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Substance Abuse rehabilitation

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181. PEER Simplified Guideline: Medical Cannabinoids

syndrome (cyclic vomiting) and amotivational syndrome, are still being defined. 22,23 Cannabis use disorder (CUD), replacing previous cannabis abuse and cannabis dependence, may be as common as one fifth of regular cannabis users. 6 Risk of CUD is higher in those who use more frequently, are male, and begin earlier. 6,24 However, in another study of those meeting criteria for having CUD, 67% remitted (no longer met criteria) at three years, with 64% of them no longer using cannabis. 25 Whether regular (...) , Bunnell RE, Promoff G, McAfee TA. Toking, vaping, and eating for health or fun: marijuana use patterns in adults, U.S., 2014. Am J Prev Med. 2016 Jan;50(1):1-8. 3. Park JY, Wu LT. Prevalence, reasons, perceived effects, and correlates of medical marijuana use: A review. Drug Alcohol Depend. 2017;177:1-13. 4. Fischer B, Ialomiteanu A, Aeby S, Rudzinski K, Kurdyak P, Rehm J. Substance use, health, and functioning characteristics of medical marijuana program participants compared to the general adult

2018 Toward Optimized Practice

183. Alcoholic Liver Disease

- sideration 18. Patients too sick to complete rehabilitation therapy may be considered for transplantation via exception pathway dependent on individual center policy and the patient’s pro? le. These patients can complete rehabilitation therapy after transplantation 19. Transplant recipients should be screened at each visit for use of alcohol and other substances especially tobacco and cannabis. Among recidivists, alcohol use should be quanti? ed to identify harmful use 20. Immunosuppression should (...) and titration is critical for optimal outcomes. Given the side eff ects of benzodiazepines in patients with advanced liver disease and the potential for abuse in an addictive population, other drugs such as baclofen, cloni- dine, gabapentin, and topiramate have been proposed to treat AWS in patients with ALD including alcoholic cirrhosis. How- ever, the effi cacy and safety of these substances in patients with AH is unknown and therefore prospective studies are required. A promising approach is to use

2018 American College of Gastroenterology

184. Guidance on the clinical management of deliberate self-harm (DSH) and on the organisation and delivery of services

Institute, Melbourne, VIC, Australia 25 Tauranga Hospital, Bay of Plenty, New Zealand 26 Mental Health & Substance Use Service, Hunter New England, NSW Health, Waratah, NSW, Australia 27 Awabakal Aboriginal Medical Service, Hamilton, NSW, Australia 28 Pital Tarkin, Aboriginal Medical Student Mentoring Program, The Wollotuka Institute, The University of Newcastle, Callaghan, NSW, Australia 29 Specialist Outreach NT, Darwin, Northern Territory, Australia 30 Black Dog Institute, The University of New South (...) empathy and respect for patients who self-harm and should provide high-quality medical and mental health care. A thorough clinical assessment of the patient’s situation and treatment needs should include an assessment of modifiable risk factors for self-harm, such as substance use, psychosis, mood disorder, anxiety disorder, eating disorder, personality disorder, medical conditions, relationship difficulties and social problems. Treatment decisions about patients who present with DSH should be made

2016 Royal Australian and New Zealand College of Psychiatrists

185. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

difficulties with conversation, are generally capable of meaningful communication and will often appreciate the opportunity to 11 First published in Australian and New Zealand Journal of Psychiatry 2016, Vol. 50(5) 1-117. express their point of view and participate in clinical decision-making (Galletly and Crichton, 2011). Comorbid substance abuse, which is very common among people with schizophrenia, can complicate the presentation and worsen outcomes (see Section 2. Comorbid substance use). Table 2 (...) of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function. Methods: The writing group planned the scope and individual members drafted sections according

2016 Royal Australian and New Zealand College of Psychiatrists

186. CVD Prevention in Clinical Practice

navigation Article Navigation 1 August 2016 Article Contents Article Navigation 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR) Massimo (...) by this author on: The disclosure forms of all experts involved in the development of these guidelines are available on the ESC website . ESC Committee for Practice Guidelines (CPG) and National Cardiac Societies document reviewers: listed in the Appendix. ESC entities having participated in the development of this document: Associations : European Association for Cardiovascular Prevention & Rehabilitation (EACPR), European Association of Cardiovascular Imaging (EACVI), European Association of Percutaneous

2016 European Society of Cardiology

188. Neuro-urology

, 1977. 40: 358. 310. Krasmik, D., et al. Urodynamic results, clinical efficacy, and complication rates of sacral intradural deafferentation and sacral anterior root stimulation in patients with neurogenic lower urinary tract dysfunction resulting from complete spinal cord injury. Neurourol Urodyn, 2014. 33: 1202. 311. Benard, A., et al. Comparative cost-effectiveness analysis of sacral anterior root stimulation for rehabilitation of bladder dysfunction in spinal cord injured patients. Neurosurgery

