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disability rehabilitation

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181. Nursing Care of Dyspnea:The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

Ottawa, Ontario Bozena Dabrowski, RN Staff Nurse Day Hospital – Respiratory Rehabilitation West Park Healthcare Centre Toronto, Ontario Meeran Manji, RN COPD Educator Pulmonary Rehabilitation Program University Health Network – T oronto Western Hospital Toronto, Ontario Christina McMillan, RN, BScN, MScN(c) Graduate Teaching Assistant Laurentian University School of Nursing Sudbury, Ontario Ruth Pollock, RN, MScN Professional Practice Leader – Nursing Cornwall Community Hospital Cornwall, Ontario (...) , CAE Assistant Professor, Laurentian University, School of Nursing, Sudbury, Ontario Wendy Earle, RN, MScN(c), CCN(C) Clinical Nurse Specialist, Roadmap Project – Queen’s University, Kingston General Hospital, Hotel Dieu Hospital, Kingston, Ontario Catherine Evers, RN Staff Nurse, Medicine, Queensway-Carleton Hospital, Ottawa, Ontario Ginette Ferguson, BScN, RN(EC) Cornwall Community Hospital, Cornwall, Ontario Janet Fraser, BSc, RRT/RRCP Staff Respiratory Therapist, Respiratory Rehabilitation

2005 Registered Nurses' Association of Ontario

182. Patellofemoral Pain

Patellofemoral Pain Clinical Practice Guidelines RICHARD W. WILLY, PT , PhD • LISA T . HOGLUND, PT , PhD • CHRISTIAN J. BARTON, PT , PhD LORI A. BOLGLA, PT , PhD • DAVID A. SCALZITTI, PT , PhD • DAVID S. LOGERSTEDT , PT , PhD ANDREW D. LYNCH, PT , PhD • LYNN SNYDER-MACKLER, PT , ScD, FAPTA • CHRISTINE M. MCDONOUGH, PT , PhD Patellofemoral Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical (...) lower-limb move- ment coordination, such as squatting, step-downs, and single-leg squats. These tests can assess a patient’s baseline status relative to pain, function, and disability; global knee function; and chang- es in status throughout the course of treatment. EXAMINATION – ACTIVITY LIMITATIONS/ PHYSICAL IMPAIRMENT MEASURES C When evaluating a patient with PFP over an episode of care, clinicians may assess body structure and function, including measures of patellar provocation, patellar

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

184. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Full Text available with Trip Pro

2017 Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association + AUTHORS , , , , , , , , + AUTHORS REVIEWERS: , , , , , , , , , , , , For author, coordinator, contributor, and reviewer affiliations, see end of text. ©2017 Orthopaedic Section, American Physical Therapy Association (APTA), Inc, and the Journal of Orthopaedic & Sports Physical Therapy. The Orthopaedic Section (...) with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these revised clinical practice guidelines is to review recent peer-reviewed literature and make recommendations related to knee ligament sprain. J Orthop Sports Phys Ther. 2017;47(11):A1–A47. doi:10.2519/jospt.2017.0303 Keyword: , , , , , Summary of Recommendations Diagnosis/Classification Physical therapists should diagnose the International

2017 American Physical Therapy Association

185. Integrating Tobacco Interventions into Daily Practice

Edition Guiding Principles/Assumptions about Tobacco Interventions 1. Tobacco use is the single most preventable cause of disease, disability, and death worldwide. 2. Regular tobacco use is an addiction that requires treatment, support, and repeated interventions for clients. 3. Nurses at all points of care have an ethical and professional responsibility to provide access to evidence-based, best practice treatment and support to clients who use tobacco. 4. Clients have the right to access tobacco (...) Edition Figure 1: Brief Intervention Flow Chart ^ These interventions should be done in addition to providing support relevant to context (in-patient vs. community). * In-patient setting refers to all settings where clients are admitted (including hospital, long-term care home, psychiatric, or rehabilitation facilities). ** Community setting refers to health promotion settings that are outside of hospital (clients are not admitted). ~ In-patient behavioural interventions (such as counselling support

