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161. Guidelines for the prevention and control of carbapenem-resistant Enterobacteriaceae, Acinetobacter baumannii and Pseudomonas aeruginosa in health care facilities

8µBREVIATIONS AND ACRONYMSAcute health care facility: A setting used to treat sudden, often unexpected, urgent or emergent episodes of injury and illness that can lead to death or disability without rapid intervention. The term acute care encompasses a range of clinical health care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care, and short-term inpatient stabilization. Alcohol-based handrub: An alcohol-based preparation

2017 World Health Organisation Guidelines

162. Genital examination in women

, young people, people with learning disabilities, in research, or people in prison. The information provided should also include an explanation of the status of the person performing the examination (for example, ‘learner’). Registered nurses and midwives work to the Nursing and Midwifery Council Code (NMC, 2015) which includes the need to be knowledgeable, as well as caring and respectful, and to observe confidentiality in all encounters with women as patients and as clients. It is anticipated (...) for. The nurse or midwife should act as the woman’s advocate. Examination under anaesthetic by medical students/student nurses or other learners should have separate written consent. Capacity issues Where a woman has a temporary or permanent learning or physical disability, careful consideration should be given as to whether the proposed examination is screening or diagnostic in intent. Any resistance to the examination should be interpreted as refusal. If the examination is abandoned, alternative measures

2016 Royal College of Nursing

163. Occupational Therapists' Use of Occupation Focused Practice in Secure Hospitals

of meaning and purpose can be impeded by patients’ mental health, personality disorder or learning disability; their perceived and actual risks to themselves or others; and institutional regulations, policies or legal restrictions. It may, for many patients, be a combination of all three. Their choice, opportunity for and ability to voluntarily or spontaneously engage in occupation can be severely limited. The impact of being detained in secure environments for some patients has been noted to lead (...) context of secure services Secure services refer to those that provide care and treatment for patients with mental illness, personality disorder and neurodevelopmental disorders, including learning disabilities. Individuals typically have complex mental disorders, co-morbid difficulties of substance misuse and/or personality disorder, which are linked to offending or seriously irresponsible behaviour (NHS England 2013a). Those admitted to a secure care setting are detained under a section

2018 British Association of Occupational Therapists

164. Occupational Therapy for people Undergoing total hip replacement

tasks such as self-care, work or leisure. (COT 2016) Clinical reasoning must take account of individual preferences and needs, including the complexities of treating service users with multiple pathologies, or those with cognitive or emotional dysfunctions, dementia and learning disabilities. Shorter length of hospital stay has necessitated, in many services, prioritisation of inpatient therapy to elements such as mobility and self-care that are essential for safe discharge, rather than adopting (...) of Occupational Therapists is a wholly owned subsidiary of the British Association of Occupational Therapists (BAOT) and operates as a registered charity. It represents the profession nationally and internationally, and contributes widely to policy consultations throughout the UK. The College sets the professional and educational standards for occupational therapy, providing leadership, guidance and information relating to research and development, education, practice and lifelong learning. In addition, 1 0

2018 British Association of Occupational Therapists

165. Staff and Associate Specialist Grade Handbook (Third Edition)

international monthly journal • Access to Learn@AAGBI – videos and lectures from recent AAGBI meetings giving you online learning at your fingertips • Free copies of the AAGBI’s guidelines (on request) and access to the AAGBI Guidelines app • Free monthly Anaesthesia News magazine and @AAGBI e-newsletter • Discounted rates for AAGBI meetings and conferences • Guidance and information for SAS doctors • Information handbooks • Exclusive SAS Audit Prize and Professional Development Grant for SAS doctors (...) • Representation at Westminster and the Department of Health • 20% discount on textbooks from Oxford University Press and Wiley • 30% discount on books from Cambridge University Press • Basic TTE Education - huge savings on distance learning online course, designed to provide a good understanding of Basic Transthoracic Echocardiography (TTE) To find out more about any of the member benefits available visit www.aagbi.org/about-us/becoming-a-member/member-benefits 4. THE ROy Al COllEGE OF ANAESTHETISTS SAS

2017 Association of Anaesthetists of GB and Ireland

166. Use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6?23 months and children aged 2?12 years

, Psychosocial and Learning Problems Group, for their support during the development of the systematic review used to inform this guideline. The International Micronutrient Malnutrition Prevention and Control Programme (IMMPaCt) of the Centers for Disease Control and Prevention (CDC), United States of America and the Micronutrient Initiative, Canada provided technical support to the Evidence and Programme Guidance Unit for the commissioning and update of systematic reviews informing this guideline. FINANCIAL (...) factors, including underweight, suboptimal breastfeeding, and vitamin and mineral deficiencies, particularly of vitamin A, iron and zinc, are responsible for 3.9 million deaths (35% of total deaths) and 144 million disability- adjusted life-years (DALYs; 33% of total DALYs) in children aged less than 5 years (6). Interventions to prevent and/or treat micronutrient malnutrition typically include exclusive breastfeeding during the first 6 months of life, dietary diversification to include foods

