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It is recommended to carry out an adequate evaluation and preoperative preparation of elective surgery patients. If administered correctly, many do not need to be admitted to hospital the day before ...
Choosing Wisely UK
Royal College of Anaesthetists & Royal College of Surgeons England
The available evidence supporting this recommendation is limited to two consensus publications on enhanced recovery programmes.
ver más ... 2019It is recommended that a supervised pelvic floor muscle training (PFMT) program be offered, along with lifestyle modifications and vaginal estrogen, if appropriate, for a minimum of 16 weeks ...
Choosing Wisely UK
Chartered Society of Physiotherapy
Pelvic organ prolapse occurs when one or more of the pelvic organs, such as the uterus or vagina, slip out of position and sag, and may be accompanied by functional urination problems. Treatment options for pelvic organ prolapse should include lifestyle modification, such as weight loss, pelvic floor muscle training for at least 16 weeks as the first option for women with symptomatic stage 1 pelvic organ prolapse or stage 2, and the application of topical estrogens in case of pelvic organ ...
ver más ... 2019It is recommended that all people of the general population be advised on and signposted to alternative options by their pharmacist such as self-care, lifestyle changes and non-pharmacological ...
Choosing Wisely UK
Royal Pharmaceutical Society
Data on social prescribing broadly support its potential to reduce the demand for primary and secondary care. reduce the demand for primary and secondary care. However However, the quality of the data is poor and without a more thorough evaluation it would be premature. conclude that a proof of concept for demand reduction has been established. Similarly, the evidence that social prescribing saves health services costs over and above operational costs is encouraging.
ver más ... 2019It is recommended to offer a three-month trail of supervised pelvic floor muscle training as a first line treatment to pregnant women and women experiencing stress or mixed urinary incontinence.
Choosing Wisely UK
Chartered Society of Physiotherapy
Approximately one third of women experience urinary incontinence and up to one tenth fecal incontinence after childbirth. Pelvic floor muscle training (PFMT) is often recommended during pregnancy and after delivery for both prevention and treatment of incontinence. The evidence supporting the recommendation of supervised training of the pelvic floor muscles is extensive and includes several clinical guidelines.
ver más ... 2019It is recommended that the use of any antibiotic in hospital centers be reviewed within 72 hours of its initiation.
Choosing Wisely UK
Royal Pharmaceutical Society
This guideline deals with awareness of the correct use of antimicrobial medicines (including antibiotics) and the dangers associated with their excessive or incorrect use. It also includes infection prevention and control measures that can prevent people from needing antimicrobials or from spreading the infection to others. Its goal is to change people's behavior to reduce antimicrobial resistance and the spread of resistant microbes.
ver más ... 2019