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163. Care and support of people growing older with learning disabilities

their inpatient stay, including overnight. 1.5.29 Hospital staff should continue to offer health and personal care (toileting, washing, nutrition and hydration) to people with learning disabilities even if they have a family member, carer or advocate there to support them. 1.5.30 For further guidance on planning admission and admitting adults with identified social care needs to hospital, see NICE's guideline on transition between inpatient hospital settings and community or care home settings for adults (...) needs at the end of their life. 1.6.7 When providing end of life care, learn from family members, carers or advocates about the person's needs and wishes, including those associated with faith and culture, nutrition, hydration and pain management. This is particularly important if the person has difficulty communicating. 1.6.8 Learning disability providers delivering care at the end of life should work collaboratively and share information with other practitioners and services involved

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

164. Management of Hip Fractures in the Elderly

supports intensive physical therapy post-discharge to improve functional outcomes in hip fracture patients. Strength of Recommendation: Strong Description: Evidence from two or more “High” strength studies with consistent findings for recommending for or against the intervention. NUTRITION Moderate evidence supports that postoperative nutritional supplementation reduces mortality and improves nutritional status in hip fracture patients. Strength of Recommendation: Moderate Description: Evidence from (...) Intertrochanteric Fractures 6 VTE Prophylaxis 6 Transfusion Threshold 6 Occupational and Physical Therapy 7 Intensive Physical Therapy 7 Nutrition 7 Interdisciplinary Care Program 7 Postoperative MultiModal Analgesia 7 Calcium and Vitamin D 7 Screening 8 Osteoporosis Evaluation and Treatment 8 Table of Contents 9 List of Tables 14 Table of Figures 18 II. Introduction 19 Overview 19 Goals and Rationale 19 Intended Users 19 Patient Population 20 Burden of Disease 20 Etiology 20 Incidence and Prevalence 20 Risk

2014 American Academy of Orthopaedic Surgeons

166. Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer Guideline Adaptation

and treatable contributing factors first (eg, pain, depression, anxiety, emotional distress, sleep disturbance, nutritional deficit, activity level, anemia, medication adverse effects, and comorbidities). Physical Activity Initiating/maintaining adequate levels of physical activity can reduce cancer-related fatigue in post-treatment survivors. Actively encourage all patients to engage in a moderate level of physical activity after cancer treatment (eg, 150 minutes of moderate aerobic exercise [such as fast (...) medications, or antiemetics). Alcohol/substance abuse. Nutritional issues (including weight/caloric intake changes). Decreased functional status. Deconditioning/decreased activity level. As a shared responsibility, the clinical team must decide when referral to an appropriately trained professional (eg, cardiologist, endocrinologist, mental health professional, internist, and so on) is needed. Table 2. Potential Comorbid Conditions and Other Treatable Contributing Factors Possibly Associated With Fatigue

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2014 American Society of Clinical Oncology Guidelines

167. Guidelines for the prevention of stroke in women

several large studies. For example, in the Framingham Heart Study, 38% of women but only 23% of men were prescribed thiazide diuretics, and similar rates were seen in the National Health and Nutrition Examination Survey (NHANES) cohorts, with higher diuretic (31.6% versus 22.3%) and angiotensin receptor blocker (11.3% versus 8.7%) use in women. Currently, there is no compelling evidence that there are differences in the response to BP medications between the sexes ; however, in large-scale reviews

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2014 American Academy of Neurology

172. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

of anesthetic technique and agent 43 Anesthetic considerations in the patient with a ruptured aneurysm 44 Antibiotic prophylaxis 44 Intraoperative fluid resuscitation and blood conservation 44 Cardiovascular monitoring 44 Maintenance of body temperature 45 Role of the ICU 45 Nasogastric decompression and perioperative nutrition 46 Prophylaxis for deep venous thrombosis 46 Postoperative blood transfusion 46 Perioperative pain management 46 POSTOPERATIVE AND LONG-TERM MANAGEMENT 47 Late outcomes 47 Endoleak (...) of evidence A (High) Role of the ICU We recommend postoperative management in an ICU for the patient with significant cardiac, pulmonary, or renal disease as well as for those requiring postoperative mechanical ventilation or who developed a significant arrhythmia or hemodynamic instability during operative treatment. Level of recommendation 1 (Strong) Quality of evidence A (High) Nasogastric decompression and perioperative nutrition We recommend optimization of preoperative nutritional status before

