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21. Guidelines for Child Custody Evaluations in Family Law Proceedings

to professional development. Although psychologists take care to acquire suf?cient knowledge, skill, experience, training, and education prior to conducting a child custody evaluation, this acquisition is never complete. An evolving and up-to-date understanding of child and family development, child and family psycho- pathology, the impact of relationship dissolution on chil- dren, and the specialized child custody literature is critical to sustaining competent practice in this area. Psychologists also strive (...) of their own biases, and those of others, regarding age, gen- der, gender identity, race, ethnicity, national origin, reli- gion, sexual orientation, disability, language, culture, and socioeconomic status. Biases and an attendant lack of cul- turally competent insight are likely to interfere with data collectionandinterpretationandthuswiththedevelopment of valid opinions and recommendations. Application. Psychologists strive to recognize their own biases and, if these cannot be overcome, will presumably

2010 American Psychological Association

22. Record Keeping Guidelines

(Ethics Code, Standard 4.04). Addi- tionally, consistent with the Ethics Code (Principle A), psychologists are sensitive to the potential impact of the language used in the record (e.g., derogatory terms, pathologizing language) on the client. Considerations Regarding the Level of Detail of the Record A psychologist makes choices about the level of detail in which the case is documented. Psychologists balance client care with legal and ethical requirements and risks. Infor- mation written in vague (...) in making such decisions. Guidelines and Use of Language Psychological practice entails applications in a wide range of settings for a variety of potential clients. This docu- ment was written to provide broad guidance to providers of services (e.g., assessment, diagnosis, prevention, treatment, psychotherapy, consultation). Extension of the guidelines to some areas of practice (e.g., industrial/ organizational, consulting psychology) may likely call for modi?cations, although some of the same general

2007 American Psychological Association

23. Roles descriptives for inflammatory bowel disease nurse specialists

and treatments The following descriptors apply to nurses who have a responsibility for ensuring the safe administration of immunosuppression therapy such as azathioprine, mercaptopurine and methotrexate: knowledge and understanding of the pharmacology of the drugs involved in immunosuppression therapy for IBD ? knowledge and understanding of the side effects of immunosuppression therapy and their management ability to provide written and verbal explanations of the role of immunosuppression therapy to IBD (...) for ensuring the safe administration of anti-TNF therapy to IBD patients: knowledge and understanding of the pharmacology of anti-TNF therapy knowledge and understanding of the side effects of anti-TNF therapy ability to provide written and verbal explanations of the role of anti-TNF therapy to encourage informed consent obtain written consent from patients receiving anti-TNF provide counselling to patients prior to receiving anti-TNF therapy develop protocols/guidelines/care pathways to ensure

2016 Association of Coloproctology of Great Britain and Ireland

24. Clinical practice guidelines and principles of care for people with dementia

Society for Geriatric Medicine ? The Royal Australian and New Zealand College of Psychiatrists ? Australian College of Rural and Remote Medicine ? Occupational Therapy Australia ? Exercise & Sports Science Australia ? Speech Pathology Australia iv Plain English summary Dementia is a clinical syndrome which can be caused by a number of underlying diseases (including Alzheimer’s disease). Dementia can affect memory, thinking, behaviour, communication and ability to perform activities of daily living.[1 (...) changing over time. 3 PP Health and aged care professionals should use language that is consistent with the Dementia Language Guidelines and the “Talk to me” good communication guide for talking to people with dementia. ETHICAL AND LEGAL ISSUES 4 PP Valid informed consent should always be sought from the person with dementia for decisions regarding financial affairs, health care and living arrangements. If the person lacks the capacity to make a decision, the relevant state and territory laws

2016 Clinical Practice Guidelines Portal

25. Use of multiple micronutrient powders for point-of-use fortification of foods consumed by pregnant women

during pregnancy, with: (i) no intervention or placebo; (ii) iron and folic acid supplements; (iii) iron-only supplements; (iv) folic acid-only supplements; and (v) the same multiple micronutrient supplements. The population of interest was pregnant women (any trimester and parity); HIV-positive women or pregnant women with any other pathology were excluded. The maternal outcomes were: (i) maternal anaemia at term or near term, (haemoglobin concentration less than 110 g/L at 34 weeks’ gestation (...) network of international partners, including WHO country and regional offices, ministries of health, WHO collaborating centres, universities, other United Nations agencies and nongovernmental organizations. It will also be published in the WHO Reproductive Health Library (41). Particular attention will be given to improving access to these guidelines for stakeholders that may face barriers in accessing information (e.g. distance barriers, language barriers, lack of up-to-date training), or to those

