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1561. Cardiovascular Diseases during Pregnancy

and Drug Therapy, Acute Cardiac Care, Cardiovascular Surgery. Councils: Cardiology Practice, Cardiovascular Primary Care, Cardiovascular Imaging. The content of these European Society of Cardiology (ESC) Guidelines has been published for personal and educational use only. No commercial use is authorized. No part of the ESC Guidelines may be translated or reproduced in any form without written permission from the ESC. Permission can be obtained upon submission of a written request to Oxford University (...) in western industrialized countries are complicated by cardiovascular diseases (CVD), 1 and the number of the patients who develop cardiac problems during pregnancy is increasing. Nevertheless, the number of such patients presenting to the individual physician is small. However, knowledge of the risks associated with CVD during pregnancy and their management are of pivotal importance for advising patients before pregnancy. Therefore, guidelines on disease man- agement in pregnancy are of great relevance

2011 European Society of Cardiology

1562. CHIVA Guidance on Transition for adolescents living with HIV

. • A third of UK adolescents are sexually active by 16 yrs and although UK data is limited regarding the age of coitarche in perinatally infected adolescents, high rates of unplanned pregnancy have recently been reported in cohorts from both UK and US. 17,18 • Sexual health promotion including Hepatitis B and HPV vaccination and sexual health education for adolescents needs to start in paediatric services prior to coitarche, continue through transition and into adult services. Specific guidance (...) when healthcare providers are changing and new professional relationships are forming. 5 Transition Transition is defined as “a purposeful, planned process that addresses the medical, psychosocial and educational/vocational needs of adolescents and young adults with chronic physical and medical conditions as they move from child-centred to adult-orientated health care systems.” 20 The UK National Service Framework (NSF) sets clear recommendations for transitional care supported by a wealth

2011 The Children's HIV Association

1563. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline

of this guideline (Section 5). Short-term diets rarely lead to permanent weight loss, and lifestyle change requires behavioural change. Health-coaching principles can be incorporated to optimise readiness to change, and include education and accurate risk perception, which can assist with motivation through education and tailoring the knowledge relevant to the individual. Once ready to change, support is needed to convert this to action with effective strategies including patient-driven goal setting (eg, 5 (...) to screening and assessment of emotional wellbeing among women with PCOS remain unclear and are also addressed in this guideline (Section 4). Once recognised, poor emotional wellbeing and mood disorders should be addressed to improve QoL among women with PCOS. PCOS management should focus on support and education, and needs to strongly emphasise healthy lifestyle, with targeted medical therapy as required. Given the putative aetiological role of IR and obesity in PCOS, prevention of weight gain

2011 MJA Clinical Guidelines

1564. Consensus-Based Clinical Practice Guideline for the Management of Volatile Substance Use in Australia

one or more therapists work with a small group of individuals. this approach provides a forum for group members to share experiences and learn from other’s experiences in a supportive environment harm reduction a set of attitudes, policies and actions that aims to help people who use volatile substances reduce risk to themselves and others, even though they might continue to use health education the process of providing people with knowledge, information and skills to keep themselves (...) of evidence and expert opinion 74 7. Brief intervention 77 7.1 Brief intervention in VSu 77 7.2 Recommendations 77 7.3 Summary of evidence and expert opinion 80 8. Case management 81 8.1 Case management in VSu 81 8.2 Recommendations 82 8.3 Summary of evidence and expert opinion 83TABLE OF CONTENTS iv NATiONAL HEALTH ANd MEdiCAL RESEARCH COuNCiL Consensus-based clinical practice guideline for the management of volatile substance use in Australia 9. Education 85 9.1 Health education in VSu management 85 9.2

2011 National Health and Medical Research Council

1565. Guidelines for the management of children referred for dental extractions under general anaesthesia

he ti s t , i f re q ui re d ? Pat i ent prepara t i o n. Requirement for seda tive prem e dica tion con s i dered. Verbal & wri tten inform a ti o n provided Acquisition of informed consent Suitable for ‘outpatient’ GA Hospital Appointment (Routine non -emergency cases) ? Assessment by anaesthetist ? Confirmation of consent ? Dental extractions performed GA not considered to be the best option , i.e. suit a ble for t reatment unde r loc a l an ae sthe si a + /- i n halati onal s e d ati o n (b u (...) sive treatment plannin g for c hildren who require general anaesthesia . The dent ist should be trained and experi enced in the be havi o ural m an ageme n t o f chil d r en, including conscious sedation (particularly inh alation a l sedat i on). Th e de ntist should also b e conversant with all clinical guid elin e s relevant t o the assess m ent, diagnosi s , treatment pla nning a nd ma n ag ement of c hild ren requiring d e ntal extractions under general anaesthesia. Relevant rad i ologic al i

