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Assessment of Physical Function

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101. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

Recommendation 4 .2: Use clinical assessments and validated tools to assess older adults at risk for delirium at least daily (where appropriate) and whenever changes in the person’s cognitive function, perception, physical function, or social behaviour are observed or reported . Ia & V Recommendation 4 .3: Continue to employ prevention strategies when caring for older adults at risk for delirium who have not been identified as having delirium . Ia & VBACKGROUND Delirium, Dementia, and Depression in Older (...) Recommendation 6 .1a: Assess older adults for possible dementia when changes in cognition, behaviour, mood, or function are observed or reported . Use validated, context-specific screening or assessment tools, and collaborate with the person, his/her family/ care partners, and the interprofessional team for a comprehensive assessment . Recommendation 6 .1b: Refer the person for further assessment/diagnosis if dementia is suspected . Ia & V Ia Recommendation 6 .2: Assess the physical, functional

2016 Registered Nurses' Association of Ontario

102. Assessment and Management of Foot Ulcers for People with Diabetes, Second Edition

to the recommendation as a result of the systematic review evidence. ? The recommendation and/or supporting evidence were updated as a result of the systematic review evidence. NEW A new recommendation was developed as a result of the systematic review evidence*. PRACTICE RECOMMENDATIONS G LEVEL OF EVIDENCE Assessment 1 . 0 Obtain a comprehensive health history and perform physical examination of affected limb(s) . Ib – IV ? 1 . 1 Identify the location and classification of foot ulcer(s) and measure length, width (...) REGISTERED NURSES’ ASSOCIATION OF ONTARIO BACKGROUND Assessment and Management of Foot Ulcers for People with Diabetes, Second Edition Laura M. Teague, RN, MN, NP Panel Chair Nurse Practitioner, St. Michael’s Hospital, Lecturer, University of T oronto, Faculty of Nursing Adjunct Faculty, Western University – Faculty of Physical Therapy (Master of Clinical Science, Wound Healing) T oronto, Ontario Karen Bruton, RN, BScN, CETN(C) Professional Practice Leader, Northumberland Hills Hospital Cobourg, Ontario

2013 Registered Nurses' Association of Ontario

103. Assessment and Management of Pain (Third Edition)

analgesics; and ¦ Prevention, assessment and management of opioid risk . Ib ? Recommendation 3 .2 Evaluate any non-pharmacological (physical and psychological) interventions for effectiveness and the potential for interactions G with pharmacological interventions . Ib ? Recommendation 3 .3 Teach the person, their family and caregivers about the pain management strategies in their plan of care and address known concerns and misbeliefs G . Ib ?9 BEST PRACTICE GUIDELINES • www.RNAO.ca BACKGROUND Assessment (...) , 2008; Institute for Clinical Systems Improvement [ICSI], 2009). Nurses are required to intervene within their scope of practice to a person’s self-reported pain, and work with the person toward managing the pain appropriately. That means nurses must have the competencies to assess and manage pain, including knowledge and skills in interviewing techniques, and the ability to physically assess and manage pain in people who are not able to self report (Herr, Coyne, McCaffery, Manworren, & Merkel, 2011

2013 Registered Nurses' Association of Ontario

104. HIV transmission : guidelines for assessing risk

HIV transmission : guidelines for assessing risk HIV Transmission: Guidelines for Assessing Risk A RESOURCE FOR EDUCATORS, COUNSELLORS AND HEALTH CARE PROVIDERS Fifth Edition Now including hepatitis C transmissionHIV Transmission: Guidelines for Assessing Risk A RESOURCE FOR EDUCATORS, COUNSELLORS AND HEALTH CARE PROVIDERS Fifth EditionCopyright © 2004 Canadian AIDS Society / Société canadienne du sida All rights reserved. No part of this publication may be reproduced or transmitted (...) aussi disponible en français.HIV TRANSMISSION: Guidelines for Assessing Risk 1 Contents Foreward and Acknowledgements . . . . . . . . . . . . . . . . 3 Quick Reference HIV . . . . . . . . . . . . . . . . . . . . . . . . . 5 Quick Reference Hepatitis C . . . . . . . . . . . . . . . . . . . . 6 1. Guidelines Context Who is this document for? . . . . . . . . . . . . . . . . . . . 7 How the Document Was Produced . . . . . . . . . . . . 7 A?rming Sexuality and the Risk Reduction Approach