2017 World Health Organisation Guidelines

167. Consent for anaesthesia

Applies to anyone over 16 years old 4 © 2016 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2017 Yentis et al. | AAGBI: Consent for anaesthesia 2017appearance or behaviour must not be made [3, 17], and nor should they be made about a patient’s capac- ity to make decisions on the basis of a particular con- dition, for instance a learning disability. Furthermore, patients cannot be treated as lacking (...) and regulations that already exist (e.g. at http://www.hra.nhs.uk/research-commu- nity/). Particular considerations apply in relation to patients who do not have the capacity to consent to par- ticipation in research studies; in such cases, a relative or other person may be appointed as a ‘consultee’ to advise researchers as to the patient’s preferences, and patients may be recruited into emergency research without prior consent if speci?c criteria are met [33]. Learning/maintaining practical skills Although

2017 Association of Anaesthetists of GB and Ireland

168. Selected practice recommendations for contraceptive use

Classification of examinations and tests before initiation of contraceptive methods 19 3.2 Contraceptive eligibility 20 4. Programmatic implications 21 4.1 Introducing guidelines into national programmes 21 5. Clients with special needs 23 5.1 People with disabilities 23 5.2 Adolescents 23 6. Summary of changes within the Selected practice recommendations for contraceptive use, third edition 26 7. Recommendations 27 7.1 How can a health-care provider be reasonably certain that a woman is not pregnant? 27 7.2 (...) (East European Institute for Reproductive Health, Romania), Rafat Jan (Agha Khan University, Pakistan), Isaac Malonza (Jhpiego, Kenya), John Pile (UNFPA, Timor-Leste). WHO Secretariat WHO headquarters, Geneva, Switzerland Department of Essential Medicines and Health Products – Nicola Magrini Department of HIV – Rachel Baggaley Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention – Alarcos Cieza Department of Reproductive Health and Research – Moazzam Ali

2017 World Health Organisation Guidelines

169. Fortification of maize flour and corn meal with vitamins and minerals

Control and Prevention, especially the International Micronutrient Malnutrition Prevention and Control Programme (IMMPaCt) at the National Center for Chronic Disease Prevention and Health Promotion, and the National Center on Birth Defects and Developmental Disabilities, for supporting the retrieval, summary and assessment of the evidence informing this guideline. We would like to thank Food Fortification Initiative and the Sackler Institute for Nutrition Research, New York Academy of Sciences

2017 World Health Organisation Guidelines

170. Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder

) strength of evidence; 2) treatment outcomes and the balance of benefits vs. harms and burdens of interventions; 3) patient values and preferences; and 4) applicability of the evidence to various treatment populations. PTSD symptom reduction and serious harms were selected by the GDP as critical outcomes for making recommendations. Various other outcomes were ii selected as important, including those related to remission, quality of life, disability, comorbid conditions and adverse events. The target (...) , quality of life, disability or functional impairment, prevention or reduction of comorbid medical or psychiatric conditions, adverse events leading to withdrawals (treatment discontinuation), and other adverse events, and burdens were important though not critical. The primary evidence base for the present guideline was the systematic review, Psychological and Pharmacological Treatments for Adults With Posttraumatic Stress Disorder (PTSD) (Jonas et al., 2013) produced by the Research Triangle

2017 American Psychological Association

171. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

valgus; multiple pigmented nevi; bone anomalies including short fourth metacarpal/metatarsal, Madelung deformity and scoliosis; chronic OM and conductive or sensorineural hearing loss or learning disabilities, especially affecting visuospatial or nonverbal skills and other traits ( ) ( , , ). We suggest a new approach to guide clinicians in ordering a karyotype for suspected TS ( ). Table 3 Indications for chromosome analysis to diagnose Turner syndrome. As the only clinical feature: Fetal cystic (...) assessments at key transitional stages in schooling (⨁⨁◯◯). R 7.4. We recommend academic and occupational adjustments if indicated, to accommodate learning/performance issues (⨁⨁⨁◯). R 7.5. We recommend aiming for on-time puberty and aggressive management of predictors of hearing impairment to facilitate positive psychosocial and psychosexual adaptation (⨁⨁◯◯). R 7.6. We suggest that evidence-based interventions for cognitive or psychosocial problems in other populations may be adapted to meet the needs

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2016 European Society of Human Reproduction and Embryology