2016 World Health Organisation Guidelines

26. Sentinel node biopsy in primary cutaneous melanoma

and contraindications for sentinel node biopsy (SLNB)? • How is the sentinel node examined pathologically? • If the sentinel node is positive, what are the indications for a therapeutic node dissection and to what extent? • What is the role of ultrasound-guided fine-needle aspiration in identifying positive lymph nodes? • Should ultrasound be utilized before every SLNB? • Is there a role for routine use of ultrasound for follow-up? DEVELOPMENT AND REVISION HISTORY This guideline was reviewed and endorsed (...) ” or “melanoma lymph Page 2 of 13 CLINICAL PRACTICE GUIDELINE CU-011 version 5 node metastasis” with limits of Human and English language. A total of 25 clinical trials were identified by the search. In addition, the National Guidelines Clearinghouse and individual guideline organizations were searched for practice guidelines relevant to this topic. A total of eight original clinical practice guidelines were identified from the following organizations: the Australian Cancer Network, the National

2016 CPG Infobase

27. Vestibular Assessment ? Eye movement Recordings

a meaningful analysis of eye movement recordings it is essential that a thorough clinical examination is carried out prior to recording. In order to avoid missing central (commonly cerebellar) pathology, it is recommended that vertical eye movements as well as horizontal are recorded. The aim of this document is provide information on how to carry out, rather than interpret, eye movement assessments. The reader is directed towards the recommended textbooks, which are a good source of material and include (...) ) although this is not a truly effective way of removing visual fixation. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 © BSA 2016 Page10 4.3.2. Problem with making recordings with eyes closed Although not recommended, some tests can be carried out with eyes closed (e.g. search for spontaneous or gaze-evoked nystagmus without visual fixation, rotational and caloric tests) but one should be aware of artefacts, such as non-pathological up-beating spontaneous nystagmus (SN

2016 British Society of Audiology

28. Safe vascular access

. ? There should be regular training updates for skill retention, especially for procedures seldom per- formed (e.g. IO). Consent and medicolegal aspects Consent should follow local and national guidelines [54]. Written consent is usual for a standalone proce- dure or if particular risks are evident. The proposed side and route of access should be explained, as well as the potential need to move to other sites. In practice, much will be verbal as part of a wider discussion of provision of anaesthesia (...) of punc- ture site; recognition of local pathology; avoidance of the use of seeker needles, needle guidance; veri?cation of guidewire/catheters in a vessel; information on cen- tral tip position and recognition of complications. Two recent Cochrane analyses [55, 56] concluded a bene?t for using ultrasound for CVCs by the internal jugular vein, but not femoral or axillary/subclavian routes. The Working Party believe the latter is likely to relate to a lack of adequate studies, rather than an inherent

2016 Association of Anaesthetists of GB and Ireland

30. Glomerular filtration rate measurement: Iohexol(TM) method

is usually run as a weekly or bi-weekly batch of samples. GFR is calculated using formula programmed in to Excel spreadsheet. Report results are made available via pathology computer system. Glomerular filtration rate measurement Preparation of child and family Explain the entire procedure to the child and family, including the reason for the GFR, avoiding medical jargon and language. Information must be given according to the child’s age and developmental understanding ( ). Refer also to our Glomerular (...) /carer(s) to take an active role ( ). There is evidence that tolerance to pain increases with age and maturity when the child no longer perceives medical interventions as punitive ( )( ). For communication to be effective, the non-verbal aspects of the practitioner-parent-child relationship must be understood ( ). If a CVAD is not being used, a topical anaesthetic should be offered and/or applied to two potential vein sites on separate limbs , prior to commencing the test ( ). Alternatively the child

