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101. Postnatal care up to 8 weeks after birth

and symptoms Condition Condition Sudden and profuse blood loss or persistent increased blood loss Faintness, dizziness or palpitations/tachycardia Postpartum haemorrhage Fever, shivering, abdominal pain and/or offensive vaginal loss Infection Headaches accompanied by one or more of the following symptoms within the first 72 hours after birth: visual disturbances nausea, vomiting Pre-eclampsia/ eclampsia Unilateral calf pain, redness or swelling Shortness of breath or chest pain Thromboembolism 1.2.2 (...) and raised concern aised concern P Postpartum haemorrhage ostpartum haemorrhage 1.2.5 In the absence of abnormal vaginal loss, assessment of the uterus by abdominal palpation or measurement as a routine observation is unnecessary. [2006] [2006] 1.2.6 Assessment of vaginal loss and uterine involution and position should be undertaken in women with excessive or offensive vaginal loss, abdominal tenderness or fever. Any abnormalities in the size, tone and position of the uterus should be evaluated

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

102. Improving outcomes in head and neck cancers

and hoarseness is not uncommon. Nasopharynx cancer is most likely to cause a lump in the neck, but may also cause nasal obstruction, deafness and post-nasal discharge. The geographical incidence of pharyngeal cancer (aside from nasopharynx) is similar to that of oral cancers. It is relatively low in England and Wales, but higher among those with a South Asian background; among immigrants from the Indian sub-continent, the risk of death from cancer of the pharynx is five times that of British natives. 28

2004 National Institute for Health and Clinical Excellence - Clinical Guidelines

104. Improving outcomes in urological cancers

survival. Hormone treatment reduces the rate of progression of the cancer and may be used in combination with other forms of treatment or as the primary intervention; however, it also causes loss of libido and impotence. Active monitoring is particularly appropriate for men whose tumours are not expected to cause problems in their lifetime, either because their life-expectancy is relatively short or because the cancer is small and growing only slowly. 4 The main problems in advanced prostate cancer

2002 National Institute for Health and Clinical Excellence - Clinical Guidelines

105. Improving outcomes for people with brain and other central nervous system tumours

, acoustic schwannoma (a cranial nerve tumour), some meningiomas and invasive tumours from adjacent sites, such as nasal tumours. These tumours may cause specific symptoms because of damage to structures in the region, such as cranial nerves, resulting in palsies, difficulty with balance or hearing. Patients with acoustic schwannoma often present with hearing loss on one side (90%), and many experience tinnitus (70%). [19] The progress of symptoms is highly variable depending on tumour type. Pituitary (...) . There should also be access to specialist healthcare professionals as appropriate for any other problems patients may experience, such as epilepsy, headaches, and functional loss, for example speech, language or visual problems. • Palliative care specialists should be included as members of the neuroscience brain and other CNS tumours MDT and the cancer network brain and other CNS tumours MDT. They should provide advice on palliative and supportive care, the management of symptoms, and contribute

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

106. The use of vaccines in HIV-positive adults

vaccine recipients, the mean time to loss of detectable HBsAb was 2.0, 3.7 and 4.4 years for patients with HBsAb levels 10–100 IU/L, >100–1000 IU/L, and >1000 IU/L, respectively [34]. In addition, viral load suppression on ART during vaccination and at follow-­-up predicts longer persistence of HBsAb levels >10 IU/L [34]. These data indicate that it is desirable to boost the HBsAb response of vaccine recipients that show HBsAb levels >10 but 10 IU/L observed 1–2 weeks after a single HBV vaccine dose

2015 British HIV Association

107. Newborn Nursing Care Pathway

• Refer to >12 – 24 hr • Able to distinguish mother and father’s voice within 2 weeks and responds with distinct reaction pattern to each • Monitor for normal hearing and speech patterns • Exposure to second hand smoke increases risk of ear infection • Review factors associated with increased risk of hearing loss such as Family history Low birth weight Jaundice – requiring transfusion Infections 21 Physiological Health: ears Refer to: Healthy Families BC Website – (...) /parenting13 Newborn Guideline 13: Newborn Nursing Care Pathway Physiological Assessment 0 – 12 hours Period of Stability (POS) >12 – 24 hours >24 – 72 hours >72 hours – 7 days and beyond eARS (Continued) Variance • Unresponsive to noise • Ear tags, ear pits – could indicate a brachial cleft duct or cyst (risk for infection and may need surgical intervention) • Low set ears • Drainage present • Family history of childhood sensory hearing loss • Cranial facial anomalies of pinna or ear canal Intervention

