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121. 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

122. Prevention of Constipation in the Older Adult Population

that place persons at risk is a logical approach for preventing all types of constipation. Physiological conditions increase the probability of constipation. Persons with diabetes mellitus can have a dysfunction of the autonomic nervous system resulting in loss of the gastrocolic reflex. Females, especially multiparas, can have sacral nerve root damage from obstetric trauma while persons with multiple sclerosis have clinical evidence of spinal cord disease that can cause constipation (Chia, Fowler, Kamm

2005 Registered Nurses' Association of Ontario

123. Nursing Care of Dyspnea:The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

Ottawa, Ontario Bozena Dabrowski, RN Staff Nurse Day Hospital – Respiratory Rehabilitation West Park Healthcare Centre Toronto, Ontario Meeran Manji, RN COPD Educator Pulmonary Rehabilitation Program University Health Network – T oronto Western Hospital Toronto, Ontario Christina McMillan, RN, BScN, MScN(c) Graduate Teaching Assistant Laurentian University School of Nursing Sudbury, Ontario Ruth Pollock, RN, MScN Professional Practice Leader – Nursing Cornwall Community Hospital Cornwall, Ontario (...) , CAE Assistant Professor, Laurentian University, School of Nursing, Sudbury, Ontario Wendy Earle, RN, MScN(c), CCN(C) Clinical Nurse Specialist, Roadmap Project – Queen’s University, Kingston General Hospital, Hotel Dieu Hospital, Kingston, Ontario Catherine Evers, RN Staff Nurse, Medicine, Queensway-Carleton Hospital, Ottawa, Ontario Ginette Ferguson, BScN, RN(EC) Cornwall Community Hospital, Cornwall, Ontario Janet Fraser, BSc, RRT/RRCP Staff Respiratory Therapist, Respiratory Rehabilitation

2005 Registered Nurses' Association of Ontario

124. Care and Maintenance to Reduce Vascular Access Complications

Program, Thunder Bay, Ontario Marg Poling, RN, BScN, PHCNP Palliative Care Nurse Practitioner, Palliative Care Advisor, Victorian Order of Nurses, Thunder Bay and District, Thunder Bay, Ontario Wendy L. Pomponio, RN, BScN Nurse Clinician, Medical & Rehabilitation Services, Brant Community Healthcare System, Brantford, Ontario Donna Prenger, RN, ONA Registered Nurse (Oncology), Thunder Bay Regional Health Science Centre, Thunder Bay, Ontario Christina Purdon, RN, BScN Clinical Educator, Thunder Bay (...) organisms (e.g., bacteria, virus or fungus). Routine practices reduce the risk of exposure to: ¦ Blood, including blood products, and materials soiled with blood; ¦ All body fluids (secretions and excretions) except sweat, regardless of whether they contain blood (e.g., urine, feces, semen, vaginal and respiratory secretions, cerebral spinal fluid); ¦ Non-intact skin, weeping or draining lesions or wounds; and ¦ Mucous membranes: eyes, nose, mouth, rectum or vagina (PHAC, 1999). Routine practices

2005 Registered Nurses' Association of Ontario

125. Assessment and Management of Venous Leg Ulcers

Leader) GI Surgery Ostomy/Wound St. Joseph’s Healthcare London St. Joseph’s Site London, Ontario Susan Mills-Zorzes, RN, BScN, CWOCN (Co-Team Leader) Enterostomal Therapy Nurse St. Joseph’s Care Group Thunder Bay, Ontario Patti Barton, RN, PHN, ET Ostomy, Wound and Skin Consultant Specialty ET Services Toronto, Ontario Marion Chipman, RN ONA Representative Staff Nurse Shaver Rehabilitation Hospital St. Catharines, Ontario Patricia Coutts, RN Wound Care & Clinical Trials Coordinator The Mississauga (...) this Nursing Best Practice Guideline. Marlene Allen Physiotherapist Oshawa, Ontario Lucy Cabico Nurse Practitioner/Clinical Nurse Specialist Baycrest Centre for Geriatric Care Toronto, Ontario Karen Campbell Nurse Practitioner/Clinical Nurse Specialist Parkwood Hospital London, Ontario Dawn-Marie Clarke Chiropodist Shaver Rehabilitation Hospital St. Catharines, Ontario Debra Clutterbuck Registered Practical Nurse Cambridge, Ontario Nicole Denis Enterostomal Therapy Nurse The Ottawa Hospital Ottawa, Ontario

2004 Registered Nurses' Association of Ontario

126. Supporting Adults Who Anticipate or Live with an Ostomy

, and policy across a range of health service organizations, practice areas, and sectors. These experts shared their insights on supporting and caring for adults who anticipate or live with an ostomy across the continuum of care (e.g., acute care, rehabilitation, community, and primary care). A systematic and comprehensive analysis was completed by the RNAO Best Practice Guideline Development and Research Team and the RNAO expert panel to determine the scope of this BPG and to prioritize recommendation (...) settings where adults who anticipate or live with an ostomy are accessing services (such as, but not limited to, acute care, long-term care, community settings, and rehabilitation settings). In this BPG, no recommendation questions were identified that addressed the core education and training strategies required for curricula, ongoing education, and professional development of nurses or the interprofessional team in order to support adults living with or anticipating an ostomy. Please refer

