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Ministry of Health - By BC Physicians, for BC Physicians

Chronic Diseases

Guidelines (in HTML) Printable Documents (PDF)
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)
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)
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) (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)
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)
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)
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)
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)
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)
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)
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)
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)
Rheumatoid Arthritis- Diagnosis and Management (2012) Full Guideline (PDF 294K)
Summary (PDF 482K)
Patient Guide (PDF 266K)
Appendix A - Non-Biologic Disease-Modifying Anti-Rheumatic Drugs (PDF 266K)

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.