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Six Item Cognitive Impairment Test

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181. Acute pain management: scientific evidence (5th Edition)

PATIENT 339 10.1 Developmental neurobiology of pain 339 10.2 Long-term consequences of early pain and injury 340 10.3 Paediatric pain assessment 340 10.3.1 Pain assessment in neonates 341 10.3.2 Observational and behavioural measures in infants and children 342 10.3.3 Self-report in children and adolescents 342 10.3.4 Children with cognitive impairment 343 10.4 Management of procedural pain 346 10.4.1 Procedural pain in the neonate 347 10.4.2 Procedural pain in infants and older children 347 10.4.3 (...) obtained from case series, either post-test or pre-test and post-test Clinical practice points ? Recommended best practice based on clinical experience and expert opinion Key messages Key messages for each topic are given with the highest level of evidence available to support them, or with a symbol indicating that they are based on clinical experience or expert opinion. In the key messages, Level I evidence from the Cochrane Database is identified. Levels of evidence were documented according

2020 National Health and Medical Research Council

182. Barriers and Enablers to Deprescribing Medications

; ? a positive attitude about discontinuing medication use; and ? the belief that deprescribing is beneficial (4). The second systematic review revealed that general practitioners are more motivated to deprescribe when they perceive a greater risk in continuing medication than in discontinuing its use (6). In this review, providers were also more likely to deprescribe when certain clinical characteristics of the patient were evident, such as: cognitive impairment, a limited life expectancy, the express (...) in this report This report includes the evidence from six systematic reviews, one comprehensive environmental scan, and ten primary studies 1 . Of the systematic reviews: ? two are reviews of qualitative studies (4,5); ? two are reviews of mixed-methods 2 studies (6,7); ? two are reviews of studies with randomized or controlled designs (8,9); and ? one is a comprehensive environmental scan of 48 online deprescribing materials (10). Of the additional primary studies not captured in these systematic reviews

2020 Newfoundland and Labrador Centre for Health Information

183. Polyvalent immunoglobulins – Part 1: A rapid review

products, when efficacy is established in immune trombocytopenia (ITP), the licence/registration is extended to other immunomodulating indications GBS, Kawasaki, MMN and CIPD, without the need to perform separate clinical trials (this new EMA guideline came into effect in 2019). 25, 26 Mostly because of the immunomodulating properties the list of possible indications and off-label use keeps growing. The exact working mechanism of Ig is not fully elucidated. Therefore, Ig are often used and tested (...) studied (no limit on indications). The clinical research question was formulated using the PICOS (Participants-Interventions-Comparator-Outcomes-Study Design) framework (see Table 2). Because polyvalent Ig are used for a wide range of indications covering different medical domains such as haematology, neurology, immunology, dermatology, paediatrics… the search strategy items were defined broadly (e.g. no restriction on population and age, different comparators and outcomes dependent on the indication

2020 Belgian Health Care Knowledge Centre

184. How to better tackle Elder Abuse in Belgium?

– Overview table: Services involved in elder abuse management in Flanders, Wallonia and Brussels 108 Table 10 – Selection criteria 195 Table 11 – Evidence table of systematic reviews regarding the detection tools for identification of elder abuse 197 Table 12 – Overview of comprehensive detection tools 199 Table 13 – Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) 200 Table 14 – Vulnerability Abuse Screening Scale (VASS) 202 Table 15 – Elder Abuse Suspicion Index© (EASI) 203 Table 16 – Elderly (...) (BASE) 214 Table 22 – Caregiver Psychological Elder Abuse Behaviour Scale (CPEABS) 214 Table 23 – The ZARIT Burden Interview 12 items 215 Table 24 – QUALCARE scale 215 Table 25 – Elder Assessment Instrument (EAI) 216 Table 26 – Particular attention for elder abuse, per type of care setting 227 Table 27 – Barriers per group of professions 239 Table 28 – Facilitators for detection of elder abuse, by groups of professionals 243 Table 29 – Facilitators for management of elder abuse, by groups of health