2019 Registered Nurses' Association of Ontario

127. Stroke Assessment Across the Continuum of Care

Barreca, PT, BA Research Clinician, Orthopedic and Rehabilitation Services, Hamilton Health Sciences Centre. Hamilton, Ontario Mark Bayley, MD, FRCPC Assistant Professor, Faculty of Medicine, University of Toronto. Medical Director, Neuro-Rehab Program, Toronto Rehabilitation Institute, Toronto, Ontario Jennifer Bean, RN, BScN Utilization Coordinator – ED/ICU/Medicine, Northeastern Regional Education Coordinator. Thunder Bay Regional Health Science Centre. Thunder Bay, Ontario Sandy Beckett, BA, BSc (...) Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 111 Richmond Street West, Suite 1100 Toronto, Ontario M5H 2G4 Website: www.rnao.org/bestpractices Stroke Assessment Across the Continuum of Care 45 Nursing Best Practice Guideline Linda Kelloway, RN, BScN, CNN(c) Team Leader Regional Stroke Education Consultant West GTA Stroke Network Etobicoke, Ontario Anna Bluvol, RN, MScN Nurse Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Paula

2005 Registered Nurses' Association of Ontario

128. 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

129. Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition

. of Medicine University of Toronto UHN Toronto Rehabilitation Institute Lyndhurst Center, Brain and Spinal Cord Program Department of Physical Medicine and Rehabilitation Consultant and Staff Physician Toronto, Ontario22 REGISTERED NURSES’ ASSOCIATION OF ONTARIO BACKGROUND Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition Kim-Marie Meeker, RN, BScN, CETN(C), CON(C) Staff Nurse Mount Sinai Hospital Toronto, Ontario Deborah Mings, RN, MHSc, IIWCC Clinical Manager (...) in this Guideline overlap with wound care best practices in specialized populations (e.g., pediatric, spinal cord injury, bariatric, critically ill, older adults, individuals in the operating room, and individuals in palliative care settings), they do not fully encompass the comprehensive care required by these sub-groups. Th us, these specialized populations are considered to be outside the scope of this Guideline. For additional information on pressure injury management in these populations, please refer

2016 Registered Nurses' Association of Ontario

130. Assessment and Management of Pain (Third Edition)

were interprofessional, made up of people who held clinical, administrative and academic roles in a variety of health-care organizations. They work with clients of all ages in different types of care – acute, long-term and home health care, mental health and addictions G , rehabilitation and community services. The participants of the focus groups outlined outstanding resources including books, guidelines, position papers, and care pathways developed to meet the needs of specific populations (...) Darlene Davis, RN, MN Health Services Manager, Pain Services Capital District Health Authority Halifax, Nova Scotia Céline Gélinas, RN, PhD Assistant Professor Ingram School of Nursing McGill University Researcher and Nurse Scientist Centre for Nursing Research and Lady Davis Institute Jewish General Hospital Montreal, Quebec Nicholas Joachimides, RN, BScN, CRN(c), MCISC Clinical Educator Holland Bloorview Kids Rehabilitation Hospital T oronto, Ontario Salima S. J. Ladak, RN(EC), MN Nurse Practitioner

2013 Registered Nurses' Association of Ontario

131. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Full Text available with Trip Pro

should also be considered in combination with multiple sensory, motor, and diminished reflexes that could indicate cauda equina syndrome, large lumbar disc, or other space-occupying lesions around the spinal cord or nerve roots. I. A patient pain distribution diagram is most useful for differentiation between PGP and PLBP. By definition, PGP is located under the PSIS (posterior superior iliac spine), in the gluteals area, the posterior thigh, and the groin (specifically located over the pubic (...) course of PGP, impairments are failing to normalize, and the symptoms are worsening with increased disability. This should include the presence of transient osteoporosis and diastasis rectus abdominis (DRA) as possible comorbidities in this population, as well as the presence of pelvic floor muscle, hip, and lumbar spine dysfunctions. (Recommendations are based on strong evidence.) | Imaging Studies: F In the absence of good evidence, expert opinion and foundation science may be used to guide

2017 American Physical Therapy Association

132. Preventing Falls and Reducing Injury from Falls, Fourth Edition

, & Lemaire, 2013). Further research is needed regarding the feasibility of these technologies in daily life settings (Ejupi et al., 2014; Howcroft et al., 2013). Step Test Setting: rehabilitation Population: patients in post-stroke rehabilitation A clinical test of balance that requires stepping one foot on and off a 7.5-cm step as quickly as possible for 15 seconds and recording the number of completed steps (testing both legs and recording the lowest score). May be used in conjunction with clinical