2005 CPG Infobase

105. CVD risk assessment and management

assessment, an assessment of alcohol consumption, physical activity, cholesterol level, body mass index (BMI), an assessment for dementia in those aged 65-74 years, and screening for diabetes mellitus and chronic kidney disease in those at increased risk of developing these conditions. A person's 10 year CVD risk should be assessed using the QRISK assessment tool every 5 years (apart from people who already have CVD or are at high risk of developing it, or people aged 85 years or over). People with type (...) , optimizing treatment of relevant comorbidities, and by drug treatment, if appropriate. All people who have had a CVD risk assessment, should be given lifestyle advice, regardless of their risk score. This should include advice about: Smoking cessation. Weight loss if overweight or obese. Eating a healthy diet. Keeping alcohol consumption within the recommended limits. Being physically active. Statin treatment should be offered for the primary prevention of CVD to people with an estimated 10 year CVD risk

2019 NICE Clinical Knowledge Summaries

106. Falls - risk assessment

not give specific information on what a falls service should offer a person identified to be at risk of falling. However, the guideline does state that a personalized intervention aimed at promoting independence and improving physical and psychological function should be offered. Strength and balance training, home hazard and vision assessment and intervention, and medication review are common components in successful multifactorial intervention programmes [ ]. A Cochrane systematic review (search date (...) , and smoking. For more information, see the CKS topic on . A longitudinal study that examined the consequences of falls in older men and women found that 68% of people who fell reported some injury, 24% required healthcare, 35% reported functional decline, and more than 15% of people reported impairment of social and physical activities [ ; ]. Other complications of falls include distress, pain, loss of self-confidence, reduced quality of life, and loss of independence [ ; ]. In addition, falls can trigger

2019 NICE Clinical Knowledge Summaries

107. Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour

and stigma that may be associated with suicidality, mental illness and addictions. 4. The nurse provides care in keeping with the principles of cultural safety/cultural competence. 5. The nurse assesses and manages factors that may impact the physical safety of both the client and the interdisciplinary team. 6. a) The nurse recognizes key indicators that put an individual at risk for suicidal behaviour, even in the absence of expressed suicidality. For individuals who exhibit risk indicators, the nurse (...) in mental health nursing. 25. Organizations support research initiatives related to suicide and other mental health issues. 26. Organizations develop a plan for the implementation of best practice guideline recommendations that include: ¦ An assessment of organizational readiness and barriers to education. ¦ Involvement of all members (whether in a direct or indirect supportive function) who will contribute to the implementation process. ¦ Ongoing opportunities for discussion and education to reinforce

2009 Registered Nurses' Association of Ontario

108. Oral Health: Nursing Assessment and Intervention

program, utilizing a variety of quantitative and qualitative approaches. 21. Organizations develop a plan for implementation of best practice guideline recommendations that include: ¦ An assessment of organizational readiness and barriers/facilitators. ¦ Involvement of all members (whether in a direct or indirect supportive function) who will contribute to the implementation process. ¦ Ongoing opportunities for discussion and education to reinforce the importance of best practices. ¦ Dedication (...) Oral Health: Nursing Assessment and Intervention Nursing Best Practice Guideline Shaping the Future of Nursing Oral Health: Nursing Assessment and Interventions December 2008Greetings from Doris Grinspun Executive Director Registered Nurses’ Association of Ontario It is with great excitement that the Registered Nurses’ Association of Ontario (RNAO) presents this guideline, Oral Health: Nursing Assessment and Interventions to the health care community. Evidence-based practice supports

2008 Registered Nurses' Association of Ontario

109. Assessment and Interventions for Perinatal Depression

Assessment and Interventions for Perinatal Depression Best Practice Guideline Assessment and Interventions for Perinatal Depression Second Edition OCTOBER 2018Disclaimer These guidelines are not binding on nurses or the organizations that employ them. The use of these guidelines should be flexible and based on individual needs and local circumstances. They neither constitute a liability nor discharge from liability. While every effort has been made to ensure the accuracy of the contents (...) , reproduced, and published in its entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. Assessment and Interventions for Perinatal Depression. 2nd ed. Toronto (ON): Registered Nurses’ Association of Ontario

