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stroke rehabilitation

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661. Reducing Foot Complications for People with Diabetes

Nurse Integrated Cancer Program London Health Sciences Centre London, Ontario Sharon Brez, RN, BScN, MA(Ed), CDE Advanced Practice Nurse The Ottawa Hospital Ottawa, Ontario Lillian Delmas, RN, BScN, CRRN Nurse Clinician The Rehabilitation Centre Ottawa, Ontario Penny Fredrick, RN, CDE Diabetes Nurse Educator Peterborough Regional Health Centre Peterborough, Ontario Robin Hokstad, RN, CDE Diabetes Nurse Educator Nipissing Diabetes Resource Centre North Bay, Ontario Margaret Hume, RN, MScN, CDE (...) of Toronto Toronto, Ontario Sandi Dennison, RN Diabetes Nurse Educator Diabetes Wellness Centre Windsor, Ontario Paula Doering, RN, BScN, MBA Director Medicine – Mental Health The Ottawa Hospital Ottawa, Ontario 4 Reducing Foot Complications for People with DiabetesNicola Dorosh, RN Public Health Nurse North York, Ontario Maureen Dowling, RPN Clinical Nurse The Rehabilitation Centre Ottawa, Ontario Marilyn Elliot, RN, CRRN Clinical Nurse The Rehabilitation Centre Ottawa, Ontario Richard Gauthier, RN

2004 Registered Nurses' Association of Ontario

662. Promoting Continence Using Prompted Voiding

, nature and consistency of bowel movements. ¦ Any relevant medical or surgical history which may be related to the incontinence problem, such as but not limited to diabetes, stroke, Parkinson’s disease, heart failure, recurrent urinary tract infections or previous bladder surgery. 3.0 Review the client’s medications to identify those which may have an impact IV on the incontinence. 4.0 Identify the client’s functional and cognitive ability. III 5.0 Identify attitudinal and environmental barriers (...) , but does not include briefs. Toileting is for the purpose of voiding and not for just changing of briefs. Urinary incontinence is the involuntary loss of urine that is sufficient to be a problem, and may present as any of the following types: Transient incontinence is urine loss resulting from causes outside of or affecting the urinary system such as acute confusion, infection, atrophic urethritis or vaginitis, medications, psychological conditions, restricted mobility or stool impaction. Urge

2002 Registered Nurses' Association of Ontario

663. Care and Maintenance to Reduce Vascular Access Complications

of the vascular access site; ¦ Facilitate delivery of prescribed therapy; and ¦ Prevent dislodgement, migration, or catheter damage. Patency/Flushing/ 7.0 Nurses will maintain catheter patency using flushing and IV Locking locking techniques. 8.0 Nurses will know what client factors, device characteristics and infusate factors IV can contribute to catheter occlusion in order to ensure catheter patency for the duration of the therapy. Occlusion 9.0 Nurses will assess and evaluate vascular access devices (...) for occlusion in order to IV facilitate treatment and improve client outcomes. Blood Withdrawal 10.0 Nurses will minimize accessing the central venous access device (CVAD) in IV order to reduce the risk of infection and nosocomial blood loss. Add-Ons 11.0 Nurses will change all add-on devices a minimum of every 72 hours IV Documentation 12.0 Nurses will document the condition of vascular access devices including: III ¦ The insertion process; ¦ Site assessment; and ¦ Functionality. Client Education 13.0

2005 Registered Nurses' Association of Ontario

664. Assessment and Management of Venous Leg Ulcers

fracture or other major leg injury, previous vein surgery, varicose veins, or prior history of ulceration with/without use of compression stockings. History of episodes of chest pain, hemoptysis, or history of a pulmonary embolus. Lifestyle factors (e.g., sedentary lifestyle, chair-bound), obesity, poor nutrition. An assessment for signs indicative of Non-Venous Disease also includes: Family history of non-venous etiology. Heart disease, stroke, transient ischemic attack. Diabetes mellitus (...) . Peripheral vascular disease (PVD)/intermittent claudication. Smoking. Rheumatoid arthritis. Ischemic rest pain. A combination of the features described above may be indicative of mixed arterial/venous disease (RCN, 1998). Discussion of Evidence: Several clinical studies show strong support for the need for thorough history taking for assessment of venous insufficiency (NZGG, 1999; RCN, 1998). The New Zealand Guidelines Group (1999) further suggests assessing the history of the ulcer, the mechanism

