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101. Cerebral palsy in under 25s: assessment and management

, neurorehabilitation, respiratory, gastroenterology and surgical specialist care orthopaedics orthotics and rehabilitation services social care visual and hearing specialist services teaching support for preschool and school-age children, including portage (home teaching services for preschool children). 1.5.4 Ensure that routes for accessing specialist teams involved in managing comorbidities associated with cerebral palsy are clearly defined on a regional basis. 1.5.5 Recognise that ongoing communication between (...) palsy communication difficulties do not necessarily correlate with learning disability (intellectual disability). Assessment and referr Assessment and referral al 1.9.2 Regularly assess children and young people with cerebral palsy during routine reviews to identify concerns about speech, language and communication, including speech intelligibility. 1.9.3 Refer children and young people with cerebral palsy for specialist assessment if there are concerns about speech, language and communication

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

102. Screening and Management of Late and Long-term Consequences of Myeloma and its Treatment

, late effects, quality of life, haematopoietic stem cell transplantation, chemotherapy. Methodology These guidelines were developed using the following stages: • Review of key literature from 1 April 2006 to 31 March 2016 using the Cochrane database (search term: myeloma) and Medline: search terms used were [myeloma] + late effects, long term effects, frailty, geriatric assessment, infec- tion, infection prophylaxis, vaccination, nutrition, exercise, rehabilitation, employment, endocrine, disability (...) to be relatively resilient despite previous pulsed high-dose corticosteroid therapy. Menopause may be precipi- tated in younger female myeloma patients by chemotherapy and/or radiotherapy. The prevalence of persistent male hypogonadism following intensive treatment raises a need for routine screening and appropriate advice from endocrine specialists (Green?eld et al, 2014). Body composition changes may add to increased frailty, poor mobility and disability (Narici & Maffulli, 2010; Miceli et al, 2011; Morgan

2017 British Committee for Standards in Haematology

104. Multi-disciplinary Guidelines for the Oral Management of Patients following Oncology Treatment

Multi-disciplinary Guidelines for the Oral Management of Patients following Oncology Treatment The Oral Management of Oncology Patients Requiring Radiotherapy, Chemotherapy and / or Bone Marrow Transplantation Clinical Guidelines Updated 2012 The Royal College of Surgeons of England / The British Society for Disability and Oral Health 2 1997: Initial Guideline Working Party - Jeremy Shaw - Navdeep Kumar - Monty Duggal - Debbie Lewis - Janice Fiske - Tracey Kinsella - Tom Nisbet 2004: Revision (...) before the start of cancer therapy. iii. Prepare the patient for expected side effects of cancer therapy. iv. Establish an adequate standard of oral hygiene to meet the increased challenge. v. Develop a plan for maintaining oral hygiene, providing preventive care, completing oral rehabilitation, and follow-up. vi. Establish the necessary multidisciplinary collaboration within the cancer centre to reduce/alleviate oral symptoms and sequelae before, during and after cancer therapy. Each centre should

2012 British Society for Disability and Oral Health

105. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

. BAPPI has determined that the wealth of scholarship specific to race/ethnicity as well as the scholarship focused on other identity groups warrants splitting the 2002 Multicultural Guidelines into two sets of guidelines going forward: one focused on “pan” or “umbrella” multicultural guidelines that captures universal concepts based on the scholarly literature across a broad cross-section of identity groups (e.g., age, disability, race, ethnicity, gender, religion/spirituality, sexual orientation (...) identity, social class, ability/disability status, national origin, immigration status, and historical as well as ongoing experiences of marginalization, among other variables (Comas-Díaz, 2012; Crenshaw, 1989; Greene, 2013; Hays, 2016; Olkin, 2002; Roysircar- Sodowsky & Maestas, 2000). 17 Similarly, group identity or social identity, which refers to one’s affiliation with and feelings about one’s connection with other members of a particular sociocultural group as well as having an awareness of group

2002 American Psychological Association

106. British guideline on the management of asthma

at 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 that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our guideline manual, which can

