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Assessment of Physical Function


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161. Newly Diagnosed and Relapsed Follicular Lymphoma

.PublishedbyOxfordUniversityPressonbehalfoftheEuropeanSocietyforMedicalOncology. Allrightsreserved.Forpermissions, assessment and are not yet suitable for clinical deci- sion-making [9]. If possible, additional biopsy material should bestoredfreshfrozentoallowforthepossiblefutureapplication ofadditionalmolecularanalyses. treatment ?rstline stage I–II. In the small proportion of patients with limited non-bulkystagesI–II, radiotherapy (involved?eld, 24 Gy)isthe preferred treatment with a potentially curative potential (...) displayinghistologicallymoreaggressivefeatures[41]. follow-upandlong-termimplicationsand survivorship The following minimal recommendations are based on consen- susratherthanonevidence(Table7): ? After local radiotherapy: history and physical examination every 6 months for 2 years, subsequentlyonce ayear if clinic- allyindicated. ? After (during continuous) systemic treatment: historyand phys- ical examination every 3–4 months for 2 years, every 6 months for3additionalyears,andsubsequentlyonceayear[V,D]. ? Blood count and routine

2017 European Society for Medical Oncology

162. Scientific Support for Nuclear Medicine

to the MSC programme there was a 4 year training scheme post degree. The first stage (part 1) included a specific MSc in Medical Physics and broad training across the Medical Physics specialties. In the second stage (part 2) trainees specialised in a subject area such as Nuclear Medicine. After this four year period of training in the Nuclear Medicine specialty, a scientist could apply Clinical Scientists in Nuclear Medicine Training Introduction 3 to HCPC and, if assessed as competent, obtain (...) of techniques; ARSAC applications;, dose constraints for research exposures; assessment and validation of dedicated NM software; design of facilities; and all aspects of radiation protection - in collaboration with the RPA. In particular an MPE must have direct involvement with NM therapy. ARSAC – requirements for an MPE [2] The Ionising Radiation (Medical Exposure) Regulations 2000, regulation 9 requires that a medical physics expert is available. The degree of availability will vary with the range

2017 British Nuclear Medicine Society

163. Screening and Management of Late and Long-term Consequences of Myeloma and its Treatment

on patients. Formal health economic assessments have not been carried out. Introduction As well as aiming to prolong life, modern cancer care needs to address the side effects of treatment, comorbidities and the impact of the physical disease and its treatment on psy- chological and social wellbeing (Ahmedzai & Walsh, 2000). Correspondence: BSH Administrator, British Society for Haematology, 100 White Lion Street, London N1 9PF, UK. E-mail: guideline ª 2017 John Wiley & Sons Ltd (...) with myeloma typically undergo courses of treat- ment followed by periods of stable remission and relapse, although the increasing use of consolidation and mainte- nance now means that many may remain on treatment for prolonged periods of time during disease stability. The toxic- ity of multi-drug regimens may combine with the effects of the disease, other comorbidities and the ageing process to diminish physical, psychological and social functioning. Fati- gue and pain (predominantly neuropathic

2017 British Committee for Standards in Haematology

164. A Guideline for the Clinical Management of Opioid Use Disorder

and evaluation, education and training, and clinical care guidance. With the support of the province of British Columbia, the BCCSU aims to help establish world leading educational, research and public health, and clinical practices across the spectrum of substance use. Although physically located in Vancouver, the BCCSU is a provincially networked resource for researchers, educators and care providers as well as people who use substances, family advocates, support groups and the recovery community. The CIHR (...) with slow-release oral morphine demonstrated shorter QTc intervals, decreased heroin cravings and reduced dysthymic symptoms when compared with patients treated with methadone. 97 Other studies have found that slow-release oral morphine was superior to methadone in terms of reduced opioid cravings and improvements in mental health, with no significant differences compared to methadone with regard to drug use, retention in treatment and overall physical health. 98-100 A multi-centre study of patients

2017 Clinical Practice Guidelines and Protocols in British Columbia

165. Guidelines for Psychological Practice With Transgender and Gender Nonconforming People

by TGNC people (Grant et al., 2011) and the mental health consequences of these expe- riences across the life span (Bockting, Miner, Swinburne Romine, Hamilton, & Coleman, 2013), including increased rates of depression (Fredriksen-Goldsen et al., 2014) and suicidality (Clements-Nolle, Marx, & Katz, 2006). TGNC people’s lack of access to trans-af?rmative mental and physical health care is a common barrier (Fredriksen-Gold- sen et al., 2014; Garofalo, Deleon, Osmer, Doll, & Harper, 2006; Grossman (...) the particular guideline may be applied in psychological practice. The Guidelines are organized into ?ve clusters: (a) foundational knowledge and awareness; (b) stigma, discrimination, and barriers to care; (c) life span development; (d) assessment, therapy, and intervention; and (e) research, education, and training. Funding for this project was provided by Division 44 (Society for the Psychological Study of LGBT Issues); the APA Of?ce on Lesbian, Gay, Bisexual, and Transgender (LGBT) Concerns; a grant from

