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Substance Abuse rehabilitation

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141. 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

142. Problem drinking management in general practice

include predicting and managing alcohol withdrawal, preventing nutritional deficiency, and considering strategies such as medications to help prevent relapse, counselling and group based approaches and residential rehabilitation. support for family and significant others may be required and follow up is vital. importantly, 24 hour specialist advice, information and support is available for clinicians managing withdrawal in patients and any other aspect of problem drinking from the Drug and Alcohol (...) or psychiatric problems, 13 and who use concomitant licit or illicit substances such as benzodiazepines 14 are more likely to experience further complicated and severe withdrawal symptoms. their withdrawal is best managed as on inpatient basis. multiple failed ambulatory withdrawal attempts, being surrounded by heavy drinkers, being unable to initiate abstinence and lacking support people to monitor withdrawals are other important indications for inpatient withdrawal management. When to give thiamine All

2011 Clinical Practice Guidelines Portal

143. Systematic review of the effectiveness and cost effectiveness of employee assistance programmes

. marital, financial or emotional problems, family issues, substance/alcohol abuse) that ma ?dGAE |G ? ?Gu ? AIIGÐ ls YO l S GG wÐu Ž ?GG?? ÐG? IŽ ? wAY ÐG? ? (Glossary of Human Resources Terms at http://www.shrm.org/TemplatesTools/Glossaries/Documents/ The Employee Assistance Professionals Association in the UK (EAPA) describes EAPs as follows: ? An EAP is a worksite-­-focused programme to assist in the identification and resolution of employee concerns, which affect, or may affect, performance (...) as dealing with a range of situations such as substance abuse, marital problems, family troubles, stress and domestic violence, as well as providing health education and disease prevention. Additionally EAPs can sometimes have a health promotion remit. Regardless of the specific configuration of services, EAPs can be broadly described as having two aims: 1. To improve employee health and well-­-being, and 2. To reduce productivity and performance problems among employees. (Macdonald, Lothian & Wells

2012 British Occupational Health Research Foundation

145. Diagnosis and Management of Acute Pulmonary Embolism

& Rehabilitation (EACPR), European Association of Cardio- vascular Imaging (EACVI), Heart Failure Association (HFA), ESC Councils: Council on Cardiovascular Nursing and Allied Professions (CCNAP), Council for Cardiology Practice (CCP), Council on Cardiovascular Primary Care (CCPC) ESC Working Groups: Cardiovascular Pharmacology and Drug Therapy, Nuclear Cardiology and Cardiac Computed Tomography, Peripheral Circulation, Pulmonary Circulation and Right Ventricular Function, Thrombosis. Disclaimer: The ESC (...) ://www.escardio.org/guidelines- surveys/esc-guidelines/about/Pages/rules-writing.aspx). ESC Guide- lines represent the of?cial position of the ESC on a given topic and are regularly updated. Members of this Task Force wereselected by the ESC to represent professionals involved with the medical care of patients with this pathology. Selected experts in the ?eld undertook a comprehensive review of the published evidence for management (including diagno- sis, treatment, prevention and rehabilitation) of a given

2014 European Society of Cardiology

146. Guidelines on Diagnosis and Treatment of Pulmonary Hypertension

of patient status . . . . . . . . . . . . . . . . 2509 7.2.6 Treatment goals and follow-up strategy (see also section 7.3.7 and Table 22) . . . . . . . . . . . . . . . . 2510 7.3 Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2511 7.3.1 General measures . . . . . . . . . . . . . . . . . . . . . . 2511 Physical activity and supervised rehabilitation . . . . 2511 Pregnancy, birth control, and post-menopausal hormonal therapy . . . . . . . . . . . . . . . . . . . . . . 2511 Travel

2009 European Society of Cardiology

147. Management of Arterial Hypertension

in the development of this document: ESC Associations: Heart Failure Association (HFA), European Association of Cardiovascular Imaging (EACVI), European Association for Cardiovascular Prevention & Rehabilitation (EACPR), European Heart Rhythm Association (EHRA) ESC Working Groups: Hypertension and the Heart, Cardiovascular Pharmacology and Drug Therapy ESC Councils: Cardiovascular Primary Care, Cardiovascular Nursing and Allied Professions, Cardiology Practice The content of these European Society of Cardiology

2013 European Society of Cardiology

148. Position Statement: the management of patients with physical and psychological problems in primary care - a practical guide

physical illness in the primary care setting. The report is highly focused on this particular area and does not cover other psychiatric or psychological problems in primary care. It includes the needs of older adults, children and adolescents. It does not specifically cover the particular needs of people with intellectual disability or make reference to the management of self-harm or substance misuse in primary care. a ims of the repor t This is essentially a practical guide for professionals working (...) (psychosocial response of the patient). They described ‘medical care abusers’ as having extensive illness behaviour but with ‘non-existent’ disease. Such illness behaviour they thought was self-induced or had developed in response to the behaviour of their doctors (i.e. iatrogenic). Mind and body Royal College of Psychiatrists 21 However, if as GPs we use such a biomedical model to diagnose, treat and manage individuals with psychological components to their physical illness, or those with medically

2009 Royal College of General Practitioners

149. Health care standards for youth in custodial facilities

clinician or physician. Youths with a history of recent substance use should be assessed for signs and symptoms of withdrawal. The majority of substances abused by youths cause withdrawal syndromes, with the most problematic being withdrawal symptoms from opioids (eg, heroin), and benzodiazepines or barbiturates. Youths in opioid withdrawal may exhibit depression, severe myalgias, nausea, chills, autonomic instability or diarrhea. Youth withdrawing from regular benzodiazepine use have a risk (...) and behavioural problems. Continuing health assessment Once the initial assessments have been completed, facilities should ensure that the following measures are in place for continued care and ongoing assessment. All previous medical, psychological, educational, psychiatric and laboratory evaluations should be available to assist with the current or future health care of the youth. A complete and confidential history, including psychiatric symptoms, sexual behaviour, substance abuse and history of physical

