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Anxiety Non-pharmacologic Management

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141. Management of Chronic Obstructive Pulmonary Disease (COPD)

of the disease process and novel drugs. Furthermore, non-pharmacologic therapy such as pulmonary rehabilitation is becoming increasingly recognized as an effective therapy. [16] While these treatment methods may not all be appropriate for all patients, they allow providers to intervene early with numerous treatment options in order to help benefit patients. The increasing amount of COPD research leading to further understanding of the disease and effective management strategies allows patients and providers (...) . It includes Veterans and deployed and non-deployed active duty Service Members. The population includes adults with a diagnosis or a suspicion of COPD. Patients with bronchiectasis, asthma, cystic fibrosis, or other chronic lung diseases but without COPD are not considered in this CPG. Interventions and Management Methods Interventions covered in this CPG include inhaled and systemic pharmacologic treatments as well as non-pharmacologic treatments used in acute and maintenance management of COPD

2014 VA/DoD Clinical Practice Guidelines

142. The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)

of a patient’s management plan. Lastly, the primary care provider may consider referral Page 6 of 126 Clinical Practice Guideline for the Non-Surgical Management of Osteoarthritis for surgical evaluation for OA patients that do not find relief through pharmacologic and/or non- pharmacologic therapies. The goal of this guideline is to assist primary care providers in developing a comprehensive care program for patients with OA in order to achieve maximum functionality and independence, as well as improve (...) a minimum of five percent body weight and maintain this new level of weight. [EO] Discussion It is well-established in previously published guidelines that weight reduction is a cornerstone of non- pharmacologic therapy for the management of hip or knee OA. A review of the literature revealed two well-designed RCTs in which patients with knee OA self-reported improvements in pain and disability after losing weight. [35,36] It is also noted that patients who engaged in exercise or weight loss programs

2014 VA/DoD Clinical Practice Guidelines

143. Management of Obesity and Overweight

on the patient-centered approach to weight loss, the benefits and harms of pharmacologic and non-pharmacologic therapies, the management of comorbid conditions, best practices for care delivery, and emerging innovations in clinical research and care. Key Elements of Weight Loss and Management The key elements of weight loss and weight management that are addressed by this guideline include: • Obesity is a chronic disease requiring lifelong commitment to treatment and long-term maintenance • Obesity may (...) does not provide recommendations for the treatment of children, adolescents, or pregnant/lactating women. Interventions This CPG provides information on both pharmacologic and non-pharmacologic therapies for overweight and obesity. Pharmacologic therapies are limited to available Food and Drug Administration (FDA) approved medications that are specifically indicated for use in treating overweight and/or obesity. These include lorcaserin, orlistat, or the combination phentermine/topiramate extended

2014 VA/DoD Clinical Practice Guidelines

144. The Management of Upper Extremity Amputation Rehabilitation (UEAR)

on the rehabilitation plan and the patient’s physical and psychological status. EO 9. Various types of pain following upper limb loss should be managed appropriately and individually throughout all phases using pharmacological and non-pharmacological treatment options. EO 10. The care team should provide appropriate education and informational resources to patients, family and caregiver(s) throughout all phases of care. EO 11. The care team should facilitate early involvement of a trained peer visitor. C (...) activities) • Improve quality of life and decrease activity restriction (e.g., optimize self-care, community integration, recreation, return to home and productive work environments) Psychological support and wellbeing • Reduce psychological comorbidities (e.g., depressive and anxiety disorders) VA/DoD Evidence-Based Clinical Practice Guideline for the Management of Upper Extremity Amputation Rehabilitation Page 10 of 149 Domain Goals • Improve quality of life • Decrease the mental/emotional disease

2014 VA/DoD Clinical Practice Guidelines

145. The Management of Chronic Multisymptom Illness

and non-pharmacologic therapies, the management of comorbid conditions, best practices for care delivery, and emerging innovations in clinical research and care. The overall expected outcome of successful implementation of this guideline is to: • Formulate an efficient and effective assessment of the patient's condition • Optimize the use of therapy to reduce symptoms and enhance functionality • Minimize preventable complications and morbidity • Emphasize the use of personalized, proactive, patient (...) Members. This CPG does not provide recommendations for the treatment of CMI in children or adolescents. Intervention This CPG provides information on potential risk factors for CMI, diagnostic technologies that may be used for screening and assessment of CMI, management of CMI, and pharmacologic and non- pharmacologic therapies for the treatment of CMI. Risk factors that may be associated with predisposing, precipitating, and perpetuating CMI include medical (e.g., comorbidities), psychological (e.g

