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Ministry of Health
BCGuidelines.ca - By BC Physicians, for BC Physicians

Guidelines by Alphabetical Listing

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

Download all guidelines and summaries here! (ZIP 28M)

- A -

Abnormal Liver Chemistry Abnormal Liver Chemistry - Evaluation and Interpretation (2011)
Full Guideline (PDF 1.4M)
Acute chest pain Acute Chest Pain - Evaluation and Triage (2008)
Full Guideline (PDF 424K)
Appendix A: Features of acute chest pain (PDF 177K)
Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 187K)
Appendix C: Evaluation and management of patients suspected of having ACS (PDF 186K)
Alcohol Problem Drinking(2013)
Full Guideline (PDF 1.1M)
Problem Drinking Part 1 - Screening and Assessment (PDF 573K)
Appendix A - Standard Drink Size Illustration (PDF 195K)
Alcohol Screening Note (PDF 154K)
Problem Drinking Part 2 - Brief Intervention (PDF 377K)
Brief Intervention Follow-up Note (PDF 147K)
Problem Drinking Part 3 - Office Based Management of Alcohol Withdrawal and Prescribing Medications for Alcohol Dependence (PDF 370K)
Appendix A - Prescription Medication Table for Alcohol Dependence (PDF 142K)
Ambulatory ECG Monitoring Ambulatory ECG Monitoring - Holter Monitor and Other Devices (2013)
Full Guideline (PDF 243K)
Anaemia and iron deficiency Iron Deficiency - Investigation and Management (2010)
Full Guideline (PDF 859K)
Summary (PDF 262K)
Appendix A - Dietary Aspects of Iron (PDF 366K)
Appendix B - Iron Preparations (PDF 322K)
Ankle injury and x-rays Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot (2014)
Full Guideline (PDF 162K)
Antinuclear antibody testing Antinuclear Antibody (ANA) Testing for Connective Tissue Disease (2013)
Full Guideline (PDF 219K)
Anxiety Anxiety and Depression in Children and Youth - Diagnosis and Treatment (2010)
Full Guideline (PDF 446K)
Appendix A: Diagnosis of Anxiety Disorders in Children and Youth (PDF 49K)
Appendix B: Treatment of Anxiety Disorders and Depression in Children and Youth (PDF 73K)
Appendix C: Selective Serotonin Reuptake Inhibitor (SSRI) Monitoring Form (PDF 52K)
Appendix D: Measurement of Functional Change in depressed and/or Anxious Patients (PDF 35K)
Resource Guide: Information Sources for Physicians (PDF 73K)
Resource Guide: Information Sources for Families (PDF 94K)
Anxiety in Children and Youth: A Guide for Parents (PDF 101K)
Depression in Children and Youth: A Guide for Parents (PDF 61K)
Arthritis, osteo Osteoarthritis in Peripheral Joints - Diagnosis and Treatment (2009)
Full Guideline (PDF 2.4M)
Summary (PDF 199K)
Osteoarthritis (OA) Medications Table (PDF 221K)
Appendix A - History (PDF 88K)
Appendix B - Physical Examination (PDF 80K)
Appendix C - Alternate Diagnosis and Overall Assessment (PDF 71K)
Appendix D - Investigations (PDF 61K)
Appendix E - Follow-up Patient Assessment Form (PDF 83K)
Patient Guide for People Living with Osteoarthritis (PDF 221K)
A Guide for People with Hip Osteoarthritis (PDF 428K)
A Guide for People with Knee Osteoarthritis (PDF 315K)
A Guide for People with Hand Osteoarthritis (PDF 422K)
Choosing a Complementary Therapy (PDF 223K)
Calculation of Body Mass Index (PDF 75K)
Arthritis, rheumatoid Rheumatoid Arthritis: Diagnosis, Management and Monitoring (2012)
Full Guideline (PDF 294K)
Summary (PDF 482K)
Patient Guide (PDF 266K)
Appendix A - Non-Biologic Disease-Modifying Anti-Rheumatic Drugs (PDF 266K)
Asthma Asthma - Diagnosis and Management (2010)
Full Guideline (PDF 940K)
Summary (PDF 252K)
Appendix A - Asthma Inhalation Drug Dosing and Cost (PDF 217K)
Appendix B - Personal Action Plan (PDF 336K)

