Alcohol- use disorders - NICE Pathways. About. What is covered. Ear infections Description. An in-depth report on the causes, diagnosis, treatment, and prevention of ear infections. Otitis media Highlights. Middle ear (otitis media) infections are very.This pathway covers prevention, diagnosis and management of alcohol- related disorders, including hazardous and harmful drinking, alcohol dependence and the physical complications of alcohol use in adults and children and young people aged under 1. Hazardous drinking, harmful drinking and alcohol dependence cause many mental and physical health problems, and social problems. In England, 4% of people aged between 1. More than 2. 4% of the English population (3. Alcohol- use disorders are also an increasing problem in children and young people. This pathway includes NICE recommendations on: prevention and early identification of alcohol- use disorders, including interventions in schools to prevent and reduce alcohol use among children and young people the diagnosis, assessment and management of harmful drinking and alcohol dependence key areas in the investigation and management of alcohol- related physical complications. Align actions to prevent harmful drinking with strategies to prevent obesity at a community level to ensure a coherent, integrated approach (see the obesity: working with local communities pathway). Updates. Updates to this pathway. March 2. 01. 6 Pathway restructured and summarised recommendations replaced with full recommendations. During her visits, Reilly was impressed with the thoroughness of her care team’s investigation as its members worked to uncover the source of her maladies. NMN -90 EIU-429 Non-covered Service Med Policy Criteria Get the latest news and analysis in the stock market today, including national and world stock market news, business news, financial news and more. Update: The skin around my mouth stayed rather sensitive for several weeks after the rash resolved. I received a few acupuncture treatments to clear the last of the Heat (inflammation) in the skin and now my lips and. March 2. 01. 5 Rifaximin for preventing episodes of overt hepatic encephalopathy (NICE technology appraisal guidance 3. NICE quality standard 8. November 2. 01. 4 Nalmefene for reducing alcohol consumption in people with alcohol dependence (NICE technology appraisal guidance 3. October 2. 01. 4 Correction made to inpatient or residential programme to make it clear that inpatient or residential assisted withdrawal should be considered for people who regularly drink between 1. Hair Care Sets at Walgreens. Are you looking for an easy way to get started on the path to healthy hair or are you shopping for a gift for someone special? Hair care sets are groups of products made by one brand that are sold. The first step in the treatment of hemorrhagic cystitis should be directed toward making sure that the bladder does not become overly distended. Bladder outlet obstruction from clots can lead to urosepsis, bladder rupture, and. June 2. 01. 3 Sono. Vue for contrast- enhanced ultrasound imaging of the liver (NICE diagnostics guidance 5) added. November 2. 01. 2 Information about obesity prevention added to introduction. May 2. 01. 2 Effective interventions library information added. August 2. 01. 1 Quality standard for alcohol dependence and harmful alcohol use added. Professional responsibilities. Medical news and health news headlines posted throughout the day, every day. The recommendations in this pathway represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users. Applying the recommendations in this pathway is at the discretion of health and care professionals and their individual patients or service users and does not override the responsibility of health and care professionals to make decisions appropriate to the circumstances of the individual, in consultation with them and/or their carer or guardian. Commissioners and/or providers have a responsibility to enable the recommendations to be applied (and to provide funding required for technology appraisal guidance) when individual health and care professionals and their patients or service users wish to use them. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this pathway should be interpreted in a way that would be inconsistent with compliance with those duties. Person- centred care. People have the right to be involved in discussions and make informed decisions about their care, as described in your care. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding. Short Text. Everything NICE has said on the prevention, diagnosis and management of alcohol- related disorders in an interactive flowchart. What is covered. This pathway covers prevention, diagnosis and management of alcohol- related disorders, including hazardous and harmful drinking, alcohol dependence and the physical complications of alcohol use in adults and children and young people aged under 1. Hazardous drinking, harmful drinking and alcohol dependence cause many mental and physical health problems, and social problems. In England, 4% of people aged between 1. More than 2. 