2014 VA/DoD Clinical Practice Guidelines

146. Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer Guideline Adaptation (Full text)

care professionals who provide care to adults with cancer. The guideline is interprofessional in focus, and the recommendations are applicable to direct-care providers (eg, nurses, social workers, family practitioners) in diverse care settings. The NCCN Guideline for Cancer-Related Fatigue describes procedures for the assessment and management of fatigue in patients with cancer. The target population includes children, adolescents, and adults, and the guideline is intended to provide guidance (...) be a late or long-term problem in post-treatment survivors. SPECIAL COMMENTARY Section: Although there are a number of guidelines and systematic reviews offering recommendations on the management of cancer-related fatigue, there is still relatively little guidance available for the management of fatigue in cancer survivors. The purpose of this guideline is to tailor the available information to this distinct population, because follow-up care for cancer survivors is often challenging, especially

2014 American Society of Clinical Oncology Guidelines PubMed abstract

147. Guidelines for identification and management of substance use and substance use disorders in pregnancy

who are stable on opioid maintenance treatment with either methadone or buprenorphine should be encouraged to breastfeed unless the risks clearly outweigh the benefits. Strong Low Management of infants exposed to alcohol and other psychoactive substances ? Health-care facilities providing obstetric care should have a protocol in place for identifying, assessing, monitoring and intervening, using non-pharmacological and pharmacological methods, for neonates prenatally exposed to opioids. Strong (...) treatment, or opioid substitution treatment. Examples of opioid maintenance therapies are methadone and buprenorphine maintenance treatment. Maintenance treatment can last from several months to more than 20 years, and is often accompanied by other treatment (e.g. psychosocial treatment). Psychosocial intervention Any non-pharmacological intervention carried out in a therapeutic context at an individual, family or group level. Psychosocial interventions range from structured, professionally administered

2014 World Health Organisation Guidelines

148. Neurofeedback and Biofeedback for Post-Traumatic Stress Disorder, Generalized Anxiety Disorder, and Depression: A Review of the Clinical Evidence and Guidelines

. DATE: 15 June 2012 CONTEXT AND POLICY ISSUES Post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and depression are psychiatric disorders that interfere with daily-life activities and need psychological and pharmacological treatments. 1-3 Approximately, 5.7 % of Canadians 18 years and older are affected by GAD, 6.8% by PTSD, and 4.8% by major depression. 1,4 Biofeedback therapies are non-pharmacological treatments that use non-invasive techniques with bio-monitoring system (...) -related post-traumatic stress disorder. Biofeedback may have some efficacy in patients with generalized anxiety disorder. Findings from larger size randomized placebo-controlled trials with alternative therapies as the comparator are needed to confirm the potential of biofeedback and neurofeedback, and to develop guidelines regarding the use of these non-pharmacological and non-invasive modalities for the treatment of mood and anxiety disorders. PREPARED BY: Canadian Agency for Drugs and Technologies

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

149. 2013 ACCF/AHA Guideline for the Management of Heart Failure (Full text)

2013 ACCF/AHA Guideline for the Management of Heart Failure 2013 ACCF/AHA Guideline for the Management of Heart Failure | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free (...) Access article Share on Jump to Free Access article 2013 ACCF/AHA Guideline for the Management of Heart Failure A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines , , MD, MSc, FACC, FAHA, Chair , MD, FACC, FAHA, Vice Chair , MD, PhD, FACC, FAHA , MBBS, FACC, FAHA , MD, MPH, MBA, FACP, FAHA , MD, MSc, FACC, FAHA , MD, FACC, FAHA , MD, FACC, FAHA, FCCP , MD, FACC , MD, FACC , MD, FACC, FAHA , MD, FACC, FAHA , MD, FACC , MD, MSPH, FACC

2013 American Heart Association PubMed abstract

150. Assessment and Management of Pain (Third Edition)

analgesics; and ¦ Prevention, assessment and management of opioid risk . Ib ? Recommendation 3 .2 Evaluate any non-pharmacological (physical and psychological) interventions for effectiveness and the potential for interactions G with pharmacological interventions . Ib ? Recommendation 3 .3 Teach the person, their family and caregivers about the pain management strategies in their plan of care and address known concerns and misbeliefs G . Ib ?9 BEST PRACTICE GUIDELINES • www.RNAO.ca BACKGROUND Assessment (...) Assessment and Management of Pain (Third Edition) Clinical Best Practice Guidelines DECEMBER 2013 Assessment and Management of Pain Third EditionDisclaimer These guidelines are not binding on nurses or the organizations that employ them. The use of these guidelines should be flexible, and based on individual needs and local circumstances. They neither constitute a liability nor discharge from liability. While every effort has been made to ensure the accuracy of the contents at the time