- B -

B12 deficiency Cobalamin (vitamin B12) Deficiency - Investigation and Management (2013)
Full Guideline (PDF 395K)
Appendix A – Dietary Sources of Cobalamin (PDF 210K)
Barium studies in GERD Gastroesophageal Reflux Disease - Clinical Approach in Adults (2010)
Full Guideline (PDF 352K)
Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 189K)
Breast Cancer, Management and Follow-up Breast Cancer, Management and Follow-up (2013)
Full Guideline (PDF 434K)
Appendix A: Algorithms of Breast Cancer & Disease guidelines (PDF 234K)
Breast Disease and Cancer, Diagnosis Breast Disease and Cancer, Diagnosis (2013)
Full Guideline (PDF 672K)
Appendix A: Algorithms of Breast Cancer & Disease guidelines (PDF 236K)
Appendix B: Protocol for the Use of Mammography Services at Diagnostic Facilities (PDF 114K)
Appendix C: Diagnostic Imaging Modalities and Procedures of the Breast (PDF 105K)
Appendix D: Medication Tables Associated with Mastalgia and Nipple Discharge (PDF 97K)

- C -

Cancer, advanced disease Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 1: Approach to Care (2010)
Full Guideline (PDF 1.1M)
Appendix A: Palliative Performance Scale (PDF 235K)
Appendix B: Possible Investigations and Interventions (PDF 210K)
Appendix C: Edmonton Symptom Assessment System (ESAS) (PDF 368K)
Appendix D: Indications for Referral to a Specialist (PDF 222K)
Appendix E: Cancer Management Flow Sheet (PDF 137K)
Appendix F: Contents of typical home drug kit & medications that may be given by SC route (PDF 215K)
Cardiovascular Cardiovascular Disease - Primary Prevention (2014)
Full Guideline (PDF 965K)
Appendix A: Primary Prevention of Cardiovascular disease Algorithm (PDF 188K)
Appendix B: Framingham 10-year Risk Estimation (PDF 195K)
Appendix C: Lipid Testing in Primary Prevention of Cardiovascular Disease (CVD) (PDF 194K)
Appendix D: Pharmaceutical Table – Statins (PDF 192K)
Cardiovascular Disease – Primary Prevention: Resource Guide for Physicians (PDF 392K)
Cataracts and surgery Cataract - Treatment of Adults (2007)
Full Guideline (PDF 182K)
Patient Guide (PDF 121K)
Cervical Cancer Genital Tract Cancers in Females: Human Papillomavirus Related Cancers (Cervical, Vaginal & Vulvar) (2014)
Full Guideline (PDF 760K)
Appendix A - HPV Vaccines Descriptions (PDF 121K)
Appendix B – PAP Sampling Technique (PDF 320K)
Appendix C - Cervical Cytology Terminology used by BC Cervical Cancer Screening Program (PDF 114K)
Chest pain, acute Acute Chest Pain - Evaluation and Triage (2008)
Full Guideline (PDF 424K)
Appendix A: Features of acute chest pain (PDF 177K)
Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 187K)
Appendix C: Evaluation and management of patients suspected of having ACS (PDF 186K)
Chronic kidney disease (CKD) Chronic Kidney Disease - Identification, Evaluation and Management of Patients (2008)
