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Substance Abuse rehabilitation

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21. Frailty in Older Adults - Early Identification and Management

for Seniors Clinical Care Management Guideline: 48/6 Model of Care, available at the BC Patient Safety and Quality Council website at: Key Recommendations See . Early identification and management of patients with frailty or vulnerable to frailty provides an opportunity to suggest appropriate preventive and rehabilitative actions (e.g. exercise program, review of diet and nutrition, medication review) to be taken to slow, prevent, or even reverse decline associated with frailty. Use a diligent case (...) meta-analysis found that frailty was associated with increased risk for several negative health outcomes, which are listed in Figure 2. 13 Figure 2: Increased risk of negative outcomes associated with frailty 13 Early identification of patients with frailty or vulnerable to frailty provides an opportunity to suggest appropriate preventive and rehabilitative actions (e.g. exercise program, review of diet and nutrition, medication review) to be taken to slow, prevent, or even reverse decline

2017 Clinical Practice Guidelines and Protocols in British Columbia

22. Simplified guideline for prescribing medical cannabinoids in primary care

The risks of rare events, such as can- nabinoid hyperemesis syndrome (cyclic vomiting) and amotivational syndrome, are still being defined. 22,23 Cannabis use disorder (CUD), replacing previous can- nabis abuse and cannabis dependence, might be as common as appearing in one-fifth of regular cannabis users. 6 Risk of CUD is higher in those who use more frequently, are male, and begin at a younger age. 6,24 However, in another study of those meeting criteria for having CUD, 67% remitted (no longer met (...) use in Canada, 2012. Health Rep 2015;26(4):10-5. 2. Schauer GL, King BA, Bunnell RE, Promoff G, McAfee TA. Toking, vaping, and eat- ing for health or fun: marijuana use patterns in adults, U.S., 2014. Am J Prev Med 2016;50(1):1-8. Epub 2015 Aug 12. 3. Park JY, Wu LT. Prevalence, reasons, perceived effects, and correlates of medical marijuana use: a review. Drug Alcohol Depend 2017;177:1-13. Epub 2017 May 16. 4. Fischer B, Ialomiteanu AR, Aeby S, Rudzinski K, Kurdyak P, Rehm J. Substance use

2018 CPG Infobase

24. Guidelines on Acute Pain Management

patients. 2.7.4 Aboriginal and Torres Strait Islander People. 2.7.5 Maor i . 2.7.6 Other ethnic groups and non-English speaking people. 2.7.7 Patients with obstructive sleep apnoea. 2.7.8 Patients with concurrent hepatic or renal disease. 2.7.9 Opioid-tolerant patients. 2.7.10 Patients with a substance abuse disorder. 2.7.11 Patients with cognitive behavioural and/or sensory impairments. 3. EDUCATION 3.1 Education regarding acute pain management should be part of the medical undergraduate core (...) , its role in recovery and rehabilitation, and options available (pharmacological and non- pharmacological), is an essential component of an acute pain management consultation. 3.3.2 Availability of appropriate reading material will enhance patient and carer understanding and expectations of available pharmacological and non-pharmacological therapies. 4. ASSESSMENT OF ANALGESIC EFFICACY AND ADVERSE EFFECTS 4.1 Tailoring of treatment regimens to the individual patient requires that regular

2013 Australian and New Zealand College of Anaesthetists

25. Physical health of people in prison

substance misuse services National Probation Service community rehabilitation company (CRC) social services family or carers external agencies such as home care. Continuity of medicines Continuity of medicines 1.7.10 Ensure the person can keep taking their medicines after coming into prison. 1.7.11 Give critical medicines in a timely way to prevent harm from missed or delayed doses. Use the examples of critical medicines in table 2 in conjunction with clinical judgement and any safety alerts. T T able 2 (...) of professionals from different disciplines who each provide specific support to a person, working as a team. In prison settings, a multidisciplinary team may include physical and mental health professionals, prison staff, National Probation Service and/or community rehabilitation company (CRC) representatives, chaplains and staff from other agencies, such as immigration services and social care staff. Street drugs Street drugs Substances taken for a non-medical purpose (for example, mood-altering, stimulant

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

26. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) , cigarettes Pain Experience • Rate pain as severe • Maladaptive pain beliefs (e.g., pain will not get better, invasive treatment is required) • Legal issues or compensation Premorbid Factors • Rate job as physically demanding • Believe they will not be working in 6 months • Don’t get along with supervisors or coworkers • Near to retirement • Family history of depression • Enabling spouse • Are unmarried or have been married multiple times • Low socioeconomic status • Troubled childhood (abuse, parental

2011 University of Michigan Health System

27. Erectile Dysfunction

be a standard of care in any encounter in which conditions are discussed or interventions contemplated that may influence a man's sexual life. Medical, sexual, and psychosocial history . The etiology of ED is often multifactorial. General medical history factors to consider when a man presents with ED are age, comorbid medical and psychological conditions, prior surgeries, medications, family history of vascular disease, and substance use. Common risk factors for ED include vascular disease, tobacco use

