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21. Care Transitions

of all ages in different types of care – acute, long-term and home health care, mental health and addictions, rehabilitation and community services such as public health and community care access centres. Representatives from Accreditation Canada, Healthforce Ontario, Health Quality Ontario, Ontario Telemedicine Network and local health integration networks also participated in the focus groups. The participants of the focus groups described transitions as non-linear; and needing to involve (...) , BHSc(N), CPHIMS-CA Clinical Leader, Clinical Adoption Canada Health Infoway Toronto, Ontario Pam Hubley, RN, MSc Chief, Professional Practice and Nursing Hospital for Sick Children Toronto, Ontario Andrea Lauzon, NP-PHC, CPMHN(C) Nurse Practitioner, LIFEspan Holland Bloorview Kids Rehabilitation Hospital Toronto, Ontario Dianne Leclair, RN Care Coordinator CCAC HNHB Niagara Port Colborne, Ontario Margaret Millward, RN, MN Specialist, Capacity Building and Quality Improvement Plans Health Quality

2014 Registered Nurses' Association of Ontario

22. 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 recreational activities. The lack of improvement in workforce participation is very disappointing, given that many people with schizophrenia express a desire to work, and most likely reflects a failure to develop effective vocational rehabilitation services. Improved vocational outcomes would have economic benefits, as well as improving social inclusion and quality of life. Early intervention for psychotic disorders has been shown to be cost-effective (Hastrup et al., 2013; McCrone et al., 2009). Further

2016 Royal Australian and New Zealand College of Psychiatrists

23. Management of Multiple Sclerosis

. Medical officers and general practitioners d. Allied health professionals e. Pharmacists f. Students (medical postgraduates and undergraduates, and allied health students) g. Patients and carers HEALTHCARE SETTINGS Outpatient, inpatient and community settingsManagement of Multiple Sclerosis v GUIDELINES DEVELOPMENT GROUP Chairperson Dr. Shanthi Viswanathan Consultant Neurologist Hospital Kuala Lumpur Members (alphabetical order) Dr . Akmal Hafizah Zamli Rehabilitation Physician Hospital Sg. Buloh Dr (...) . Chee Kok Yoon Consultant Neuropsychiatrist Hospital Kuala Lumpur Dr. Darisah Lah Family Medicine Specialist Klinik Kesihatan Bukit Tunggal Kuala Terengganu Dr. Joyce Pauline Joseph Consultant Neurologist Hospital Kuala Lumpur Dr. Kartikasalwah Abd. Latif Neuroradiologist Hospital Kuala Lumpur Dr. Mohd. Aminuddin Mohd. Yusof Head of CPG Unit Health Technology Assessment Section, MoH Dr. Mohd. Izmi Ahmad @ Ibrahim Rehabilitation Physician Hospital Pulau Pinang Dr . Mohd. Sufian Adenan Neurologist

2015 Ministry of Health, Malaysia

24. Early Management of Head Injury in Adults

Injury xii for Head CT Algorithm 4. Selection of Adults with Head Injury xiii for Imaging of the Cervical Spine Algorithm 5. Management of Adults Patient with xiv Mild Head Injury Requiring Urgent Surgery other than Cranial Surgery 1. INTRODUCTION 1 2. DEFINITION 3 3 CLASSIFICATION OF SEVERITY 5 4. DIFFERENTIAL DIAGNOSES 6 5. PRE-HOSPITAL CARE (PHC) 6 5.1 Assessment and General Treatment 6 5.2 Initial Management 7 5.3 Referral or Discharge at Primary Care Setting 9 5.4 Transportation 11 6. MANAGEMENT (...) 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

2015 Ministry of Health, Malaysia

25. 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 (...) . r-PTH is indicated for individuals with severe osteoporosis or osteoporosis not responsive to other anti-osteoporosis therapy. Subcutaneously administered r-PTH at 20 micrograms daily for 21 months increases lumbar spine BMD by up to 8.6% and femoral neck BMD by 3.5% compared to placebo in fracture is reduced by 65% and 53% respectively. 113 Current recommendation for the treatment duration of r-PTH is up to 24 months. (Grade A, Level Ib) The drug is contraindicated in patients with open

2015 Ministry of Health, Malaysia

26. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome

of patients with mild to moderate CTS for the treatment of clinical signs and symptoms. B Clinicians should not use or recommend the use of mag- nets in the intervention for individuals with CTS. INTERVENTIONS – MANUAL THERAPY TECHNIQUES C Clinicians may perform manual therapy, directed at the cervical spine and upper extremity, for individuals with mild to moderate CTS in the short term. D There is conflicting evidence on the use of neurodynamic mobilizations in the management of mild to moderate CTS (...) internation- ally accepted terminology, of the practice of orthopaedic physical therapists and hand rehabilitation • Provide information for payers and claims reviewers re- garding the practice of orthopaedic and hand therapy for common musculoskeletal conditions • Create a reference publication for clinicians, academic in- structors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of ortho- paedic physical therapy and hand rehabilitation STATEMENT