Full Guideline (PDF 573K)
Summary (PDF 192K)
Table 1: Stages of CKD (PDF 68K)
Table 2: Evaluating Patients with Abnormal Screening Tests (PDF 71K)
Table 3: Care Objectives and Targets (PDF 83K)
Figure 1: Flow Diagram for Evaluating and Managing Patients with Suspected CKD (PDF 53K)
Appendix A: Physician Resources (PDF 170K)
Appendix B: Calculating eGFR: Conversion Table (PDF 71K)
Appendix C: Chronic Kidney Disease Flow Sheet (PDF 156K)
Appendix D: Chronic Kidney Disease - A Guide for Patients (PDF 170K)
Chronic obstructive pulmonary disease (COPD) Chronic Obstructive Pulmonary Disease (COPD) (2011)
Full Guideline (PDF 788K)
Summary (PDF 224K)
Appendix A - Patient Care Flow Sheet (PDF 106K)
Appendix B - Prescription Medication Table for Chronic Obstructive Pulmonary Disease (COPD) (PDF 230K)
Appendix C - Medical Indications for Home Oxygen for Stable COPD Patients (PDF 161K)
Appendix D - COPD Flare-up Action Plan (PDF 166K)
Appendix E - Antibiotic Treatment Recommendations for Acute Exacerbations of COPD (AECOPD) (PDF 179K)
COPD - A Guide for Patients (PDF 112K)
Cobalamin (vitamin B12) Deficiency Cobalamin (vitamin B12) Deficiency - Investigation and Management (2013)
Full Guideline (PDF 395K)
Appendix A – Dietary Sources of Cobalamin (PDF 210K)
Cognitive Impairment Cognitive Impairment in the Elderly - Recognition, Diagnosis and Management (2008)
Summary (PDF 160K)
Table 1: Clinical Features of Dementia, Depression and Delirium (PDF 89K)
Table 2: Differential Diagnosis of Dementia (PDF 85K)
Table 3: Starting dose and titration schedule of AChEIs (PDF 86K)
Appendix A - The Confusion Assessment Method (CAM) Diagnostic Algorithm (PDF 79K)
Appendix B - Geriatric Depression Scale (GDS) (PDF 91K)
Appendix C - Clock Drawing Test (PDF 72K)
Appendix D - Montreal Cognitive Assessment (MoCA) (PDF 143K)
Appendix E - Global Deterioration Scale (PDF 94K)
Appendix F - Cognitive Impairment in the Elderly Flow Sheet (PDF 185K)
A Guide for People with Dementia and their Caregivers (PDF 186K)
Colorectal cancer, screening Colorectal Screening for Cancer Prevention in Asymptomatic Patients (2013)
Full Guideline (PDF 321K)
Appendix A: Factors Influencing Colorectal Cancer Risk (PDF 113K)
Summary (PDF 199K)
Patient Guide (PDF 280K)
Colorectal cancer, follow-up after resection or polypectomy Follow-up of Colorectal Polyps or Cancer (2013)
Full Guideline (PDF 224K)
Summary (PDF 194K)
Patient Guide (PDF 504K)
Congestive heart failure Heart Failure Care (2008)
Full Guideline (PDF 540K)
Summary (PDF 145K)
Appendix A - Diuretics (PDF 42K)
Appendix B - Beta blockers (PDF 42K)
Appendix C - ACE inhibitors (PDF 33K)
Appendix D - Angiotensin receptor blockers (PDF 27K)
Appendix E - Direct acting vasodilators (PDF 30K)
Appendix F - Spironolactone (PDF 69K)
Appendix G - Digoxin (PDF 72K)
Flow Sheet (PDF 165K)
Patient Guide (PDF 197K)