2011 Royal College of Anaesthetists

1566. Children and natural health products: What a clinician should know

. Another key issue is to address educational gaps. CAM providers, especially those still in training, need formal education about key issues in paediatrics. When surveying acupuncturists and chiropractors in the Boston area, Lee et al found critical gaps in their knowledge (eg, whether or not to refer a febrile neonate for a septic workup). Another critical area for paediatricians is the knowledge, attitudes, and beliefs held by some CAM providers with respect to childhood immunization . The current (...) Children and natural health products: What a clinician should know Children and natural health products: What a clinician should know | Canadian Paediatric Society CPS In this section Protecting and promoting the health and well-being of children and youth CPS Policy & Advocacy Clinical Practice Education & Events News & Publications Programs Membership About the CPS Position statement Children and natural health products: What a clinician should know Posted: Apr 1 2005 | Reaffirmed: Feb 25

2011 Canadian Paediatric Society

1567. Consensus standards for the care of children and adolescents in Australian health services Full Text available with Trip Pro

and reducing anxiety and distress in the short term. Play interventions may also be helpful for children coping with pain and adapting to chronic illness. Children and adolescents should be cared for by staff with specialist education and training Standard 4.4: Staff involved in the care of children and adolescents should have special training to recognise and meet the special health, psychological, developmental, communication and cultural needs of children and adolescents. , , Staff must have specific (...) knowledge of paediatric illness, and the appropriate technical skills. In addition, as children and adolescents have different information needs, communication skills and abilities to choose and consent to treatment than adults, staff need specific training and experience to ensure effective communication. Areas such as critical care units are predominantly concerned with adult care, and a recent UK audit has suggested that child and adolescent health care needs may be less likely to be met

2011 MJA Clinical Guidelines

1568. Multi-disciplinary Guidelines for the Oral Management of Patients following Oncology Treatment

Multi-disciplinary Guidelines for the Oral Management of Patients following Oncology Treatment The Oral Management of Oncology Patients Requiring Radiotherapy, Chemotherapy and / or Bone Marrow Transplantation Clinical Guidelines Updated 2012 The Royal College of Surgeons of England / The British Society for Disability and Oral Health 2 1997: Initial Guideline Working Party - Jeremy Shaw - Navdeep Kumar - Monty Duggal - Debbie Lewis - Janice Fiske - Tracey Kinsella - Tom Nisbet 2004: Revision (...) inflammation and has the potential to decrease the severity of oral mucositis. 33 Patient education is an integral part of the pre-treatment evaluation and should include a discussion of potential oral complications. It is very important that the dental team impress on the patient that optimal oral hygiene during treatment, adequate nutrition, and avoiding tobacco and alcohol can prevent or minimise oral complications and reduce recurrence / further cancers. To ensure that the patient fully understands

2012 British Society for Disability and Oral Health

1569. Common principles of rehabilitation for adults with hearing- and/or balance-related problems in routine audiology

restrictions (previously known as disability and handicap) that are caused by the hearing- and/or balance-related problem should be addressed in addition to the assessment, diagnosis and management of the sensory impairment. Functional domains for potential activity limitations and participation restrictions include understanding spoken information, conversation, recreation and leisure, education and employment. The framework also considers the influence of contextual factors on sensory impairment (...) -profit educational institute based in Denmark has generated a suite of practical tools to assist audiological professionals in using non-technological based techniques for achieving better client outcomes. These tools have been designed collaboratively with audiology professionals, but to the best of our knowledge there is not yet any published research evidence on their efficacy in routine clinical practice. Any of the tools can be downloaded from: http://idainstitute.com. B.04 International

