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Welcome
to the Virtual Library of the Health Resources Partnership!
 Clinical
Guidelines
ADA
Releases Standards of Medical Care for Patients with
Diabetes
Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection
Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults
Diagnosis and Treatment of Diabetic Foot Infections (pdf)
courtesy of Practice Guidelines from the ISDA
Evidence-Based Guidelines Issued to Detect and Treat Sepsis
FDA Safety Changes: Coumadin and Seroquel
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
Interstitial Cystitis/Painful Bladder Syndrome: An Update for Clinicians
National Kidney Foundation, Clinical Practice Guidelines
New Guidelines for Treatment of Acute Ischemic Stroke
New Standard of Care With Oral Drug in Colorectal Cancer
New Recommendations for the Management of Diabetes and CVD
Osteoporosis Guidelines Updated
Practice Guideline for Interventional Clinical Practice
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
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
Sexually Transmitted Diseases Treatment Guidelines.
Updated Guidelines on Cardiopulmonary Resuscitation: A Report from SHM
Updated Guidelines for Treatment of STDs
What Are the Optimal Lab Test Targets for My Diabetic Patients?
The Developmental
Disabilities Resources for Healthcare Providers is
a collaboration of California-based information and
programs on developmental disabilities, funded by the
California Department of Developmental Services and
coordinated by the Center for Health Improvement (CHI).
It includes the following:
Articles
Focusing on Persons with Developmental Disabilities
Cerebral
Palsy: An Overview
also available in full-text .pdf  ,
click here.
Certain Drugs May Be as Effective as Surgical Management for GERD
Disability and Health State Chartbook - 2006 Profiles of Health for Adults With Disabilities
by the Centers for Disease Control and Prevention
Evaluating the effects of a structured program for adults with autism spectrum disorders and intellectual disabilities
Functional Behavioural Assessment in People With Intellectual Disabilities [Mental Retardation and Developmental Disorders]
Height May Be an Effective, Simple Way to predict Hip fracture in Elderly
Maladaptive and Compulsive Behavior in Prader-Willi Syndrome: New Insights From Older Adults
Medical
Care of Adults with Mental Retardation
also available in full-text .pdf ,
click here.
Mental Health Aspects of Developmental Disability
A multidisciplinary, peer-reviewed journal covering the diagnosis, treatment, and habilitation needs of persons with developmental disabilities. Check out the website here.
Mental
Retardation and Developmental Disabilities Research Reviews
Contains articles on diagnosis, treatment,
and research into conditions affecting persons with developmental
disabilities.
National Association for the Dually Diagnosed (NADD) has numerous resources. To visit the website, click here. In particular, check out their online training opportunities.
Intellectual and Developmental Disabilities is the new name of the American Journal of Mental Retardation. Click here to find free access articles from 2005 and to view current issues of the journal.
The Renaming of Mental Retardation: Understanding the Change to the Term Intellectual Disability (pdf)
Articles
on Specific Health Conditions
Age-Related Macular Degeneration: A Practical Approach to a Challenging Disease
A Comprehensive Management Guide for Atopic Dermatitis
Chronic Kidney Disease: Why you play a crucial role
Chronic Obstructive Pulmonary Disease (COPD) diagnosis
Chronic Obstructive Pulmonary Disease (COPD) (handout)
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.
Current Treatment Options in Arthritic Pain: Optimizing Clinical Care
Diabetic Foot Infection Classification System Validated
(See also Clinical guidelines)
Diabetic Foot Ulcers
Diagnosis and Management of Parkinson's Disease
Do Atypical Antipsychotics Raise the Risk for Diabetes?
Do I Need to Confirm a Fungal Skin Infection Before Treating?
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.
