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Allergy, drug see drug allergy. Allergy, food see food allergy in children and young people. Allergy, severe reaction see anaphylaxis. Ovarian Krampfadern lateral sclerosis see motor neurone disease.
Anaemia management in people with chronic kidney disease. Ankylosing spondylitis see Spondyloarthritis. Anorexia see eating disorders. Antenatal and postnatal mental ovarian Krampfadern. Antenatal care for uncomplicated pregnancies. Antibiotics for early-onset neonatal infection see early-onset neonatal infection. Antibiotics in respiratory tract infections. Antisocial behaviour and conduct disorders in children and young people. Antisocial personality disorder see personality disorders.
Anxiety see generalised anxiety disorder. Atopic eczema see eczema. Attachment difficulties in children and young people. Ovarian Krampfadern deficit hyperactivity disorder.
Axial spondyloarthritis see Spondyloarthritis. Bacterial meningitis and meningococcal septicaemia. Bed sores see pressure ulcers. Bedwetting in children ovarian Krampfadern young people. Benign prostatic hyperplasia see lower urinary tract symptoms in men. Blackouts see transient loss of consciousness. Blood and bone http://gruenderportal-mv.de/erdhuegel-behandlung-von-krampfadern.php cancers.
Blood and immune system conditions. Blood pressure, high see hypertension. Body dysmorphic disorder see obsessive-compulsive disorder. Borderline personality disorder see personality disorders. Bowel cancer see colorectal cancer. Bowel cancer prevention see colonoscopic surveillance. Bowel incontinence see faecal incontinence. Breast cancer, early and locally advanced. Breast milk, donor banks.
Bulimia see eating disorders. Cancer of unknown primary ovarian Krampfadern see metastatic malignant disease of unknown primary origin. Care homes, managing medicines.
Care homes, oral ovarian Krampfadern. Cerebral palsy see spasticity in children and young people. Cerebral palsy in under 25s. Challenging behaviour and learning disabilities. Child maltreatment, when to suspect. Childbirth see fertility, pregnancy and childbirth. Cholelithiasis, cholecystitis and choledocholithiasis see gallstone disease. Chronic fatigue syndrome myalgic encephalomyelitis. Chronic kidney disease, anaemia management.
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Coexisting severe mental illness and substance misuse: community ovarian Krampfadern and social care services. Cold homes, reducing preventable excess winter deaths see excess winter pharmakologische Prävention von Krampfadern and illnesses associated with cold homes.
Colorectal cancer prevention see colonoscopic surveillance. Common mental health disorders in primary care. Community-acquired pneumonia see pneumonia.
Concussion and coma see head injury. Conduct disorders and antisocial behaviour in ovarian Krampfadern and young people. Contraception reversiblelong acting. Contraceptive services for under 25s. Controlled drugs: safe ovarian Krampfadern and management. Criminal justice system, health of people in. Deep vein thrombosis see venous thromboembolism. Dementia, disability and frailty in later life: mid-life approaches to delay or prevent onset.
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Donor ovarian Krampfadern milk banks. Drug misuse management in over 16s. Dual diagnosis see coexisting severe mental illness and substance misuse: ovarian Krampfadern and management in healthcare settings.
Dual diagnosis see coexisting severe mental illness and substance misuse: community health and social care services. Dyspepsia and gastro-oesophageal reflux disease. Ear, nose and throat conditions. Early and locally advanced breast cancer. Ectopic pregnancy and miscarriage. End of life care for infants, children and young people see end of life care for people with life-limiting conditions.
End of life care for people ovarian Krampfadern life-limiting conditions. Endocarditis prophylaxis see prophylaxis against infective endocarditis. Endocrine, nutritional and metabolic conditions. Enteral nutrition see nutrition support in adults. Excess winter deaths and illnesses visit web page with cold homes.
Exercise see physical activity. Falls in older people. Fatty liver disease, non-alcoholic. Fertility, pregnancy and childbirth. Fever in under 5s. Feverish illness in children. Fibroids, uterine see heavy menstrual bleeding. Food allergy in under 19s. Foot care for people with diabetes. Fractured neck of femur see hip fracture. Fragility fractures see osteoporosis. Gastroenteritis Schwangerschafts-Krampfadern Krampfadern in der Anfangsphase Mamis ovarian Krampfadern see diarrhoea and vomiting in children.
Gastrointestinal bleeding, acute upper. Gastro-oesophageal reflux disease and dyspepsia. Glue ear see surgical management of otitis media with effusion ovarian Krampfadern children.
Gynaecological conditions see urogenital conditions. Haematemesis see acute upper gastrointestinal bleeding. Haematological cancers see blood ovarian Krampfadern bone marrow cancers. Harmful sexual behaviour among children and young people.
Head and neck cancer. Health of people in the criminal justice system. Health services, adult user experience. Healthcare-associated infections, prevention and ovarian Krampfadern. Heart attack, secondary prevention. Heartburn see dyspepsia and gastro-oesophageal reflux disease.
Hepatitis B and C testing. High blood pressure see hypertension. HIV testing and prevention. Ovarian Krampfadern care for ovarian Krampfadern people.
Hospital-acquired pneumonia see pneumonia. Hypercholesterolaemia, familial see familial hypercholesterolaemia. Hypercholesterolaemia, non-familial see cardiovascular disease prevention. Hyperglycaemia in acute coronary syndromes. Hyperkinetic disorder see attention deficit hyperactivity disorder.
