Guidelines for Comprehensive Mental Health Services for Older Adults in Canada – Mental Health Commission of Canada – 12 October 2011

Posted on October 17, 2011. Filed under: Aged Care / Geriatrics, Mental Health Psychi Psychol | Tags: |

Guidelines for Comprehensive Mental Health Services for Older Adults in Canada – Mental Health Commission of Canada – 12 October 2011

“The ten main recommendations of the Guidelines include:
1. Understanding local context and resources
2. Developing policies using the Seniors Policy Lens Toolkit
3. Mental health promotion
4. Prevention strategies
5. Recovery and well-being for all
6. Collaboration for an accessible range of services
7. Benchmarks for specialized services
8. Cultural safety and diversity
9. Caregivers as active partners
10. Education and training”

Read Full Post | Make a Comment ( Comments Off on Guidelines for Comprehensive Mental Health Services for Older Adults in Canada – Mental Health Commission of Canada – 12 October 2011 )

Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines

Posted on August 22, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Evidence Based Practice | Tags: , , |

Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines 
 
Extract from the synopsis of publication

“The 2011 NHMRC Standard replaces the NHMRC standards and procedures for externally developed guidelines (2007) will apply to all guidelines seeking NHMRC approval which have commenced development after 1 January 2011.

NHMRC procedures and requirements to meet the 2011 NHMRC standard for clinical practice guidelines – Summary for developers

A summary document, including a list of what has changed compared to the 2007 NHMRC Standard, has also been prepared.

National Health and Medical Research Council. Procedures and requirements for meeting the 2011
NHMRC standard for clinical practice guidelines. Melbourne: National Health and Medical Research Council; 2011.

National Health and Medical Research Council. Procedures and requirements for meeting the 2011
NHMRC standard for clinical practice guidelines – Summary for developers. Melbourne: National Health and Medical Research Council; 2011.

Read Full Post | Make a Comment ( None so far )

NICE Pathways – launched 10 May 2011

Posted on May 10, 2011. Filed under: Evidence Based Practice | Tags: , |

New online tool brings all related NICE guidance together for first time – 10 May 2011

“Today (Tuesday 10 May), the National Institute for Health and Clinical Excellence (NICE) has launched NICE Pathways at its annual conference in Birmingham. An online tool for health and social care professionals, NICE Pathways brings together all connected NICE guidance on a topic in a user-friendly electronic flowchart.

Previously there has been no easy way to see at a glance everything NICE has said on a specific condition, for example diabetes, across all its separate published guidance. For the first time ever, this digital resource will allow users to quickly view and navigate NICE guidance and other tools on any given topic across an entire care pathway. For example, the postnatal care pathway considers everything from the baby’s first 24 hours up until the first 2 – 8 weeks.

The 18 pathways launched today cover alcohol-use disorders, anaemia management in chronic kidney disease, breast cancer, chronic heart failure, chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD), dementia, depression, diabetes, diabetes in pregnancy, diet, glaucoma, neonatal jaundice, physical activity, postnatal care, smoking, stroke, and venous thromboembolism (VTE) prevention.

Covering the whole range of different types of NICE advice, including health technology appraisals, clinical guidelines, public health and social care advice, quality standards and implementation tools, this is part of a wider move to provide a more personalised, audience-focused way of looking at NICE guidance.

Users do not need to understand how NICE classifies its guidance to read everything NICE has said on a particular topic. They will now be able to easily select the sections of guidance they need. This new resource will also greatly facilitate access to NICE guidance for commissioners, who need to commission care across a whole pathway.

Individual pathways also link to other related pathways – for example the diet pathway links with the physical activity pathway. NICE Pathways will continue to develop by including more content and more topics as new NICE guidance is published and by adding new features such as linking to the evidence behind NICE recommendations.”  … continues

Read Full Post | Make a Comment ( None so far )

The guideline advantage – American Cancer Society, American Diabetes Association, American Heart Association, American Stroke Association

Posted on April 1, 2011. Filed under: Evidence Based Practice | Tags: |

The guideline advantage – American Cancer Society, American Diabetes Association, American Heart Association, American Stroke Association

From Healthcare IT News 31 March 2011
National health groups team up for quality

“DALLAS – Three major health organizations, the American Cancer Society, American Diabetes Association and American Heart Association/American Stroke Association, have collaborated to create a quality improvement program aimed at improving outpatient care nationwide. Working with electronic health records providers from around the country, the program will provide doctors with the ability to easily gather, access and report on important data that can ultimately lead to improved care and outcomes for patients.