Evaluating and Managing Constipation in the Elderly
Examining the Eyes of an Older Person
New Research Findings in Chronic Pain: An Expert Interview With Frederick W. Burgess, MD, PhD
Evaluation and Management of Chronic Diarrhea: An Algorithmic Approach
Hypertension -- Unique Phenotypes and Antihypertensive
Treatment: One Size Does Not Fit All
Interstitial
Cystitis/Painful Bladder Syndrome: An Update for Clinicians
Nutrition
and Diet Low-Carbohydrate Diets
Overview of Healthcare-associated Methicillin-resistant Staphylococcus Aureus (MRSA) by Centers for Disease Control and Prevention
Pertussis Treatment. What are the best recommendations for the diagnosis, containment, and treatment of pertussis in an outpatient clinical setting today?
Physician Awareness of Celiac Disease: a need for further education
Review of the Treatment Options for Chronic Constipation
The Role of Central Sensitization in Inflammatory Pain: Mechanisms and Therapeutic Implications
Selective Serotonin Reuptake Inhibitors Increase Fracture Risk in Older Adults
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)
Surgical Pearl: A Wound Dressing Tip for Venous Ulcers
Treatment
of Atopic Dermatitis: Optimizing Management and Implications of the New Labeling
for Topical Calcineurin Inhibitors
Urinary tract infections in long-term care facilities.
The SHEA [Society of Healthcare Epidemiology in America] position paper summarizes a comprehensive review of the literature on UTIs in long-term care facilities. While acknowledging the high prevalence of bacteriuria and the difficulties of diagnosing and treating UTIs in this population, this article urges caution in attributing symptoms to UTIs and restraint in using antibiotics to treat bacteriuria.
What Do I Need to Know About Drug Interactions With Enteral Feedings?
Articles
on Disability
New! The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities
Nutrition can be a big problem for MRDDA consumers, particularly if they have problems eating and swallowing. Here is a summary of an article on a dietary intervention for a population with similar problems.
(Dysyphagia-Specific Diet Meets Nutritional Needs of Elderly
summary from Reuters information, from an article in
J Am Diet Assoc 2006;106:1614-1623.)
Going Beyond Disease to Address Disability.
Articles
on Sexuality for Persons with Developmental Disabilities
Establishing criteria for sexual consent capacity.
Sexuality and people with intellectual disabilities: assessment of knowledge, attitudes, experiences and needs.
Webcasts, Podcasts & other Media
A new interactive web portal called Genetics Home Reference from the National Institutes of Health
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
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.
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.
Pandemic Flu webcast from the American Academy of Family Physicians
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.
The Diagnosis and Treatment of Schizophrenia in Primary Care
The Epidemic of Chronic Kidney Disease
Klinefelter Syndrome: A Review of Genetics, Clinical Presentations, and Treatments
sponsored by the University of Tennessee College of Medicine at Chattanooga Joint Sponsorship by the EP Foundation for Education, Inc
PDA -tools
The Agency for Healthcare Quality and Research has launched a new tool, called ePSS, designed to assist physicians in the area of screening, counseling and preventive medication services. Free and available both on web and downloadable to PDAs.
The Team Approach to Assessment and Treatment of Spasticity Including Surgical Interventions
For video, audio and podcast archives, click here.
Other Resources
Trial of a New Pain Assessment Tool in Patients With Low Education: The Full Cup Test
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.
Using Motivation Interviewing to Promote Patient Behavior Change and Enhance Health
Principles of Effective Pain Management at the End of Life
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.
Higher Dose of Vitamin D May Reduce Risk for Falls in Nursing Home Residents
New Methods for the Administration of Psychiatric Medication
Selective Serotonin Reuptake Inhibitors Increase Fracture Risk in Older Adults
Health Regulations
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
Infectious Diseases
Overview of Community-Associated Methicillin-resistant Staphylococcus Aureus (MRSA)
by the Centers for Disease Control and Prevention
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
Staphylococcus Aureus Pneumonia: Emergence of MRSA in the Community
From Seminars in Respiratory and Critical Care Medicine
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