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geriatric rehabilitation

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1. Geriatric Trauma Management

Geriatric Trauma Management ACS TQIP GERIATRIC TRAUMA MANAGEMENT GUIDELINESTable of Contents Background and Introduction 3 Trauma Team Activation 3 Initial Evaluation 3 Specialized Geriatric Inpatient Care 5 Patient Decision-Making Capacity and Care Preferences 6 Discharge 7 Appendix I 9 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Appendix II 17 Legally Relevant Criteria for Decision-Making Capacity and Approaches for Assessment of the Patient Screening (...) for Depression Screening for Alcohol and Substance Abuse Assessing Baseline and Current Functional Status in Ambulatory Patients Assessing Gait and Mobility Impairment and Fall Risk in Ambulatory Patients Frailty Score: Operational Definition Frailty Score Screening for Nutritional Risk Bibliography 21 References 27 Expert Panel 28 2Background and Introduction Traumatic injury in the geriatric population is increasing in prevalence and is associated with higher mortality and complication rates compared

2012 American College of Surgeons

2. Australian and New Zealand Society for Geriatric Medicine position statement 22. Frailty in older people

Australian and New Zealand Society for Geriatric Medicine position statement 22. Frailty in older people Australian and New Zealand Society for Geriatric Medicine Position Statement No 22 Frailty in Older People Key Points 1. Frailty is an important concept for all those who plan and provide care for older people. It is closely linked to advanced age and disease-related processes, yet is a distinct construct. While some people remain fit and active as they grow older, others experience complex (...) problems: chronic disease, dependency and disability. Frailty is a term to describe this latter group, capturing differences in health status among older people. 2. “Frail” older people are at greatest risk of adverse outcomes (worsening disability, institutionalisation and death) and are more likely to present with a geriatric syndrome (particularly delirium and falls). 3. There are many validated tools to measure frailty as a clinical syndrome or phenotype. The most well-known and widely used

2014 Clinical Practice Guidelines Portal

3. Australian and New Zealand Society for Geriatric Medicine position statement 13. Delirium in older people

superimposed on dementia predicts 12-month survival in elderly patients discharged from a postacute rehabilitation facility. J Gerontol A Biol Sci Med Sci 2007;62:1306-9. 80. Givens JL, Jones RN, Inouye SK. The overlap syndrome of depression and delirium in older hospitalized patients. J Am Geriatr Soc 2009;57:1347-53. 81. Inouye SK, Schlesinger MJ, Lydon TJ. Delirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care. Am J Med 1999;106:565-73. 82 (...) Australian and New Zealand Society for Geriatric Medicine position statement 13. Delirium in older people Australian and New Zealand Society for Geriatric Medicine Position Statement 13 Delirium in Older People Revised 2012 1. Delirium is a syndrome characterized by the rapid onset of impaired attention that fluctuates, together with impaired cognition and / or altered consciousness, perceptual disturbances and behaviour. It may be the only sign of serious medical illness in an older person

2012 Clinical Practice Guidelines Portal

4. Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition)

Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition) Amputee and Prosthetic Rehabilitation – Standards and Guidelines (3 rd Edition) A Report of the Working Party of the British Society of Rehabilitation Medicine Published by the British Society of Rehabilitation Medicine in 2018 Amputee and Prosthetic Rehabilitation – Standards and Guidelines (3 rd Edition) A Report of the Working Party of the British Society of Rehabilitation Medicine Co-Chairs: Professor Rajiv (...) Hanspal & Dr Imad Sedki Published by the British Society of Rehabilitation Medicine 2018 (registered charity number 293196) The British Society of Rehabilitation Medicine (BSRM) is the society which represents the specialty of Rehabilitation Medicine. It promotes an understanding of the specialty through education and the development of clinical guidelines and standards. Membership is open to all registered medical practitioners interested and concerned with its objectives. Further information

2018 British Society of Rehabilitation Medicine

5. Management of Stroke Rehabilitation

Management of Stroke Rehabilitation VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF STROKE REHABILITATION Department of Veterans Affairs Department of Defense And The American Hea rt Association/ American Stroke Association Prepared by: THE MANAGEMENT OF STROKE REHABILITATION Working Group With support from: The Office of Quality and Performance, VA, Washington, DC & Quality Management Division, United States Army MEDCOM QUALIFYING STATEMENTS The Department of Veterans Affairs (VA (...) , and limitations unique to an institution or type of practice. Every healthcare professional making use of these guidelines is responsible for evaluating the appropriateness of applying them in any particular clinical situation. Version 2.0 2010 TABLE OF CONTENTS INTRODUCTION 2 Guideline Update Working Group Participants 7 Key Points 8 Outcome Measures 8 THE PROVISION OF REHABILITATION CARE Algorithm 12 Annotations 15 Rehabilitation Interventions 69 APPENDICES Appendix A: Guideline Development Process 112

