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Six Item Cognitive Impairment Test

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1301. Assessing the challenges of applying standard methods of economic evaluation to public health programmes

Classifications 55 Table 8: Country Evaluation relates to 55 Table 9: Study Perspective 64 Table 10: Costs Falling on Different Sectors 65 Table 11: Measurement of Consequences in Economic Evaluation 90 Table 12: Decision Rules associated with Difference Types of Economic Evaluation (based on Claxton et al, 2006) 93 Table 13: A Simple Compensation Test (copied from Claxton et al, 2006) 94 Table 14: Summary of Advantages and Disadvantages associated with Different Types of Economic Evaluation 99 Table 15: Six (...) underlying the various forms of economic evaluation, and their appropriateness for assessing public health interventions. In all cases a cost-consequences analysis should be performed, prior to proceeding to the valuation of the various outcomes of public health interventions. Research should be conducted into the practicalities of applying the intersectoral compensation test approach. Research should also continue both into the development of a more generic measure of wellbeing, that could be applied

2006 Public Health Research Consortium

1302. Treatment and recommendations for homeless people with with Otitis Media

in an overnight shelter and were seen in the day shelter for women and children. The child goes to a local clinic and has lived his whole life in the same city. Medical history: The patient’s last well-child check-up was six months ago, when he was diagnosed with asthma, speech delay, and chronic otitis media with effusion (OEM). A hearing test was not ordered at that time. His immunizations are up to date, according to his mother. Prescribed medications: Albuterol in a nebulizer and Albuterol syrup (...) Carolina. ADAPTING YOUR PRACTICE: Treatment & Recommendations for Homeless Children with Otitis Media Health Care for the Homeless Clinicians’ Network v Table of Contents Summary of Recommended Practice Adaptations vi Introduction 1 Case Study: Homeless Child with Otitis Media with Effusion 3 DIAGNOSIS AND EVALUATION History 4 Physical examination 7 Diagnostic tests 8 Case Study: Homeless Child with Acute Otitis Media 9 PLAN AND MANAGEMENT Education, self-management 10 Medications 12 Associated

2008 National Health Care for the Homeless Council

1303. Clinical Guideline on the Treatment of Carpal Tunnel Syndrome

Recommendation 4d Heat therapy is not among the options that should be used to treat patients with carpal tunnel syndrome. (Grade C, Level II) Recommendation 4e The following treatments carry no recommendation for or against their use: activity modifications, acupuncture, cognitive behavioral therapy, cold laser, diuretics, exercise, electric stimulation, fitness, graston instrument, iontophoresis, laser, stretching, massage therapy, magnet therapy, manipulation, medications (including anticonvulsants (...) DIAGNOSIS AND TREATMENT Diagnosis of carpal tunnel syndrome is made on the basis of signs, symptoms, and electro-diagnostic tests, as put forth by the AAOS clinical practice guideline on Diagnosis of Carpal Tunnel Syndrome. 8 Appropriate diagnosis is a critical factor to providing treatment. Treatment for CTS is based on the assumption that final decisions are predicated on patient and physician mutual communication, discussion of available treatment alternatives and procedures applicable

2008 Congress of Neurological Surgeons

1304. Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007

that “the sleep-wake schedule must have been standardized for at least seven days before the polysomnographic testing (and documented by sleep log or actigraphy)” in order to properly in- terpret an MSLT. However, some individuals, such as those with impaired cognition, literacy, or motivation may be unable to keep accurate sleep logs, and both over- and underreporting of total sleep time and pattern have been of concern. Therefore, the com- mittee used the Rand/UCLA Appropriateness Method (described above (...) (in terms of sleep patterns and circadian rhythms) among older nursing home residents is based on 13 additional treatment outcome studies, including two Level 2 17,58 and three Level 3 studies. 59-61 Furthermore, there were six Level 4 62-67 and two Level 5b 68,69 studies evaluating treatment outcomes in dementia or nurs- ing home populations. One Level 2 study 58 tested the effects of withdrawal of antipsychotic medication on sleep/wake activity and on behavioral and psychological symptoms in nursing

