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801. General Recommendations for the Care of Homeless Patients

, infection, strokes, tumors, poisoning or developmental disabilities. Cognitively impaired homeless persons with co-occurring substance use problems are frequently unable to access or benefit from traditional addiction treatment programs. • Developmental discrepancies Homeless children, adolescents and young adults frequently exhibit developmental levels that do not match their chronological age. Many homeless children have speech delays secondary to chronic ear infections. Insufficient opportunities (...) private insurance. This limits their access to specialty care and prescription drugs. Poor adults who are not pregnant or disabled or elderly and do not have dependent children are ineligible for Medicaid in most states. Even those who are eligible frequently have trouble completing the complex enrollment process and obtaining covered services, especially under managed care. Lack of required documentation to verify eligibility is the most frequently cited obstacle to Medicaid enrollment for homeless

2010 National Health Care for the Homeless Council

802. Care of the Patient with Accommodative and Vergence Dysfunction

or inattentive. Such children may not report symptoms of asthenopia because they do not realize that they should be able to read comfortably. The clinician should suspect a 4 Accommodative and Vergence Dysfunction binocular or accommodative problem in any child whose school performance drops around third grade or who is described as inattentive. 1 Many children who have reading problems, are learning disabled or dyslexic have accommodative and vergence problems. 2-4 Even if one of these ocular conditions (...) Dysfunction describes appropriate examination, diagnosis, treatment, and management to reduce the risk of visual disability from these binocular vision anomalies through timely care. This Guideline will assist optometrists in achieving the following goals: • Identify patients at risk for developing accommodative or vergence dysfunction • Accurately diagnose accommodative and vergence anomalies • Improve the quality of care rendered to patients with accommodative or vergence dysfunction • Minimize

2010 American Optometric Association

803. Congenital Adrenal Hyperplasia Due to Steroid 21-hydroxylase Deficiency

( , , ). The death rate in salt-wasting CAH without screening is between 4 and 10% ( , ). Affected infants ascertained through screening have less severe hyponatremia (mean serum sodium at diagnosis of 134 m m with screening, 124 m m without) ( , ). Learning disabilities have been reported after salt-wasting crises ( ); it is not known whether newborn screening reduces the frequency and severity of such abnormalities. Although salt-wasting males would seem to derive the greatest benefit from screening programs

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2010 The Endocrine Society

804. Management of Stroke Rehabilitation

of care setting. Target Population: This guideline applies to adult patients (18 years or older) with post-stroke functional disability who may require rehabilitation in the VHA or DoD health care system. Audiences: The guideline is relevant to all healthcare professionals providing or directing treatment services to patients recovering from a stroke, in any healthcare setting (primary care, specialty care, and long-term care) and in community programs. Version 2.0 VA/DoD Clinical Practice Guideline (...) for the October, 2010 Management of Stroke Rehabilitation Introduction Page - 3 Stroke Rehabilitation: Stroke is a leading cause of disability in the United States. (AHA, 1999) Forty percent of stroke patients are left with moderate functional impairment and 15% to 30% with severe disability. Effective rehabilitation interventions initiated early after stroke can enhance the recovery process and minimize functional disability. Improved functional outcomes for patients also contribute to patient satisfaction

2010 VA/DoD Clinical Practice Guidelines

805. Care of the Patient with Strabismus: Esotropia and Exotropia

the risk of visual disability from esotropia and exotropia through timely care. This Guideline will assist optometrists in achieving the following goals: ? Identify patients at risk of developing strabismus ? Accurately diagnose strabismus ? Improve the quality of care rendered to patients with strabismus ? Minimize the adverse effects of strabismus and enhance the patient's quality of life ? Preserve the gains obtained through treatment ? Inform and educate other health care practitioners, including

