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41. Training Guidelines for Intra-arterial Catheter Directed Treatment of Acute Ischemic Stroke

of formal neuroscience training, industry-spon- soredseminars,ContinuingMedicalEdu- cation coursework, and self-taught learn- ingaloneareinsufficientforcredentialing 1512  Training Guidelines for Catheter-directed IA Stroke Treatment December 2009 JVIRrelated to endovascular stroke ther- apy. Augmentation of knowledge and skills may be an arduous task, butisalwayspossibleandisthecrux of continuing education. Significant stroke-specific neurointerventional training is available and can supple- ment (...) stroke currently being treated with IV TPA and will require more physicians that are trained to provide IA stroke revascularization (51). The purpose of this document is to define the knowledge, training, and ex- perience necessary to competently pro- vide quality patient care for emergency endovascular treatment of ischemic stroke. Formal neuroscience training is thebaseuponwhichtobuildacceptable clinical outcomes. Necessary compo- nentsincludeclinicalexpertiseinneuro- logic examination and patient

2013 Society of Interventional Radiology

42. World report on disability

spread of chronic diseases, as well as improvements in the methodologies used to measure disability. The first ever WHO/World Bank World report on disability reviews evidence about the situation of people with disabilities around the world. Following chapters on understanding disability and measuring disability, the report contains topic-specific chapters on health; rehabilitation; assistance and support; enabling environments; education; and employment. Within each chapter, there is a discussion (...) World report on disability WHO | World report on disability WHO Regional websites Access Disability Menu World report on disability About 15% of the world's population lives with some form of disability, of whom 2-4% experience significant difficulties in functioning. The global disability prevalence is higher than previous WHO estimates, which date from the 1970s and suggested a figure of around 10%. This global estimate for disability is on the rise due to population ageing and the rapid

2011 World Health Organisation Guidelines

43. Meniscus disorders, knee. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition.

Meniscus disorders, knee. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You (...) are here Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has ended. Learn more about the status of the site. View the criteria guidelines and measures had to meet to be included in NGC and NQMC, respectively. Learn how measures were classified according to the domain framework. Find information on the legacy National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC). Status of NGC and NQMC Summaries and information about inclusion criteria

2009 REED Group

44. Rotator cuff tear. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition.

Rotator cuff tear. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here (...) Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has ended. Learn more about the status of the site. View the criteria guidelines and measures had to meet to be included in NGC and NQMC, respectively. Learn how measures were classified according to the domain framework. Find information on the legacy National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC). Status of NGC and NQMC Summaries and information about inclusion criteria and domain

2009 REED Group

45. Displacement, cervical intervertebral disc without myelopathy. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition.

Displacement, cervical intervertebral disc without myelopathy. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered (...) Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has ended. Learn more about the status of the site. View the criteria guidelines and measures had to meet to be included in NGC and NQMC, respectively. Learn how measures were classified according to the domain framework. Find information on the legacy National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC). Status of NGC and NQMC Summaries

2009 REED Group

46. Carpal tunnel syndrome. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition.

Carpal tunnel syndrome. In: The medical disability advisor: workplace for guidelines for disability duration, sixth edition. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You (...) are here Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has ended. Learn more about the status of the site. View the criteria guidelines and measures had to meet to be included in NGC and NQMC, respectively. Learn how measures were classified according to the domain framework. Find information on the legacy National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC). Status of NGC and NQMC Summaries and information about inclusion criteria

2009 REED Group

47. COVID-19 rapid guideline: arranging planned care in hospitals and diagnostic services

and support for shared decision Advice and support for shared decision making when arranging planned care making when arranging planned care 1.1 When offering planned care in hospitals and diagnostic services in the context of COVID-19: • Make reasonable adjustments to ensure information is accessible to all people (for example, those with a language barrier or learning disability). For further advice on supporting people to make their own decisions, see NICE's guideline on decision making and mental (...) and arranging planned care • existing national and international guidance and policies • advice from specialists working in the NHS from across the UK. These include clinicians and provider organisations delivering planned care services, patients, NHS England and NHS Improvement, and Public Health England. We developed this guideline using the interim process and methods for guidelines developed in response to health and social care emergencies. We will review and update the recommendations as the knowledge

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

48. Behaviour change: digital and mobile health interventions

or mobile health intervention. These needs would be routinely assessed by a Joint Strategic Needs Assessment. They agreed that these new technologies should cater for groups that face inequalities in accessing remotely delivered interventions. For example, by making them accessible for people with learning disabilities, problems with hearing or vision, mobility requirements, neurodevelopmental disorders, cancer, cognitive impairment, or mental health problems. The committee also agreed that expert (...) approaches to behaviour change. Who is it for? Who is it for? • Local policy makers and commissioners • Individuals, groups or organisations wishing to work or working with health and social care service providers • Designers and providers of digital and mobile health interventions and programmes • Behaviour change practitioners • Trained staff working in health and social care services who have contact with the general public • People who want to improve their health-related behaviours (concerning diet