2007 American Academy of Sleep Medicine

1305. Stroke Assessment Across the Continuum of Care

of dehydration and malnutrition. In situations where impairments are identified, clients should be referred to a trained healthcare professional for further assessment and management. Cognition/ 8.0 Nurses in all practice settings should screen clients for alterations in cognitive, IV Perception/ perceptual and language function that may impair safety, using validated tools Language (such as the Modified Mini-Mental Status Examination and the Line Bisection Test). This screening should be completed (...) of pharyngeal sensation; ¦ Administration of a 50 ml water test; and ¦ Assessment of voice quality. In situations where impairments are identified, clients should be referred to a trained healthcare professional for further assessment and management. Nutrition 7.0 Nurses in all practice settings should complete a nutrition and hydration screen IV within 48 hours of admission, after a positive dysphagia screen and with changes in neurological or medical status, in order to prevent the complications

2005 Registered Nurses' Association of Ontario

1306. Woman Abuse: Screening, Identification and Initial Response

and passion for excellence in nursing care, is providing the knowledge and countless hours essential to the creation and evaluation of each guideline. Employers have responded enthusiastically to the request for proposals (RFP), and are opening their organizations to pilot test the NBPGs. Now comes the true test in this phenomenal journey: Will nurses utilize the guidelines in their day-to-day practice? Successful uptake of these NBPGs requires a concerted effort of four groups: nurses themselves, other

2005 Registered Nurses' Association of Ontario

1307. Prevention of Constipation in the Older Adult Population

to defecate. For persons with cognitive impairment, information regarding the client’s behavioural manifestations of the need to have a bowel movement should be obtained from the client’s primary care provider. Recommendation 2.0 Obtain information regarding: ¦ Usual amount and type of daily fluid intake with particular attention to the amount of caffeine and alcohol. ¦ Usual dietary fibre and amount of food ingested. ¦ Any relevant medical or surgical history which may be related to constipation (...) and evaluating the NBPG and working towards an evidence-based practice culture. Now comes the true test in this phenomenal journey: will nurses utilize the guidelines in their day-to-day practice? Successful uptake of these NBPG requires a concerted effort of four groups: nurses themselves, other healthcare colleagues, nurse educators in academic and practice settings, and employers. After lodging these guidelines into their minds and hearts, knowledgeable and skillful nurses and nursing students need

2005 Registered Nurses' Association of Ontario

1308. Nursing Management of Hypertension

Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Heather DeWagner, RN, BScN Nurse Clinician – Stroke Strategy Chatham-Kent Health Alliance Stroke Secondary Prevention Clinic Chatham, Ontario Elaine Edwards, RN, BScN Clinical Stroke Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario BettyAnn Flogen, RN, BScN, MEd, ACNP Clinical Nurse Specialist Brain Health Centre Interim Nurse Clinician – Stroke and Cognition Clinic Baycrest Centre for Geriatric

2005 Registered Nurses' Association of Ontario

1309. Assessment and Management of Venous Leg Ulcers

commitment and passion for excellence in nursing care, is providing the knowledge and countless hours essential to the creation and evaluation of each guideline. Employers have responded enthusiastically to the request for proposals (RFP), and are opening their organizations to pilot test the NBPGs. Now comes the true test in this phenomenal journey: Will nurses utilize the guidelines in their day-to-day practice? Successful uptake of these NBPGs requires a concerted effort of four groups: nurses (...) West, Suite 1100 Toronto, Ontario M5H 2G4 Registered Nurses Association of Ontario Head Office 438 University Avenue, Suite 1600 Toronto, Ontario M5G 2K8 RNAO also wishes to acknowledge the following organizations for their role in pilot testing this guideline: Pilot Project Sites Saint Elizabeth Health Care Toronto, Ontario St. Peter’s Hospital Hamilton, Ontario 6 Assessment and Management of Venous Leg UlcersDisclaimer These best practice guidelines are related only to nursing practice

2004 Registered Nurses' Association of Ontario

1310. A controlled comparison study to evaluate different management strategies for workplace trauma

A controlled comparison study to evaluate different management strategies for workplace trauma EARLY INTERVENTION FOLLOWING TRAUMA: A CONTROLLED LONGITUDINAL STUDY AT ROYAL MAIL GROUP Other titles from IES: Workplace trauma and its management: a review of the literature Rick J, Perryman S, Young K, Guppy A, Hillage J HSE Contract Research Report 170/98, 1998. ISBN 0 7176 1552 9 Cognitive Factors’ Influence on the Expression and Reporting of Work-Related Stress Daniels K, Jones D, Perryman S (...) with perceived organisational support, with those who felt supported immediately post trauma also having lower absence 12 months later. The patterns of symptoms and absence in relation to the level of perceived support hinted at much more complex relationships within the data. Various models were tested to explore these relationships. A complex model, based on RMG procedures, was tested using the structural equation modelling (SEM) statistical package LISREL. As predicted, higher levels of perceived

