recommendations for the Management of Hypertension: Blood Pressure Measurement, Diagnosis, Assessment of Risk, and Therapy - Canadian Journal of Cardiology Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 28 (...) , Issue 3, Pages 270–287 The 2012 Canadian Hypertension Education Program Recommendations for the Management of Hypertension: Blood Pressure Measurement, Diagnosis, Assessment of Risk, and Therapy x Stella S. Daskalopoulou Affiliations Division of General Internal Medicine, McGill University, Montreal, Québec, Canada Correspondence Corresponding author: Dr Stella S. Daskalopoulou, McGill University, McGill University Health Centre, Montreal General Hospital, 1650 Cedar Avenue, B2.101.4, Montreal

2012 CPG Infobase

92. ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management

- operative cardiac risk assessment and is measured in metabolic equivalents (METs). One MET equals the basal metabolic rate. Ex- ercise testing provides an objective assessment of functional cap- acity. Without testing, functional capacity can be estimated from the ability to perform the activities of daily living. One MET repre- sents metabolic demand at rest; climbing two ?ights of stairs demands 4 METs, and strenuous sports, such as swimming,.10 METS (Figure 1). The inability to climb two ?ights (...) ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management ESC/ESA GUIDELINES 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA) Authors/Task Force Members: Steen Dalby Kristensen * (Chairperson) (Denmark), Juhani Knuuti * (Chairperson) (Finland), Antti

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2014 European Society of Cardiology

93. Cardiac risk assessment before the use of stimulant medications in children and youth

Cardiac risk assessment before the use of stimulant medications in children and youth Regulatory decisions and scientific statements regarding the management of attention-deficit hyperactivity disorder (ADHD) raise questions about the safety of medications and the appropriate pretreatment evaluation to determine suitability for treatment with medication. This is particularly true in the setting of known structural or functional heart disease. The present paper reviews the available data (...) , including peer-reviewed literature, data from the United States Food and Drug Administration Web site on reported adverse reactions in children using stimulant medication, and Health Canada data on the same problem. A consensus-based guideline on appropriate assessment is provided, based on input from members of the Canadian Paediatric Society, the Canadian Cardiovascular Society and the Canadian Academy of Child and Adolescent Psychiatry, with specific expertise and knowledge in the areas of both ADHD

2009 Canadian Paediatric Society

94. Clinical Assessment Following Acute Cervical Spinal Cord Injury

as the preferred means to assess pain, including pain severity, physical functioning, and emotional functioning, among SCI patients. RATIONALE Acute traumatic spinal cord injury (SCI) affects 12 000 to 15 000 people in North America each year. The functional consequences of an acute SCI are variable; therefore, the initial clinical presentation of patients with an acute SCI is a key factor in determining triage, defining therapy, and predicting prognosis. The patient must be assessed with an accurate (...) examination scales and functional outcome/assessment scales to most accurately describe individual patients. , , Finally, the clinical assessment of patients with acute SCI should include an assessment of pain severity, physical functioning, and emotional functioning experienced by that patient. Several pain classification systems have been developed, and 13 pain intensity instruments have been designed and utilized to describe pain among SCI patients. – NEUROLOGICAL EXAMINATION SCALES A comprehensive

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2013 Congress of Neurological Surgeons

95. Choosing Wisely Canada recommendation - Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in th

Choosing Wisely Canada recommendation - Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in th Don’t do imaging for lower-back pain unless red flags are present. Red flags include, but are not limited to, severe or progressive neurological deficits or when serious underlying conditions such as osteomyelitis are suspected. Imaging (...) Vitamin D levels in patients with significant renal or metabolic disease. 1 2 3 Family Medicine Thirteen Things Physicians and Patients Should Question by College of Family Physicians of Canada Last updated: January 2018 4 5 6Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in this age group. If, after this careful assessment and discussion

