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63. Acute Pain Medicine in the United States: A Status Report Full Text available with Trip Pro

to empower patients and to address their wants , needs, and rights . These trends have relevance to the area of acute pain medicine (APM). The practice of APM involves the practice of medicine at multiple levels of inpatient healthcare, rehabilitation, and recovery of the patient at home. Specialists in APM diagnose variants of and conditions related to acute pain, offer medical, interventional, and complementary and integrative medicine therapies, and provide for primary and secondary prevention (...) and effective acute pain care at the patient-population level. For example, it is no longer sufficient to simply perform a nerve block or place an indwelling catheter: APM teams must consider how these interventions affect patient safety, rehabilitation, and disposition; the training of healthcare providers in multiple disciplines; the logistics of supply chain management and financing; and optimal healthcare delivery. Although acute pain management occurs in a variety of patient care settings (e.g

2015 American Academy of Pain Medicine

64. Assessment and Management of Patients at Risk for Suicide

information tailored to the patient’s needs. Use of an empathetic and non-judgmental approach facilitates discussions sensitive to gender, culture, ethnic, and other considerations. The information that patients are given about treatment and care should be culturally appropriate and available to people with limited literacy skills. Treatment information should also be accessible to people with additional needs such as physical, sensory, or learning disabilities. Family and caregiver involvement should (...) are eligible for care in the VA and DoD healthcare delivery systems 2 See the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. Available at: 3 See the VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury. Available at: 4 See the VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute

2019 VA/DoD Clinical Practice Guidelines

65. Early Management of Head Injury in Adults

guidelines to those involved in the early management of head injury in primary and secondary/tertiary care CLINICAL QUESTIONS Refer to Appendix 2 TARGET POPULATION Inclusion Criteria Adult patients presenting with head injury (18 years old and above) Exclusion Criteria The guidelines do not cover definitive management of head injury: • all surgeries pertaining to neurosurgery and post-operative care • rehabilitation • management of multisystem injuries TARGET GROUP/USERS This document is intended (...) , they had a higher likelihood of disability and impairment upon discharge. It was concluded that improvement in access to trauma services for severely injured patients and standardisation in management of trauma care within hospitals in the country were required. 6, level III A specialty and subspecialty framework of MoH hospitals 10 th Malaysia Plan (2010 - 2015) reported that Hospital Kuala Lumpur and 13 states hospitals will be provided with neurosurgery subspecialty to manage complicated head injury

2015 Ministry of Health, Malaysia

66. Management of Osteoporosis

of hip fractures compared to the Malays and Indians. Chinese women accounted for 44.8% of hip fractures. 10 The direct hospitalisation cost for hip fractures in 1997 is estimated at RM 22 million. This is a gross underestimate of the total economic burden, as it does not take into account the costs incurred in rehabilitation and long term nursing care. Therefore, in an ageing population this cost will escalate without appropriate intervention. 10 (Level III) Age Group Male Female Overall 50-54 10 10 (...) are associated with more disability compared to rheumatoid arthritis, hypertensive heart disease and breast cancer. 174 Furthermore, the rate of osteoporotic hip fractures has been shown to be increasing in Asia 175 with associated increased costs. In addition, the societal cost of osteoporosis has been increasing. In 1995, the cost of osteoporotic fracture care in the US was US$13.8 billion and the proportion spent on hospital, long term and outpatient care was similar. 176 By 2005, the total annual cost

2015 Ministry of Health, Malaysia

67. Management of Nasopharyngeal Carcinoma

/fraction) • IMRT recommended to minimise dose to critical structures Follow-up and Surveillance • Multidisciplinary team involvement (ENT specialist, oncologist, speech therapist, audiologist, etc) • Head & neck and systemic examination (including nasopharyngoscopy): • Cross-sectional imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained (...) imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained and experienced dental specialist • Weight assessment on follow-up • Annual thyroid function test (TFT) screening Local disease Distant disease Regional disease • Restage to assess recurrent or persistent disease – MRI or CT scan and PET/CT scan • Biopsy of recurrent lesion(s), as clinically

2016 Ministry of Health, Malaysia

68. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

, Australia 3 Northern Adelaide Local Health Network, Adelaide, SA, Australia 4 Department of Psychiatry, St Vincent’s Health and The University of Melbourne, Melbourne, VIC, Australia 5 Rehabilitation Services, Metro South Mental Health Service, Brisbane, QLD, Australia 6 Mental Health and Addiction Services, Northland District Health Board, Whangarei, New Zealand 7 Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, The University of Western Australia (UWA (...) and their families. In terms of the global burden of disease and disability, schizophrenia ranks among the top 10 disorders worldwide (Mathers and Loncar, 2006). Clinical presentation and diagnosis. There is currently no validated biological marker of schizophrenia. The diagnosis is made by identifying the symptoms and signs of the disorder, which include delusional beliefs, hallucinations, disorganised thinking and speech, cognitive impairment, abnormal motor behaviour and negative symptoms. While neuroimaging