2020 Belgian Health Care Knowledge Centre

185. Report on Post-intensive Care Syndrome (PICS) for general practitioners

Stress Disorder PTSS Posttraumatic Stress Disorder Symptoms PTSS-14 Posttraumatic Stress Disorder Symptoms- 14 items QOL Quality of Life RBANS Repeatable Battery for the Assessment of Neuropsychological Status Regensburg Insomnia Scale RIS 6MWT Six-Minute Walk Test SCL Symptom Checklist SMD Standardized mean difference Sec Seconds SF-36 36-Item Short Form Survey SF-36 PF 36-Item Short Form Survey - Physical functioning domain score SF-36 PCS 36-Item Short Form Survey - Physical component summary (...) score SF-36 MCS 36-Item Short Form Survey - Mental component summary score SPPB Short Physical Performance Battery STAI State-Trait Anxiety Inventory TICS-M Modified Telephone Interview for Cognitive Status TSQ Trauma Screening Questionnaire TST Timed-Stands Test TOWER Tower Test TUG Timed Up and Go test VAS Visual Analogue Scale XSMFA-B Extra Short Musculoskeletal Function Assessment - disability XSMFA-F Extra Short Musculoskeletal Function Assessment - physical function INTRODUCTION Post-intensive

2020 Belgian Health Care Knowledge Centre

186. Health literacy: what lessons can be learned from the experiences of other countries?

Mannaerts (Cultures et santé), Emmanuelle Nijs (Koning Boudewijnstichting – Fondation Roi Baudouin), Maryse Van Audenhaege (Landsbond der Christelijke Mutualiteiten), Martine Van Hecke (Test Aankoop), Tinne Vandesande (Koning Boudewijnstichting – Fondation Roi Baudouin), Rebekka Verniest (Landsbond der Christelijke Mutualiteiten) External validators: Gilles Henrard (ULg – Université de Liège), Diane Levin-Zamir (Clalit Health Services, Israel), Orkan Okan (Universität Bielefeld) Acknowledgements: Jamie (...) : Valérie Fabri (UNMS), Siska Germonpré (Staff member NVSM), Martine Van Hecke (Test Aankoop) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Tine Vandesande (Selection of health literacy projects supported by the Fonds Daniël De Coninck) Layout: Joyce Grijseels, Ine Verhulst Disclaimer: • The external experts were consulted about a (preliminary) version of the scientific report. Their comments were discussed during meetings. They did not co

2020 Belgian Health Care Knowledge Centre

187. Bariatric surgery in Belgium: organisation and payment of care before and after surgery

as a proxy to identify overweight and obesity Obesity is a condition in which fat accumulates in the body to a point where it may impair health. 2, 3 . The pathophysiology of obesity is an interplay between environmental factors (e.g. excess caloric intake and sedentary life style) with genetic factors. Nevertheless, obesity is considered as a preventable condition given that even with a genetic predisposition (apart from some rare monogenic diseases) a healthy lifestyle (diet and physical activity) can (...) Pre-surgery care Multidisciplinary intake can be provided to some extent Several centres provide besides the intake consultations (with surgeon, dietician, psychologist and an internist) and standard examinations (e.g. blood tests, gastroscopy, echo abdomen), information sessions where patients receive information from the different healthcare professionals about obesity, bariatric surgery (technique, complications, side effects), behavioural change, diet, etc. 25 It is however questioned

2020 Belgian Health Care Knowledge Centre

188. Guidelines for diagnosing and managing pediatric concussion

://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=sort. Accessed May 8, 2014. 2 Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548-56. Chapter: Tipsheet Guidelines for Diagnosing and Managing Pediatric Concussion 3 Tipsheet / List of Tools Tipsheet for Health Care Professionals In Advance (before the first activity) Number Evidence 0.4 Consider baseline neuro-cognitive testing (...) for Diagnosing and Managing Pediatric Concussion 5 Tipsheet / List of Tools 5.4c(i) Assess for persistent cognitive difficulties. B 5.4c(ii) Manage any cognitive impairments. B 5.4d(i) Assess for balance and vestibular impairments. B 5.4d(ii) Assess for benign positional vertigo. B 5.4d(iii) Refer for further assessment and treatment if balance and/or vestibular system are dysfunctional. B 5.4e(i) Assess ongoing vision dysfunctions. B 5.4e(ii) Refer children/adolescents who have changes in functional vision

