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1621. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

. Updated October 2011. Disclaimer: This material has been developed for general information and educational purposes only. It does not constitute medical advice. The health information provided has been developed by the Heart Foundation and is based on independent research and the available scientific evidence at the time of writing. The information is obtained and developed from a variety of sources including but not limited to collaborations with third parties and information provided by third (...) and the Cardiac Society of Australia and New Zealand (Chronic Heart Failure Guidelines Expert Writing Panel). Guidelines for the prevention, detection and management of chronic heart failure in Australia. Updated October 2011. Disclaimer: This material has been developed for general information and educational purposes only. It does not constitute medical advice. The health information provided has been developed by the Heart Foundation and is based on independent research and the available scientific

2011 Clinical Practice Guidelines Portal

1622. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

. Disclaimer: This material has been developed for general information and educational purposes only. It does not constitute medical advice. The health information provided has been developed by the Heart Foundation and is based on independent research and the available scientific evidence at the time of writing. The information is obtained and developed from a variety of sources including but not limited to collaborations with third parties and information provided by third parties under licence (...) (Chronic Heart Failure Guidelines Expert Writing Panel). Guidelines for the prevention, detection and management of chronic heart failure in Australia. Updated October 2011. Disclaimer: This material has been developed for general information and educational purposes only. It does not constitute medical advice. The health information provided has been developed by the Heart Foundation and is based on independent research and the available scientific evidence at the time of writing. The information

2011 Clinical Practice Guidelines Portal

1623. Exercise and Sports Science Australia position statement on exercise and falls prevention in older people

or more times every year. 1 Falls can also result in disability, loss of mobility, reduced quality of life and fear of falling. 2 The rate of falling is even higher in residents of aged care facilities and in hospital patients. 3 Fall rates and the risk of multiple falls also increase signi?cantly with age. 4 Most falls result in only minor injuries, however * Corresponding author at: The George Institute for Global Health, PO Box M201, Missenden Rd, NSW 2050, Australia. E-mail address: atiedemann (...) @georgeinstitute.org.au (A. Tiedemann). more serious consequences can include hip fracture, perma- nent disability, institutionalisation and death. 5 Among older people, falls account for 14% of emergency admissions and are the leading cause of the injury-related deaths. 2 With the proportion of the Australian population aged 65 years and older expected to increase substantially in the years to come, this is a public health issue that demands attention. 6 Studies undertaken in Sweden, 7 the United States 8

2011 Clinical Practice Guidelines Portal

1624. Australian Association for Exercise and Sports Science position statement on exercise and asthma

possible. A speci?c bene?t of a physical training program is that it allows asthmatics to exercise with less bronchoconstriction at the same exercise stress, although it does not abolish or reduce airway hyperresponsiveness (AHR). © 2011 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved. Keywords: Exercise; Asthma; Asthma medications; Exercise-induced asthma; Physical activity Contents 1. Introduction 312 2. Role of exercise in the treatment of asthma 314 3. Exercise (...) in the 2004 British Olympic team, asthma was misdiagnosed in 21% but undiagnosed in 2.6%. 10 How is asthma managed? Poorly treated asthma can be a very debilitating condition. However, by following a suitably prepared management program, developed with a knowledgeable physician, an asthmatic can lead a full and active life. An “Asthma Action Plan” 11 is a written set of instructions developed for each asthmatic assisting him/her to recognise worsening asthma symptoms, promptly modify treatment as the plan

2011 Clinical Practice Guidelines Portal

1625. Guidelines for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury

management strategy checklist 74 14.3 Long-term need checklist 75 14.4 Training topics checklist 76 14.5 Injury prevention during transportation checklist 77 14.6 Maintenance checklist 78 14.7 Wheelchair comfort tool 79 14.8 Internet-based education and information 85 15. Appendices 86 Appendix 1 External reviewers 86 Appendix 2 Definitions and terms 88 Appendix 3 Abbreviations 92 Appendix 4 ICF framework 93 Appendix 5 Convention on the rights of people with disabilities (CRPD) 94 References 95Guidelines (...) , disability, the environment, and the role of the family even if the client seems fluent in conversational English. Education on cross-cultural issues in communication for health professionals, and the use of interpreters, helps minimise the potential for miscommunication. 2. Recommendation Grade The therapist should consider any additional issues, potential disadvantages or need for additional resources (such as an interpreter) for the client and their family if the client is of Indigenous (Aboriginal

