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

www.RCOT.co.uk The Royal College 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 (...) Potential impact of the recommendations 45 6 Patient perspectives of the guideline 46 6.1 Patient consultation 2012 46 6.2 Patient consultation 2016 47 7 Implementation of the guideline 49 7.1 Dissemination and promotion 49 7.2 Organisational and financial barriers 49 7.3 Implementation resources 51 8 Recommendations for future research 53 NICE has accredited the process used by the Royal College of Occupational Therapists to produce its practice guidelines. Accreditation is valid for five years from

2018 British Association of Occupational Therapists

282. Lipid Management in Adults

), approximately 71 million Americans have high LDL cholesterol and only one out of three of those with high LDL has the condition under control (CDC Fact Sheet). Fewer than 50% of adults with elevated LDL get treatment (CDC Fact Sheet). High cholesterol is a key risk factor for heart disease. Given the prevalence of hyperlipidemia and heart disease, the impact on patients and caregivers, and the health care resources they demand, clinical guidelines are critical to standardizing and improving care throughout (...) . Statin Safety e. Optimizing Statin Therapy f. Monitoring Statin Therapy g. Insufficient Response to Statin Therapy ACC/AHA full citation: Stone N, Robinson J, Lichtenstein A, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014;63:2889-2934. USPSTF full citation: US Preventive Services Task Force

2017 Institute for Clinical Systems Improvement

283. Dementia, disability and frailty in later life - mid-life approaches to delay or prevent onset

1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 Employers, occupational health services, human resource departments, trade unions, third and private sector organisations who support workplace health 15 Health Education England 3,13,14,15 Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset (NG16) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 18 of 62Local education and training boards, health and social care (...) and fr wareness of risk of dementia, disability and frailty ailty Public Health England, Health Education England and NHS England should: Commission national, regional and local campaigns aimed at the public and health and social care professionals to show how the risk of dementia, disability and frailty can be reduced and to promote the concept of keeping mentally and physically healthy. Campaigns should use a range of media and formats to reach as many people as possible. See NICE's pathway

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

284. Type 1 diabetes in adults: diagnosis and management

and resource-effective, has supporting materials, and is written down. It is delivered by trained educators who have an understanding of educational theory appropriate to the age and needs of the person, and who are trained and competent to deliver the principles and content of the programme. It is quality assured, and reviewed by trained, competent, independent assessors who measure it against criteria that ensure consistency. The outcomes are audited regularly. [new 2015] [new 2015] 1.3.5 Explain (...) is it for? 5 Introduction 6 Reasons for the update 6 Medicines 8 Patient-centred care 9 Key priorities for implementation 10 Education and information 10 Blood glucose management 10 Insulin therapy 11 Awareness and management of hypoglycaemia 11 Care of adults with type 1 diabetes in hospital 11 1 Recommendations 12 Blood glucose and plasma glucose 12 1.1 Diagnosis and early care plan 12 1.2 Support and individualised care 15 1.3 Education and information 17 1.4 Dietary management 18 1.5 Physical activity

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

285. Cardiovascular disease: risk assessment and reduction, including lipid modification

prevention of CVD 14 1.3 Lipid modification therapy for the primary and secondary prevention of CVD 17 T erms used in this guideline 26 2 Implementation: getting started 27 2.1 Measuring non-high density lipoprotein cholesterol when lipid profiling for the primary prevention of cardiovascular disease 27 2.2 Reduction of the primary prevention threshold from 20% to 10% CVD risk as calculated by QRISK2 28 2.3 Atorvastatin for the primary and secondary prevention of CVD 29 2.4 Further resources 30 More (...) procedures. Challenges for implementation Challenges for implementation The United Kingdom National External Quality Assessment Service (UKNEQAS) estimated that less than 10% of laboratories included non-HDL cholesterol in their reports; however, this was primarily due to lack of demand. Healthcare workers may need educating in what the non-HDL cholesterol test means, how to interpret the laboratory results, and how it compares with the previously used LDL cholesterol test. Support for implementation

