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181. Royal College of Psychiatrists? Statement on Mental Health Payment Systems

Killaspy, Sri Kalidindi 15.11.13 v2 Updated following comments from the London MH Tariff Programme leads (WW, AH, FB, TM) Sarah Khan Approvals Name Title Approval Date Version Alex Horne London MH Tariff Programme Clinical Lead Amended draft approved for circulation 15.11.13 v2 13 Executive Summary 1. Context Mental health rehabilitation (rehab) services specialise in working with people whose long term and complex needs cannot be met by general adult mental health services. Use of health and social (...) based on cluster. Such an approach for the rehab service user group is likely to lead to poor commissioning and underfunding of key ‘steps’ within the pathway, resulting in destabilisation of providers of rehabilitation services and potentially serious failures in care for this vulnerable and high needs group. Rehabilitation services play a pivotal role within the mental health system as a whole, particularly in relation to demand management within acute inpatient and forensic mental health settings

2014 Royal College of Psychiatrists

182. Chronic prostatitis and chronic pelvic pain syndrome

referring the patient to a specialist pain service (Level 5). The role of the pain service is to provide a multidisciplinary assessment of the patient and to formulate a therapeutic management plan that combines treatment of the patient’s pain, physical disability and psychosocial co-morbidity. Specialist treatments include: ? Surgical pain interventions; eg, nerve block procedures. In suitable patients, these can produce temporary or long-term pain relief and, in the context of a physical (...) rehabilitation programme, can enable the patient to progress with physical therapy and rehabilitation ? Education and training in pain management strategies ? Optimisation of analgesic and antineuropathic medications ? Intensive and individualised specialist physical therapy or psychology ? Neuromodulation procedures, including spinal cord and sacral nerve root stimulation ? Some specialised pain services can provide physiotherapist- or psychologist-led pain management programmes for patients with poor

2015 Prostate Cancer UK

183. Urological Trauma

, CLASSIFICATION & GENERAL MANAGEMENT PRINCIPALS 3.1. Definition and Epidemiology Trauma is defined as a physical injury or a wound to living tissue caused by an extrinsic agent. Trauma is the sixth leading cause of death worldwide, accounting for 10% of all mortalities. It accounts for approximately five million deaths each year and causes disability to millions more [ , ]. About half of all deaths due to trauma are in people aged 15-45 years; trauma is the leading cause of death in this age group [ ]. Death

2018 European Association of Urology

184. Neuro-urology

. 381: 230. 24. Dolecek, T.A., et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009. Neuro Oncol, 2012. 14 Suppl 5: v1. 25. Maurice-Williams, R.S. Micturition symptoms in frontal tumours. J Neurol Neurosurg Psychiatry, 1974. 37: 431. 26. Christensen, D., et al. Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA, 2008. Dev (...) viewpoint. J Pediatr Urol, 2017. 97. Yang, C.C., et al. Bladder management in women with neurologic disabilities. Phys Med Rehabil Clin N Am, 2001. 12: 91. 98. Podnar, S., et al. Protocol for clinical neurophysiologic examination of the pelvic floor. Neurourol Urodyn, 2001. 20: 669. 99. Harrison, S., et al. Urinary incontinence in neurological disease: assessment and management. NICE Clinical Guideline 2012. [CG148]. 100. Liu, N., et al. Autonomic dysreflexia severity during urodynamics and cystoscopy

2018 European Association of Urology

185. Urinary Incontinence

-menopausal oestrogen deficiency. J Int Med Res, 2009. 37: 198. 288. Robinson, D., et al. Estrogens and the lower urinary tract. Neurourol Urodyn, 2011. 30: 754. 289. Mettler, L., et al. Long-term treatment of atrophic vaginitis with low-dose oestradiol vaginal tablets. Maturitas, 1991. 14: 23. 290. Weber, M.A., et al. Local Oestrogen for Pelvic Floor Disorders: A Systematic Review. PLoS One, 2015. 10: e0136265. 291. Castellani, D., et al. Low-Dose Intravaginal Estriol and Pelvic Floor Rehabilitation