2011 Clinical Practice Guidelines Portal

1626. Preventing falls and harm from falls in older people

the implications specific clinical service types and settings. LHDs to provide education for staff about falls prevention best-practice and to provide tailored information about the guidelines in orientation programs for all health staff. All clinical services Clinical Excellence Commission Local Health Districts Health System Quality, Performance & Innovation Division Strategic Development Division Ambulance Service Clinical Education and Training Institute 2011-2015Obsolete Prevention of Falls and Harm from (...) Local Health Districts to support implementation of guidelines as per approaches within Action Area 1. Local Health Districts to provide education and training to health staff

2011 Clinical Practice Guidelines Portal

1627. Pre-operative Assessment and Patient Preparation - The role of the Anaesthetist 2

and training to deliver this service safely. • Ensure that the design of the service delivers a maximum of 18 weeks referral to treatment time (RTT) or less if locally agreed. • Ensure that Foundation and Speciality Doctors are able to acquire the knowledge and competencies required to assess and prepare a patient for surgery. Due consideration should be given to vulnerable groups of patients, (e.g. patients with learning disabilities or severe physical handicap) who may require a greater degree of support (...) and should be an integral part of the team [3].6 The lead anaesthetist for pre-operative assessment and evaluation should be given the responsibility to: • Agree and co-ordinate policies and procedures with surgical and anaesthetic departments. • Liaise with the lead pre-operative assessment nurse to establish a comprehensive service with appropriate input from anaesthetists. • Ensure with the lead pre-operative assessment nurse that the pre-operative service nurses receive adequate education

2011 Association of Anaesthetists of GB and Ireland

1628. Working Arrangements for Consultant Anaesthetists in the United Kingdom

, experience has suggested that if no diary data are presented, an appeal is likely to fail. 4. SPAs and their justification Supporting professional activities are the activities that underpin direct clinical care in one’s own practice and in that of other consultants. They can be defined for example as participation in training, medical education, continuing professional development, formal teaching, audit, job planning, appraisal, research, clinical management and local clinical governance activities (...) Lead • NICE Guideline Lead • Complaints Lead • Guideline Development and Monitoring • Critical Incident and Serious Untoward Incident Investigator • Blood Transfusion Lead • Infection Lead • Pharmacy Link • Equipment Lead • Medical Devices Training Lead • Health Informatics Lead • Procurement Lead • Airway Lead • Cell Salvage Lead • Resuscitation Lead • Sedation Lead • Pre-assessment Lead • Subspecialty Area Leads • Educational Supervisors • Programme Directors • Trainee Mentors • Acute Pain Lead

2011 Association of Anaesthetists of GB and Ireland

1629. Prevention, identification and management of foot complications in diabetes

An Approach to Implementation 35 Integration of the Guideline into Daily Practice 36 Access and Resourcing 36 Awareness, Education and Training 37 Part G: Related International Guidelines and Resources 38 Appendix 1: Grading Foot Ulcer Severity – Additional Tools 39 Appendix 2: Charcot’s Neuroarthropathy 42 Appendix 3: Foot Expert Panel 45 Appendix 4: Project Executive 47 Appendix 5: Guidelines Advisory Committee 48 Appendix 6: Glossary of Acronyms/Terms 49 Appendix 7: References 50National Evidence-Based (...) Care Settings Assessing and de? ning risk EBR 1 Assess all people with diabetes and stratify their risk of developing foot complications. 1 Grade C p19 EO 1 Any suitably trained healthcare professional may perform the risk assessment. EO p19 EBR 2 Assess risk strati? cation by inquiring about previous foot ulceration and amputation, visually inspecting the feet for structural abnormalities and ulceration, assessing for neuropathy using either the Neuropathy Disability Score or a 10g mono? lament

2011 Clinical Practice Guidelines Portal

1630. A commissioner's guide to developing and sustaining user-led organisations - Accredited

chances of disabled people'). As part of the Putting People First agenda milestones (in effect until March 2010), local authority commissioners were to make sure they have worked to develop and sustain ULOs by December 2010. This was captured in the Department of Health’s Local Authority Circular no.1 (2008) as follows: "Where user led organisations do not exist, a strategy to foster, stimulate and develop these locally should be developed". This intent has since been reaffirmed in the publication (...) of the Care and Support White Paper: 'A vision for adult social care: capable communities and active citizens' and other policy documents, as well as in the creation of a dedicated programme to support and strengthening User-Led Organisations at the Office for Disability Issues. The original guidance from SCIE helped commissioners to meet this policy requirement. This updated guidance reflects updated policy, practice and evidence regarding ULOs and: explains the benefits of commissioners developing

