ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "ACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals."

Transcription

1 27 March 2014 Prfessr Debra Picne Chief Executive Officer Australian Cmmissin n Safety and Quality in Health Care c/ Ms Jennifer Hill, Senir Prject Officer Level 5, 255 Elizabeth Street SYDNEY NSW 2000 By t: Dear Prfessr Picne ACSQHC Natinal Cnsensus Statement: Essential Elements fr High Quality End-flife Care in Acute Hspitals. The Ryal Australian and New Zealand Cllege f Psychiatrists (RANZCP) welcmes the pprtunity t prvide feedback int the Australian Cmmissin n Safety and Quality in Health Care (ACSQHC) draft Natinal Cnsensus Statement: Essential Elements fr High Quality End-f-life Care in Acute Hspitals. The dcument is well cnstructed frm the perspective f patient-centred care, the gals and prcesses invlved t achieve this. There are hwever imprtant areas that are mitted and in particular, thse that address the end-f-life care fr peple with dementia r with chrnic mental illness. Als infrmatin n the types f supprt recmmended fr family members is nt adequately utlined in this Cnsensus Statement. These cncerns are detailed in the RANZCP submissin. The RANZCP lks frward t receiving the final versin f the Cnsensus Statement. If yu wuld like t discuss any f the issues raised in the submissin, please cntact Dr Anne Ellisn, General Manager, Practice, Plicy and Prjects, via r by phne n Yurs sincerely Dr Murray Pattn President Attachment: RANZCP Submissin - ACSQHC Natinal Cnsensus Statement: Essential Elements fr High Quality End-f-life Care in Acute Hspitals Ref: La Trbe Street, Melburne VIC 3000 Australia T F ABN

2 RANZCP Submissin Australian Cmmissin n Safety and Quality in Health Care Natinal Cnsensus Statement: Essential Elements fr High-Quality end-f-life care in acute hspitals 31 March 2014 Intrductin The Ryal Australian and New Zealand Cllege f Psychiatrists (RANZCP) welcmes the pprtunity t prvide feedback int the Australian Cmmissin n Safety and Quality in Health Care (ACSQHC) draft Natinal Cnsensus Statement: Essential Elements fr High Quality End-f-life Care in Acute Hspitals. Of particular relevance and imprtance t the RANZCP is ensuring that patients with chrnic r enduring mental illness, wh may have impaired capacity r ability t cmmunicate, receive equitable end-f-life care in acute hspitals as thse with a physical illness, and that their families and carers are supprted thrughut this time. Further, just as in the case f peple with physical health prblems, peple with mental health presentatins in acute care settings need t be fully assessed at admissin, including an assessment f active and static risks and prtective factrs as they relate t the prvisin f end-f-life care. General cmments Treatment f families and carers The RANZCP is cncerned that the types f supprt recmmended fr family members is nt adequately utlined in this Cnsensus Statement. The dcument des nt utline any key pints that spell ut the imprtance f family-centred care. It is pssible fr teams t define family-centred gals f care alngside patient-centred gals, and this is recmmended. Palliative care and cnsultatinliaisn psychiatry bth recgnise the family as a secnd-rder patient in end f life care, and this shuld be emphasised in the cnsensus statement. Studies have shwn that while 80% f families adapt successfully t bereavement, 20% develp cmplicatins, and these persns are identifiable during palliative and end-f-life care [1]. Further, studies have shwn that at-risk families can be identified during palliative care, and that psychscial assessment and care can and shuld begin well ahead f death [1]. The Cnsensus Statement shuld acknwledge that t d s is best practice fr the families and the patient. There are als well recgnised bereavement risk factrs that can be identified in individual carers and family members befre death ccurs in the index patient, and the plan fr their later care shuld be established befre death. Only when these steps are in place can an adequate standard f end-f-life care begin t be established. This relates t pint 3.2 n page 18 f the Cnsensus Statement. Respnding t cncerns The RANZCP supprts the principles utlined in sectin 5: respnding t cncern, particularly the emphasis it places n respnding t family cncerns. The described apprach f gaining a secnd pinin is welcme, and the RANZCP recmmends strengthen this sectin s it invlves infrmatin n the prcess f ethics cnsultatins and the invlvement f ethics cmmittees. Clinical ethics cmmittees have a small number f multidisciplinary team members that represent training in biethics, psychiatry, medicine, nursing and pastral care, amng ther prfessinals. The prcess f referring a family r patient t a clinical ethics cmmittee that has representatives define the ethical dilemma, meet with the patient and family, clinicians, and relevant thers, and assesses the issues is very wrthwhile. Thrugh this prcess, unmet needs can be defined, cmmunicatin breakdwns can be reslved, and a better reslutin f issues fr patients and families can be achieved. 1