2019 CPG Infobase

189. Optimisation of RIZIV – INAMI lump sums for incontinence

evaluation and management 40 2.4.6 Care pathway for the management of urine incontinence in men 41 2.4.7 Care pathway for the management of urine incontinence in women 45 2.5 MANAGEMENT OF URINARY INCONTINENCE IN THE FRAIL ELDERLY AND THE COGNITIVELY IMPAIRED 49 2.5.1 Conservative options 49 2.5.2 Pharmacological treatment 50 2.5.3 Surgical treatment in the frail older person 52 2.6 MANAGEMENT OF URINARY INCONTINENCE IN CHILDREN 56 2.6.1 Initial assessment 56 2.6.2 Initial management 57 2.6.3 Specialised (...) and severe dementia are individual risk factors for UI. Overflow of urine commonly presents when the bladder is continuously full, with or without weakening of the bladder muscles, and when there is no urge to urinate or bladder contractions. Predisposition factors for UI in men are less well documented in the literature and include presence of lower urinary tract symptoms (LUTS), urinary tract infections, functional and cognitive impairment, diabetes, neurological disorders, and surgery e.g

2020 Belgian Health Care Knowledge Centre

190. A palliative approach to care in the last 12 months of life

the recommendations. As there are numerous accessible palliative care and end-of-life care resources this section includes a sample published within the last five to six years and that aligns with the recommendations (with the exception of unique or seminal publications). Content listed in this section was not part of the systematic review and was not quality appraised. As such, the list is not exhaustive, and the inclusion of a resource in one of these lists does not imply an endorsement from RNAO. Note

2020 Registered Nurses' Association of Ontario

191. Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed?methods systematic review

included in the review, representing 19 titles in total. One of the studies was an unpublished report (available online), while the remaining six were reported in both unpublished reports and published peer‐reviewed journal articles. All studies were English language and the majority were based in the United States ( n = 5). One study was a ‘quasi‐experimental controlled longitudinal survey’, three were ‘randomized, controlled cross‐sectional surveys’ and three were ‘randomized controlled before (...) as an umbrella term for impairments, activity limitations, and participation restrictions. According to the WHO, disability is the interaction between individuals with a health condition (e.g., cerebral palsy, Down syndrome, and depression) and personal and environmental factors (e.g., negative attitudes, inaccessible transportation and public buildings, and limited social supports; WHO, ). The WHO ( ) recognizes that disability is extremely diverse, but that generally, rates of disability are increasing due

2019 Campbell Collaboration

192. What works to improve early grade literacy in Latin America and the Caribbean? A systematic review and meta?analysis Full Text available with Trip Pro

that had an emphasis on EGL outcomes but did not emphasize a specific intervention, 14 qualitative studies without a focus on a specific intervention, and six qualitative studies that focused on a specific intervention. Most of the studies included in our review of evidence were published journal articles and came from either Mexico or South America; significantly fewer articles were from Central America and the Caribbean. Almost all articles were published in English or Spanish. More than 90 (...) in the lowest level of the reading test, and <5% of the third graders performed so well that they were categorized as achieving the highest levels of reading. Figure depicts these challenges by demonstrating that there are still a significant number of third graders scoring at the lowest levels of reading. In fact, more than 60% of third‐grade students have only achieved basic reading skills (Levels 1 and 2). Figure 2 Percentage of third graders scoring at level 1 or below on reading, 2013. (1) Lowest