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

27. QTc Prolongation and Psychotropic Medications

Manual. Prepared by Margo C. Funk, M.D., M.A., 1 Scott R. Beach, M.D., 2,3 Jolene R. Bostwick, PharmD, BCPS, BCPP, 4 Christopher M. Celano, M.D., 2,3 Mehrul Hasnain, M.D., 5 Ananda Pandurangi, M.B.B.S., M.D., 6 Abhisek C. Khandai, M.D., M.S., 7 Adrienne Taylor, M.D., 7 James L. Levenson, M.D., 6 Michelle Riba, M.D., 8 and Richard J. Kovacs, M.D. 9 1 Mental Health Service Line, Veterans Affairs Southern Oregon Rehabilitation Center and Clinics, White City, OR; 2 Department of Psychiatry, Massachusetts

2018 American Psychiatric Association

29. Cerebral palsy in adults

that allow adults with cerebral palsy access to a local network of care that includes: advocacy support learning disability services mental health services orthopaedic surgery (and post-surgery rehabilitation) rehabilitation engineering services rehabilitation medicine or specialist neurology services Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 64secondary care expertise (...) to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 11 of 64job seeking or access to work schemes employment support to include workplace training and job retention occupational health assessment or workplace assessment statutory welfare benefits supporting a planned exit from the workforce if it becomes too difficult to continue working vocational rehabilitation voluntary work. See also NICE's guideline on workplace health: management practices for advice

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

30. Spinal Injections Coverage Decision

and/or anesthetic into the spine or space around the spinal nerves and joints. This coverage decision describes the purpose of each type of injection and addresses the criteria required for authorization. The criteria for allowing these injections are based on L&I’s Medical Aid Rules (WACs) and decisions of the statutory Health Technology Clinical Committee (HTCC). Decisions of the HTCC are mandatory for state agencies. Hyperlinks to the basis for these decisions are in a coverage table at the end (...) of this policy. This summary is consistent with the most recent HTCC decision of May 20, 2016. By Jmarchn (Own work) [CC BY-SA 3.0 (http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons; https://commons.wikimedia.org/wiki/File%3AVertebra_Posterolateral-en.svg Medial Branch Blocks Diagnostic Medial branch blocks are ONLY allowed as part of a diagnostic workup for a possible facet neurotomy (destruction of the nerve). The theory is that by destroying specific nerve(s) along the spine, pain

2019 Washington State Department of Labor and Industries

31. Scoliosis ? Child

Scoliosis ? Child New 2018 ACR Appropriateness Criteria ® 1 Scoliosis–Child American College of Radiology ACR Appropriateness Criteria ® Scoliosis-Child Variant 1: Child. Congenital scoliosis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography complete spine Usually Appropriate ?? ? MRI complete spine without IV contrast Usually Appropriate O CT spine area of interest without IV contrast May Be Appropriate (Disagreement) Varies MRI complete spine without (...) and with IV contrast Usually Not Appropriate O CT spine area of interest with IV contrast Usually Not Appropriate Varies CT spine area of interest without and with IV contrast Usually Not Appropriate Varies Tc-99m bone scan complete spine Usually Not Appropriate ?? ? ? Variant 2: Child (0 to 9 years of age). Early onset idiopathic scoliosis. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography complete spine Usually Appropriate ?? ? MRI complete spine without IV

2019 American College of Radiology

33. Acute pain management: scientific evidence (3rd Edition)

Acute pain management: scientific evidence (3rd Edition) ? ? ? ? Acute Pain Management: Scientific Evidence Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine ? ? ? Endorsed by: Faculty?of?Pain?Medicine,?Royal?College?of? Anaesthetists,?United?Kingdom?? Royal?College?of?Anaesthetists,? United?Kingdom?? Australian?Pain?Society? Australasian?Faculty?of?Rehabilitation?Medicine? College?of?Anaesthesiologists,?? Academy?of?Medicine,?Malaysia? College (...) . It was approved by the NHMRC and published by the Australian and New Zealand College of Anaesthetists (ANZCA) and its Faculty of Pain Medicine (FPM) in 2005. It was also endorsed by a number of major organisations — the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists (United Kingdom), the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, the Royal Australasian College of Surgeons, the Royal Australian and New Zealand

