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Substance Abuse rehabilitation

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61. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death Full Text available with Trip Pro

year. 24 3.1.1 Causes of sudden cardiac death in different age groups Cardiac diseases associated with SCD differ in young vs. older individuals. In the young there is a predominance of channelopathies and cardiomyopathies ( Web Table 2 ), 21,25–48 myocarditis and substance abuse, 49 while in older populations, chronic degenerative diseases predominate (CAD, valvular heart diseases and HF). Several challenges undermine identification of the cause of SCD in both age groups: older victims (...) . The recommendations for formulating and issuing ESC Guidelines can be found on the ESC website ( ). ESC Guidelines represent the official position of the ESC on a given topic and are regularly updated. Members of this Task Force were selected by the ESC to represent professionals involved with the medical care of patients with this pathology. Selected experts in the field undertook a comprehensive review of the published evidence for management (including diagnosis, treatment, prevention and rehabilitation

2015 European Society of Cardiology

63. Neuro-urology

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. Arch Phys Med Rehabil, 1994. 75: 297. 255. Bennett, J.K., et al. Collagen injections for intrinsic (...) , 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

64. 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

65. 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

66. Oral Health Care for the Pregnant Adolescent

considerations (e.g., maintaining a healthy diet, avoiding frequent exposures to cariogenic foods and beverages, overall nutrient and energy needs) 61,62 and vitamin supplements 19-21 . • anticipatory guidance for the infant’s oral health in- cluding the benefits of early establishment of a dental home. 84,85 • anticipatory guidance for the adolescent’s oral health to include injury prevention, oral piercings, tobacco and substance abuse, sealants, and third molar assess- ment. 95 • oral changes that may (...) , it is the dentist’s responsibility to follow the as low as reasonably achievable (ALARA principle) to minimize the patient’s exposure. 70 Suppression of the mother’s reservoirs of Mutans strep- tococci (MS) by dental rehabilitation and antimicrobial treatments may prevent or at least delay infant acquisition of these cariogenic microorganisms. 73 MS, present in children with early childhood caries, is predominantly acquired from mother’s saliva. 74 The transmission of cariogenic bacteria from mother to infant

2016 American Academy of Pediatric Dentistry

67. Professional Practice Guidelines for Integrating the Role of Work and Career Into Psychological Practice

), substance abuse (Bellair & Roscigno, 2000), and other mental health concerns (Keyes & Waterman, 2003; Swanson, 2012). This is particularly critical for youth, a group for which unemployment is associated with several risk factors (Baron, 2001). Involuntary unemployment, among both youth and adults, is associated with numerous negative health outcomes, including increased depression and anxiety (Paul & Moser, 2009). Furthermore, these negative consequences are exacerbated with time such that those who (...) by mental and physical health concerns related to their service experiences (Cohen, Suri, Amick, & Yan, 2013; Davis, Pilkinton, Poddar, Blansett, Toscano & Parker, 2014), which may serve to delay their transition into civilian work. It is also important to recognize the work-relevant skills and strengths veterans bring to society. The general public often views returning veterans as being mentally unstable, violent, and as abusing substances (MacLean & Kleykamp, 2014), and veterans’ attributes

2015 American Psychological Association

68. Chronic Opioid Therapy for Chronic Non-Cancer Pain

disclosed that their participation on the Chronic Opioid Therapy Safety Guideline team includes no promotion of any commercial products or services, and that they have no relationships with commercial entities to report. 19 Appendix A. Opioid Risk Tool (ORT) Date Patient Name OPIOID RISK TOOL Mark each box that applies Item score if female Item score if male 1. Family History of Substance Abuse Alcohol ? 1 3 Illegal Drugs ? 2 3 Prescription Drugs ? 4 4 2. Personal History of Substance Abuse Alcohol ? 3 (...) of opioid analgesics and are not the same as addiction. The commission is obligated under the laws of the state of Washington to protect the public health and safety. The commission recognizes that the use of opioid analgesics for other than legitimate medical purposes poses a threat to the individual and society and that the inappropriate prescribing of controlled substances, including opioid analgesics, may lead to drug diversion and abuse by individuals who seek them for other than legitimate medical