2004 Registered Nurses' Association of Ontario

665. Practice Education in Nursing

BACKGROUND Practice Education in Nursing S. Alloy-Kommusaar, RN Registered Nurse, Supervisor Extendicare Van Daele Sault Ste. Marie, Ontario Marilyn Ballantyne, BScN, MHSc, PhD Chief Nurse Executive/Clinician Investigator Holland Bloorview Kids Rehabilitation Hospital Toronto, Ontario Marika Bellerose, NP Nursing Practice Consultant First Nations & Inuit Health Branch - Ontario Region Sioux Lookout, Ontario Debbie Bruder, BA, RN, MHS Clinical Informatics Specialist Grand River Hospital Kitchener, Ontario (...) & Transformation Specialist Bluewater Health Sarnia, Ontario Mary Anne Krahn, RN, BScN, MScN, EdD(c) Programs Chair, School of Nursing Fanshawe College London, Ontario Lisa Lallion, RN, BScN, MN, CNS, CMSN(c) Clinical Nurse Specialist The Scarborough Stroke Clinic Scarborough, Ontario Jinhee (Jin) Lee, BScN, RN Registered Nurse and Former RNAO student rep from McMaster University Kelowna General Hospital Kelowna, British Columbia Newton Leong, RN, BScN Staff Nurse St. Michael’s Hospital Toronto, Ontario Vikky

2016 Registered Nurses' Association of Ontario

666. 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

667. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

) Regional Clinical Nurse Specialist, Rehabilitation & Geriatrics Programme, Winnipeg Health Region Adjunct Professor, College of Nursing, Faculty of Health Sciences, University of Manitoba Research Associate, Manitoba Centre for Nursing and Health Research Winnipeg, Manitoba Registered Nurses’ Association of Ontario Expert PanelBACKGROUND Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Registered Nurses’ Association of Ontario Expert Panel ...con’t Philippe Voyer (...) London, Ontario Lisa Janisse, RN, BScN, MScN Nursing Professional Scholarly Practice/Manager London Health Science Centre London, Ontario Stacey Jonhson, RN, MN Quality Lead Health Quality Ontario Toronto, Ontario Lisa Lallion, RN, BScN, MN, CNS, CMSN(c) Clinical Nurse Specialist The Scarborough Stroke Clinic Toronto, Ontario24 REGISTERED NURSES’ ASSOCIATION OF ONTARIO BACKGROUND Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Jeannette Lindenbach, RN, MScN

2016 Registered Nurses' Association of Ontario

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

to the resources listed in Appendix D. Th is Guideline is designed to help interprofessional teams become more comfortable, confi dent, and competent when caring for people with existing pressure injuries. It is intended for use in all domains of health care (including clinical, administration, and education) across health-care settings (including acute care, rehabilitation, long-term care, out-patient clinics, community care, and home care). It focuses on the core competencies and the evidence-based (...) to and after every wound care intervention, using the same valid and reliable tool consistent with the person’s cognitive ability. V ? Recommendation 1.7: Perform a vascular assessment (i.e., medical history, physical exam) of all persons with pressure injuries in the lower extremities on initial examination. V ? Recommendation 1.8: Conduct a mobility and support surface assessment on initial examination and whenever there is a signi? cant change in the person’s medical condition, weight, equipment

2016 Registered Nurses' Association of Ontario

669. 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

670. Professionalism in Nursing

(Registered Practical Nurse) Stroke Data & Evaluation Specialist Hamilton Health Sciences Hamilton , Ontario Susan Grant, RN, BScN Professional Practice Leader Ross Memorial Hospital Lindsay, Ontario Julie Gregg, RN, BScN, MAd Ed Coordinator Member Relations and Development College of Registered Nurses of Nova Soctia Halifax, Nova Scotia Lucie Grenier, RN, BAA, MAP Directrice Générale Adjoinite-affaires cliniques Centre hospitalier affilie Universitaries de Quebéc Québec City, Québec Debbie Hanna-Bull, RN (...) Health Surrey, British Columbia Carmen Millar, MScN, MAP Director of Nursing Hopital Charles LeMoyne Greenfield Park, Québec Toba Miller, RN, MScN, MHA, GNC(C) Advanced Practice Nurse The Ottawa Hospital – Rehabilitation Centre Ottawa, Ontario Deborah Mings, RN, MHSc, ACNP, GCN(C) Clinical Nurse Specialist St. Peter's Hospital Hamilton, Ontario Gail Mitchell, RN, BScN, MScN, PhD Associate Professor York University Toronto, Ontario Mitzi Grace Mitchell, RN, GNC(C), PhD(c) Lecturer York University