2018 Registered Nurses' Association of Ontario

110. Assessment and Management of Patients at Risk for Suicide

. However, there was no increase in the prevalence of suicide attempts between 2016 and 2017 for this age group. SAMHSA notes that this increase in suicide-related behavior over the past 10 years co-occurs with a similar increase in the prevalence of mental health VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide May 2019 Page 8 of 142 conditions that cause significant impairment in daily life functioning, especially the occurrence of major depressive (...) Assessment and Management of Patients at Risk for Suicide VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE ASSESSMENT AND MANAGEMENT OF PATIENTS AT RISK FOR SUICIDE Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard

2019 VA/DoD Clinical Practice Guidelines

111. Risk Assessment and Prevention of Pressure Ulcers

as appropriate facilitation. Organizations may wish to develop a plan for implementation that includes: ¦ An assessment of organizational readiness and barriers to education. ¦ Involvement of all members (whether in a direct or indirect supportive function) who will contribute to the implementation process. ¦ Dedication of a qualified individual to provide the support needed for the education and implementation process. ¦ Ongoing opportunities for discussion and education to reinforce the importance of best (...) Risk Assessment and Prevention of Pressure Ulcers Nursing Best Practice Guideline Shaping the future of Nursing Risk Assessment & Prevention of Pressure Ulcers Revised March 2005 Greetings from Doris Grinspun Executive Director Registered Nurses’ Association of Ontario It is with great excitement that the Registered Nurses’ Association of Ontario disseminates this revised nursing best practice guideline to you. Evidence-based practice supports the excellence in service that nurses are committed

2002 Registered Nurses' Association of Ontario

112. Assessment and Management of Venous Leg Ulcers

. . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Appendix L – Description of the Toolkit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 9 Nursing Best Practice GuidelineSummary of Recommendations RECOMMENDATION *LEVEL OF EVIDENCE Practice A. ASSESSMENT Recommendations 1. Assessment and clinical investigations should be undertaken by healthcare C professional(s) trained and experienced in leg ulcer management. 2. A comprehensive clinical history and physical examination including blood C pressure measurement, weight (...) of ulcers, at regular intervals, to monitor B Recommendations progress. Maximum length and width, or tracings onto a transparency are useful methods. 6. The client’s estimate of the quality of life should be included in the initial C discussion of the treatment plan, throughout the course of treatment, and when the ulcer has healed. 7. Assess the functional, cognitive and emotional status of the client and C family to manage self-care. 8. Regular ulcer assessment is essential to monitor treatment

2004 Registered Nurses' Association of Ontario

113. Assessment and Device Selection for Vascular Access

of therapy – Level Ib; Physical assessment – Level IV; Client health history – Level IV; Support system/resources – Level IV; Device availability – Level IV; and Client preference – Level IV. Client Education3 3. Nurses will discuss the options for vascular access devices with the client and family caregivers. Device selection is a collaborative process between the nurse, client, physician and other members of the health care team, however, the nurse has a role to educate and advocate for clients (...) , organizational and administrative support, as well as appropriate facilitation. Organizations may wish to develop a plan for implementation that includes: An assessment of organizational readiness and barriers to education. Involvement of all members (whether in a direct or indirect supportive function) who will contribute to the implementation process. Dedication of a qualified individual to provide the support needed for the education and implementation process. Ongoing opportunities for discussion

2004 Registered Nurses' Association of Ontario

114. Stroke Assessment Across the Continuum of Care

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Appendix H: Assessment of Bowel Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Appendix I: Depression Assessment Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Appendix J: Caregiver Strain Assessment Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Appendix K: Professional Education Resources (...) of dehydration and malnutrition. In situations where impairments are identified, clients should be referred to a trained healthcare professional for further assessment and management. Cognition/ 8.0 Nurses in all practice settings should screen clients for alterations in cognitive, IV Perception/ perceptual and language function that may impair safety, using validated tools Language (such as the Modified Mini-Mental Status Examination and the Line Bisection Test). This screening should be completed