2016 SIGN

107. Guidelines for Psychological Practice in Health Care Delivery Systems

Privileges, 1991) and draw on the issues highlighted in an additional APA document regarding practicing psychology in hospitals from that same time period (APA Practice Director- ate, 1998). There are a wide variety of systems for health care delivery, including, but not limited to, primary care and inte- grative care facilities, tertiary care hospitals, rehabilitation centers, nursing homes, outpatient surgery centers, and sub- stance abuse treatment centers. Similarly, there are a wide variety (...) of Other Health Care Professionals Rationale. The successful development, integra- tion, and delivery of psychological services in health care delivery systems depends upon psychologists’ abilities, willingness, and opportunities to explain how they might contribute to effective prevention, diagnosis, consultation, treatment, rehabilitation, and/or end-of-life care. Psychol- ogists aim to enhance patient participation in decision making about, satisfaction with, and adherence to recom- mended care

2013 American Psychological Association

108. Guidelines for the Evaluation of Dementia and Age-Related Cognitive Change

cognitive change have a solid foundation in clinical psychology. In addition, they are encouraged to obtain fundamental education, training, and supervised experience in geropsychology, neuropsy- chology, rehabilitation psychology, pharmacology, neuro- pathology, and psychopathology. II. General Guidelines: Ethical Considerations Guideline 3. Psychologists are aware of the special issues surrounding informed consent in cognitively compromised populations. Rationale. Psychologists recognize the special (...) and treatment planning purposes. Application. In order to accurately diagnose con- ditions that are associated with cognitive decline and func- tional disability, psychologists conduct a clinical interview with the individual and obtain corroboration from knowledge- able informants whenever possible. Key information obtained during the interview includes the following: ? the onset and course of changes in cognitive func- tioning, ? pre-existing disabilities, ? educational and cultural background that could

2012 American Psychological Association

109. Guidelines for Psychological Evaluations in Child Protection Matters

be provided to the court, state agencies, or other parties (APA Ethics Code, Standard 2.01(f)). For example, in cases involving physical disability, such as hearing impairments, orthopedic handicaps, etc., psychol- 21 January 2013 ? American Psychologistogists strive to seek consultation from experts in these areas. This need for consultation may also apply to other aspects of human diversity, such as, but not limited to, ethnic minority status, sexual orientation, and socioeco- nomic status (Condie, 2003 (...) , including those attributes, skills, and abilities most relevant to abuse and/or neglect concerns; (b) the psychological functioning and developmental needs of the child, particularly with regard to vulnera- bilities and special needs, including any disabilities, of the child as well as the strength of the child’s attachment to the parent(s) and the possible detrimental effects of separation from the parent(s); (c) the current and poten- tial functional abilities of the parent(s) to meet the needs

2013 American Psychological Association

110. Clinical practice guidelines and principles of care for people with dementia

] People with dementia describe the condition as disabling, challenging, life changing and stressful.[2] The impact of dementia on carers is significant and caring for a person with dementia may lead to poor health, depression and social isolation.[3] Approximately nine per cent of Australians aged 65 and over have a diagnosis of dementia; in people aged 85 years and older this figure rises to 30 per cent.[4] As Australia’s population ages, the number of people with dementia is expected to increase (...) of people with dysphasia or an intellectual disability. 11 PP Hospitals should implement strategies to maximise independence and minimise the risk of harm for patients with dementia as identified by the Australian Commission on Safety and Quality in Health Care. 12 PP Organisations in primary, secondary and tertiary care settings should consider the needs of people with dementia when designing health and aged care services and facilities. In particular, services should be structured to complement

2016 Clinical Practice Guidelines Portal

111. Transition from children's to adults' services for young people using health or social care services

: support the young person for the time defined in relevant legislation, or a minimum of 6 months before and after transfer (the exact length of time should be negotiated with the young person) hand over their responsibilities as named worker to someone in adults' services, if they are based in children's services. 1.2.10 For disabled young people in education, the named worker should liaise with education practitioners to ensure comprehensive student-focused transition planning is provided. This should (...) include, for example, written information, computer-based reading programmes, audio or braille formats for disabled young people) describe the transition process describe what support is available before and after transfer describe where they can get advice about benefits and what financial support they are entitled to. Support from the named work Support from the named worker er 1.3.5 Consider finding ways to help the young person become familiar with adults' Transition from children’s to adults