The program, called The Guideline Advantage, targets four of the 10 leading causes of death in the United States today, according to the Centers for Disease Control and Prevention – heart disease, cancer, stroke and diabetes.

Modeled after the American Heart Association/American Stroke Association’s Get With The Guidelines quality suite of programs, the program was first launched in 2009 as Get With The Guidelines-Outpatient, and focused on cardiovascular health. Now, as The Guideline Advantage, the program provides the basis for evaluating and improving outpatient treatment for ? and prevention of ? these four diseases, which share many similar risk factors.

The Guideline Advantage measures and compares the quality of care given by doctors and other healthcare providers in practices and clinics outside the hospital setting. The goal is for providers to implement the evidence-based guidelines for caring for patients who have or who are at-risk for these conditions, and help improve the way they provide that care. Through the use of electronic health records, the program will also develop a rich database of information for future heart disease, stroke, cancer and diabetes research.”

Read Full Post | Make a Comment ( None so far )

NICE backs use of new cardiac output monitoring device by the NHS – 29 March 2011

Posted on March 30, 2011. Filed under: Cardiol / Cardiothor Surg, Surgery | Tags: , |

NICE backs use of new cardiac output monitoring device by the NHS

“The National Institute for Health and Clinical Excellence (NICE) has today (Wednesday 30 March) published final guidance which supports the case for adoption of CardioQ-ODM in the NHS. Based on the best available evidence and expert advice, the Institute found this new device offers proven advantages for both patients and the NHS. It advises CardioQ-ODM should be considered for use in patients undergoing major or high-risk surgery, or for other surgical patients who may require invasive cardiovascular monitoring.”  …continues on the site

 CardioQ-ODM (oesophageal Doppler monitor)

Read Full Post | Make a Comment ( None so far )

How can we improve guideline use? A conceptual framework of implementability – 22 March 2011

Posted on March 29, 2011. Filed under: Evidence Based Practice | Tags: |

How can we improve guideline use? A conceptual framework of implementability – 22 March 2011
Anna R Gagliardi, Melissa C Brouwers, Valerie A Palda, Louise Lemieux-Charles and Jeremy M Grimshaw
Implementation Science 2011, 6:26 doi:10.1186/1748-5908-6-26

Abstract (provisional)
Background
Guidelines continue to be underutilized and a variety of strategies to improve their use have been suboptimal. Modifying guideline features represents an alternative, but untested way to promote their use. The purpose of this study was to identify and define features that facilitate guideline use, and examine whether and how they are included in current guidelines.
Methods
A guideline implementability framework was developed by reviewing the implementation science literature. We then examined whether guidelines included these, or additional implementability elements. Data were extracted from publicly available high quality guidelines reflecting primary and institutional care, reviewed independently by two individuals, who through discussion resolved conflicts, then by the research team.
Results
The final implementability framework included 22 elements organized in the domains of adaptability, usability, validity, applicability, communicability, accommodation, implementation and evaluation. ”  … continues on the site

Read Full Post | Make a Comment ( None so far )

Clinical Practice Guidelines We Can Trust – Institute of Medicine – 2011

Posted on March 24, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Clinical Practice Guidelines We Can Trust

Authors: Robin Graham, Michelle Mancher, Dianne Miller Wolman, Sheldon Greenfield, and Earl Steinberg, Editors; Committee on Standards for Developing Trustworthy Clinical Practice Guidelines; Institute of Medicine

“Healthcare providers may rely on clinical practice guidelines, in addition to their knowledge, skills, experience, and patient preferences, when faced with difficult decisions when treating patients. Clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options. At the request of the U.S. Congress, the IOM developed eight standards for developing rigorous, trustworthy clinical practice guidelines.”

ISBN-10: 0-309-21049-6
ISBN-13: 978-0-309-21049-2

Read Full Post | Make a Comment ( None so far )

Alcohol use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence – NICE Guideline – February 2011

Posted on February 28, 2011. Filed under: Alcohol & Drug Dep. | Tags: , |

Alcohol use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence – NICE Guideline – February 2011

“This clinical guideline offers evidence-based advice on the diagnosis, assessment and management of harmful drinking and alcohol dependence in adults and in young people aged 10–17 years.”