2013 Registered Nurses' Association of Ontario

151. Chronic refractory dyspnoea. Evidence based management

• Transcutaneous electrical nerve stimulation (TENS) • Walking aids • Breathing techniques, including managing anxiety Level 1 (meta-analysis) 25 Use regular, low dose oral opioids (together with regular aperients) to reduce dyspnoea (evidence) in conjunction with non- pharmacological interventions Sustained release morphine (Kapanol ® ) 10 mg mane orally regularly with docusate with senna 2 tablets mane orally Level 1 (meta-analysis) 13,16,18 Oxygen (rather than medical air) in those with COPD who do (...) , symptomatic management of chronic refractory dyspnoea. Discussion Dyspnoea is mostly multifactorial. Each reversible cause should be managed (Level 4 evidence). Non-pharmacological interventions include walking aids, breathing training and, in chronic obstructive pulmonary disease, pulmonary rehabilitation (Level 1 evidence). Regular, low dose, sustained release oral morphine (Level 1 evidence) titrated to effect (with regular aperients) is effective and safe. Oxygen therapy for patients who

2013 Clinical Practice Guidelines Portal

152. Tablet-based Interactive Distraction Preoperative Anxiety in Children: A Randomized Controlled Trial

of tablet-based interctive games on alleviating preoperative anxiety. Condition or disease Intervention/treatment Phase Children Under General Anaesthesia Device: TIBD Drug: Midazolam Not Applicable Detailed Description: It is estimated that 50% of children may suffer preoperative anxiety. They have a higher risk of generating postanesthetic delirium and behavioral changes in the postoperative period up to 67% of cases. For the management of preoperative anxiety there are pharmacological and non (...) Tablet-based Interactive Distraction Preoperative Anxiety in Children: A Randomized Controlled Trial Tablet-based Interactive Distraction Preoperative Anxiety in Children: A Randomized Controlled Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2018 Clinical Trials

153. Perioperative Music Listening on Anxiety, Pain, Analgesia Use and Patient Satisfaction

or disease Intervention/treatment Phase Music Pain Anxiety Patient Satisfaction Analgesia Procedure: Music listening Not Applicable Detailed Description: Some tissue injury is often unavoidable during surgery, which leads to unavoidable pain and anxiety during the perioperative and post-operative period. Acute post-operative pain and anxiety have been managed via pharmacological interventions (e.g. opioid-based analgesia) for over a century. However, non-pharmacological interventions - such as music (...) Perioperative Music Listening on Anxiety, Pain, Analgesia Use and Patient Satisfaction Perioperative Music Listening on Anxiety, Pain, Analgesia Use and Patient Satisfaction - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2018 Clinical Trials

154. Preoperative anxiety and implications on postoperative recovery. What we can do to change our history. (Abstract)

for preoperative preparation. This is consistent with the guidelines for enhanced recovery after surgeries, which underline the importance of patient-doctor discussion about hospitalization and perioperative care. Patients with preoperative anxiety could benefit from multimodal analgesia, including non-pharmacological methods, such as cognitive therapy and music therapy and relaxation. The authors' opinion is that greater education about preoperative anxiety consequences in the surgical community is needed (...) anxiety on postoperative patient recovery, and to acknowledge the importance of a dedicated anesthesia plan in the management of anxious adult patients. Preoperative assessment performed several weeks before surgery in an outpatient clinic is a reasonable option to give information about surgery, anesthesia and postoperative pain. This is the time to assess patient preoperative anxiety by using VAS-A. If high anxiety level is detected early, the patient can be referred to a psychologist

2018 Minerva anestesiologica

155. Efficacy of a Preoperative Virtual Reality Intervention as a Paediatric Anxiety Improvement Strategy

Efficacy of a Preoperative Virtual Reality Intervention as a Paediatric Anxiety Improvement Strategy Efficacy of a Preoperative Virtual Reality Intervention as a Paediatric Anxiety Improvement Strategy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) Anestesiología More Information Go to Publications of Results: Yip P, Middleton P, Cyna AM, Carlyle A V. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Evidence-Based Child Heal Cochrane Databse Syst Rev Rev J. 2011;6(3):71-134. Layout table for additonal information Responsible Party: Adriana Carbó García, Nurse, Servei Central d' Anestesiologia ClinicalTrials.gov Identifier: Other Study ID Numbers: IRV-2017-01 First Posted: July 6, 2018 Last Update Posted: July 6

