DC HRP: District of Columbia's Health Resource Partnership

Virtual Library A - Z Index: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

=

A

Alzheimer's Disease
Tips for Caregivers for Individuals with Alzheimer's disease

Antiobiotics
Adult Appropriate Antibiotic Use Summary

Nonspecific Upper Respiratory Tract Infection
a one page handout for providers from CDC - another guide on the use of antiobiotics for adults

Assistive Technology
What is assistive technology?

Steps for making decisions for assistive technology

Assistive Technology Support in the District of Columbia

Assistive Technology Device Examples

Autism
Evaluating the effects of a structured program for adults with autism spectrum disorders and intellectual disabilities

B

Bed Bug Control

Bed Bug Management from the District of Columbia Department of Health

Behavior

Coping Strategies of Adults with Mild Intellectual Disability for Stressful Social Situations

Functional Behavioural Assessment in People With Intellectual Disabilities
[Mental Retardation and Developmental Disorders]

Using Motivation Interviewing to Promote Patient Behavior Change and Enhance Health

Breast

Breast Cancer Screening Survey for Women with Disabilities

The American Association on Health and Disability (AAHD) is the recipient of a grant from Susan G. Komen for the Cure entitled, “Project Accessibility: Removing Barriers for Women with Disabilities”. The purpose of the grant is to increase accessibility of mammogram facilities in the DC Metro area. AAHD has developed a Breast Cancer Screening Women’s Survey to help gain a better understanding of what types of barriers are keeping women with disabilities from getting their mammograms. If you are a woman with a disability and reside in Washington, DC or the surrounding Metro areas (District of Columbia, Alexandria City, or Prince George’s, Fairfax, Loudon, Arlington or Prince William Counties). Please visit http://www.surveymonkey.com/s/G77ZLF3 to fill out the short survey.

Breast Health Care: Easy to Read, Easy to Understand (PDF) Brochure for individuals with intellectual and developmental disabilities about preventative care for breast health. Sponsored by the Susan G. Komen for the Cure Foundation and written by the National Office on Disability and Health, Chapel Hill, NC.

Follow Up of Abnormal Clinical and Imaging Findings of the Breast: Five Self-Study Modules for Primary Care Clinicians
New from the CDC -- 5 self-directed, interactive training modules, designed to enhance clinical skills in the examination of the breast. This curriculum reviews the latest on the presentation and management of common breast problems, with an emphasis on assessment and early diagnosis. CEUs and CMEs available. All of the modules are recommended for physicians. Registered nurses would most likely benefit from the first module on breast anatomy and the final module on diagnostic follow-up. The second module can be filed for reference by nurses to assist them in interpreting test results for purposes of patient/family/staff education.


C

Cancer
Standard of Care With Oral Drug in Colorectal Cancer
Screening Guidelines for Breast Cancer
Screening Guidelines for Cervical Cancer
Screening Guidelines for Ovarian Cancer
Screening Guidelines for Prostate Cancer

Caregiver Resources
Ask Medicare has a new set of resources for caregivers. This web site has a video of one family’s story, and highlights programs and resources improve a caregiver’s well-being. It also has a links to services available for caregivers and care recipients through the HHS Administration on Aging, HHS Centers for Medicare & Medicaid Services and other state and local programs. For more information visit the site at www.medicare.gov/caregivers

Celiac Disease
Physician Awareness of Celiac Disease: a need for further education

Central Venous
Quality Improvement Guidelines for Central Venous Access


Cerebral Palsy
Cerebral Palsy: An Overview.Also available in full-text .pdf pdf, click here.

