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81. Brain tumours (primary) and brain metastases in adults

for brain metastases and how they might affect practice, see rationale and impact. 1.9 Care needs of people with brain tumours 1.9.1 Be aware that the care needs of people with brain tumours represent a unique challenge, because (in addition to physical disability) the tumour and treatment can have effects on: behaviour cognition Brain tumours (primary) and brain metastases in adults (NG99) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

82. Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism

size or shape preventing correct fit. Use caution and clinical judgement when applying anti-embolism stockings over venous ulcers or wounds. [2010, amended 2018] [2010, amended 2018] 1.3.2 Ensure that people who need anti-embolism stockings have their legs measured and that they are provided with the correct size of stocking. Anti-embolism stockings should be fitted and patients shown how to use them by staff trained in their use. [2010] [2010] 1.3.3 Ensure that people who develop oedema (...) , and there may be an associated increased risk of surviving with severe disability. [2018] [2018] 1.4.5 When using intermittent pneumatic compression for people who are admitted with acute stroke, provide it for 30 days or until the person is mobile or discharged, whichever is sooner. [2018] [2018] Acutely ill medical patients Acutely ill medical patients 1.4.6 Offer pharmacological VTE prophylaxis for a minimum of 7 days to acutely ill medical patients whose risk of VTE outweighs their risk of bleeding: Use

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

83. Physical activity and the environment

, for example by providing safe areas in which children can play and picnic facilities lighting and other measures to prevent or reduce antisocial behaviour, such as maintaining vegetation clear signs that can be understood by everyone, including people with visual impairments and learning disabilities seats with arms and backrests, sited at frequent intervals shelter and shade accessible toilets that are clean, well maintained and unlocked during daylight hours footpaths with even, non-reflective, anti (...) their needs. Examples may include: some disabled people, including people with sensory impairments or learning disabilities people using wheelchairs, cycles or other mobility aids, or those supporting people using these aids Physical activity and the environment (NG90) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 57some older or frail people people using buggies, prams or cargo cycles for transporting children

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

84. Emergency and acute medical care in over 16s: service delivery and organisation

. It aims to reduce the need for hospital admissions by giving advanced training to paramedics and providing community alternatives to hospital care. It also promotes good-quality care in hospital and joint working between health and social services. Who is it for? Commissioners and providers of health and social care Health and social care practitioners People with or at risk of a medical emergency or acute illness, and their families and carers Implementation statement We recognise that implementing (...) this guideline will take time, with additional infrastructure and training needed in some areas. Service providers should note where the recommendations are consistent with other national initiatives, especially NHS England's seven day services clinical standards. See putting this guideline into practice. Emergency and acute medical care in over 16s: service delivery and organisation (NG94) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

85. Post-traumatic stress disorder

is it for? Healthcare professionals Other professionals who work with people at risk of or who have PTSD, including in criminal justice and education services and non-government organisations Commissioners and providers, including directors of public health, NHS trust managers and managers in clinical commissioning groups People at risk of or who have PTSD (including complex PTSD), their families and carers, and the public Post-traumatic stress disorder (NG116) © NICE 2019. All rights reserved. Subject to Notice (...) health training and supervision be delivered in a way that reduces the risk of exacerbating symptoms provide information and help to access services. [2018] [2018] Maintaining safe en Maintaining safe environments vironments 1.4.4 Be aware of the risk of continued exposure to trauma-inducing environments. Avoid exposing people to triggers that could worsen their symptoms or stop them from engaging with treatment, for example, assessing or treating people in noisy or restricted environments, placing

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

86. Chronic obstructive pulmonary disease in over 16s: diagnosis and management

. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 27 of 651.2.80 Pulmonary rehabilitation programmes should include multicomponent, multidisciplinary interventions that are tailored to the individual person's needs. The rehabilitation process should incorporate a programme of physical training, disease education, and nutritional, psychological and behavioural intervention. [2004] [2004] 1.2.81 Advise people of the benefits of pulmonary rehabilitation (...) 53 Oral prophylactic antibiotic therapy 54 Long-term oxygen therapy 55 Ambulatory and short-burst oxygen therapy 56 Managing pulmonary hypertension and cor pulmonale 57 Lung volume reduction procedures, bullectomy and lung transplantation 58 Risk factors for COPD exacerbations 59 Self-management, education and telehealth monitoring 60 Context 62 Finding more information and resources 63 Update information 64 Chronic obstructive pulmonary disease in over 16s: diagnosis and management (NG115) ©