2007 Registered Nurses' Association of Ontario

671. Establishing Therapeutic Relationships

and the nurse is observed in this phase (Sundeen et al., 1989). Vignette: A 72-year-old male client is being discharged from a stroke rehabilitation in-patient program. The nurse has worked with the client and his family over the past couple of months. A pressing concern is planning for in-house supports and discussing community resources that have now been accessed. The final meeting is planned between the nurse and client to review the progress that has been made and the future plans. Both use (...) be biological, psychological and/or socio-contextual; Symptoms; Standard interventions and issues of rehabilitation; Pharmacology-in order to administer, monitor, and instruct; and Knowledge of best practices. 6. Knowledge of the broad influences on health care and health care policy. The nurse needs to have knowledge of the forces that may influence the context of the client’ s care: Social and political forces; The client’s expectations of the health care system; How the health care professional

2002 Registered Nurses' Association of Ontario

672. Supporting and Strengthening Families Through Expected and Unexpected Life Events

, and death, while unexpected life events may include trauma/accidents, chronic illness, developmental delay and disability . The guideline also includes recommendations for connecting nurses with families, in order to be able to assist families during these events. Lastly, this guideline includes recommendations for nurses and other health care providers to advocate for changes in the health care system. The nursing best practice guideline focuses its recommendations on: Practice Recommendations directed (...) ” process. The guideline was further refined taking into consideration the pilot site feedback and evaluation results. 14 Supporting and Strengthening Families Through Expected and Unexpected Life Events15 Nursing Best Practice Guideline Definition of Terms Acute Care Setting: An institution providing services to clients with acute needs (physical and psychological). Rehabilitation and palliative care can be a part of the acute care setting. Clinical Practice Guidelines or Best Practice Guidelines

2002 Registered Nurses' Association of Ontario

674. Retinal Vein Occlusion (RVO)

al (2014) found a higher overall increased mortality compared to controls for CRVO (5.9 deaths/100 person years compared to 4.3 deaths/100 person years (HR, 1.45:95% CI,1.19 – 1.76).21 However, when the data was adjusted for overall occurrence of cardiovascular disorders including hypertension, peripheral vascular disease, ischaemic heart disease, myocardial infarction, congestive cardiac failure, cerebrovascular disease and diabetes, the mortality rate was comparable to that in the control (...) vein occlusion (HRVO) 6 Macular Oedema (MO): 6 Retinal ischaemia and iris and retinal neovascularisation: 7 Ischaemic versus non-ischaemic RVO: 7 Section 2: Natural History of Retinal Vein Occlusions 7 Central Retinal Vein Occlusion 7 Branch Retinal Vein Occlusion 8 Bilateral involvement 8 Section 3: Epidemiology of Retinal Vein Occlusion 8 Section 4: Aetiology and risk factors of Retinal Vein Occlusions 9 Associations with retinal vein occlusions 9 Section 5: The relation of RVO to systematic vein

2015 Royal College of Ophthalmologists

675. Age-Related Macular Degeneration

or progression of the disease. 35 6.3.2 Coronary and vascular disease People with AMD may be at increased risk of coronary heart disease (120, 125), stroke (126) and cardiovascular mortality (127, 128). However, findings have been inconsistent: and some studies have found no association between history of cardiovascular disease and AMD (118, 129). A systematic review (23) found a significant association when studies were pooled (OR 2.20; 95% CI 1.49 - 3.26), although what constituted cardiovascular disease (...) photography 5.3.2 Fundus Fluorescein angiography 5.3.3 Angiographic features of neovascular AMD 5.3.4 ICG angiography 5.3.5 Optical coherence tomography 5.3.6 Fundus autofluorescence 5.3.7 Structure and function 3 6. Risk factors 6.1 Ocular 6.1.1 Precursor lesions 6.1.2 Refractive status 6.1.3 Iris colour 6.1.4 Macular pigment 6.2 Lifestyle 6.2.1 Smoking habit 6.2.2 Alcohol intake 6.2.3 Diet and nutrition 6.2.4 Obesity 6.3. Medical 6.3.1 Hypertension 6.3.2 Coronary and vascular disease 6.3.3 Diabetes 6.4

2013 Royal College of Ophthalmologists

676. 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

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