2018 European Association of Urology

186. Spasticity in adults: management using botulinum toxin - 2nd edition

throughout their careers. As an independent charity representing over 34,000 fellows and members worldwide, the RCP advises and works with government, patients, allied healthcare professionals and the public to improve health and healthcare. Citation for this document: Royal College of Physicians, British Society of Rehabilitation Medicine, The Chartered Society of Physiotherapy, Association of Chartered Physiotherapists in Neurology and the Royal College of Occupational Therapists. Spasticity in adults (...) 91 Mental imagery/mental rehearsal/mirror therapy 92 Summary 93 Appendix 9: Conflicts of interest 94 Appendix 10: Summary of evidence 96 © Royal College of Physicians 2018 vGuideline Development Group The Guideline Development Group comprised the following members and representation: Association of British Neurologists (ABN) Association of Chartered Physiotherapists in Neurology (ACPIN) British Society of Rehabilitation Medicine (BSRM) Chartered Society of Physiotherapy (CSP) Royal College

2018 British Society of Rehabilitation Medicine

187. Cardiac arrhythmias in coronary heart disease

and is applicable to guidance produced using the processes described in SIGN 50: a guideline developer’s handbook, 2015 edition ( index.html). More information on accreditation can be viewed at accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines (...) of arrhythmias in CHD. The SIGN guideline for cardiac rehabilitation includes recommendations for all patients with CHD. 5 Together these guidelines provide a framework for managing patients across the spectrum of coronary heart disease. 1.1.1 UPDATING THE EVIDENCE This guideline updates SIGN 94: Cardiac arrhythmias in coronary heart disease, published in February 2007, to reflect the most recent evidence. Where no new evidence was identified to support an update, text and recommendations are reproduced

2018 SIGN

188. CTS Position Statement on the Pharmacological Therapy of COPD

-pharmacological management of COPD includes smoking cessation strategies, vaccination, self-management education, pulmonary rehabilitation and supplemental oxy- gen. Smoking cessation and supplemental oxygen in those with persistent resting hypoxemia, remain the only interven- tions with a proven mortality bene?tinCOPD.Non-phar- macological treatment for a smaller number of patients may also include ventilatory support, in particular non-invasive positive pressure ventilation, various forms of lung volume (...) having access. 16 When asked, physi- cians who are regularly seeing COPD patients say that only 16% of their patients are referred to PR. 17 This is in con- trast with the 34% of high-risk cardiac patients who have been referred to cardiac rehabilitation programs in Ontario. 18 Finally, an often forgotten non-pharmacological management principle in patients with advanced COPD is referral for end-of-life care services (e.g. palliative care, opi- ates for dyspnea relief, etc.). Figure 1. Comprehensive

2017 Canadian Thoracic Society

189. Complex regional pain syndrome in adults. UK guidelines for diagnosis, referral and management in primary and secondary care 2018 (2nd edition)

alone if the symptoms are mild. Pragmatically, to categorise CRPS as ‘mild’, a patient would have few signs of significant pain-related disability or distress and either conventional or neuropathic drugs would manage pain intensity adequately. Patients who exhibit high levels of pain, disability or distress should be referred for specialist advice; in the meantime, active rehabilitation should be initiated as early as possible (see Occupational therapy and physiotherapy section, phase 3 (...) management. It may also be appropriate instead to refer cases of confirmed CRPS to specialist rehabilitation or vocational rehabilitation services if: ? CRPS presents in the context of another existing disabling condition (eg stroke or severe multiple trauma) ? specialist facilities, equipment or adaptations are required or need review ? the patient needs specialist vocational rehabilitation or support to return to work (this service is sometimes also provided by pain management services) ? litigation