2017 Registered Nurses' Association of Ontario

133. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Full Text available with Trip Pro

soft tissue structures, such as those associated with knee extension range-of-motion loss. Interventions – Cryotherapy Clinicians should use cryotherapy immediately after ACL reconstruction to reduce postoperative knee pain. Interventions – Supervised Rehabilitation Clinicians should use exercises as part of the in-clinic supervised rehabilitation program after ACL reconstruction and should provide and supervise the progression of a home-based exercise program, providing education to ensure (...) , including how directly the studies addressed the question on knee stability and movement coordination impairments/knee ligament sprain population. In developing their recommendations, the authors considered the strengths and limitations of the body of evidence and the health benefits, side effects, and risks of tests and interventions. Guideline Review Process and Validation Identified reviewers who are experts in knee ligament injury management and rehabilitation reviewed the content and methods

2017 American Physical Therapy Association

134. Patients With Total Knee Arthroplasty in the Acute Post-Operative Phase

.0000000000000079 Original Studies Open Background: Despite seemingly routine use of physical therapy and its potential importance in reducing complications after total joint arthroplasty in the acute hospital setting, no agreed-upon approach to rehabilitation exists in this setting. In fact, rehabilitation practices and outcomes assessed are quite variable. Purpose: To determine the effects of physical therapy interventions in the acute care phase of total knee arthroplasty. Data Sources: Ovid Medline (...) , included provisions that move the health care system away from a fee-for-service model toward models that bundle payments for an overall episode of care. In April 2016, the Centers for Medicare & Medicaid Services Innovation Center implemented the Comprehensive Center for Joint Replacement model initially in 67 US metropolitan areas to test a bundled payment model for TJA and encourage improved coordination and quality of care from surgery through all rehabilitation. In this model, optimization

2018 American Physical Therapy Association

135. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Full Text available with Trip Pro

return to activity depending on the type of articular cartilage surgery. Interventions — Supervised Rehabilitation 2018 Recommendation Clinicians should use exercises as part of the in-clinic supervised rehabilitation program after arthroscopic meniscectomy and should provide and supervise the progression of a home-based exercise program, providing education to ensure independent performance. Interventions — Therapeutic Exercises 2018 Recommendation Clinicians should provide supervised, progressive (...) . The authors of this guideline revision worked with the CPG Editors and medical librarians for methodological guidance. The research librarians were chosen for their expertise in systematic review rehabilitation literature search, and to perform systematic searches for concepts associated with meniscus and articular cartilage injuries of the knee in articles published from 2008 related to classification, examination, and intervention strategies consistent with previous guideline development methods related

2018 American Physical Therapy Association

136. Core Set of Outcome Measures for Patients with Neurologic Conditions Full Text available with Trip Pro

should discuss the OM results with patients and collaboratively decide how the results should inform the plan of care. Disclaimer: The recommendations included in this CPG are intended as a guide for clinicians, patients, educators, and researchers to improve rehabilitation care and its impact on adults with neurologic conditions. The contents of this CPG were developed with support from the APTA and the Academy of Neurologic Physical Therapy (ANPT). The Guideline Development Group (GDG) used (...) a rigorous review process and was able to freely express its findings and recommendations without influence from the APTA or the ANPT. The authors declare no competing interest. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: . South Eastern Norway Regional Knowledge Translation Center, Sunnaas Rehabilitation Hospital, Oslo, Norway, and Institute for Knowledge Translation, Carmel, Indiana (J.L.M); Department of Physical Therapy

2018 American Physical Therapy Association

138. Antithrombotics: indications and management

prevention, 9 y SIGN 111: Management of hip fracture in older people, 10 y SIGN 118: Management of patients with stroke: rehabilitation, prevention and management of complications and discharge planning, 11 and y SIGN 122: Prevention and management of venous thromboembolism. 12 1.2 REMIT Of THE GUIDElINE 1.2.1 OVERALL OBJECTIVES This guideline provides recommendations based on current evidence for best practice in the management of adult patients on antithrombotic therapy. It includes antiplatelet

2012 SIGN

139. Neuropathic pain - drug treatment

to, or dysfunction of, the somatosensory system. The pain may be constant or intermittent, and it is typically described as shooting, stabbing, burning, tingling, numb, prickling, or itching. The causes of neuropathic pain are complex and diverse and include diabetic neuropathy, trigeminal neuralgia, stroke, spinal cord injury, and multiple sclerosis. In many cases, it is not possible to completely cure the underlying disease or lesion or to reverse the neurological changes. Consequently, neuropathic pain (...) into account any physical or psychological problems, and concurrent medicines. The importance of dosage titrations and the titration process, providing the person with individualized information and advice. Coping strategies for pain and possible adverse effects of treatment. Non-pharmacological treatments, for example, physical and psychological therapies (which may be offered through a rehabilitation service) and surgery (which may be offered through specialist services). An early clinical review should

2016 NICE Clinical Knowledge Summaries

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