Special supplemental issue of Developmental Medicine and Child Neurology devoted to adults with Cerebral Palsy edited by Dr. Laura Tosi from Children's National Medical Center

Clinical Guidelines
Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection

Diabetes Care: Summary of 2010 Clinical Practice Recommendations from the American Diabetes Association

Fracture Prevention Treatment for Postmenopausal Women with Osteoporosis

Guidelines Issued on Venous Thromboembolism Diagnosis and Management

Guidelines for the Management of Dyspepsia

The High Prevalence of Inadequate Serum Vitamin D Levels and Implications for Bone Health
Current Medical Research and Opinion by Jean-Yves Reginster via Medscape
see also Current Recommended Vitamin D Intake May Not Be Optimal CME/CE

IDSA Guidelines for the Diagnosis and Treatment of Skin and Soft Tissue Infections

Guidelines for Treatment of Acute Ischemic Stroke

Standard of Care With Oral Drug in Colorectal Cancer

Recommendations for the Management of Diabetes and CVD

Osteoporosis Guidelines Updated

Practice Guideline for Interventional Clinical Practice

Practice Guidelines of Medical Care for Patients with Diabetes

Preventive health recommendations for adults with mental retardation

Primary Prevention of Cardiovascular Diseases in People Diabetes Mellitus:
A Scientific Statement from the American Heart Association and the American Diabetes Assocation

NSAID Prescribing Recommendations from issue of American Family Physician (Medscape article, must have or create account)

Quality Improvement Guidelines for Central Venous Access

Recommended Treatment for MRSA That Looks Like Impetigo With Underlying Cellulitis

Revised Nutrition Guidelines for Diabetes Prevention, Stress, Weight Control, Exercise

Screening Guidelines for Breast Cancer

Screening Guidelines for Cervical Cancer

Screening Guidelines for Ovarian Cancer

Screening Guidelines for Prostate Cancer

What Are the Optimal Lab Test Targets for My Diabetic Patients?

Community Participation

What's on City DC is a calendar of events in the District of Columbia that is a useful tool for planning community integration activities, promoting wellness in individuals with disabilities as well as encouraging independence.

Colonoscopy
Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection


Constipation
Evaluating and Managing Constipation in the Elderly

Review of the Treatment Options for Chronic Constipation

COPD
Chronic Obstructive Pulmonary Disease (COPD)

Chronic Obstructive Pulmonary Disease (COPD) diagnosis


Cystitis
Interstitial Cystitis/Painful Bladder Syndrome: An Update for Clinicians

D

Dementia
A 93 Year Old Man with Advanced Dementia and Eating Problems
This article weaves a case study dilemma and covers the latest scientific information on g-tube decision-making in patients with advanced dementia (or advanced cancer).
Brings up questions to consider such as:

Will patients suffer more if they do not receive IV fluids or sufficient nutrition?
Are there advantages of conscientious hand feeding and challenges for staff?
Does tube feeding prolong life? Improve nutrition? Prevent aspiration?

Most physicians/providers automatically say yes. However, there is a paucity of evidence to support these purported benefits.

Of course, researchers cannot do the appropriate randomized study to answer these questions. The best available cohort studies suggest that tube feeding does not prolong survival, and has not been shown to improve nutritional status or the clinical consequences of malnutrition, such as pressure ulcers in the long term. This is clearly the case with dementia, and holds true to some degree with cancer and HIV/AIDS. The authors emphasize that feeding decisions should follow an ethical framework reflecting the balance of benefits/burdens/respect for autonomy. The authors offer general steps or an approach for clinicians to operationalize this framework.


Dermatitis
A Comprehensive Management Guide for Atopic Dermatitis

Treatment of Atopic Dermatitis: Optimizing Management and Implications of the New Labeling for Topical Calcineurin Inhibitors


Diabetes
Dealing with Diabetes (New Vision)

Diabetic Foot Ulcers

Practice Guidelines of Medical Care for Patients with Diabetes

Recommendations for the Management of Diabetes and CVD

Primary Prevention of Cardiovascular Diseases in People Diabetes Mellitus:
A Scientific Statement from the American Heart Association and the American Diabetes Assocation

Revised Nutrition Guidelines for Diabetes Prevention, Stress, Weight Control, Exercise

What Are the Optimal Lab Test Targets for My Diabetic Patients?


