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161. Impact of Affordable Care Act on Trauma and Emergency General Surgery

) Schoenfeld etal., 2015 Retrospectivepre-/post-MHRstudy,Massachusetts femoralneck fracturepatientsfrom the State InpatientDatabase Complications, AdjustedOdds Ratio OverallAOR1.56 (95%CI,1.46–1.67) Undurraga Perl etal.,2017 Retrospectivepre-/post-MEstudy,Traumapatients fromasingleLevelItraumacenterinOregon Complications, % Infection 32.4%to32.3%,p=0.98 VenousThromboembolism33.7%to23.4%, p<0.001 Pneumonia 15.9%to12.5%.p=0.18 Complicationswere definedasmyocardialinfarction,stroke orcerebrovascular accident (...) — importantoutcome Holzmacher etal.,2017 Retrospectivecohortstudy,Trauma patients from Maryland,WashingtonDC, andVirginiaseenata single LevelItrauma center inWashington, DC Discharge home,% Washington DC89.8%,Virginia 87.5%,Maryland 93.2% Discharge to SAR, SNF, oracute rehabilitation, % Washington DC7.9%,Virginia 12.5%, Maryland6.8% Virginiavs.DC,p=0.75 Marylandvs. DC, p=0.68 Leeetal.,2014 Retrospectivepre-/post-MHRstudy,Trauma patients admitted totheICUfromasingleLevelI trauma centerinMassachusetts

2019 Eastern Association for the Surgery of Trauma

162. Assessing Fitness to Drive

included in the revised chapters. In addition to evidence regarding crash risk and the effects of medical conditions on driving, evidence has also been sought regarding best practice approaches to driver assessment and rehabilitation. For the purposes of this publication the term ‘crash’ refers to a collision between two or more vehicles, or any other accident or incident involving a vehicle in which a person or animal is killed or injured, or property is damaged. Health professionals should also keep (...) of Rehabilitation Medicinevi Assessing Fitness to Drive 2016 Acknowledgements Setting these standards involved extensive consultation across a wide range of stakeholders including regulators, employers and health professionals. The NTC and Austroads gratefully acknowledge all contributors including the members of the Maintenance Advisory Group and various working groups, and the project team and consultants. In particular, the contributions of various health professional organisations and individual health

2016 Cardiac Society of Australia and New Zealand

163. Primary Prevention of Childhood Obesity (Second Edition)

TransformNation Inc. Mississauga, Ontario Liz Helden, RN, BSN, MEd Nurse Co-ordinator, Growing Healthy Pediatric Weight Management Program McMaster Children’s Hospital Hamilton, Ontario Ellen Lakusiak, RD, BASc, MSc Public Health Nutritionist Ottawa Public Health Early Y ears Nutrition Ottawa, Ontario Amy McPherson, PhD, CPsychol, AFBPsS Scientist, Participation & Inclusion Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital Assistant Professor, Dalla Lana School of Public Health (...) & Graduate Department of Rehabilitation Science University of Toronto Toronto, Ontario Registered Nurses’ Association of Ontario Expert Panel15 BEST PRACTICE GUIDELINES • www.RNAO.ca BACKGROUND Primary Prevention of Childhood Obesity, Second Edition Registered Nurses’ Association of Ontario Expert Panel ...con’t Alex Munter President and Chief Executive Officer Children’s Hospital of Eastern Ontario Ottawa, Ontario Judith Nyman, MEd Director of Program Policy Ontario Public School Boards’ Assocation

2014 Registered Nurses' Association of Ontario

165. 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 (...) interprofessional care G that emphasizes ongoing communication among professionals and clients. Our reference list and appendices (including a glossary, a description of how the guideline was developed and details on our literature search) follow the main guideline. See Appendix A for a glossary of terms. See Appendices B and C for the guideline development process and process for systematic review G /search of the literature. Photo Credit: Toronto Rehab – University Health Network8 REGISTERED NURSES

2014 Registered Nurses' Association of Ontario

166. End-of-Life Care During the Last Days and Hours

Specialist – Palliative Care CON(C), CHPCN(C) Credit Valley Hospital, Mississauga, Ontario SyLVIA A. KOMMUSAAR RN Registered Nurse Extendicare Van Daele, Sault Ste. Marie, Ontario CHARLOTTE KOSO RN, BN, CHPCN(C) Manager, Program Planning/Service Integration Care Partners, Moffat, Ontario LISA LALLION RN, BScN, MN Clinical Nurse Specialist Sunnybrook Health Sciences Centre North & East GTA Stroke Network, T oronto, Ontario SUzANNE LEECE RN, BScN Palliative Care Nurse Clinician Hamilton Niagara Haldimand (...) indicators of decline are available for congestive heart failure, chronic obstructive pulmonary disease, dementia, renal disease and stroke (Appendix E). RECOMMENDATION 1.2 Nurses understand common signs and symptoms present during the last days and hours of life. 1.2.1 Common signs of imminent death, may include, but are not limited to: • progressive weakness; • bedbound state; • sleeping much of the time; • decreased intake of food and fluid; • darkened and/or decreased urine output; • difficulty

