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Cardiovascular rehabilitation

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681. Clinical practice guideline: The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care

Jed Rowe, Royal College of Physicians Dr Eileen Scott, North T ees and Hartlepool NHS T rust Fiona Stephens, Royal College of Nursing (now East Kent PCT) Adam Thomas, Royal Association for Disability and Rehabilitation (RADAR) Dr Elizabeth White, College of Occupational Therapists NCC-NSC staff who contributed to this guideline Sue Boyt, administrator Dr Gill Harvey, director Rosa Legood, health economist (seconded from Health Economics Research Centre,University of Oxford) Elizabeth McInnes

2007 Royal College of Nursing

682. Orthogeriatric Care

Orthogeriatric Care Australian and New Zealand Society for Geriatric Medicine Position Statement 5 Orthogeriatric care Revised 2010 Orthogeriatric care is medical care for older patients with orthopaedic disorders that is provided collaboratively by orthopaedic services and, aged care or rehabilitation services. 1. Orthogeriatric care is applicable to all older patients with hip and other bone fragility fractures – including pelvis, vertebra, ankle, humerus, forearm and other long bones. Some (...) older patients with soft tissue injuries, and joint or back pain will also benefit. 2. Early multidisciplinary co-ordinated care reduces in-hospital mortality and medical complications in patients with hip fracture, and improve functional recovery. One person should be identified as coordinator and have responsibility for monitoring the effectiveness of the treatment program. Key disciplines are geriatric medicine / rehabilitation medicine, nursing, physiotherapy, occupational therapy, social work

2004 Australian and New Zealand Society for Geriatric Medicine

685. Stroke Assessment Across the Continuum of Care

Barreca, PT, BA Research Clinician, Orthopedic and Rehabilitation Services, Hamilton Health Sciences Centre. Hamilton, Ontario Mark Bayley, MD, FRCPC Assistant Professor, Faculty of Medicine, University of Toronto. Medical Director, Neuro-Rehab Program, Toronto Rehabilitation Institute, Toronto, Ontario Jennifer Bean, RN, BScN Utilization Coordinator – ED/ICU/Medicine, Northeastern Regional Education Coordinator. Thunder Bay Regional Health Science Centre. Thunder Bay, Ontario Sandy Beckett, BA, BSc (...) Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 111 Richmond Street West, Suite 1100 Toronto, Ontario M5H 2G4 Website: www.rnao.org/bestpractices Stroke Assessment Across the Continuum of Care 45 Nursing Best Practice Guideline Linda Kelloway, RN, BScN, CNN(c) Team Leader Regional Stroke Education Consultant West GTA Stroke Network Etobicoke, Ontario Anna Bluvol, RN, MScN Nurse Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Paula

2005 Registered Nurses' Association of Ontario

686. Oral Health: Nursing Assessment and Intervention

. (2008) Oral Health: Nursing Assessment and Interventions. Toronto, Canada. Registered Nurses’ Association of Ontario. Oral Health: Nursing Assessment and Interventions Registered Nurses’ Association of Ontario International Affairs and Best Practice Guideline Program 158 Pearl Street Toronto, Ontario M5H 1L3 Website: www.rnao.org/bestpracticesToba Miller RN, MScN, MHA, GNC(C) Team Leader Advanced Practice Nurse – Rehabilitation The Ottawa Hospital Ottawa, Ontario Tabatha Bowers, RN, BScN, MN, GNC(C (...) (C), Research Scientist and Corporate Practice Leader for Speech-Language CCC-SLP, Reg. CASLPO Pathology and Audiology, Toronto Rehabilitation Institute, Toronto, Ontario Tracey Tait, RN, BA Gerontology Staff Nurse, Millennium Trail Manor, ConMed Healthcare Group, Niagara Falls, Ontario Lisa Valentine, RN, BScN, MN Clinical Nurse Specialist/Case Manager, Sunnybrook Health Sciences Centre – Regional Stroke Strategy, North and East GTA, Toronto, Ontario Lisa Vaughan, RN, BScN Director of Nursing