2015 British Columbia Perinatal Health Program

108. Core Competencies for Management of Labour

: Managing Labour 7 Perinatal Services BC Copyright © 2011 - PSBC 2. Assessment in Labour and Birth The following section outlines the nursing assessment required to care for a healthy woman and her fetus/ newborn during the first, second, third and fourth stages of labour. Initial Labour Assessment Initiate BC Perinatal Triage and Assessment Record Listen to the woman Take a history; ask her why she came to the hospital, rupture of membranes, vaginal loss and contractions Ask the woman about her plans (...) auscultation: ¦ Perform Leopold’s Maneuvers to identify fetal presentation and position ¦ Place the Doppler over the area of maximum intensity of fetal heart sounds, usually over the fetal back or shoulder ¦ Listen to hear the FHR and place a finger on mother’s radial pulse to differentiate maternal from fetal heart rate ¦ Establish a baseline heart rate by listening and counting between uterine contractions for a full minute (60 seconds) ¦ Once the FHR baseline is established auscultate the FHR

2014 British Columbia Perinatal Health Program

109. BC Neonatal Transfer Record (Form #1600)

(specify) Additives Method: ? BR ? B ? OG ? NG ? NJ ? G-tube ? GJ-tube Date Inserted and Location of Tube / cm depth Amount Frequency Syringe pump over minutes Last Fed ? Feeding Concerns (specify) ? Infant Feeding Assessment Tool Attached Total Fluids Order (including feeds) mL / kg / day Site / Route Rate Infusion #1 Solution / Dose Infusion #2 Solution / Dose Infusion #3 Solution / Dose Infusion #4 Solution / Dose Infusion #5 Solution / Dose 6. Output Last Void: Last Stool: Additional Losses (e.g (...) ., blood from lab tests) 7. Medications: Name / Dose / Route / Frequency ? Medication record attached 1. Last Given Next Due 4. Last Given Next Due 2. 5. 3. 6. 8. Treatments + / or Investigations ? Abnormal Lab Values + / or Blood Culture Results attachedPSBC 1600 – JANUARY 2017 © Perinatal Services BC PAGE 2 of 2 9. Screening ? CCHD Screen Done Date: ? Passed Follow-up: ? Eye Exam Done Date of Last Exam: Due: Results: ? Hearing Screen Done Date: ? Passed Follow-up: ? Newborn Screen Done (blood spot

2014 British Columbia Perinatal Health Program

110. Provincial Maternal Newborn Transfer Network: Principles and Processes

#4 Solution / Dose Infusion #5 Solution / Dose 6. Output Last Void: Last Stool: Additional Losses (e.g., blood from lab tests 7. Medications: Name / Dose / Route / Frequency ? MAR attached 1. Last Given Next Due 4. Last Given Next Due 2. 5. 3. 6. 8. Treatments + / or Investigations ? Abnormal Lab Values + / or Blood Culture Results attached PROOFPSBC xxxx – MAY 2014 © Perinatal Services BC PAGE 2 of 2 9. Screening ? Eye Exam Done Date of Last Exam: Due: Results: ? Hearing Assessment Done Date

2014 British Columbia Perinatal Health Program

111. Population and Public Health Prenatal Care Pathway

-2121 March 2014 (Table of Contents continues on next page)2 Perinatal Services BC Other Mental Health Concerns ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 32 Early Pregnancy Loss and Grief ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 34 4? Healthy Lifestyles ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 36 Exercise and Rest (...) experiences of powerlessness and loss of control) and where they can make decisions about their care needs at a pace that feels safe to them 10 ? Culturally Competent Care Culturally competent care involves creating a care environment that is free of racism and stereotypes, where Aboriginal women and families are treated with empathy, dignity, and respect 11 ? Cultural safety occurs when Aboriginal people feel they can trust their health care providers as a result of these culturally competent efforts

2014 British Columbia Perinatal Health Program

112. Postpartum Nursing Care Pathway

, translation services and hearing impaired services) Goals and Needs - Health Canada’s National Guidelines As indicated by Health Canada in the document Family-Centred Maternity and Newborn Care: National Guidelines, 11 the postpartum period is a significant time for the mother , baby , and family as ther e ar e vast maternal and newborn physiological adjustments and important psychosocial and emotional adaptations for all family members or support people From the National Guidelines, the BCPHP has adapted (...) family and cultural beliefs Encourage and assist the completion of specific pr ophylactic or scr eening pr ocedur es or ganized thr ough the • different programs of maternal and newborn care, such as: Vitamin K administration and eye prophylaxis, Introduction4 Perinatal Services BC immunization (rubella, Hepatitis B), prevention of Rh isoimmunization and newborn screening (blood spot screening, newborn hearing screening) Assess the safety and security of postpartum women and their newborns (families

