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Substance Abuse rehabilitation

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181. Characteristics, Prevention, and Management of Cardiovascular Disease in People Living With HIV: A Scientific Statement From the American Heart Association

documented alcohol, tobacco, or cocaine abuse and after adjustment for MI. This suggests that the higher risk for HF in HIV is not solely attributable to substance abuse or MI, although residual confounding from drug use is possible given underreporting by patients. Studies in different cohorts and settings have likewise demonstrated elevated rates of HF in PLWH. , In regions of the world where HIV disease control rates are low, the pattern of HIV-associated HF still resembles the pre-ART epidemiology (...) of treated HIV in the face of an aging HIV population. An older person with a history of HIV for decades likely has a distinct risk profile for CVD compared with a newly diagnosed individual who was started on newer ART immediately. PLWH have high rates of traditional risk factors, including dyslipidemia, metabolic disease, smoking, hypertension, and substance use, as described in the sections below. Aside from traditional risk factors, HIV-specific issues are implicated in CVD and include ART, chronic

2019 American Heart Association

182. Hypertension - not diabetic

and other substances of abuse. Combined oral contraceptive. Corticosteroids. Erythropoietin. Leflunomide. Liquorice — present in some herbal medicines. Nonsteroidal anti-inflammatory drugs. Sympathomimetics — may be found in over-the-counter cough and cold remedies (for example ephedrine, phenylpropanolamine). Venlafaxine. Other conditions which can cause hypertension include: Connective tissue disorders: scleroderma, systemic lupus erythematosus, polyarteritis nodosa. Retroperitoneal fibrosis (...) . Issued in April 2003. October 2000 — updated to incorporate National Service Framework for Coronary Heart Disease (NSF for CHD) recommendations. Issued in December 2000. September 1999 — written, based on the BHS 1999 guidelines on the management of hypertension. Validated in November 1999 and issued in December 1999. Update Update New evidence New evidence Evidence-based guidelines SIGN (2017) Cardiac rehabilitation . Scottish Intercollegiate Guidelines Network. [ ] SIGN (2017) Risk estimation

2018 NICE Clinical Knowledge Summaries

183. Integrating Tobacco Interventions into Daily Practice

, a discussion of harmful substances in tobacco and motivational interviewing (MI) follows. Harmful Substances in Tobacco Tobacco smoke contains more than 7,000 chemicals. Hundreds of these chemicals are toxic and at least 69 are known carcinogens (Eriksen, Mackay, & Ross, 2012). Despite the known health risks associated with tobacco use and the addictive nature of nicotine, the tobacco industry dilutes this evidence in their marketing strategies. Nicotine is the addictive component in tobacco leaves (...) Edition Figure 1: Brief Intervention Flow Chart ^ These interventions should be done in addition to providing support relevant to context (in-patient vs. community). * In-patient setting refers to all settings where clients are admitted (including hospital, long-term care home, psychiatric, or rehabilitation facilities). ** Community setting refers to health promotion settings that are outside of hospital (clients are not admitted). ~ In-patient behavioural interventions (such as counselling support

2017 Registered Nurses' Association of Ontario

184. Supporting Clients on Methadone Maintenance Treatment

of Nursing Ryerson University Toronto, Ontario Carol Edwards, RN, MN, CPMHNC, CARN Advanced Practice Nurse, Addictions Program Centre for Addiction and Mental Health Toronto, Ontario Jan Holland, RN Regional Methadone Coordinator, Acting/Senior Project Manager Methadone/Harm Reduction Correctional Services Canada Ottawa, Ontario Sheleza Latif, RN, BScN Correctional Staff Nurse Toronto East Detention Centre Toronto, Ontario Somina Lee Methadone Case Manager Nipissing Detoxification and Substance Abuse (...) , 2008c). Genetics, brain physiology, physical and mental illness, complex trauma, post- traumatic stress disorder, stress, street culture, and a history of childhood abuse are all multiple factors that can influence addiction. These factors are also often compounded by other social determinants of health, such as homelessness, unemployment, and poverty. Addiction and substance dependence are characterized by the compulsive and continued misuse of a substance, despite its overtly negative consequences

