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spine rehabilitation

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222. Neuro-urology

Urodynamics 14 3C.7.1 Introduction 14 3C.7.2 Urodynamic tests 15 3C.7.3 Specialist uro-neurophysiological tests 16 3C.7.4 Recommendations for urodynamics and uro-neurophysiology 16 3C.7.5 Typical manifestations of neuro-urological disorders 16 3C.8 Renal function 16 3D DISEASE MANAGEMENT 17 3D.1 Introduction 17 3D.2 Non-invasive conservative treatment 17 3D.2.1 Assisted bladder emptying - Credé manoeuvre, Valsalva manoeuvre, triggered reflex voiding 17 3D.2.2 Lower urinary tract rehabilitation 17 3D.2.2.1 (...) Bladder rehabilitation including electrical stimulation 17 3D.2.3 Drug treatment 18 3D.2.3.1 Drugs for treatment of storage neuro-urological symptoms 18 3D.2.3.2 Drugs for voiding neuro-urological symptoms 19 3D.2.4 Recommendations for drug treatments 19 3D.2.5 Minimal invasive treatment 19 3D.2.5.1 Catheterisation 19 3D.2.5.2 Intravesical drug treatment 20 3D.2.5.3 Intravesical electrostimulation 20 3D.2.5.4 Botulinum toxin injections in the bladder 20 3D.2.5.5 Bladder neck and urethral procedures 20

2015 European Association of Urology

224. Guidance on competencies for spinal cord stimulation

appropriate training because a basic standard of surgical expertise is mandatory for SCS to be carried out safely and for complications to be managed. More advanced skills are required if the pain physician performs the definitive implant procedure. Any physician involved in implanting SCS must have skills in patient selection, implantation, follow up and detection/ management of complications e.g. infection and neural compromise. After care: Emergency full spine MRI scanning must be available (...) . in children 3. Patient selection, screening and preparation for therapy a. physical b. psychological c. social aspects d. balanced assessment of benefits/risks e. comprehensive understanding of alternatives to SCS therapy f. management of patient expectations g. provision of rehabilitative support following SCS insertion 4. Interactions of SCS systems with a. medical/electrical/magnetic equipment e.g. diathermy, physiotherapy equipment b. MRI scanners c. other implanted devices e.g. cardiac pacemakers 5

2016 Faculty of Pain Medicine

225. Acute Pain Management: Scientific Evidence

— the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists and its Faculty of Pain Medicine, the Australian Pain Society, the Australasian Faculty of Rehabilitation Medicine, the College of Anaesthesiologists of the Academies of Medicine of Malaysia and Singapore, the College of Intensive Care Medicine of Australia and New Zealand, the Faculty of Pain Medicine of the College of Anaesthetists of Ireland, the Hong Kong College of Anaesthesiologists, the Hong Kong Pain Society (...) pain management 280 8.1.3 Acute rehabilitation after surgery, “fast-track” surgery and enhanced recovery after surgery 281 8.1.4 Risks of acute postoperative neuropathic pain 282 8.1.5 Acute postamputation pain syndromes 283 8.1.6 Other postoperative pain syndromes 285 8.1.7 Day-stay or short-stay surgery 288 8.1.8 Cranial neurosurgery 294 8.1.9 Spinal surgery 297 8.2 Acute pain following spinal cord injury 298 8.2.1 Treatment of acute neuropathic pain after spinal cord injury 299 8.2.2 Treatment

2015 Clinical Practice Guidelines Portal

226. Metastatic spinal cord compression in adults: diagnosis and management

. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 39Contents Contents Overview 5 Who is it for? 5 Introduction 6 Patient-centred care 7 Key priorities for implementation 8 1 Guidance 10 1.1 Service configuration and urgency of treatment 10 1.2 The patient's experience of MSCC 12 1.3 Early detection 13 1.4 Imaging 14 1.5 Treatment of spinal metastases and MSCC 16 1.6 Supportive care and rehabilitation 23 2 Notes on the scope of the guidance 27 3 (...) -of-rights). Page 4 of 39This guideline is the basis of QS56. This guideline should be read in conjunction with IPG12, TA265 and QS155. Ov Overview erview This guideline covers detecting and managing metastatic spinal cord compression in adults with cancer that has spread to the spine. It aims to improve quality of life by promoting early detection and management, and reducing spinal cord damage and disability. NICE has also produced guidance on denosumab for the prevention of skeletal-related events