3 Training Psychiatrists ften play a rle in serving n hspital-based clinical ethics cmmittees, meaning there is a dual benefit in access them, as they may be able t identify any unmet needs relating t the mental health and wellbeing f the patient and family in questin. It is f cncern t the RANZCP that the dcument is premised n the basis that all staff wrking in palliative and end-f-life care has the apprpriate qualificatins and training. One f the greatest challenges facing end-f-life care frm a service and clinician s perspective is a lack f training fr staff wrking in this field. The RANZCP appreciates that incrprating this infrmatin in the dcument wuld ptentially invlve majr changes in the structure f the dcument and therefre recmmends that the Cnsensus Statement wuld benefit frm a caveat that emphasises the need fr greater investment and advcacy fr mre investment in training staff t deliver end-f-life care. Advanced directives and at-risk grups The imprtance f advanced directives in end f life care, particularly fr peple wh may nt be able t cmmunicate their wishes abut the type f medical interventin they wuld like t receive, is crucial. In mental health, advanced directives deal primarily with directives abut treatment ptins when a patient becmes t unwell, fr example whether r nt they agree t the use f electrcnvulsive therapy. It is crucial fr family / carers f relatives with serius mental illness t understand hw t prepare these directives, and further instructin n hw t d s in the Cnsensus Statement wuld be a welcme inclusin. Patients with dementia It is imprtant t ensure that peple wh develp mental health prblems at the end-f- life have access t mental health care that helps address the psychlgical distress that may cme during this perid; this is even mre imprtant with regard t patients with dementia, which is an acknwledged terminal illness [2]. Early dementia may pse particular difficulties in assessing cmpetence t make an advanced directive [3], and this shuld be cnsidered in the Cnsensus Statement. A recent Alzheimer s Australia s survey reprted that 58% f cnsumers reprt lack f access t palliative care services [4]. Further, 90% f care prfessinals indicated that additinal training n palliative care and dementia wuld be beneficial. With 332,000 Australians living with dementia and that number set t increase by ne third t 400,000 in less than ten years [5], this is a pririty area that cannt be excluded frm this Cnsensus Statement. Peple living with chrnic mental illness Anther vulnerable grup is peple with chrnic mental illness, wh die n average 25 years earlier than the general ppulatin and have a heightened risk f terminal illnesses su ch cancer [6]. Chrnic mental illness may als pse difficulties in assessing cmpetence t make an advanced directive [3], and this shuld be incrprated int the Cnsensus Statement. Shared and supprted decisin making The Cnsensus Statement shuld emphasise that the assessment f decisin-making at the end-flife is understd by all clinicians, including that all reversible causes f impaired decisin-making, such as depressin and delirium are remediated where pssible and that pprtunities fr supprted - decisin making (as distinct frm shared decisin making fr the cgnitively able) are taken. 2

4 Specific sectins Page 7, Scpe In the paragraph that states It applies t inpatient acute care and rehabilitatin settings, add Page 10, Guiding Principles including acute inpatient mental health and rehabilitatin settings The RANZCP recmmends a specific principle n peple with mental illness. The suggested inclusin is: Peple with chrnic r severe mental illness r dementia have a right t equitable access t palliative care and pain relief, and any cmmunicatin deficits accmpanying their illness which might interfere with the prvisin f adequate care must be identified and addressed. Guiding Principle #8, under The interdisciplinary team have a respnsibility t..., add: Understand the assessment f decisin-making (capacity), identify and treat any reversible causes f impaired decisin making in this setting such as depressin and delirium t maximise the pprtunity f peple t participate in decisin-making Prvide pprtunities fr supprted decisin making fr the cgnitively impaired r intellectually disabled Page 12, Prcesses f care - Patient centered cmmunicatin and shared-decisin making The RANZCP welcmes the fcus n shared decisin making. Hwever, mre emphasis is needed n thse with cgnitive r intellectual impairment. The recmmended inclusin is: Shared decisin making (with cgnitively able peple) can be distinguished frm supprted decisin making fr thse with cgnitive r intellectual impairment, r severe mental illness. Maximising the input and vice f such peple int decisins abut their care at the end f life is an bligatin f all clinicians. Further, under actins fr patient centered cmmunicatin and shared decisin making, the fllwing dt pint shuld be added: Clinicians shuld seek t understand the assessment f decisin making capacity at the end f life and maximise pprtunities fr participatin by patients with impaired decisin making. This might mean deferring decisins until any treatable causes f impaired decisin making such as depressin r delirium are amelirated, r, where this is nt pssible, t prvide pprtunities fr supprted decisin making. Page 17, Cmpnents f care Actins Again, further emphasis must be placed n peple with cgnitive r intellectual impairment and their ability t cmmunicate their wishes. Under pint 3.10, the fllwing sentences shuld be added: All patients have the right t adequate pain relief and symptm cntrl, including peple with chrnic r severe mental illness, intellectual disability r dementia. Physical symptms shuld be managed in alignment with the patient s wishes. Where there are cmmunicatin difficulties and it is difficult t ascertain what the patient s wishes r needs are, it is imprtant t seek advice frm and cnsult with families and carers. Page 19, Using triggers t help recgnise patie nts appraching the end f life Under pint 4.3, add Clinicians shuld cnsider additinal triggers. Examples might include: mderate t severe dementia 3

5 References 1. Kissane D W, B.S., Family Fcused Grief Therapy: A Mdel f Family Centred Care During Palliative Care and Bereavement2002, Buckingham: Open University Press. 2. Cartwright C, Paper 23 Part One: Planning fr the End f Life fr Peple with Dementia, in Alzheimer's Australia, A.s. Australia, Editr 2011: Online. 3. NSW Ministry f Health, Using Advanced Care Directives: New Suth Wales, in Plicy Manual: Patient Matters, N. Health, Editr 2005: Sydney. 4. Alzheimer's Australia, End f life care fr peple with dementia: survey reprt, Alzheimer's Australia, Editr 2014, Alzheimer's Australia. 5. Alzheimer's Australia. Key Facts and Statistics n Dementia [cited March 2014]. 6. Physical Health Ministerial Advisry Cmmittee n Mental Health Subcmmittee, Imprving the physical health f peple with severe mental illness: n mental health withut physical health Ministerial Advisry Cmmittee n Mental Health, Editr 2010, Department f Health (Vic): Melburne. 4

TASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE

TASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE Sunday 19 July, 2015 TASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE SIX STRATEGIC pririties have tday (Sunday) been recmmended by the Independent Cancer Taskfrce t help

More information

Individual Assessments for Couples Treatment with HFCA

Individual Assessments for Couples Treatment with HFCA Individual Assessments fr Cuples Treatment with HFCA Jennifer S. Ripley, Ph.D. Many appraches t cuples therapy include an individual assessment whenever a cuple cmes fr treatment. Therapists shuld be aware

More information

Improving Surveillance and Monitoring of Self-harm in Irish Prisons

Improving Surveillance and Monitoring of Self-harm in Irish Prisons HSE Mental Health Divisin Stewart s Hspital, Palmerstwn, Dublin 20 Tel: 01 6201670 Email: inf@nsp.ie www.nsp.ie Imprving Surveillance and Mnitring f Self-harm in Irish Prisns Prject Scpe Dcument 8 th June

