GPAC: Guidelines and Protocols Advisory Committee

Chronic Diseases

Guidelines (in HTML)	Printable Documents (PDF)
Asthma - Diagnosis and Management	• Full Guideline (PDF 902K) • Summary (PDF 215K) • Appendix A - Asthma Inhalation Drug Dosing and Cost (PDF 207K) • Appendix B - Personal Action Plan (PDF 303K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Cardiovascular Disease - Primary Prevention	• Full Guideline (PDF 864K) • Summary (PDF 121K) • Figure 1: Coronary Heart/Cardiovascular Disease Risk Assessment (PDF 56K) • Appendix A - Part I: Smoking Cessation (PDF 63K) • Appendix A - Part II: Effective pharmacological aids to smoking cessation (PDF 57K) • Appendix A - Part III: Patient Handout "Quit Smoking: It's Time to Act" (PDF 58K) • Appendix B - Framingham Instruction Sheet (PDF 125K) • Appendix C - Framingham and UKPDS Risk Assessment Charts (PDF 509K) • Appendix D - Apolipoprotein B (PDF 159K) • Cardiovascular Disease - Primary Prevention. A Guide for Patients (PDF 77K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Chronic Kidney Disease - Identification, Evaluation and Management of Patients	• Full Guideline (PDF 542K) • Summary (PDF 164K) • Table 1: Stages of CKD (PDF 47K) • Table 2: Evaluating Patients with Abnormal Screening Tests (PDF 49K) • Table 3: Care Objectives and Targets (PDF 57K) • Figure 1: Flow Diagram for Evaluating and Managing Patients with Suspected CKD (PDF 33K) • Appendix A: Physician Resources (PDF 127K) • Appendix B: Calculating eGFR: Conversion Table (PDF 49K) • Appendix C: Chronic Kidney Disease Flow Sheet (PDF 128K) • Appendix D: Chronic Kidney Disease - A Guide for Patients (PDF 145K)
Chronic Obstructive Pulmonary Disease (COPD)	• Full Guideline (PDF 850K) • Summary (PDF 237K) • Appendix A - Patient Care Flow Sheet (PDF 166K) • Appendix B - Prescription Medication Table for Chronic Obstructive Pulmonary Disease (COPD) (PDF 225K) • Appendix C - Medical Indications for Home Oxygen for Stable COPD Patients (PDF 157K) • Appendix D - COPD Flare-up Action Plan (PDF 162K) • Appendix E - Antibiotic Treatment Recommendations for Acute Exacerbations of COPD (AECOPD) (PDF 174K) • COPD - A Guide for Patients (PDF 176K)
Cognitive Impairment in the Elderly - Recognition, Diagnosis and Management	• Full Guideline (PDF 456K) • Summary (PDF 137K) • Table 1: Clinical Features of Dementia, Depression and Delirium (PDF 69K) • Table 2: Differential Diagnosis of Dementia (PDF 64K) • Table 3: Starting dose and titration schedule of AChEIs (PDF 66K) • Appendix A - The Confusion Assessment Method (CAM) Diagnostic Algorithm (PDF 59K) • Appendix B - Geriatric Depression Scale (GDS) (PDF 71K) • Appendix C - Standardized Mini-Mental State Exam (SMMSE) (PDF 129K) • Appendix D - Clock Drawing Test (PDF 52K) • Appendix E - Montreal Cognitive Assessment (MoCA) (PDF 122K) • Appendix F - Global Deterioration Scale (PDF 72K) • Appendix G - Cognitive Impairment in the Elderly Flow Sheet (PDF 159K) • A Guide for People with Dementia and their Caregivers (PDF 158K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Diabetes Care	• Full Guideline (PDF 405K) • Summary (PDF 113K) • Flow Sheet (PDF 152K) • Patient Guide (PDF 147K) • Care Objectives (PDF 47K) • Table 1: Initial Treatment of Dyslipidemia (PDF 22K) • Table 2: Types of Insulin (PDF 28K) • Table 3: Antihyperglycemic Agents for Use in Type 2 