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141. Diagnosis and Treatment of Low Back Pain

or interdisciplinary rehabilitation program which should include at least one physical component and at least one other component of the biopsychosocial model (psychological, social, occupational) used in an explicitly coordinated manner. Weak for Reviewed, New-replaced *For additional information, please refer to Grading Recommendations. †For additional information, please refer to Recommendation Categorization and Appendix A. VA/DoD Clinical Practice Guideline for Diagnosis and Treatment of Low Back Pain (...) research questions on which to base an SR about the diagnosis and treatment of LBP. The group also identified a list of clinical specialties and areas of expertise that were important and relevant to the diagnosis and treatment of LBP, from which Work Group members were recruited. The specialties and clinical areas of interest included: chiropractic care, integrative medicine, neurology, nursing, pain medicine, pharmacy, physical medicine and rehabilitation, physical therapy, primary care, radiology

2017 VA/DoD Clinical Practice Guidelines

143. Hip Pain and Mobility Deficits ? Hip Osteoarthritis

with respect to their conclusions. The recommendation is based on these conflicting studies E Theoretical/ foundational evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this conclusion F Expert opinion Best practice based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in hip OA management and rehabilitation reviewed (...) reserved.Hip Pain, Mobility Deficits, Osteoarthritis: Clinical Practice Guidelines Revision 2017 journal of orthopaedic & sports physical therapy | volume 47 | number 6 | June 2017 | a7 PREVALENCE 2009 Summary Hip pain associated with OA is the most common cause of hip pain in older adults. Prevalence studies have shown that the rates for adult hip OA range from 0.4% to 27%. EVIDENCE UPDATE III In a systematic review assessing age- and sex-specific epidemiological data for hip and knee OA, the global age

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

146. Lower Extremity Arterial Revascularization?Post-Therapy Imaging

risk for cardiovascular death and all-cause mortality [1]. PAD may present as claudication, ischemic rest pain, nonhealing ulcers, or gangrene; without treatment, many patients will go on to require some degree of amputation ranging from loss of one or more digits to major limb loss (below-knee or above-knee amputation). Over the past several decades, a paradigm shift away from surgical treatment and toward endovascular therapy for PAD has occurred, with many now advocating surgical treatments only (...) . The degree of transmitted signal varies depending on blood volume within the digit, blood vessel wall movement, and the orientation of red blood cells [12]. PPG is useful for detection of disease below the knee as well as disease isolated to the forefoot and digits. As such, it has been demonstrated to be a complementary test to ABI, which has limited use in these segments. TcPO2 measurement allows the determination of the oxygen tension within tissue. An improvement in the TcPO2 value postintervention

2017 American College of Radiology

148. AIM Clinical Appropriateness Guidelines for Joint Surgery

References 25 CPT Codes 25 Appendix 26 Knee Arthroplasty 27 Description & Scope 27 General Requirements and Documentation 27 Indications and Criteria 29 Contraindications 30 Exclusions 30 Selected References 31 CPT Codes 31 Appendix 31 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Joint Surgery 3 Knee Arthroscopy and Open Procedures 32 Description 32 General Requirements 32 Indications 33 Exclusions 35 Selected References 35 CPT Codes 36 Appendix 37 Meniscal Allograft Transplantation (...) of the Knee 38 Description 38 Documentation Requirements 38 Criteria 39 Exclusions 39 Selected References 39 CPT Codes 39 Treatment of Osteochondral Defects 40 Description 40 Documentation Requirements 40 Patient selection criteria 41 Procedure-specific criteria 41 Contraindications 42 Exclusions 42 CPT Codes 43 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Joint Surgery 4 Description and Application of the Guidelines AIM’s Clinical Appropriateness Guidelines (hereinafter “AIM’s Clinical

2017 AIM Specialty Health

149. MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders

Date: November 13, 2015 ID: 238 Revisions: 222; 204 Attachment Size 129.19 KB 197.48 KB 173.03 KB 98.09 KB 191.99 KB 158.08 KB 116.41 KB 157.18 KB 271.89 KB Physical therapy is an important adjunct in the management of individuals with hemophilia and other inherited bleeding disorders. [1] Physical therapy is used to rehabilitate muscles and joints following acute soft tissue injuries and hemarthroses, chronic synovitis, and hemophilic arthritis. In addition, physical therapy is critical to pre (...) of patients with inherited bleeding disorders: Cryotherapy (2011) Iliopsoas Bleed (2011) Joint Bleed (2011) Muscle Bleed (2018) Surgical Synovectomy (2013) Total Knee Replacement (2015) Orthoses for Ankle Hemophilic Arthopathy (2018) MASAC recommends adoption of these standardized guidelines by physical therapy services for management of individuals with bleeding disorders, either inpatient or outpatient, both in HTCs and in institutions not affiliated with an HTC. In the latter case, consultation