More information

Statement of Work for Linked Data Consulting Services

Statement of Work for Linked Data Consulting Services A. Backgrund Infrmatin Statement f Wrk fr Linked Data Cnsulting Services The Natinal Library f Medicine (NLM), in Bethesda, Maryland, is a part f the Natinal Institutes f Health, US Department f Health

More information

Catherine Worthingham Fellows of APTA Instructions for Writing a Letter of Support

Catherine Worthingham Fellows of APTA Instructions for Writing a Letter of Support Catherine Wrthingham Fellws f APTA Instructins fr Writing a Letter f Supprt Fllwing is infrmatin designed t assist persns asked t write a letter f supprt fr a nminee fr the American Physical Therapy Assciatin

More information

Full-time or part-time to a minimum of 0.8FTE (30 hours per week) Job Reference: CLS00161

Full-time or part-time to a minimum of 0.8FTE (30 hours per week) Job Reference: CLS00161 Jb Title: Medical Statistician Grade: 8 Salary: 42,418 t 47,722 per annum Department: Research Design Service (RDS) and Leicester Clinical Trials Unit (LCTU) Cntract: Open ended cntract subject t fixed

More information

Annual Principal Investigator Worksheet About Local Context

Annual Principal Investigator Worksheet About Local Context Cmpleting the NCI CIRB Annual Principal Investigatr Wrksheet Abut Lcal Cntext and the Study-Specific Wrksheet Abut Lcal Cntext at the University f Iwa All investigatrs cnducting research with the Natinal

More information

EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK

EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK EMDR EUROPE ACCREDITED PRACTITIONER COMPETENCY BASED FRAMEWORK Guidelines fr Accreditatin as an EMDR Eurpe Accredited Practitiner Applicants must have cmpleted EMDR Basic training by a recgnised EMDR Eurpe

More information

Completing the NPA online Patient Safety Incident Report form: 2016

Completing the NPA online Patient Safety Incident Report form: 2016 Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject

More information

BRCA1 and BRCA2 Mutations

BRCA1 and BRCA2 Mutations BRCA1 and BRCA2 Mutatins ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM v Cancer is a cmplex disease

More information

International Integrative Psychotherapy Association IIPA-

International Integrative Psychotherapy Association IIPA- Internatinal Integrative Psychtherapy Assciatin IIPA- www.integrativeassciatin.cm TRAINING STANDARDS FOR CERTIFIED INTERNATIONAL INTEGRATIVE PSYCHOTHERAPY TRAINER AND SUPERVISOR (CIIPTS) AND CERTIFIED

More information

Adherence. Introduction. How Do You Treat Non-Compliant Patients with DFUs? How Do You Treat Non-Compliant Patients with DFUs?

Adherence. Introduction. How Do You Treat Non-Compliant Patients with DFUs? How Do You Treat Non-Compliant Patients with DFUs? Hw D Yu Treat Nn-Cmpliant Hw D Yu Treat Nn-Cmpliant Gary M. Rthenberg, DPM, CDE, CWS The University f Michigan Medical Schl Clinical Assistant Prfessr Department f Internal Medicine Metablism, Endcrinlgy

More information

Human papillomavirus (HPV) refers to a group of more than 150 related viruses.

Human papillomavirus (HPV) refers to a group of more than 150 related viruses. HUMAN PAPILLOMAVIRUS This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice r discussin between

More information

For our protection, we require verification that you have received this notice. Therefore, please sign below.

For our protection, we require verification that you have received this notice. Therefore, please sign below. PATIENT INFORMATION Dear Patient: Sleep prblems are extremely cmmn. Public health and safety are threatened by the increasing prevalence f bstructive sleep apnea, which nw afflicts at least 25 millin adults

More information

PSYCHOSEXUAL ASSESSMENTS for Children and Adolescents with Problematic Sexual Behavior. Who is qualified to conduct a psychosexual evaluation?

PSYCHOSEXUAL ASSESSMENTS for Children and Adolescents with Problematic Sexual Behavior. Who is qualified to conduct a psychosexual evaluation? PSYCHOSEXUAL ASSESSMENTS fr Children and Adlescents with Prblematic Sexual Behavir When a child r adlescent is suspected r bserved t have engaged in what may be sexually inapprpriate r sexually aggressive

More information

Code of employment practice on infant feeding

Code of employment practice on infant feeding Cde f emplyment practice n infant feeding An Emplyer s guide t: Sectin 69Y f the Emplyment Relatins Act 2000 Frewrd As Minister f Labur, I am pleased t publish the Cde f Emplyment Practice n Infant Feeding.

More information

Re: Royal Commission into the Protection and Detention of Children in the Northern Territory

Re: Royal Commission into the Protection and Detention of Children in the Northern Territory 26 Octber 2016 The Hn Justice Margaret White AO Chair Office f the Ryal Cmmissin PO Bx 4215 KINGSTON ACT 2604 Email: childdetentinnt@ryalcmmissin.gv.au Dear Justice White Re: Ryal Cmmissin int the Prtectin

More information

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS

EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS 1 SECTION 1 INTRODUCTION: EXPLORING THE PROCESS OF ASSESSMENT AND OTHER RELATED CONCEPTS The Nature Of Assessment The Definitin Of Assessment The Difference Between Testing, Measurement And Evaluatin Characteristics

More information

MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache

MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache Measure Descriptin All patients diagnsed with migraine headache r cervicgenic headache wh had a headache management

More information

Memory Screening Site s PROGRAM HANDBOOK

Memory Screening Site s PROGRAM HANDBOOK Memry Screening Site s PROGRAM HANDBOOK 866-232-8484 www.alzfdn.rg/memry-screening/ Table f Cntents Page 3 Page 5 Page 6 Page 7 Page 8 Page 10 Page 12 Page 13 All Abut the Natinal Memry Screening Prgram

More information

OTHER AND UNSPECIFIED DISORDERS

OTHER AND UNSPECIFIED DISORDERS OPTUM COVERAGE DETERMINATION GUIDELINE OTHER AND UNSPECIFIED DISORDERS Guideline Number: BH727OUD_102017 Effective Date: Octber, 2017 Table f Cntents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS...

