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Substance Abuse rehabilitation

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81. Pharmacological Treatment of Patients with Alcohol Use Disorder

. 2015; Substance Abuse and Mental Health Services Administra- tion 2014). Receipt of evidence-based care is even less common. For example, one study found that of the 11 million people in the United States with AUD, only 674,000 received psychopharmacolog- ical treatment (Mark et al. 2009). Furthermore, treatment availability and the type of treatment pro- vided can vary based on geography and, in the United States, insurance coverage (Hagedorn et al. 2016; Mark et al. 2015), including formulary (...) . . . . . . . . . . . . . . . . . . . . . . 7 Assessment and Determination of Treatment Goals . . . . . . . . . . . . . . . . 7 Statement 1: Assessment of Substance Use . . . . . . . . . . . . . . . . . . . . 7 Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Balancing of Potential Benefits and Harms in Rating the Strength of the Guideline Statement . . . . . . . . . . . . 8 Quality Measurement Considerations . . . . . . . . . . . . . . . . . . . . . . . 9 Statement 2: Use of Quantitative

2017 American Psychiatric Association

82. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

and Obesity e28 5.2.2. Sodium Intake e29 5.2.3. Potassium e29 5.2.4. Physical Fitness e29 5.2.5. Alcohol e29 5.3. Childhood Risk Factors and BP Tracking e31 5.4. Secondary Forms of Hypertension e32 5.4.1. Drugs and Other Substances With Potential to Impair BP Control e32 5.4.2. Primary Aldosteronism e32 5.4.3. Renal Artery Stenosis e34 5.4.4. Obstructive Sleep Apnea e34 6. Nonpharmacological Interventions e35 6.1. Strategies e35 6.2. Nonpharmacological Interventions e35 7. Patient Evaluation e38 7.1

2017 American Heart Association

83. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary

. Population Risk 1276 2.4. Coexistence of Hypertension and Related Chronic Conditions 1276 3. Classification of BP 1276 3.1. Definition of High BP 1276 3.2. Lifetime Risk of Hypertension 1277 3.3. Prevalence of High BP 1277 4. Measurement of BP 1277 4.1. Accurate Measurement of BP in the Office 1277 4.2. Out-of-Office and Self-Monitoring of BP 1278 4.3. Masked and White Coat Hypertension 1278 5. Causes of Hypertension 1281 5.1. Secondary Forms of Hypertension 1281 5.1.1. Drugs and Other Substances

2017 American Heart Association

84. 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

85. Urinary incontinence in neurological disease: assessment and management

and consider ways of reducing any adverse impact. If it is suspected that severe stress is leading to abuse, follow local safeguarding procedures. Urodynamic in Urodynamic inv vestigations estigations 1.1.16 Do not offer urodynamic investigations (such as filling cystometry and pressure- flow studies) routinely to people who are known to have a low risk of renal complications (for example, most people with multiple sclerosis). 1.1.17 Offer video-urodynamic investigations to people who are known to have (...) involved in ongoing care (for example, adult neuro-rehabilitation services) provide the person with details of the service to which care is being transferred, including contact details of key personnel, such as the urologist and specialist nurses ensure that urological services are being provided after transition to adult services. 1.11.6 Consider establishing regular multidisciplinary team meetings for paediatric and adult specialists to discuss the management of neurogenic lower urinary tract

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

86. Primary Care Management of Headache in Adults

both diphenhydramine (an H1 antagonist that mediates the anti-emetic effect), and a theophylline derivative (a CNS stimulant related to caffeine). Dimenhydrinate has some abuse potential. Given the lack of evidence for its efficacy in migraine, metoclopramide or domperidone is a better choice for treating migraine-related nausea. Similarly, there is no good evidence that ondansetron is effective in migraine-related nausea. See Appendix E: Table E.1: Medications Used for Acute (Symptomatic (...) (G7) - tramadol Strong opioids (e.g., morphine, butorphanol, oxycodone) should be avoided and used only in exceptional circumstances for the acute treatment of migraine because of the risk of dependence/abuse, potential for developing medication-overuse headache, and the possibility of a withdrawal syndrome following discontinuation. There is a lack of evidence for superiority compared with NSAIDs and triptans. If used, frequency of use should be less than 10 days per month and should be closely

2012 Toward Optimized Practice

87. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death

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

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2015 European Society of Cardiology

