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Substance Abuse rehabilitation

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161. A consensus document for the selection of lung transplant candidates: 2014 - An update from the Pulmonary Transplantation Council of the International Society for Heart and Lung Transplantation

associated with the inability to cooperate with the medical/allied health care team and/or adhere with complex medical therapy. • Absence of an adequate or reliable social support system. • Severely limited functional status with poor rehabilitation potential. • Substance abuse or dependence (e.g., alcohol, tobacco, marijuana, or other illicit substances). In many cases, convincing evidence of risk reduction behaviors, such as meaningful and/or long-term participation in therapy for substance abuse (...) and/or dependence, should be required before offering lung transplantation. Serial blood and urine testing can be used to verify abstinence from substances that are of concern. Relative contraindications • Age >65 years in association with low physiologic reserve and/or other relative contraindications. Although there cannot be endorsement of an upper age limit as an absolute contraindication, adults >75 years old are unlikely to be candidates for lung transplantation in most cases. Although age by itself

2015 International Society for Heart and Lung Transplantation

162. Stroke Assessment Across the Continuum of Care

Barreca, PT, BA Research Clinician, Orthopedic and Rehabilitation Services, Hamilton Health Sciences Centre. Hamilton, Ontario Mark Bayley, MD, FRCPC Assistant Professor, Faculty of Medicine, University of Toronto. Medical Director, Neuro-Rehab Program, Toronto Rehabilitation Institute, Toronto, Ontario Jennifer Bean, RN, BScN Utilization Coordinator – ED/ICU/Medicine, Northeastern Regional Education Coordinator. Thunder Bay Regional Health Science Centre. Thunder Bay, Ontario Sandy Beckett, BA, BSc (...) Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 111 Richmond Street West, Suite 1100 Toronto, Ontario M5H 2G4 Website: www.rnao.org/bestpractices Stroke Assessment Across the Continuum of Care 45 Nursing Best Practice Guideline Linda Kelloway, RN, BScN, CNN(c) Team Leader Regional Stroke Education Consultant West GTA Stroke Network Etobicoke, Ontario Anna Bluvol, RN, MScN Nurse Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Paula

2005 Registered Nurses' Association of Ontario

163. Self-harm

Self-harm Self-harm - NICE CKS Share Self-harm: Summary Self-harm refers to an intentional act of self-poisoning or self-injury, irrespective of the motivation or apparent purpose of the act, and is an expression of emotional distress. The majority of self-poisoning episodes involve prescribed or over-the-counter medication, and a minority involve illicit drugs, other household substances, or plant material. The majority of self-injury episodes involve cutting, while less common methods include (...) -poisoning episodes involve prescribed or over-the-counter medication, and a minority involve illicit drugs, other household substances, or plant material [ ; ]. The majority of self-injury episodes involve cutting, while less common methods include burning, hanging, stabbing, swallowing objects, insertion, shooting, and jumping from heights or in front of vehicles [ ]. Self-harm includes suicide attempts as well as acts where little or no suicidal intent is involved (for example, where people harm

2014 NICE Clinical Knowledge Summaries

164. Developing and Sustaining Interprofessional Health Care: Optimizing patients/clients, organizational, and system outcomes

Factors Social Work Demand Factors Cognitive/Psycho/ Figure 1B. Cognitive/Psycho/Socio-Cultural Components Nurse/ Patient/Client Organizational Societal Outcomes ¦ At the individual level, the Physical Work Demand Factors include the requirements of the work which necessitate physical capabilities and effort on the part of the individual. schedules and shifts, heavy lifting, exposure to hazardous and infectious substances, and threats to personal safety. ¦ At the organizational level