2008 Registered Nurses' Association of Ontario

687. Nursing Management of Hypertension

Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Heather DeWagner, RN, BScN Nurse Clinician – Stroke Strategy Chatham-Kent Health Alliance Stroke Secondary Prevention Clinic Chatham, Ontario Elaine Edwards, RN, BScN Clinical Stroke Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario BettyAnn Flogen, RN, BScN, MEd, ACNP Clinical Nurse Specialist Brain Health Centre Interim Nurse Clinician – Stroke and Cognition Clinic Baycrest Centre for Geriatric (...) Barrie, Ontario Susan Oates, RN, MScN Advanced Practice Nurse – Rehabilitation West Park Healthcare Centre Toronto, Ontario Tracy Saarinen, RN, BScN Secondary Stroke Prevention Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario Debbie Selkirk, RN(EC), BScN, ENC(c) Primary Care Nurse Practitioner Emergency Services: Chatham-Kent Health Alliance Chatham, Ontario Nursing Management of Hypertension 6 Declarations of interest and confidentiality were made by all members

2005 Registered Nurses' Association of Ontario

688. Nursing Care of Dyspnea:The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

Ottawa, Ontario Bozena Dabrowski, RN Staff Nurse Day Hospital – Respiratory Rehabilitation West Park Healthcare Centre Toronto, Ontario Meeran Manji, RN COPD Educator Pulmonary Rehabilitation Program University Health Network – T oronto Western Hospital Toronto, Ontario Christina McMillan, RN, BScN, MScN(c) Graduate Teaching Assistant Laurentian University School of Nursing Sudbury, Ontario Ruth Pollock, RN, MScN Professional Practice Leader – Nursing Cornwall Community Hospital Cornwall, Ontario (...) , CAE Assistant Professor, Laurentian University, School of Nursing, Sudbury, Ontario Wendy Earle, RN, MScN(c), CCN(C) Clinical Nurse Specialist, Roadmap Project – Queen’s University, Kingston General Hospital, Hotel Dieu Hospital, Kingston, Ontario Catherine Evers, RN Staff Nurse, Medicine, Queensway-Carleton Hospital, Ottawa, Ontario Ginette Ferguson, BScN, RN(EC) Cornwall Community Hospital, Cornwall, Ontario Janet Fraser, BSc, RRT/RRCP Staff Respiratory Therapist, Respiratory Rehabilitation

2005 Registered Nurses' Association of Ontario

689. Care and Maintenance to Reduce Vascular Access Complications

Program, Thunder Bay, Ontario Marg Poling, RN, BScN, PHCNP Palliative Care Nurse Practitioner, Palliative Care Advisor, Victorian Order of Nurses, Thunder Bay and District, Thunder Bay, Ontario Wendy L. Pomponio, RN, BScN Nurse Clinician, Medical & Rehabilitation Services, Brant Community Healthcare System, Brantford, Ontario Donna Prenger, RN, ONA Registered Nurse (Oncology), Thunder Bay Regional Health Science Centre, Thunder Bay, Ontario Christina Purdon, RN, BScN Clinical Educator, Thunder Bay

2005 Registered Nurses' Association of Ontario

690. Assessment and Management of Venous Leg Ulcers

Leader) GI Surgery Ostomy/Wound St. Joseph’s Healthcare London St. Joseph’s Site London, Ontario Susan Mills-Zorzes, RN, BScN, CWOCN (Co-Team Leader) Enterostomal Therapy Nurse St. Joseph’s Care Group Thunder Bay, Ontario Patti Barton, RN, PHN, ET Ostomy, Wound and Skin Consultant Specialty ET Services Toronto, Ontario Marion Chipman, RN ONA Representative Staff Nurse Shaver Rehabilitation Hospital St. Catharines, Ontario Patricia Coutts, RN Wound Care & Clinical Trials Coordinator The Mississauga (...) this Nursing Best Practice Guideline. Marlene Allen Physiotherapist Oshawa, Ontario Lucy Cabico Nurse Practitioner/Clinical Nurse Specialist Baycrest Centre for Geriatric Care Toronto, Ontario Karen Campbell Nurse Practitioner/Clinical Nurse Specialist Parkwood Hospital London, Ontario Dawn-Marie Clarke Chiropodist Shaver Rehabilitation Hospital St. Catharines, Ontario Debra Clutterbuck Registered Practical Nurse Cambridge, Ontario Nicole Denis Enterostomal Therapy Nurse The Ottawa Hospital Ottawa, Ontario