Read Full Post | Make a Comment ( None so far )

A model for service provision for pregnant women with complex social factors – NICE – 22 September 2010

Posted on September 23, 2010. Filed under: Obstetrics, Social Work | Tags: , |

A model for service provision for pregnant women with complex social factors – NICE – 22 September 2010

Description
The care that women should be offered during pregnancy is outlined in NICE clinical guideline 62 (‘Antenatal care’). However, pregnant women with complex social factors may need additional support to use antenatal care services.

About this guidance
Clinical guidelines CG110
Issued: September 2010

Media release

Read Full Post | Make a Comment ( None so far )

Delirium: diagnosis, prevention and management – NICE – 28 July 2010

Posted on August 12, 2010. Filed under: Aged Care / Geriatrics | Tags: , , |

Delirium: diagnosis, prevention and management – NICE – 28 July 2010

Press release:  New NICE guideline set to encourage healthcare professionals to ‘think delirium’ and take steps to prevent it

From the press release:  “Individual care by a trained multidisciplinary team can help prevent delirium for those people identified at risk, according to new guidelines published today (28 July). The National Institute for Health and Clinical Excellence (NICE) also recommends health professionals should ‘think delirium’ whenever people are admitted to hospital or long-term care.

This new clinical guideline describes methods of preventing, identifying, diagnosing and managing delirium. In particular, the guideline focuses on preventing delirium in people identified to be at risk, using a targeted, multi-component, drug-free intervention that is tailored for each individual.

Delirium is a recent and usually fluctuating change in a person’s awareness, often shown as disorientation or confusion, or through difficulties with memory. It can often be triggered by an infection, operation or a new drug. It can affect up to 1 in 3 hospital patients in the UK, but is potentially preventable in about a third of these cases. Delirium can lead to longer stays in hospital, bed pressure sores, and may increase the risks of dementia and death. However, the condition is poorly recognised in UK hospitals and long-term care, and preventative methods are generally not in place.

Preventing delirium in people at risk during their admission to hospital is anticipated to bring cost savings and release resources to the NHS. This is through a reduction in bed stay and a reduction in hospital-acquired complications. The NICE guideline is based on the best available evidence and will provide doctors, nurses and care assistants with a gold standard for effective treatment.”

Read Full Post | Make a Comment ( None so far )

Motor neurone disease – non-invasive ventilation – NICE Guidance – July 2010

Posted on August 12, 2010. Filed under: Neurology, Respiratory Medicine | Tags: , |

Motor neurone disease – non-invasive ventilation – NICE Guidance – July 2010

The use of non-invasive ventilation in the management of motor neurone disease

Description

This clinical guideline offers evidence-based advice on the use of non-invasive ventilation for people with motor neurone disease. It is the full guideline and contains all the recommendations, details of how they were developed, and reviews of the evidence they were based on.

Read Full Post | Make a Comment ( None so far )

NICE publishes final draft guidance on the use of dronedarone for treating atrial fibrillation – 16 July 2010

Posted on July 27, 2010. Filed under: Cardiol / Cardiothor Surg | Tags: , |

NICE publishes final draft guidance on the use of dronedarone for treating atrial fibrillation – 16 July 2010

“The National Institute for Health and Clinical Excellence (NICE) is currently appraising the use of dronedarone (Multaq) for the treatment of atrial fibrillation (AF) – a disturbance of the heart’s rhythm. In its final draft guidance published today, (16 July), NICE has reaffirmed the decision in its previous draft to recommend the limited use of the drug as a second-line treatment in people with additional cardiovascular risk factors whose AF has not been controlled by first-line therapy.

Sir Andrew Dillon, NICE Chief Executive, said: “The independent Appraisal Committee concluded that although dronedarone reduced atrial fibrillation recurrence compared with placebo, it appeared to be less effective for atrial fibrillation recurrence than other antiarrhythmic drugs. However, it noted comments from patients and clinical experts received during consultation on a previous draft that all current antiarrhythmic drugs have side effects that have a significant impact on quality of life with long-term use. It heard from patient experts that some people with atrial fibrillation might prefer to take dronedarone because it has fewer side effects, despite it being less effective in preventing recurrence of atrial fibrillation.