172. Responding to children and adolescents who have been sexually abused

; and offering choices in the course of their medical care, as appropriate. Observing non-discrimination in the provision of care, irrespective of their sex, race, ethnicity, religion, sexual orientation, gender identity, disability or socioeconomic status. Ensuring the participation of children or adolescents in decisions that have implications for their lives, by soliciting their opinions and taking those into account, and involving them in the design and delivery of care. Summary of recommendations (R (...) to relevant designated authorities; attending to them in a timely way and in accordance with their needs and wishes; prioritizing immediate medical needs and first-line support; making the environment and manner in which care is being provided appropriate to age, as well as sensitive to the needs of those facing discrimination related to, for example, disability or sexual orientation; minimizing the need for the them to go to multiple points of care within the health facility; empowering non

2017 World Health Organisation Guidelines

175. Epilepsy in Pregnancy

Royal College of Obstetricians and Gynaecologists 7 of 33 RCOG Green-top Guideline No. 68 P C P C C C C D P P DOther implications What may affect the driving entitlements of WWE who are pregnant? WWE should be informed of the effect of changing the dose of AED on seizures and its impact on driving privileges. What are the implications of disability legislation for WWE and health service providers? Healthcare providers need to be aware of equality legislation in the UK that protects individuals (...) with a disability from discrimination. 1. Purpose and scope This guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy (WWE). It provides recommendations on the care of WWE during the prepregnancy, antepartum, intrapartum and postpartum periods. This guideline does not cover the methods of diagnosis of epilepsy, detailed categorisation of seizures or strategies for the management of epilepsy. These are addressed in detail in the national guidelines on epilepsy. 1,2 2

2016 Royal College of Obstetricians and Gynaecologists

176. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

Social use of language Prosody Rhythm or melody of speech Receptive language Ability to understand or comprehend spoken language Resonance Airflow through the nose and mouth during speech. Too much airflow through the nose may result in hypernasality and too little airflow may result in hyponasality Respiration Respiration during speech (e.g., coordinating speaking with breathing) Scaffolding Support provided to an individual that facilitates learning Semantics Meaning of words and sentences (e.g (...) Children’s Hospital, VictoriaClinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury 10 Plain English Summary Traumatic brain injury (TBI) is a leading cause of disability, affecting approximately 765 1 to 2008 2 per 100 000 Australian children each year. Its effects are vast and include speech, language and swallowing disorders. These disorders are more likely to affect children with moderate and severe TBI. This guideline

2017 Clinical Practice Guidelines Portal

177. Screening and Management of Late and Long-term Consequences of Myeloma and its Treatment

, late effects, quality of life, haematopoietic stem cell transplantation, chemotherapy. Methodology These guidelines were developed using the following stages: • Review of key literature from 1 April 2006 to 31 March 2016 using the Cochrane database (search term: myeloma) and Medline: search terms used were [myeloma] + late effects, long term effects, frailty, geriatric assessment, infec- tion, infection prophylaxis, vaccination, nutrition, exercise, rehabilitation, employment, endocrine, disability (...) to be relatively resilient despite previous pulsed high-dose corticosteroid therapy. Menopause may be precipi- tated in younger female myeloma patients by chemotherapy and/or radiotherapy. The prevalence of persistent male hypogonadism following intensive treatment raises a need for routine screening and appropriate advice from endocrine specialists (Green?eld et al, 2014). Body composition changes may add to increased frailty, poor mobility and disability (Narici & Maffulli, 2010; Miceli et al, 2011; Morgan

2017 British Committee for Standards in Haematology

178. Cataracts in adults: management.

) diagnosed with cataracts Note : The following subgroups have been identified as needing specific consideration: people with other conditions that may affect management, including people who are frail, older people, people with impaired cognitive function, people with impaired mobility, people in residential care and people with learning disabilities. The following subgroups will be considered where appropriate: People with an ocular or systemic condition that affects perioperative management, including (...) surgery are difficult to predict, and that they may need further surgery if they do not want to wear spectacles for distance vision. If people have had previous corneal refractive surgery, adjust for the altered relationship between the anterior and posterior corneal curvature. Do not use standard biometry techniques or historical data alone. Surgeons should think about modifying a manufacturer's recommended intraocular lens constant, guided by learning gained from their previous deviations from

2017 National Guideline Clearinghouse (partial archive)

179. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

pain (SMP) who experience chronic and complex problems of de-conditioning and functional disability. Treatment modalities may be utilized sequentially or concomitantly depending on chronicity and complexity of the problem, and treatment plans should always be based on a diagnosis utilizing appropriate diagnostic procedures. Before initiation of any therapeutic procedure, the authorized treating physician, employer and insurer must consider these important issues in the care of the injured worker (...) medications, and it should generally be used in conjunction with manipulative and physical therapy/rehabilitation. Refer to the Division's for indications, evidence, and time frames. Biofeedback Biofeedback is a form of behavioral medicine that helps patients learn self-awareness and self-regulation skills for the purpose of gaining greater control of their physiology, such as muscle activity, brain waves, and measures of autonomic nervous system activity. Stress-related psycho-physiological reactions may

2017 National Guideline Clearinghouse (partial archive)

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