88. 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

89. 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

90. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

, along with related fatalities contributing to 60% of the deaths from appropriate prescriptions for chronic pain compared to 40% due to abuse, with all deaths exceeding the deaths due to motor vehicle injuries (91,92,101,137) (Fig. 2). Fur- ther, a direct correlation has been established with the increase in opioid-related deaths, treatments, and admis- sions, along with opioid related sales in the United States and across the globe (87,101,137). Exploding health care costs are a major issue (...) , to provide a set of recommendations that can support existing and future guidelines to provide appropriate strategies to manage chronic spinal pain and improve the quality of clinical care. The membership consists of multiple specialties across the globe even though it is an American society. The majority of the specialists include interventional pain physicians derived from the primary specialities of anesthesiology, physical medi- cine and rehabilitation, and neurology and psychiatry. There has been

2013 American Society of Interventional Pain Physicians

91. Treatment and recommendations for homeless people with Diabetes Mellitus

in judging the success of out-patient monitoring and patient ability to self care and self- refer upon worsening. TREATMENT AND RECOMMENDATIONS FOR PATIENTS WHO ARE HOMELESS WITH DIABETES MELLITUS 15 ? Ongoing substance abuse is very high risk for poor attention to progression of infection and ability to self-refer for care upon worsening. ? Some symptoms of mental illness (e.g. paranoia, apathy, delusion) also can be barriers to self-care and ability to self-refer upon worsening. ? Offering post (...) with the clinic, he was not taking any insulin and his underlying schizophrenia and substance abuse were untreated. In addition, he was actively huffing carburetor fluid routinely. He made nearly weekly visits to the emergency department for diabetic ketoacidosis and altered mental status, requiring several inpatient admissions. Over several months the patient engaged with services and was actively followed by the mental health team. Following several medical complications, including bilateral leg fractures

2013 National Health Care for the Homeless Council

92. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 1 - Introduction and General Considerations

- ability secondary to spinal pain is enormous (174-180). The proportion of disabled individuals, along with costs related to disability, is increasing in the United States. Disability manifests as physical and psychological im- pairment in chronic pain patients. Opioid effectiveness, use, abuse, and related fatali- ties have been well described (46,47,181-211). Evidence illustrates that opioid prescriptions have been escalat- ing at a rapid rate, and opioid-related fatalities amount to 60% of deaths (...) from appropriate prescriptions for chronic pain compared to 40% due to abuse, with all deaths exceeding deaths due to motor vehicle injuries. A direct correlation has been established among opi- oid-related deaths, treatments, and admissions, along with opioid-related sales. The opioid epidemic has not only been an issue for the United States; it is a global issue as well. Figure 2 illustrates rates of opioid pain re- liever overdose deaths from 1999 to 2010 in the United States (212). 3.2

2013 American Society of Interventional Pain Physicians

94. Guidelines for the management of spontaneous intracerebral hemorrhage

and by the members of the Stroke Council Scientific Oversight Committee and Stroke Council Leadership Committee. Results— Evidence-based guidelines are presented for the care of patients with acute intracerebral hemorrhage. Topics focused on diagnosis, management of coagulopathy and blood pressure, prevention and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were (...) and assessment of ICH and its causes; hemostasis and coagulopathy; blood pressure (BP) management; inpatient management, including general monitoring and nursing care, glucose/temperature/seizure management, and other medical complications; procedures, including management of intracranial pressure (ICP), intraventricular hemorrhage, and the role of surgical clot removal; outcome prediction; prevention of recurrent ICH; rehabilitation; and future considerations. Each subcategory was led by a primary author

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2015 American Academy of Neurology

95. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions—Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted. These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage. (Stroke. 2015;46:2032-2060. DOI: 10.1161/STR.0000000000000069.) Key (...) ) Rehabilitation and Recovery Given the potentially serious nature and complex pattern of evolving disability and the increasing evidence for efficacy, it is recommended that all patients with ICH have access to multidisciplinary rehabilitation (Class I; Level of Evidence A). (Revised from the previous guideline) BP indicates blood pressure; CT, computed tomography; DVT, deep vein thrombosis; EEG, electroencephalography; ICH, intracerebral hemorrhage; INR, international normalized ratio; MRI, magnetic