2018 European Association of Urology

189. Male Sexual Dysfunction

1: choosing the right patient at the right time for the right surgery. Eur Urol, 2012. 62: 261. 69. Sanda, M.G., et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med, 2008. 358: 1250. 70. Schauer, I., et al. Have rates of erectile dysfunction improved within the past 17 years after radical prostatectomy? A systematic analysis of the control arms of prospective randomized trials on penile rehabilitation. Andrology, 2015. 3(4)661. 71. Ficarra, V., et (...) . 76. Salonia, A., et al. Sexual Rehabilitation After Treatment for Prostate Cancer-Part 1: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015). J Sex Med, 2017. 14: 285. 77. Khoder, W.Y., et al. Do we need the nerve sparing radical prostatectomy techniques (intrafascial vs. interfascial) in men with erectile dysfunction? Results of a single-centre study. World J Urol, 2015. 33: 301. 78. Glickman, L., et al. Changes in continence and erectile function between

2018 European Association of Urology

190. Occupational therapy in neonatal services and early intervention

, developmental progress and general well- being. Family in need of help to identify resources to support infant growth, development and well- being, e.g. due to other demands, lack of engagement with community, substance abuse, poverty, history of psychiatric problems or learning disability, life- threatening conditions etc. Lack of family support. Psychosocial environmental circumstances are precarious and infant’s future safety is in question, e.g. history of violence in the home, no prenatal care, history (...) of other children removed from home; criminal record; involvement with child protection; maternal isolation; homelessness; refugee status; substance abuse. 113 Royal College of Occupational Therapists 2017 Appendix 4: Examples of occupational therapy services in neonatal settings Table A3: Decision-making framework PSYCHOSOCIAL ENVIRONMENT AXIS 1. Adequate Environment 2. Moderate Risk Environment 3. High-Risk Environment INFANT BIOMEDICAL AXIS A Low Risk Advocates for and promotes appropriate

2017 British Association of Occupational Therapists

191. CPG for the Prevention and Treatment of Suicidal Behaviour

should mainly be considered in assessing a suicide risk: – Presence of previous suicide attempts and substance abuse – Presence of mental disorders, and speci? c symptoms such as hopelessness, anxiety, agitation and severe suicidal ideation (recurrent thoughts of death every day, and most of the time), as well as stressful events and the avail- ability of methods – Risk factors associated with repetition, physical illness, chronicity, pain or disability, family history of suicide, social

2012 GuiaSalud

192. CPG on the comprehensive care of people with Alzheimer's Disease and other Dementias

resources do people with early onset dementia require? ETHICS AND LEGAL ASPECTS OF DEMENTIAS Abuse of people with dementia 109. What is understood by abuse of people with dementia? 110. How frequent is abuse in dementia and what are the risk factors? 111. What intervention strategies exist to detect a case of abuse? 112. What must professionals do when a case of abuse is detected? 113. What social resources exist to address abuse? It has been 5 years since the publication of this Clinical Practice

2010 GuiaSalud

193. Clinical Practice Guidelines for Psychosocial Interventions in Severe Mental Illness

with SMI? d) INTERVENTIONS WITH SPECIFIC SUB-POPULATIONS • What type of treatment has proven to be most effective in people with SMI and substance abuse: integral or parallel treatment? • Which intervention is more ef? cient in people with SMI and “homeless”? • Which psychosocial treatment is more effective in people with SMI and a low IQ? It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL (...) who require psychiatric care and psychosocial intervention, it is advisable for both to be supplied together via integral programmes where residential programme/housing is offered. C When there is no active substance abuse, it would be advisable to provide grouped accomodation to homeless people with SMI included in integral intervention programmes. C When it is not possible to use accommodation and support programmes in the integral psychosocial intervention of homeless people with SMI

2009 GuiaSalud

194. Neuro-urology

Urodynamics 14 3C.7.1 Introduction 14 3C.7.2 Urodynamic tests 15 3C.7.3 Specialist uro-neurophysiological tests 16 3C.7.4 Recommendations for urodynamics and uro-neurophysiology 16 3C.7.5 Typical manifestations of neuro-urological disorders 16 3C.8 Renal function 16 3D DISEASE MANAGEMENT 17 3D.1 Introduction 17 3D.2 Non-invasive conservative treatment 17 3D.2.1 Assisted bladder emptying - Credé manoeuvre, Valsalva manoeuvre, triggered reflex voiding 17 3D.2.2 Lower urinary tract rehabilitation 17 3D.2.2.1 (...) Bladder rehabilitation including electrical stimulation 17 3D.2.3 Drug treatment 18 3D.2.3.1 Drugs for treatment of storage neuro-urological symptoms 18 3D.2.3.2 Drugs for voiding neuro-urological symptoms 19 3D.2.4 Recommendations for drug treatments 19 3D.2.5 Minimal invasive treatment 19 3D.2.5.1 Catheterisation 19 3D.2.5.2 Intravesical drug treatment 20 3D.2.5.3 Intravesical electrostimulation 20 3D.2.5.4 Botulinum toxin injections in the bladder 20 3D.2.5.5 Bladder neck and urethral procedures 20

