How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,799 results for

Learning Disabilities

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

121. Patient engagement - COVID-19 guidance for clinicians

Patient engagement - COVID-19 guidance for clinicians Patient engagement - COVID-19 guidance for clinicians | Royal College of Psychiatrists This site uses cookies: Search Search Become a psychiatrist Choose Psychiatry Medical students Foundation doctors Help us promote psychiatry Training Curricula and guidance Your training Exams Neuroscience in training International Medical Graduates Members Supporting you Submitting your CPD Membership Your Faculties Devolved Nations English Divisions (...) International members Special Interest Groups Your monthly eNewsletter Specialist and Associate Specialty Doctors President's lectures Obituaries Events Conferences and training events In house training Improving care College Centre for Quality Improvement (CCQI) Campaigning for better mental health policy Planning the psychiatric workforce National Collaborating Centre for Mental Health Working sustainably Mental health Problems and disorders Support, care and treatment Translations Patient engagement

2020 Royal College of Psychiatrists

122. COVID-19: Personal Protective Equipment (PPE)

COVID-19: Personal Protective Equipment (PPE) Personal Protective Equipment (PPE) COVID-19 guidance for clinicians | Royal College of Psychiatrists This site uses cookies: Search Search Become a psychiatrist Choose Psychiatry Medical students Foundation doctors Help us promote psychiatry Training Curricula and guidance Your training Exams Neuroscience in training International Medical Graduates Members Supporting you Submitting your CPD Membership Your Faculties Devolved Nations English (...) Divisions International members Special Interest Groups Your monthly eNewsletter Specialist and Associate Specialty Doctors President's lectures Obituaries Events Conferences and training events In house training Improving care College Centre for Quality Improvement (CCQI) Campaigning for better mental health policy Planning the psychiatric workforce National Collaborating Centre for Mental Health Working sustainably Mental health Problems and disorders Support, care and treatment Translations Personal

2020 Royal College of Psychiatrists

123. Workforce - COVID-19 guidance for clinicians

and that any contracts will be in line with standard terms and conditions. and Training and CPD As per the (PDF), refresher physical healthcare training should be provided to all mental health, learning disability and/or autism staff delivering patient care covering physical health care, vital signs and the deteriorating patient. We have developed an to support psychiatrists and other clinicians working in mental health settings in gaining or refreshing knowledge and skills to support patients and staff (...) , carers, voluntary community sector (VCS) organisations as well as neighbouring MH / Learning Disability and Autism providers. This will include planning within an NHS-led Provider Collaborative, with social care partners, the Criminal Justice System, commissioners, and education providers for children and young people (CYP). Providers will need to maximise delivery through digital technologies to ensure continuity of care where patients are asked to isolate and in response to reduced staff numbers

2020 Royal College of Psychiatrists

124. COVID-19 Recovery: Implications for cancer care

-level strategies • Improving health professional digital literacy, capabilities, and acceptability of the use of telehealth services through educational and training programs. 13,14 • Improving health professional capabilities in providing culturally safe telehealth consultations for Aboriginal and Torres Strait Islander people and people from culturally and linguistically diverse backgrounds. Health professionals should seek support from a culturally-trained health worker, or interpreter (...) and best-practice recommendations should be shared through formalised, electronic means that are accessible for all health practitioners, 40 for example, the eviQ Cancer Treatments Online. 41 Practitioner-level strategies • Educating and training medical, nursing and allied health practitioners to undertake a patient-centred approach to individualising treatment plans for patients, carefully assessing personal factors and risk status when selecting anticancer therapies. 32 • Consider incorporation

2020 Cancer Australia

125. Canadian guideline for Parkinson disease

and accessible to all health care professionals who manage patients with Parkinson disease. It is generally recom- mended that guidelines be reassessed for validity at least every 3 years. 2 The updated Canadian guideline was supported by a grant from Parkinson Canada (formerly Parkinson Society Canada). The method followed was designed with the assistance of Dr. Brian Hutton and his Knowledge Synthesis Group at the Ottawa Methods Centre, Ottawa Hospital Research Institute. This update is based on the ADAPTE (...) Western Hospital, University of Toronto, Toronto Ron Postuma Movement Disorder Neurologist Montreal General Hospital, McGill University, Montreal Sean Udow Movement Disorder Neurologist University of Manitoba Rady Faculty of Health Sciences, Winnipeg Susan Fox Movement Disorder Neurologist Toronto Western Hospital, University of Toronto, Toronto Pauline Barbeau Clinical Research Associate Knowledge Synthesis Group, Ottawa Hospital Research Institute, Ottawa Megan Fitzpatrick Clinical Research