2009 Registered Nurses' Association of Ontario

185. Oral Health: Nursing Assessment and Intervention

on their nutritional status and the ability to access treatment in the community (Almomani et al. 2006). ¦ Those with bipolar disorder exhibit one of the highest rates of associated substance abuse among all the major psychiatric illness (Clark, 2003). In addition to the physical effects of prescription medications, substance abuse including alcohol, cocaine, heroin and marijuana also can lead to gingivitis or tooth loss (Bailes, 1998). Further, “Meth Mouth” a condition from the use of crystal methamphetamines (...) . (2008) Oral Health: Nursing Assessment and Interventions. Toronto, Canada. Registered Nurses’ Association of Ontario. Oral Health: Nursing Assessment and Interventions Registered Nurses’ Association of Ontario International Affairs and Best Practice Guideline Program 158 Pearl Street Toronto, Ontario M5H 1L3 Website: Miller RN, MScN, MHA, GNC(C) Team Leader Advanced Practice Nurse – Rehabilitation The Ottawa Hospital Ottawa, Ontario Tabatha Bowers, RN, BScN, MN, GNC(C

2008 Registered Nurses' Association of Ontario

186. 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 (...) Barrie, Ontario Susan Oates, RN, MScN Advanced Practice Nurse – Rehabilitation West Park Healthcare Centre Toronto, Ontario Tracy Saarinen, RN, BScN Secondary Stroke Prevention Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario Debbie Selkirk, RN(EC), BScN, ENC(c) Primary Care Nurse Practitioner Emergency Services: Chatham-Kent Health Alliance Chatham, Ontario Nursing Management of Hypertension 6 Declarations of interest and confidentiality were made by all members

2005 Registered Nurses' Association of Ontario

188. Implementing Supervised Injection Services

in clinical care, policies, and education, with the aim of achieving optimal health outcomes for people, communities, and the health-care system. This Guideline is to be used by nurses and health workers who work in SIS with people who inject drugs. In November 2016, RNAO convened a panel comprised of individuals with expertise in harm reduction and substance use service delivery. The RNAO expert panel included individuals with lived experience and those who held clinical, leadership, education (...) professions (e.g., registered nurses G , physicians, and social workers) and unregulated health workers (e.g., peer workers G , mental health workers, harm reduction workers, drug counselors, and outreach workers). Drugs: defined as the psychoactive substances that people accessing SIS may inject. This commonly includes, but is not limited to (a) opioids (e.g., illicit drugs, such as heroin, and prescription medications, such as oxycodone, hydrocodone, morphine, and fentanyl), and (b) stimulants (e.g

2018 Registered Nurses' Association of Ontario

189. Supporting Adults Who Anticipate or Live with an Ostomy

, and policy across a range of health service organizations, practice areas, and sectors. These experts shared their insights on supporting and caring for adults who anticipate or live with an ostomy across the continuum of care (e.g., acute care, rehabilitation, community, and primary care). A systematic and comprehensive analysis was completed by the RNAO Best Practice Guideline Development and Research Team and the RNAO expert panel to determine the scope of this BPG and to prioritize recommendation (...) settings where adults who anticipate or live with an ostomy are accessing services (such as, but not limited to, acute care, long-term care, community settings, and rehabilitation settings). In this BPG, no recommendation questions were identified that addressed the core education and training strategies required for curricula, ongoing education, and professional development of nurses or the interprofessional team in order to support adults living with or anticipating an ostomy. Please refer

2019 Registered Nurses' Association of Ontario

190. Psychosis and schizophrenia

Psychosis and schizophrenia Psychosis and schizophrenia - NICE CKS Share Psychosis and schizophrenia: Summary Psychosis is a disordered mental state characterized principally by positive symptoms such as hallucinations, delusions, and thought disorder. Psychotic symptoms are cardinal features of psychotic disorders such as schizophrenia, but may be caused by medicines and substance misuse, and by medical conditions such as sepsis in the elderly. Psychotic disorders, including schizophrenia (...) in social functioning. Substance misuse. A prodromal period of emotional disturbance, typically called the ‘at risk mental state’ may precede the development of a first episode of psychosis. It is characterized by a change in mood, anxiety, or more subtle psychotic symptoms, lasting from a few days to around 18 months. A person is at risk if they are distressed, have a deterioration in social functioning, and have: Transient (short duration — less than one week) or attenuated (lower intensity) psychotic

2016 NICE Clinical Knowledge Summaries

191. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

) Regional Clinical Nurse Specialist, Rehabilitation & Geriatrics Programme, Winnipeg Health Region Adjunct Professor, College of Nursing, Faculty of Health Sciences, University of Manitoba Research Associate, Manitoba Centre for Nursing and Health Research Winnipeg, Manitoba Registered Nurses’ Association of Ontario Expert PanelBACKGROUND Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Registered Nurses’ Association of Ontario Expert Panel ...con’t Philippe Voyer