More information

Novel methods and approaches for sensing, evaluating, modulating and regulating mood and emotional states.

Novel methods and approaches for sensing, evaluating, modulating and regulating mood and emotional states. Nvel methds and appraches fr sensing, evaluating, mdulating and regulating md and emtinal states. 2018 Jy Academic Grant Call fr Prpsals Intrductin The Annual Jy grant initiative aims t prmte and cntribute

More information

Vaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE

Vaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE Vaccine Infrmatin Statement: PNEUMOCOCCAL CONJUGATE VACCINE Many Vaccine Infrmatin Statements are available in Spanish and ther languages. See www.immunize.rg/vis. Hjas de Infrmacián Sbre Vacunas están

More information

VCCC Research and Education Lead for Breast Cancer

VCCC Research and Education Lead for Breast Cancer VCCC Research & Educatin Lead VCCC Research and Educatin Lead fr VCCC Visin The Victrian Cmprehensive Cancer Centre (VCCC) will save lives thrugh the integratin f cancer research, educatin and clinical

More information

DISCUSSION DRAFT DEVENTER, OCTOBER 2006 Consolidation of documents due for revision

DISCUSSION DRAFT DEVENTER, OCTOBER 2006 Consolidation of documents due for revision UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES DISCUSSION DRAFT DEVENTER, OCTOBER 2006 Cnslidatin f dcuments due fr revisin ARCHIVED: GENEVA, OCTOBER 2007 REPORT OF THE UEMS SECTION OF PSYCHIATRY Quality Assurance

More information

CDC Influenza Division Key Points MMWR Updates February 20, 2014

CDC Influenza Division Key Points MMWR Updates February 20, 2014 CDC Influenza Divisin Key Pints MMWR Updates In this dcument: Summary Key Messages Seasnal Influenza Vaccine Effectiveness: Interim Adjusted Estimates Influenza Surveillance Update: September 29, 2013-February

More information

Vaccine Impact Modelling Consortium

Vaccine Impact Modelling Consortium Vaccine Impact Mdelling Cnsrtium Annual meeting 2017 - Summary meeting reprt Windsr, UK February 28 March 2, 2017 Objectives f the Vaccine Impact Mdelling Cnsrtium The Vaccine Impact Mdelling Cnsrtium

More information

FOR RESTRICTED AOs DIPLOMA IN POLICING ASSESSMENT UNITS Banked. D/507/3718 Interview suspects in relation to priority and volume investigations

FOR RESTRICTED AOs DIPLOMA IN POLICING ASSESSMENT UNITS Banked. D/507/3718 Interview suspects in relation to priority and volume investigations Title: D/507/3718 Interview suspects in relatin t pririty and vlume investigatins Level: 4 Credit Value: 6 GLH: 20 Learning Outcmes The learner will: 1. understand the principles f interviewing suspects

More information

National Digital Health Strategy Consultation

National Digital Health Strategy Consultation Natinal Digital Health Strategy Cnsultatin Submissin frm the Clinical Onclgy Sciety f Australia and Cancer Cuncil Australia January 2017 The Clinical Onclgy Sciety f Australia (COSA) is the peak natinal

More information

Brief Tobacco Intervention Policy

Brief Tobacco Intervention Policy 1 P a g e Brief Tbacc Interventin Plicy An Implementatin Guide fr Healthcare Prviders 2016 2 P a g e Table f Cntents Intrductin: The Imprtance f Brief Tbacc Interventin Plicy in Health Clinic...p. 3 Arkansas

More information

TOP TIPS Lung Cancer Update Dr Andrew Wight Consultant respiratory Physician - WUTH

TOP TIPS Lung Cancer Update Dr Andrew Wight Consultant respiratory Physician - WUTH Tpic Circulatin list In case f query please cntact Executive Summary TOP TIPS Lung Cancer Update Dr Andrew Wight Cnsultant respiratry Physician - WUTH All Wirral GP s JaneFletcher2@nhs.net Dear Clleagues,

More information

SCHOOL DISTRICT 308 RETURN TO LEARN (RTL) and RETURN TO PLAY (RTP) PROTOCOL FOR CONCUSSION

SCHOOL DISTRICT 308 RETURN TO LEARN (RTL) and RETURN TO PLAY (RTP) PROTOCOL FOR CONCUSSION SCHOOL DISTRICT 308 RETURN TO LEARN (RTL) and RETURN TO PLAY (RTP) PROTOCOL FOR CONCUSSION **The fllwing is required by the State f Illinis as per Public Act 99-0245** OVERSIGHT CONCUSSION MANAGEMENT TEAM

More information

Criminal Justice Social Work

Criminal Justice Social Work Criminal Justice Scial Wrk A curriculum fr prbatin wrk frm a Eurpean perspective Frank Philippart Angèle Geerts Centre fr Public Safety & Criminal Justice Avans University f Applied Sciences Den Bsch The

More information

Law Fellowships in Legal Empowerment

Law Fellowships in Legal Empowerment Law Fellwships in Legal Empwerment Abut Namati Namati is dedicated t putting the law in peple s hands. We strive t build a just wrld, in which every ne f us can take part in the decisins and demand accuntability

More information

ADULT CHILDREN OF ALCOHOLICS Characteristics. Adult Children of Alcoholics

ADULT CHILDREN OF ALCOHOLICS Characteristics. Adult Children of Alcoholics ADULT CHILDREN OF ALCOHOLICS Characteristics Adult Children f Alchlics 1. guess at what nrmal is 2. have difficulty in fllwing a prject thrugh frm beginning t end 3. lie when it wuld be just as easy t