- D -

Dementia Cognitive Impairment in the Elderly - Recognition, Diagnosis and Management (2008)
Summary (PDF 160K)
Table 1: Clinical Features of Dementia, Depression and Delirium (PDF 89K)
Table 2: Differential Diagnosis of Dementia (PDF 85K)
Table 3: Starting dose and titration schedule of AChEIs (PDF 86K)
Appendix A - The Confusion Assessment Method (CAM) Diagnostic Algorithm (PDF 79K)
Appendix B - Geriatric Depression Scale (GDS) (PDF 91K)
Appendix C - Clock Drawing Test (PDF 72K)
Appendix D - Montreal Cognitive Assessment (MoCA) (PDF 143K)
Appendix E - Global Deterioration Scale (PDF 94K)
Appendix F - Cognitive Impairment in the Elderly Flow Sheet (PDF 185K)
A Guide for People with Dementia and their Caregivers (PDF 186K)
Depression, Children and Youth Anxiety and Depression in Children and Youth - Diagnosis and Treatment (2010)
Full Guideline (PDF 446K)
Appendix A: Diagnosis of Anxiety Disorders in Children and Youth (PDF 49K)
Appendix B: Treatment of Anxiety Disorders and Depression in Children and Youth (PDF 73K)
Appendix C: Selective Serotonin Reuptake Inhibitor (SSRI) Monitoring Form (PDF 52K)
Appendix D: Measurement of Functional Change in depressed and/or Anxious Patients (PDF 35K)
Resource Guide: Information Sources for Physicians (PDF 73K)
Resource Guide: Information Sources for Families (PDF 94K)
Anxiety in Children and Youth: A Guide for Parents (PDF 101K)
Depression in Children and Youth: A Guide for Parents (PDF 61K)
Depression, Adults Major Depressive Disorder in Adults: Diagnosis & Management (2013)
Full Guideline (PDF 850K)
Appendix A: Medications that Mimic Mood Disorders (PDF 100K)
Appendix B: First-Line Psychotherapies for Treatment of Depression (PDF 99K)
Appendix C: First-Line Antidepressants (PDF 138K)
Appendix D: Switching Antidepressants (PDF 117K)
Appendix E: Discontinuation Syndrome of Antidepressant Medications (PDF 97K)
Patient Health Questionnaire-9 (PHQ-9) (PDF 41K)
Example of a Safety Plan (PDF 16K)
Resource Guide: Information Sources for Physicians (PDF 145K)
Resource Guide: Information Sources for Patients (PDF 140K)
Diabetes care Diabetes Care (2010)
Full Guideline (PDF 1.6M)
Summary (PDF 231K)
Flow Sheet (PDF 272K)
Patient Guide (PDF 262K)
Appendix A: Screening Algorithm for Type 2 Diabetes in Adults (PDF 79K)
Appendix B: Management of Hyperglycemia in Type 2 Diabetes (PDF 67K)
Appendix C: Antidiabetic Agents and Adjunctive Agents for use in Type 2 DM (PDF 323K)
Appendix D: Insulin Therapeutic Considerations and Availability (PDF 92K)
Appendix E: Treatment of Hypoglycemia (PDF 83K)
Diarrhea Infectious Diarrhea - Guideline for Ordering Stool Specimens (2009)
Full Guideline (PDF 230K)
Summary (PDF 229K)
Algorithm for the Investigation of Infectious Diarrhea (PDF 143K)
Dyspepsia Dyspepsia with or without Helicobacter pylori infection - Clinical Approach in Adults (2010)
Full Guideline (PDF 322K)
Appendix A - Prescription Medication Table for Oral Acid Suppression (PDF 115K)

- E -

ECG Ambulatory ECG Monitoring - (Holter Monitor and Other Devices) (2013)
Full Guideline (PDF 243K)
Elderly; Frailty in Older Adults Frailty in Older Adults – Early Identification and Management (2012)
Summary (PDF 261K)
CSHA Clinical Frailty Scale (PDF 59K)
Appendix A - Seniors Assessment Tool (PDF 137K)
Appendix B - Sample Care Plan Template (PDF 135K)
Appendix C - Medication Review (PDF 128K)
No Cardiopulmonary Resuscitation Form (PDF)
Endometrial Cancer Genital Tract Cancers in Females: Endometrial Cancer (2014)
Full Guideline (PDF 283K)
Hereditary Cancer Program Referral Form (PDF 261K)
Endoscopy and GERD Gastroesophageal Reflux Disease - Clinical Approach in Adults (2009)
Full Guideline (PDF 352K)
Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 189K)
ESR Erythrocyte Sedimentation Rate (ESR) (2007)
Full Guideline (PDF 112K)

- F -

Febrile seizures Febrile Seizures (2010)
Full Guideline (PDF 823K)
Patient Guide (PDF 222K)
Appendix A: Emergency Management of Febrile Seizure in Children (PDF 364K)
Folate deficiency Folate Deficiency – Investigation and Management (2012)
Full Guideline (PDF 405K)
Appendix A - Dietary Sources of Folate (PDF 196K)
Foot injury and x-rays Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot (2009)
Full Guideline (PDF 162K)
Figure 1: Zones of the ankle and mid-foot (PDF 209K)
Frailty in Older Adults Frailty in Older Adults – Early Identification and Management (2012)
Summary (PDF 261K)
CSHA Clinical Frailty Scale (PDF 59K)
Appendix A - Seniors Assessment Tool (PDF 137K)
Appendix B - Sample Care Plan Template (PDF 135K)
Appendix C - Medication Review (PDF 128K)
No Cardiopulmonary Resuscitation Form (PDF)

