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1582. Use of prophylactic factor VIII concentrate in children and adults with severe haemophilia A

factor levels >1 iu/dl and should be considered in very active older boys or where breakthrough bleeds are occurring on a less frequent prophylactic regimen. (Recommendation grade 2 C). 5 Prophylactic doses should be tailored to provide maximum cover for particular physical activities, e.g. school, physical education lessons, sport training sessions. Prophylaxis should be administered ideally in the morning to optimize factor VIII levels (Recommendation grade 2 C – consensus opinion). 6 Children (...) and the family if the sporting activities being pursued result in coagulation factor consumption in excess of that needed for routine prophylaxis. The use of lower dose daily prophylaxis may partly address this issue. Recommendations 1 Early education and training for prophylaxis is an essential component of haemophilia care in the young child and their family and is best provided within the multidisciplinary framework of the haemophilia service. (Recommendation grade 2 C). 2 Involvement of both parents

2010 British Committee for Standards in Haematology

1583. WHO guidelines on drawing blood: best practices in phlebotomy

in home-based care; • health trainers and educators; • procurement officials (who need to be aware of which equipment and supplies are safe and cost effective). 1.5 Indications for blood sampling and blood collection The most common use of blood sampling is for laboratory tests for clinical management and health assessment. Categories that require specialist training include: • arterial blood gases for patients on mechanical ventilation, to monitor blood oxygenation; • neonatal and paediatric blood (...) and control (1). In phlebotomy, it helps to minimize the chance of a mishap. Table 2.1 lists the main components of quality assurance, and explains why they are important.10 WHO guidelines on drawing blood: best practices in phlebotomy T able 2.1 Elements of quality assurance in phlebotomy Element Notes Education and training Education and training is necessary for all staff carrying out phlebotomy. It should include an understanding of anatomy, awareness of the risks from blood exposure

2010 World Health Organisation Guidelines

1584. Best practices for injections and related procedures toolkit

care for patients and health workers – discussed in detail in Section 3.2.1. Table 3.1 lists the main components of quality assurance and explains why they are important. T able 3.1 Elements of quality assurance in phlebotomy Element Notes Education and training Education and training is necessary for all staff carrying out phlebotomy. It should include an understanding of anatomy, awareness of the risks from blood exposure, and awareness of the consequences of poor infection prevention and control (...) are included in the glossary. Key reference documents are included in the CD-ROM and the reference list. All of these documents may be copied for training purposes, provided that the source is acknowledged. 1.3 Target audience This toolkit is intended to be used to guide training and daily practice of all health workers in public and private health services. It is primarily aimed at workers who give injections or draw blood, and at those who handle medical waste. However, it will also be useful for health

2010 World Health Organisation Guidelines

1585. Community-based rehabilitation guidelines

Community-based rehabilitation guidelines WHO | Community-based rehabilitation guidelines WHO Regional websites Access Disability Menu Community-based rehabilitation guidelines Recommendations to develop guidelines on community-based rehabilitation (CBR) were made during the International Consultation to Review Community-based Rehabilitation which was held in Helsinki, Finland in 2003. WHO; the International Labour Organization; the United Nations Educational, Scientific and Cultural (...) . The Community-based rehabilitation guidelines: Provide guidance on how to develop and strengthen CBR programmes; Promote CBR as a strategy for community-based development involving people with disabilities; Support stakeholders to meet the basic needs and enhance the quality of life of people with disabilities and their families; Encourage the empowerment of people with disabilities and their families. CBR Guidelines by component Introductory booklet Health component Education component Livelihood component

2010 World Health Organisation Guidelines

1586. Guidelines on Diagnosis and Management of Syncope

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 Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC. Disclaimer. The ESC Guidelines represent the views (...) of the dissemination of knowledge. Meetings are organized by the ESC and are directed towards its member national societies and key opinion leaders in Europe. Implementation meetings can also be undertaken at national levels, once the guidelines have been endorsed by ESC member societies and translated into the national language. Implementation programmes are needed because it has been shown that the outcome of disease may be favourably in?u- enced by thorough application of clinical recommendations. Thus