2016 Kaiser Permanente Clinical Guidelines

69. Telepsychiatry With Children and Adolescents

. The legal and regulatory process in medical practice is dynamic in response to scienti?c progress, med- ical research, new products and procedures, best practices per medical disciplines, and stakeholders’ interests. Accordingly, state and federal agencies have started to scrutinize telepractice, largely in response to theepidemic of opioid drug abuse. 102 State regulations vary, are in?ux,and might not be fully congruent with federal guidelines. Additionalregulationsmightapplytointernationalpractice (...) by jurisdiction, including the reporting of child endangerment and the treatment of children in foster care and correctional settings. Providing pharmacotherapy through ITV is a topic receiving national and state attention. Congress passed the Ryan Haight Online Pharmacy Consumer Protection Act of 2008toexpungeillegitimateonlinepharmaciesthatdispense controlled substances without appropriate patient contact and without physician oversight. 109 This act inadvertently caught legitimate medical and psychiatric

2017 American Academy of Child and Adolescent Psychiatry

70. Back Pain

a patient who has severe pain but is confident that it will go away might be at medium complexity—and they should not be the sole factor in determining appropriate interventions. Instead, complexity levels are most useful for: • Establishing a common language for communication between clinicians and patients • Identifying conditions that might otherwise be missed (e.g., depression, anxiety, substance abuse) • Incorporating the patient’s psychosocial needs into the care plan 6 Back Pain Risk (...) and NSAIDs, they have more risks and side effects, including the risk of dependence and substance abuse disorder. One study (AMDG 2015) showed that of patients who took opioids for 90 days or longer, 60 percent were still taking opioids 5 years later. The Centers for Disease Control and Prevention (2016) recommends against prescribing opioids for chronic back pain. See the Chronic Opioid Therapy Safety Guideline. Low-quality evidence shows that opioids may reduce pain in patients with chronic low back

2017 Kaiser Permanente Clinical Guidelines

71. Behavior Guidance for the Pediatric Dental Patient

Parents who have had negative dental experiences 8,20,21 as a patient may transmit their own dental anxiety or fear to the child thereby adversely affecting her attitude and response to care. 8,20-22 Long term economic hardship and inequality can lead to parental adjustment problems such as depression, anxiety, irritability, substance abuse, and violence. 13 Parental depression may result in decreased protection, caregiving, and discipline for the child, thereby placing the child at risk for a wide (...) , or physical conditions; — patients with a history of physical or psychological trauma due to immobilization (unless no other alterna- tives are available); — patients with non-emergent treatment needs in order to accomplish full mouth or multiple quadrant dental rehabilitation; and — practitioner’s convenience. • Precautions: The following precautions should be taken: — the patient’s medical history must be reviewed careful- ly to ascertain if there are any medical conditions (e.g., asthma) which may

2015 American Academy of Pediatric Dentistry

72. ESC/ESH Management of Arterial Hypertension Full Text available with Trip Pro

hypertension3069 8.1.4 Treatment of resistant hypertension3070 8.2 Secondary hypertension3071 8.2.1 Drugs and other substances that may cause secondary hypertension3071 8.2.2 Genetic causes of secondary hypertension3071 8.3 Hypertension urgencies and emergencies3074 8.3.1 Acute management of hypertensive emergencies3075 8.3.2 Prognosis and follow-up3075 8.4 White-coat hypertension3076 8.5 Masked hypertension3077 8.6 Masked uncontrolled hypertension3077 8.7 Hypertension in younger adults (age <50 years)3077

2018 European Society of Cardiology

73. Flu vaccination: increasing uptake

, if the carer had flu. 1.6.2 Providers of flu vaccination, including primary care staff and nurses working in the community (such as district nurses, specialist nurses and those working in rehabilitation) could consider: Identifying and offering eligible carers a flu vaccination as the opportunity arises. For example, this could be offered during a home visit when the person they look after is being vaccinated. Informing the carer about other local vaccination services if a patient group direction (...) an undiagnosed clinical condition) access health services attend healthcare appointments. The groups classified as underserved in this guideline are: Flu vaccination: increasing uptake (NG103) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 19 of 73people who are homeless or sleep rough people who misuse substances asylum seekers Gypsy, Traveller and Roma people people with learning disabilities young people leaving long