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

87. Child and Adolescent Asthma Guidelines

- sionals, nursing and medical schools, primary health organisations and district health boards. Implementation The implementation of the Child and Adolescent Guidelines: A Quick Reference Guide by organisations will require commu- nication, education and training strategies. GUIDELINES12 NZMJ 1 December 2017, Vol 130 No 1466 ISSN 1175-8716 © NZMA www.nzma.org.nz/journal Expiry date The expiry date of the guide is 2022. Health professional to 10 actions These are the top 10 ways health profes- sionals (...) • Asthma management in all contexts needs attention, including child care and school environments, and support of teachers. Practice points—enhancing self- management • Asthma education should increase health knowledge about asthma, general health literacy and self-ef- ? cacy, and should be reinforced every visit. • Teach families to recognise when asthma is poorly controlled, know when and how to call emergency services. • Asthma education should utilise a variety of media, including printed materials

2020 Asthma and Respiratory Foundation NZ

88. Low-Risk Infant Ground Transport in the Care of a Registered Nurse: Practice Resource

for PSBC 1996 is available at www.perinatalservicesbc.ca/health-professionals/forms • If required, complete site or health authority specific learning for Low-Risk Infant Ground Transport • Be physically able to perform transport functions in a moving ambulance (without antiemetic) 8 REGISTERED NURSE: ROLE AND RESPONSIBILITIES DURING TRANSPORT TO ALTERNATE LEVEL OF INPATIENT CARE Prior to transport • Check and prepare infant transport supplies and prepare the infant for transport $ $ Confirm patient (...) as a small opentair lot off Thurlow and Comox streets. Please note that these lots are often full. Disabled parking places are reserved in the underground parking lot near each bank of elevators. Park in the green or blue coloured stalls. Remember your parking stall number. Pay for parking at any of the parking meters in the lot, follow the instructions in the parking meter screen. You do not have to display the ticket in your car. The parkade is open and patrolled 24 hours, 7 days a week. The gate opens

2020 British Columbia Perinatal Health Program

89. COVID-19 strategic preparedness and response: Monitoring and evaluation framework

for operational reviews and lessons learned. COVID-19 SPRP MONITORING AND EVALUATION FRAMEWORK3 Draft updated on 5 June 2020 COVID-19 SPRP MONITORING AND EVALUATION FRAMEWORK 3 Pillars/areas. Indicators have been regrouped around nine pillars and one thematic area: • Pillar 1: Country-level coordination, planning, and monitoring • Pillar 2: Risk communication and community engagement • Pillar 3: Surveillance, rapid response teams, and case investigation • Pillar 4: Points of entry, international travel (...) ; • Percentage of acute health care facilities with isolation capacity; • Percentage of countries with long-term care facilities (LTCF) that have a national policy and guidelines on IPC for LTCF; • Percentage of countries with a focal point for IPC training; • Number of health workers trained in IPC in the previous week. Pillar 7 Case management • Percentage of countries that have a clinical referral system in place to care for COVID-19 cases; • Percentage of hospitalized COVID-19 cases that are discharged

2020 WHO Coronavirus disease (COVID-19) Pandemic

90. 2020 Adult Congenital Heart Disease (previously Grown-Up Congenital Heart Disease) (Management of) Guidelines Full Text available with Trip Pro

the Guidelines are approved by all the experts involved in the Task Force. The finalized document is approved by the CPG for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline versions (...) of the Guidelines and may be used by the ESC, hospitals, healthcare providers and professionals to measure clinical practice as well as used in educational programmes, alongside the key messages from the guidelines, to improve quality of care and clinical outcomes. The Members of this Task Force were selected by the ESC, including representation from its relevant ESC sub-specialty groups, in order to represent professionals involved with the medical care of patients with this pathology. Selected experts