2009 European Society of Cardiology

1587. Occupational contact dermatitis & urticaria

provide workers with appropriate health and safety information and training ** SIGN 2+ Appropriately targeted and sustained educational intervention induce important behavioural changes ** SIGN C 6 ensure that workers who develop occupational contact dermatitis or urticaria are properly assessed by a physician who has expertise in occupational skin disease for recommendations regarding appropriate workplace adjustments *** SIGN 2+ The prognosis appears to vary widely and, in some occupational settings (...) at source is not feasible. With any reported study of preventive measures, it is difficult to distinguish the relative effect of one measure against another, since they are usually implemented as a broad programme with many components including, for example, exposure reductions and worker education and training. Is the incidence of occupational contact dermatitis and urticaria reduced by controlling exposure? Reducing exposure has been shown to reduce the incidence of occupational contact urticaria

2010 British Occupational Health Research Foundation

1588. Submission to the Prime Minister's Commission on Nursing and Midwifery

practicing in the post-asylum era with confidence and competence. The introduction of mental health nurse education in universities has witnessed the growth of academic departments, professorial chairs in mental health nursing, and a vigorous research programme focussed on client need. All nurses and HCSWs should have basic skills and understanding of the special needs of patients with mental health problems and learning disabilities, regardless of setting. Formal education programmes for mental health (...) experience of mental health services will continue to enhance educational programmes, and ultimately the services offered. Recent reports have highlighted the special health care needs of those people with learning disabilities (LD). They also described the unacceptable and poor standards of care received by patients with LD while in hospital. The future demands that we are able to provide more, and much improved care for people with LD. Premature babies often survive, but with long-term complex needs

2009 Royal College of Nursing

1589. Position Statement: the management of patients with physical and psychological problems in primary care - a practical guide

-taking. 3 General practice (GP) registrars should have supervision and training in the assessment and management of individuals with medically unexplained symptoms as part of their core curriculum. This should focus on their consultation skills and basic therapeutic interventions as well as theoretical knowledge. 4 Training should be provided to enable all primary care staff to advise patients and carers on basic psychological self-help. 5 GPs should be able to know how to manage problems using (...) encourage the adoption of a bio-psychosocial model of care with every service user, regardless of symptoms or diagnosis. Most of our medical education has been and continues to be based on a biomedical model of care – the doctor acts like a motor mechanic who analyses defects in a car by applying knowledge of its structure and function and correcting them in the light of this understanding (Toon, 1994). This model fits well with certain types of illnesses that we see in family medicine, such as acute

2009 Royal College of General Practitioners

1590. Clinical practice guideline for the management of women who report decreased fetal movements

, Chilvers C. Reduced fetal movements and maternal medication - new pregnancy risk factors for neurodevelopmental disability in childhood. J Obstet Gynaecol 2000;20:226-34. 29. Goldstein I, Romero R, Merrill S, et al. Fetal body and breathing movements as predictors of intraamniotic infection in preterm premature rupture of membranes. Am J Obstet Gynecol 1988;159:363-8. 30. Tveit JV, Saastad E, Bordahl PE, Stray-Pedersen B, Frøen JF. The epidemiology of decreased fetal movements. In: Annual conference (...) ' knowledge and management of women presenting with decreased fetal movements. Acta Obstet Gynecol Scand 2008;87:331-9. 47. Flenady V, Frøen F, MacPhail J, et al. Maternal perception of decreased fetal movements for the detection of the fetus at risk: the Australian experience of the international FEMINA collaboration. In: International Stillbirth Alliance (ISA) conference; 2008; Oslo, Norway; 2008. 48. Johnson TR, Jordan ET, Paine LL. Doppler recordings of fetal movement: II. Comparison with maternal