2019 CPG Infobase

126. Guidelines for diagnosing and managing pediatric concussion

: Providing education and written instructions to patients, parents and/or caregivers leads to a better recovery. Level of evidence: A for intensive educational program; B for written instructions. 3.1a: Inform on the expected course of recovery and return-to- learn/play. When: On discharge, on interim evaluation, on re-evaluation. Who: Health care professionals. • Example: Emergency Department physicians, family physicians, pediatricians, nurse- practitioners, occupational and physical therapists (...) Guidelines for diagnosing and managing pediatric concussion Guidelines for Diagnosing and Managing Pediatric Concussion First edition, June 2014, v1.1 Recommendations for Health Care Professionals This document is intended to guide health care professionals in diagnosing and managing pediatric—not adult—concussion. It is not for self-diagnosis or treatment. Parents and/or caregivers may bring it to the attention of their child/adolescent’s health care professionals. The best knowledge available

2019 CPG Infobase

127. Children and young people exposed prenatally to alcohol

at risk of FASD, including child development specialists, clinical and educational psychologists, clinical geneticists, general practitioners (GPs) and members of the primary care team, health visitors, members of the judicial system, midwives, neonatologists, nurses (eg school, learning disability and others), obstetricians, occupational therapists, paediatricians, physicians, physiotherapists, psychiatrists, social workers and speech and language therapists. It will also be of interest to people (...) includes a section for recording of sentinel facial features is available for download from the SIGN website. 3.4 Neurodevelopmental assessment 3.4.1 Areas of assessment The neurodevelopmental deficits associated with FASD are complex and multifaceted. It is well established that learning disabilities, 77 inattention, 78 social 79 and executive function deficits 80 can occur regardless of facial dysmorphology. There is no single neuropsychological measure, nor pattern of neuropsychological profiles

2019 SIGN

128. A handbook for patient and carer representatives

of the development process for patient versions of guidelines and their roles in the process. Developing patient versions of guidelines training SIGN is committed to providing equal opportunities. Patient and carer representatives have the responsibility to treat others with dignity and respect irrespective of their age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex, sexual orientation, political conviction, membership or non-membership (...) of what the evidence says. Systematic reviews can also tell us about the quality of all the research that has been done. The vital parts of a systematic review include: • identifying research papers using clearly defined search methods • choosing research papers using clearly defined reasons for including and excluding information, for example, including studies which only look at people over the age of 18 or excluding studies which look at people with learning disabilities, and • assessing research

2019 SIGN

129. 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 (...) Regular preventer therapy 63 7.3 Initial add-on therapy 70 7.4 Additional controller therapies 72 7.5 Specialist therapies 73 7.6 Deceasing treatment 82 7.7 Specific management issues 82 8 Inhaler devices 85 8.1 Technique and training 85 8.2 ß 2 agonist delivery 85 8.3 Inhaled corticosteroids for stable asthma 86 8.4 Prescribing devices 86 8.5 Use and care of spacers 87 8.6 Environmental impact of metered-dose inhalers 87 9 Management of acute asthma 89 9.1 Lessons from asthma deaths and near-fatal

2019 SIGN

130. A guideline developer's handbook

data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline recommendations will not ensure a successful outcome in every case, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgement must be made by the appropriate healthcare professional(s) responsible for clinical decisions regarding (...) Programme Advisory Group Patient Network Guideline Development Groups Programme management Support and co-ordination of guideline development and review programme Administration and networking Guideline dissemination Support implementation Programme Team Systematic reviewing Systematic literature reviews Information Team4 A guideline developer’s handbook 1.5.2 SIGN Executive The SIGN Executive is a Programme Team working closely with the Knowledge and Information Team. Together they are responsible