2014 Publication 1593

31. When a child dies

this is the responsibility of the coroner’s officer. If a post mortem is requested by the doctors or the child's family, written consent MUST be given. This should be sent to the mortuary with the Childs notes as soon possible to enable the team to plan and carry out the examination ( ). VERBAL CONSENT IS UNACCEPTABLE. If a hospital consented post mortem is requested by either the medical team or parents, the appropriate medical staff should explain the procedure and a trained post mortem consent taker is responsible (...) . If the parents do not wish to take the mementos at this time, staff may offer to retain the items in the child's notes until a later time ( ). If the child has died from a known or suspected infectious disease the mortuary APT (Anatomical Pathology Technician) and/or collecting funeral director must be informed ( ). Please see if required. The child should be placed in a body bag once they are in the mortuary; body bags are kept in the Mortuary. Highlight that there is an infection on the mortuary admission

2014 Publication 1593

32. Evidence from Primary Studies and Systematic Reviews and Recommendations from Clinical Practice Guidelines July to December 2018

fully published, English-language reports of studies that met the following criteria: 1. Studied the use of 18-fluorodeoxyglucose (FDG) PET in cancer, sarcoidosis, or epilepsy in humans. 2. Evaluated the use of the following radiopharmaceutical tracers: ? 68 Ga-DOTA-NOC, 68 Ga-DOTATOC, 68 Ga DOTATATE ? 18 F-choline, 11 C-choline (prostate cancer) ? 18 F-FET ([ 18 F]fluoroethyl-L-tyrosine) (brain) ? 18 F-FLT ([ 18 F]3-deoxy- 3 F-fluorothymidine) (various) ? 18 F-MISO ([ 18 F]fluoromisonidazole (...) with an alternative diagnostic modality. 5. Used a suitable reference standard (pathological and clinical follow-up) when appropriate. 6. Included =12 patients for a prospective study/randomized controlled trial (RCT) or =50 patients (=25 patients for sarcoma) for a retrospective study with the disease of interest. Inclusion Criteria for Systematic Reviews 1. Reviewed the use of FDG PET/computed tomography (CT) in cancer, sarcoidosis, or epilepsy. 2. Contained evidence related to diagnostic accuracy; change

2019 Cancer Care Ontario

33. Quantitative Image Analysis of HER2 IHC for Breast Cancer

focused on surgical pathology samples from the breast, addressed HER2 testing using IHC, and were comparative studies or guidelines, protocols, or standards. Studies were excluded if they were animal studies, meeting abstracts, noncomparative studies, or published in a non-English language. Quality Assessment An assessment of study quality was performed for all fully published studies meeting inclusion criteria by the research methodologist. Studies available only in abstract form did not undergo (...) (IHC) for breast cancer where QIA is used. Design.—The College of American Pathologists (CAP) convened a panel of pathologists, histotechnologists, and computer scientists with expertise in image analysis, immunohistochemistry, quality management, and breast pathology to develop recommendations for QIA of HER2 IHC in breast cancer. A systematic review of the literature was conducted to address 5 key questions. Final recom- mendations were derived from strength of evidence, open comment feedback

2019 College of American Pathologists

35. Regional Models of Care for Systemic Treatment: Standards for the Organization and Delivery of Systemic Treatment

pharmacies to enhance safe dispensing of take- home cancer drugs.* ? Access to psychosocial oncology care (i.e., social worker, registered dietitian, physiotherapy, occupational therapy, speech language pathologist, and psychology and/or psychiatry).+ For additional information, please see Appendix 1 #19 Drug Access ? Provide a drug access navigator/facilitator to help patients navigate funding for drugs.+ II. Standards for health care providers and their roles All health care providers within (...) . ? Pathology consultation on site. ? On-site specialized diagnostic imaging including nuclear medicine, magnetic resonance imaging (MRI), and computerized tomography (CT). ? Must be part of a partnership for regionalized cancer services including but not limited to hepatobiliary, thoracic, gynecological oncology, and sarcoma and may host these services. ? Must be part of a network for complex malignant hematology. May be a full-service leukemia site or participate in shared care for leukemia and day 1

2019 Cancer Care Ontario

36. British Association for Sexual Health and HIV national guideline for the management of vulvovaginal candidiasis

within the guideline under the relevant sections Diagnosis: • Microscopy is the primary laboratory investigation for acute VVC; culture is no longer recommended as a primary laboratory investigation for acute VVC • Culture is still recommended for recurrent VVC with appropriate speciation and sensitivity testing depending on clinical indication • Greater emphasis has been placed on ensuring that other vulval pathologies are not missed in the setting of possible recurrent VVC • Interpretation (...) -vaginal OR vaginosis OR vaginitis OR vulvitis OR thrush (NOT oral)] AND [Candida OR candidiasis OR candidosis OR yeast]. The search was limited to English language and human subjects. 1412 citations were identified. 2. 2007 UK National Guidelines on the Management of Vulvovaginal Candidiasis. + The search period was extended to March 2018 during the peer review of first draft of the guideline to identify any new relevant evidence. Methods • The broad search terms used above were necessary given