- G -

Gastroesophageal reflux disease (GERD) Gastroesophageal Reflux Disease - Clinical Approach in Adults (2009)
Full Guideline (PDF 352K)
Appendix A - Prescription Medication Table for Gastroesophageal Reflux Disease (PDF 189K)
Genital tract (female) Genital Tract Cancers in Females: Endometrial Cancer (2014)
Full Guideline (PDF 283K)
Hereditary Cancer Program Referral Form (PDF 261K)

Genital Tract Cancers in Females: Human Papillomavirus Related Cancers (Cervical, Vaginal & Vulvar) (2014)
Full Guideline (PDF 760K)
Appendix A - HPV Vaccines Descriptions (PDF 121K)
Appendix B – PAP Sampling Technique (PDF 320K)
Appendix C - Cervical Cytology Terminology used by BC Cervical Cancer Screening Program (PDF 114K)

Genital Tract Cancers in Females: Ovarian, Fallopian Tube, and Primary Peritoneal Cancers (2014)
Full Guideline (PDF 288K)
Hereditary Cancer Program Referral Form (PDF 261K)

- H -

H. pylori and dyspepsia Dyspepsia with or without Helicobacter pylori infection - Clinical Approach in Adults (2010)
Full Guideline (PDF 322K)
Appendix A - Prescription Medication Table for Oral Acid Suppression (PDF 115K)
Heart Failure Care Heart Failure Care (2008)
Full Guideline (PDF 540K)
Summary (PDF 145K)
Appendix A - Diuretics (PDF 42K)
Appendix B - Beta blockers (PDF 42K)
Appendix C - ACE inhibitors (PDF 33K)
Appendix D - Angiotensin receptor blockers (PDF 27K)
Appendix E - Direct acting vasodilators (PDF 30K)
Appendix F - Spironolactone (PDF 69K)
Appendix G - Digoxin (PDF 72K)
Flow Sheet (PDF 165K)
Patient Guide (PDF 197K)
Hematuria, persistent microscopic Microscopic Hematuria (Persistent) (2009)
Full Guideline (PDF 193K)
Hepatitis, viral testing Viral Hepatitis Testing (2012)
Full Guideline (PDF 363K)
Hemochromatosis HFE-Associated Hereditary Hemochromatosis - Investigations and Management (2013)
Full Guideline (PDF 558K)
Appendix A: HFE-Associated Hemochromatosis Laboratory Testing Algorithm (PDF 206K)
Appendix B: Therapeutic Phlebotomy Using an 18 Gauge Cannula (PDF 206K)
Holter monitoring Ambulatory ECG Monitoring - (Holter Monitor and Other Devices) (2013)
Full Guideline (PDF 243K)
Hypertension Hypertension - Detection, Diagnosis and Management (2008)
Full Guideline (PDF 799K)
Summary (PDF 174K)
Appendix A - Recommended Technique for Measuring Blood Pressure (PDF 51K)
Appendix B - Framingham Instruction Sheet (PDF 510K)
Appendix C - Home Blood Pressure Monitoring Worksheet (PDF 55K)
Appendix D - Hypertension Care Flow Sheet (PDF 196K)
Appendix E - Dietary Approaches to Stopping Hypertension (DASH) (PDF 60K)
Appendix F - Antihypertensive Drugs (PDF 85K)
Appendix G - Examples of Secondary Causes of Hypertension (PDF 101K)
Flow Sheet (PDF 196K)
Patient Guide (PDF 133K)

- I -

Iron deficiency Iron Deficiency - Investigation and Management (2010)
Full Guideline (PDF 859K)
Summary (PDF 262K)
Appendix A - Dietary Aspects of Iron (PDF 366K)
Appendix B - Iron Preparations (PDF 322K)
Iron overload HFE-Associated Hereditary Hemochromatosis - Investigations and Management (2013)
Full Guideline (PDF 558K)
Appendix A: HFE-Associated Hemochromatosis Laboratory Testing Algorithm (PDF 206K)
Appendix B: Therapeutic Phlebotomy Using an 18 Gauge Cannula (PDF 206K)