2019 SIGN

131. Improving the Lives of People with Complex Chronic Pain: How to Commission Effective Pain Management

Pain Management Programmes (PMPs) In complex patients, there is high-level evidence for the efficacy of both outpatient and residential PMPs. A number of systematic reviews have shown that PMPs significantly reduce distress and disability, significantly enhance coping, and improve various measures of physical functioning. Where vocational training has been included in the package, return to work is also significantly enhanced [29]. There is evidence for decreased use of healthcare resources (...) . • Treatment should be stratified according to need. • People with chronic pain often need support to self-manage their condition. • If people are unable to self-manage well, they are at significant risk of worsening disability, depression, dependency on strong analgesic medication and adverse social consequences, including unemployment. • Early targeted biopsychosocial intervention in lower risk groups is associated with better outcomes. Patients with complex pain conditions • Some patients with complex

2020 Faculty of Pain Medicine

132. 2020 CCS/CHRS Position Statement on the Management of Ventricular Tachycardia and Fibrillation in Patients with Structural Heart Disease Full Text available with Trip Pro

C. Use of dexmedetomidine in sustained ventricular tachycardia. Anaesth Intensive Care. 2010; 38 : 781 Patients with an ICD and electrical storm should undergo early device interrogation; ICD programming can be adjusted (such as optimizing antitachycardia pacing [ATP]) or ICD therapy can be temporarily disabled, if appropriate. Amiodarone is useful for electrical storm in patients with SHD, and a target loading dose of 1000-2000 mg I.V. over the first 24 hours is recommended ( ). Kowey P.R

2020 Canadian Cardiovascular Society

133. Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance Full Text available with Trip Pro

. 2011; 21 : 69-72 , Sheldon R.S. Grubb B.P. Olshansky B. et al. 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope. Heart Rhythm. 2015; 12 : e41-e63 Anecdotally, most patients present with POTS between 13 to 40 years, and more than 90% are female. If not adequately treated, POTS can become a debilitating disorder that can lead to impairment in quality of life and disability, Shaw (...) patients or patients who might be refectory to initial therapy. 7. Treatment and Management POTS is a chronic condition with multiple proposed pathophysiologic mechanisms that contribute to the constellation of symptoms. There are currently no “cures” for POTS. The overarching goals of treatment should be to provide patient education, reduce symptoms, enhance quality of life, improve physical conditioning, and if possible, to achieve symptom remission. Treatment usually requires a combination

2020 Canadian Cardiovascular Society

134. Prostate cancer screening with prostate-specific antigen (PSA) test Full Text available with Trip Pro

studies at lower risk of bias (that is, ERSPC data). In these studies, family history was assessed by self reporting in a questionnaire and defined positive if a man reported that his father or at least one brother had been diagnosed with prostate cancer. For race or ethnicity, non-Hispanic black men were compared with non-Hispanic white men. Level of education was used as a proxy for socioeconomic status, and men with primary education only were defined as having a low level of education and men (...) with secondary or tertiary education defined as having high level of education. For men of African descent, over a 10 year period: The baseline risk of developing prostate cancer of any stage is likely higher than that of the general population (estimated at about 51 per 1000 men diagnosed), and PSA screening probably increases their detection of any stage cancer by a larger magnitude than in the general population (29 more per 1000 men (95% CI 26 to 32 more)) Baseline risk of prostate cancer mortality

2018 BMJ Rapid Recommendations

135. Dual vs single antiplatelet therapy Full Text available with Trip Pro

December 2018) Cite this as: BMJ 2018;363:k5130 Recommendation 1: Dual vs single antiplatelet therapy or or Dual antiplatelet therapy Single agent therapy Aspirin and clopidogrel All identified trials compared with aspirin alone Patients that have experienced: High risk transient ischaemic attack (TIA) Minor ischaemic stroke Interventions compared Recommendation Population ASA CLOP + ASA A score of 3 or less on the National Institutes of Health Stroke Scale (NIHSS), and no persistent disabling (...) disability Moderate More 128 142 14 fewer Measured by modified Rankin Scale (mRS) score of 2-5 (Non-fatal) Risk of Bias No serious concerns Imprecision Serious Indirectness No serious concerns Inconsistency No serious concerns Publication bias No serious concerns Dual antiplatelet therapy possibly has a small but important benefit on patient function Moderate GRADE score, because of: GRADE certainty ratings The authors have a lot of confidence that the true effect is similar to the estimated effect