He continued: “The Committee also accepted evidence that the risk of mortality with dronedarone was likely to be lower than with current anti-arrhythmic drugs. Finally, because the cost-effectiveness estimates for the drug were largely based on a single clinical trial, which included people who had a higher risk of a major cardiovascular event, we have recommended that dronedarone is considered as a treatment option only in people who have additional cardiovascular risk factors such as diabetes or high blood pressure.”

In line with the NICE technology appraisals process this draft guidance is now with consultees, who have the opportunity to appeal against the proposed guidance. NICE has not yet issued final guidance to the NHS. Final guidance is expected to be published in August 2010.  …continues

Read Full Post | Make a Comment ( None so far )

Using NICE guidance to help you cut costs

Posted on July 27, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Health Systems Improvement | Tags: , |

Using NICE guidance to help you cut costs 

“Is it possible to increase the quality of care provided against a backdrop of tightening budgets? We think it is, and that NICE has a key role to play. From identifying specific recommendations that can save money, to advice on reconfiguring to support disinvestment from ineffective services, we have products and services to help organisations meet the twin challenges of providing high quality care to patients and the public while also saving money and resources.”

 How NICE could help the NHS save millions 

“The NHS could stand to save millions – at a time when healthcare budgets are being squeezed – by following NICE guidance, according to a review by the Institute.

Implementing NICE guidance can provide a way for primary care trusts (PCTs) in England to ensure that patients receive treatment that is proven to be both clinically and cost effective. Following NICE guidance can also free up resources and capacity that can then be channeled into other services. …

NICE has identified 19 sets of recommendations that if fully implemented by trusts could help to save millions of pounds. This list is based on costing work undertaken at the time the guidance is published and covers all clinical guidelines from January 2005 and technology appraisals from January 2006 that deliver a net saving.  …

All of NICE’s cost-saving tools and information can be found here

Read Full Post | Make a Comment ( None so far )

G-I-N Public – Guidelines International Network

Posted on May 20, 2010. Filed under: Evidence Based Practice, Patient Participation | Tags: , , |

G-I-N PUBLIC

“G-I-N PUBLIC is a working group of researchers, health professionals and consumers who promote ways to inform and involve the public in clinical guideline activity around the world.

G-I-N PUBLIC uses a wiki website to post information about how patients and the public can be involved in guideline development. You can find information about projects in various countries, practical information such as handbooks on public involvement and lots of literature references.”

Read Full Post | Make a Comment ( None so far )

Clinical Practice Guidelines Portal – Australia – 26 February 2010

Posted on February 26, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , , |

Clinical Practice Guidelines Portal
 
“Welcome to Australia’s Clinical Practice Guidelines Portal. It has been developed to help Australian clinicians and policy-makers access high quality, evidence-based clinical practice guidelines via a single entry point.
 
This Portal is an initiative of the National Institute of Clinical Studies, an institute of the Australian Government’s National Health and Medical Research Council as part of our mandate to build a healthier Australia.”
 
… continues

Read Full Post | Make a Comment ( None so far )

NICE guideline on blood clot prevention – 27 January 2010

Posted on January 28, 2010. Filed under: Surgery | Tags: , , , |

2010/006 New NICE guideline on blood clot prevention will help save thousands of lives

“Thousands of lives could be saved with the help of a new guideline on preventing blood clots in hospital patients, published today (Wednesday 27 January) by the National Institute for Health and Clinical Excellence (NICE).  The guideline focuses on reducing the risk of deep vein thrombosis (blood clots blocking veins, also commonly known as DVT) in patients admitted to hospital.  If a blood clot breaks away it may travel to the lungs and cause a blockage – a potentially fatal pulmonary embolism.   Venous thromboembolism (VTE) covers both DVT and its possible consequence pulmonary embolism – the guideline sets out simple steps to help prevent VTE and therefore help save lives.

An estimated 25,000 people who are admitted to hospital die from preventable venous thromboembolism each year.  The NICE guideline, jointly developed with the National Clinical Guideline Centre for Acute and Chronic Conditions, recommends that all patients should be assessed for risk of developing blood clots on admission to hospital, and then given preventative treatment that suits their individual needs. Options include blood-thinning drugs such as heparin, anti-embolism stockings and foot impulse or pneumatic devices.  Importantly, this advice covers all patients admitted to hospital – including those having day-case procedures – and not just those patients having surgery.”