2010 Social Care Institute for Excellence

1631. Labour Ward Solutions

and in enhancing quality of care. An expected consequence of the recruitment of consultants to posts with a major commitment to obstetrics may be that they are filled with more newly appointed consultants. It is important that these posts are designed to demonstrate a degree of role progression and a sense of leadership. Other possible roles in addition to labour ward roles include: labour ward management support for risk management liaison with other staff groups education and training. 5.2 Rotas Key (...) health Non-smoker Qualifications MRCOG or equivalent accreditation in Higher degree training and experience in obstetrics & gynaecology and on specialist delivering undergraduate education register at or within 6 monthsof the AAC. (Posts 1 & 2). Subspecialty accreditation in maternal medicine (Post

2010 Royal College of Obstetricians and Gynaecologists

1632. Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales

definition of substantial risk. Whether a risk will be regarded as substantial may vary with the seriousness and consequences of the likely disability. Likewise, there is no legal definition of serious handicap. An assessment of the seriousness of a fetal abnormality should be considered on a case-by-case basis, taking into account all available clinical infor- mation. Technical improvements in diagnostic ultrasound continue to be made. More recently, three- dimensional ultrasound technology has been (...) introduced for diagnostic purposes, although its exact role remains unclear. Magnetic resonance imaging can be effective as an adjunct to ultra- sound in diagnosing and evaluating structural abnormalities, particularly those involving the fetal central nervous system. Progress in fetal diagnosis is improving knowledge of the natural history of many fetal disorders. While amniocentesis, chorionic villus sampling and fetal blood sampling remain standard methods for the diagnosis of aneuploidy, noninvasive

2010 Royal College of Obstetricians and Gynaecologists

1633. Maternity Care Pathway

information between care providers with a system of explicit referral and communication pathways. Team Work: Foster an interdisciplinary collaborative model of care with a clear understanding of all professional roles to maximize the quality and comprehensiveness of care. Information Sharing and Informed Consent Information should be provided that: Can be easily understood by all women including • those with additional needs such as physical, sensory, or learning disabilities and women who do not speak (...) and the care-provider Respects a woman’s decisions and choices, even if • they differ from the caregiver’s recommendations Community Resources Information should be provided that informs women about: Where she will be seen for prenatal care and by • whom Where she will give birth and who her caregiver(s) in • labour will be How to contact her caregiver in an emergency • situation How to access prenatal education and breastfeeding • information4 British Columbia Perinatal Health Program Women Who May Need

2010 British Columbia Perinatal Health Program

1634. Device Therapy in Heart Failure

of Cardiology (ESC) Guidelines has been published for personal and educational use only. No commercial use is authorized. No part of the ESC Guidelines maybetranslatedorreproducedin anyform without written permission fromthe ESC. Permission can beobtained upon submission of awritten requestto Oxford University Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC. *Corresponding authors: Kenneth Dickstein, 1. Stavanger University Hospital (...) , and QRS duration =120 ms. Current knowledge restricts us to the use of rate control strategy in the subgroup of patientswithpermanentAF.Inthislattergroupofpatientsoutcomes aremoredif?culttomeasure,sincebothheartratecontrolandCRT maycontributetotheobservedchangesinclinicalstatus. 35 Anade- quatetrial with pharmacologically induced rate control isadvisable. However, there is consensus that essentially complete ventricular capture is mandatory in order to maximize clinical bene?t and improve

2010 European Society of Cardiology

1635. RCPCH and Neonatal and Paediatric Pharmacists Group (NPPG) joint statement on unlicensed medicines

for current consultations Lobbying - Advises and supports external agencies and parental bodies about the licensing, availability, use and surveillance of medicines in paediatric populations. This includes medicines used outside of the license, newly licensed products, unlicensed medicines for rare conditions and adverse reactions to medicines Education - Supports education training and research in the field of safe prescribing The Committee also supports several organisations in the following ways (...) RCPCH and Neonatal and Paediatric Pharmacists Group (NPPG) joint statement on unlicensed medicines Medicines Committee | RCPCH Quick links Quick links Search RCPCH Search X Search RCPCH Search Submenu membership Submenu education Submenu work we do Submenu resources Submenu key topics Submenu news and events Quick links Quick links Submenu membership Submenu education Submenu work we do Submenu resources Submenu key topics Submenu news and events X Medicines Committee The Committee manages