2015 American Psychological Association

166. Guidelines for Psychological Practice With Older Adults

context (Knight, 2004; see Guideline 5 for further discussion, as well as Yeo, 2001, “Curriculum in Ethnogeriatrics”). There are a variety of conceptions of “successful” late adult development (see Bundick, Yeager, King, & Damon, 2010). Inevitably, aging includes the need to accommodate to physical changes, functional limita- tions, and other changes in psychological and social functioning, although there are signi?cant individual differences in the onset, course, and severity of these changes (...) in the areas of attitudes, general aspects of aging, clinical issues, assessment, intervention, consultation, professional issues, and continuing education and training relative to work with this group. The guide- lines recognize and appreciate that there are numerous methods and pathways whereby psychologists may gain expertise and/or seek training in working with older adults. This document is designed to offer recommendations on those areas of awareness, knowledge, and clinical skills considered

2014 American Psychological Association

167. Guidelines for Psychological Practice with Lesbian, Gay, and Bisexual Clients

Guidelines for Psychological Practice with Lesbian, Gay, and Bisexual Clients Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients American Psychological Association The “Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients” provide psychologists with (a) a frame of reference for the treatment of lesbian, gay, and bisexual clients 1 and (b) basic information and further references in the areas of assessment, intervention, identity, relationships (...) for lesbian, gay, and bisexual people, many of whom may be tolerated only when they are “closeted” (DiPlacido, 1998). Minority stress can be experienced in the form of ongoing daily hassles (e.g., hearing antigay jokes) and more serious negative events (e.g., loss of employment, housing, custody of children, physical and sexual assault; DiPlacido, 1998). According to a probability sample study by Herek (2009), antigay victimization has been experi- enced by approximately 1 in 8 lesbian and bisexual indi

2012 American Psychological Association

168. Guidelines for the Evaluation of Dementia and Age-Related Cognitive Change

diseases. Psychologists are uniquely equipped by training, expertise, and the use of specialized neuropsychological tests to assess changes in memory and cognitive functioning and to distinguish normal changes from early signs of pathology. . . . Neuropsychological evaluation and cognitive testing remain the most effective differ- ential diagnostic methods in discriminating pathophysiological dementia from age-related cognitive decline, cognitive dif?culties that are depression related, and other (...) related disorders. Even after reliable biological markers have been discovered, neuropsycho- logical evaluation and cognitive testing will still be necessary to determine the onset of dementia, the functional expression of the disease process, the rate of decline, the functional capacities of the individual, and hopefully, response to therapies. . . . These guidelines, however, are intended to specify for all clini- cians the appropriate cautions and concerns that are speci?c to the assessment

2012 American Psychological Association

169. Practice Guidelines Regarding Psychologists' Involvement in Pharmacological Issues

that can enhance decision making during the course of treatment. X X Assessment Guideline 7. Psychologists with prescriptive authority strive to familiarize themselves with key procedures for monitoring the physical and psychological sequelae of the medications used to treat psychological disorders, including laboratory examinations and overt signs of adverse or unintended effects. X Guideline 8. Psychologists with prescriptive authority regularly strive to monitor the physiological status (...) of the pharmacotherapy literature, however, not an alternative. Assessment Guideline 7. Psychologists with prescriptive authority strive to familiarize themselves with key procedures for monitoring the physical and psychological sequelae of the medications used to treat psychological disorders, including laboratory examinations and overt signs of adverse or unintended effects. Rationale. Methods of assessing medication ef- fects and indications, both positive and negative, represent a body of knowledge

2011 American Psychological Association

170. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

. Psychologists seek awareness and understanding of how developmental stages and life transitions intersect with the larger biosociocultural context, how identity evolves as a function of such intersections, and how these different socialization and maturation experiences influence worldview and identity. Guideline 9. Psychologists strive to conduct culturally appropriate and informed research, teaching, supervision, consultation, assessment, interpretation, diagnosis, dissemination, and evaluation (...) and communities. Guideline 3. Psychologists strive to recognize and understand the role of language and communication through engagement that is sensitive to the lived experience of the individual, couple, family, group, community, and/or organizations with whom they interact. Psychologists also seek to understand how they bring their own language and communication to these interactions. Guideline 4. Psychologists endeavor to be aware of the role of the social and physical environment in the lives of clients