See the NICE VTE guideline

Read Full Post | Make a Comment ( None so far )

Draft – Australian Infection Control Guidelines – 7 January 2010 – NH&MRC

Posted on January 12, 2010. Filed under: Infection Control | Tags: , , |

DRAFT – Australian Infection Control Guidelines – 7 January 2010 – NH&MRC
http://www.nhmrc.gov.au/guidelines/consult/aicg.htm

“The NHMRC is keen to ensure that the Australian community has the best opportunity to participate in developing NHMRC reports.

NOTICE OF PROPOSED GUIDELINES
The National Health and Medical Research Council (NHMRC), in partnership with the Australian Commission for Safety and Quality in Healthcare (the Commission), has released for public comment the Australian Infection Control Guidelines: preventing and managing infection in health care (the draft Guidelines).

The draft Guidelines have been developed to assist a coordinated approach to the management of health care associated infection (HAI) in Australia by supporting the Commission’s other HAI priority program initiatives.

To facilitate this approach, the draft Guidelines are written from a care delivery perspective, focussing on safety and quality and using a risk management framework. This approach differs from the current Department of Health and Ageing (DoHA) 2004 Infection control guidelines for the prevention of transmission of infectious diseases in the health care setting which are disease and setting specific.”

…continues on the website

Closing Date
The closing date for submissions is 10 March 2010
Download
Draft Infection Control Guidelines (2.63MB PDF)
Attachments to the process report: (6.46 MB)
Systematic reviews
Drafting of recommendations and evidence statements
Preliminary feedback on previous drafts
Grading conversion systems

Read Full Post | Make a Comment ( None so far )

The Health and Social Care Act 2008 Code of Practice for health and adult social care on the prevention and control of infections and related guidance – UK – 16 December 2009

Posted on December 29, 2009. Filed under: Infection Control | Tags: |

The Health and Social Care Act 2008 Code of Practice for health and adult social care on the prevention and control of infections and related guidance – UK – 16 December 2009

“The Code of Practice and related guidance will help providers of health and adult social care to plan and implement how they prevent and control infections. It sets out criteria that the Care Quality Commission will use to assess compliance with the registration requirement for cleanliness and infection control.”

Read Full Post | Make a Comment ( None so far )

CoCanCPG Database of Cancer Uncertainties (DoCU)

Posted on December 10, 2009. Filed under: Oncology | Tags: , , |

CoCanCPG Database of Cancer Uncertainties (DoCU)  –  About this new database – from NICE

The database

“Project background
CoCanCPG (Coordination of Cancer Clinical Practice Guidelines in Europe) is a European Commission funded consortium of 16 institutional partners from 11 countries. The UK’s National Institute of Health and Clinical Excellence (NICE), working with the consortium, has developed this database of cancer uncertainties (DoCU) in the management of cancer that have been identified during guideline development.

Development of the database
The overall objective of the project is to set up, within CoCanCPG, a framework and database for systematically identifying evidence gaps and formulating and prioritising recommendations for future research in cancer. These evidence gaps or ‘uncertainties’ can be highlighted during guideline development (including systematic reviews and economic modelling) or post-production (exploring the research recommendations and other standalone uncertainties in cancer management in the guidance). Further details about identifying uncertainties and processing them can be found in the ‘Collecting Uncertainties’ page.

The database is a developmental project, which is being tested in this pilot phase. The pilot period ends at the end of January 2010.

The database is funded by the EU and hosted and administered by NICE.”

View the list of uncertainties flagged as a priority

Search the database

Read Full Post | Make a Comment ( None so far )

Pandemic influenza: guidance on meeting the needs of those who are or may become vulnerable during the pandemic – UK – 5 August 2009

Posted on August 6, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Pandemic influenza: guidance on meeting the needs of those who are or may become vulnerable during the pandemic

Document type:      Guidance
Author:   UK  Department of Health
Published date:      5 August 2009
Pages:      22

This is an update of draft guidance published in August 2008. This updated guidance is to support organisations in their planning for those people who are or may become vulnerable during the pandemic.