2015 National Hemophilia Foundation

150. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

guidelines for regional anesthesia in patients on antiplatelet and anticoagulant medications and/or if respondents incorporated different protocols for different pain procedures. One hundred twenty-four active participants attended the forum. Responses were collected using an audience response system. Eighty-four percent of respondents were anesthesiologists, and the remainders were physical medicine and rehabilitation physicians, neurologists, orthopedic surgeons, and neurological surgeons. Most

2015 American Society of Regional Anesthesia and Pain Medicine

151. Management of Orthopaedic Trauma

Management of Orthopaedic Trauma ACS TQIP BEST PRACTICES IN THE MANAGEMENT OF ORTHOPAEDIC TRAUMATable of Contents Introduction 3 Triage and Transfer of Orthopaedic Injuries 4 Open Fractures 6 Damage Control Orthopaedic Surgery 9 The Mangled Extremity 12 Compartment Syndrome 15 Management of Pelvic Fractures with Associated Hemorrhage 18 Geriatric Hip Fractures 21 Management of Pediatric Supracondylar Humerus Fractures 26 Rehabilitation of the Multisystem Trauma Patient 28 Appendix (...) and Performance Improvement Although damage control interventions in orthopaedic surgery are necessary at times, delay of definitive fixation leads to higher rates of skin breakdown, prolonged hospital length of stay, increased pain, decreased patient satisfaction, and delays to rehabilitation. The utilization of damage control orthopaedic surgery and subsequent complications should be monitored through the performance improvement process. Similarly, failure to employ a damage control approach to orthopaedic

2015 American College of Surgeons

152. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Full Text available with Trip Pro

for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society (...) Symptomatic Baker cyst Behind knee, down calf Rare Swelling, tenderness With exercise Present at rest None Not intermittent Hip arthritis Lateral hip, thigh Common Aching discomfort After variable degree of exercise Not quickly relieved Improved when not weight bearing Symptoms variable. History of degenerative arthritis Spinal stenosis Often bilateral buttocks, posterior leg Common Pain and weakness May mimic IC Variable relief but can take a long time to recover Relief by lumbar spine flexion Worse

2015 Society for Vascular Surgery

153. Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism

for the prevention of venous thromboembolism in adults having elective total hip replacement surgery or elective total knee replacement surgery. [This text is from rivaroxaban for the prevention of venous thromboembolism after total hip or total knee replacement in adults (NICE technology appraisal guidance 170).] [2018] [2018] 1.11.6 Consider one of the following if none of the options in recommendation 1.11.5 can be used: Apixaban [8] is recommended as an option for the prevention of venous thromboembolism (...) in adults after elective hip or knee replacement surgery. [This text is from apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults (NICE technology appraisal guidance 245).] Dabigatran etexilate [9] , within its marketing authorisation, is recommended as an option for the primary prevention of venous thromboembolic events in adults who have undergone elective total hip replacement surgery or elective total knee replacement surgery. [This text is from

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

154. Risk Assessment and Prevention of Pressure Ulcers

of Canada, London, Ontario Dr. Marisa Zorzitto Regional Geriatric Service, West Park Healthcare Centre, Toronto, Ontario RNAO also wishes to acknowledge the following organizations in Ottawa, Ontario, for their role in pilot testing the original guideline: SCO Health Services The Rehabilitation Centre of the Royal Ottawa Health Care Group St Patrick’s Nursing Home Perley Rideau Centre of the Royal Ottawa Health Care Group Hôpital Montfort Saint Elizabeth Health Care VHA Home Healthcare RNAO sincerely (...) should be considered. – Level Ib 3.12 Institute a rehabilitation program, if consistent with the overall goals of care and IV the potential exists for improving the individual’s mobility and activity status. Consult the care team regarding a rehabilitation program. Discharge/Transfer 4.1 Advance notice should be given when transferring a client between settings IV of Care Arrangements (e.g., hospital to home/long-term care facility/hospice/residential care) if pressure reducing/relieving equipment