2011 British Columbia Perinatal Health Program

113. Maternity Care Pathway

, vomiting, constipation and fatigue • Occupational hazards • Motor vehicle safety, safe seat belt use • Benefits of breastfeeding • Planning place of birth • Labour support and doula care • Early pregnancy loss (miscarriage). • For further information, see Lifestyle Advice and Recommended Websites for Women, pages 16 – 20. B) Routine Prenatal Care at each Appointment The routines listed below are common practice in BC and have been adapted from the American Family Physician recommendations. 33 Some (...) to the infant of skin-to-skin contact in the first hour of life: impr oves thermal regulation, decreases • morbidity and mortality of infant and increases initiation and duration of breast feeding 62, 63 Newborn care including eye prophylaxis, vitamin K prophylaxis and newborn screening tests (such as blood • spot screening, NB hearing screening) "Back to sleep" for infant sleep position • 64,65 Infant safety – such as a safe sleeping environment, • 66 infant crying, prevention of shaken baby syndrome

2010 British Columbia Perinatal Health Program

115. Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition

circumstances. They constitute neither a liability nor discharge from liability. While every effort has been made to ensure the accuracy of the contents at the time of publication, neither the authors nor the Registered Nurses’ Association of Ontario (RNAO) gives any guarantee as to the accuracy of the information contained in them or accepts any liability with respect to loss, damage, injury, or expense arising from any such errors or omission in the contents of this work. Copyright With the exception (...) by keyword or browse by topic. We are interested in hearing how you have implemented this Guideline. Share your story with us at www.RNAO. ca/contact. * Throughout this document, terms that are marked with a superscript G ( G ) can be found in the Glossary of Terms (Appendix A).6 REGISTERED NURSES’ ASSOCIATION OF ONTARIO BACKGROUND Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management — Third Edition Purpose and Scope Best practice guidelines are systematically

2017 Registered Nurses' Association of Ontario

117. Pregnancy and Renal Disease

, (Piccoli et al., 2018, #13860) which equates to between 15,000-20,000 pregnancies per year in England. The prevalence of CKD in pregnancy is predicted to rise in the future due to increasing maternal age and obesity. Although CKD is not a barrier to reproduction in most women, the risk of adverse pregnancy outcomes is increased in women with CKD including pre-eclampsia, fetal growth restriction, preterm delivery and accelerated loss of maternal renal function. CKD impacts on communication, decision

2019 Renal Association

118. Prevention of skin cancer

papillomavirus IARC International Agency for Research on Cancer ICD International Classification of Diseases ICNIRP International Commission on Non-Ionizing Radiation Protection IG Intervention group IQWiG Institute for Quality and Efficiency in Health Care IW Incapacity for work KBV National Association of Statutory Health Insurance Physicians KDIGO Kidney Disease: Improving Global Outcomes LDH Lactate dehydrogenase LMM Lentigo malignant melanoma LOH Loss of heterozygosity MFS Medical fee schedule (fee (...) such as sunburn in childhood and adolescence is (jointly) responsible for BCC as well [20-27]. In the meantime, intensive worldwide research results indicate a significant genetic determination in the development of BCC. For example, it has been shown that patients with naevoid basal cell carcinoma syndrome (NBCC) who often develop multiple BCC at an early age [28, 29] frequently exhibit a loss of chromosome 9q. These findings led to the identification of the localisation of a possible tumour suppressor gene

2014 German Guideline Program in Oncology

119. Kidney Biopsy information and education for patients and caregivers

al.(9), in-depth semi-structured interviews (n=85) were conducted by telephone or face to face with men to identify their experiences of having a transrectal prostate biopsy. Although most men tolerated the transrectal ultrasound guided biopsy (TRUS-Bx), 25% felt inadequately prepared for the various potential complications such as blood loss, pain and infection. Anxiety was most common when experiences deviated from the information provided. In another study of in-depth interviews involving 30 (...) for outcomes to occur? Losses to follow up Overall Score Comment Obled et al (2007)(16) Prospective cohort * * * * * self-report no * 6 Moderate ________________________________________________________________________________________________________________________________________________________________________________ Renal Biopsy – Consumer Education July 2018 Page 10 of 19 Table 4. Risk of bias- Other studies Study ID N Study type Quality Comments Gutman et al (2018)(1) 17 (10 patients, 7 caregivers

2020 KHA-CARI Guidelines

120. Palliative Care for Adults

to ensure that care is matched to the goals and priorities of the patient and the family • Expert management of complex physical and emotional symptoms, including complex pain, depres- sion, anxiety, fatigue, shortness of breath, constipation, nausea, loss of appetite and difficulty sleeping (Center to Advance Palliative Care [CAPC]) • Attention to psychosocial and spiritual care needs The National Consensus Project (2018), National Quality Forum (2012) and The Joint Commission (2012) have outlined (...) Institute for Clinical Systems Improvement 14 Palliative Care for Adults Sixth Edition /January 2020 Debility/Failure to Thrive • Greater than three chronic conditions in patient over 75 years old • Functional decline • Weight loss • Patient/family desire for low-yield therapy • Increasing frequency of outpatient visits, emergency department visits, hospitalizations Cancer • Uncontrolled symptoms due to cancer or treatment • Introduced at time of diagnosis – if disease likely incurable

2020 Institute for Clinical Systems Improvement


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