2019 British Association for Sexual Health and HIV

37. Canadian guideline for Parkinson disease

:39 PMTABLE OF CONTENTS Parkinson-final-E.indd 3 2019-09-05 2:39 PMINTRODUCTION ________________ 6 COMMUNICATION ____________ 12 DIAGNOSIS AND PROGRESSION _______________ 15 TREATMENT _________________ 19 NONMOTOR FEATURES OF PARKINSON DISEASE _______ 28 PALLIATIVE CARE _____________ 36 SUPPLEMENTAL MATERIAL _____ 38 REFERENCES _________________ 51 COMMUNICATION n People with Parkinson disease should be encouraged to participate in choices about their own care. n Communication should be in verbal (...) FOR PARKINSON DISEASE, 2ND ED PARKINSON DISEASE Parkinson-visual-9.pdf 1 2019-08-27 9:06 AM Parkinson-final-E.indd 4 2019-09-05 2:39 PMAppendix to: Grimes D, Fitzpatrick M, Gordon J, et al. Canadian guideline for Parkinson disease. CMAJ 2019. doi: 10.1503/cmaj.181504. Copyright © 2019 Joule Inc. or its licensors 5 COMMUNICATION n People with Parkinson disease should be encouraged to participate in choices about their own care. n Communication should be in verbal and written form. n Discussions should aim

2019 CPG Infobase

38. Position Statement – Testing for ovarian cancer in asymptomatic women: Technical Report

assessments ? Clinical trials ? Conference abstracts ? Letters and editorials ? Opinion pieces and commentaries Study types and designs ? Systematic reviews ? Meta-analyses ? Randomised controlled trials ? Non-randomised trials ? Single arm studies ? Diagnostic studies Study language ? English language articles only – Publication date ? From 1 January 2009 – 3.1.5 Study selection Population screening The Medline search identified 248 unique records, of which 17 met the eligibility criteria

2019 Cancer Australia

39. American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations Full Text available with Trip Pro

The target population of these guidelines are adults (≥18 years of age) with a potentially inflammatory condition or pathological end point associated with a specific disease or clinical condition such as cancer, cardiovascular disease (CVD), cardiac failure, diabetes, hepatic or renal disease, human immunodeficiency virus, or possessing a condition that requires surgical intervention. The term “clinical population” is used in support of this concept, and studies may include persons who may or may (...) not be in a hospital or clinical setting, yet they possess a pathological state (ie, a diagnosis). These guidelines are not intended for athletes, healthy volunteers, persons with obesity (if not linked to a clinical condition such as metabolic syndrome, hypertension, etc) or for a specific life cycle (eg, infants, children, adolescents, pregnant or postpartum women, or older adults). Target Audience The intended target audience of these guidelines includes clinicians or researchers involved in delivering acute

2019 American Society for Parenteral and Enteral Nutrition

40. Oesophageal manometry and oesophageal reflux monitoring

information and unmask pathology not seen with standard water swallows, as they are more representative of normal swallowing behaviour and more likely to induce symptoms and, in turn, improve diagnostic yield. GRADE evidence: High Strength recommendation: Strong Patients with dysphagia 1.5 Patients with dysphagia should preferably have an endoscopy with oesophageal biopsies to rule out and treat mucosal and structural disor- ders prior to manometry. Barium swallow should be considered where endoscopy (...) / impedance monitoring is required it should be undertaken on proton pump inhibitors if the patient has previous pathological endoscopic or pH monitoring findings, and the study should be performed off proton pump inhibitors if they have no previous such demonstration of pathological gastro-oesophageal reflux disease. GRADE evidence: Low Strength recommendation: Conditional/weak 2.5 In patients with heartburn, acid regurgitation or chest pain, symptom association with reflux episodes is best assessed

2019 British Society of Gastroenterology


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