2002 Registered Nurses' Association of Ontario

155. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients

National Director, Clinical Services VON Canada Mississauga, Ontario Rhonda Johnstone, RN, BScN, MN, GNC(c) Manager, Geriatric Services Royal Victoria Hospital Barrie, Ontario Kim Lavoie, MA, PhD Assistant Professor University of Quebec at Montreal, Department of Psychology Montreal, Quebec Anne Lyddiatt, RN National Trainer Patients Partners in Arthritis Ingersoll, Ontario Angelique O’Donnell, RN, BScN Staff Nurse The Hôpital régional de Sudbury Regional Hospital (HRSRH), Cardiac Rehabilitation

2010 Registered Nurses' Association of Ontario

156. Assessment and Management of Foot Ulcers for People with Diabetes, Second Edition

“Pathogenesis and general management of foot lesions in the diabetic patient,” by M. E. Levin, 2001, in J. H. Bowker & M. A. Pfeifer (eds.), Levin and O’Neals The Diabetic Foot (6th ed.), p. 222. St. Louis, MO: Mosby, Inc. Copyright Elsevier (2001). Ulcers and amputations result in enormous societal costs, including lost wages, job loss, prolonged hospitalization, lengthy rehabilitation and an increased need for home care and social services. Given the data on the burden of illness and the significant long

2013 Registered Nurses' Association of Ontario

157. Promoting Safety: Alternative Approaches to the Use of Restraints

Geriatric Health Care System T oronto, Ontario Assistant Professor New Y ork University College of Nursing Hartford Institute for Geriatric Nursing New Y ork, NY, USA Athina Perivolaris RN, BScN, MN T eam Leader Advanced Practice Nurse Mental Health/Gerontology, Centre for Addiction and Mental Health T oronto, Ontario Nancy Boaro RN, BScN, MN, CNN(C), CRN(C) Advanced Practice Leader, Neuro Program T oronto Rehabilitation Institute T oronto, Ontario Lisa Casselman BSc, BSW, MSW, RSW Mental Health (...) Ottawa Mental Health Centre Professional Development, Crisis Prevention Instructor Ottawa, Ontario Kathy Culhane RN Nurse Educator Lady Dunn Health Centre Wawa, Ontario Michelle DaGloria RN, BScN Clinical Educator, Professional Practice Lead Medicine Guelph General Hospital Guelph, Ontario Sylvia Davidson MSc, DipGer, OT Reg.(Ont.) Advanced Practice Leader – Geriatrics T oronto Rehabilitation Institute – University Centre T oronto, Ontario Nicole Didyk MD, FRCP(C) Geriatrician St. Mary’s Hospital

2012 Registered Nurses' Association of Ontario

158. Cerebral palsy

disability services, mental health services, orthopaedic surgery (and post-surgery rehabilitation), rehabilitation engineering services, rehabilitation medicine or specialist neurology services, secondary care expertise for managing comorbidities, social care, specialist therapy services, and wheelchair services. The main roles of a GP in the management of a person with CP are in coordinating care, identifying associated problems early (and managing/referring where appropriate), and providing support (...) neurodisability, neurology, neurorehabilitation, respiratory, gastroenterology and surgical specialist care, orthopaedics, orthotics and rehabilitation services, social care, visual and hearing specialist services, and teaching support for preschool and school-age children, including portage (home teaching services for preschool children). The key responsibilities of a general practitioner in the management of a child with CP are in: Coordinating care where necessary. Identifying associated early

2019 NICE Clinical Knowledge Summaries

159. Canadian guidelines on opioid use disorder among older adults

CCFP (COE) FCFP Executive Medical Director Residential Program and Chief, Department of Family and Community Medicine, Baycrest Health Sciences; Associate Professor, Department of Family and Community Medicine, University of Toronto Andrea D. Furlan MD, PhD Scientist, Institute for Work & Health Senior Scientist, KITE | Toronto Rehabilitation Institute University Health Network Associate Professor, Department of Medicine, University of Toronto Lillian Hung RN PhD Clinical Nurse Specialist (...) ) . The majority of the evidence included in these guidelines relates to adults, but these recommendations are even more important for older adults, in whom polypharmacy and multiple comorbidities are common . In a study of adults with chronic low back pain, hip or knee pain treatment with opioids was not superior to treatment with nonopioid medications for improving pain-related function over 12 months (Krebs et al, 2018) . This recommendation is unlikely to have any adverse effects; however, it is important

2019 CPG Infobase

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