2016 Royal Australian and New Zealand College of Psychiatrists

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

the following working definition of self-care: Self-care is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of a health- care provider. The scope of self-care as described in this definition includes health promotion; disease prevention and control; self-medication; providing care to dependent persons; seeking hospital/specialist/primary care if necessary; and rehabilitation, including (...) and for vulnerable persons (e.g. people with disabilities and mental impairment). This is true for self-care interventions for SRHR, since many people are unable to exercise autonomy over their bodies and are unable to make decisions around sexuality and reproduction. The use and uptake of self-care interventions is organic and the shift in responsibility – between full responsibility of the user and full responsibility of the health-care provider (or somewhere along that continuum) – can also change over time

2019 World Health Organisation Guidelines

71. ELVO Management - Post-Thrombectomy

be informed that despite decompressive craniectomy up to half of survivors will remain severely disabled. In contrast, following suboccipital craniectomy the majority of patients make a favorable neurologic recovery. (Class IIb, level of evidence C) 18. Closure devices are useful in the appropriate clinical context, with similar complication rates. There is a modest advantage of immediate hemostasis that may allow for faster patient mobilization post- procedure. (Class I, level of evidence C) 19 (...) . Significant complications can develop acutely or subacutely at the access site, with investigations and interventions that may be urgently or emergently needed. Appropriate and standardized monitoring strategies should be used to detect these complications in the post-procedural setting. (Class I, level of evidence C) 20. All patients admitted with acute stroke should have an initial assessment by multidisciplinary rehabilitation professionals (physical, occupational, and speech therapy) as soon

2017 Society of NeuroInterventional Surgery

72. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness Full Text available with Trip Pro

that the CRS‐R does not include standardized assessment of appropriate emotional responses as signs of consciousness) . Recommendation: As the CRS‐R is freely available, it is recommended that the CRS‐R be used to classify the level of consciousness ( moderate evidence, strong recommendation ). This recommendation includes both subacute DoC patients in the intensive care unit (ICU), provided sedation has been stopped (or reduced as much as possible), and chronic patients in rehabilitation and long‐term (...) ) in the brainstem, the cerebellum and large parts of the left cerebral hemisphere, including the left thalamus (d). Clinical standard EEG revealed right hemispheric background slowing in the theta range and lack of epileptiform activity. Of note, TMS‐EEG revealed a perturbational complexity index (PCI) of 0.38 (e), consistent with some degree of preserved consciousness. At the 12‐month follow‐up the patient remained with severe disability (Glasgow Outcome Scale – Extended score 3) but was clinically in MCS

2020 European Academy of Neurology

73. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

every stage of life, and seamlessly integrated with other services in the health care system and the commun ity” ( Primary care providers are also well positioned to mobilize health promotion, disease pre- vention, diagnosis and treatment, and rehabilitation services. 19 GUIDELINE VULNERABLE POPULATIONS CPD Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience Kevin Pottie MD MClSc, Claire E. Kendall MD PhD, Tim (...) housing services for specific marginalized populations, for example, Indigenous people, women and families, youth, those who identify as LGBTQ2+, those with disabilities, refugees and migrants. Strong recommendation Recommendation 2: A homeless or vulnerably housed person with experience of poverty, income instability or living in a low-income household Low certainty ???? • Identify income insecurity. • Assist individuals with income insecurity to identify income-support resources and access income

2020 CPG Infobase

74. Clinical Practice Guideline on the Treatment of Pediatric Diaphyseal Femur Fractures

Children's Hospital One Children's Pl Ste 4S 20 Saint Louis, MO 63110 Charles T. Mehlman, DO, MPH Children's Hospital Medical Center 3333 Burnet Avenue, MLC 2017 Cincinnati, Ohio 45229-3039 David M. Scher, MD Hospital for Special Surgery 535 E 70th St 5th Fl New York, NY 10021 Travis Matheney, MD Children's Hospital Boston Orthopedic Surgery 47 Joy Street Boston, MA 02115 James O Sanders, MD Department of Orthopaedics Rehabilitation University of Rochester 601 Elmwood Avenue Rochester NY 14642 Guidelines (...) to consider when calculating the overall cost of treatment for pediatric femoral fracture. 5 The main considerations for patients and third party payers are the relative cost and effectiveness of each treatment option. But hidden costs for pediatric patients must also be considered. These costs include the additional home care required for a patient, the costs of rehabilitation and of missed school for the patient, child care costs if both parents work, and time off of work required by one or both parents