More information

Leadership Coaching: A Case Study on the Potential of Brief Coaching

Leadership Coaching: A Case Study on the Potential of Brief Coaching Leadership Caching: A Case Study n the Ptential f Brief Caching PHONE EMAIL WEB Hectr Sandval +34 664 46 10 54 hsandval@me.cm www.hsctalent.cm A Case Study: The Ptential f Brief Caching Leadership Caching:

More information

REGISTER NOW! The Pennsylvania Behavioral Health and Aging Coalition Presents a Half-Day Training Session On:

REGISTER NOW! The Pennsylvania Behavioral Health and Aging Coalition Presents a Half-Day Training Session On: Nurses, Scial Wrkers, Aging and Mental Health Staff, and Other Individuals Wh Prvide Care t Older Adults REGISTER NOW! The Pennsylvania Behaviral Health and Aging Calitin Presents a Half-Day Training Sessin

More information

QUESTIONS TO CONSIDER

QUESTIONS TO CONSIDER 16 1 RESOURCES Self-Determinatin Divisin fr the Deaf, Hard f Hearing and Late Deafened ffers ID cards and vehicle placards, infrmatin referral, advcacy; legal interpreting fund; access t state services.

More information

Review of all age Autism services in Suffolk (excluding Waveney)

Review of all age Autism services in Suffolk (excluding Waveney) Review f all age Autism services in Sufflk (excluding Waveney) Summary reprt f findings and recmmendatins Octber 2015 Authr: Maija Huttunen-Lenz, Prgramme Manager, Public Health Cnsultant Supervisr: Dr

More information

Pain relief after surgery

Pain relief after surgery Pain relief after surgery Imprtant infrmatin fr patients www.mchft.nhs.uk We care because yu matter This leaflet is designed t help yu cntrl any pain yu may have at hme fllwing yur peratin. Please read

More information

Career Confidence. by Kevin Gaw

Career Confidence. by Kevin Gaw Career Cnfidence by Kevin Gaw In additin t the requisite skills, experiences, and rganizatinal match being sught fr a psitin fr which a candidate is applying, mst emplyers screen fr what I call career

More information

NEW EDUCATOR TOOLKIT. Issues to consider as you consider academia: Ask yourself the following questions:

NEW EDUCATOR TOOLKIT. Issues to consider as you consider academia: Ask yourself the following questions: NEW EDUCATOR TOOLKIT This dcument is intended t prvide resurces and general infrmatin fr ptential r new faculty members respnsible fr pediatric cntent in a physical therapy prgram. Issues t cnsider as

More information

H1N1 Influenza 09 Guidance for Residential Aged Care

H1N1 Influenza 09 Guidance for Residential Aged Care H1N1 Influenza 09 Guidance fr Residential Aged Care 11 June 2009 As knwledge abut H1N1 Influenza 09 develps, further advice will be prvided. Please check www.healthemergency.gv.au fr the latest infrmatin.

More information

Subject: Diabetes feedback in the London borough of Newham

Subject: Diabetes feedback in the London borough of Newham Subject: Diabetes feedback in the Lndn brugh f Newham Surce: Infrmatin and Wrkshp: Have Yur Say n Diabetes User Engagement Event, 18 th July, 2014 Purpse f the Reprt: t prvide an understanding f the diabetes

More information

Kessler Foundation West Orange, NJ PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland

Kessler Foundation West Orange, NJ PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland AWARD NUMBER: W81XWH-16-1-0726 TITLE: A Randmized Cntrlled Trial f the Grup-Based Mdified Stry Memry Technique in TBI PRINCIPAL INVESTIGATOR: Nancy D. Chiaravallti, PhD CONTRACTING ORGANIZATION: Kessler

More information

Lower Extremity Amputation (LEA) Considerations / Issues

Lower Extremity Amputation (LEA) Considerations / Issues Lwer Extremity Amputatin (LEA) Cnsideratins / Issues Prviding Te Fillers can be an advantageus resurce fr yur patient and business but it als cmes with certain cnsideratins. Please review this list belw

More information

FDA Dietary Supplement cgmp

FDA Dietary Supplement cgmp FDA Dietary Supplement cgmp FEBRUARY 2009 OVERVIEW Summary The Fd and Drug Administratin (FDA) has issued a final rule regarding current gd manufacturing practices (cgmp) fr dietary supplements that establishes

More information

3. Cancer Vanguard. 4. Feedback from leads gap analysis, stratified follow up. London Cancer Gynaecological Cancer Pathway Board

3. Cancer Vanguard. 4. Feedback from leads gap analysis, stratified follow up. London Cancer Gynaecological Cancer Pathway Board Lndn Cancer Gynaeclgical Cancer Pathway Bard Date: Tuesday, 17 th January 2017, 16:00 18:00 Venue: Bardrm, UCLH Westmreland Street Hspital, 16-18 Westmreland St, Lndn W1G 8PH Chair: Tim Muld, Pathway Directr

More information

Nutrition Care Process Model Tutorials. Nutrition Monitoring & Evaluation: Overview & Definition. By the end of this module, the participant will:

Nutrition Care Process Model Tutorials. Nutrition Monitoring & Evaluation: Overview & Definition. By the end of this module, the participant will: Nutritin Care Prcess Mdel Tutrials Nutritin Care Prcess and Terminlgy Cmmittee Academy f Nutritin and Dietetics Nutritin Care Prcess Terminlgy 2015 Editin Nutritin Mnitring & Evaluatin: Overview & Definitin

More information

Tetanus Prevention, Prophylaxis and Wound/Injury Management Standard

Tetanus Prevention, Prophylaxis and Wound/Injury Management Standard Tetanus Preventin, Prphylaxis and Wund/Injury Management Standard Sectin 8: Immunizatin f Special Ppulatins Standard #: 08.400 Created by: Apprved by: Prvince-wide Immunizatin Prgram, Standards and Quality

More information

I am having a Rotator Cuff Repair

I am having a Rotator Cuff Repair I am having a Rtatr Cuff Repair A rtatr cuff repair is surgery t repair a trn tendn in the shulder. The rtatr cuff is a grup f muscles and tendns that frm a cuff ver the shulder jint. The muscles and tendns