2018 British Society of Rehabilitation Medicine

190. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

Practice Guideline Update Systematic Review Summary: Disorders of Consciousness 1 Practice guideline update: Disorders of consciousness Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research Joseph T. Giacino, PhD 1 ; Douglas I. Katz, MD 2 ; Nicholas D. Schiff, MD 3 ; John Whyte, MD, PhD 4 (...) on April 30, 2018; by the National Institute on Disability, Independent Living, and Rehabilitation Research Review Committee on April 5, 2018; and by the AAN Institute Board of Directors on May 2, 2018. This research was supported through a memorandum of understanding between the American Academy of Neurology, the American Congress of Rehabilitation Medicine and the National Institute on Disability and Rehabilitation Research (NIDRR). In 2014 NIDRR was moved from the US Department of Education

2018 American Academy of Neurology

192. Pediatric Home Mechanical Ventilation

Division of Respiratory Medicine, Children’s Hospital of Eastern Ontario, Ottawa, Canada; d Division of Respiratory Medicine, Montreal Children’s Hospital, Montreal, Canada; e Division of Paediatric Critical Care, British Columbia Children’s Hospital, Vancouver, Canada; f Division of Paediatric Critical Care, Montreal’s Children’s Hospital, Montreal, Canada; g Division of Complex Continuing Care, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada; h Division of Paediatric Respirology (...) of emergency, functional heating and cool- ing systems, etc. Ideally the ventilator-dependent child would have their own room with adequate storage for supplies and equipment. An evacuation process in case 12 R.AMINETAL. of?reshouldbeestablished.Priorityforre-connectionof electricity in the event of power loss should also be instigated. 5. Community services: The links to the community care services (eg, home care nursing, rehabilitation services) should be established well in advance of the discharge date

2017 Canadian Thoracic Society

194. Oral Health Care for the Pregnant Adolescent

disability and birth defects such as oral clefts. 36 The risk for perinatal mortality and sudden infant death syndrome (SIDS) is increased for infants of women who smoke. 36,37 Infants and children exposed to environmental tobacco smoke have higher rates of lower respiratory illness, middle ear infections, asthma, and caries in the primary den- tition. 36-41 Women are more likely to stop smoking during pregnancy, both spontaneously and with assistance, than at other times in their lives. 37 Oral (...) , it is the dentist’s responsibility to follow the as low as reasonably achievable (ALARA principle) to minimize the patient’s exposure. 70 Suppression of the mother’s reservoirs of Mutans strep- tococci (MS) by dental rehabilitation and antimicrobial treatments may prevent or at least delay infant acquisition of these cariogenic microorganisms. 73 MS, present in children with early childhood caries, is predominantly acquired from mother’s saliva. 74 The transmission of cariogenic bacteria from mother to infant

2016 American Academy of Pediatric Dentistry

195. Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

patients has serious asso- ciated risks. 2,5,38,43,45,47,48,62,63,71,83,85,88–105, 107–138 These adverse re- sponses during and after sedation for a diagnostic or therapeutic procedure may be minimized, but not completely eliminated, by a careful preprocedure review of the patient’s underlying medical conditions and consideration of how the sedation pro- cess might affect or be affected by these conditions: for example, children with developmental disabilities have been shown to have a threefold (...) increased incidence of desaturation compared with children without developmental disabilities. 74,78,103 Appropriate drug selection for the intended procedure, a clear understanding of the sedating medication’s pharmacokinetics and pharmacodynamics and drug interactions, as well as the presence of an individual with the skills needed to rescue a patient from an adverse response are critical. 42, 48,62,63,92,97,99,125–127, 132,133,139–158 Appropriate physiologic monitoring and continuous observation