2010 American Optometric Association

806. Use of prophylactic factor VIII concentrate in children and adults with severe haemophilia A

with education or employment or significant haemarthroses occur that carry the risk of development of arthropathy. Secondary prophylaxis in adults Secondary prophylaxis may be short‐term to treat a target joint, or long‐term. There are very few published data relating to secondary prophylaxis in adults with haemophilic arthropathy ( ). Patients with longstanding arthropathy and disability may benefit from prophylactic treatment if recurrent bleeding episodes are interfering with mobility or employment

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2010 British Committee for Standards in Haematology

807. Women's Experience of Working through the Menopause

adjustments (10 items) 25 6.4 Piloting the questionnaire 26 6.5 Results I – Characteristics of participants 26 6.5.1 Description of sample 26 6.5.2 Menopausal status 26 6.5.3 Education 27 6.5.4 Significant health problems diagnosed by doctor 28 6.5.5 Level of physical activity 29 6.5.6 Children living at home 30 6.5.7 Caring for an elderly or disabled parent/person 30 6.5.8 General coping styles 31 6.5.9 Job satisfaction 31 6.6 Results II – Characteristics of the work environment 32 6.6.1 Gender of line (...) ), particularly during the initial diagnosis of (and adjustment to) the menopause. Taking an overview of the results, it is clear that the years leading up to and after the menopause can be demanding and stressful for some women. Women of this age also often have multiple roles: nearly half of respondents in this study reported having children still living at home, and one in five were acting as carer for an elderly or disabled relative or person. Four overarching issues emerged as areas for possible

2010 British Occupational Health Research Foundation

809. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients

effort from nurse clinicians and their health-care colleagues from other disciplines, from nurse educators in academic and practice settings and from employers. After lodging these guidelines into their minds and hearts, knowledgeable and skillful nurses and nursing students need healthy and supportive work environments to help bring these guidelines to practice actions. We ask that you share this guideline with members of the interdisciplinary team, as there is much to learn from one another. T (...) cause of death and disability worldwide. In Canada it is projected that 89% of all deaths will be attributable to chronic diseases (World Health Organization Canada, 2005).BACKGROUND Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients BEST PRACTICE GUIDELINES • 17 It is further predicted 34% of these deaths will be caused by cardiovascular disease, mainly stroke and heart disease; 29% will be related to cancer deaths; 17% will be due to other chronic

2010 Registered Nurses' Association of Ontario

810. Children deafness - 0 to 6 years

and Efficiency in Health Care LPC French cued speech LPPR List of reimbursable products and services LSF French sign language MDPH Regional homes for the disabled ORL Otorhinolaryngology (ENT - Ear, Nose and Throat) PPS Personalised education plan RPC Recommendations for clinical practice SAFEP Family support and early education department SESSAD Special education and home care department SSEFIS Department for the support of family education and integration at school Deaf children: family support and follow (...) visuo-gestural. Indeed, in this approach, priority is given to the visual learning of a language, LSF. This learning is done starting with codified signs, or symbolic gestures, which have the same meaning for all those practising this language. The visuo-gestural approach aims to promote the early development of language using French sign language, adapted for the deaf child, and not spoken French, which it considers to be difficult for the child to access and may accentuate the child’s handicapped

2010 HAS Guidelines

811. Stroke early management

is the first cause of acquired disability in adults, the second cause of dementia after Alzheimer's disease (30 % of all cases of dementia are entirely or partially caused by stroke) and the third cause of mortality. In France, the annual incidence is 1.6 to 2.4/1000 people of all ages, i.e. from 100,000 to 145,000 cases of stroke per year, with 15 to 20 % of deaths after the first month and 75 % of patients surviving with functional disorders; the annual prevalence of stroke is from 4 to 6/1000 people (...) from ministers responsible for health and social security. The HAS Board can also accept subjects proposed by learned societies, the French national cancer institute, the French Association of National Health insurance funds, the French National Association of Healthcare Professions, organisations representing health care professionals or establishments or registered user groups. Steps of the working method Steering committee HAS sets up a steering committee made up of representatives