More information

RI International Peer Employment Training

RI International Peer Employment Training RI Internatinal Peer Emplyment Training In Peer Supprt, mind and heart matter. Since 2000, we have successfully recruited and trained Peer Supprt Specialists at RI Internatinal (frmerly Recvery Innvatins)

More information

CALL FOR PAPERS. (all submissions due by August 15, 2016) January 20-22, on Autism and Related Disabilities. 24 years 7 centers 1 mission

CALL FOR PAPERS. (all submissions due by August 15, 2016) January 20-22, on Autism and Related Disabilities. 24 years 7 centers 1 mission CALL FOR PAPERS (all submissins due by August 15, 2016) January 20-22, 2017 CnferenCe n Autism and Related Disabilities 24 years 7 centers 1 missin 24 th Annual Statewide Cnference and PEPSA PreCnference

More information

APESB and Auditor Independence

APESB and Auditor Independence APESB and Auditr Independence Financial Reprting Cuncil Audit Quality Cmmittee 14 May 2014 Channa Wijesinghe MBA, FCPA, FCA Technical Directr Overview Rle f the Accunting Prfessinal & Ethical Standards

More information

Policy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning

Policy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning Plicy Guidelines: Genetic Testing fr Carrier Screening and Reprductive Planning Cntents Overview... 1 Cverage guidelines... 2 General cverage guidelines... 2 Rutine carrier screening... 2 Carrier screening

More information

Ministry of Health and Long-Term Care

Ministry of Health and Long-Term Care Ministry f Health and Lng-Term Care Infrmatin n Nvel H1N1 Influenza A - Frequently Asked Questins fr Primary Care Practitiners May 7, 2009 This infrmatin is subject t change based n evlving infrmatin n

More information

Instructions regarding referral of patients to the Persistent Pain Service

Instructions regarding referral of patients to the Persistent Pain Service Prtsmuth Persistent Pain Service Lng Term Cnditins Suite Grund Flr, Blck A St Mary s Cmmunity Health Campus Miltn Rad Prtsmuth Hampshire PO3 6AD Tel: 23 9268 485 Fax: 23 9268 21 Dear GP Instructins regarding

More information

Section J. Health Conditions

Section J. Health Conditions Sectin J Health Cnditins Objectives 1 State the intent f Sectin J Health Cnditins. Identify health cnditins assessed in Sectin J that affect a resident s functinal status and quality f life. Describe hw

More information

COPD Outreach Program

COPD Outreach Program COPD Outreach Prgram Wendy Laframbise, Advanced Practice Nurse Certified Respiratry Educatr COPD Outreach Prgram March, 2015 Disclaimer: The Canadian Fundatin fr Healthcare Imprvement (CFHI), in partnership

More information

Continuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator

Continuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator Cntinuus Quality Imprvement: Treatment Recrd Reviews Third Thursday Prvider Call (August 20, 2015) Wendy Bwlin, QM Administratr Gals f the Presentatin Review the findings f Treatment Recrd Review results

More information

Apprenticeships in England Trailblazers

Apprenticeships in England Trailblazers Apprenticeships in England Trailblazers David Gilbert, Deputy CEO British Institute f Nn-Destructive Testing presented t: FOP:s vårknferens, 2-4 April 2017, Malmö, Sweden Befre the refrms Befre 2012, there

More information

2017 CMS Web Interface

2017 CMS Web Interface CMS Web Interface PREV-5 (NQF 2372): Breast Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY

More information

Suicide Postvention. Ellie Martinez, M.A. Stephen E. Brock, Ph.D, NCSP. Suggested Procedures During the Aftermath of a Student Suicide

Suicide Postvention. Ellie Martinez, M.A. Stephen E. Brock, Ph.D, NCSP. Suggested Procedures During the Aftermath of a Student Suicide Suicide Pstventin Suggested Prcedures During the Aftermath f a Student Suicide Ellie Martinez, M.A Western Placer Unified, Lincln, CA Stephen E. Brck, Ph.D, NCSP Califrnia State University, Sacrament Outline

More information

Preventing and Responding to Emerging IDs the role of WHO

Preventing and Responding to Emerging IDs the role of WHO Preventing and Respnding t Emerging IDs the rle f WHO Mark Jacbs Directr, Divisin f Cmmunicable Diseases WHO Respnding t Emerging Infectius Diseases Sympsium 21st Public Health Summer Schl University f

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer

More information

Building Code 101 OWMC November 20, Ministry of Municipal Affairs and Housing

Building Code 101 OWMC November 20, Ministry of Municipal Affairs and Housing Building Cde 101 OWMC Nvember 20, 2015 Ministry f Municipal Affairs and Husing Disclaimer These slides are prvided by the Ministry f Municipal Affairs and Husing fr cnvenience nly The slides shuld nt be

More information

Safety of HPV vaccination: A FIGO STATEMENT

Safety of HPV vaccination: A FIGO STATEMENT FIGO Statement n HPV Vaccinatin Safety, August 2nd, 2013 Safety f HPV vaccinatin: A FIGO STATEMENT July, 2013 Human papillmavirus vaccines are used in many cuntries; glbally, mre than 175 millin dses have

More information

(Please text me on once you have submitted your request online and the cell number you used)

(Please text me on once you have submitted your request online and the cell number you used) Dear Thank yu fr yur email, nted. Belw steps n hw t register as a service prvider. Please nte that nce yu have requested t becme a service prvider, yu need t sms/what s up me n 0826392585, in rder t activate

More information

The Academy: Sheffield Psychotherapy and Counselling Education

The Academy: Sheffield Psychotherapy and Counselling Education The Academy: Sheffield Psychtherapy and Cunselling Educatin Curses Applicatin Pack 2014 NB Please send Applicatins t The Academy: SPACE The Cach Huse, 1A Filey Street, Sheffield S10 2FF S.Yrks This pack