2016 American Academy of Pediatric Dentistry

196. Professional Practice Guidelines for Integrating the Role of Work and Career Into Psychological Practice

of rehabilitation psychology (Szymanski, 2000). This becomes a particular concern for individuals with disabling conditions as the U.S. Bureau of Labor Statistics (2015) reported that, in 2014, Guidelines for Integrating the Role of Work and Career Into Professional Psychology Practice only 17.1 percent of persons with a disability were employed as compared to 64.6 percent for persons without a disability. Across all educational attainment groups, unemployment rates were higher for persons with a disability (...) on work. Guideline # 3: Psychologists are encouraged to understand the role of work transitions across the lifespan. Guideline # 4: Psychologists strive to understand how cultural, individual, and role differences, including those based on age, gender, gender identity, geographic location, race, ethnicity, culture, national origin, socioeconomic status, religion, sexual orientation, disability, and language, may influence the pursuit and experience of work.. Guideline # 5: Psychologists strive

2015 American Psychological Association

197. Telepsychiatry With Children and Adolescents

chart review— medicationchanges,frequencyof patient appointments, diagnostic changes, symptom severity and improvement ITV led to changed Axis I psychiatric diagnosis (excluding developmental disorders) in 70% and changed medication in 82% of patients initially (41% at 1 y and46%at3y);ITVhelpedPCPs with recommendations for developmental disabilities Descriptiveandservice usage Myers et al., 2004 43 159 youth (age 3e18 y) comparison of patients evaluated through ITV vs. in person ITV patients were

2017 American Academy of Child and Adolescent Psychiatry

198. Protective Stabilization for Pediatric Dental Patients

regarding the need for restraint, with an opportunity for the patient to respond, should occur. 11,21 Although a minor does not have the statutory right to give or refuse consent for treatment, the child’s wishes and feelings (assent) should be considered when addressing the issue of consent. 23 Also, when providing dental care for adolescents or adults with mild intellectual disabilities, patient assent for protective stabilization should be considered. 13 A conditional comprehensive explanation (...) comfort, reduced effects of stressful stimuli, and were observed to be non-harmful to special needs patients receiving medical and dental care. 40,41 One study reported parents of children with SHCN had greater acceptance of protective stabilization in comparison to parents of children with no disabilities. 42 When considering protective stabili- zation during dental treatment for patients with SHCN, the dentist in collaboration with the parent must consider the importance of treatment and the safety

2017 American Academy of Pediatric Dentistry

199. Back Pain

pain and disability in both the short and long term. The studies assessing the long-term effect were of moderate quality. However, no statistically difference was found in terms of work status/return to work. In addition, multidisciplinary rehabilitation may improve quality of life on the short term. Compared to physical therapy, the same systematic review showed that multidisciplinary rehabilitation was more effective in reducing pain and disability in the long and short terms. Nevertheless (...) , the evidence was of low quality. Compared to no multidisciplinary rehabilitation, multidisciplinary rehabilitation was effective in reducing pain and disability in the short term. Overall, low- to moderate-quality evidence shows that multidisciplinary rehabilitation is more effective than usual care, physical therapy, and no multidisciplinary rehabilitation in reducing pain and disability in the short and long term among patients with nonspecific chronic low back pain. Early physical therapy One RCT (Fritz

2017 Kaiser Permanente Clinical Guidelines

200. Professional Practice Guidelines for Occupationally Mandated Psychological Evaluations

perform clinical evaluations 1 of individuals for occupational purposes, regardless of whether the evalu- ation is intended to obtain employment, to achieve licen- sure/certification, or to maintain either. An employer’s ability to mandate psychological and other health-related evaluations of applicants and incumbents is both legally constrained (Americans With Disability Act [ADA] Amendments Act of 2008, 2009; ADA, 1991; Brownfield v. City of Yakima, 2010; Conroy v. New York State Department (...) York, 1981; Monell v. Department of Social Services, 1978), and obligations related to reasonable accommodations for disabled employees (Barnett v. U. S. Air, Inc., 2000). Preemployment psychological evaluations are most com- monly mandated for applicants to public safety positions. The Bureau of Justice Statistics (2010) estimates that 72% to 98% of police agencies require these evaluations of police officer candidates, and many states have statutory and regulatory requirements for psychological

2017 American Psychological Association


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