2016 Registered Nurses' Association of Ontario

193. Neuro-urology

of botulinum toxin A injections in spinal cord injury patients with detrusor overactivity and detrusor sphincter dyssynergia. J Rehab Med, 2016. 48: 683. 253. Utomo, E., et al. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction. Cochrane Database Syst Rev, 2014. 5: CD004927. 254. Chancellor, M.B., et al. Prospective comparison of external sphincter balloon dilatation and prosthesis placement with external sphincterotomy in spinal cord injured men (...) analysis of sacral anterior root stimulation for rehabilitation of bladder dysfunction in spinal cord injured patients. Neurosurgery, 2013. 73: 600. 312. Martens, F.M., et al. Quality of life in complete spinal cord injury patients with a Brindley bladder stimulator compared to a matched control group. Neurourol Urodyn, 2011. 30: 551. 313. Krebs, J

2019 European Association of Urology

194. 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

2019 European Association of Urology

195. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

Prevention; the Department of Essential Medicines and Health Products; the Department of Service Delivery and Safety; the Department of Mental Health and Substance Abuse; and the Eastern Mediterranean Regional Office, Department of Noncommunicable Disease Management. These departments were represented on the WHO Steering Group for the Medical Management of Cancer Pain in Adults and Adolescents Guidelines. Responsible technical officer: Dr Cherian Varghese WHO Steering Group members: Marie-Charlotte (...) of opioid analgesics in the cancer treatment setting is essential to ensure the safety of patients and to reduce the risk of diversion of medicine into society. The safety of health-care providers may also be at risk if they are coerced into diversionary activities, threatened for access to medicines, or at risk of abuse themselves. Patient assessment should pay close attention to patients’ psychological history, their patterns of opioid consumption, and any history of substance use, to identify risk

2019 World Health Organisation Guidelines

196. 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 Publication 1554

198. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations

of Reproductive Health and Research), Nicolas Clark (Department of Mental Health and Substance Abuse), Meg Doherty (Department of HIV), Martin Donoghoe (Regional Office for Europe), Philippa Easterbrook (Global Hepatitis Programme), Jane Ferguson (Department of Maternal, Neonatal, Child and Adolescent Health), Nathan Ford (Department of HIV), Mary Lyn Gaffield (Department of Reproductive Health and Research), Raul Gonzalez-Montero (Department of HIV), Joumana Hermez (Regional Office for the Eastern (...) , before sentencing and after sentencing. This term does not formally include people detained for reasons relating to immigration or refugee status, those detained without charge, and those sentenced to compulsory treatment and to rehabilitation centres. Nonetheless, most of the considerations in these guidelines apply to these people as well (3). People who use drugs include people who use psychotropic substances through any route of administration, including injection, oral, inhalation, transmucosal

2016 World Health Organisation HIV Guidelines

199. Infant feeding in areas of Zika virus transmission

practices in the context of Zika virus. This meeting was jointly organized by the WHO headquarters Departments of Maternal, Newborn, Child and Adolescent Health; Mental Health and Substance Abuse; Nutrition for Health and Development; and Reproductive Health and Research. The draft recommendation on infant feeding and Zika virus was prepared by the WHO steering group – Zika virus and infant feeding (see Annex 5). This was presented at the guideline meeting. The chairperson of the guideline development (...) to breastfeed. WHO regional and country offices assist with these processes. Every woman has the right to the highest attainable standard of health, free from violence or discrimination. In the context of Zika virus transmission, a mother who decides to breastfeed her infant may be subject to stigmatization, disrespect or abuse. Member States must take action to prevent and eliminate this discrimination. For instance, governments should give greater support for research and action on disrespect and abuse

2016 World Health Organisation Guidelines

200. Acute Pain Management: Scientific Evidence

— the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists and its Faculty of Pain Medicine, the Australian Pain Society, the Australasian Faculty of Rehabilitation Medicine, the College of Anaesthesiologists of the Academies of Medicine of Malaysia and Singapore, the College of Intensive Care Medicine of Australia and New Zealand, the Faculty of Pain Medicine of the College of Anaesthetists of Ireland, the Hong Kong College of Anaesthesiologists, the Hong Kong Pain Society (...) pain management 280 8.1.3 Acute rehabilitation after surgery, “fast-track” surgery and enhanced recovery after surgery 281 8.1.4 Risks of acute postoperative neuropathic pain 282 8.1.5 Acute postamputation pain syndromes 283 8.1.6 Other postoperative pain syndromes 285 8.1.7 Day-stay or short-stay surgery 288 8.1.8 Cranial neurosurgery 294 8.1.9 Spinal surgery 297 8.2 Acute pain following spinal cord injury 298 8.2.1 Treatment of acute neuropathic pain after spinal cord injury 299 8.2.2 Treatment

2015 Clinical Practice Guidelines Portal


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