2013 Registered Nurses' Association of Ontario

165. Preventing and Mitigating Nurse Fatigue in Health Care

DIETRICH RPN, cRTWc , cDMP , McVP , MHS Rehabilitation Consultant Cascade Disability Management Inc., Waterloo, Ontario ROSE GASS RN, ENc(c), BA, MHST Director, Emergency and Respiratory Norfolk General Hospital, Simcoe, Ontario JULIE GREGG MADED, RN Policy Consultant College of Registered Nurses of Nova Scotia, Halifax, Nova Scotia LINDA HASLAM-STROUD RN President Ontario Nurses’ Association, T oronto, OntarioPreventing and Mitigating Nurse Fatigue in Health Care BACKGROUND 13 BEST PRACTICE GUIDELINES (...) and shifts, heavy lifting, exposure to hazardous and infectious substances, and threats to personal safety. ¦ At the organizational level, the Organizational/Physical Factors include the physical characteristics and the physical environment of the organization, as well as the organizational structures and processes created to respond to the physical demands of the work. Included among these factors are staffing practices, flexible-scheduling and self- scheduling, access to functioning lifting equipment

2011 Registered Nurses' Association of Ontario

166. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients

National Director, Clinical Services VON Canada Mississauga, Ontario Rhonda Johnstone, RN, BScN, MN, GNC(c) Manager, Geriatric Services Royal Victoria Hospital Barrie, Ontario Kim Lavoie, MA, PhD Assistant Professor University of Quebec at Montreal, Department of Psychology Montreal, Quebec Anne Lyddiatt, RN National Trainer Patients Partners in Arthritis Ingersoll, Ontario Angelique O’Donnell, RN, BScN Staff Nurse The Hôpital régional de Sudbury Regional Hospital (HRSRH), Cardiac Rehabilitation

2010 Registered Nurses' Association of Ontario

167. Managing and Mitigating Conflict in Health-care Teams

, RN, BScN, MN Nursing Unit Administrator, Mount Sinai Hospital, T oronto, Ontario DEBORA COWiE, RPN Staff Nurse, Ontario Shores Centre for Mental Health Sciences, Whitby, OntarioB A CKGROUND Managing and Mitigating Conflict in Health-care T eams 18 REGISTERED NURSES’ ASSOCIATION OF ONTARIO MiCHELLE DAGLORiA, RN, BScN Clinical Educator Medicine, Guelph General Hospital, Guelph, Ontario SyLViA DAViDSON , MSC, BSc, DiP Advanced Practice Leader – Geriatrics, T oronto GER, OT REG. (ONT.) Rehabilitation

2012 Registered Nurses' Association of Ontario

168. Assessment and Management of Foot Ulcers for People with Diabetes, Second Edition

“Pathogenesis and general management of foot lesions in the diabetic patient,” by M. E. Levin, 2001, in J. H. Bowker & M. A. Pfeifer (eds.), Levin and O’Neals The Diabetic Foot (6th ed.), p. 222. St. Louis, MO: Mosby, Inc. Copyright Elsevier (2001). Ulcers and amputations result in enormous societal costs, including lost wages, job loss, prolonged hospitalization, lengthy rehabilitation and an increased need for home care and social services. Given the data on the burden of illness and the significant long

2013 Registered Nurses' Association of Ontario

169. Promoting Safety: Alternative Approaches to the Use of Restraints

Geriatric Health Care System T oronto, Ontario Assistant Professor New Y ork University College of Nursing Hartford Institute for Geriatric Nursing New Y ork, NY, USA Athina Perivolaris RN, BScN, MN T eam Leader Advanced Practice Nurse Mental Health/Gerontology, Centre for Addiction and Mental Health T oronto, Ontario Nancy Boaro RN, BScN, MN, CNN(C), CRN(C) Advanced Practice Leader, Neuro Program T oronto Rehabilitation Institute T oronto, Ontario Lisa Casselman BSc, BSW, MSW, RSW Mental Health (...) Ottawa Mental Health Centre Professional Development, Crisis Prevention Instructor Ottawa, Ontario Kathy Culhane RN Nurse Educator Lady Dunn Health Centre Wawa, Ontario Michelle DaGloria RN, BScN Clinical Educator, Professional Practice Lead Medicine Guelph General Hospital Guelph, Ontario Sylvia Davidson MSc, DipGer, OT Reg.(Ont.) Advanced Practice Leader – Geriatrics T oronto Rehabilitation Institute – University Centre T oronto, Ontario Nicole Didyk MD, FRCP(C) Geriatrician St. Mary’s Hospital