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

286. Physical activity: exercise referral schemes

-hour sessions per week the techniques used, for example, some use additional 'supportive' techniques such as 'motivational interviewing' and education sessions Physical activity: exercise referral schemes (PH54) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 24 of 46the target group, for example, people who are overweight and obese, people with raised blood pressure or cholesterol levels or those experiencing mild (...) programmes in the management of, and rehabilitation following, a health condition 11 Box 2 The importance of physical activity in promoting good health and preventing disease 12 2 Who should take action? 13 Introduction 13 Who should do what at a glance 13 3 Context 14 Introduction 14 Lack of physical activity: the costs 15 National guidelines, resources and indicators 15 4 Considerations 17 Background 17 Evidence of effectiveness 18 Economic modelling 19 Scenarios of effectiveness 21 Physical activity

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

287. Developing evidence informed, employer-led workplace health

Developing evidence informed, employer-led workplace health Developing evidence-informed, employer-led workplace health Ginny Brunton, Kelly Dickson, Meena Khatwa, Jenny Caird, Sandy Oliver, Kate Hinds, James Thomas EPPI-Centre Social Science Research Unit UCL Institute of Education University College London September 2016 Final report Department of Health Reviews Facility To support national policy development and implementation The Department of Health Reviews Facility is a collaboration (...) between the following centres of excellence Authors: Ginny Brunton, Kelly Dickson, Meena Khatwa, Jenny Caird, Sandy Oliver, Kate Hinds, James Thomas (EPPI-Centre, Social Science Research Unit, UCL Institute of Education, University College London) For further details, please contact: Ginny Brunton Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) Social Science Research Unit (SSRU) UCL Institute of Education, University College London 18 Woburn Square London WC1H 0NR

2016 EPPI Centre

288. The Association of Coloproctology of Great Britain and Ireland Consensus Guidelines in Surgery for Inflammatory Bowel Disease

and especially patient submission of their own outcomes are key areas for future development . The ideal scenario would be composite databases with dual data entry interfaces for both clinician and individual patient to contribute. Statement 1.11 Standard of care for IBD patients undergoing surgery should include registration in prospectively managed and adequately resourced national databases with inclusion of short‐ and long‐term outcome data to allow comparative audit of agreed key performance indicators

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2018 Association of Coloproctology of Great Britain and Ireland

289. Guidelines on HIV self-testing and partner notification

. These guidelines refer to the following groups as key populations: men who have sex with men, people who inject drugs, people in prisons and other closed settings, sex workers and transgender people. Lay provider: any person who performs functions related to health-care delivery and has been trained to deliver these services but has no formal professional or para-professional certification, nor a tertiary education degree. Negative predictive value: the probability that a person with a negative test result

2016 World Health Organisation HIV Guidelines

290. 10 priorities for integrating physical and mental health

issues such as tobacco, alcohol or obesity. Mental health prevention and promotion activities account for less than 0.03 per cent of NHS spending on mental health, and the majority of joint strategic needs assessments (JSNAs) have little or no coverage of mental health and wellbeing. Impact on people Poor mental health is associated with higher rates of smoking, alcohol and drug abuse, lower educational outcomes, poorer employment prospects, lower resilience, decreased social participation and weaker (...) social relationships – all of which leave people at increased risk of developing a range of physical health problems. For most people, mental health problems begin in childhood or adolescence. This can have lifelong effects, and is a major route through which health and social inequalities are transmitted across generations. Impact on the health system Poor mental health is associated with greater resource use within the health system and adds to the burden created by smoking, alcohol and other

2016 The King's Fund

291. Nurses and pharmacists can prescribe as effectively as doctors

of nurse or pharmacist prescribing compared with doctor prescribing. Most studies were of chronic disease management in primary care settings in high income countries (25 from the US and six from the UK). Independent and supplementary prescribers in the NHS include not only the nurses and pharmacists, as covered in this review, but also other professions such as podiatrists, optometrists, and physiotherapists. At a time of high demand for NHS resources, with shortages of doctors in some specialties (...) for medical prescribing. Blood pressure: People prescribed drugs by nurses or pharmacists had lower systolic blood pressure than those prescribed drugs by doctors (-5.31mmHg, 95% confidence interval [CI] -6.46 to -4.16; in 12 trials, involving 4,229 participants). Cholesterol: People prescribed drugs by nurses or pharmacists had lower low density lipoprotein cholesterol than those prescribed drugs by doctors (-0.21 mmol/L, 95% CI -0.29 to -0.14; in seven trials, involving 1,469 participants). Blood sugar