2012 British Society of Audiology

1570. Resuscitation in Special Circumstances

prevent cardiac arrest or increase the chance of a successful outcome. Survival in all these conditions still relies on using the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach. Resuscitation needs to be modified in specific circumstances. Early recognition of signs and symptoms and effective treatment will often prevent cardiac arrest. These conditions account for a large proportion of cardiac arrests in younger patients with no co-existing disease. It is essential to seek (...) appropriate expert help early for most of these conditions, as they will require specialist interventions. Survival in all these conditions still relies on using the ABCDE (Airway Breathing Circulation Disability Exposure) approach to help prevent cardiac arrest. If cardiac arrest does occur, high quality CPR with minimal interruption and treatment of reversible causes are still the most important interventions. These topics are covered in more detail in the Advanced Life Support Course manual

2011 Australian Resuscitation Council

1571. Physical activity for children and young people

, schools and colleges Community and voluntary groups (running sports and other organised activities) Government departments Local authorities (leisure and related services, transport and planning, regeneration) and local strategic partnerships Organisations offering practitioners education and training The police Primary care trusts Private sector providers Children, young people, their families and carers and members of the public Physical activity for children and young people (PH17) © NICE 2018. All (...) and planning, regeneration): 2 to 5, 12 Local strategic partnerships: 2, 3 Organisations offering practitioners education and training: 7, 8 Parents, families and carers: 13, 15 Police: 4, 5 Primary care trusts: 2 to 4, 6, 9, 15 Private sector providers: 4, 6 to 11, 13 to 15 Schools and colleges: 4 to 7, 9 to 15. All the organisations, groups and people listed under 'Who should take action?' in each recommendation are equally responsible for ensuring the recommendation is put into practice

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1572. Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence

to communicate with their healthcare professional than others. 1.1.1 Healthcare professionals should adapt their consultation style to the needs of individual patients so that all patients have the opportunity to be involved in decisions about their medicines at the level they wish. 1.1.2 Consider any factors such as physical or learning disabilities, sight or hearing problems and difficulties with reading or speaking English, which may affect the patient's involvement in the consultation. 1.1.3 Establish (...) , Barnet and Chase Farm Hospitals NHS Trust Mr Jim Blair Mr Jim Blair Senior Lecturer in Learning Disabilities, Kingston University/St George's University of London; Interim Consultant Nurse (Learning Disabilities) St George's Healthcare NHS Trust Professor P Professor Peter Crome eter Crome Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence (CG76) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1573. Immunisations: reducing differences in uptake in under 19s

of 60Contents Contents Introduction 5 1 Recommendations 6 Focus of the recommendations 6 Parental responsibility 6 Recommendation 1: immunisation programmes 7 Recommendation 2: information systems 9 Recommendation 3: training 11 Recommendation 4: contribution of nurseries, schools, colleges of further education 12 Recommendation 5: targeting groups at risk of not being fully immunised 13 Recommendation 6: hepatitis B immunisation for infants 15 2 Public health need and practice 17 Groups at risk 17 Infant (...) action should they tak y take? e? Ensure all staff involved in immunisation services are appropriately trained. Training should be regularly updated. It should be tailored to individual needs to ensure staff have the necessary skills and knowledge, for example, communications skills and the ability to answer questions about different vaccinations. Ensure health professionals who deliver vaccinations have received training that complies with the Health Protection Agency's National minimum standard

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1574. Mental wellbeing at work

organisation-wide approaches to promoting mental wellbeing. These could include tools and approaches for risk assessment, human resources management and management training and development. [1] HM Government (1996) Employment Rights Act. HM Government (2005) The Disability Discrimination Act. HM Government (2006) The Work and Families Act. [2] Health and Safety Executive (2008a) Management standards for work-related stress. [3] Foresight Mental Capital and Wellbeing Project (2008) Final project report (...) , and increased staff turnover, recruitment and training. Evidence also shows that productivity can be reduced through the lower level of performance of employees who are at work but experiencing stress or mental health problems. This is known as 'presenteeism' . A recent report estimated that impaired work efficiency associated with mental heath problems costs £15.1 billion a year, which is almost twice the estimated annual cost of absenteeism (£8.4 billion) [6] . Recommendation 1: strategic and coordinated

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1575. Child maltreatment: when to suspect maltreatment in under 16s