2004 Registered Nurses' Association of Ontario

692. Comorbidity of mental disorders and substance use

results in respiratory and cardiovascular depression and loss of consciousness which leads to death. Tolerance to opioids develops rapidly resulting in the use of increasing amounts of unknown drug purity, heightening the risk of accidental overdose. Withdrawal: In the dependent person, withdrawal is uncomfortable, somewhat resembling influenza. Features include rhinorrhea, lacrimination, shivers and sweats, pilo-erection, sleeplessness, restlessness and agitation, abdominal and general muscular pains (...) of particular formulations. However, taken in large amounts and/or in-conjunction with other benzodiazepines or other substances (usually alcohol), there is a high risk of overdose, particularly in people with a high suicide risk. Overdose results in prolonged periods of sleep combined with respiratory and cardiovascular depression which can be fatal when combined with alcohol. Withdrawal: There is an established withdrawal effect associated with the use of benzodiazepines. Likelihood of withdrawal

2008 Clinical Practice Guidelines Portal

693. Workplace interventions for people with common mental health problems

problems as those that:- • occur most frequently and are more prevalent; • are mostly successfully treated in primary rather than secondary care settings; • are least disabling in terms of stigmatising attitudes and discriminatory behaviour. We focused broadly on themes of prevention, retention and rehabilitation. Our main research questions were:- • What is the evidence for preventative programmes at work and what are the conditions under which they are most effective? • For those employees identified (...) as at risk, what interventions most effectively enable them to remain at work? • For those employees who have had periods of mental ill health related sickness, what interventions most effectively support their rehabilitation and return to work? We found support for the following conclusions. • Amongst employees who have not manifested with common mental health problems or who are not at high risk, there is moderate evidence from five research papers to suggest that a range of stress management

2005 British Occupational Health Research Foundation

694. Paediatric Endocrine Tumour Guidelines

and the evolving, life-threatening pituitary deficits. The aims of surveillance are to: ? detect early recurrence, ? facilitate age-appropriate growth and puberty, and optimise hormone substitution, ? support neuro-rehabilitation and enhance long term independence and quality of life. The aims of registration are to : ? enhance treatment co-ordination, observational outcomes and future therapeutic trials. CHAPTER ONE 48382 Insert Final 1/11/05 5:07 pm Page 17Recommended Care Pathway; Child with Suspected (...) possible that delaying radiation in the youngest children on the unproven assumption that recurrent disease and the surgery required is less neurotoxic than new focussed irradiation techniques to prevent relapse, may deprive these children of an early cure and quicker neuropsychological rehabilitation. This hypothesis requires testing. 5 year recurrence Complete resection Incomplete resection (Subtotal/Partial) Surgery alone 15.6% (13) 75% (13) 5 -25% (21) 58% (22) (49% - 87%) (22) Surgery and adjuvant

2005 British Association of Endocrine and Thyroid Surgeons

695. Vertigo part 2 - management in general practice

they are assessed further by an ENT surgeon. 21 Vestibular rehabilitation While the brainstem has an amazing ability to restore the homeostasis from a vestibular or central insult, the extent of the compensation can be limited, especially in the elderly population. Exercise and movement central pathology The most feared diagnosis of true vertigo is a transient ischaemic attack or stroke. 12 These are not uncommon conditions, especially among patients with cardiovascular risk factors and central neurological (...) the prolonged use of such medications is not recommended. Specific treatments for various conditions causing vertigo are available, however, the majority of patients are managed symptomatically. The patient’s ability to drive safely should be carefully assessed according to Austroads guidelines and advice from an ear, nose and throat surgeon should be sought when in doubt. There is evidence to support the efficacy of vestibular rehabilitation programs for unilateral peripheral vestibular disorder

2008 The Royal Australian College of General Practitioners

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