2006 British Occupational Health Research Foundation

1311. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

measurement. This should be done with a tool appropriate for the patient’s cognitive development, language, culture, and preferences; the same tool should be used in subsequent assessments to allow for reliable evaluation of change. Pain measurement tools include numeric scales, visual analogue scales, and verbal rating scales. In addition to pain measurement, the assessment should describe the pain in terms of location, temporal characteristics (onset, duration, course, and fluctuation), quality (...) to the agreement. A treatment plan should be developed addressing the presenting problem, and documented in patient notes. The plan should consider different treatment modalities depending on the physical and psychosocial impairment relating to the pain, e.g. formal rehabilitation program, use of behavioural strategies, non-invasive techniques, and use of medicines. Documentation should support the evaluation, reason for opioid prescribing, the overall pain management treatment plan, any consultations received

2008 Clinical Practice Guidelines Portal

1312. Workplace interventions for people with common mental health problems

• For people already experiencing common mental health problems at work, there was strong evidence from four studies demonstrating that, the most effective approach is brief (up to 8 weeks) of individual therapy, especially cognitive behavioural in nature (CBT). • The intervention seems to be effective whether delivered face-to-face or via computer-aided software, the latter finding being based on one study. The computer-aided software approach would ideally benefit from a corroborative study (...) health service users reject the term disabled when applied to them because of its association in the public mind with stigma and dependency linked to impairment. Others argue that the social model of disability which focuses on the barriers erected by society rather than individual pathology is helpful in that it reflects many of their experiences of discrimination and exclusion. (Sayce 2000 & 2003) One clear distinction between severe mental health problems as defined in the National Service

2005 British Occupational Health Research Foundation

1313. Resistance exercises or vitamin D did not improve physical health or reduce falls in frail older people Full Text available with Trip Pro

, prolonged bed rest, impaired mobility, or a recent fall]), and had no indication or contraindication for the study treatments. Exclusion criteria included poor prognosis, severe cognitive impairment, physical limitations restricting adherence to the exercise programme, unstable cardiac status, and large ulcers around the ankles. Follow up was 91%. Intervention Patients were allocated to resistance exercise (n=120) or attention control (n=123) and to vitamin D (six 1.25 mg tablets of calciferol) (n=121 (...) ]) using the physical component score of the Medical Outcomes Study 36 item short form questionnaire at 3 months, and falls over 6 months. 25-hydroxyvitamin-D (25-OH-D) concentrations were measured by radioimmunoassay. Adverse events were assessed. Main results Analysis was by intention to treat. Resistance exercises did not improve HRQoL or reduce the incidence of falls more than attention control (table ). In only 1 measurement (timed up and go) did the groups differ, and the difference favoured

2004 Evidence-Based Nursing

1314. Home based management in multiple sclerosis: results of a randomised controlled trial

was quality of life, estimated using the 36-item short form health survey questionnaire (SF-36). The secondary health outcomes were; assessment of neurological impairment and cognitive abilities, evaluated using the EDSS and the mini-mental state examination (MMSE); disability and fatigue, through the functional independence measure (FIM) and fatigue severity scale (FSS); and mood status, using the state trait anger expression inventory (STAXI), the state trait anxiety inventory (STAI), and the clinical (...) (traditional hospital care). Of the 96 patients who refused to participate, 62 patients were not sure that home management would be appropriate for their situation and 34 patients declined the invitation as they had only been referred to the multiple sclerosis centre for a second opinion, and were being regularly followed by their own neurologists. Study design This was a randomised controlled trial, carried out in several institutions in Rome, Italy. Patients were randomised (in blocks of six) to the two

2002 NHS Economic Evaluation Database.

1315. Effectiveness of team-managed home-based primary care: a randomized multicenter trial

functional status, assessed using the Barthel Index; patient and caregivers HR-QoL (using the Medical Outcomes Study, Short-Form, 36-item, MOS SF-36) subscales, which were then aggregated in the Mental Component Scale and Physical Component Scale; patient and caregiver satisfaction, using the selected Ware Satisfaction with Care scales; caregiver burden, estimated using the Montgomery scale; the presence of cognitive impairment, using the Mental Status Questionnaire; and the risk of readmissions, using (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology A Veteran Affairs (VA) Team-Managed Home-Based Primary Care (TM/HBPC) programme was examined. The programme involved a multidisciplinary team comprising patients who had two or more activities of daily living impairments or a terminal illness, congestive heart failure or chronic obstructive pulmonary disease. There were six