2008 National Institute for Health and Clinical Excellence - Clinical Guidelines

227. Management of Incidental Findings Detected During Research Imaging

Uterine mass Calcified pulmonary nodule Solid pancreas mass Absent kidney Calcified pleural plaques Undescended testis Pelvic kidney Lipoma Gall bladder mass Adrenal mass Bladder diverticulum Bilateral small kidneys Ureteric calculus Renal calculus Pneumothorax Bowel inflammation Degenerative spine changes Pulmonary embolism Emphysema Bone infarct Deep vein thrombosis Bronchiectasis Fatty liver Gastric mass Irregular nodular margin liver Renal cysts Oesophageal mass Air in the biliary tree

2011 Royal College of Radiologists

228. Recommendations for the management of central nervous system (CNS) metastases in women with secondary breast cancer

of systemic chemotherapy were significant prognostic factors for overall survival on multivariate analysis. One retrospective study that included 15% patients with breast cancer as the primary tumour reported that surgery and SRS was associated with longer survival compared with SRS alone (p=0.020) and that the survival of SRS alone patients was statistically superior to the survival of patients who received WBRT alone (p= 60 3) metastatic lesions, leptomeningeal metastases, and metastatic spine tumours (...) brain metastasis. Strahlenther Onkol. 2012;188(2):143-7. 110. Niwinska A, Tacikowska M and Murawska M. The effect of early detection of occult brain metastases in HER2-positive breast cancer patients on survival and cause of death. Int J Radiat Oncol Biol Phys. 2010;77(4):1134-9. 111. Tancioni F, Navarria P, Mancosu P, et al. Surgery followed by radiotherapy for the treatment of metastatic epidural spinal cord compression from breast cancer. Spine (Phila Pa 1976). 2011;36(20):E1352-9. 112. Talcott

2014 Cancer Australia

229. Clinical practice guidelines for the management of rotator cuff syndrome in the workplace

& Environmental Physician Private Practice Dr Roslyn Avery Rehabilitation Physician Private Practice Mr Greg Black Consumer Representative Self-Employed – Trade Industry Mr Patrick Frances Consumer Representative Volunteer Worker Ms Kate Hopman Independent Guideline Development Expert Lukersmith & Associates Dr Lee Krahe Head of Research Port Macquarie Campus, Rural Clinical School, UNSW Dr Yong Hian Liaw Orthopaedic Surgeon Port Macquarie Base Hospital and Private Practice Ms Sue Lukersmith Independent (...) participation, medical history , mechanism of injury, pain symptoms, weakness and/or loss of range of motion (body function impairments), activity limitations and social situation. Recommendation 2: Assessment of rotator cuff syndrome requires physical examination which should include the following: direct observation of the shoulder and scapula; assessment of active and passive range of motion; resisted (isometric) strength testing; and evaluation of the cervical and thoracic spine (as indicated). It may

2013 Clinical Practice Guidelines Portal

230. Thromboprophylaxis: Orthopedic Surgery

(including rehabilitation) Spine surgery: a) Uncomplicated b) Complicated (cancer, leg weakness, prior VTE, combined anterior/posterior approach) a) Mobilization alone b) LMWH once daily starting the day after surgery Until discharge (including rehabilitation) Isolated below-knee fracture None, if outpatient or overnight hospital stay LMWH once daily if inpatient Until discharge (including rehabilitation) Knee arthroscopy: a) low risk b) higher risk (major knee reconstruction, prior VTE) a) None b) LMWH (...) to several months after discharge. Numerous clinical trials have demonstrated that continuing thromboprophylaxis for approximately one month reduces symptomatic VTE compared with stopping at discharge. Patients who have had spine surgery, knee arthroscopy, lower limb amputation or isolated lower extremity fractures are generally at lower risk of VTE than those mentioned above and there are many fewer studies of thromboprophylaxis. This summary will suggest common, effective prophylaxis options

2015 Thrombosis Interest Group of Canada

231. Paediatric Endocrine Tumour Guidelines

and the evolving, life-threatening pituitary deficits. The aims of surveillance are to: ? detect early recurrence, ? facilitate age-appropriate growth and puberty, and optimise hormone substitution, ? support neuro-rehabilitation and enhance long term independence and quality of life. The aims of registration are to : ? enhance treatment co-ordination, observational outcomes and future therapeutic trials. CHAPTER ONE 48382 Insert Final 1/11/05 5:07 pm Page 17Recommended Care Pathway; Child with Suspected (...) possible that delaying radiation in the youngest children on the unproven assumption that recurrent disease and the surgery required is less neurotoxic than new focussed irradiation techniques to prevent relapse, may deprive these children of an early cure and quicker neuropsychological rehabilitation. This hypothesis requires testing. 5 year recurrence Complete resection Incomplete resection (Subtotal/Partial) Surgery alone 15.6% (13) 75% (13) 5 -25% (21) 58% (22) (49% - 87%) (22) Surgery and adjuvant