Diarrhea
Evaluation and Management of Chronic Diarrhea: An Algorithmic Approach


Developmental Disability
The Elizabeth M. Boggs Center on Developmental Disabilities
particularly the products section

  • The Geese and the Peanut Butter Chocolate Ice Cream: The Grieving Gifts to the Lexington Street Community A Resource to Help Individuals with Developmental Disabilities and People Who Support Them Grieve the Death of Loved Ones, 2006, written by Melody A. Steinman; illustrated by Pat Schosser
  • Why Does Medicaid Matter To People with Disabilities and Their Families, revised November 2005
  • People with Disabilities and Social Security, January 2005
  • Building Community Supports Training Guide 1994
    A four-module curriculum designed to assist a committee or task force working on community supports. Modules include (1) People with Disabilities; (2) Planning Individual Supports for Satisfying Lives; (3) Worshiping Together; and (4) Building a Community Resource Team. For order form, click here
  • Keeping It Real: How to Get the Supports You Need for the Life You Want 2005. The companion Teacher's Guide (2006) was developed to help teachers understand how the curriculum can be modified for different learning styles, abilities and interests. Spanish versions of Keeping it Real and the Parent's Module are available from this web site.
  • On the Road to Community Inclusion (1999) a first collection of real life stories and experiences written by direct support staff working with, and walking with, people with developmental disabilities as they build community connections in New Jersey; and the second volume, On the Road (Again) to Community Inclusion: It's About Time! 2000. For order form, click here.

Disability
Going Beyond Disease to Address Disability

The Centers for Disease Control and Prevention have published the 2006 Disability and Health State Chartbook:
Profiles of Health for Adults with Disabilities. Click here for the report specific to the District of Columbia.
For all states, click here.

Down Syndrome
Health Care Management for Adults with Down Syndrome

Dyspepsia
Guidelines for the Management of Dyspepsia

 E

End of Life Care

F

Falls
Fall Prevention, Assessment and Intervention for Falls, specifically for
Adults with Developmental Disabilities, by Victoria Lamb, Doctor of Physical Therapy student.

Center for Disease Control and Prevention Resources on Fall Prevention
 Fall Prevention in Older Adults fact sheets and resources
Developing Community-based Fall Prevention Programs (PDF)
Home and Recreational Safety compendium of effective community-based interventions, brochures, podcasts, and community prevention programs

Fall Risk Assessment Guidelines
Fall Management Guideline in the National Guideline Clearinghouse, Agency for Healthcare Research and Quality
Resident Falls: Facts, Prevention, Responding, Tools & References

Fitness
Revised Nutrition Guidelines for Diabetes Prevention, Stress, Weight Control, Exercise

Information on the American Society for Testing Materials (ASTM) initiative on inclusive fitness equipment standards is available on the National Center for Physical Activity and Disability (NCPAD) website.


Flu
H1N1 guidance from the Center for Disease Control and Prevention
General Information: http://www.cdc.gov/h1n1flu/
En espanol http://www.cdc.gov/h1n1flu/espanol/
24 hour updates http://www.cdc.gov/h1n1flu/whatsnew.htm
For clinicians http://www.cdc.gov/h1n1flu/clinicians/
10 Action for Medical Offices and Outpatient Clinics http://www.cdc.gov/h1n1flu/10steps.htm
Identifying and Caring for Patients http://www.cdc.gov/h1n1flu/identifyingpatients.htm

Pandemic Flu webcast from the American Academy of Family Physicians

Guidance from the Department of Labor, Occupational Safety and Health Administration on Preparing Workplaces for an Influenza Pandemic; see also 2/7/2007 article from Infection Today regarding this guidance, click here

The following article contains very important information about the physical exam indicated in people with flu symptoms. It points out the fact that in the elderly population who have poor febrile responses, their temperatures may not be elevated even in the presence of infection: Influenza and the Elderly Patient

Seasonal Influenza: Prevention With Influenza Vaccines


Fungal Infection
Do I Need to Confirm a Fungal Skin Infection Before Treating?