2020 European Society of Cardiology

91. Public health surveillance for COVID-19: interim guidance

virus: Interim guidance and Surveillance strategies for COVID-19 human infection: Interim Guidance 10 May 2020. This document should be read in conjunction with the WHO guidance on preparedness, readiness and response activities, and contact tracing for COVID-19. Updated information and other guidance on COVID-19 can be found on the WHO COVID-19 website. What is new in this new version: • Revision of suspected and probable case definitions to integrate increased knowledge on the clinical spectrum (...) or predictive symptoms and clinical and radiographic signs present in COVID-19 as well as known transmission dynamics. The current case definition integrates recent knowledge on signs and symptoms of COVID-19 issued from: • publications describing the clinical spectrum of COVID-19 among hospitalized (e.g., Guan 2020, Menni 2020) and non- hospitalized (e.g., Spinato 2020; Tostamnn 2020, Struyf 2020) COVID-19 patients and WHO Clinical management of COVID-19 • WHO’s and partners’ analysis of sensitivity

2020 WHO Coronavirus disease (COVID-19) Pandemic

92. Considerations for quarantine of contacts of COVID-19 cases

of a comprehensive approach to suppress SARS-CoV-2 transmission. 12 b. Administrative controls Administrative controls and policies for IPC within quarantine facilities include but may not be limited to: • Educating persons who are quarantined and quarantine personnel about IPC measures. All personnel working in the quarantine facility need to have training on standard precautions (hand hygiene, respiratory etiquette, PPE, cleaning and disinfection, waste and linen management) before the quarantine measures (...) for the implementation of quarantine, as well as additional guidance on ventilation and on the care of children in quarantine. The update is based on evidence on controlling the spread of SARS-CoV-2, the virus that causes COVID-19, and scientific knowledge of the virus. Background As the COVID-19 pandemic continues to evolve, Member States need to implement a comprehensive set of public health measures that are adapted to the local context and epidemiology of the disease. The overarching goal is to control COVID-19

2020 WHO Coronavirus disease (COVID-19) Pandemic

93. Considerations for school-related public health measures in the context of COVID-19

with disabilities or underlying diseases. • Children and adolescents 12 years or older should follow the national mask guidelines for adults. • Teacher and support staff may be required to wear masks when they cannot guarantee at least a 1-metre distance from others or there is widespread transmission in the area. • All efforts should be made to ensure the use of a mask does not interfere with learning. • Children should not be denied access to education because of mask wearing or the lack of a mask because (...) principles The principles underlying the considerations for school-related public health measures to prevent and minimize SARS-CoV-2 transmission in school settings are as follows: • Ensuring continuity of safe, adequate and appropriate educational and social learning and development of children • Minimizing the risk of SARS-CoV-2 transmission within school and school-associated settings among children, teachers and other school staff • Guarding against the potential for schools to act as amplifiers

2020 WHO Coronavirus disease (COVID-19) Pandemic

94. Advice on the use of masks for children in the community in the context of COVID-19

in transmission of SARS-CoV-2; motivators and barriers to mask wearing; and secondary impacts on a child’s development learning, attendance in school, ability to express him/herself or access school; and impact on children with developmental delays, health conditions, disabilities or other vulnerabilities. Data should be used to inform strategies on communication; training and support to teachers, educators, and parents; engagement activities for children; and distribution of materials that empower children (...) principles: • Do no harm: the best interest, health and well-being of the child should be prioritized. • The guidance should not negatively impact development and learning outcomes. • The guidance should consider the feasibility of implementing recommendations in different social, cultural and geographic contexts, including settings with limited resources, humanitarian settings and among children with disabilities or specific health conditions. Annex: Advice on the use of masks for children

2020 WHO Coronavirus disease (COVID-19) Pandemic

95. Statement on COVID-19 Response in Residential Aged Care Facilities

related issues in this very frail comorbid group must be maintained. 2. RACF contains a wide range of residents from very frail or severe dementia to more cognitively able but physically disabled. This heterogeneity precludes a blanket ‘one size fits all approach’. 3. The social impacts of restrictions within the older persons facility (their home) need to be mitigated, in the same way social and psychological do. Recommendations At national level, a common set of guiding principles that address some (...) . The outbreak management team should focus on the following: • Prevention measures – COVID-19 is entering RACFs via aged care staff, prevention should therefore focus on: o Ensuring adequate PPE supplies in RACFs o PPE training for staff o IPC training for staff o Employing full-time staff and less casual staff (preventing staff from working across more than two RACFs) • Preparation through a comprehensive risk assessment of all RACFs led by the outbreak management teams. This should involve public health