2010 Royal College of Paediatrics and Child Health

1636. Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand. A position statement from the Thoracic Society of Australia and New Zealand and the Australian Lung Foundation

clearance and the increased efficacy when therapy is individualised, specific chest physiotherapy expertise should be sought. Pulmonary rehabilitation is employed in several different chronic respiratory conditions. It involves a multidisciplinary approach, including exercise training, self-management education, and psychosocial and nutritional intervention. Inspiratory muscle training may be beneficial in adults with bronchiectasis. A recent small RCT showed that an 8-week program of pulmonary (...) rehabilitation and inspiratory muscle training significantly improved the incremental shuttle walking test. Unless specific contraindications exist, physical activity should be encouraged. Recommendation 16 Airway clearance manoeuvres are recommended and a chest physiotherapist’s advice should be sought. Chest physiotherapy should be individualised. Grade: strong; evidence: moderate Recommendation 17 Adults with CSLD/bronchiectasis and moderately severe, limited exercise tolerance and/or evidence of physical

2010 MJA Clinical Guidelines

1637. Treatment for osteoporosis in Australian residential aged care facilities: consensus recommendations for fracture prevention Full Text available with Trip Pro

to diagnostic methods to identify fractures and quantify BMD; lack of knowledge about evidence-based interventions for osteoporosis in RACFs; assumptions about patients’ length of stay and survival; and family and patients’ concerns about polypharmacy and potential side effects. Nevertheless, hip fractures in institutionalised older adults are an important cause of morbidity and mortality that could be prevented with an appropriate evidence-based approach to treatment. Several initiatives have been tested (...) to improve physicians’ awareness of the importance of identifying and treating osteoporosis. A recent randomised trial to improve fracture prevention in nursing home residents showed that audit feedback and education interventions are ineffective in improving fracture prevention. In contrast, a practice redesign project was implemented in nursing homes in Arkansas, which included increasing physician awareness on preventing ageism, understanding polypharmacy and an eight-point post-fall assessment

2010 MJA Clinical Guidelines

1638. Dyslexia, dyspraxia and dyscalculia: a summary guide for managers

a significant, adverse and long term effect on the person’s ability to carry out everyday tasks.” Under the terms of the Act specific learning differences (SpLDs) such as dyslexia, dyspraxia and dyscalculia were all classified as a ‘disability’ and it therefore became unlawful to discriminate against anyone with one of these conditions on the basis of that disability. This covered a range of areas including employment, education and access to goods and services. In 2005 the Act was updated and required (...) with a specific learning difference one of the greatest challenges is coping with a late diagnosis, which has often been triggered by academic failure during their training or further studies. Despite advances in the recognition and detection of SpLDs in children there are still a significant number of people who are not picked up until much later in life. This was highlighted in relation to dyslexia by the National Working Party on Dyslexia in Higher Education study (Singleton, 1999). This included data from

2010 Royal College of Nursing

1639. Elective Single Embryo Transfer Following In Vitro Fertilization

. In oocyte donor–recipient cycles when the donor has good prognosis and when good quality embryos are available, eSET should be performed. (II-2B) 9. In women with medical or obstetrical contraindications to twin pregnancy, eSET should be performed. (III-B) 10. In order to achieve successful uptake of eSET, it is essential to provide patient and physician education regarding the risks of twin pregnancy and regarding the similar cumulative live birth rate following an eSET strategy and DET. (III-C) 11 (...) of respondents (78.5%) desired DET. Even in those who preferred one child at a time, 81.2% planned to have DET. 89 Some studies have shown that the choice of eSET increases when patients are educated about the risks of multiples. 42,88–90 However, oth- ers have found that many still choose DET over eSET, accepting the higher risks associated with twins to maximize pregnancy rates. 82,84,90–93 In a British study, most couples identified failed treatment as the most serious adverse out- come of IVF. 92 Another

2010 Society of Obstetricians and Gynaecologists of Canada

1640. No health without public mental health: The case for action

Experienced by People with Learning Disabilities or Mental Health Problems found a lack of support and information for such individuals in general and especially for those in all forms of residential care. 110 They called for ‘accessible and appropriate support to encourage healthy living and overcome physical health disadvantages which come from their conditions or treatments’. They also recorded the differences between those with mental illness and those with an intellectual disability in terms (...) promotion, parent training and early intervention for child emotional and behavioural disorders. At a school level, they include school-based mental health promotion, violence prevention, 161 bullying prevention 162 and social and emotional learning programmes. 156 School- based interventions can also prevent sexual abuse. 163 Among the benefits of school-based violence prevention programmes are reductions in aggressive behaviour, conduct problems and attention span problems, as well as improvements

2010 Royal College of Psychiatrists

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