G

Genetics
A new interactive web portal called Genetics Home Reference from the National Institutes of Health

GERD
Certain Drugs May Be as Effective as Surgical Management for GERD

Glaucoma
Signs of Possible Glaucoma:

  • Rock hard orbit
  • Cloudy cornea
  • Crescent shadow on the nasal side of the iris means increased risk of glaucoma
  • Red blood vessels in the iris (neovascularization from glaucoma or diabetes)
  • Oval pupils
  • Unilateral mydriasis
  • Pupillary reflexes: absent direct response but present consensual response
  • Apparent loss of temporal vessels on fundoscopic exam
  • Bone white disc with normal blood vessels
  • Vertically oval appearance of the disc cup
  • Enlargement of the disc cup

    Read more about this from the article "Examining the Eyes of an Older Person";

Guardianship
DDS Policy and Procedures on Emergency and Urgent Care Guardianship. For further information, please contact Neha Patel at 202-730-1787 or neha.patel@dc.gov (from DCHAdvocate newsletter, 11/16/07).

 

H

H1N1
Guidance from the Center for Disease Control and Prevention is now available
General Information: http://www.cdc.gov/h1n1flu/
En espanol http://www.cdc.gov/h1n1flu/espanol/
24 hour updates http://www.cdc.gov/h1n1flu/whatsnew.htm
For clinicians http://www.cdc.gov/h1n1flu/clinicians/
10 Action for Medical Offices and Outpatient Clinics http://www.cdc.gov/h1n1flu/10steps.htm
Identifying and Caring for Patients http://www.cdc.gov/h1n1flu/identifyingpatients.htm
Free resources to post and share about vacination: in English, Spanish and Chinese

Health Care

The Robert Wood Johnson Foundation's Commission to Build a Healthier America releases its recommendations to improve America's health.
Read the recommendations.

Handbook for Women with Disabilities. Hesperian, a non-profit publisher of books for community-based health care to promote health world wide. This on line book is easy to read and understand for a wide audience.

Health Care Management for Adults with Down Syndrome

The Consortium for Citizens with Disabilities (CCD) issued a set of principles on health care reform and individuals with disabilities.

The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities

Remaking American Medicine, a website with information about this new campaign to inspire and empower viewers, both members of the general public and health care professionals, to join in efforts to transform American health care.

Heart
NCPAD Article: Congestive Heart Failure
Heart failure is one of the most commonly diagnosed diseases today. Nearly five million Americans are affected by heart failure, with 550,000 new cases diagnosed each year. With the advancing age and longer life span of our population, these numbers are likely to increase drastically.

The price tag for treating heart failure will also rise in the future. The direct and indirect costs of heart failure for 2005 have been estimated at $27.9 billion. As treatment for conditions contributing to heart failure, such as heart attacks and high blood pressure improve, it is expected more individuals will be diagnosed with heart failure.

Read the entire article.

Health Hazards

Learning and Developmental Disability Initiative (LDDI)'s updated and expanded fact sheet on Mental Health and Environmental Exposures, a 16-page PDF document, which was modified slightly on November 20, 2008 to include more information about endocrine disruptors. Also available is the Fact Sheet Summary.

Bed Bug Management from the District of Columbia Department of Health

Signs of a Heart Attack
HTML or PDF full-text PDF (88 KB) of this article

Heat Stress

Signs of heat stress and prevention from the Occupational Saftey & Health Adminstration (OSHA)
English and Spanish

Heimlich Maneuver
Emergency technique for preventing suffocation.

Hospice Care
15 Important things to know about Hospice Care

Hypertension
Hypertension -- Unique Phenotypes and Antihypertensive Treatment: One Size Does Not Fit All

I

The Renaming of Mental Retardation: Understanding the Change to the Term Intellectual Disability (pdf)

Infectious Disease
IDSA Guidelines for the Diagnosis and Treatment of Skin and Soft Tissue Infections

Ischemic Stroke
Guidelines for Treatment of Acute Ischemic Stroke

J

Journal
American Association on Intellectual and Developmental Disabilities (AAIDD)
Click here to find free access articles from 2005 and to view current issues of the journal.

Mental Health Aspects of Developmental Disability
A multidisciplinary, peer-reviewed journal covering the diagnosis, treatment, and habilitation needs of persons with developmental disabilities. 

Mental Retardation and Developmental Disabilities Research Reviews
Contains articles on diagnosis, treatment, and research into conditions affecting persons with developmental disabilities.