2020 Australian and New Zealand Society for Geriatric Medicine

96. 2020 ESC Guidelines on Sports Cardiology and Exercise in Patients with Cardiovascular Disease Full Text available with Trip Pro

revisions the Guidelines are approved by all the experts involved in the Task Force. The finalized document is approved by the CPG for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline (...) Recommendations for prescription of exercise require a basic knowledge of physiological responses to exercise, along with an understanding of concepts and characteristics of PA, exercise interventions, and their implications for sports participation. Although exercise and PA are often used interchangeably, it is important to recognize that these terms differ. PA is defined as any bodily movement produced by the skeletal muscle that results in energy expenditure. Exercise or exercise training, on the other

2020 European Society of Cardiology

97. 2020 Atrial Fibrillation (Management of) Guidelines

appropriate revisions the Guidelines are approved by all the experts involved in the Task Force. The finalized document is approved by the CPG for publication in the European Heart Journal . The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed (...) involvement and shared decision making 26 9.3.1 Patient values and preferences 26 9.3.2 Patient education 27 9.4 Healthcare professional education 27 9.5 Adherence to treatment 27 9.6 Technology tools supporting atrial fibrillation management 27 9.7 Advantages of integrated management of atrial fibrillation patients 28 9.8 Measures (or approaches) for implementation of integrated management 28 9.9 Treatment burden 28 9.10 Patient-reported outcomes 28 10 Patient management: the integrated ABC pathway 29

2020 European Society of Cardiology

98. Assessing whether COVID-19 patients will benefit from critical care, and an objective approach to capacity challenges during a pandemic: An Intensive Care Society clinical guideline Full Text available with Trip Pro

, in which multiple body systems gradually lose their in-built reserves. Around 10% of people aged over 65 years show evidence of frailty, rising to between a quarter and a half of those aged over 85. Frailty is assessed using proxy measures including the degree of home carer and other support required. These measures should not be routinely used to assess patients who may have good biological reserve to recover from acute illness have stable physical disabilities, learning disabilities or autism (...) discrimination, because everyone is of equal value. The guidance has been put together with input from patient and public groups and aims to provide standards that are fair to everyone. We acknowledge that COVID-19 is a new disease with a partial and evolving knowledge base, and aim to provide an objective clinical decision-making framework based on the best available information. It is recognised that a factual assessment of likely benefit may take into account age, frailty and comorbidities

2020 ICM Anaesthesia COVID-19

99. COVID-19: Guidance for the remobilisation of services within health and care settings

, including acute, diagnostics, independent sector, mental health and learning disabilities, primary care, care homes, maternity and paediatrics (this list is not exhaustive). NB: This guidance does NOT apply to adult social care settings in England. Adult social care providers in England should refer to existing guidance already in place. DHSC/PHE will continuously review this guidance and update as needed. This IPC guidance will be updated in line with service need and as the evidence evolves (...) Precautions for surgery or procedures. The IPC principles in this document apply to all health and care settings including acute, diagnostics, independent sector, mental health and learning disabilities, primary care, care homes, care at home, maternity and paediatrics (this list is not exhaustive). 1 You must wear a face covering by law in some public places unless you are exempt from wearing a face covering due to your age, health or other condition. COVID-19: infection prevention and control guidance

2020 ICM Anaesthesia COVID-19

100. ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic Full Text available with Trip Pro

ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser. Did you know that your browser is out (...) with increasing knowledge, evidence from prospective studies and changes in the pandemic. Therefore, comments may be placed on the website that may be considered by the authors for future updates; Currently there is no evidence-based treatment of COVID-19 infections and experimental treatment may have cardiac side-effects. We encourage experimental treatments to be part of controlled trials whenever possible. 2. Epidemiology 2.1. Impact of Cardiovascular Comorbidities on COVID-19 Infection Outcomes Key points

2020 European Society of Cardiology

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