2017 Registered Nurses' Association of Ontario

186. Developing and Sustaining Safe, Effective Staffing and Workload Practices

Cambridge, Ontario Alvisa Palese, MNS Associate Professor University of Udine Udine, Italy Ann-Marie Patterson, RN Registered Nurse The Ottawa Hospital Kingston, Ontario Elizabeth Sevigny, RN, MScA, CCN(c) Workforce Planning Consultant McGill University Health Centre Hamilton, Ontario Susanne Sferrazza-Swayze, RPN RPN, Secure Forensic Unit St.Josephs’ Healthcare Hamilton Hamilton, Ontario Mary Anne Smith, RN, BSN, COHN (c) Occupational Health Nurse/Disability Case Coordinator University Health Network

2017 Registered Nurses' Association of Ontario

187. Preventing Falls and Reducing Injury from Falls, Fourth Edition

, & Lemaire, 2013). Further research is needed regarding the feasibility of these technologies in daily life settings (Ejupi et al., 2014; Howcroft et al., 2013). Step Test Setting: rehabilitation Population: patients in post-stroke rehabilitation A clinical test of balance that requires stepping one foot on and off a 7.5-cm step as quickly as possible for 15 seconds and recording the number of completed steps (testing both legs and recording the lowest score). May be used in conjunction with clinical (...) INTERVENTION DESCRIPTION RESEARCH FINDINGS Multi-faceted podiatry care Podiatry care, including: footwear assessment, customised insoles, and foot and ankle exercises One large trial of community-dwelling older adults within a strongly rated review found that multi- faceted podiatry care among people with disabling foot pain reduced falls (Gillespie et al., 2012). Pacemakers Device used to control heartbeat Findings within one strong review of community- based interventions found that pacemakers reduced

2017 Registered Nurses' Association of Ontario

189. Adult Asthma Care: Promoting Control of Asthma

of nursing practice—including clinical, education, and administration, and across health-care settings (including acute care, rehabilitation, long-term care, out-patient clinics, community care, and home care). It is acknowledged that achieving control of asthma requires coordination and communication among health-care providers as well as a partnership between the person with asthma and the interprofessional health-care team. In addition, the needs and preferences of the person should be considered

2017 Registered Nurses' Association of Ontario

192. Stroke, Diagnosis and Initial Treatment of Ischemic Stroke

for endorsement of guidelines. The following ICSI endorsement and conclusions are solely the consensus of the ICSI Diagnosis and Initial Treatment of Ischemic Stroke Work Group using the ICSI Endorsement Process. Introduction Stroke is the fifth leading cause of death in the United States and a leading cause of serious long-term disability (Mozzafarian, 2015; Kochanek, 2014). Annually, approximately 800,000 people in the United States have a stroke, and 130,000 die (Centers for Disease Control and Prevention (...) stroke symptoms. (Class I; LOE A) Agree 2. For patients with mild but disabling stroke symptoms, IV alteplase is indicated within 3 h from symptom onset of ischemic stroke. There should be no exclusion for patients with mild but nonetheless disabling stroke symptoms, in the opinion of the treating physician, from treatment with IV alteplase because there is proven clinical benefit for those patients. (Class I; LOE B-R) Agree 3–4.5 h* 1. IV alteplase (0.9 mg/kg, maximum dose 90 mg over 60 min

2019 Institute for Clinical Systems Improvement

193. Policy on Acute Pediatric Dental Pain Management

with special health care needs or developmental disabilities is more challenging to assess accurately and may require utilization of scales that rely on observations such as vocalization, facial expressions, and body movements. 3-5 In addition to documenting pain severity, it is important to assess pain onset, pattern, location, and quality; aggravating and relieving factors; previous treatment and its effect; and barriers to assessment. 6 When assessing pain in a child, the patient’s psychological status (...) - gesic medications, and/or mild, moderate, or deep sedation regimens. 9,10 The extent of treatment affects post-operative pain. It has been reported that 95 percent of children undergoing full mouth dental rehabilitation, regardless of extent of treatment, report pain of moderate intensity. 8 Pain scores usually are highest immediately postoperatively while the patient is in the post-anesthesia recovery unit. 8 Due to analgesics and/or local anesthetics administered intra-operatively during dental

2017 American Academy of Pediatric Dentistry

194. The Diagnosis and Acute Management of Childhood Stroke, Clinical Guideline

diffusion coefficient; SWI, susceptibility-weighted images; FSE, fast spin echo; TSE, turbo spin echo; FLAIR, fluid-attenuated inversion recovery; TOF, time of flight; MRA, magnetic resonance angiography; PPSC, Primary Paediatric Stroke Centre; CT, computed tomography; CTA, computed tomography angiography. *time may vary between scanners. †In children with alternative diagnoses, if attaining subsequent imaging will be difficult/traumatic (e.g. young children or those with intellectual disability (...) Ability to provide acute monitoring up to 72 hours Dedicated stroke coordinator position / ? Dedicated medical lead / ? Access to ICU Rapid TIA assessment services Provision of telehealth services for acute assessment and treatment. optional optional Coordination with rehabilitation service providers Early assessment using standardised tools to determine individual rehabilitation needs and goals. Routine involvement of carers in rehabilitation process Routine use of guidelines, care plans