2010 HAS Guidelines

812. CPG on Attention Deficit Hyperactivity Disorder (ADHD) in the Child and Adolescent Population

for the diagnosis of ADHD in children and adolescents. 5.4.2. The neuropsychological examination of ADHD in children and adolescents is useful to get to know the pro? le of skills and dif? culties in cognitive functioning and comorbidity with speci? c learning disorders. C 5.4.3. To diagnose ADHD it is not necessary for there to be an alteration in the results of the neuropsychological tests that assess executive functions. 5.5. In the diagnosis of ADHD in children and adolescents? Is the psychopedagogical (...) assessment necessary? Recommendations D 5.5.1. The psychopedagogical assessment is useful to evaluate the learning style and dif? culties and to establish the re-education intervention objectives. 5.6. In the diagnosis of ADHD in children and adolescents? Are supplementary examinations necessary? Recommendations B 5.6.1. To diagnose ADHD in children and adolescents supplementary laboratory, neuroimage or neurophysiological tests are not indicated unless the clinical evaluation justi? es this. It has been

2010 GuiaSalud

813. The Good Practice Guide

and Clinical Governance allied to Life Long Learning are designed to give dependable local delivery. In England the process is monitored by the Healthcare Commission, the National Performance Framework and National Patient and Users Surveys. Equivalent bodies and procedures are operational or planned in Scotland, Wales and Northern Ireland. Figure 2 Standards – setting, delivering, monitoring ? National Institute for Health and Clinical Excellence National Service Frameworks ? Clear standards of service (...) ? Professional Self-Regulation Clinical Governance Life Long Learning ? Dependable local delivery ? Healthcare Commission National Performance Framework National Patient and Users Surveys ? Monitored standards The Association and the College believe that where anaesthetists corporately take the responsibility in the light of agreed advice for setting local standards and complying with them there will be: a high level of professional satisfaction within departments continuously rising standards

2009 Royal College of Anaesthetists

814. Guidelines on Diagnosis and Management of Syncope

-sedating antihistamines, etc. Much has been learned about the inherited long QT syndrome through the collection of data in an international registry. Far less is known about the drug-induced syndrome because of the absence of a comprehen- sive database. Only 1% of serious adverse reactions to drugs are ever reported to the Food and Drug Administration (FDA). 20,21 Owing to the wide variety of these drugs and the need for continu- ous updating, this TF recommends accessing a dedicated website

2009 European Society of Cardiology

815. Submission to the Prime Minister's Commission on Nursing and Midwifery

a standardised uniform, as has been recently introduced in Scotland and Wales. HCSWs and APs contribute to the: • clinical nursing needs of children and young people with learning disabilities, as well as those with physical or sensory disabilities or communication impairments • emotional, psychological and mental health needs of children and young people within the context in which they live • needs of vulnerable children and young people, i.e. those who are at risk of significant harm from abuse (...) nursing workforce must have the ability to provide proactive universal services and be able to respond to children with acute or complex needs, regardless of the setting in which care is taking place. Community children’s nursing teams will encompass provision for prevention and health promotion, acute and unscheduled care and interventions, children’s learning disabilities, children’s mental health, long-term conditions, palliative and end of life care, short stay and respite care, complex health

2009 Royal College of Nursing

816. Position Statement: the management of patients with physical and psychological problems in primary care - a practical guide

report on the psychological care of medical patients. The report was a practical guide intended for all hospital staff with the aim of improving the detection and management of psychological problems and issues in the general hospital. It did not cover the needs of children and adolescents or those with intellectual disability. Subsequently, the Faculty of Old Age Psychiatry produced a report endorsed by the British Geriatric Society, the Royal College of Nursing and the Alzheimer’s Society, calling (...) physical illness in the primary care setting. The report is highly focused on this particular area and does not cover other psychiatric or psychological problems in primary care. It includes the needs of older adults, children and adolescents. It does not specifically cover the particular needs of people with intellectual disability or make reference to the management of self-harm or substance misuse in primary care. a ims of the repor t This is essentially a practical guide for professionals working