2005 British Association of Endocrine and Thyroid Surgeons

234. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

or advertising kits). This does not imply an endorsement or recommendation by the National Heart Foundation of Australia for such third parties organisations, products or services, including their materials or information. Any use of National Heart Foundation of Australia materials or information by another person or organisation is at the user’s own risk. Guidelines for the prevention, detection and management of chronic heart failure in Australia | Updated October 2011 6mm spine allocated 6mm spine (...) . Supporting patients 16 5.1 Role of the patient 16 5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment

2011 Clinical Practice Guidelines Portal

236. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

psychological or rehabilitative treatments, and close supervision of dispensed S8 opioids. The referring GP should understand that recommended interventions may be legally enforced by the DDU through the state Authority process if the patient is to continue to access S8 opioids. Therefore these interventions, as far as reasonably known and understood, should be raised by the GP and discussed with the patient. How can GPs assess for risks of abuse, addiction, and diversion and manage their patients (...) to the agreement. A treatment plan should be developed addressing the presenting problem, and documented in patient notes. The plan should consider different treatment modalities depending on the physical and psychosocial impairment relating to the pain, e.g. formal rehabilitation program, use of behavioural strategies, non-invasive techniques, and use of medicines. Documentation should support the evaluation, reason for opioid prescribing, the overall pain management treatment plan, any consultations received

2008 Clinical Practice Guidelines Portal

237. Early management of patients with a head injury

to neurosurgical and neurointensive care, and rehabilitation. Much of the debate has focused on the management of patients with apparently minor head injuries, who can still suffer life threatening or disabling consequences. The National Institute for Health and Clinical Excellence (NICE) guidelines were published in 2003 and updated in 2007. 16,17 Both SIGN 46 and the NICE guidelines are designed to optimise the early management of patients with a head injury but differ in their recommendations, especially (...) OF THE GUIDELINE This guideline will be of particular interest to anyone who has responsibility for the care of patients with head injury, including those who work in pre-hospital care, general practice, emergency departments, radiology, surgical and critical care specialties, paediatric and rehabilitation services, an well as members of voluntary organisation and patients. 1.3 dEfinitions 1.3.1 HEAD INjURy Head injury is defined differently in many of the studies used as evidence in this guideline

2009 SIGN

238. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

an endorsement or recommendation by the National Heart Foundation of Australia for such third parties organisations, products or services, including their materials or information. Any use of National Heart Foundation of Australia materials or information by another person or organisation is at the user’s own risk. Guidelines for the prevention, detection and management of chronic heart failure in Australia | Updated October 2011 6mm spine allocated 6mm spine allocated© 2011 National Heart Foundation (...) 5.2 Effective management of CHF 17 6. N o n - p ha r m a c o l o gi c a l management 18 6.1 Identifying ‘high-risk’ patients 18 6.2 Physical activity and rehabilitation 18 6.3 Nutrition 20 6.4 Fluid management 20 6.5 Smoking 21 6.6 Self-management and education 21 6.7 Psychosocial support 21 6.8 Other important issues 21 7. Pharmacological therapy 24 7.1 Prevention of CHF and treatment of asymptomatic LV systolic dysfunction 24 7.2 Treatment of symptomatic systolic CHF 26 7.3 Outpatient treatment

2011 Clinical Practice Guidelines Portal

240. Guidance on competencies for spinal cord stimulation

training because a basic standard of surgical expertise is mandatory for SCS to be carried out safely and for complications to be managed. More advanced skills are required if the pain physician performs the definitive implant procedure. Any physician involved in implanting SCS must have skills in patient selection, implantation, follow up and detection/ management of complications e.g. infection and neural compromise. After care: Emergency full spine MRI scanning must be available. Arrangements must (...) . in children 3. Patient selection, screening and preparation for therapy a. physical b. psychological c. social aspects d. balanced assessment of benefits/risks e. comprehensive understanding of alternatives to SCS therapy f. management of patient expectations g. provision of rehabilitative support following SCS insertion 4. Interactions of SCS systems with a. medical/electrical/magnetic equipment e.g. diathermy, physiotherapy equipment b. MRI scanners c. other implanted devices e.g. cardiac pacemakers 5

2011 Royal College of Anaesthetists

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