2015 European Association of Urology

195. Urological Infections

it is difficult to exclude obstruction by the sloughed papillae as the cause of the nephropathy. The risk of chronic renal disease and renal insufficiency caused by pyelonephritis is low. Underlying lesions including vesicoureteral reflux, analgesic abuse, nephrolithiasis and obstruction of the urinary tract have to be observed. However, acute bacterial infection, including pyelonephritis, can dramatically influence the progression of a chronic renal disease and vice versa chronic renal failure can alter

2015 European Association of Urology

197. Clinical practice guideline for care in pregnancy and puerperium

is the benefit of the treatments for low back pain post-dural puncture? 75. What is the benefit of the treatments for constipation? 76. What is the benefit of the rehabilitation of the pelvic floor muscles during the puerperium?CPG FOR CARE IN PREGNANCY AND PUERPERIUM 17 Contraception during the puerperium 77. At what point can a contraceptive treatment after delivery be started? 78. What special considerations should be made after delivery by type of birth control? Mental health during the puerperium 79 (...) and symptoms of domestic violence during pregnancy, asking women about possible abuse in an environment where they feel safe, at least at the first prenatal visit, on a quarterly basis and in the postpartum visit. Sexuality Weak We suggest providing information to pregnant women and their partners about the possibility of having sexual relations regularly during pregnancy because these are not associated with any risk to the foetus.CPG FOR CARE IN PREGNANCY AND PUERPERIUM 29 Travelling v An assessment

2014 GuiaSalud

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

towards paid employment at the earliest opportunity, and during rehabilitation. (McQueen 2011 [C]) 1C 3 Royal College of Occupational Therapists 2017 Key recommendations for implementation Habituation 8. It is recommended that occupational therapists consider patients’ roles (past, present and future) within treatment planning and interventions. (Schindler 2005 [C]) 1C 9. It is recommended that occupational therapy facilitates a range of interventions that enable patients to engage in structured (...) context of secure services Secure services refer to those that provide care and treatment for patients with mental illness, personality disorder and neurodevelopmental disorders, including learning disabilities. Individuals typically have complex mental disorders, co-morbid difficulties of substance misuse and/or personality disorder, which are linked to offending or seriously irresponsible behaviour (NHS England 2013a). Those admitted to a secure care setting are detained under a section

2018 British Association of Occupational Therapists

199. Hepatitis C Screening

partners of a person with HCV or a person at risk of HCV infection 55 4.1.11. Men who have sex with men 57 4.1.12. People attending for a sexual health screen 60 4.1.13. People on renal dialysis or who have had a kidney transplant 61 4.1.14. Recipients of substance of human origin 63 4.1.15. Donors of substances of human origin 66 4.1.16. General population or birth cohort 69 4.1.17. Healthcare workers 72 4.2 How should screening for HCV be performed? 75 4.2.1. What test should be used for HCV (...) who injected any type of drug which was not prescribed, including performance enhancing drugs like steroids, and novel psychoactive substances. 5.2 Re-testing of those who test HCV negative should be offered on an annual basis, or six monthly if deemed clinically appropriate*, for those who remain at ongoing risk of infection. 5.3 Testing should be available during this interval if a risk exposure is known to have occurred. 5.4 Re-testing for those who have been previously infected, but have

2017 National Clinical Guidelines (Ireland)

200. Geriatric Trauma Management

for Depression Screening for Alcohol and Substance Abuse Assessing Baseline and Current Functional Status in Ambulatory Patients Assessing Gait and Mobility Impairment and Fall Risk in Ambulatory Patients Frailty Score: Operational Definition Frailty Score Screening for Nutritional Risk Bibliography 21 References 27 Expert Panel 28 2Background and Introduction Traumatic injury in the geriatric population is increasing in prevalence and is associated with higher mortality and complication rates compared (...) consult or by adding personnel with geriatric expertise to the multidisciplinary trauma team. See Appendix 2. z Establish past history of elderly- specific comorbidities, including:  Pulmonary disease  Chronic renal failure  Chronic anemia  Depression  Baseline cognitive impairment  Baseline functional impairment  Baseline frailty scores  Baseline nutritional status  Alcohol, tobacco, drug abuse or dependence (benzodiazepines, oxycodone)  Thyroid dysfunction  Glucose intolerance  Decubitus

2013 American College of Surgeons

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