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. Rehabilitation for adults with complex psychosis

commissioner to oversee the commissioning of the specific services that make up the defined rehabilitation pathway for people with complex psychosis. 1.3.9 The lead commissioner should: • have in-depth knowledge and experience of commissioning services for people with psychosis and other severe mental health conditions • have knowledge of local rehabilitation services and partnerships • be familiar with best practice in rehabilitation. For a short explanation of why the committee made these recommendations (...) on their skills, aspirations and motivations • developing and maintaining continuity of individual therapeutic relationships wherever possible • helping them find meaningful occupations (including work, leisure or education) and build support networks using voluntary, health, social care and mainstream resources • helping people to gain skills to manage both their everyday activities and their mental health, including moving towards self-management of medication (see the recommendations on helping people

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

50. Perioperative care in adults

• shared decision making. 1.1.3 For people with a learning disability, follow the recommendations on communicating and making information accessible in the NICE guideline on care and support of people growing older with learning disabilities. 1.2 1.2 Enhanced recovery programmes Enhanced recovery programmes 1.2.1 Offer an enhanced recovery programme to people having elective major or complex surgery. 1.2.2 Use an enhanced recovery programme that includes preoperative, intraoperative and postoperative (...) older with learning disabilities cover the information and support needed by adults during perioperative care. How the recommendation might affect practice How the recommendation might affect practice In larger hospitals the point of contact could be a specific team member such as a clinical nurse specialist. In smaller units the point of contact may need to be a team of people. The point of contact may change as people's needs change throughout the stages of perioperative care. In current practice

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

51. Joint replacement (primary): hip, knee and shoulder

with additional needs (such as people with dementia, a learning difficulty or multiple disabling medical comorbidities)? For a short explanation of why the committee made the research recommendation on supporting rehabilitation after hip, knee or shoulder replacement for people with additional needs, see rationale and impact. Full details of the research recommendation are in evidence review R: outpatient hip and knee postoperative rehabilitation. Outpatient rehabilitation after shoulder replacement

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

52. Supporting adult carers

carers' knowledge and coping skills accessible and available in a variety of formats, including printed or online materials or face to face tailored to the needs of carers delivered by practitioners with relevant knowledge and skills. 1.6.5 Training programmes for carers should include the following components, as relevant: general education about the health condition, disability or needs of the person they care for skills training to help them provide care, including how to understand and respond (...) carrying out carers' assessments have the necessary skills, knowledge and understanding of potential opportunities for returning to, or remaining in work, education and training. 1.3.17 Give carers tailored information about community services and support that could help them remain in, start or return to work. Supporting adult carers (NG150) © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 17 of 59For a short

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

53. Tinnitus: assessment and management

recommendations for research Tinnitus questionnaires for children and young people Tinnitus questionnaires for children and young people What is the most clinically and cost-effective tinnitus questionnaire to assess tinnitus in children and young people? Full details of the research recommendation are in evidence review E: questionnaires to assess tinnitus. Tinnitus questionnaires for people with a learning disability or Tinnitus questionnaires for people with a learning disability or cognitive impairment (...) cognitive impairment What is the most clinically and cost-effective tinnitus questionnaire to assess tinnitus in people Tinnitus: assessment and management (NG155) © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 19 of 40with a learning disability or cognitive impairment? Full details of the research recommendation are in evidence review E: questionnaires to assess tinnitus. Tinnitus questionnaires for people who are d

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

54. Hypertension in adults: diagnosis and management

on chronic kidney disease in adults. 1.1 Measuring blood pressure 1.1.1 Ensure that healthcare professionals taking blood pressure measurements have adequate initial training and periodic review of their performance. [2004] [2004] 1.1.2 Because automated devices may not measure blood pressure accurately if there is pulse irregularity (for example, due to atrial fibrillation), palpate the radial or brachial pulse before measuring blood pressure. If pulse irregularity is present, measure blood pressure (...) ). Be aware that the corresponding measurements for ABPM and HBPM are 5 mmHg lower than for clinic measurements (see recommendation 1.2.8 for diagnostic thresholds). [2019] [2019] 1.4.19 For people who choose to use HBPM, provide: training and advice on using home blood pressure monitors information about what to do if they are not achieving their target blood pressure. Be aware that the corresponding measurements for HBPM are 5 mmHg lower than for clinic measurements (see recommendation 1.2.8

