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121. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

Martin (King’s College London, United Kingdom). Sarah Johnson and Ward Rinehart of Jura Editorial Services were responsible for writing the final text. Many other WHO staff from the regional offices and a range of departments contributed both to specific sections relevant to their areas of work and to the development of the care pathways: Shelly Chadha (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Neerja Chowdhary (WHO Department of Mental (...) Health and Substance Abuse), Tarun Dua (WHO Department of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Zee A Han (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Dena Javadi (WHO Department of Alliance for Health Policy and Systems Research), Silvio Paolo Mariotti (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention

2019 World Health Organisation Guidelines

122. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

in HF decompensation and as independent targets for intervention. For example, diabetes mellitus and pulmo- nary disease are each present in 30% to 40% of patients hospitalized with HF and play a role in disease severity and risk for decompensation (82). Kidney dysfunction can pre- cipitate congestion and can also limit initiation of GDMT. FrailtyisanothercommoncomorbidityinHF,particularly for the elderly (83,84), and itsassociation withhealth,functional status, and late-life disability

2019 American College of Cardiology

123. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

of these problems. These include but are not limited to learning disabilities, language disorder, disruptive behavior, anxiety, mood disorders, tic disorders, seizures, autism spectrum disorder, developmental coordination disorder, and sleep disorders. – In some cases, the presence of a comorbid condition will alter the treatment of ADHD. The SDBP is developing a clinical practice guideline to support clinicians in the diagnosis of treatment of “complex ADHD,” which includes ADHD with comorbid developmental (...) and/or mental health conditions. Special Circumstances: Adolescents (Age 12 Years to the 18th Birthday) At a minimum, clinicians should assess adolescent patients with newly diagnosed ADHD for symptoms and signs of substance use, anxiety, depression, and learning disabilities. As noted, all 4 are common comorbid conditions that affect the treatment approach. These comorbidities make it important for the clinician to consider sequencing psychosocial and medication treatments to maximize the impact on areas

2019 American Academy of Pediatrics

124. BTS/SIGN British Guideline on the Management of Asthma

; or Extrapolated evidence from studies rated as 2 + Good-practice points ? Recommended best practice based on the clinical experience of the guideline development group. Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure

2019 British Thoracic Society

125. Cardiac rehabilitation

in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/sign-50.html More information on accreditation can be viewed at www.nice.org.uk/accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed (...) in studies in the period following CR, along with developing plans for relapse prevention. 67 Little evidence was identified on the efficacy of problem-based learning, although one study reported no significant difference between the intervention and standard CR at one year in patients with ACS. 68 A systematic review found only one low-quality RCT on self-efficacy interventions which reported no significant differences at six months between the intervention and standard therapy in patients with ACS. 68

2017 SIGN

126. Standards for post-concussion care from diagnosis to the interdisciplinary concussion clinic

, the pathway should be adhered to, as diagnosis is the first in many steps of an appropriate care flow. It is important for patients to understand how to manage their activities post-concussion, while not inundating or overstimulating them with too much detail in the initial few days. Education is best provided in multiple formats, to allow patients to learn in the medium they can tolerate and are comfortable with, while providing clear sources for more information, as wanted or needed. The majority (...) to learn in the medium they can tolerate and are comfortable with, with sources to more information available as wanted or needed. The following elements should be included in information provided to all patients with concussion and their families. Healthcare providers should ensure that patients receive this information even if they suspect they might have received it from another provider. ONF Standards for Post- Concussion Care 24 ? What is a concussion? ? Typical pattern and factors that may affect

2017 CPG Infobase

127. Cutaneous melanoma

50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been

2017 SIGN

128. The Lung Cancer Framework: Principles for Best Practice Lung Cancer Care in Australia

demonstrated by the Collaborations are provided in the Lung Cancer Framework as examples of best practice. Clinical Leadership Group of the Lung Cancer Demonstration Project The Clinical Leadership Group comprised representation from the four health service Collaborations involved in the Lung Cancer Demonstration Project. The Clinical Leadership Group provided an opportunity for health services to share key learnings, report on progress and examine relevant operational aspects of the Principles (...) for males between 2009–2013. 2 (See Figure 3) Figure 3 - Five-year relative survival (%) for all cancers combined and lung cancer in Australia (2009–2013), by sex Source: Australian Institute of Health and Welfare (AIHW). Cancer in Australia 2017. Cancer series no.101. Cat. no. CAN 100. Canberra: AIHW, 2017. The burden of disease Cancer is responsible for the highest burden of disease in Australia – that is premature death or disease-related disability. 6 Lung cancer is the leading cause of cancer