' competency, training and behaviour service organisation child protection procedures communication of suspicions to parents or carers, or the child or young person education and information for parents or carers, or the child or young person. Communicating with and about the child or y Communicating with and about the child or young person oung person Good communication between healthcare professionals and the child or young person, as well as with their families and carers, is essential. Communication (...) should take into account additional Child maltreatment: when to suspect maltreatment in under 18s (CG89) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 32needs such as physical, sensory or learning disabilities, or the inability to speak or read English. Consideration should be given to cultural needs of children or young people and their families and carers. If healthcare professionals have concerns about

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1576. Workplace health: long-term sickness absence and incapacity to work

2005; Norman and Bambra 2007). People receiving incapacity benefit are less likely to have academic or professional qualifications than those in work (McCormick 2000). As a result, they are likely to need education and training before they can achieve sustainable employment. Workplace health: long-term sickness absence and incapacity to work (PH19) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 12 of 84This (...) the provision of any re-training as needed. Campaigns and schemes such as 'Job introduction scheme' , 'Job interview guarantee' , 'Shift' and 'Mindful employer' aim to overcome stereotypes and stigma about disability, ill health and its effect on employment and employment opportunities. The PDG noted that specialist job advisers, such as Jobcentre Plus staff, may also be able to offer advice and support. It also noted that the Access to Work Scheme can help fund reasonable adjustments to the workplace

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1577. Borderline personality disorder: recognition and management

disorder and learning disabilities Borderline personality disorder and learning disabilities 1.1.2.1 When a person with a mild learning disability presents with symptoms and behaviour that suggest borderline personality disorder, assessment and diagnosis should take place in consultation with a specialist in learning disabilities services. 1.1.2.2 When a person with a mild learning disability has a diagnosis of borderline personality disorder, they should have access to the same services as other (...) people with borderline personality disorder. 1.1.2.3 When care planning for people with a mild learning disability and borderline personality disorder, follow the Care Programme Approach (CPA). Consider consulting a specialist in learning disabilities services when developing care plans and strategies for managing behaviour that challenges. 1.1.2.4 People with a moderate or severe learning disability should not normally be diagnosed with borderline personality disorder. If they show behaviour

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1578. Antisocial personality disorder: prevention and management

, in particular key workers, working with people with antisocial personality disorder should establish regular one-to-one meetings to review progress, even when the primary mode of treatment is group based. 1.1.2 1.1.2 P People with disabilities and acquired cognitiv eople with disabilities and acquired cognitive impairments e impairments 1.1.2.1 When a person with learning or physical disabilities or acquired cognitive impairments presents with symptoms and behaviour that suggest antisocial personality (...) disorder, staff involved in assessment and diagnosis should consider consulting with a relevant specialist. 1.1.2.2 Staff providing interventions for people with antisocial personality disorder with learning or physical disabilities or acquired cognitive impairments should, where possible, provide the same interventions as for other people with antisocial personality disorder. Staff might need to adjust the method of delivery or duration of the intervention to take account of the disability

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1579. Depression in adults with chronic physical health problem: recognition and management

with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English. If the patient agrees, families and carers should have the opportunity to be involved in decisions about treatment and care. Families and carers should also be given the information and support they need. Depression in adults with a chronic physical health problem: recognition and management (CG91) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms (...) treatment plans working with families from diverse ethnic and cultural backgrounds. 1.1.3.4 When assessing a patient with a chronic physical health problem and suspected depression, be aware of any learning disabilities or acquired cognitive impairments, and if necessary consider consulting with a relevant specialist when developing treatment plans and strategies. 1.1.3.5 When providing interventions for patients with a learning disability or acquired cognitive impairment who have a chronic physical

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

1580. Depression in adults: recognition and management

disabilities or acquired cognitive impairments, and if necessary consider consulting with a relevant specialist when developing treatment plans and strategies. 1.1.4.5 When providing interventions for people with a learning disability or acquired cognitive impairment who have a diagnosis of depression: where possible, provide the same interventions as for other people with depression if necessary, adjust the method of delivery or duration of the intervention to take account of the disability or impairment (...) language or communication difficulties, for example people with sensory impairments or a learning disability, consider using the Distress Thermometer [9] and/or asking a family member or carer about the person's symptoms to identify possible depression. If a significant level of distress is identified, investigate further. 1.3.2 1.3.2 Risk assessment and monitoring Risk assessment and monitoring 1.3.2.1 If a person with depression presents considerable immediate risk to themselves or others, refer them

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

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