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

55. Depression in children and young people: identification and management

1.1.21 Healthcare professionals specialising in depression in children and young people should work with local child and adolescent mental health services (CAMHS) [1] to enhance specialist knowledge and skills regarding depression in these existing services. This work should include providing training and help with guideline implementation. [2005] [2005] 1.1.22 CAMHS and local healthcare commissioning organisations should consider introducing a primary mental health worker (or CAMHS link worker (...) or young person's depression, CAMHS, primary care and educational professionals should work collaboratively to prevent bullying and to develop effective antibullying strategies. [2005] [2005] 1.1.29 Psychological therapies used in the treatment of children and young people with depression should be provided by therapists who are also trained in child and adolescent mental health. [2005] [2005] 1.1.30 Psychological therapies used in the treatment of children and young people with Depression in children

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

56. Crohn’s disease: management

and Harvey-Bradshaw Index, healthcare professionals should take into account any physical, sensory or learning disabilities, or communication difficulties that could affect the scores and make any adjustments they consider appropriate. [2010] [2010] 1.2.20 Treatment with infliximab or adalimumab should only be started and reviewed by clinicians with experience of TNF inhibitors and of managing Crohn's disease. [2010] [2010] Ustekinumab and v Ustekinumab and vedolizumab edolizumab 1.2.21 For guidance (...) with any concerns about the disease and its treatment, including concerns about body image, living with a chronic illness, and attending school and higher education. [2012] [2012] 1.2 Inducing remission in Crohn's disease Monother Monotherap apy y 1.2.1 Offer monotherapy with a conventional glucocorticosteroid (prednisolone, methylprednisolone or intravenous hydrocortisone) to induce remission in people with a first presentation or a single inflammatory exacerbation of Crohn's disease in a 12-month

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

57. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management

to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 38Contents Contents Overview 4 Who is it for? 4 Recommendations 5 1.1 Rapid recognition of symptoms and diagnosis 5 1.2 Imaging for people who have had a suspected TIA or acute non-disabling stroke 6 1.3 Specialist care for people with acute stroke 7 1.4 Pharmacological treatments and thrombectomy for people with acute stroke 8 1.5 Maintenance or restoration of homeostasis 12 1.6 Nutrition and hydration 14 (...) or acute non-disabling stroke 24 Thrombectomy for people with acute ischaemic stroke 25 Blood pressure control for people with acute intracerebral haemorrhage 28 Optimal positioning for people with acute stroke 30 Early mobilisation for people with acute stroke 30 Decompressive hemicraniectomy for people with acute stroke 31 Context 34 Finding more information and resources 36 Update information 37 Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © NICE 2019

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

58. Suspected neurological conditions: recognition and referral

with training and experience in the use of this test is available. 1.2.3 For adults with sudden-onset acute vestibular syndrome who have had a HINTS test: be aware that a negative HINTS test makes a diagnosis of stroke very unlikely refer immediately for neuroimaging if the HINTS test shows indications of stroke (a normal head impulse test, direction-changing nystagmus or skew deviation). 1.2.4 Refer immediately adults with sudden-onset acute vestibular syndrome in whom benign paroxysmal positional vertigo (...) or postural hypotension do not account for the presentation, in line with local stroke pathways, if a healthcare professional with training and experience in the use of the HINTS test is not available. Sudden-onset dizziness with no imbalance or focal neurological deficit Sudden-onset dizziness with no imbalance or focal neurological deficit 1.2.5 Be aware that dizziness in adults with no imbalance or other focal neurological deficit is unlikely to indicate a serious neurological condition. V Vertigo

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

59. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

monitoring of fluid input and output (with at least 4-hourly assessment by a senior clinician), blood pressure, pulse, respiratory rate and oxygen saturation continuous electrocardiogram (ECG) and pulse oximetry with interpretation by trained staff continuous intra-arterial blood pressure monitoring cardiac output monitoring with non-invasive techniques, or serial echocardiography by trained staff. Advise women who need intensive monitoring that this may have to be carried out in an intensive care unit (...) a chest X-ray. 1.3.28 If clinical suspicion of heart failure in the intrapartum period cannot be ruled out by the investigations in recommendation 1.3.27, arrange: review by a cardiologist (with interim review by a healthcare professional with expertise in this area if a cardiologist is not immediately available) a transthoracic echocardiogram by a trained technician or cardiologist measurement of N-terminal pro-brain natriuretic peptide (NT-proBNP) levels. 1.3.29 Consider early birth for women

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

60. Cerebral palsy in adults

that allow adults with cerebral palsy access to a local network of care that includes: advocacy support learning disability services mental health services orthopaedic surgery (and post-surgery rehabilitation) rehabilitation engineering services rehabilitation medicine or specialist neurology services Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 64secondary care expertise (...) needs (such as Gross Motor Function Classification System [GMFCS] levels IV and V) and any of the following: communication difficulties learning disabilities living in long-term care settings living in the community without sufficient practical and social support (for example, being cared for by elderly, frail parents) multiple comorbidities. 1.1.14 Discuss with the person with cerebral palsy (and their family and carers, if agreed) what information should inform the regular or annual review

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

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