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

112. Management of chronic heart failure

the processes described 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 are produced using a standard methodology (...) and a checklist of information for patients. The management of specific aetiologies of HF such as inherited (genetic) cardiac conditions, has not been covered in this guideline. Other relevant SIGN guidelines on the management of acute coronary syndrome, arrhythmias and stable angina, primary prevention of coronary heart disease and cardiac rehabilitation are available from 1.2.2 DEFINITIONS Heart failure is a clinical syndrome of symptoms (eg breathlessness, fatigue) and signs (eg oedema

2016 SIGN

113. Acute coronary syndrome

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 are produced using a standard methodology that has been

2016 SIGN

114. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications

by increased morbidity and mortality and is now the third or fourth most common life-threatening infection syndrome, after sepsis, pneumonia, and intra-abdominal abscess. Globally, in 2010, IE was associated with 1.58 million disability-adjusted life-years or years of healthy life lost as a result of death and nonfatal illness or impairment. Epidemiological surveys from France and the International Collaboration on Endocarditis have confirmed that the epidemiological profile of IE has changed substantially

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2016 Infectious Diseases Society of America

116. Introduction to the Centers for Disease Control and Prevention and Healthcare Infection Control Practices Advisory Committee Guideline for Prevention of Surgical Site Infection: Prosthetic Joint Arthroplasty Section

complications, increased rates of re-admissions, prolonged length of stay, total number of operations, and more outpatient visits and charges) during 12 months after the index procedure [ ]. Thus, while the overall incidence of PJI in primary arthroplasties is low, the associated burden, morbidity (e.g., pain and disability), and cost mandate that we strive to minimize the risk of infection even further. The accompanying guideline recommendations summarize best practices to achieve this goal. In 1982 (...) . , , 46 Del Pozo JL , Patel R . Infection associated with prosthetic joints . N Engl J Med 2009 ;361:787–794. , , International Journal of MS Care, Vol. 20, No. 5 The Journal of Bone and Joint Surgery, Vol. 100, No. 14 The Journal of Arthroplasty, Vol. 33, No. 5 The Journal of Arthroplasty, Vol. 33, No. 1 12 February 2018 | Geriatric Orthopaedic Surgery & Rehabilitation, Vol. 9 American Journal of Infection Control, Vol. 45, No. 11 , , , and December 2009 , , , and May 2017 , , , and May 2017

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2016 Surgical Infection Society

117. Prevention of Cardiovascular Disease in Women

- 80 years of age In the presence of the following co-morbidity, target BP should be: ? renal impairment (CKD): 1.2 mmol/L Triglycerides: 1 g/24 hr: 75 years), incidence rates are approximately equal or even higher than in men. 140,141 Women are more likely to die or have disability following a stroke than men. 12,13 This could be due to their older age at presentation and their pre-stroke disability which is greater than that of men. 1341 2016 2.2.2. Presenting Symptoms In general

2016 Ministry of Health, Malaysia

118. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms

territory, and particularly when a given aneurysm has an intra-aneurysmal thrombus, it may be considered a potential source of the ischemic event. No prospective randomized trial has compared the risk of subsequent ischemic events, rupture, death, or disability after treatment or medical management. Although the practice of leaving a symptomatic aneurysm unsecured or treating the patient with antiplatelet or anticoagulation therapy remains controversial, there are insufficient data to evaluate

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2015 American Heart Association

119. Congenital Heart Disease in the Older Adult

such as exercise intolerance with significant disability in a previously asymptomatic patient. The challenge that often faces the cardiologist is to sort out the relative contribution to symptoms of acquired heart disease and CHD. In addition to the large number of patients with previously diagnosed CHD, there exists a population of adults whose CHD was not diagnosed during childhood. These adults may be symptomatic, leading to detection of the lesion. However, some lesions may escape detection until adulthood

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2015 American Heart Association

120. Social Determinants of Risk and Outcomes for Cardiovascular Disease

in the field. The premise underlying this scientific statement is that, at present, the most significant opportunities for reducing death and disability from CVD in the United States lie with addressing the social determinants of cardiovascular outcomes. Although social determinants are most often invoked in discussions of inequalities or disparities in health, we take a broader view that social factors can and do affect cardiovascular health in all. Thus, a consideration of the role of social determinants

2015 American Heart Association


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