2012 Registered Nurses' Association of Ontario

170. Assessment and Management of Pain (Third Edition)

were interprofessional, made up of people who held clinical, administrative and academic roles in a variety of health-care organizations. They work with clients of all ages in different types of care – acute, long-term and home health care, mental health and addictions G , rehabilitation and community services. The participants of the focus groups outlined outstanding resources including books, guidelines, position papers, and care pathways developed to meet the needs of specific populations (...) Darlene Davis, RN, MN Health Services Manager, Pain Services Capital District Health Authority Halifax, Nova Scotia Céline Gélinas, RN, PhD Assistant Professor Ingram School of Nursing McGill University Researcher and Nurse Scientist Centre for Nursing Research and Lady Davis Institute Jewish General Hospital Montreal, Quebec Nicholas Joachimides, RN, BScN, CRN(c), MCISC Clinical Educator Holland Bloorview Kids Rehabilitation Hospital T oronto, Ontario Salima S. J. Ladak, RN(EC), MN Nurse Practitioner

2013 Registered Nurses' Association of Ontario

171. Opioid dependence

of substance use and dependence and relevant medical, psychiatric or psychosocial factors. Social problems: Problems in personal relationships (including with partners) and of social integration, including domestic violence and abuse, family, housing and living arrangements, education, employment, benefits and financial problems. Childcare issues, including parenting, pregnancy and child protection. Criminal involvement, offending and other legal issues, including arrests, fines, outstanding charges (...) Opioid dependence Opioid dependence - NICE CKS Share Opioid dependence: Summary An opioid is either a natural derivative of opium or a synthetic substance with agonist, partial agonist, or mixed agonist and antagonist activity at opioid receptors. Opioid dependence develops after a period of regular use of opioids, with the time required varying according to the quantity, frequency and route of administration, factors of individual vulnerability and the context in which drug use occurs

2019 NICE Clinical Knowledge Summaries

172. Canadian guidelines on opioid use disorder among older adults

) . According to the latest NSDUH in 2016, 0 .8% of adults surveyed met Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) criteria for OUD in the past year (Substance Abuse and Mental Health Services Administration (SAMHSA), 2017) . In contrast, the prevalence of OUD in older adults for prescription and illicit opioids in Canada has been difficult to estimate using current survey information . This may be due in part to the hesitancy of participants to disclose illegal activity (...) ’ Mental Health, Toronto, Canada (2019) Funding for the CCSMH Substance Use Disorder Guidelines was provided by Health Canada, Substance Use and Addictions Program. The CCSMH gratefully acknowledges Health Canada for its ongoing support and continued commitment to the area of seniors’ mental health. We would like to thank the Canadian Centre on Substance Use and Addiction (CCSA) and the Behavioral Supports Ontario Substance Use Collaborative for their support. We would like to thank Dr. Meldon Kahan

2019 CPG Infobase

173. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Full Text available with Trip Pro

AT, anaerobic threshold; VO 2 , maximum oxygen consumption. Recommendation grade POSSUM: strong Lee Index: strong Cardiovascular Risk Calculator: strong Walk tests: strong (to predict postoperative morbidity, but not to decide if operate or not) CPET: strong General Surgery Acute Kidney Injury Risk Index: strong Optimization of pre‐existing health conditions Alcohol Alcohol abusers (defined by the World Health Organization as ingesting more than 36 g of ethanol or equivalent of 3 standard drinks/day) have (...) and recommendation : cessation of smoking and alcohol intake at least 4 weeks before surgery is recommended. Encouraging patients is not enough; pharmacological support and individual counselling should be offered to every patient who smokes and to alcohol abusers undergoing elective surgery. Optimization of medical conditions, such as cardiovascular diseases, anaemia, chronic obstructive airways disease, diabetes, nutritional status and frailty and should follow international recommendations. Recommendation