2018 BMJ Rapid Recommendations

136. CCS Heart Failure Guidelines Update: Focus on FMR, SGLT2 Inhibitors, ARNI in HFpEF, and Amyloidosis Full Text available with Trip Pro

tip. Patients with New York Heart Association (NYHA) class IV symptoms or severe functional disability, measured using a 6-minute walk test < 100 m, were excluded from ATTR-ACT and should not routinely be considered for treatment with tafamidis. Practical tip. Subgroup analysis from the ATTR-ACT trial suggested that the reduction in cardiovascular hospitalizations seen with tafamidis might be limited to patients with less severe symptoms (NYHA class I or II). Practical tip. Because

2020 Canadian Cardiovascular Society

137. Intermediate care including reablement

of assessment and delivery, ensure good communication between intermediate care practitioners and: other agencies people using the service and their families and carers. 1.1.3 Intermediate care practitioners should: work in partnership with the person to find out what they want to achieve and understand what motivates them focus on the person's own strengths and help them realise their potential to regain independence build the person's knowledge, skills, resilience and confidence learn to observe and guide (...) -and- conditions#notice-of-rights). Page 14 of 28positive risk taking. 1.8.2 Ensure that intermediate care staff are able to recognise and respond to: common conditions, such as diabetes; mental health and neurological conditions, including dementia; frailty; stroke; physical and learning disabilities; sensory loss; and multi-morbidity common support needs, such as nutrition, hydration, continence, and issues related to overall skin integrity common support needs, such as dealing with bereavement and end

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

138. Developmental follow-up of children and young people born preterm

Edition (WPPSI-IV) assessment at age 4 years (uncorrected) for predicting later educational difficulties in children of primary school age who were born before 28 +0 weeks' gestation? Wh Why this is important y this is important Children born before 28 +0 weeks' gestation are at increased risk of learning disability (intellectual disability), which may have an adverse impact on their learning and achievement at school, but may not be apparent at the 2-year developmental assessment. Determining (...) the predictive accuracy of a WPPSI-IV assessment is key to providing parents or carers with accurate information about their child's likely development, so that educational support can be provided in order to reduce the risk of long-term learning disability (intellectual disability). 2 Predictive accuracy of the PARCA-R for children born preterm What is the accuracy of the parent-completed Parent Report of Children's Abilities – Revised (PARCA-R) questionnaire carried out at age 2 years (corrected

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

139. Cataracts in adults: management

of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 23The development and validation of suitable vision-specific, quality-of-life measures would aid the decision-making process for cataract surgery, and help to accurately quantify the quality of life gains that may be expected from surgery. Particular consideration should be given to people with learning disabilities/cognitive impairment, or any other groups who may find it more difficult to self-report their own (...) the anterior and posterior corneal curvature. Do not use standard biometry techniques or historical data alone. 1.3.8 Surgeons should think about modifying a manufacturer's recommended intraocular lens constant, guided by learning gained from their previous deviations from predicted refractive outcomes. Second-e Second-ey ye prediction e prediction 1.3.9 Consider using 50% of the first-eye prediction error in observed refractive outcome to guide calculations for the intraocular lens power for second-eye

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

140. Glaucoma: diagnosis and management

circumstances rule out gonioscopy (for example, when people with physical or learning disabilities are unable to participate in the examination). [2009] [2009] 1.2.4 Obtain an optic nerve head image at diagnosis for baseline documentation (for example, a stereoscopic optic nerve head image or OCT). [2009, amended 2017] [2009, amended 2017] 1.2.5 After referral, consider an early assessment appointment when there is clinical concern based on the information provided. [2017] [2017] 1.2.6 At the time (...) choice current systemic and topical medication glaucoma medication record drug allergies and intolerances. [2009] [2009] 1.3.2 Use alternative methods of assessment if clinical circumstances rule out Glaucoma: diagnosis and management (NG81) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 41standard methods (for example, when people with physical or learning disabilities are unable to participate

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

Guidelines

Guidelines – filter by country