2019 Campbell Collaboration

193. The impact of care farms on quality of life, depression and anxiety among different population groups: A systematic review Full Text available with Trip Pro

of study methodologies, including qualitative studies 5 METHODS 5.1 General approach We conducted a mixed methods synthesis using a sequential explanatory approach (Pluye & Hong, ) that involved the development of an intervention framework based on existing theories. These theories propose how care farming might work, and our review used qualitative and quantitative evidence to test the processes and outcomes suggested by these theories. This approach is valuable in identifying possible mechanisms (...) we do not include in the analysis any secondary outcomes that had been developed in‐house or failed to be defined. The secondary outcomes included were: Mental health outcomes: self‐efficacy, self‐esteem, stress, coping, mood, mental status, mental functioning, positive affect, rehabilitation and cognitive functioning, empowerment Social outcomes: social functioning/interaction, group cohesion, recidivism, employment, school exclusion Physical outcomes: functional performance, physical activity

2019 Campbell Collaboration

194. The promotion of well?being among children exposed to intimate partner violence: A systematic review of interventions Full Text available with Trip Pro

and the SD of the mean change in each group; (d) group means and paired t statistics for each group; (e) group means and between‐group t statistic; and (f) between‐group t statistic only. Examples of intervention effects that were reported on a continuous scale include internalizing and externalizing distress (e.g., behavioral checklist raw scores), total problems (e.g., behavioral checklists raw scores), and cognitive functioning (e.g., intelligence test total score). Examples of dichotomous outcomes (...) health problem. An estimated 8–15 million children in the United States (Hamby, Finkelhor, Turner, & Ormrod, ; McDonald, Jouriles, Ramisetty‐Mikler, Caetano, & Green, ) and 275 million children worldwide are exposed to IPV each year (Pinheiro, ). The consequences of exposure can be severe and long‐lasting. Research has linked IPV exposure in childhood to impaired neurological, physiological, and psychosocial functioning that contribute to a wide‐range of health consequences. Indeed, IPV exposure has

2019 Campbell Collaboration

195. Iron Deficiency – Diagnosis and Management

ages: tiredness, restless legs, inattention, poor school performance, irritability/depression, growth retardation, unexplained cognitive and intellectual impairment, breath-holding spells, developmental delay, pica/pagophagia Infants: poor feeding, lethargy, failure to thrive, cardiomegaly, tachypnea Adolescents: presyncope, syncope, headache, irritability, fatigue, exercise intolerance, restless legs Diagnosis Serum ferritin is the diagnostic test of choice for iron deficiency. The ferritin cut (...) intolerance Headaches Restless leg syndrome Irritability/depression Angular cheilitis Pica/pagophagia (ice craving) Decreased aerobic work performance Hair loss Adverse pregnancy outcome Impaired immune function * Iron therapy may improve restless legs syndrome severity and restlessness. Iron supplementation is recommended if serum ferritin is ≤ 75 ug/L. , Testing Initial investigational tests The recommended initial tests for iron deficiency and for IDA, in otherwise well patients, should usually

2019 Clinical Practice Guidelines and Protocols in British Columbia

196. Evidence Map - Art Therapy

/dementia, 47-53 of which 1 was an RCT. 53 In addition, there were 3 impact evaluations related to Alzheimer’s/dementia that combined art therapy with music, horticulture activity, memory training, and cognitive stimulation activities. 54 with music, 55 and with choral singing 56 of which 1 was an RCT. 56 There were 2 systematic reviews related to Alzheimer’s/dementia that included a mixture of art therapy and other treatment modality. Both were rated low confidence. 57,58 Schizophrenia/Psychosis (...) trial. Art Therapy. 2007;24(2):71-75. 44. Rawtaer I, Mahendran R, Yu J, Fam J, Feng L, Kua EH. Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists. 2015;7(1758-5872 (Electronic)):240-250. 45. Im ML, Lee JI. Effects of art and music therapy on depression and cognitive function of the elderly. Technology