2018 Cancer Australia

129. Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer

and other community-based organisations make an important contribution to supportive care. Patients first – optimal care 14 Further information • The Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) is a useful tool for identifying the needs of adult Aboriginal and Torres Strait Islander cancer patients. Learn about the SCNAT-IP tool at . • The National Comprehensive Cancer Network (NCCN) distress thermometer is a screening tool validated in the general population. Learn more about

2018 Cancer Australia

130. Screening for disruptive behaviour problems in preschool children in primary health care settings

disabilities . For a significant proportion of preschool children, both clinical and subclinical levels of disruptive behaviours can persist into the early primary school years – , placing children at risk for poorer academic, physical and mental health outcomes into adolescence and adulthood – . Quality of life for children with disruptive disorders—and their families—is lower, while the costs to society for academic, social support, health care and criminal justice services are higher than for typically (...) to communicate or learn new skills? 4. Do you have any concerns about how your child gets along with other children at home or in the community? 5. Do you have any other concerns about your child’s emotions, behaviour or social functioning? STANDARDIZED SCREENING MEASURES Using standardized screening measures can help to assess for and identify problematic disruptive behaviours or the symptoms of mental health problems in preschool children. Most questionnaires can be completed by a parent or other primary

2017 Canadian Paediatric Society

131. Frailty in Older Adults - Early Identification and Management

to the patient and/or family/caregivers/representatives, as appropriate. Consider setting up your medical practice to have access to PharmaNet. To learn more or to register, see . PharmaNet is an online database that captures all outpatient prescriptions for drugs and medical devices dispensed in BC. Community Health Practice Access to PharmaNet is available to all physicians and nurse practitioners licensed to practice in BC. Advance Care Planning Advance care planning involves conversations (...) , Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004 Mar;59(3):255–63. Béland F, Bergman H, Lebel P, Dallaire L, Fletcher J, Contandriopoulos A-P, et al. Integrated services for frail elders (SIPA): a trial of a model for Canada. Can J Aging Rev Can Vieil. 2006;25(1):5–42. Kramer BJ, Auer C. Challenges to providing end-of-life care to low-income elders

2017 Clinical Practice Guidelines and Protocols in British Columbia

133. Diagnosis and Treatment of Peripheral Arterial Diseases

and public awareness about PADs. Indeed, while stroke is acknowledged as a serious condition with significant burden throughout Europe, other PADs can be as lethal and disabling. Major efforts are still necessary to sensitize healthcare providers, decision makers and the general population about the need for earlier and more efficient prevention and management strategies for the 40 million individuals of our continent affected by PADs. , General recommendations on the management of patients

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2017 European Society of Cardiology

134. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement

Concerns re: identify, future Partner, parent, or care provider of the deceased Reframe/encourage, refer (hospice, seniors, support services), give homework: explore meaning of loss/what brings purpose to life. Review lifestyle factors. Lack of comprehension or expected reactions Mental illness/disability or depression Mental health/depression protocol Ongoing struggle with activities of daily living, concern about coping History of unhelpful coping strategies (e.g., substance abuse, declines support (...) J (2017) Appendix J: Be Gentle with Y ourself (Patient Handout) Thoughts on Coping with Loss Grief is a process that takes time, patience, and understanding. There are, however, some things you can do to take some control during this painful time. Your physical health is often the easiest place to begin. Start by: • Reducing alcohol, caffeine and sugar intake. • Drinking enough water each day. • Eating a healthy diet. • Getting as much rest as you can. • Learning to say no to things you don’t