- K -

Kidney disease Chronic Kidney Disease - Identification, Evaluation and Management of Patients (2008)
Full Guideline (PDF 573K)
Summary (PDF 192K)
Table 1: Stages of CKD (PDF 68K)
Table 2: Evaluating Patients with Abnormal Screening Tests (PDF 71K)
Table 3: Care Objectives and Targets (PDF 83K)
Figure 1: Flow Diagram for Evaluating and Managing Patients with Suspected CKD (PDF 53K)
Appendix A: Physician Resources (PDF 170K)
Appendix B: Calculating eGFR: Conversion Table (PDF 71K)
Appendix C: Chronic Kidney Disease Flow Sheet (PDF 156K)
Appendix D: Chronic Kidney Disease - A Guide for Patients (PDF 170K)

- L -

Liver Chemistry Abnormal Liver Chemistry - Evaluation and Interpretation (2011)
Full Guideline (PDF 1.4M)

- M -

Major Depressive Disorder Major Depressive Disorder in Adults: Diagnosis & Management (2013)
Full Guideline (PDF 850K)
Appendix A: Medications that Mimic Mood Disorders (PDF 100K)
Appendix B: First-Line Psychotherapies for Treatment of Depression (PDF 99K)
Appendix C: First-Line Antidepressants (PDF 138K)
Appendix D: Switching Antidepressants (PDF 117K)
Appendix E: Discontinuation Syndrome of Antidepressant Medications (PDF 97K)
Patient Health Questionnaire-9 (PHQ-9) (PDF 41K)
Example of a Safety Plan (PDF 16K)
Resource Guide: Information Sources for Physicians (PDF 145K)
Resource Guide: Information Sources for Patients (PDF 140K)
Mammography This guideline has been withdrawn and replaced by the new guidelines
Breast Disease and Cancer, Diagnosis (2013)
Breast Cancer - Management and Treatment (2013)
Microscopic hematuria, persistent Hematuria - Microscopic Hematuria (Persistent) (2009)
Full Guideline (PDF 193K)

- O -

Oral rehydration therapy Oral Rehydration Therapy (ORT) in Children (2010)
Full Guideline (PDF 750K)
Appendix A: Flow Chart of Emergency Management of Dehydration (PDF 600K)
Pediatric Dehydration: Sample Physician Orders CTAS Level 2 or 3 (PDF 90K)
Parent Education and Resources (PDF 230K)
Osteoarthritis Osteoarthritis in Peripheral Joints - Diagnosis and Treatment (2009)
Full Guideline (PDF 2.4M)
Summary (PDF 199K)
Osteoarthritis (OA) Medications Table (PDF 221K)
Appendix A - History (PDF 88K)
Appendix B - Physical Examination (PDF 80K)
Appendix C - Alternate Diagnosis and Overall Assessment (PDF 71K)
Appendix D - Investigations (PDF 61K)
Appendix E - Follow-up Patient Assessment Form (PDF 83K)
Patient Guide for People Living with Osteoarthritis (PDF 221K)
A Guide for People with Hip Osteoarthritis (PDF 428K)
A Guide for People with Knee Osteoarthritis (PDF 315K)
A Guide for People with Hand Osteoarthritis (PDF 422K)
Choosing a Complementary Therapy (PDF 223K)
Calculation of Body Mass Index (PDF 75K)
Osteoporosis Osteoporosis: Diagnosis, Treatment and Fracture Prevention (2012)
Full Guideline (PDF 938K)
Summary (PDF 368K)
Appendix A - Examples of Medications that May Contribute to Bone Loss (PDF 211K)
Appendix B - Testing for Suspected Secondary Causes of OP in Selected Patients (PDF 211K)
Appendix C - Using the FRAX® Calculator to Assess Absolute Fracture Risk (PDF 362K)
Appendix D - Pharmacologial Therapy for Osteoporosis (PDF 227K)
Patient Guide (PDF 295K)
Otitis Media Otitis Media - Acute Otitis Media & Otitis Media with Effusion (2010)
Full Guideline (PDF 345K)
Appendix A - Medication Table for Acute Otitis Media (AOM) (PDF 88K)
Otitis Media in Children - A Guide for Parents (PDF 170K)
Ova and Parasite Testing of Stool Samples This guideline has been withdrawn and replaced by the new guideline "Infectious Diarrhea - Guideline for Ordering Stool Specimens"
Overweight and Obese Adults Overweight and Obese Adults - Diagnosis and Management (2011)
Full Guideline (PDF 1.1M)
Appendix A - Prescription Medication Table for the Treatment of Obesity in Adults (PDF 185K)
Appendix B - Body Mass Index Chart (Adults) (PDF 266K)
Ovarian Cancer Genital Tract Cancers in Females: Ovarian, Fallopian Tube, and Primary Peritoneal Cancers (2014)
Full Guideline (PDF 288K)
Hereditary Cancer Program Referral Form (PDF 261K)