2015 Congress of Neurological Surgeons

96. ACC/AHA/AACVPR/AAFP/ANA Concepts for Clinician?Patient Shared Accountability in Performance Measures

adherent to therapeutic recommendations or participating actively in self-care strategies. Factors that can affect self-care include patient preferences, values, culture, religion, and socioeconomic status (ie, education, income, and occupation); psychological factors (eg, depression); behavioral factors (eg, substance abuse); cognitive factors (eg, health literacy, dementia); and environmental factors (eg, social support). Collecting information on these factors may be challenging (...) , APN, FAHA, FAAN , MD, MS, FAAFP , MD, MAACVPR, FACC , MD, MSPH, FACC, FAHA , and MD, FACS MBA Eric D. Peterson *ACC/AHA Representative. † National Committee for Quality Assurance Representative. ‡ American Society of Health System Pharmacists Representative. § ACC/AHA Task Force on Performance Measures Liaison. ‖ American Nurses Association Representative. ¶ American Academy of Family Physicians Representative. # American Association of Cardiovascular and Pulmonary Rehabilitation Representative

2014 American Heart Association

97. 2014 AHA/ACC Guideline for the Management of Patients With Non?ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

Antiplatelet Therapy: Recommendations 61 6.2.2. Combined Oral Anticoagulant Therapy and Antiplatelet Therapy in Patients With NSTE-ACS 62 6.2.3. Platelet Function and Genetic Phenotype Testing 64 6.3. Risk Reduction Strategies for Secondary Prevention 64 6.3.1. Cardiac Rehabilitation and Physical Activity: Recommendation 65 6.3.2. Patient Education: Recommendations 65 6.3.3. Pneumococcal Pneumonia: Recommendation 65 6.3.4. NSAIDs: Recommendations 66 6.3.5. Hormone Therapy: Recommendation 67 6.3.6 (...) therapy, antiplatelet therapy, antithrombotic therapy, beta blockers, biomarkers, calcium channel blockers, cardiac rehabilitation, conservative management, diabetes mellitus, glycoprotein IIb/IIIa inhibitors, heart failure, invasive strategy, lifestyle modification, myocardial infarction, nitrates, non-ST elevation, P2Y 12 receptor inhibitor, percutaneous coronary intervention, renin-angiotensin- aldosterone inhibitors, secondary prevention, smoking cessation, statins, stent, thienopyridines

2014 Society for Cardiovascular Angiography and Interventions

98. Guidelines for the Ethical Practice of Anesthesiology

and the medical issues involved. Anesthesiologists should not use their medical skills to restrain or coerce patients who have adequate decision-making capacity. 3. Anesthetized patients are particularly vulnerable, and anesthesiologists should strive to care for each patient’s physical and psychological safety, comfort and dignity. Anesthesiologists should monitor themselves and their colleagues to protect the anesthetized patient from any disrespectful or abusive behavior. 4. Anesthesiologists should keep (...) and efficiency of medical care. 4. Anesthesiologists should advise colleagues whose ability to practice medicine becomes temporarily or permanently impaired to appropriately modify or discontinue their practice. They should assist, to the extent of their own abilities, with the re-education or rehabilitation of a colleague who is returning to practice. 5. Anesthesiologists should not take financial advantage of other physicians, nonphysician anesthesia providers or staff members. Verbal and written contracts

2013 American Society of Anesthesiologists

100. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

or substance abuse, confirmed allergy to opioid agents, ASIPP - Opioid Guidelines 2012 American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain: Part 2 - Guidance Pain Physician 2012; 15:S67-S116 • ISSN 1533-3159 From: American Society of Interventional Pain Physicians Complete author affiliations and disclosures listed on pages S98-S100. Address Correspondence: ASIPP 81 Lakeview Drive Paducah, Kentucky (...) to be a “standard of care.” Key words: Chronic pain, persistent pain, non-cancer pain, controlled substances, substance abuse, prescription drug abuse, dependency, opioids, prescription monitoring, drug testing, adherence monitoring, diversion Pain Physician 2012; 15:S67-S116 Pain Physician: Opioid Special Issue 2012; 15:S67-S116 S68 is equivalent to 7.1 kg of opioid medication per 10,000 population or enough to supply every adult American with 5 mg of hydrocodone every 6 hours

2012 American Society of Interventional Pain Physicians


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