2019 CPG Infobase

96. American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations

on physical function in patients with traumatic brain injury To compare the accuracy of US with DXA To assess the relationships between anthropometrical data and self‐reported physical function N = 37 adults with moderate to severe traumatic injury (87% male, 13% female) BMI: 26.7 ± 6.5 kg/m 2 Age: 45 ± 16 y (mean ± SD) DXA (Prodigy GE Healthcare) vs US (SonoSite X Porte, 13‐6 MHz Transducer) LM (DXA) vs muscle layer thickness (US) LLM (DXA) vs QMT (US) DXA measures were obtained within 7 days after (...) American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations - Sheean - - Journal of Parenteral and Enteral Nutrition - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term

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2019 American Society for Parenteral and Enteral Nutrition

97. Assessment of the 12-Lead ECG as a Screening Test for Detection of Cardiovascular Disease in Healthy General Populations of Young People (12?25 Years of Age)

cardiac abnormalities may have warning signs and symptoms (eg, syncope) or a positive history of heart disease potentially detectable by careful evaluation, although nonetheless misinterpreted or disregarded by medical providers. , , Furthermore, all examiners, particularly those in primary care, are often faced with difficult decisions of whether potentially important findings from the history and physical examination such as heart murmurs (which are often functional in nature) or symptoms (...) to examiners) within each state or possibly nationally in collaboration with organizations such as the National Federation of State High School Associations and the NCAA. In this regard, contrary to the myth that the customary history and physical examinations are of no value or merit, HCM investigators have reported that a number of new HCM diagnoses and referrals do in fact come directly from preparticipation history and physical examinations in athletes. Assessment of the 12-Lead ECG as a Population

2014 American Heart Association

98. Headache - assessment

function The NICE clinical guideline on Suspected cancer: recognition and referral [ ] recommends that: An urgent direct access MRI scan of the brain (or CT scan if MRI is contraindicated) (to be performed within 2 weeks) should be considered to assess for brain or central nervous system cancer in adults with progressive, sub-acute loss of central neurological function. A very urgent referral (for an appointment within 48 hours) should be considered to assess for suspected brain or central nervous (...) system cancer in young people (birth to 24 years of age) with newly abnormal cerebellar or other central neurological function. Progressive headache A headaches that worsens with time may be the result of a progressive intracranial lesion such as tumour, subdural hematoma, or hydrocephalus. As neurological examination may not always be abnormal, the Institute for Clinical Systems Improvement recommend neuroimaging to assess for serious underlying causes in such cases [ ]. New onset headache over

2017 NICE Clinical Knowledge Summaries

99. Knee pain - assessment

Knee pain - assessment Knee pain - assessment - NICE CKS Share Knee pain - assessment: Summary Knee pain is a common condition, particularly in older people. Possible causes include osteoarthritis of the knee, injuries (such as muscle strain and fractures), tumours, referred pain from the hip or lumbosacral spine, and bursitis. Risk factors for knee pain include increasing age, obesity, knee-straining work and participation in sport. A person presenting with knee pain should be: Asked about (...) a history of trauma. Asked to describe the history of the pain and/or injury (including, type and duration of pain, aggravating and relieving factors, history of swelling). An examination of the knee should be carried out. If there is a history of trauma, an assessment for injuries including fracture, tendon rupture, ligament tears, neurovascular damage, and septic arthritis is required. Red flags should be considered for: Infection (septic arthritis or osteomyelitis). Tumours (bone tumour, soft-tissue

2017 NICE Clinical Knowledge Summaries

100. Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition

://rnao.ca/bpg/guidelines/risk- assessment-and-prevention-pressure-ulcers) clinical BPG. Members of the interprofessional team include but are not limited to nurses, physical therapists, occupational therapists, physicians, and dietitians. The interprofessional team should work in collaboration with the person G with the pressure injury/injuries and the person’s circle of care—that is, paid and unpaid caregivers (e.g., personal support worker [PSW], developmental support worker [DSW], primary caregiver (...) evidence. NEW A new recommendation was developed based on evidence from the systematic review. PRACTICE RECOMMENDATIONS LEVEL OF EVIDENCE STATUS 1.0 Assessment Recommendation 1.1: Conduct a health history, a psychosocial history, and a physical exam on initial examination and whenever there is a signi? cant change in the person’s medical status. V ? Recommendation 1.2: Assess the risk for developing additional pressure injuries on initial examination and if there is a signi? cant change in the person’s

2016 Registered Nurses' Association of Ontario

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