2002 American Psychological Association

171. Guidelines for Psychological Practice in Health Care Delivery Systems

trained and experienced in the delivery of preventive, assessment, diagnostic, and therapeutic intervention services related to the psycholog- ical and physical health of consumers, based on: 1) having completed scienti?c and professional training resulting in a doctoral degree in psychology; 2) having completed an internship and supervised experience in health care set- tings; and 3) having been licensed as psychologists at the independent practice level. We use the term patient to refer to the child (...) 2.01, 6.02; APA, 2007; Drogin, Con- nell, Foote, & Sturm, 2010). Application. Psychologists strive to maintain a comprehensive and up-to-date understanding of the health care delivery systems within which they practice, including site-speci?c expectations and requirements for: patient admis- sion, management, and discharge; assessment and treatment protocols; emergencies; patient safety, restraint, and restric- tions of freedom; procedure codes and billing/bundling; in- formed consent

2013 American Psychological Association

172. Guidelines for the Practice of Parenting Coordination

, they may not provide legal advice. The functions of a PC do not include forensic assessments of the parents or children with whom the PC is working. Forensic training and expertise as a child custody evaluator, mediator, or child abuse evaluator may be valu- able in preparing for the PC role, but these experiences taken individually or together are not ordinarily suf?cient for undertaking parenting coordination practice without further specialized training. Moreover, although clinical experience (...) TheroleofthePCdiffersinsigni?cantwaysfromtheusual roles of psychologists and requires specialized knowledge and training, including mediation and arbitration skills, familiarity with relevant legal contexts, and experience in assisting parents with high con?ict (AFCC Task Force on Parenting Coordination, 2006; Coates et al., 2004; Kelly, 2008). These guidelines describe best practices for ethical and competent functioning in this unique role. State laws and court and local rules may govern the practice of par- enting

2012 American Psychological Association

173. Guidelines for the Practice of Telepsychology

or cultural issues, cognitive, physical, or sensory skills or impairments, or age may impact assessment). In addition, psychologists may consider the use of a trained assistant (e.g., a proctor) to be on the premises at the remote location in an effort to help verify the identity of the client/patient, provide needed on-site support to administer certain tests or subtests, and protect the security of the psychological test- ing and/or assessment process. When administering psychological tests and other (...) to the Practice Directorate, American Psychological Association, 750 First Street, NE, Washington, DC 20002-4242. 791 December 2013 ? American Psychologist © 2013 American Psychological Association 0003-066X/13/$12.00 Vol. 68, No. 9, 791–800 DOI: 10.1037/a0035001dards of practice for the jurisdiction or setting in which they function and are expected to comply with those stan- dards. Recommendations related to the guidelines are con- sistent with broad ethical principles (APA Ethics Code, APA, 2002a, 2010

2013 American Psychological Association

174. Guidelines for Psychological Evaluations in Child Protection Matters

Barnum, 1997, 2002.) In the course of their evaluations, and depending upon the speci?c needs of a given case, psychologists are fre- quently asked to evaluate the parent(s) and/or the child individually or together. Psychologists seek to gather in- formation on family history, assess relevant personality functioning, assess developmental needs of the child, ex- plore the nature and quality of the parent–child relationship and assess evidence of trauma. Psychologists typically also consider speci?c (...) in child protec- tion matters. Psychological data and expertise may provide sources of information and a perspective not otherwise available to courts regarding the functioning of parties, and thus may increase the fairness of decisions by the court, state agency, or other party. As the complexity of psychological practice increases and the reciprocal involvement between psychologists and the public broadens, the need for guidelines to educate the profession, the public, and the other interested

2013 American Psychological Association

175. Guidelines for Prevention in Psychology

infancy through adulthood, access to preventive services and interventions is important to improve the quality of life and human functioning and reduce illness and premature death (Grunberg & Klein, 2009; Konnert, Gatz, & Hertzsprung, 1999). Prevention has typically taken a developmental approach, focusing on children and ado- lescents, in order to facilitate trajectories leading to positive outcomes (National Research Council & Institute of Med- icine, 2009). Children and adolescents are at signi (...) of Medicine, 2009). In addition, national surveys show that the majority of youth who could potentially bene?t from mental health services do not re- ceive services (Ringel & Sturm, 2001). Early and focused interventions can limit the length and severity of symptoms and enhance functioning (Cicchetti & Toth, 1992; Durlak, Weissberg, & Pachan, 2010). Prevention also includes the collaborative design and delivery of strengths-based health promotion and environmental improvement strategies (e.g., Cowen, 1985

