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Substance Abuse rehabilitation

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121. 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

122. HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV

disproportionately affected in all regions and epidemic types, specifically sex workers, men who have sex with men, transgender people and people who inject drugs). These guidelines specifically address adolescent key populations, i.e. those aged 10 to 19 years. In addition to the groups mentioned above, other adolescents who are vulnerable to HIV include those who are sexually abused and/or exploited and those in prisons and other closed settings. Principles guiding the development of the recommendations (...) and evaluating services for adolescents. ? All services must be provided within a robust human rights framework. 1 ? A supportive and conducive legal and policy environment is essential for effective and acceptable service provision. 2 ? For those under 18 years of age, testing and counselling services need to consider the best interests of the child as well as appropriate and safe referrals to child protection services when children have been abused and are at risk of abuse. Referral to legal/social

2013 World Health Organisation HIV Guidelines

123. Technical guide for countries to set targets for universal access to HIV prevention, treatment and care for injecting drug users

immunodeficiency syndrome - prevention and control. 4.Acquired immunodeficiency syndrome - therapy. 5.Substance abuse, Intravenous - complications. 6.Needle sharing - adverse effects. 7.Needle exchange programs. 8.National health programs. I.World Health Organization. ISBN 978 92 4 150437 9 (NLM classification: WC 503.6) © World Health Organization 2012 All rights reserved. Publications of the World Health Organization are available on the WHO web site ( or can be purchased from WHO Press, World (...) , Philippa Easterbrook, Antonio Gerbase and Marco Vittoria (HIV Department, WHO, Geneva); Annabel Baddeley, Christian Gunneberg and Delphine Sculier (Stop TB Programme, WHO, Geneva); Nicolas Clark and Daniela Fuhr (Mental Health and Substance Abuse Unit, WHO, Geneva); Martin Donoghoe and Annemarie Stengaard (WHO Regional Office for Europe, Copenhagen); Joumana Hermez (WHO Regional Office for the Eastern Mediterranean, Cairo); Gary Reid (WHO Regional Office for South East Asia, New Delhi); Pengfei Zhao

2013 World Health Organisation HIV Guidelines

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

), Nathalie Broutet (Department 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 (...) the investigation of a crime, while awaiting trial, after conviction, 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

2014 World Health Organisation HIV Guidelines

125. Australian guidelines for the treatment of acute stress disorder and posttraumatic stress disorder

is not being made, the practitioner should revisit the case formulation, reassess potential treatment obstacles, and implement appropriate strategies, or refer to another practitioner. Effective inter-professional collaboration and communication is essential at such times. (p.31) Diagnosis GPP12 Assessment should cover the broad range of potential posttraumatic mental health problems beyond PTSD, including other anxiety disorders, depression and substance abuse. (p.32) Assessment instruments GPP13 (...) Creamer, Clinical Psychologist (Department of Psychiatry, University of Melbourne) Associate Professor Grant Devilly, Clinical Psychologist (School of Applied Psychology, Griffith University) Professor David Forbes, Clinical Psychologist (Director, Phoenix Australia - Centre for Posttraumatic Mental Health, University of Melbourne) Professor Justin Kenardy, Clinical Psychologist (Acting Director, Centre of National Research on Disability and Rehabilitation Medicine, University of Queensland) Associate

2013 Clinical Practice Guidelines Portal

126. Occupational Health and the Anaesthetist

the condition has become severe [7]. The literature on doctors’ health focuses on mental ill health and substance abuse. Depression is said to be as common or more prevalent [5] in physicians as in the general population, although occurring later in life. However, the risk of suicide is greater [8]. Drug misuse is a problem in the medical profession [9], particularly among trainee and non-consultant grade doctors [10] and may begin as a coping strategy to manage psychological or stress-related illness (...) . Indeed, bipolar illness and substance abuse are the main health reasons that doctors appear before regulators [1]. All employers, including the NHS, have a duty of care to its staff. The NHS Constitution for England [11] states that all staff are entitled to a healthy working environment and commits the NHS to providing support and opportunities to enable them to maintain their health, wellbeing and safety wherever they work. There is a requirement for NHS occupational health services to meet

2014 Association of Anaesthetists of GB and Ireland

127. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments. Introduction Anxiety and related disorders are among the most com- mon of mental disorders. Lifetime prevalence of anxiety disorders is reportedly as high as 31%; higher than the lifetime prevalence of mood disorders and substance use disorders (SUDs) [1-5]. Unfortunately, anxiety disorders are under-diagnosed [6] and under-treated [5,7,8 (...) of anxiety and related disor- ders should consider whether the anxiety is due to another medical or psychiatric condition, is comorbid with another medical or psychiatric condition, or is medication-induced or drug-related [32]. When a patient presents with excessive or uncontrolla- ble anxiety it is important to identify other potential causes of the symptoms, including direct effects of a sub- stance (e.g., drug abuse or medication) or medical condi- tion (e.g., hyperthyroidism, cardiopulmonary

2014 CPG Infobase

128. Management of cancer pain

(i.e. diabetic, renal and/or hepatic failure etc.) ? functional status ? presence of opioidophobia or misconception related to pain treatment ? alcohol and/or substance abuse 3. Assess and re-assess your ability to inform and to communicate with the patient and the family ? Take time to spend with the patient and the family to understand their needs Figure 1 Validated and most frequently used pain assessment tools. Annals of Oncology clinical practice guidelines Volume 23 | Supplement 7 | October (...) . Most cancer patients can attain satisfactory relief of pain through an approach that incorporates primary antitumor treatments, systemic analgesic therapy and other noninvasive techniques such as psychological or rehabilitative interventions. treatmentofmildpain Nonopioid analgesics such as acetaminophen/paracetamol or an NSAID are indicated for the treatment of mild pain. NSAIDs are superior to placebo in controlling cancer pain in single dose studies. Paracetamol and NSAIDS are universally