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

74. End-of-Life Care for People Experiencing Homelessness

test, hepatitis serologies, or tumor markers could be helpful. Consider a urine drug screen to identify substance abuse that could affect a patient’s care. Imaging and other diagnostic testing depends on the specific illness. Before ordering any test, explain to the patient why each test is necessary and obtain permission, as patients may not want certain tests performed. Some patients may decline, defer, or want to space out diagnostic testing. If a patient’s vital signs or clinical condition (...) Management 35 Substance Use and Mental Health Social Supports Benefits and Entitlements Spiritual Components 47 50 53 55 Models of Care Street and Shelter-Based Care 59 Medical Respite 60 Inpatient Models 62 Transitions in Care Environments 63 Health Care for the Homeless Clinicians’ Network ADAPTING YOUR PRACTICE: Recommendations for End-of-Life Care for People Experiencing Homelessness viii Community Resources 64 Case Studies Case #1 66 Case #2 61 Case #3 Case #4 68 69 Sources and Resources Sources

2018 National Health Care for the Homeless Council

75. Best Practices for Pain Management in Infants, Children, Adolescents, and Individuals with Special Health Care Needs

of ongoing substance abuse. 98 Risk mitigation begins with understanding how to recog- nize drug seeking behavior. 2 To address the potential risk of opioid use/abuse, screening patients prior to prescribing opioids should be standard practice. 30 Screening commonly is performed with adult patients using a variety of screening tools. 99 Although screening adolescents for opioid abuse or misuse has been suggested, a standard assessment has not been identified. 77,99 Therefore, the practitioner should (...) . 101 Therefore, behavioral health support may be required for emotional disturbances such as drug abuse, depression, or post-traumatic stress disorder. 101 For professionals who suspect patients have use/abuse issues, the FDA, National Institutes of Health, National Insti- tute on Drug Abuse, the American Dental Association, and state prescription drug monitoring programs have resources available to review the history of prescriptions for controlled substances which may decrease their diver sion

2018 American Academy of Pediatric Dentistry

76. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

evaluation, overview of care for complex regional pain syndrome (CRPS) or sympathetically mediated pain, and diagnostic criteria and procedures for patients with CRPS/reflex sympathetic dystrophy and for further descriptions of the therapies discussed below. The grades of recommendations ( Some, Good, Strong ) are defined at the end of the Major Recommendations field. Therapeutic Procedures—Non-operative Non-operative therapeutic rehabilitation is applied to patients with CRPS or sympathetically mediated (...) : Patients undergoing therapeutic procedure(s) should be released or returned to modified or restricted duty during their rehabilitation at the earliest appropriate time. Refer to the section "Return-to-Work" below for detailed information. Reassessment of the patient's status in terms of functional improvement should be documented after each treatment. If patients are not responding within the recommended time periods, alternative treatment interventions, further diagnostic studies, or consultations

2017 National Guideline Clearinghouse (partial archive)

77. 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

78. 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 Publication 1554

79. Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline

for hospitalisation ( e.g. myocardial ischaemia), housing or food insecurity, poor social support, or active substance abuse. Values and preferences This recommendation places a high value on reducing hospital readmissions (...) rehabilitation within 3 weeks after hospital discharge; and 3) a conditional recommendation against the initiation of pulmonary rehabilitation during hospitalisation. The Task Force provided recommendations related to corticosteroid therapy, antibiotic therapy, noninvasive mechanical ventilation, home-based management, and early pulmonary rehabilitation in patients having a COPD exacerbation. These recommendations should be reconsidered as new evidence becomes available. Abstract New guideline

2017 European Respiratory Society

80. WHO Guidelines on Integrated Care for Older People (ICOPE)

of Noncommunicable Diseases, Disability, Violence and Injury Prevention); Tarun Dua (WHO Department of Mental Health and Substance Abuse); Manfred Huber (WHO Regional Office for Europe); Silvio Paolo Mariotti (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention); Maria Alarcos Moreno Cieza (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention); Alana Margaret Officer (WHO Department of Ageing and Life Course); Juan (...) Pablo Peña-Rosas (WHO Department of Nutrition for Health and Development); Anne Margriet Pot (WHO Department of Ageing and Life Course); Ritu Sadana (WHO Department of Ageing and Life Course); Céline Yvette Seignon Kandissounon (WHO Regional Office for Africa); Maria Pura Solon (WHO Department of Nutrition for Health and Development); Mark Humphrey Van Ommeren (WHO Department of Mental Health and Substance Abuse); Enrique Vega Garcia (WHO Regional Office for the Americas); Temo Waqanivalu (WHO

2017 World Health Organisation Guidelines

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