Full text of the pandemic influenza guidance

Read Full Post | Make a Comment ( None so far )

Planning for the psychosocial and mental health care of people affected by major incidents and disasters: Interim national strategic guidance – UK – 31 July 2009

Posted on August 1, 2009. Filed under: Disaster Management, Mental Health Psychi Psychol | Tags: , |

Planning for the psychosocial and mental health care of people affected by major incidents and disasters: Interim national strategic guidance

Last modified date:     31 July 2009

“This interim strategic guidance provides best practice in planning, preparing and managing psychosocial and mental health services in response to traumatic events and all types of emergencies resulting in an abnormal situation that poses any threat to the health of the community or in providing services for psychosocial care following such events.”

Download Guidance on Psychosocial Care For the NHS (PDF, 2242K)

Read Full Post | Make a Comment ( None so far )

Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents – June 2009

Posted on July 1, 2009. Filed under: Infection Control, Infectious Diseases | Tags: , |

Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents

About these reports

“Each NHS board report contains specific findings. Together they identify:

* a need for a fresh look at implementing healthcare associated infection (HAI) guidance
* a need for greater clarity within Health Boards on internal working systems and practices on HAI prevention
* a need within Health Boards for improved monitoring systems, antibiotic prescribing, and collaborative working across Scotland in relation to HAI. ”

About the visits

“We have recently undertaken ‘shared learning’ visits to three NHS boards following Clostridium difficile (C.difficile) outbreaks.

These visits were carried out at the request of the Scottish Government Health Department (SGHD).  Below is a link to the NHS Board specific reports from each of these visits along with an overview report which draws together the key themes and learning points from the visits along with potential solutions for addressing the challenges we face.”

* Lessons Learned Overview Report (PDF, 205K)

* NHS Orkney – Clinical Governance Diagnostic Review (PDF, 231K)

* NHS Grampian – Infection Prevention and Control: Improving through Learning (PDF, 226K)

* NHS Highland – Infection Prevention and Control: Improving through Learning (PDF, 207K)

Read Full Post | Make a Comment ( None so far )

NICE issues final guidance on the use of cetuximab for the treatment of head and neck cancer – 24 June 2009

Posted on June 25, 2009. Filed under: Oncology | Tags: , |

2009/040 NICE issues final guidance on the use of cetuximab for the treatment of head and neck cancer

Press release

Guidance

“The National Institute for Health and Clinical Excellence (NICE) has today (24 June) published guidance on cetuximab for the treatment of recurrent and/or metastatic (where the cancer has spread) squamous cell cancer of the head and neck. The guidance does not recommend cetuximab in combination with platinum- based chemotherapy as a treatment option for patients with this type of head and neck cancer.”

Read Full Post | Make a Comment ( None so far )

Helping someone with problem cannabis use: Mental Health First Aid Guidelines – June 2009

Posted on June 23, 2009. Filed under: Alcohol & Drug Dep., Mental Health Psychi Psychol | Tags: |

Helping someone with problem cannabis use: Mental Health First Aid Guidelines – June 2009
National Cannabis Prevention and Information Centre  /  Orygen Youth Health Research Centre
Press release

“New first aid guidelines for problem cannabis use have been released today to help the community identify and assist users who are developing a problem with their cannabis use or are in a cannabis-related crisis.

The guidelines, the first to be produced in the world, have been researched and produced by Orygen Youth Health for the National Cannabis Prevention and Information Centre (NCPIC), funded by the Australian Government, based at the University of NSW, and are a response to the growing body of evidence that links cannabis use to a range of physical and mental health problems.

They are designed to inform members of the community how to recognize when someone’s cannabis use has become a problem, how to provide initial support and information, and how to guide the user to seek professional help.”

Read Full Post | Make a Comment ( None so far )

Weight Gain During Pregnancy: Reexamining the Guidelines – Institute of Medicine – June 2009

Posted on June 10, 2009. Filed under: Obstetrics | Tags: , , |

Weight Gain During Pregnancy: Reexamining the Guidelines
Authors:  Kathleen M. Rasmussen and Ann L. Yaktine, Editors; Committee to Reexamine IOM Pregnancy Weight Guidelines; Institute of Medicine; National Research Council,  June 2009
ISBN-10: 0-309-13109-X
ISBN-13: 978-0-309-13109-4

“As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother’s weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women.

Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.”