K

Kennedy Institute
Kennedy Institute's web site on bioethics and people with intellectual disabilities

Kidney
Chronic Kidney Disease: Why you play a crucial role

The Epidemic of Chronic Kidney Disease

Cortland Forum
PCP need to recognize, know when to refer and co-manage chronic kidney disease with nephrologists.
The team approach works best. The best treatment of CKD is accomplished with a multi-disciplinary approach built around
a close collaboration with nephrologists, but frequently requiring additional input of care from diabetologists, cardiologists, and
other specialists. The authors recommend that patients be referred for nephrology evaluation when GFR ranges between 60-30
Once GFR falls below 30, patients should receive regular nephrology follow-up.

L

Learning and Developmental Disability Initiative

Long Term Care Initiative in DC
DC Department on Aging has launched a Long Term Care Awareness campaign

 

M

Medication
FDA Safety Changes: Coumadin and Seroquel

M.E.E. Calendar
The M.E.E. (Move * Experience * Engage) Calendar!
developed by occupational and physical therapists

365 fresh ideas for things to do! by Janet Thomas, Jamie Hall, Toby Long, and Rachel Brady

MRSA
Brochure about Methicillin-Resistant Staphylococcus Aureus (MRSA)

IDSA Guidelines for the Diagnosis and Treatment of Skin and Soft Tissue Infections

Overview of Healthcare-associated Methicillin-resistant Staphylococcus Aureus (MRSA)
by Centers for Disease Control and Prevention

Recommended Treatment for MRSA That Looks Like Impetigo With Underlying Cellulitis

Staphylococcus Aureus Pneumonia: Emergence of MRSA in the Community
From Seminars in Respiratory and Critical Care Medicine

N

NADD
National Association for the Dually Diagnosed (NADD) has numerous resources.
To visit the website, click here. In particular, check out their online training opportunities.

Nursing
The Department of Health-Health Professional Licensing Administration offers nursing license
renewals online. Click here for more information.

Nursing-The Career for a Lifetime is an inspirational program produced by the National Student
Nurse Association (NSNA). Click here for more inforamtion and to download.



Nutrition
Center for Science in the Public Interest – Nutrition Policy
Dietary Guidelines for Americans 2005
Nutrition and Diet Low-Carbohydrate Diets
Steps to a Healthier You

Nutrition and health risks in the elderly: The nutrition screening initiative (article abstract)
Nutrition Screening initiave screening tool
Additional Screening tools


O

Osteoporosis
Osteoporosis Guidelines Updated

Fracture Prevention Treatment for Postmenopausal Women with Osteoporosis (also in Clinical Guidelines)

Down to the Bone: Issues in the Maintenance and Evaluation of Bone Health
Anticonvulsants and SSRI's increase an individual's risk for osteoporosis and falls.
Read these comprehensive articles about evaluation and treatment options.

Higher Dose of Vitamin D May Reduce Risk for Falls in Nursing Home Residents

 

P

Pain
Articles available through Medscape (requires registration)

Pain Assessment in in People with Dementia from Lippincott's Nursing Center.com

Pain Assessment and the Non-Verbal Patient Clinical practice recommendations published in Pain Management Nursing

Pain Assessment Scales

Palliative Care
Palliative Care for Latino Patients and Their Families: Whenever We Prayed, She Wept (2009)
JAMA

Parkinson's Disease
Diagnosis and Management of Parkinson's Disease

Physical Therapy
Here are guidelines on how to document physical therapy services, from the American Physcial Therapy Association.

Preventative Health
Preventive health recommendations for adults with mental retardation


Psychotrophic Medication
Do Atypical Antipsychotics Raise the Risk for Diabetes?
Selective Serotonin Reuptake Inhibitors Increase Fracture Risk in Older Adults
New Methods for the Administration of Psychiatric Medication

 


R

Radiology
Practice Guideline for Interventional Clinical Practice

Rights
Know Your Rights electronic newsletter and electronic discussion group provided by University Legal Services, the Protection and Advocacy Program for the District of Columbia. The information on the rights of individuals with disabilities is available in Spanish and English.