2011 Registered Nurses' Association of Ontario

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

care provider groups that are involved in providing self-management support. Terminology Many terms are used interchangeably with chronic health conditions. The most common are chronic diseases, chronic illness, and chronic health problems. For the purposes of this document, chronic health condition is used. Chronic health conditions are defined as: diseases of long duration and generally slow progression, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes. (WHO, 2009 (...) 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

168. 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

169. Oral Health: Nursing Assessment and Intervention

(C), Research Scientist and Corporate Practice Leader for Speech-Language CCC-SLP, Reg. CASLPO Pathology and Audiology, Toronto Rehabilitation Institute, Toronto, Ontario Tracey Tait, RN, BA Gerontology Staff Nurse, Millennium Trail Manor, ConMed Healthcare Group, Niagara Falls, Ontario Lisa Valentine, RN, BScN, MN Clinical Nurse Specialist/Case Manager, Sunnybrook Health Sciences Centre – Regional Stroke Strategy, North and East GTA, Toronto, Ontario Lisa Vaughan, RN, BScN Director of Nursing (...) disorders are associated with hearing loss. An increased number of missing teeth have been associated with coronary heart disease. Periodontal diseases have been associated with cardiovascular diseases, atherosclerosis, sub-clinical lower artery disease, stroke/cerebrovascular disease, metabolic/lipid disorders and obesity” (p.4). Periodontal disease is emerging as a significant risk factor in the metabolic syndrome (heart disease, diabetes, and stroke) (Chalmers, 2003). Periodontal diseases

2008 Registered Nurses' Association of Ontario

170. Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Full Text available with Trip Pro

Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 60, Issue 2, Supplement, Pages 3S–59S Management of venous leg ulcers: Clinical practice (...) guidelines of the Society for Vascular Surgery ® and the American Venous Forum x Thomas F. O’Donnell , MD , x Marc A. Passman , MD , x William A. Marston , MD , x William J. Ennis , DO , x Michael Dalsing , MD , x Robert L. Kistner , MD , x Fedor Lurie , MD, PhD , x Peter K. Henke , MD , x Monika L. Gloviczki , MD, PhD , x Bo G. Eklöf , MD, PhD , x Julianne Stoughton , MD , x Sesadri Raju , MD , x Cynthia K. Shortell , MD , x Joseph D. Raffetto , MD , x Hugo Partsch , MD , x Lori C. Pounds , MD , x Mary

2014 American Venous Forum

172. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

recommend a formal audiometric evaluation every 5 years regardless of the initial age at diagnosis, initial hearing threshold levels, karyotype and/or presence of a mid-frequency sensorineural hearing loss, to assure early and adequate technical and other rehabilitative measures (⨁⨁◯◯). R 6.2. We recommend aggressive treatment of middle-ear disease and otitis media (OM) with antibiotics and placement of myringotomy tubes as indicated (⨁⨁◯◯). R 6.3. We recommend screening for hypothyroidism at diagnosis

2017 European Society of Endocrinology

173. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

), focused on outcomes of ASCVD (i.e., acute coronary syndromes, MI, stable or unstable angina, arterial revascularization, stroke, transient ischemic attack, or peripheral arterial disease of atherosclerotic origin), as well as heart failure and atrial fibrillation. The guideline presents recommendations to prevent CVD that are related to lifestyle factors (e.g., diet and exercise or physical activity), other factors affecting CVD risk (e.g., obesity, diabetes, blood cholesterol, high BP, smoking (...) 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease Arnett et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease Page 1 of 98 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Geriatrics Society, the American

2019 American Heart Association

174. Paediatric Urology

. Laparoscopic versus open orchiopexy in the management of peeping testis: a multi-institutional prospective randomized study. J Pediatr Urol, 2014. 10: 605. 91. Kirsch, A.J., et al. Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience. J Urol, 1998. 159: 1340. 92. Fowler, R., et al. The role of testicular vascular anatomy in the salvage of high undescended testes. Aust N Z J Surg, 1959. 29: 92. 93. Koff, S.A., et al. Treatment of high undescended testes by low (...) torsion of the spermatic cord--does it guarantee prevention of recurrent torsion events? J Urol, 2006. 175: 171. 179. Figueroa, V., et al. Comparative analysis of detorsion alone versus detorsion and tunica albuginea decompression (fasciotomy) with tunica vaginalis flap coverage in the surgical management of prolonged testicular ischemia. J Urol, 2012. 188: 1417. 180. Akcora, B., et al. The protective effect of darbepoetin alfa on experimental testicular torsion and detorsion injury. Int J Urol, 2007