2015 American Academy of Orthopaedic Surgeons

75. Treatment of Fecal Incontinence

leakage” was preferred. 5 incontinence has a negative impact on self-esteem and quality of life and may result in significant secondary morbidity, disability, and cost. 6 Reported prevalence rates vary widely depending on the method used and the target population examined but, in general, range between 1.4% and 18%. in institutionalized patients, however, incontinence may affect up to 50%, and it is a frequent reason for transfer to nursing homes. 7–11 t he mature Woman’s h ealth study used n eilson (...) included “fecal incontinence” anD [“fecal oR anal oR stool”], anD [“physical therapy oR rehabilitation oR biofeedback”], anD [“sphincteroplasty” oR “implants” oR “bowel sphincter” oR “artificial sphincter” oR “ra- diofrequency” oR “sacral nerve stimulation” oR “inject- able”]. Directed searches of the embedded references from The American Society of Colon and Rectal Surgeons’ Clinical Practice Guideline for the Treatment of Fecal Incontinence Ian M. Paquette, M.D.• Madhulika G. Varma, M.D.• Andreas M

2015 American Society of Colon and Rectal Surgeons

76. Clinical Practice Guideline on Prevention of Orthopaedic Implant in Patients Undergoing Dental Procedures

of Orthopaedic Surgeons & Congress of Neurological Surgeons Paul A. Anderson, MD Professor Department of Orthopedics & Rehabilitation University of Wisconsin K4/735 600 Highland Avenue Madison WI 53792 American Dental Association Elliot Abt, DDS 4709 Golf Road, Suite 1005 Skokie, IL 60076 American Dental Association Harry C. Futrell, DMD 330 W 23rd Street, Suite J Panama City, FL 32405 American Dental Association Stephen O. Glenn, DDS 5319 S Lewis Avenue, Suite 222 Tulsa, OK 74105-6543 American Dental

2012 American Academy of Orthopaedic Surgeons

78. Clinical Practice Guideline on the Management of Anterior Cruciate Ligament Injuries

that the practitioner might perform surgical reconstruction because it reduces activity related disability and recurrent instability which may lead to additional injury. Strength of Recommendation: Limited Description: Evidence from two or more “Low” strength studies with consistent findings or evidence from a single study for recommending for or against the intervention or diagnostic test or the evidence is insufficient or conflicting and does not allow a recommendation for or against the intervention. ACL YOUNG (...) ) supports that neuromuscular training programs could reduce ACL injuries. Strength of Recommendation: Moderate Description: Evidence from two or more “Moderate” strength studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. ACL POST-OP PHYSICAL THERAPY For those undergoing post-operative rehabilitation after ACL reconstruction, moderate evidence supports early, accelerated, and non-accelerated protocols because they have

2014 American Academy of Orthopaedic Surgeons

79. Clinical Practice Guideline on Management of Hip Fractures in the Elderly

Research 254 Results 255 Rehabilitation 258 Sub-Recommendation Summary 258 Risks and Harms of Implementing these Recommendations 258 Future Research 258 Occupational and Physical Therapy 259 Rationale 259 Intensive Physical Therapy 260 Rationale 260 Nutrition 261 Rationale 261 Interdisciplinary Care Program 262 Rationale 262 Results 263 Postoperative MultiModal Analgesia 346 Rationale 346 Risks and Harms of Implementing this Recommendation 346 Future Research 346 Results 347 Calcium and Vitamin D

2014 American Academy of Orthopaedic Surgeons

80. Appropriate prescribing of psychotropic medication for non-cognitive symptoms in people with dementia

). This National Clinical Guideline is supported by the HSE National Dementia Office, the Offices of the National Directors for Acute and Community Operations and the Chief Clinical Officer. Membership nominations were sought from a variety of clinical and non-clinical backgrounds so as to be representative of all key stakeholders within the acute, community, residential care, and intellectual disability sectors, whilst also being cognisant of geographical spread and urban/rural representation. GDG members (...) and residential care sector, based on their usual work alignment, experience and expertise. A subgroup with particular expertise in dementia in intellectual disability was also formed, adding new members to the initial GDG to provide this expertise. Several members of the team had experience in performing systematic reviews and in developing guidelines and guidance documents A core writing group comprising of seven members of the GDG was established. These individuals had significant experience in literature

2019 National Clinical Guidelines (Ireland)


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