2010 Clinical Practice Guidelines Portal

1591. Pharmacological treatment of bipolar disorder in primary care Full Text available with Trip Pro

the patient will seek assistance. Alternatively, in instances where the illness emerges insidiously, it may be the GP’s long-term knowledge of the patient that assists in detecting subtle changes in mood and behaviour. The GP’s role in managing bipolar disorder will vary according to the patient, the severity of the illness and the level of available support. The GP may take on the primary role of treating the patient, with the option of referral to specialist services if and when required. Alternatively (...) alliance is important for increasing the likelihood that the patient remains engaged in treatment; this can be fostered by providing emotional support and education to the patient and his or her family. Much of this can be initiated by a GP, but prompt transition to joint involvement of a psychiatrist is recommended, especially when affirming diagnosis and planning future management. Treatment involves implementing strategies to achieve remission of symptoms of acute manic episodes and/or depressive

2010 Clinical Practice Guidelines Portal

1592. Work and the Menopause: A Guide for Managers

to a fewer women beginning to take it, and an increase in the numbers of those already taking it who stop. The menopause typically occurs at challenging times in women’s lives. They may also be managing chronic health conditions, the risk of which increases with age. Women also usually bear the greater share of domestic responsibilities, child care and care of disabled, chronically ill or elderly partners or parents. Nearly half of respondents in this research reported having children still living (...) at home, and one in five caring for an elderly or disabled relative or person. How does it affect women at work? In this study, nearly half of the women found it somewhat/fairly difficult to cope with work during menopausal transition, an equal proportion of women did not find it difficult at all. Only five percent reported it to be very or extremely difficult. Nonetheless, menopausal symptoms can pose major and embarrassing problems for some women, leaving them feeling less confident and at odds

2010 British Occupational Health Research Foundation

1593. 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 (...) with professional and practitioner communities, in both private and public sectors, to turn the knowledge they develop into practical applications. The Institute’s research drives its teaching – innovative postgraduate and post- qualification courses that aim to equip students with the knowledge and skills to ‘make a difference’ – to maximise the health and performance of people, organisations and communities. Information about the Institute, its research activities and its portfolio of postgraduate courses

2010 British Occupational Health Research Foundation

1594. Position statement of the Australian Diabetes Society: individualisation of glycated haemoglobin targets for adults with diabetes mellitus Full Text available with Trip Pro

(6): 339-344. || doi: 10.5694/j.1326-5377.2009.tb02819.x Published online: 21 September 2009 Topics Abstract Tight glycaemic control reduces the risk of development and progression of organ complications in people with type 1 or type 2 diabetes. T ype 1 and type 2 diabetes are associated with increased microvascular and macrovascular disease, disability and premature mortality. There is strong evidence from randomised controlled trials that better glycaemic control can reduce some (...) that the prevention of hypoglycaemia does not rely purely on adjustment of medication, but also on patient education, including instruction in blood glucose monitoring. Type 1 diabetes Recent data regarding tight glycaemic control DCCT/EDIC Upon the completion of the DCCT, follow-up of 1394 participants (96% of DCCT survivors) continued in the observational Epidemiology of Diabetes Interventions and Complications (EDIC) study. Among the primary aims of EDIC were to examine the long-term effects of the earlier

2009 MJA Clinical Guidelines

1595. Vaccine safety and adverse events following immunisation

patient, a rational Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach must be followed and life-threatening problems treated as they are recognised (Resuscitation Council UK, 2008). Confusion arises because some patients have systemic allergic reactions that are less severe. For example, generalised urticaria, angioedema and rhinitis would not be described as an anaphylactic reaction because the life-threatening features – an airway problem, respiratory difficulty (breathing (...) and Child Health (Resuscitation Council UK, 2008). All health professionals responsible for immunisation must be familiar with techniques for resuscitation of a patient with anaphylaxis to prevent disability and loss of life. A protocol for the management of anaphylaxis and an anaphylaxis pack must always be available whenever vaccines are given. 59Vaccine safety and the management of adverse events following immunisation Vaccine safety and the management of adverse events following immunisation August