- P -

Palliative Care Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 1: Approach to Care (2010)
Full Guideline (PDF 1.1M)
Appendix A: Palliative Performance Scale (PDF 235K)
Appendix B: Possible Investigations and Interventions (PDF 210K)
Appendix C: Edmonton Symptom Assessment System (ESAS) (PDF 368K)
Appendix D: Indications for Referral to a Specialist (PDF 222K)
Appendix E: Cancer Management Flow Sheet (PDF 137K)
Appendix F: Contents of typical home drug kit & medications that may be given by SC route (PDF 215K)

Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 2: Pain and Symptom Management (2011)
Full Guideline (PDF 2.6M)
Pain - PDF version (PDF 604K)
Dyspnea - PDF version (PDF 477K)
Nausea and Vomiting - PDF version (PDF 672K)
Constipation - PDF version (PDF 360K)
Delirium - PDF version (PDF 364K)
Fatigue and Weakness - PDF version (PDF 564K)
Depression - PDF version (PDF 587K)
Resources - PDF version (PDF 587K)
Information About Provincial Drug Coverage - PDF version (PDF 587K)

Palliative Care for the Patient with Incurable Cancer or Advanced Disease - Part 3: Grief and Bereavement (2011)
Full Guideline (PDF 1.3M)
Appendix A - Screening Tools for Measuring Distress (PDF 1.3M)
Appendix B - Cultural Diversity and Individual Preferences (PDF 143K)
Appendix C - Children and Death (PDF 156K)
Appendix D - Normal Manifestations of Grief (Patient Handout) (PDF 160K)
Appendix E - Bereavement Risk Assessment Tool (PDF 59K)
Appendix F - Bereavement Algorithm (PDF 143K)
Appendix G - Guide to Bereavement Assessment and Support (PDF 160K)
Appendix H - Caregiver Questionnaire (PDF 148K)
Appendix I - Distinguishing Grief and Depression (PDF 151K)
Appendix J - Grief and Bereavement Guideline Resource Links (Patient Handout) (PDF 144K)
Appendix K - Be Gentle with Yourself (Patient Handout) (PDF 149K)
Pulmonary disease, chronic obstructive Chronic Obstructive Pulmonary Disease (COPD) (2011)
Full Guideline (PDF 788K)
Summary (PDF 224K)
Appendix A - Patient Care Flow Sheet (PDF 106K)
Appendix B - Prescription Medication Table for Chronic Obstructive Pulmonary Disease (COPD) (PDF 230K)
Appendix C - Medical Indications for Home Oxygen for Stable COPD Patients (PDF 161K)
Appendix D - COPD Flare-up Action Plan (PDF 166K)
Appendix E - Antibiotic Treatment Recommendations for Acute Exacerbations of COPD (AECOPD) (PDF 179K)
COPD - A Guide for Patients (PDF 112K)
Problem Drinking Problem Drinking (2013)
Full Guideline (PDF 1.1M)
Problem Drinking Part 1 - Screening and Assessment (PDF 573K)
Alcohol Screening Note (PDF 154K)
Problem Drinking Part 2 - Brief Intervention (PDF 377K)
Problem Drinking Part 3 - Office Based Management of Alcohol Withdrawal and Prescribing Medications for Alcohol Dependence (PDF 370K)