S

Schizophrenia
The Diagnosis and Treatment of Schizophrenia in Primary Care

Sensational Ideas
SENSAtional Ideas for Adults with Developmental Disabilities

Suggested activities for all the senses, arranged in a checklist format to aid in documentation!
developed by occupational and physical therapists

by Janet Thomas, Jamie Hall and Toby Long

Sensory Processing
Sensory Processing in Adults with Developmental Disabilities: Is it Sensory or Behavior? Quicktime presentation now available! Powerpoint presentation with audio commentary from Janet Thomas, MEd, OTR/L, Occupational Therapist
Get QuickTime
Movie size: 6.5MB. Please allow time to load.
Requires the latest version of QuickTime.
If your browser is not set up to view Quicktime movies, or if you continue to experience difficulties with this presentation, you can view the Powerpoint presentation (116 KB) and listen to the audio (20.2 MB) separately.

Sepsis
Evidence-Based Guidelines Issued to Detect and Treat Sepsis

Serotonin Syndrome
Serotonin Syndrome
Serotonin syndrome is a preventable, drug-related complication that results from increased brain-stem serotonin activity, usually precipitated by the use of one or more serotonergic drugs. (from the Abstract)

Sexuality
Establishing criteria for sexual consent capacity.

Sexuality and people with intellectual disabilities: assessment of knowledge, attitudes, experiences and needs.

Signs and Symptoms
Signs and Symptoms of
"Just Not Right"
Allergic Reactions
Dysphagi (difficulty swallowing)
Seizures
Illness
Falls

Social Strategies
Coping Strategies of Adults with Mild Intellectual Disability for Stressful Social Situations

Statistics
Disability and Health State Chartbook - 2006 Profiles of Health for Adults With Disabilities
by the Centers for Disease Control and Prevention

Stroke
Stroke Detection
How to detect if a person is having a stroke --
Remember the STR's of a stroke:

* S - Ask the person to SMILE;
* T - Ask the person to TALK, to speak a simple sentence, coherently; and
* R - Ask him or her to RAISE both arms.

So, if you're in the presence of someone who may be having a stroke, remember the"STR"s of stroke detection.

T

TME Regulations
TME Frequently Asked Questions

Transfers

Information about proper transfers from DC HRP transfer training by Kenda Kittrell, physical therapist
Proper Transfer Plan
Lifting Techniques

Traumatic Brain Injury
Traumatic Brain Injury Resource Guide created by University Legal Services, the Protection and Advocacy Program for the District of Columbia

Tube Feeding
A 93 Year Old Man with Advanced Dementia and Eating Problems
This article weaves a case study dilemma and covers the latest scientific information on g-tube decision-making in patients with advanced dementia (or advanced cancer).
Brings up questions to consider such as:

Will patients suffer more if they do not receive IV fluids or sufficient nutrition?
Are there advantages of conscientious hand feeding and challenges for staff?
Does tube feeding prolong life? Improve nutrition? Prevent aspiration?

Most physicians/providers automatically say yes. However, there is a paucity of evidence to support these purported benefits.

Of course, researchers cannot do the appropriate randomized study to answer these questions. The best available cohort studies suggest that tube feeding does not prolong survival, and has not been shown to improve nutritional status or the clinical consequences of malnutrition, such as pressure ulcers in the long term. This is clearly the case with dementia, and holds true to some degree with cancer and HIV/AIDS. The authors emphasize that feeding decisions should follow an ethical framework reflecting the balance of benefits/burdens/respect for autonomy. The authors offer general steps or an approach for clinicians to operationalize this framework.

 

U

 

V

Venous Thromboembolism
Guidelines Issued on Venous Thromboembolism Diagnosis and Management

Venous Ulcers
Surgical Pearl: A Wound Dressing Tip for Venous Ulcers

Vitamin D
The High Prevalence of Inadequate Serum Vitamin D Levels and Implications for Bone Health
Current Medical Research and Opinion by Jean-Yves Reginster via Medscape
see also Current Recommended Vitamin D Intake May Not Be Optimal CME/CE

 


 
DCHRP Georgetown University Center for Child and Human Development