2009 Royal College of General Practitioners

817. Occupational therapy for people with Parkinson's disease

, and contributes widely to policy consultations throughout the UK. The College sets the professional and educational standards for occupational therapy, providing leadership, guidance and information relating to research and development, education, practice and lifelong learning. In addition, 11 accredited specialist sections support expert clinical practice. 1/10Occupational Therapy for People with Parkinson’s Best practice guidelines Ana Aragon and Jill Kings Specialist Section Neurological Practice (...) and background 1 The process of developing the guidelines 3 iii)0 Introduction 3 iii)0 The aim of the guidelines and target audience 4 iii)0 Ratifi cation process 5 Background 7 iii)0 An overview of Parkinson’s 7 iii)0 Medical and surgical interventions 12 iii)0 Measuring disability and progression of the condition 14 iv)0 The impact of Parkinson’s on occupational performance 16 Part 2 The guidelines 19 1 Specifi c strategies for initiating and maintaining movement 21 1.10 Intrinsic cueing techniques 23 1.20

2010 British Association of Occupational Therapists

818. Clinical Holding Guidelines

of Communication Plan 20 References 21-23 3 Introduction The use of restrictive physical interventions within services for people with learning disabilities and mental ill health is widely accepted as a possible appropriate response to incidents of severe challenging behaviour, aggression and/or violence. Since 1996, the British Institute of Learning Disabilities 2, 3, 4, 5 (BILD), and the Department of Health (DH) and the Department for Education and Skills (DfES) 6, 7, 8 have worked together across (...) as a result of the risks that arise from their behaviour (e.g., children, young people and adults with learning disabilities), there are many other patient groups that present clinical staff with compromises or difficulties during assessment and treatment. Consequently, these guidelines have been developed to help clinicians make appropriate decisions relating to the assessment and treatment outcomes for those patients who may require some form of physical support or intervention as part

2010 British Society for Disability and Oral Health

819. Rectal cancer

also be classi?ed into the Haggitt’s subclassi?cation if the cancer is in a stalked adenoma and according to the sm-system if in a sessile adenoma. The two systems are overlapping. The level of in?ltration into the submucosa (sm) predicts the risk of lymph node metastases and thus the type of surgery [III, B]. treatment localized disease overall strategy. An important aim is to treat so that the risk of residual disease in the pelvis, frequently causing a disabling local recurrence, is very low (...) or damaged outcome is deteriorated and the local recurrence rate will increase. There is also good evidence indicating that surgeons can train and learn this technique and once this technique has been adopted the local recurrence rate will be decreased. In the low-lying rectal cancer there is almost no mesorectal fat and the surgical technique must be changed if an abdominoperineal excision is planned in order to avoid a crm+ or an R1/2 resection. The dissection must stop at the levator plane from above

2010 European Society for Medical Oncology

820. An overview of current management of auditory processing disorder (APD)

Appendix A. Authors and stakeholder involvement 44 Appendix B. Functional difficulties often associated with APD 45 Appendix C. Test-driven auditory training (Bamiou et al, 2006) 46 Appendix D. Summary of Bellis/Ferre APD subtypes (Bellis, 2003) 47 Appendix E. Classroom audit 48 Appendix F. Making your classroom a better place to listen and learn 49 Appendix G. Suggestions for teachers 50 Appendix H. Activities to minimise the effects of APD (at home and school) 51 Appendix I. Strategies to minimise (...) plausibly explain the APD. 3. Secondary APD: Cases where APD occurs in the presence, or as a result, of peripheral hearing impairment. This includes transient hearing impairment after its resolution (e.g. glue ear or surgically corrected otosclerosis). There is an international focus on Developmental APD, primarily because of fears that it may lead to learning difficulties, especially affecting language and literacy, and hence to poor school performance. Individuals in the latter two categories

2010 British Society of Audiology


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