2018 NIHR Dissemination Centre

292. Clinics and activities in primary care can reduce heart disease deaths

patients treated over a six year period. Much of what is proposed in the intervention - education, risk factor management and structured use of resources - forms part of current routine general practice in the UK. The review further highlights the need for long term follow up trials and the need for a sustained approach to engaging with hard to reach individuals, particularly those with on-going elevated risk. Carl Heneghan, General Practitioner and Professor of Evidence Based Medicine, University (...) interventions lasted between one and three years and included activities like organising dedicated clinics to monitor and adjust medication to meet recommended blood pressure and cholesterol levels or drop-in sessions to encourage healthy lifestyle. The results are in line with 2012 NICE guidance that encourages organisations to take action to help people with known heart disease take their medicines as prescribed, and reduce risk factors through lifestyle changes. Share your views on the research. Why

2018 NIHR Dissemination Centre

293. Cultural contexts of health: the use of narrative research in the health sector

in the making of a meaningful story by a particular subject, but also in the ways that others understand and retell the story. Both the ability to narrate stories and what have been called storytelling rights (44) are unevenly distributed in society. It is the educated, articulate and culturally enriched who tell stories through novels, speeches, blogs and so on – and who are usually over-represented in research samples.CULTURAL CONTEXTS OF HEALTH: THE USE OF NARRATIVE RESEARCH IN THE HEALTH SECTOR HEALTH (...) CONTEXTS OF HEALTH: THE USE OF NARRATIVE RESEARCH IN THE HEALTH SECTOR HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 12 These four interlinked domains offer opportunities for using narrative evidence productively in health policy. At the individual level, narrative is increasingly used in health communication and education (50). Narratives, as rhetorical devices, are effective in persuasion (51,52), particularly if they capture cultural contexts (53). Health education in which the message is framed

2016 WHO Health Evidence Network

295. Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health: A Scientific Statement From the American Heart Association

% of people with insomnia receive a diagnosis. Of note, women and those ≥65 years of age are more likely to report insomnia symptoms, although men and women from lower socioeconomic positions and education levels also tend to complain of insomnia. Recent evidence that habitual sleep duration is a risk factor for cardiometabolic conditions has given rise to multiple epidemiological and surveillance studies. The preponderance of evidence emanating from self-reported data suggests a curvilinear relationship

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2016 American Heart Association

296. Assessing Cardiac Metabolism

Cardiac Metabolism” seeks to provide a collective and curated resource on methods and models used to investigate established and emerging aspects of cardiac metabolism. Some of those methods are refinements of classic biochemical tools, whereas most others are recent additions from the powerful tools of molecular biology. The aim of this statement is to be useful to many and to do justice to a dynamic field of great complexity. Introduction As a biological pump, the heart converts chemical energy (...) by wide interest in the components of cardioprotective diets. As the cardiovascular research community is discovering a plethora of new methods for assessing cardiac metabolism, they are still scattered in the literature, many of them in the appendices of original articles. The present scientific statement seeks to provide a curated resource on methods and models used to assess basic and emerging aspects of cardiac metabolism. Some of these methods are refinements of classic tools in biochemistry

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2016 American Heart Association

300. Recommendations for Management of Clinically Significant Drug-Drug Interactions With Statins and Select Agents Used in Patients With Cardiovascular Disease: A Scientific Statement From the American Heart Association

. * Select statin-drug interactions discussed in the article that do not appear in the table are not considered clinically significant. Overview of DDIs, Cytochrome P-450 Enzymes, and Permeability Glycoprotein The 2 most common pharmacokinetic DDIs involving statins are those mediated by the cytochrome P-450 (CYP450) enzyme system and permeability glycoprotein (P-gp). Pharmacodynamic DDIs with statins may also occur. All DDIs can result in altered low-density lipoprotein cholesterol reductions (...) Association “Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Risk in Adults” states that combination therapy with any statin and gemfibrozil should be avoided. This recommendation is because of concerns for the increased risk for muscle-related toxicity. However, despite these recommendations, a recent analysis of a nationwide register study found that although providers were less likely to prescribe gemfibrozil, the mean dose of statin was substantially higher in those

2016 American Heart Association

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