2018 Clinical Trials

156. Projector-based virtual reality dome environment for procedural pain and anxiety in young children with burn injuries: a pilot study (Full text)

Projector-based virtual reality dome environment for procedural pain and anxiety in young children with burn injuries: a pilot study Virtual reality (VR) is a non-pharmacological method to distract from pain during painful procedures. However, it was never tested in young children with burn injuries undergoing wound care.We aimed to assess the feasibility and acceptability of the study process and the use of VR for procedural pain management.From June 2016 to January 2017, we recruited children (...) , and calm. Assessing anxiety was not feasible with our sample of participants. The prototype did not interfere with the procedure and was considered useful for procedural pain management by most health care professionals.The projector-based VR is a feasible and acceptable intervention for procedural pain management in young children with burn injuries. A larger trial with a control group is required to assess its efficacy.

2018 Journal of pain research PubMed abstract

157. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: A systematic review and meta-analysis. (Abstract)

The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: A systematic review and meta-analysis. Depression and anxiety are common during the antenatal and postnatal period, and are known to have a significant impact on the woman and her unborn infant. Pregnant women state a preference for non-pharmacological treatment options, and use complementary medicines and therapies to manage these symptoms. We examined the effectiveness and safety (...) of these modalities on depression and anxiety during pregnancy.CENTRAL, EMBASE and PubMed databases were searched for randomised controlled trials comparing complementary therapies and medicines to a control, for pregnant women with depression or anxiety. The primary outcome measure was antenatal depression or anxiety.Twenty randomised controlled trials containing 1092 women were included in the review. We found some evidence of reduced antenatal depression from three modalities. Acupuncture reduced the number

2018 Journal of Affective Disorders

158. EFNS?ENS Guidelines on the diagnosis and management of disorders associated with dementia

EFNS?ENS Guidelines on the diagnosis and management of disorders associated with dementia EFNS‐ENS Guidelines on the diagnosis and management of disorders associated with dementia - Sorbi - 2012 - European Journal of Neurology - Wiley Online Library Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. EFNS‐ENS Guidelines/CME Article Free Access EFNS‐ENS Guidelines on the diagnosis and management of disorders (...) care physicians play a major role in the identification, diagnosis and management of patients with dementia, but advanced diagnostic techniques necessitate the involvement of specialists, especially neurologists, preferably in multidisciplinary teams established to facilitate the management of the complex needs of patients and caregivers during the course of the dementia disease. Objective The present revised guidelines consider dementias other than Alzheimer's disease (AD), which was covered

2012 European Academy of Neurology

159. Non-pharmacological interventions may comfort children having an anaesthetic

Non-pharmacological interventions may comfort children having an anaesthetic PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Non-pharmacological interventions may comfort children having an anaesthetic Clinical question How effective are non-pharmacological interventions in assisting induction of anaesthesia in children? Bottom line In single studies, a quiet environment, clown doctors, video (...) in children can be distressing for the child and also for their parents. Children can be given drugs to sedate them, but these drugs can have unwanted harmful effects, such as possible airway obstruction and behaviour changes after the operation. Some non-drug alternatives have been tested to see if they could be used instead of sedatives. Cochrane Systematic Review Yip P et al. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Cochrane Reviews 2009, Issue 3

2011 Cochrane PEARLS

160. Pharmacological Management of People Living with End-Stage Chronic Obstructive Pulmonary Disease. (Full text)

Pharmacological Management of People Living with End-Stage Chronic Obstructive Pulmonary Disease. Supportive care and pharmacological treatment can improve the quality of life of people with end-stage chronic obstructive pulmonary disease (COPD) who cope on a daily basis with substantial physical, psychological, social and spiritual morbidity. Smoking cessation is the only intervention that reduces the rate of progression of COPD, but evidence-based drug treatments and non-pharmacological (...) strategies can relieve symptoms and reduce the impact of exacerbations. People with severe COPD live with increasingly troublesome breathlessness and other symptoms such as fatigue, pain, sputum production and weight loss. As breathlessness increases, treatment is stepped up from short-acting to long-acting bronchodilators supplemented by non-pharmacological interventions such as pulmonary rehabilitation. Opiates relieve breathlessness, and referral to a multidisciplinary breathlessness service

2017 Drugs & Aging PubMed abstract

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