2009 The Green Book

1596. Footwear for children

Footwear for children Footwear for children | 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 Practice Point Footwear for children Posted: Feb 1 2009 | Reaffirmed: Feb 28 2018 The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint (...) of the above. Recommendations See for a description of the levels of evidence. Infants do not need shoes until they are walking (Level III-A) Shoes are necessary for protection. They should be well fitting, soft, light weight, and have cushioned soles (Level III-A) Orthotics are not beneficial in the management of physiological flexible flatfoot (Level I-B), developmental intoeing, and mild torsional deformities (Level III-B). Orthopaedic referral is necessary when a child experiences functional disability

2009 Canadian Paediatric Society

1597. Guideline for the non-surgical management of hip and knee osteoarthritis

injury in at risk populations. The role of the GP in CDM increasingly incorporates self management support, including emphasis on patient self education, self care, and counselling in behavioural change. To undertake the important role of providing patients with self care skills and knowledge, the GP needs a current awareness of health promotion and disease prevention issues. 6, 18–20 A large multicentre study investigated the effectiveness of a training program for GPs that focused on non (...) identified arthritis as a National Health Priority Area and adopted a number of initiatives aimed at decreasing the burden of chronic disease and disability; raising awareness of preventive disease factors; providing access to evidence based knowledge; and improving the overall management of arthritis within the community. 4 In 2002, all Australian health ministers designated arthritis and musculoskeletal conditions as Australia’s seventh National Health Priority Area. In response, a National Action Plan

2009 National Health and Medical Research Council

1598. The Good Practice Guide

and the systems in which doctors work, professionally led regulation of the medical profession is still accepted as the ultimate method for dealing with matters of poor performance, though deficiencies in the robustness of this have been challenged by Dame Janet Smith in her report of the Shipman Enquiry. The basis for this system is that medicine involves knowledge, skills and attitudes which those without a medical training or specific training cannot adequately evaluate and regulate. On the other hand (...) ), a complex set of arrangements has developed for professional regulation. These consist of: The General Medical Council (GMC) The Postgraduate Medical Education Board (PMETB) The Medical Royal Colleges and their Faculties National professional organisations Contracts of employment The GMC sets the framework within which UK medical schools undertake basic medical training. It is required to include on the Medical Register all whom the universities deem qualified. From the outset the GMC has had powers

2009 Royal College of Anaesthetists

1599. Driving and Dementia - Revision of original paper

future strategies to address the problem of driving in dementia include: ? Education and training programs for GPs to encourage early and accurate dementia assessment and diagnosis; ? Development of practically useful Austroads Guidelines (a new edition of these Guidelines is expected in 2010); ? Development of driving assessment tools for use by GPs. This should include a brief psychometrically sound screening cognitive test, capable of sensitively and specifically predicting on-road driving (...) performance. ? Increased availability and subsidy of on road driving assessment by occupational therapists for patients with cognitive impairment. ? Provision of an independent arbitration panel to remove the difficult and punitive task of licence cancellation from the general or specialist medical practitioner whose primary role is patient support. ? Community education programs to flag the effects of dementia and other physical disabilities on driving safety particularly in older drivers ? Provision

2009 Australian and New Zealand Society for Geriatric Medicine

1600. Palliative Care for the Older Person

to their inability to care for loved ones at home [15]. Training and Research Improved education in palliative care is needed at all levels of medical training. It is currently only a minor part of the undergraduate training program and needs an increased commitment from medical schools. Physicians can improve care of dying patients by teaching students and junior doctors the knowledge and skills needed [18]. Increased competencies are important for the variety of different professionals involved in care (...) be assessed for risk of complicated grief. Information about bereavement services should be routinely provided. 16) Improved education in palliative care is needed at all levels of medical training, by teaching and by example from senior clinicians. Advanced Trainees in Aged Care should be encouraged to undertake training in palliative care. 17) There is a need for increased funding for community services and specialised equipment to facilitate keeping dying older people at home or their preferred

2009 Australian and New Zealand Society for Geriatric Medicine

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