2012 Canadian Paediatric Society

150. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

). Certain parenting styles are associated with bullying. Health care providers can promote improving parenting skills. The American Academy of Pediatrics has a bullying handout and other information which can be shared with parents and patients. Mental health Adolescence is a time of emotional changes, peer pressures and risks for substance abuse, depression, anxiety and suicide. Anticipatory guidance should be given to pre-adolescent as well as older children. Most health guideline-producing (...) evidence of success of psychological and educational interventions for the prevention of the onset of depression in children and adolescents aged 5 to 19. With limited evidence on which to base recommendations for treatment, primary prevention is of crucial importance. Another review identifies modifiable and non-modifiable risk factors in children, along with some successful prevention strategies for anxiety disorders, eating disorders, substance abuse, disruptive behaviours and suicide

2016 Canadian Paediatric Society

151. Maternal depression and child development

Cognitive Less creative play and lower cognitive performance School age Behavioural Impaired adaptive functioning, internalizing and externalizing problems, affective disorders, anxiety disorders and conduct disorders Academic Attention deficit/hyperactivity disorder and lower IQ scores Adolescent Behavioural Affective disorders (depression), anxiety disorders, phobias, panic disorders, conduct disorders, substance abuse and alcohol dependence Academic Attention deficit/hyperactivity disorder (...) and substance abuse disorders) in adolescents with an affectively ill parent than in control families with similar demographic characteristics (age, ethnicity, socioeconomic status and educational level). Hammen et al followed a cohort of 92 children/adolescents between the ages of eight and 16 years over a three-year period. They found that children/adolescents with mothers suffering from unipolar depression had higher rates of affective disorders, with frequent multiple diagnoses, while the disorders

2004 Canadian Paediatric Society

153. Canadian Society of Transplantation consensus guidelines on eligibility for kidney transplantation (PubMed)

greater benefits were seen among younger patients with or without diabetes, the survival benefit extended to those between 60 and 74 years of age. Thus, the decision regarding eligibility for transplantation must be made in the best interests of the patient and be based on medical and surgical grounds. There are relatively few absolute contraindications to kidney transplantation. It is contraindicated in the context of active infection, malignancy, substance abuse or non-adherence to therapy (...) list for transplantation. Although there are few data on the influence of functional capacity or pretransplant nutritional status on outcomes, extrapolation from other disease states suggests that poor functional capacity or protein malnutrition is associated with greater probability of adverse events including death while waiting for transplantation and perioperative morbidity and mortality. Poorer functional capacity may limit the success of rehabilitation and return to premorbid activities

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2005 CPG Infobase

154. 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

155. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

process: Katthyana Aparicio Reyes (Department of Service Delivery and Safety [SDS]) 1 , Islene Araujo de Carvalho (Department of Aging and Life Course [ALC]), Rachel Baggaley (Department of HIV/AIDS), Nino Berdzuli (WHO Regional Office for Europe), Nathalie Broutet (Department of Reproductive Health and Research [RHR]), Giorgio Cometto (Department of Health Workforce [HWF]), Tarun Dua (Department of Mental Health and Substance Abuse [MSD]), Mary Lyn Gaffield (Department of RHR), Karima Gholbzouri (WHO (...) of Mental Health and Substance Abuse [MSB]), Diah Saminarsih (Office of Director General [DGO]), Anita Sands (Department of Safety and Vigilance [SAV]), Elisa Scolaro (Department of RHR), Olive Sentumbwe-Mugisa (National Professional Officer, Uganda), Agnes Soucat (Department of HGF), Petrus Steyn (Department of RHR), Igor Toskin (Department of RHR), Isabelle Wachsmuth (Department of SDS), Reinhilde Van De Weerdt (Department of EMO), Souleymane Zan (Technical Officer, Cotonou, Benin), Qi Zhang

2019 World Health Organisation Guidelines

156. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

prominently at the front of the document: Reproduced (translated) with permission of AACC, Washington, DC. This document (PID 11774) was approved by the AACC Board of Directors in November 2017.LABORATORY MEDICINE PRACTICE GUIDELINES Executive Summary 5 Preamble 34 Introduction 38 Chapter 1: Testing for common classes of relevant over-the-counter, prescribed, and non-prescribed drugs and illicit substances abused by pain management patients 47 Chapter 2: Specimen types and detection times 52 Chapter 3 (...) be experiencing toxicity from them. Tier III tests can also be examined when they are clin- ically indicated, either by history of use, medication list, or very high probability of misuse/abuse, in a specific patient rather than for every patient. Frequency of laboratory testing CONSENSUS-BASED EXPERT OPINION #1: Based on level II evidence, baseline drug testing should be performed prior to initiation of acute or chronic controlled substance therapy. In addition, random drug testing should be performed

2018 American Academy of Pain Medicine

158. 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

159. Neuro-urology

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

160. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report

. Pharmacoepidemiol Drug Saf 2018 ; 27 ( 5 ): 541 – 9 . 54 Substance Abuse and Mental Health Services Administration . Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2017 . Available at: . 55 Han B , Compton WM , Blanco C , et al. . Prescription opioid (...) decisions after evaluating patient factors that predict a higher risk of opioid-related death, overdose, and other injuries. Such factors for evaluation include pain etiology, response to therapy, medical comorbidities, co-occurring psychological disorders, past or previous substance use problems, history of opioid misuse, and concomitant benzodiazepine use [ ]. The panel agreed that any legislative, regulatory, or payer policies enacted should make provisions for appropriately selected and monitored

2019 American Academy of Pain Medicine

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