2010 VA/DoD Clinical Practice Guidelines

6. Stroke rehabilitation in adults

Stroke rehabilitation in adults Strok Stroke rehabilitation in adults e rehabilitation in adults Clinical guideline Published: 12 June 2013 © NICE 2019. All rights reserved. Subject to Notice of rights ( rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Stroke rehabilitation in adults (CG162) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 2 of 43Contents Contents Introduction 5 Current guidelines 5 Why this guideline was developed 6 Patient-centred

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

7. Guidelines for adult stroke rehabilitation and recovery

Guidelines for adult stroke rehabilitation and recovery e1 Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods—Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council’s Scientific Statement Oversight Committee and the AHA’s Manuscript Oversight Committee (...) Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results—Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication

2016 American Academy of Neurology

8. Rehabilitation of Lower Limb Amputation

Rehabilitation of Lower Limb Amputation VA/DoD CLINICAL PRACTICE GUIDELINE FOR REHABILITATION OF INDIVIDUALS WITH LOWER LIMB AMPUTATION Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2017September 2017 Page 2 of 123 Prepared by: The Rehabilitation of Individuals with Lower Limb Amputation Work Group With support from: The Office of Quality, Safety and Value, VA, Washington, DC & Office of Evidence Based Practice, U.S

2017 VA/DoD Clinical Practice Guidelines

9. Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning

, specialists in geriatric medicine and care of the elderly, rehabilitation specialists, general physicians, speech and language therapists, dietitians, physiotherapists, occupational therapists, orthoptists, orthotists, pharmacists, psychologists, neurologists, general practitioners, specialists in public health, healthcare service planners, people who have had a stroke, their carers and families. 1 int Ro DUCtion4 stroke r ehabilitation 1.2.3 PATIENT VERSION A patient version of this guideline (...) equipment to compensate for the loss of ability to perform ADLs. A systematic review of nine RCTs (1,258 participants) found that personal activities of daily living training provided by occupational therapy is effective for increasing independence in community-based patients with stroke. 29 A single RCT randomised 50 participants with stroke into one of two geriatric rehabilitation wards to receive either occupational therapy and physiotherapy or physiotherapy only. The duration of each programme was 3

2010 SIGN

11. WHO Guidelines on Integrated Care for Older People (ICOPE)

-making during the guideline development group meeting 6 2.5 Document preparation and peer review 6 3 Evidence and recommendations 7 3.1 Module I: Declining physical and mental capacities 8 3.2 Module II: Geriatric syndromes 17 3.3 Module III: Caregiver support 21 4 Implementation considerations 25 5 Publication, dissemination and evaluation 29 5.1 Publication and dissemination 29 5.2 Monitoring and evaluation 29 5.3 Future review and update 30 References 31 Annex 1: Guideline development group (GDG (...) capacity, including mobility loss, malnutrition, visual impairment and hearing loss, cognitive impairment, and depressive symptoms • Module II: Geriatric syndromes associated with care dependency, including urinary incontinence and risk of falls • Module III: Caregiver support: interventions to support caregiving and prevent caregiver strain. The physical and mental impairments were selected because they represent, consistent with the WHO Executive summaryviii Integrated care for older people framework

2017 World Health Organisation Guidelines

12. Frailty in Older Adults - Early Identification and Management

rehabilitation by licensed physical and occupational therapists; adult day services for personal care, health care and social and recreational activities; home support for assistance with activities of daily living; caregiver respite and relief; assisted living and residential care; and end-of-life care services. Comprehensive Geriatric Assessment Patients with frailty who have multiple complex needs, diagnostic uncertainty or challenging symptom control may benefit from a referral to comprehensive geriatric (...) for Seniors Clinical Care Management Guideline: 48/6 Model of Care, available at the BC Patient Safety and Quality Council website at: Key Recommendations See . Early identification and management of patients with frailty or vulnerable to frailty provides an opportunity to suggest appropriate preventive and rehabilitative actions (e.g. exercise program, review of diet and nutrition, medication review) to be taken to slow, prevent, or even reverse decline associated with frailty. Use a diligent case