More information

WHAT IS THE CODE OF EXCELLENCE POLICY

WHAT IS THE CODE OF EXCELLENCE POLICY WHAT IS THE CODE OF EXCELLENCE POLICY Our members demnstrate n a cntinuing basis skills and prfessinalism that are the industry standard. While we have and cntinue t recgnize the cmmitment f these individuals,

More information

Neurological outcome from conservative or surgical treatment of cervical spinal cord injured patients

Neurological outcome from conservative or surgical treatment of cervical spinal cord injured patients 1993 nternatinal Medical Sciety f Paraplegia eurlgical utcme frm cnservative r surgical treatment f cervical spinal crd injured patients J E Kiwerski Spinal Department f Metrplitan Rehabilitatin Centre,

More information

Pages: 10 Originator(s): Telecom Initial Issue Date: December 2004 Owner: Quality and Patient Safety Next Review Date: June 12, 2013

Pages: 10 Originator(s): Telecom Initial Issue Date: December 2004 Owner: Quality and Patient Safety Next Review Date: June 12, 2013 Pages: 10 Originatr(s): Telecm Initial Issue Date: December 2004 Owner: Quality and Patient Safety Next Review Date: June 12, 2013 Key Wrds: E 7.1; Cde Orange; Cde Effective Date: June 12, 2012 Green;

More information

Nebraska Psychological First Aid Curriculum. Robin Zagurski, L.C.S.W. Denise Bulling, M.A. Robin Chang, M.A.

Nebraska Psychological First Aid Curriculum. Robin Zagurski, L.C.S.W. Denise Bulling, M.A. Robin Chang, M.A. Nebraska Psychlgical First Aid Curriculum Rbin Zagurski, L.C.S.W. Denise Bulling, M.A. Rbin Chang, M.A. 2005 1 Nebraska Psychlgical First Aid Training Prgram University f Nebraska Public Plicy Center Brief

More information

Attitudes of Psychotherapists Toward the 1970 APA Standards for Psychotherapy Training

Attitudes of Psychotherapists Toward the 1970 APA Standards for Psychotherapy Training JOEL RACHELSON AND PAULINE ROSE CLANCE Attitudes f Psychtherapists Tward the 9 APA Standards fr Psychtherapy Training Five hundred and eighteen members f the American Psychlgical Assciatin, Divisin 9,

More information

ASSOCIATION OF PALLIATIVE MEDICINE

ASSOCIATION OF PALLIATIVE MEDICINE ASSOCIATION OF PALLIATIVE MEDICINE Palliative Medicine Wrkfrce Reprt 2016-17. 1.Executive Summary 1.1 Key messages 2.APM Wrkfrce Cmmentary by Cuntry 2.1 England 2.2 Sctland 2.3 Wales 2.4 Nrthern Ireland

More information

National Hospital Inpatient Quality Reporting Measures Specifications Manual Release Notes

National Hospital Inpatient Quality Reporting Measures Specifications Manual Release Notes Natinal Hspital Inpatient Quality Reprting Measures Specificatins Manual Release Ntes Fr Manual Versin: 5.3 Cmpleted: June 15, 2017 Guidelines fr Using Release Ntes The Release Ntes prvides mdificatins

More information

Creating Models to Drive Interprofessional Education and Practice

Creating Models to Drive Interprofessional Education and Practice Creating Mdels t Drive Interprfessinal Educatin and Practice Tara A. Crtes, PhD, RN, FAAN Executive Directr, Hartfrd Institute fr Geriatric Nursing Prfessr, NYU Rry Meyers Cllege f Nursing June 8, 2017

More information

Treating Small-Population Cancers in the Community Setting

Treating Small-Population Cancers in the Community Setting Treating Small-Ppulatin Cancers in the Cmmunity Setting A survey f current practices in the treatment f chrnic myelid leukemia and a screening tl t identify effective practices July 2011 Assciatin f Cmmunity

More information

2017 CMS Web Interface

2017 CMS Web Interface CMS Web Interface PREV-6 (NQF 0034): Clrectal Cancer Screening Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION... 4 BENEFICIARY

More information

Ethical Decision Making in Counseling: Applied Participatory Ethics

Ethical Decision Making in Counseling: Applied Participatory Ethics Ethical Decisin Making in Cunseling: Applied Participatry Ethics Andrew Nay, PhD, CRC, CDMS Allisn Levine, MS.Ed., CRC, Cnnie Sung, PhD., CRC, LLPC 1 Part I: Ethical Decisin Making (EDM) in Cunseling:

More information

Medical Student Immunization Requirements

Medical Student Immunization Requirements Medical Student Immunizatin Requirements The State f Illinis cde, Reference: (110 ILCS 20) Cllege Student Immunizatin Act, requires students t prvide prf f immunity: Measles (Rubela), Mumps, Rubella (German

More information

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth.

Head and neck cancers are often treated with radiotherapy. Radiotherapy can lead to faster rates of tooth decay and poor healing in the mouth. DENTAL EXTRACTION This infrmatin aims t help yu understand the peratin, what is invlved and sme cmmn cmplicatins that may ccur. It may help answer sme f yur questins and help yu think f ther questins that

More information

CHAPTER 6. PREVENTION

CHAPTER 6. PREVENTION CHAPTER 6. PREVENTION 6.1 Effective preventin f substance use disrders Tim Stckwell Intrductin The use f substances that mdify hw we feel, perfrm r behave is evident in all cntemprary scieties and has

More information

Obesity/Morbid Obesity/BMI

Obesity/Morbid Obesity/BMI Obesity/mrbid besity/bdy mass index (adult) Obesity/Mrbid Obesity/BMI Definitins and backgrund Diagnsis cde assignment is based n the prvider s clinical judgment and crrespnding medical recrd dcumentatin

More information

2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizations, Clinical Cascade Breakout Session TB/HIV EXERCISE