2000 NHS Economic Evaluation Database.

1316. Clinical practice guidelines for the management of advanced breast cancer

tomography; also referred to as CT CMF cyclophosphamide, methotrexate and 5-fluorouracil CMF(P) cyclophosphamide, methotrexate, 5-fluorouracil and prednisone CNS central nervous system CSF colony stimulating factor CT computerised tomography DCIS ductal carcinoma in situ ER oestrogen receptor FBC full blood count FNAB fine needle aspiration biopsy GP general practitioner HRT hormone replacement therapy LASA linear analogue self-assessment LFT liver function test LHRH luteinising hormone releasing hormone (...) for the management of advanced breast cancer 10. There is indirect evidence that women who III 130–132 3.5 participate in clinical trials have better outcomes than similar women given similar treatment outside trials. It is appropriate for clinicians to discuss participation in clinical trials with women. 11. For women who have been treated for early II 103 3.2 breast cancer and who continue to feel well, regular scans and tests do not improve the length or quality of life. 12. The routine use of tumour markers

2000 Cancer Australia

1317. Clinical practice guidelines for the management of early breast cancer

. The guidelines were based on a review of the available evidence about the management of breast cancer and were developed by a multidisciplinary team. In the six years since their launch, the guidelines were very well received by clinicians and were viewed by women as an important resource in understanding their treatment choices. Commencing in December 1998, the iSource National Breast Cancer Centre undertook a revision of these guidelines. Ongoing review is vital if the guidelines are to remain a good (...) cent of all breast cancer. 56 These mutations can be transmitted through either the maternal or paternal lines. It is now technically possible to determine whether a person has inherited some BRCA1 or BRCA2 mutations. With current technology, it is not possible to detect every mutation and only a few Australian laboratories can conduct this specialised testing. Genetic testing raises complex medical and ethical issues, and should only be offered with pre- and post-test counselling in conjunction

2001 Cancer Australia

1318. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

/Hispanic/Latinx, Asian/Asian American/Pacific Islander, Black/African American/Black American, and White/White American (Trimble & Dickson, 2005). Psychologists strive to understand the need to become acquainted with aspects of identity, as well as which aspects of identity are especially relevant to the presenting problem or issue. Identity is a construct that has been central to theories of psychological development. Identity reflects both individual and collective features of emotional and cognitive

2002 American Psychological Association

1319. Enhancing Healthy Adolescent Development

toward changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. The World Health Organization (1998) noted that participation is essential to sustain health promotion action, and identified six key strategies for health promotion: 1) building healthy public policy; 2) creating supportive environments; 3) strengthening community action; 4) developing personal skills; 5) reorienting health services; and 6) moving into the future. Enhancing (...) Development Adolescence is a time in one’s life when significant biological, cognitive, emotional, social and ethical development occurs. Mastery of a series of interdependent developmental tasks is central to the concept of adolescence as a transition from childhood to adulthood. Developmental Tasks of Adolescence (Lerner & Galambos, 1998) 1. Achieving increased independence 2. Adjusting to sexual maturation 3. Establishing cooperative relationships with peers 4. Preparing for meaningful vocation 5

2002 Registered Nurses' Association of Ontario

1320. Risk Assessment and Prevention of Pressure Ulcers

and working towards an evidence-based practice culture. Now comes the true test in this phenomenal journey: will nurses utilize the guidelines in their day-to-day practice? Successful uptake of these NBPG requires a concerted effort of four groups: nurses themselves, other healthcare colleagues, nurse educators in academic and practice settings, and employers. After lodging these guidelines into their minds and hearts, knowledgeable and skillful nurses and nursing students need healthy and supportive work (...) of Canada, London, Ontario Dr. Marisa Zorzitto Regional Geriatric Service, West Park Healthcare Centre, Toronto, Ontario RNAO also wishes to acknowledge the following organizations in Ottawa, Ontario, for their role in pilot testing the original guideline: SCO Health Services The Rehabilitation Centre of the Royal Ottawa Health Care Group St Patrick’s Nursing Home Perley Rideau Centre of the Royal Ottawa Health Care Group Hôpital Montfort Saint Elizabeth Health Care VHA Home Healthcare RNAO sincerely

2002 Registered Nurses' Association of Ontario

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