2017 Clinical Practice Guidelines and Protocols in British Columbia

136. Antimicrobial stewardship: Systems and processes for effective antimicrobial medicine use within human health and healthcare in New Zealand

rights and responsibilities as set out in the Code of Health and Disability Services Consumers Rights [? ?www.hdc.org.nz/the-act--code/the-code-of-rights]. Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their health professionals. If the person is under 16, their family/whanau or carers should also be given information and support to help the child (...) or young person to make decisions about their treatment. If it is clear that the child or young person fully understands the treatment and does not want their family/whanau or carers to be involved, they can give their own consent. Health professionals should follow the advice on consent provided by the Health and Disability Commissioner and Ministry of Health. If a person does not have capacity to make decisions, all healthcare providers should follow the code of practice outlined by the Health

2017 Best Practice Advocacy Centre New Zealand

137. Child and Adolescent Asthma Guidelines

symptoms - Psychosocial problems in child or parent/caregiver - Physical disability or learning di iculties - Previous near fatal or brittle asthma - Exacerbation despite adequate dose of oral steroids pre-presentation - Presentation at night - Remote location or without transportation/communication GUIDELINES28 NZMJ 1 December 2017, Vol 130 No 1466 ISSN 1175-8716 © NZMA www.nzma.org.nz/journal Practice points—acute severe asthma • A lack of response to initial bronchodi- lator treatment (...) and paying for prescriptions. Does the child have partly or uncontrolled persistent asthma and meet criteria for Child Disability Allowance? 13 (http://www.workandincome. govt.nz/). It is important for all family members to use the same pharmacy because once patients and their families have collected 20 new prescription items in a year, they won’t have to pay any more prescription charges until 1 February the following year (http://www.health.govt.nz/ your-health/conditions-and-treatments/ treatments

2017 Asthma and Respiratory Foundation NZ

138. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

, education, and social care professionals throughout the child’s schooling to identify and respond to their specific needs and disabilities. This can include meetings, joint assessments and sharing of relevant knowledge and skills to optimise and personalise the provision of learning support. • Be aware that children and young people with stroke may require a flexible, holistic, integrated approach in supporting them, ranging from targeted therapy or educational interventions for particular difficulties (...) Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation Stroke in childhood Clinical guideline for diagnosis, management and rehabilitation May 2017 i Endorsement Association of Ambulance Chief Executives Association of Paediatric Chartered Physiotherapists British Association for Community Child Health British Academy of Childhood Disability British Association of General Paediatrics British Association of Stroke Physicians British Paediatric Neurology Association

2017 Royal College of Paediatrics and Child Health

139. The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline

acuity Vision status, other eye disease Glaucoma assessment Africans > 40 years and others > 50 years Dental review Caries, periodontal disease, other oral health issues Hearing review Hearing impairment Social and emotional wellbeing and mental health Mental illness, trauma exposure, protective factors Developmental delay or learning concerns Children and adolescents Developmental issues, disability, trauma exposure Preventive health as per RACGP Non-communicable diseases, consider screening earlier (...) of Africa Nutritional deficiency, risk for developmental disability in infants First pass urine or self-obtained vaginal swabs for gonorrhoea and chlamydia PCR Risk factors for STI or on request* Syphilis serology Risk factors for STIs, unaccompanied or separated minors. Part of IME in humanitarian entrants aged ≥ 15 years Helicobacter pylori stool antigen or breath test Gastritis, peptic ulcer disease, family history of gastric cancer, dyspepsia Stool microscopy (ova, cysts and parasites

2017 MJA Clinical Guidelines

140. Cancer Australia Annual Report 2016-17

with the nationally endorsed Optimal Care Pathways (OCPs) for six common and seven complex/high-risk cancers. Cancer Australia held a National Regional Cancer Services Forum in December 2016 to bring together clinical and administrative leaders from regional cancer services across all jurisdictions, state and territory health departments, primary care, consumers and key national stakeholders to share learnings and opportunities to improve outcomes for people with cancer in regional Australia. A key aspect (...) services across all jurisdictions, state and territory health departments, primary care, consumers and key national stakeholders to share learnings and identify opportunities to improve outcomes for people with cancer in regional Australia. The Forum built upon work undertaken by Cancer Australia in reviewing, analysing and synthesising data across 34 regional cancer services on cancer services, treatments and referrals for 6 common and 7 complex cancers.21 Report on Performance B Funding priority

2017 Cancer Australia

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