2018 American Urological Association

28. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease

, asymptomatic patients, cardiac magnetic resonance (CMR), cardiac rehabilitation, chest pain, chronic angina, chronic coronary occlusions, chronic ischemic heart disease (IHD), chronic total occlusion, connective tissue disease, coronary artery bypass graft (CABG) versus medical therapy, coronary artery disease (CAD) and exercise, coronary calcium scanning, cardiac/coronary computed tomography angiography (CCTA), CMR angiography, CMR imaging, coronary stenosis, death, depression, detection of CAD (...) Percutaneous Coronary Intervention ( ) ACCF/AHA/SCAI 2011 Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease ( ) AHA/ACCF 2011 UA/NSTEMI: 2007 and 2012 Updates ( , ) ACCF/AHA 2012 Statements NCEP ATP III Implications of Recent Clinical Trials ( , ) NHLBI 2004 National Hypertension Education Program (JNC VII) ( ) NHLBI 2004 Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers

2011 American Heart Association

29. Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer Guideline Adaptation

medications, or antiemetics). Alcohol/substance abuse. Nutritional issues (including weight/caloric intake changes). Decreased functional status. Deconditioning/decreased activity level. As a shared responsibility, the clinical team must decide when referral to an appropriately trained professional (eg, cardiologist, endocrinologist, mental health professional, internist, and so on) is needed. Table 2. Potential Comorbid Conditions and Other Treatable Contributing Factors Possibly Associated With Fatigue (...) free and have transitioned to maintenance or adjuvant therapy (eg, patients with breast cancer receiving hormonal therapy, patients with chronic myelogenous leukemia receiving tyrosine kinase inhibitors). Target Audience This guidance is intended to inform health care professionals (eg, medical, surgical, and radiation oncologists, psychosocial and rehabilitation professionals, primary care providers, nurses, and others involved in the delivery of care for survivors) as well as patients, family

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2014 American Society of Clinical Oncology Guidelines

30. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

Patients .e683 4.9. Cardiac Rehabilitation: Recommendation .e683 4.10. Perioperative Monitoring .e684 Hillis et al 2011 ACCF/AHA CABG Guideline e653 Downloaded from http://ahajournals.org by on March 27, 20194.10.1. Electrocardiographic Monitoring: Recommendations .e684 4.10.2. Pulmonary Artery Catheterization: Recommendations .e684 4.10.3. Central Nervous System Monitoring: Recommendations .e684 5. CABG-Associated Morbidity and Mortality: Occurrence and Prevention .e685 5.1. Public Reporting

2011 American Heart Association

31. Coronary Artery Bypass Graft Surgery: Guideline For

Rehabilitation: Recommendation e155 4.10. Perioperative Monitoring e156 4.10.1. Electrocardiographic Monitoring: Recommendations e156 4.10.2. Pulmonary Artery Catheterization: Recommendations e156 4.10.3. Central Nervous System Monitoring: Recommendations e156 5. CABG-Associated Morbidity and Mortality: Occurrence and Prevention e157 5.1. Public Reporting of Cardiac Surgery Outcomes: Recommendation e157 5.1.1. Use of Outcomes or Volume as CABG Quality Measures: Recommendations e158 5.2. Adverse Events e159

2011 American College of Cardiology

32. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

. Centrality of Pain Scale – Christina Nicolaidis, MD, MPH, Oregon Health Science University, Portland, Oregon D. Mental Health and Substance Abuse Screening Tools E. Action Plan, Valley Homeless Health Care Program (VHHP), San Jose, California F. Chronic Pain Recovery Program, Central City Concern, Portland, Oregon G. Pain Medications: Frequently Asked Questions, SFDPH H. Drug formulary, Albuquerque Health Care for the Homeless (HCH) I. Non-opioid Medications for Management of Chronic Pain, Albuquerque (...) as provider and staff resources and experience, weigh benefits and costs of using standardized screening tools. ? Use urine drug tests (UDT) as an additional tool in initial assessment for substance use disorders and in the ongoing evaluation of patient outcomes. Use UDT and pill counts carefully and strategically to monitor treatment adherence and to minimize diversion, misuse, and abuse for patients on COT. Use a Universal Precautions approach to initial and ongoing assessment of all patients

2011 National Health Care for the Homeless Council

33. Diagnosis and Management of Cerebral Venous Thrombosis

(eg, thrombophilias, inflammatory bowel disease), transient situations (eg, pregnancy, dehydration, infection), selected medications (eg, oral contraceptives, substance abuse), and unpredictable events (eg, head trauma) are some predisposing conditions. , Given the diversity of causes and presenting scenarios, CVT may commonly be encountered not only by neurologists and neurosurgeons but also by emergency physicians, internists, oncologists, hematologists, obstetricians, pediatricians, and family