Diabetes (PDF 55K) • Table 4: Treatment of Hypoglycemia (PDF 27K) • Algorithm 1: Diagnosis of Diabetes, IFG and IGT (PDF 37K) • Algorithm 2: Management of Hyperglycemia in Type 2 Diabetes (PDF 35K) • Body Mass Index (PDF 61K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Frailty in Older Adults – Early Identification and Management	• Full Guideline (PDF 686K) • Summary (PDF 236K) • CSHA Clinical Frailty Scale (PDF 40K) • Appendix A - Seniors Assessment Tool (PDF 116K) • Appendix B - Sample Care Plan Template (PDF 115K) • Appendix C - Medication Review (PDF 108K) • Appendix D - Advance Care Planning (PDF 186K) • No Cardiopulmonary Resuscitation Form (PDF 586K)
Heart Failure Care	• Full Guideline (PDF 411K) • Summary (PDF 124K) • Appendix A - Diuretics (PDF 37K) • Appendix B - Beta blockers (PDF 36K) • Appendix C - ACE inhibitors (PDF 27K) • Appendix D - Angiotensin receptor blockers (PDF 22K) • Appendix E - Direct acting vasodilators (PDF 25K) • Appendix F - Spironolactone (PDF 49K) • Appendix G - Digoxin (PDF 51K) • Flow Sheet (PDF 143K) • Patient Guide (PDF 174K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hepatitis B - Clinical Management of Chronic Hepatitis B	• Full Guideline (PDF 177K) • Patient Guide (PDF 78K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hepatitis C - Clinical Management of Chronic Hepatitis C	• Full Guideline (PDF 209K) • Patient Guide (PDF 71K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Hypertension - Detection, Diagnosis and Management	• Full Guideline (PDF 775K) • Summary (PDF 154K) • Appendix A - Recommended Technique for Measuring Blood Pressure (PDF 46K) • Appendix B - Framingham Instruction Sheet (PDF 505K) • Appendix C - Home Blood Pressure Monitoring Worksheet (PDF 50K) • Appendix D - Hypertension Care Flow Sheet (PDF 191K) • Appendix E - Dietary Approaches to Stopping Hypertension (DASH) (PDF 55K) • Appendix F - Antihypertensive Drugs (PDF 80K) • Appendix G - Examples of Secondary Causes of Hypertension (PDF 95K) • Flow Sheet (PDF 191K) • Patient Guide (PDF 128K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Major Depressive Disorder - Diagnosis and Management	• Full Guideline (PDF 342K) • Summary (PDF 135K) • Flow Sheet (PDF 141K) • Patient Guide (PDF 116K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines
Osteoarthritis in Peripheral Joints - Diagnosis and Treatment	• Full Guideline (PDF 2.4M) • Summary (PDF 176K) • Osteoarthritis (OA) Medications Table (PDF 217K) • Appendix A - History (PDF 84K) • Appendix B - Physical Examination (PDF 76K) • Appendix C - Alternate Diagnosis and Overall Assessment (PDF 66K) • Appendix D - Investigations (PDF 56K) • Appendix E - Follow-up Patient Assessment Form (PDF 78K) • Patient Guide for People Living with Osteoarthritis (PDF 217K) • A Guide for People with Hip Osteoarthritis (PDF 424K) • A Guide for People with Knee Osteoarthritis (PDF 311K) • A Guide for People with Hand Osteoarthritis (PDF 418K) • Choosing a Complementary Therapy (PDF 219K) • Calculation of Body Mass Index (PDF 70K)
Rheumatoid Arthritis - Diagnosis and Management	• Full Guideline (PDF 252K) • Summary (PDF 140K) • Patient Guide (PDF 153K) A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

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.

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Last Revised: June 30, 2010