Read Full Post | Make a Comment ( None so far )

NICE improves rehabilitation for people after critical illness UK National Institute for Health and Clinical Excellence

Posted on April 29, 2009. Filed under: Rehabilitation | Tags: , |

2009/025 NICE improves rehabilitation for people after critical illness UK National Institute for Health and Clinical Excellence

NICE guidance published today (25 March 2009) sets out to improve the quality of care patients receive during their recovery and rehabilitation after critical illness
.

Approximately 110,000 [1] people spend time in critical care units in England and Wales each year, the majority survive to be discharged home. For many patients recovery after critical illness is relatively straightforward but for others, discharge from critical care is the start of an uncertain journey to recovery characterised by problems such as, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty. Family members become informal caregivers, and this itself can exert an additional toll of ill-health and a strain on family relationships and financial security.

This guideline outlines the assessments and care patients should receive in hospital following a critical illness and the rehabilitation goals that will help patients recover to take part in usual daily activities as much and as rapidly as possible following discharge.

Read Full Post | Make a Comment ( None so far )

Rheumatoid arthritis: National clinical guideline for management and treatment in adults (UK) – Developed by the National Collaborating Centre for Chronic Conditions

Posted on April 17, 2009. Filed under: Rheumatology | Tags: |

Rheumatoid arthritis: National clinical guideline for management and treatment in adults (UK) – Developed by the National Collaborating Centre for Chronic Conditions

The guideline covers the management of people with RA all the way through the disease process – from early identification to severe disease.

Rheumatoid arthritis guideline – report

Appendicies

Read Full Post | Make a Comment ( None so far )

Safety guidelines on pre-hospital anaesthesia and interhospital transfer – Association of Anaesthetists

Posted on April 17, 2009. Filed under: Anaesthesiology | Tags: |

The Association of Anaesthetists has published two safety guidelines: one on pre-hospital anaesthesia and another on interhospital transfer.

Read Full Post | Make a Comment ( None so far )

NHS Evidence: draft process manual

Posted on April 16, 2009. Filed under: Evidence Based Practice, Knowledge Translation | Tags: , |

NHS Evidence: draft process manual 20 March 2009

Read Full Post | Make a Comment ( None so far )

Rheumatoid arthritis – new NICE guidance February 2009

Posted on April 16, 2009. Filed under: Rheumatology | Tags: , |

Rheumatoid arthritis: the management of rheumatoid arthritis in adults
Guidance type:  Clinical guideline
Date issued:  February 2009

Summary

Rheumatoid arthritis is a long-term disease in which joints in the body become inflamed, causing pain, swelling and stiffness. It is known as an ‘autoimmune disease’ because it is caused when the body’s immune system, which normally fights infection, starts to attack healthy joints. At times, rheumatoid arthritis can be very painful and affect a person’s ability to carry out everyday tasks. It is not known why rheumatoid arthritis develops, and there is no cure. However, understanding of the disease has improved, and there are now effective treatments that can help ease the pain and symptoms, and slow down the disease. It is very important that treatment is started early to minimise damage to joints.

The advice in the NICE guideline covers the care of adults with rheumatoid arthritis. It does not specifically look at other types of arthritis such as osteoarthritis. NICE has also produced guidance on osteoarthritis.

Read Full Post | Make a Comment ( None so far )

NICE reviews guidance on the treatment of ‘flu

Posted on April 16, 2009. Filed under: Infectious Diseases | Tags: , , |

NICE reviews guidance on the treatment of ‘flu

The National Institute for Health and Clinical Excellence (NICE) has today (25 February 2009) published final guidance on the use of oseltamivir, amantadine and zanamivir for the treatment of influenza. NICE guidance recommends oseltamivir and zanamivir for the treatment of influenza in adults and children if all the following circumstances apply:

* national surveillance schemes indicate that influenza virus A or B is circulating
* the person is in an ‘at-risk’ group
* the person presents with an influenza-like illness and can start treatment within 48 hours (or within 36 hours for zanamivir treatment in children) of the onset of symptoms.

Following the review and reappraisal of this guidance people with chronic neurological conditions and people with chronic liver disease are now considered ‘at risk’. Also, zanamivir is now recommended as a treatment option for children between the ages of 5 and 12 years in ‘at-risk’ groups if influenza is circulating and they can start treatment within 36 hours of first symptoms.

During localised outbreaks of ‘flu-like illness the reviewed guidance now also recommends oseltamivir and zanamivir be used to treat ‘at-risk’ people living in long-term residential or nursing homes who have been in contact with the illness. However, this should be done only if there is a high level of certainty that the cause of the localised outbreak is influenza. Amantadine is not recommended for the treatment of influenza.