2017 Stroke Foundation - Australia

195. Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand Thoracic Society of Australia and New Zealand guidelines Full Text available with Trip Pro

. These include studies related to defining CSLD in children, , airway clearance, rehabilitation, and use of nebulised and long-term maintenance antibiotics to prevent exacerbations. These studies (obtained through systematic searches ) formed the basis for our updated recommendations. When evidence was lacking, Australian and New Zealand experts (the writing group) developed the recommendations, which were further informed by the voting group using a modified Delphi process and the GRADE (grading (...) rehabilitation. Strong Moderate 22 Regular physical activity is recommended for children and adults with CSLD or bronchiectasis. Strong Low 23 Assess and optimise nutritional status. Strong Moderate 24 Promote elimination of smoking, including second-hand smoke exposure. Strong High 25 Promote avoidance of environmental airborne pollutants. Strong Low 26 Regularly monitor and manage complications and comorbidities. When present, manage following standard guidelines. Regular review consists of at least

2015 MJA Clinical Guidelines

196. Guidelines for the Management of Absolute Cardiovascular Disease Risk

, significant weight loss).16 Cardiovascular disease (CVD), defined collectively in these guidelines as coronary heart disease (CHD), stroke and other vascular disease including peripheral arterial disease (PAD) and renovascular disease, is a leading cause of death and disability in Australia 7 and in 2003 accounted for approximately 18% of the total burden of disease in Australia. 8 In 2008, CVD accounted for over one-third (nearly 50,000) of deaths in Australia. 9 It has a strong relationship

2012 Stroke Foundation - Australia

197. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

Martin (King’s College London, United Kingdom). Sarah Johnson and Ward Rinehart of Jura Editorial Services were responsible for writing the final text. Many other WHO staff from the regional offices and a range of departments contributed both to specific sections relevant to their areas of work and to the development of the care pathways: Shelly Chadha (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Neerja Chowdhary (WHO Department of Mental (...) Health and Substance Abuse), Tarun Dua (WHO Department of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Zee A Han (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Dena Javadi (WHO Department of Alliance for Health Policy and Systems Research), Silvio Paolo Mariotti (WHO Department of Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention

2019 World Health Organisation Guidelines

198. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

Toro Polanco (WHO Department of Services Organization and Clinical Interventions). Thanks to Professor Michael Kidd and Assistant Professor Michelle Nelson, both from the University of Toronto, for providing feedback on earlier versions of the framework. The department would like to thank the ICOPE steering group (in alphabetical order): Shelly Chadha and Alarcos Cieza (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Tarun Dua (WHO Department (...) of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Manfred Huber (WHO Regional Office for Europe), Ramez Mahaini (WHO Regional Office for the Eastern Mediterranean), Silvio Paolo Mariotti (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Alana Margaret Officer (WHO Department of Ageing and Life Course), Taiwo Adedemola Oyelade (WHO Regional Office for Africa), Juan Pablo

2019 World Health Organisation Guidelines

199. BTS/SIGN British Guideline on the Management of Asthma

; or Extrapolated evidence from studies rated as 2 + Good-practice points ? Recommended best practice based on the clinical experience of the guideline development group. 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 are produced using a standard methodology that has been equality impact assessed to ensure

2019 British Thoracic Society

200. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

in HF decompensation and as independent targets for intervention. For example, diabetes mellitus and pulmo- nary disease are each present in 30% to 40% of patients hospitalized with HF and play a role in disease severity and risk for decompensation (82). Kidney dysfunction can pre- cipitate congestion and can also limit initiation of GDMT. FrailtyisanothercommoncomorbidityinHF,particularly for the elderly (83,84), and itsassociation withhealth,functional status, and late-life disability (...) bypass surgery. Exercise program/cardiac rehabilitation. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement Malnutrition Assess for protein calorie malnutrition. Referral to dietician. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Frailty, deconditioning Assess for frailty, consider physical therapy and/or referral for rehabilitation

2019 American College of Cardiology

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