2015 National Health and Medical Research Council

34. Guidelines for diagnosing and managing pediatric concussion

and physical therapists) who play important roles in the management of concussion and persistent symptoms and in rehabilitation. With these users in mind, we deliberately left out tools that take too long to administer or that are designed for specialists. Secondary and tertiary users are parents/caregivers, schools and/or community sports organizations/centres. Although this document does not cover prevention, it includes key steps that these users will find helpful in identifying symptoms of concussion (...) to a specialist. B 5.4f(i) Assess and manage persistent fatigue if it is a significant symptom. B 5.4g(i) Assess for existing and new mental health symptoms and disorders. B 5.4g(ii) Ask the child/adolescent and parents and/or caregivers to report on mood and feelings. B 5.4g(iii) Treat any mental health symptoms. B 5.4g(iv) Consider referring to a specialist with experience in pediatric mental health. B 5.5 Recommend rehabilitation therapy to improve symptoms and mobility, as needed. B 5.6 Consider a broad

2019 CPG Infobase

35. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI

provider’s (PCP’s) office, ruling out traumatic brain or spine injury that requires emergency intervention is the initial priority. Acutely following injury, it is essential that a management plan be initiated for each patient including: information regarding monitoring for potential acute complications requiring re-assessment, education regarding expected symptoms and course of recovery, and recommendations for healthcare follow-up post-injury. 1 Treatment should be individualized and based (...) the effectiveness of active rehabilitation such as psychoeducational, psychological and cognitive interventions. 9-12 The primary forms of treatment have traditionally included a recommendation for physical and cognitive rest until symptoms subside along with other interventions, such as education, coping techniques, support and reassurance, neurocognitive rehabilitation and antidepressants. 9,13 However, the most recent world Sport-Related Concussion consensus statement indicated that there is currently

2018 Ontario Neurotrauma Foundation

36. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

concussion/mTBI may require onsite (on-field) medical assessments by emergency medical professionals for a more severe head injury, cervical or spine injury, or loss of consciousness. In cases in which a concussion/mTBI is suspected without a more severe head or spine injury, a player should be removed from the field of play and a sideline assessment can be performed. The Concussion in Sport Group has created a revised Sport Concussion Assessment Tool (SCAT5 and the Concussion Recognition Tool 5 (...) with licensed training in mTBI. Individualized medical and rehabilitative care will be provided for the athlete and medical clearance is required before the athlete can return-to-sport. 6 The Buffalo Concussion Treadmill Test (Appendix ) can be used to investigate exercise tolerance in people with persistent symptoms. Healthcare professionals should counsel amateur athletes with a history of multiple concussion/mTBIs and subjective persistent neurobehavioural impairments about the risk of further concussion

2018 Ontario Neurotrauma Foundation

37. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

interventions can be considered. While historically, medications have been used to suppress vestibular symptoms, including nausea, current evidence does not support this approach. 9 A Cochrane review by Hillier and Hollohan (2007) identifies vestibular rehabilitation as an effective intervention for unilateral peripheral vestibular dysfunction 1 ; this has been supported by Gurley et al. 6 Weaker evidence also suggests vestibular rehabilitation may be helpful for central vestibular dysfunction. 10 (...) Vestibular rehabilitation is typically provided by a specialized a healthcare professional with specialized training and involves various movement-based regimens to bring on vestibular symptoms and desensitize the vestibular system, coordinate eye and head movements, and improve functional balance and mobility. However, for the specific treatment of BPPV, Hillier and Hollohan (2007) conclude that canalith or particle repositioning manoeuvres are more effective than vestibular rehabilitation techniques. 1

2018 Ontario Neurotrauma Foundation

38. Management of adults with diabetes undergoing surgery

to consider, the patient can then make an informed decision to proceed with surgery. Patients should be made aware of the increased risks of surgery with poorly controlled diabetes. 2. Intra-operative care Use of appropriate anaesthetic, fluids, pain relief and minimally invasive operative techniques to reduce post-operative pain and gut dysfunction, promoting early return to normal eating. 3. Post-operative rehabilitation Rehabilitation services available 7 days a week for 365 days a year, enabling rapid

2016 Association of British Clinical Diabetologists

40. Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association

, American Heart Association, Inc. The immediate phase: the first 0 to 20 minutes after ROSC The early phase: the period after ROSC from 20 minutes up to 6 to 12 hours The intermediate phase: 12 to 72 hours The recovery phase: approximately 72 hours to day 7. Starts at different times for different patients; the timing may be influenced by factors such as cardiovascular function or use of TTM The rehabilitation phase: traditionally began with the application of care after discharge from the acute care (...) hospital, but rehabilitation services are now often initiated during the intermediate phase or the recovery phase Background This scientific statement describes the available peer-reviewed published evidence on the care of children resuscitated from cardiac arrest, including pediatric PCAC and prognostication, and provides a list of knowledge gaps. The purpose of this statement is to provide clinicians with recommendations to optimize pediatric PCAC, highlighting the knowledge gaps that should

2019 American Heart Association

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