2017 Clinical Practice Guidelines and Protocols in British Columbia

13. Occupational Therapy for people Undergoing total hip replacement

replacements and 9,000 revisions were carried out in England and Wales (National Joint Registry 2011, p35). Yet although the role of occupational therapy is well established and recognised (British Orthopaedic Association 2006), there are rapid changes in the face of practice – not only in the timings of interventions but in the age and range of people needing rehabilitation. Occupational therapists are treating more people of working age who have had hip replacements as well as continuing to treat (...) . Maximised functional independence ?1. It is recommended that the occupational therapy assessment is comprehensive and considers factors which may affect individual needs, goals, recovery and rehabilitation, including co-morbidities, trauma history, personal circumstances, obesity and pre-operative function. (Johansson et al 2010 [C]; Lin and Kaplan 2004 [C]; Marks 2008 [C]; Naylor et al 2008 [C]; Ostendorf et al 2004 [C]; Vincent et al 2007 [C]; Vincent et al 2012 [B]; Wang et al 2010 [C]) [New evidence

2018 British Association of Occupational Therapists

14. Clinical practice guideline for the management of patients with Parkinson´s disease

those medical professionals (specialists in neurology, psychiatry, geriatrics, family and community medicine, among others), as well as pharmacists, nurses, and other professions related to the care and rehabilitation of these patients from complementary approaches: psychology, physical therapy, speech therapy, occupational therapy, human nutrition and diet, etc. The CPG is aimed in improving the treatment and rehabilitation of patients with PD. New methods of administration of antiparkinson (...) of Navarre Clinic. Pamplona. Juan Antonio Martín Jiménez. Doctor of Medicine, Specialist in Family and Community Medicine. Buenavista Health Centre (SESCAM). Toledo. María Carmen Martínez Garre. Doctor of Medicine, Specialist in Physical Medicine and Rehabilitation. Vall d’Hebron University Hospital. Barcelona. Mª Elena Martínez Rodríguez. Doctor of Medicine, Specialist in Physical Medicine and Rehabilitation. Ramón y Cajal University Hospital. Madrid.CliniCal praCtiCe guidelines in the sns 11 Juan

2015 GuiaSalud

17. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) activity. • If pain worse: Consider changing/adding medications, increasing restrictions. • Physical therapy. If no improvement, at 1-2 weeks [IIA*] consider manual physical therapy (spinal manipulation). If at Risk: Chronic Disability Prevention (Table 2) • Patient education [IA*] • Minimize restrictions • Recommend aerobic activities such as walking, biking, swimming and core strengthening exercises (Appendix C) to rehabilitate and prevent recurrent low back pain. • At 2 weeks: If work disability

2011 University of Michigan Health System

19. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease

, asymptomatic patients, cardiac magnetic resonance (CMR), cardiac rehabilitation, chest pain, chronic angina, chronic coronary occlusions, chronic ischemic heart disease (IHD), chronic total occlusion, connective tissue disease, coronary artery bypass graft (CABG) versus medical therapy, coronary artery disease (CAD) and exercise, coronary calcium scanning, cardiac/coronary computed tomography angiography (CCTA), CMR angiography, CMR imaging, coronary stenosis, death, depression, detection of CAD (...) Percutaneous Coronary Intervention ( ) ACCF/AHA/SCAI 2011 Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease ( ) AHA/ACCF 2011 UA/NSTEMI: 2007 and 2012 Updates ( , ) ACCF/AHA 2012 Statements NCEP ATP III Implications of Recent Clinical Trials ( , ) NHLBI 2004 National Hypertension Education Program (JNC VII) ( ) NHLBI 2004 Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers

2011 American Heart Association

20. Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis (Revised 2011)

. Feb 2008;17(2):200-203. 14. Chang Y , Singer DE, Wu YA, Keller RB, Atlas SJ. The effect of surgical and nonsurgical treatment on longitudinal outcomes of lumbar spinal stenosis over 10 years. J Am Geriatr Soc. May 2005;53(5):785-792. 15. Cummins J, Lurie JD, Tosteson TD, et al. Descriptive epidemi- ology and prior healthcare utilization of patients in The Spine Patient Outcomes Research Trial’s (SPORT) three observational cohorts: disc herniation, spinal stenosis, and degenerative spon (...) of conservative treatment for lumbar spinal stenosis in elderly patients. Arch Gerontol Geriatr. May-Jun 2007;44(3):235-241. 43. Simotas AC. Nonoperative treatment for lumbar spinal stenosis. Clin Orthop Relat Res. Mar 2001(384):153-161. 44. Simotas AC, Dorey FJ, Hansraj KK, Cammisa F, Jr. Nonopera- Natural History of s piNal s teNosis Degenerative Spinal Stenosis | NASS Clinical GuidelinesThis clinical guideline should not be construed as including all proper methods of care or excluding or other acceptable

2011 North American Spine Society


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