2018 Society for Vascular Surgery

173. Group Prenatal Care

, nutrition and exercise, health self-awareness, stress management, breastfeeding, and contraception (13). Pregnancy complications are managed through supplemental individual visits and as-needed specialist referrals, although routine prenatal care and health assessments usually continue within the group. In theory, the expanded visit time and opportunity for in-depth peer-to-peer personal discussion facilitates learning opportunities and social support. Prenatal educational information is reliably

2018 American College of Obstetricians and Gynecologists

176. Hyperthyroidism and Other Causes of Thyrotoxicosis

; Victor M. Montori, MD 1 ; Scott A. Rivkees, MD 9 ; Douglas S. Ross, MD 10 ; Julie Ann Sosa, MD 11 ; Marius N. Stan, MD 1 From the 1 Division of Endocrinology, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minnesota; 2 Endocrinology and Metabolism Division, Walter Reed Army Medical Center, Washington, District of Columbia; 3 Division of Endocrinology, The Johns Hopkins University School of Medicine, Baltimore, Maryland; 4 Endocrine Division, Harvard Vanguard Medical Associates, Boston

2011 American Association of Clinical Endocrinologists

178. Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society

bone strength, and minimizing factors that contribute to falls. Management strategies include general preventive health measures and pharmacologic interventions. Prevalence Most cases of osteoporosis occur in postmenopausal women, and the prevalence of the disorder as defined by low BMD increases with age. Data from the Third National Health and Nutrition ExaminationSurvey 11 indicate that 13% to 18% of white American women age 50 or older have osteoporosis of the hip, which the survey defined (...) was of hip fracture (RR, 2.27). Inas- much as patient recall of parental hip fracture is higher than of any fracture, parental hip fracture was chosen as a clinical risk factor in FRAX. 28 Lifestyle factors Several lifestyle factors are associated with the risk of low BMD and fracture. These include poor nutrition, insufficient physical activity, cigarette smoking, and heavy alcohol con- sumption. (For a complete description of osteoporosis lifestyle factors,see section onBManagement: Lifestyle

2010 The North American Menopause Society

179. Model Breastfeeding Policy

Policy Statements 1. The ‘‘name of institution’’ staff will actively support breastfeeding as the preferred method of providing nutrition to infants. A multidisciplinary, culturally ap- propriate team comprising hospital administrators, physician and nursing staff, lactation consultants and specialists, nutrition staff, other appropriate staff, and parents shall be established and maintained to identify and eliminate institutional barriers to breastfeeding. On a yearly basis, this group will compile (...) of breast- feeding, contraindications to breastfeeding, and risk of formula feeding. 13 4. The woman’s desire to breastfeed will be documented in her medical record. 5. Mothers will be encouraged to exclusively breastfeed unless medically contraindicated. The method of feed- ing will be documented in the medical record of every infant. (Exclusive breastfeeding is de?ned as providing breastmilk as the sole source of nutrition. Exclusively breastfed babies receive no other liquids or solids

2010 Academy of Breastfeeding Medicine

180. General Recommendations for the Care of Homeless Patients

and prolong homelessness. Exposure to the elements or to communicable dis- eases in shelters, victimization, nutritional deficiencies, co-morbidities and limited access to health care increase the likelihood that relatively minor impairments will become much more serious. As many as 80% of homeless persons tested have marked deficits in cognitive functioning. Cognitive impairments seen in homeless patients are often associated with traumatic brain injury, mental ill- ness, chronic substance abuse (...) ,”, offer help with intake form; assess ability to read English. • Nutrition/ hydration - diet, food resources, preparation skills, liquid intake • Cultural heritage/ affiliations/ supports - involvement with family, friends, faith community, other sources of support • Strengths - coping skills, resourcefulness, abilities, interests Physical examination • Comprehensive exam - at 1 st encounter if possible: height, weight, BMI, % body fat, abdominal girth, heart, BP, lungs, thyroid, liver, dermatological

2010 National Health Care for the Homeless Council


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