2012 European Society for Medical Oncology

132. Management of chronic pain

to trial more than one opioid sequentially, as both effectiveness and side effects vary between opioids. Opioid rotation should be considered for chronic pain that is likely to respond to opioids, if there are problems with efficacy or side effects. C Signs of abuse and addiction should be sought at re-assessment of patients using strong opioids. Routine urine drug testing, pill counts or prescription monitoring should not be used to detect problem use. B Currently available screening tools should

2013 SIGN

133. Management of schizophrenia

to a member of the general public. 19,24 Most of the excess risk appears to be mediated by substance abuse comorbidity. 19 Individuals diagnosed with schizophrenia are more likely to hurt themselves than those in the general population. Five per cent will commit suicide, with well recognised risk factors including male sex, illness severity and comorbidity, with the only consistent protective factor being delivery of, and adherence to, effective treatment. 25 Incidence of attempted suicide following (...) and vocational rehabilitation. Early intervention services focus on engagement, emotional recovery and tolerance of diagnostic uncertainty, usually including service users within the spectrum of psychosis. The majority of EI services do not exclude those who use substances and/or alcohol but no specific evidence was identified looking at outcomes for this group. A systematic review identified four randomised controlled trials (RCTs) comparing early intervention services with standard care or hospital based

2013 SIGN

134. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

. Supporting patients 16 5.1 Role of the patient 16 5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment

2011 Clinical Practice Guidelines Portal

135. A controlled comparison study to evaluate different management strategies for workplace trauma

and often substance abuse’ (US Army, 1994). However, this clustering of symptoms was also being recognised in non-military situations, such as victims of disasters and violent crimes. Since its first appearance in 1979, the definition of PTSD has undergone a number of refinements. One significant change is the removal of the qualifier that the type of events giving rise to PTSD should be ‘outside the range of normal human experience’. Instead, emphasis is placed on the way the individual responds (...) , Rick J, Fergusson E HSE Research Report RR170, 2004. ISBN 0 7176 2770 5 Best Practice in Rehabilitating Employees Following Absence Due to Work-Related Stress Thomson L, Rick J, Neathey F HSE Research Report RR138, 2003. ISBN 0 7176 2715 2 Review of Existing Supporting Scientific Knowledge to Underpin Standards of Good Practice for Key Work-Related Stressors, Phase 1 Rick J, Thomson L, Briner R, O'Regan S, Daniels K HSE Research Report RR024, 2002. ISBN 0 7176 2568 0 A catalogue of these and all

2006 British Occupational Health Research Foundation

137. Eating disorders toolkit, a practice based guide to the inpatient management of adolescents with eating disorders, with special reference to regional and rural areas

of the Young Person 101 Ward Milieu 103 School and School Work __________________________________________________________ 105 Pharmacotherapy 107 Pharmacotherapy 111 Absconding From the Ward 112 Indications and Management of Abuse 113 Legal Issues and Eating Disorders Survival Strategies for Clinicians 115 _____________________________________________ Section 6: Special Considerations 117 Diabetes and Eating Disorders 118 Pregnancy and Eating Disorders 121 Children with Eating Disorders 122 Obesity 123 (...) ) Dieting/ fasting Vomiting Exercise (Type, intensity, duration, frequency) Substance misuse (Laxatives, emetics, diuretics, alcohol, cocaine, amphetamines) Binge Eating Behaviour Frequency of binge eating over past 3 months (circle) 2 x day 5-10 x day > 10 x day Anthropometry Height (cm) …….. Centile …….. Weight (kg) …….. Centile …….. BMI …….. Centile …….. Eating Disorders Toolkit – The First 24 Hours in Hospital 13 DETERMINING THE MOST APPROPRIATE SITE FOR TREATMENT The following may be used

2008 Clinical Practice Guidelines Portal

138. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

defined pathology, a young patient, high levels of distress, previous or ongoing substance abuse, comorbid psychiatric or psychological disorder, unusual opioid requirements or Pain and its t reatment18 Opioid Prescription in Chronic Pain Conditions suspicions of drug diversion. If the use of S8 opioids is considered to be a potentially useful element in the therapeutic strategy, the GP may consider referral for any of a variety of specific reasons. Referral is considered a vital part of good medical (...) psychological or rehabilitative treatments, and close supervision of dispensed S8 opioids. The referring GP should understand that recommended interventions may be legally enforced by the DDU through the state Authority process if the patient is to continue to access S8 opioids. Therefore these interventions, as far as reasonably known and understood, should be raised by the GP and discussed with the patient. How can GPs assess for risks of abuse, addiction, and diversion and manage their patients

2008 Clinical Practice Guidelines Portal

139. Workplace interventions for people with common mental health problems

problems as those that:- • occur most frequently and are more prevalent; • are mostly successfully treated in primary rather than secondary care settings; • are least disabling in terms of stigmatising attitudes and discriminatory behaviour. We focused broadly on themes of prevention, retention and rehabilitation. Our main research questions were:- • What is the evidence for preventative programmes at work and what are the conditions under which they are most effective? • For those employees identified (...) as at risk, what interventions most effectively enable them to remain at work? • For those employees who have had periods of mental ill health related sickness, what interventions most effectively support their rehabilitation and return to work? We found support for the following conclusions. • Amongst employees who have not manifested with common mental health problems or who are not at high risk, there is moderate evidence from five research papers to suggest that a range of stress management

2005 British Occupational Health Research Foundation

140. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment of symptomatic systolic CHF 26 7.3 Outpatient treatment

2011 Clinical Practice Guidelines Portal


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