2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizations, Clinical Cascade Breakout Session TB/HIV EXERCISE 2017 PEPFAR Data and Systems Applied Learning Summit Day 2: MER Analytics/Available Visualizatins, Clinical Cascade Breakut Sessin TB/HIV EXERCISE Created by the ICPI TB/HIV Wrkstream Abut this Handut

More information

Report. Optimum PSAP Reconfiguration Assessment. State of Maine. for. submitted to

Report. Optimum PSAP Reconfiguration Assessment. State of Maine. for. submitted to Reprt fr Optimum PSAP Recnfiguratin Assessment submitted t State f Maine January 2010 TABLE OF CONTENT 1. EXECUTIVE SUMMARY... 1 1.1 PROJECT OVERVIEW... 1 1.2 METHODOLOGY... 1 1.3 KEY DEFINITIONS... 1

More information

How to become an AME Online

How to become an AME Online Hw t becme an AME Online 1. Check that yu meet the minimum technical requirements in rder t use the AME Online system: Operating System: Windws Vista (Service Pack 2) Windws 7 Windws 8, 8.1 Windws 10 Please

More information

Taylors Lakes Hotel. Responsible Gambling Code of Conduct. PVS Pty Ltd Responsible Gambling Code of Conduct page 1 of 12

Taylors Lakes Hotel. Responsible Gambling Code of Conduct. PVS Pty Ltd Responsible Gambling Code of Conduct page 1 of 12 Taylrs Lakes Htel Respnsible Gambling Cde f Cnduct 2012 Apprved by the VCGLR 27 June 2012 PVS Pty Ltd Respnsible Gambling Cde f Cnduct page 1 f 12 Gaming Venue Respnsible Gambling Cde f Cnduct 1. Venue

More information

Memory Care Community Standards

Memory Care Community Standards Memry Care Cmmunity Standards SEXUAL / INTIMATE BEHAVIOR POLICY Staff shuld understand, recgnize and supprt the healthful expressin f sexuality and intimacy amng residents, and demnstrate an understanding

More information

The U.S. & The Global Fund to Fight AIDS, Tuberculosis and Malaria

The U.S. & The Global Fund to Fight AIDS, Tuberculosis and Malaria The U.S. & The Glbal Fund t Fight AIDS, Tuberculsis and Malaria The Glbal Fund t Fight AIDS, Tuberculsis and Malaria (Glbal Fund) is an independent, multilateral, financing entity designed t raise significant

More information

GENERAL / VASCULAR SONOGRAPHY OPTION COURSE OUTLINE AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW

GENERAL / VASCULAR SONOGRAPHY OPTION COURSE OUTLINE AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW The cre curriculum defines several majr mdules f ultrasund educatin. All lectures are crrelated with scan lab demnstratin

More information

Providing Youth and Young Adult Peer Support through Medicaid RESOURCE AUGUST 2016

Providing Youth and Young Adult Peer Support through Medicaid RESOURCE AUGUST 2016 RESOURCE Prviding Yuth and Yung Adult Peer Supprt thrugh Medicaid AUGUST 2016 Dayana Simns Taylr Hendricks Jessica Lipper Center fr Health Care Strategies Jhanna Bergan Brianne Masselli Yuth M.O.V.E. Natinal

More information

Donating a Kidney for Transplantation. Living Kidney Donation Patient Education

Donating a Kidney for Transplantation. Living Kidney Donation Patient Education Dnating a Kidney fr Transplantatin Living Kidney Dnatin Patient Educatin Dnating a Kidney fr Transplantatin Indiana University Health has a lng histry in the field f transplantatin, and cnsistently ranks

More information

FUNCTIONAL MOVEMENT SYSTEMS SCREEN FINDINGS REPORT

FUNCTIONAL MOVEMENT SYSTEMS SCREEN FINDINGS REPORT FUNCTIONA MOVEMENT SYSTEMS SCEEN FINDINGS EPOT Screening Date: Client: FMS Certified Member: FMS Scre: 09/0/1 04:15 PM Glenn D'Avanz Elizabeth Carus 17 Descriptin: FMS screen fr Glenn D'Avanz FUNCTIONA

More information

CDC Influenza Technical Key Points February 15, 2018

CDC Influenza Technical Key Points February 15, 2018 CDC Influenza Technical Key Pints In this dcument: Summary Key Pints U.S. Vaccine Effectiveness U.S. Flu Activity Update Summary Key Pints On Thursday, tw influenza-related reprts appeared in the Mrbidity

More information

Action plan: serialisation of Nordic packages focus on Product Codes

Action plan: serialisation of Nordic packages focus on Product Codes 19.6.2017, versin 5 Actin plan: serialisatin f Nrdic packages fcus n Prduct Cdes The aim f this dcument is t help pharma cmpanies t prepare fr prduct cde changes and t be able t maintain prduct cdes in

More information

Procedural Advice to CHMP Members

Procedural Advice to CHMP Members Eurpean Medicines Agency Pst-authrisatin Evaluatin f Medicines fr Human Use Lndn, 6 th August 2008 Dc. Ref.: EMEA/361945/2007 Editin 00 Editin date: July 2008 EDITION 1 DATE PAGE/S REASON FOR CHANGE 00

More information

Engaging Frontline Managers and Supervisors to Promote Mental Health and Psychological Safety in the Workplace

Engaging Frontline Managers and Supervisors to Promote Mental Health and Psychological Safety in the Workplace Engaging Frntline Managers and Supervisrs t Prmte Mental Health and Psychlgical Safety in the Wrkplace Final Reprt May 18, 2017 Prepared by Dr. Jlen Galaugher Supprted by a grant frm the Research and Wrkplace

More information

The Dizziness Handicap Inventory ( DHI )

The Dizziness Handicap Inventory ( DHI ) The Dizziness Handicap Inventry ( DHI ) P1. Des lking up increase yur prblem? Yes E2. Because f yur prblem, d yu feel frustrated? Yes F3. Because f yur prblem, d yu restrict yur travel fr business r recreatin?

More information