2019 Veterans Affairs Evidence-based Synthesis Program Reports

197. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder

(ROB) for all studies in the PTSD-Repository. We undertook an exploratory assessment of an expanded ROB system developed with guidance from a Technical Expert Panel and NCPTSD, which was pilot tested on a small subset of studies. Results. We identified 47 new RCTs of interventions for PTSD and 21 RCTs for comorbid PTSD/SUD, resulting in 389 included studies published from 1988 to 2020. Psychotherapy interventions were the most common (63%), followed by pharmacologic interventions (25%). Most (...) studies were conducted in the United States (62%) and had sample sizes ranging from 25 to 99 participants (60%). Approximately half of studies enrolled community participants (55%), and most were conducted in the outpatient setting (72%). Studies typically enrolled participants with a mix of trauma types (53%). Most RCTs (60%) were rated as having a medium ROB, and only 6 percent were rated as having a low ROB. Our pilot testing of an expanded ROB assessment tool emphasized more detailed assessment

2020 Effective Health Care Program (AHRQ)

198. Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Anxiety Disorders

Anxiety Disorder7 (GAD-7), teen/adult version https://www.phqscreeners.com 80 In addition,the APA offers the?eld-tested 1 parent- and self-rated Level 2 Cross-Cutting Symptom Measures for Anxiety that explore anxiety endorsed on the Level 1 Measure (“mild” or greater on any anxiety item) in greater depth, and the self-rated Disorder-Speci?c Severity Mea- sures for clinically diagnosed separation anxiety, speci?c phobia, social anxiety, agoraphobia, and generalized anxiety disorders to track response (...) with the cognitive/linguistic/cultural level of the parents/guardians and patient, prioritized according to the acuity, severity, distress, and impairment associated with each diagnosed disorder. Reviewing the patient and parent/ guardian preferences regarding the treatment options pre- sented can increase the likelihood of engagement and adherence to the plan. Level of care decisions are informed bydiagnosis,the current severity of symptoms, the presence ofcomorbidmedicalorpsychiatricdisorders,theassessment

2020 American Academy of Child and Adolescent Psychiatry

199. Prevention, Diagnosis, and Management of Opioids, Opioid Misuse, and Opioid Use Disorder in Older Adults

2016 (PMID 26707940), Alam 2012 (PMID 22412106), Curtis 2017 (PMID 28635179), Loeb 2020 (PMID 31584849), Nelson 2020 (PMID 31445908). † Administrative claims database determination that prescriptions were for =3 days, =50 mean morphine equivalents/day, and not a long-acting opioid. ‡ In reported subgroup analysis. § Nonspecific tapering plan, based off of chart review. 32 Factors Associated With Opioid-Related Disorders (Octagon R2) Six studies evaluated factors associated with opioid-related (...) disorders (Tables 7 to 9). Two additional studies looked at predictors that older adults would receive opioid prescriptions from multiple opioid prescribers (Table 10). Although having multiple prescribers does not by itself indicate a disorder, it does indicate potential lack of coordination and therefore increased risk of harm to the patient. Factors Associated With Opioid-Related Disorders Evidence Base Six studies reported multivariable models of factors associated with opioid-related disorders

2020 Effective Health Care Program (AHRQ)

200. Intensive Care NSW Additional Resources - Care of Adult Patients in Acute Care Facilities with a Tracheostomy

about a patient and their situation. Introduction – Situation – Background – Assessment - Recommendation 1 LOS Length of stay MDT Multidisciplinary team: group of specialised clinicians that work together to care for a patient with a tracheostomy. Do not necessarily need to be part of a TRT MEBDT Modified Evan?s Blue Dye Test Primary Care Team Refers to the medical team responsible for management of a patient?s primary condition. In ICU this would be the intensive care team RN Registered nurse TRT (...) series without a parallel control group IV Case series with either post-test or pre-test/post-test outcomes GPG Guidelines from international organisation Introduction Care of Adult Patients in Acute Care Facilities with Tracheostomy – Clinical Practice Guideline PAGE 3 Table 2 Body of evidence matrix Component A B C D Excellent Good Satisfactory Poor Evidence base one or more level I studies with low risk of bias or several level II studies with a low risk of bias one or two level II studies

2020 Agency for Clinical Innovation

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