2019 European Association of Urology

175. Urinary Incontinence

-menopausal oestrogen deficiency. J Int Med Res, 2009. 37: 198. 288. Robinson, D., et al. Estrogens and the lower urinary tract. Neurourol Urodyn, 2011. 30: 754. 289. Mettler, L., et al. Long-term treatment of atrophic vaginitis with low-dose oestradiol vaginal tablets. Maturitas, 1991. 14: 23. 290. Weber, M.A., et al. Local Oestrogen for Pelvic Floor Disorders: A Systematic Review. PLoS One, 2015. 10: e0136265. 291. Castellani, D., et al. Low-Dose Intravaginal Estriol and Pelvic Floor Rehabilitation

2019 European Association of Urology

176. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

injection of glucocorticoids, citing the risk for rare but serious adverse effects (loss of vision, stroke, paralysis, and death). The best evidence supporting its use comes from trials that looked specifically at patients with radiculopathy due to disc herniation, where short term benefit has been demonstrated. Injections may be performed as part of a diagnostic workup of radicular pain, or as a therapeutic modality when noninvasive treatment strategies have failed. Injections may be performed via (...) for spinal infection ? Comorbid conditions associated with increased risk of bleeding due to coagulopathy or treatment with anticoagulants ? Back pain in the setting of trauma Additional contraindications include the following conditions: ? Cauda equina syndrome ? Conus medullaris syndrome ? Epidural hematoma ? Subarachnoid hemorrhage ? Epidural mass ? Spinal cord ischemia ? Spinal fracture which occurred less than 6 weeks prior to injection ? Demyelinating disease or other CNS processes which predispose

2019 AIM Specialty Health

177. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

cerebrovascular attack (CVA) and transient ischemic attack (TIA) do not apply specifically to either anterior or posterior circulation ? For the purposes of this guideline, severity of vascular stenosis is defined as follows: ? Mild disease: 1.40) ? Duplex imaging is appropriate for patients with claudication who have normal, borderline, or inconclusive physiological testing (ABI> 0.90) ? Patients with resting ischemic pain ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic (...) (more than would be expected for the procedure performed) at the vascular access site ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic or discolored toes, livedo reticularis etc.) Miscellaneous indications for duplex imaging (any one of the following) ? Following limb trauma when there is suspicion of vascular injury ? For evaluation of suspected positional arterial obstructionDuplex Ultrasound Imaging of the Arteries of the Lower Extremities | Copyright © 2019

2019 AIM Specialty Health

178. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline Full Text available with Trip Pro

studies at moderate risk of bias. In transgender males (female to male), sex steroid therapy was associated with a statistically significant increase in serum triglycerides and low-density lipoprotein cholesterol levels. High-density lipoprotein cholesterol levels decreased significantly across all follow-up time periods. In transgender females (male to female), serum triglycerides were significantly higher without any changes in other parameters. Few myocardial infarction, stroke, venous

2017 Pediatric Endocrine Society

179. Prevention of Constipation in the Older Adult Population

, Henry & Lemieux, 1995; Haines, 1995).21 Nursing Best Practice Guideline Diseases/conditions cited as causing slow transit constipation include: colon cancer, dehydration, diabetes mellitus, hypercalcemia/hypokalemia, immobility, low fibre and hydrocarbohydrate diet, Parkinson’s disease and stroke. While it may not always be possible to eliminate the risk factors (e.g., person with cancer receiving palliative care), prevention is more cost-effective and consistent with quality of life for elders

2005 Registered Nurses' Association of Ontario

180. Nursing Management of Hypertension

Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Heather DeWagner, RN, BScN Nurse Clinician – Stroke Strategy Chatham-Kent Health Alliance Stroke Secondary Prevention Clinic Chatham, Ontario Elaine Edwards, RN, BScN Clinical Stroke Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario BettyAnn Flogen, RN, BScN, MEd, ACNP Clinical Nurse Specialist Brain Health Centre Interim Nurse Clinician – Stroke and Cognition Clinic Baycrest Centre for Geriatric (...) Barrie, Ontario Susan Oates, RN, MScN Advanced Practice Nurse – Rehabilitation West Park Healthcare Centre Toronto, Ontario Tracy Saarinen, RN, BScN Secondary Stroke Prevention Nurse Thunder Bay Regional Health Sciences Centre Thunder Bay, Ontario Debbie Selkirk, RN(EC), BScN, ENC(c) Primary Care Nurse Practitioner Emergency Services: Chatham-Kent Health Alliance Chatham, Ontario Nursing Management of Hypertension 6 Declarations of interest and confidentiality were made by all members

2005 Registered Nurses' Association of Ontario

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