4% of the English population (3. Alcohol- use disorders are also an increasing problem in children and young people. This pathway includes NICE recommendations on: prevention and early identification of alcohol- use disorders, including interventions in schools to prevent and reduce alcohol use among children and young people the diagnosis, assessment and management of harmful drinking and alcohol dependence key areas in the investigation and management of alcohol- related physical complications. Align actions to prevent harmful drinking with strategies to prevent obesity at a community level to ensure a coherent, integrated approach (see the obesity: working with local communities pathway). Updates. Updates to this pathway. March 2. 01. 6 Pathway restructured and summarised recommendations replaced with full recommendations. March 2. 01. 5 Rifaximin for preventing episodes of overt hepatic encephalopathy (NICE technology appraisal guidance 3. NICE quality standard 8. November 2. 01. 4 Nalmefene for reducing alcohol consumption in people with alcohol dependence (NICE technology appraisal guidance 3. October 2. 01. 4 Correction made to inpatient or residential programme to make it clear that inpatient or residential assisted withdrawal should be considered for people who regularly drink between 1. June 2. 01. 3 Sono. Vue for contrast- enhanced ultrasound imaging of the liver (NICE diagnostics guidance 5) added. November 2. 01. 2 Information about obesity prevention added to introduction. May 2. 01. 2 Effective interventions library information added. August 2. 01. 1 Quality standard for alcohol dependence and harmful alcohol use added. Quality standards. Quality statements. Awareness training for health and social care staff. Quality statement. Health and social care staff receive alcohol awareness training that promotes respectful, non- judgmental care of people who misuse alcohol. Quality measure. Structure: a) Evidence of local arrangements to ensure that alcohol awareness training that promotes respectful, non- judgmental care is delivered to all health and social care staff who potentially work with patients or service users who misuse alcohol. Health and social care professionals potentially working with patients or service users who misuse alcohol complete alcohol awareness training that promotes respectful, non- judgmental care of people who misuse alcohol, embed this training into their routine practice, and use local patient and service user feedback policies and surveys. Commissioners ensure they commission services that provide alcohol awareness training that promotes respectful, non- judgmental care, for all staff potentially working with patients or service users who misuse alcohol, and which collect and act upon patient and service user feedback, in the form of surveys and complaints. People who misuse alcohol are cared for by health and social care staff who have received training in alcohol awareness that includes respectful and non- judgmental care, and have the opportunity to feedback their experience of staff attitudes using a survey or complaints procedure. Source clinical guideline references. Data source. Structure: a) and b) Local data collection. Process: Local data collection. Definitions For the purposes of this statement, health and social care staff are defined as any worker potentially having contact with people who misuse alcohol in any health or social care setting, including those working in criminal justice, prison, community or voluntary sector settings. There should be a stepped approach to alcohol awareness training provision, depending on staff roles and the nature of contact with people who misuse alcohol. As a minimum, all workers who potentially have contact with people who misuse alcohol should complete basic training that promotes a respectful and non- judgmental attitude to people who misuse alcohol and which takes into account the stigma and discrimination often associated with alcohol misuse. NICE public health guidance 2. NHS- commissioned services should receive training in providing alcohol screening and structured brief advice and if there is local demand, should also be trained to deliver extended brief interventions. Staff training should also cover provision of information to people misusing alcohol, appropriate to the worker's role. Equality and diversity considerations. NICE clinical guideline 1. In addition, women can be more likely to experience stigma in relation to their drinking than men and people from minority ethnic groups might find it more difficult to openly discuss their emotional problems due to cultural factors, such as cultural honour and respect. People who are homeless can be particularly vulnerable to discrimination. This quality statement advances equality by ensuring equitable staff conduct towards all patients, service users and clients, including those who (potentially) misuse alcohol. Opportunistic screening and brief interventions. Quality statement. Health and social care staff opportunistically carry out screening and brief interventions for hazardous and harmful drinking as an integral part of practice. Quality measure. Structure: a) Evidence of local arrangements to ensure that healthcare staff opportunistically carry out screening and brief interventions for hazardous and harmful drinking on a routine basis. Denominator – the number of people aged 1. Proportion of people aged 1.
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