2015 ERAS Society

174. Assessing Fitness to Drive

of Rehabilitation Medicinevi Assessing Fitness to Drive 2016 Acknowledgements Setting these standards involved extensive consultation across a wide range of stakeholders including regulators, employers and health professionals. The NTC and Austroads gratefully acknowledge all contributors including the members of the Maintenance Advisory Group and various working groups, and the project team and consultants. In particular, the contributions of various health professional organisations and individual health (...) and neurodevelopmental conditions 97 7. Psychiatric conditions 107 7.1 Relevance to the driving task 107 7.2 General assessment and management guidelines 108 7.3 Medical standards for licensing 110 8. Sleep disorders 112 8.1 Relevance to the driving task 112 8.2 General assessment and management guidelines 112 8.3 Medical standards for licensing 115 9. Substance misuse 117 9.1 Relevance to the driving task 117 9.2 General assessment and management guidelines 119 9.3 Medical standards for licensing 121 10. Vision

2016 Cardiac Society of Australia and New Zealand

175. Depression

of adaptive mechanisms to stressors. Chronic comorbidities such as diabetes, chronic obstructive pulmonary disease, cardiovascular disease and especially people with chronic pain syndromes. A past head injury, including hypopituitarism following trauma [ ; ]. People at high risk of depression Who is at high risk of depression? People who are at high-risk of depression include anyone with [ ; ]: A history of depression, suicide attempt, or any form of abuse (sexual, physical, or substance). Significant (...) problems. Neglect of dependants [ ]. Family problems and relationship break-ups. Increases the risk of substance abuse. [ ; ] Prognosis What is the prognosis? The average length of an episode of depression is 6–8 months. The prognosis is worse for people with [ ]: Psychotic features. Prominent anxiety. Personality disorders. Severe symptoms. The risk of recurrence is: At least 50% after a first episode of depression, 70% after a second episode and 90% after a third episode [ ]. Increased in people less

2015 NICE Clinical Knowledge Summaries

176. Person-and Family-Centred Care

work produced by RNAO is editorially independent from its funding source. Contact Information Registered Nurses’ Association of Ontario 158 Pearl Street, T oronto, Ontario M5H 1L3 Website: www.RNAO.ca/bestpracticesEngaging Clients Who Use Substances Person- and Family-Centred CarePerson- and Family-Centred Care 2 REGISTERED NURSES’ ASSOCIATION OF ONTARIO Greetings from Doris Grinspun, Chief Executive Officer, Registered Nurses’ Association of Ontario The Registered Nurses’ Association of Ontario

2015 Registered Nurses' Association of Ontario

177. Developing and Sustaining Nursing Leadership

and infectious substances, and threats to personal safety. ¦ At the organizational level, the Organizational Physical Factors include the physical characteristics and the physical environment of the organization and also the organizational structures and processes created to respond to the physical demands of the work. Included among these factors are staffing practices, flexible, and self-scheduling, access to functioning lifting equipment, occupational health and safety policies, and security personnel

2013 Registered Nurses' Association of Ontario

178. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

Physical Medicine and Rehabilitation Physical Therapy Physician Leadership Poetry Population Health Professional Well-being Professionalism Psychiatry Public Health Pulmonary Medicine Radiology Regulatory Agencies Research, Methods, Statistics Resuscitation Rheumatology Scientific Discovery and the Future of Medicine Shared Decision Making and Communication Sleep Medicine Sports Medicine Statistics and Research Methods Stem Cell Transplantation Substance Use and Addiction Surgery Surgical Innovation (...) for the PREHAB study—Pre-operative Rehabilitation for Reduction of Hospitalization After Coronary Bypass and Valvular Surgery: a randomised controlled trial. BMJ Open . 2015;5(3):e007250. doi: Snowden CP, Prentis J, Jacques B, et al. Cardiorespiratory fitness predicts mortality and hospital length of stay after major elective surgery in older people. Ann Surg . 2013;257(6):999-1004. doi: Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy

2020 ERAS Society

180. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

for cyclothymic disorder, and symptoms are not better explained by another disorder, cause significant impairment in functioning or distress, and are not due to a different medical condition or a substance use disorder (American Psychiatric Association, 2013). For patients that do not meet full criteria for the aforementioned depressive disorders (depressive episode with insufficient symptoms) but either experience recurrent episodes of depressed mood and at least four other symptoms of depression for 2–13

2019 American Psychological Association

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