2011 Congress of Neurological Surgeons

34. 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes

, especially those with severe obesity (body mass index >35), have a higher long-term total mortality risk. Cocaine use can cause ACS by inducing coronary vasospasm, dissection, thrombosis, positive chronotropic and hypertensive actions, and direct myocardial toxicity (Section 7.10). Methamphetamines are also associated with ACS. Urine toxicology screening should be considered when substance abuse is suspected as a cause of or contributor to ACS, especially in younger patients (<50 years of age). 3.3.2.3 (...) Management) e376 6.2. Medical Regimen and Use of Medications at Discharge: Recommendations e376 6.2.1. Late Hospital and Posthospital Oral Antiplatelet Therapy: Recommendations e376 6.2.2. Combined Oral Anticoagulant Therapy and Antiplatelet Therapy in Patients With NSTE-ACS e378 6.2.3. Platelet Function and Genetic Phenotype Testing e379 6.3. Risk Reduction Strategies for Secondary Prevention e379 6.3.1. Cardiac Rehabilitation and Physical Activity: Recommendation e379 6.3.2. Patient Education

2014 American Heart Association

36. Assessment and management of psychiatric disorders in individuals with multiple sclerosis

in MS from Pfizer, Merck-Serono, and Genentech; on fingolimod from Novartis; and on dextromethorphan and quinidine from Avanir; has received research support from the National Multiple Sclerosis Society (NMSS), the Center for Mental Health Services, and the Substance Abuse and Mental Health Services Administration; and has stock in Merck, Schering-Plough, and SmithKline. A. Feinstein has received travel funding from Merck-Serono, Teva, and Bayer; is serving as a member of an editorial advisory board (...) editor, associate editor, or member of an editorial advisory board for Journal of Rehabilitation Research & Development ; and has received financial or material research support or compensation from Novartis and the NMSS. D. Mohr has received research support from the NIH. S. Patten is a member of the editorial board of the Canadian Journal of Psychiatry , and has received research support from the Government of Alberta's Collaborative Research Grant Initiative, the Canadian Institutes for Health

2014 American Academy of Neurology

38. Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

patients. Furthermore, phantom shocks, that is, the patient-perceived experience of an ICD shock in the absence of an actual shock, may be observed more commonly in those with past ICD storms or a history of depression, anxiety, or substance abuse, which suggests the complexity of these relationships. QOL Summary In summary, ICD patients can expect generally desirable QOL provided they are not exposed to excessive, unnecessary, or repeated ICD shocks. Most ICD patients derive other benefits in addition (...) what is known about adult and pediatric patient and family responses to the ICD; educational and informational needs; factors associated with various responses; and educational, psychological, and rehabilitative interventions to promote adjustment to the ICD and prevent or reduce adverse psychological responses. The statement concludes with evidence-based recommendations for the multidisciplinary practice team, describes important gaps in the knowledge base, and identifies future directions

Full Text available with Trip Pro

2012 American Heart Association

39. Recommendations for the Use of Mechanical Circulatory Support: Device Strategies and Patient Selection

· kg −1 · min −1 ) Contraindications Absolute Irreversible hepatic disease Irreversible renal disease Irreversible neurological disease Medical nonadherence Severe psychosocial limitations Relative Age >80 y for DT Obesity or malnutrition MS disease that impairs rehabilitation Active systemic infection or prolonged intubation Untreated malignancy Severe PVD Active substance abuse Impaired cognitive function Unmanaged psychiatric disorder Lack of social support HF indicates heart failure; DT

2012 American Heart Association

40. AAWC Pressure Ulcer Guidelines

substance abuse issues that may affect skin PU risk. 3. Review medications, e.g. sedation, steroid, immunosuppressive, anti-cancer or anti-embolic agent use (Chacon et al., 2010; Fowler et al.2008; IHI 2007) 4. Record recent surgical procedures, falls or traumatic injury (Fowler et al.2008; DeLaat et al 2007; IHI 2007; Manesse et al.1994) 5. Document details of prior PU. Include treatments or surgical interventions (Fowler et al.2008; IHI 2007) 6. Obtain history of restricted mobility related to care (...) to maintain adequate nutrition and enteral nutrition is not an option and if consistent with patient and family wishes (Compton, 2008) d. Offer hydrating fluids with repositioning schedule. Offer additional fluids if medically appropriate and patient has dehydration, fever, diaphoresis, diarrhea or heavily draining wounds. Document fluid intake in patients unable to hydrate themselves (RNAO) C. REHABILITATIVE AND RESTORATIVE PROGRAMS 1. Address immobility and/or inactivity in bed- or chair-bound patients

2011 Association for the Advancement of Wound Care

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