Read Full Post | Make a Comment ( None so far )

New NICE Guidance on Advanced Breast Cancer

Posted on April 16, 2009. Filed under: Oncology | Tags: , , |

The National Institute for Health and Clinical Excellence (NICE) has today (25 February 2009) issued a new guideline on best practice for the diagnosis and treatment of advanced breast cancer.

Read Full Post | Make a Comment ( None so far )

New NICE guidelines on the treatment and care of people with early breast cancer

Posted on April 16, 2009. Filed under: Oncology | Tags: , , |

New NICE guidelines on the treatment and care of people with early breast cancer

The National Institute for Health and Clinical Excellence (NICE) has today (25 February 2009 ) issued a new guideline on best practice for the diagnosis and treatment of early and locally advanced breast cancer.

Read Full Post | Make a Comment ( None so far )

Advanced care planning: national guideline – UK Royal College of Physicians February 2009

Posted on April 9, 2009. Filed under: Palliative Care | Tags: , |

Advance care planning: national guidelines.  Concise guidance to good practice

The aim of this guideline is to inform health and social care professionals on how best to manage advance care planning (ACP) in clinical practice. The guideline contains a number of recommendations, such as training for and implementation of ACP, when and with whom to consider having ACP discussions, the context and content of discussions, preparing ACP documents and cognitive impairment.
ISBN 978-1-86016-352-4

Read Full Post | Make a Comment ( None so far )

Transforming respiratory and sleep diagnostic services to deliver 18 weeks – a Good Practice Guide [UK]

Posted on April 8, 2009. Filed under: Respiratory Medicine | Tags: , , , |

Transforming respiratory and sleep diagnostic services to deliver 18 weeks – a Good Practice Guide

Author:  UK  Department of Health
Published date:      9 February 2009
Pages:      62

This guide accompanies other recently published good practice guidance for physiological measurement services including audiology, cardiac physiology and neurophysiology.

This guide supports the continued delivery of low wait planned care services associated with the 18 week target and the clinical visions outlined by each of the 10 SHAs in England as part of Lord Darzi’s Next Stage Review of the NHS. Including evidence and new pathways, it aims to help commissioners understand where respiratory and sleep services fit into their local strategy for clinical care and providers by suggesting innovative ways in which these services can be improved and delivered for the benefit of patients.

Read Full Post | Make a Comment ( None so far )

Getting the best from neurological services: A guide for people affected by conditions of the brain, spine and nervous system – UK

Posted on April 8, 2009. Filed under: Neurology, Patient Participation | Tags: |

Guidance from the   Neurological Alliance.    Published  30 January 2009
Primary audience:      Public, Health and social care professionals
ISBN 1 901893 33 2              40 p.

Read Full Post | Make a Comment ( None so far )

Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence

Posted on April 8, 2009. Filed under: Medications, Patient Participation | Tags: , |

This guidance is about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence) to the NHS in England and Wales.   January 2009

Read Full Post | Make a Comment ( None so far )

The Health and Social Care Act 2008: Code of Practice for the NHS on the prevention and control of healthcare associated infections and related guidance

Posted on April 8, 2009. Filed under: Infection Control | Tags: , |

The Code, which comes into force on 1 April 2009, sets out how the Care Quality Commission will assess compliance with the requirements set out in the Health and Social Care Act 2008 and provides guidance on how providers can meet the registration requirements relating to healthcare associated infections.  The January 2008 version of the Code will remain in force until 1 April 2009.

Read Full Post | Make a Comment ( None so far )

Inspiring leaders: leadership for quality – guidance for NHS talent and leadership plans 22 Jan 2009

Posted on April 8, 2009. Filed under: Health Mgmt Policy Planning, Leadership | Tags: |

Inspiring leaders: leadership for quality – best practice guideline

This is the first national guidance on talent and leadership planning for the NHS. Strategic health authorities (SHAs) have a key role to play in fostering investment and collaboration so that the right conditions are in place for improving talent and leadership development. The guidance has been designed with four SHA health economies and system-wide engagement to provide a framework for developing talent and leadership plans.   35 p.

Read Full Post | Make a Comment ( None so far )

Liked it here?
Why not try sites on the blogroll...