2014 American Psychological Association

176. Daily iron supplementation in postpartum women

questions and outcomes; (ii) retrieval of the evidence; (iii) assessment and synthesis of the evidence; (iv) formulation of recommendations, including research priorities; and planning for (v) dissemination; (vi) implementation, equity and ethical considerations; and (vii) impact evaluation and updating of the guideline. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was followed (6), to prepare evidence profiles related to preselected topics, based on up (...) different interventions that have an impact on health and that have ramifications for the use of resources. All publications containing WHO recommendations are approved by the WHO Guidelines Review Committee.WHO Guideline: Iron supplementation in postpartum women. vii Available evidence The available evidence comprised a Cochrane systematic review that followed the procedures of the Cochrane handbook for systematic reviews of interventions (7) and assessed whether supplements with iron alone

2016 World Health Organisation Guidelines

177. Record Keeping Guidelines

subjected to severe physical abuse may produce low scores in a cognitive assessment that may not accurately predict the child’s future functioning. Or a psychologist writing a case summary regarding a client who had only been violent in the midst of a psychotic episode is careful to record the context in which the behavior occurred. The psychologist strives to create and maintain records in such a way as to preserve relevant information about the context in which the records were created. Guideline 9 (...) or harm the client. Application When documenting treatment or evaluation, the psycholo- gist is attentive to situational factors that may affect the client’s psychological status. The psychologist is often asked to assess or treat individuals who are in crisis or under great external stress. Those stresses may affect the client’s functioning in that setting, so that the client’s behavior in that situation may not represent the client’s enduring psychological characteristics. For example, a child

2007 American Psychological Association

178. Clinical practice guideline for the rehabilitation of adults with moderate to severe TBI - section 1: components of the optimal TBI rehabilitation system

injury should be assessed for the need for vocational rehabilitation to assist their return to work or to school, or for entering the workforce for those not previously employed and should include: · Comprehensive pre-injury history (including educational and work history) · Current capacities of the person, in particular at the cognitive, psychological and physical levels · Current social status · Evaluation of the person’s vocational and/or educational needs · Identification of difficulties which (...) , 2015) A 1.4 The assessment and planning of rehabilitation should be undertaken through a coordinated, interdisciplinary team and follow a patient-focused approach responding to the needs and choices of individuals with traumatic brain injury as they evolve over time. (Adapted from NZGG 2007, 4.4, p. 76 and ABIKUS 2007, G1, p. 16) Key Components of TBI Rehabilitation A SECTION I : Components of the Optimal TBI Rehabilitation System The content of these guidelines are based on the status

2016 CPG Infobase

179. Harmful sexual behaviour among children and young people

be interpreted 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. Harmful sexual behaviour among children and young people (NG55) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 2 (...) of 60Contents Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Multi-agency approach 6 1.2 Named safeguarding leads in universal services 8 1.3 Early help assessment 9 1.4 Risk assessment for children and young people referred to harmful sexual behaviour services 11 1.5 Engaging with families and carers before an intervention begins 12 1.6 Developing and managing a care plan for children and young people displaying harmful sexual behaviour 13 1.7 Developing interventions for children and young

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

180. Responding to Domestic Abuse in Sexual Health Settings

> ASSESS> ACTION Reproduced with kind permission 1. ASK: ? Provide written patient information leaflets ? Explain confidentiality limitations at outset of consultation ? Ensure quiet and confidential space where no-one >18 months old in room and a professional, independent interpreter/language line is used, if needed ? Give a normalising statement to introduce the topic of DA ? Ask the question about whether they have ever experienced DA IF the patient discloses DA: 2. VALIDATE: with messages (...) of reassurance 3. ASSESS: using a proforma to capture key information quickly and identify immediacy of risk IF risk historical (>3/12) offer referrals to relevant services + provide support agencies details IF risk current/ongoing (i.e. within 3 months or risk something could happen again) refer patient to health adviser (HA), or Independent Domestic Violence Advisor (IDVA), if available, for a detailed risk assessment e.g. Co-ordinated Action Against DA, DA Stalking + Honour based violence risk assessment

2016 British Association for Sexual Health and HIV


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