- R -

Rheumatoid arthritis Rheumatoid Arthritis- Diagnosis and Management (2012)
Full Guideline (PDF 294K)
Summary (PDF 482K)
Patient Guide (PDF 266K)

- S -

Sleep disorders Sleep Complaints in Adults - Primary Care Management (2004)
Full Guideline (PDF 217K)
Patient Guide (PDF 28K)
Stool specimens Infectious Diarrhea - Guideline for Ordering Stool Specimens (2009)
Full Guideline (PDF 230K)
Summary (PDF 229K)
Algorithm for the Investigation of Infectious Diarrhea (PDF 143K)
Stool Testing The "Investigation of Suspected Infectious Diarrhea" and the "Ova and Parasite Testing of Stool Samples" guidelines have been withdrawn and replaced by the new guideline: "Infectious Diarrhea - Guideline for Ordering Stool Specimens"
Stroke and Transient Ischemic Attack Stroke and Transient Ischemic Attack - Management and Prevention (2012)
Full Guideline (PDF 954K)
Summary (PDF 205K)
Appendix A: Stroke Risk Assessment in Atrial fibrillation: CHADS2 Score (PDF 158K)
Appendix B: Cincinnati Stroke Scale (PDF 254K)
Appendix C: Stroke Medication Table (PDF 231K)
Appendix D: TIA/Stroke Discharge Summary to Family Physicians (PDF 157K)
Appendix E: TIA Patient Discharge Instruction (PDF 100K)
Appendix F: A Guide for Patients (PDF 152K)

- T -

T3, T4, TSH Thyroid Function Tests in the Diagnosis and Monitoring of Adults (2010)
Full Guideline (PDF 310K)
Testosterone, testing Testosterone Testing – Protocol (2011)
Full Guideline (PDF 419K)
Thyroid disease, testing Thyroid Function Tests in the Diagnosis and Monitoring of Adults (2010)
Full Guideline (PDF 310K)
TIA, Transient Ischemic Attack Stroke and Transient Ischemic Attack - Management and Prevention (2012)
Full Guideline (PDF 954K)
Summary (PDF 205K)
Appendix A: Stroke Risk Assessment in Atrial fibrillation: CHADS2 Score (PDF 158K)
Appendix B: Cincinnati Stroke Scale (PDF 254K)
Appendix C: Stroke Medication Table (PDF 231K)
Appendix D: TIA/Stroke Discharge Summary to Family Physicians (PDF 157K)
Appendix E: TIA Patient Discharge Instruction (PDF 100K)
Appendix F: A Guide for Patients (PDF 152K)

- U -

Urinary tract infection, investigation Macroscopic and Microscopic Urinalysis and the Investigation of Urinary Tract Infections (2009)
Full Guideline (PDF 179K)

- V -

Viral testing, hepatitis Viral Hepatitis Testing (2012)
Full Guideline (PDF 363K)
Vitamin D testing protocol Vitamin D Testing Protocol (2013)
Full Protocol (PDF 211K)
Summary (PDF 239K)
Patient Guide (PDF 235K)

- W -

Warfarin Warfarin Therapy Management (2010)
Full Guideline (PDF 1.0M)
Summary (PDF 239K)
Appendix A: Important Interactions with Warfarin (PDF 239K)
Patient Guide 1: Warfarin: A Guide for Patients (PDF 276K)
Patient Guide 2: Warfarin and Food: Guide for Patients (PDF 223K)
Warfarin Record Sheet (PDF 223K)

Warfarin Therapy - Management During Invasive Procedures and Surgery (2010)
Full Guideline (PDF 522K)
Summary (PDF 84K)
Appendix A: Management of Warfarin Therapy During Invasive Procedures and Surgery (PDF 53K)
Patient Guide (PDF 220K)

- X -

X-ray of ankle, following injury Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot (2014)
Full Guideline (PDF 162K)

Disclaimer The Clinical Practice Guidelines (the "Guidelines") have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission. The Guidelines are intended to give an understanding of a clinical problem and outline one or more preferred approaches to the investigation and management of the problem. The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problems.  We cannot respond to patients or patient advocates requesting advice on issues related to medical conditions. If you need medical advice, please contact a health care professional.