2005 Registered Nurses' Association of Ontario

115. Diarrhoea - adult's assessment

, liver function tests, calcium, vitamin B 12 and red blood cell folate, ferritin, thyroid function tests, ESR and CRP, and testing for coeliac disease. People with diarrhoea may require admission to hospital, referral using a suspected cancer pathway, or routine referral for further assessment and management depending on their presentation and the certainty of the diagnosis. Have I got the right topic? Have I got the right topic? From age 18 years onwards. This CKS topic covers the assessment (...) [ ]: Weight loss and bleeding — less likely to be a feature of irritable bowel syndrome or functional diarrhoea. Fever, bleeding, abdominal pain — indicate possible underlying inflammation. Systemic symptoms (for example, fatigue, night sweats, fever, weight loss) — suggest lymphoma. Assessment for an underlying cause This recommendation is extrapolated from the causes of chronic diarrhoea in the BSG guideline for the investigation of chronic diarrhoea in adults [ ], expert opinion in review articles

2018 NICE Clinical Knowledge Summaries

116. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

are somewhat lacking to date, improvement in these scoring systems may increase their applicability in the future by providing guidance as to the role of EN and PN in the ICU. Question: What additional tools, components, or surrogate markers provide useful information when performing nutrition assessments in critically ill adult patients? A2. Based on expert consensus, we suggest that nutrition assessment include an evaluation of comorbid conditions, function of the gastrointestinal (GI) tract, and risk (...) of skeletal muscle and adipose tissue depots; however, it is quite costly unless a scan taken for other purposes is used to determine body composition. , Both may be valuable future tools to incorporate into nutrition assessment; however, validation and reliability studies in ICU patients are still pending. Assessment of muscle function is still in its infancy. Its measurement, reproducibility, and applicability are still being validated for use in critically ill patients and may be of value in the future

2016 American Society for Parenteral and Enteral Nutrition

117. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

integrated care for older people MNA mini nutritional assessment OSN oral supplemental nutrition PTA pure tone audiometry SPPB short physical performance battery WHO World Health Organization Denotes that specialized knowledge and skills are needed to provide the care vIntegrated Care of Older PeopleThe World report on ageing and health de?nes the goal of healthy ageing as helping people to develop and maintain the functional ability that enables well- being unctional ability is de?ned as the health (...) in intrinsic capacity can be done with the help of the integrated care for older people (ICOPE) screening tool. • Those identi?ed with these conditions are re- ferred to a primary health-care clinic for in-depth assessment, which informs the development of a personalied care plan • The care plan may include multiple interventions to manage declines in intrinsic capacity and to optimie functional ability, such as by physical exercises, oral supplemental nutrition, cognitive stimulation and home adaptations

2019 World Health Organisation Guidelines

118. 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

119. Atopic dermatitis – Diagnosis and Assessment

Atopic dermatitis – Diagnosis and Assessment Guidelines of care for the management of atopic dermatitis - Journal of the American Academy of Dermatology Email/Username: Password: Remember me Search JAAD & JAAD Case Reports Search Terms Search within Search Access provided by Volume 70, Issue 2, Pages 338–351 Guidelines of care for the management of atopic dermatitis Section 1. Diagnosis and assessment of atopic dermatitis Work Group, x Lawrence F. Eichenfield Affiliations Division of Pediatric (...) questions that arise in the management and care of AD, providing updated and expanded recommendations based on the available evidence. In this first of 4 sections, methods for the diagnosis and monitoring of disease, outcomes measures for assessment, and common clinical associations that affect patients with AD are discussed. Known risk factors for the development of disease are also reviewed. Key words: , , , , , , Abbreviations used

2014 American Academy of Dermatology

120. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

bypass surgery. Exercise program/cardiac rehabilitation. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement Malnutrition Assess for protein calorie malnutrition. Referral to dietician. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Frailty, deconditioning Assess for frailty, consider physical therapy and/or referral for rehabilitation (...) . Psychosocial Dementia /cognitive decline Assess precipitating factors, possible delirium, evaluate cognitive and mental executive function. Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology Depression Screen for depression and other mood disorders. Consider referral (87) for counseling and potential pharmacotherapy. Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice

2019 American College of Cardiology

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