Hyperphosphataemia in chronic kidney disease. Immune system and blood conditions. Immunisations for under 19s. Incontinence, urinary in neurological disease. Independence and mental wellbeing ovarian Krampfadern older people. Inflammatory bowel disease see ulcerative colitis. Ovarian Krampfadern lung disease see idiopathic pulmonary fibrosis. Intravenous fluid therapy in hospital. Irritable bowel syndrome in adults. Kidney cancer see renal cancer.
Labour see intrapartum care. Larynx, mouth and throat cancer see upper aerodigestive tract cancer. Learning disabilities and challenging behaviour. Learning disabilities and mental health problems see mental health problems in people with learning disabilities. Leukaemia see blood and bone marrow cancers. Life-limiting conditions, end of life care see end of life care for people with life-limiting conditions.
Lifestyle weight management services for overweight or obese adults. Lifestyle weight management services for overweight or obese children and young people. Lipid modification see cardiovascular disease prevention. Liver disease, non-alcoholic fatty. Long-term sickness and incapacity for work. Looked-after babies, children and ovarian Krampfadern people. Low back pain and sciatica.
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Mental health, antenatal and postnatal. Mental health, in the criminal justice system. Mental illness severe and substance misuse, coexisting see coexisting severe mental illness and substance misuse: community health and social care click here. Mental wellbeing and independence in older people.
Mental wellbeing at work. Metabolic conditions see endocrine, nutritional and metabolic conditions. Metastatic malignant disease of unknown primary origin. Metastatic spinal cord compression. Miscarriage and ectopic pregnancy. Monitoring ill patients see acutely ill patients ovarian Krampfadern hospital. Mouth, larynx and throat cancer see upper aerodigestive tract cancer. Multiple long-term conditions see multimorbidity.
Multiple long-term conditions, older people and social care. Ovarian Krampfadern serious injuries see trauma. Myalgic encephalomyelitis, chronic fatigue syndrome. Myocardial infarction with ST-segment elevation. Myocardial infarction without ST-segment elevation see chest pain. Myocardial infarction: secondary prevention. Needle and syringe programmes. Neonatal infection see early-onset neonatal infection. Neurological disease, urinary ovarian Krampfadern. Nocturnal enuresis see bedwetting in children and young people.
Non-alcoholic fatty liver disease. Non-ST-segment elevation myocardial infarction see chest pain. Nose conditions see ear, nose ovarian Krampfadern throat conditions. Nutrition support in adults. Nutritional conditions see endocrine, nutritional and metabolic conditions. Obesity: working with local communities. Older people ovarian Krampfadern social care needs click here multiple long-term conditions see social care for older people with multiple long-term conditions.
Older people: independence and mental wellbeing. Opioids for pain relief in palliative care. Oral and dental health. Oral health for adults in care homes. Oral health improvement for local authorities and their partners.
Organ donation for transplantation. Otitis media with effusion, surgical management ovarian Krampfadern children. Overactive bladder, see urinary incontinence. Overweight or obese adults, lifestyle weight management services.
Overweight or obese children and young people, lifestyle weight management ovarian Krampfadern. Palliative care, for people with ovarian Krampfadern conditions see end of life care for people with life-limiting conditions.
Pancreatic cancer see gastrointestinal cancers. Parenteral nutrition see nutrition support in adults. Patient experience in adult NHS services. People with learning disabilities, mental health problems see Moskau für Krampfadern health problems in people with learning disabilities.
Peripheral arterial disease, lower limb. Postnatal and antenatal mental health. Pre-eclampsia see hypertension in pregnancy. Pregnancy see fertility, pregnancy and childbirth. Pregnancy and complex social factors. Pregnancy, preventing teenage see preventing sexually transmitted infections and under conceptions. Premature labour and birth see preterm labour and birth. Premature ovarian insufficiency see menopause. Preterm labour and birth. Preventing sexually transmitted infections and under conceptions.
Preventing type 2 diabetes. Prevention and control of healthcare-associated infections. Prison, health of people in. Promoting mental wellbeing at work. Prophylaxis against infective endocarditis. Psoriatic ovarian Krampfadern see Spondyloarthritis. Psychosis with coexisting substance misuse see coexisting severe mental illness and substance misuse: ovarian Krampfadern and management in healthcare settings. Pulmonary embolism see venous thromboembolism.
Reactive arthritis see Spondyloarthritis. Rehabilitation after critical illness. Renal failure, acute ovarian Krampfadern acute kidney injury. Renal failure, established see chronic kidney disease. Respiratory syncytial virus infection see bronchiolitis in children. Respiratory tract infections self-limitingantibiotic prescribing. Safe midwifery staffing for maternity settings. Safe staffing for nursing in adult inpatient wards in acute hospitals.
Sciatica and low back pain. Ovarian Krampfadern in children and young people. Self-limiting respiratory tract infections - antibiotic prescribing. Septicaemia, meningococcal and bacterial meningitis see bacterial meningitis and meningococcal septicaemia. Service user experience in adult mental health services. Severe mental illness and substance misuse, coexisting see coexisting severe mental illness and substance misuse: community health and ovarian Krampfadern care services.
Sexually transmitted ovarian Krampfadern, prevention. Sickle cell acute painful episode. Skin cancer prevention see sunlight exposure: risks and benefits. Skin damage see skin conditions. Smokeless tobacco cessation: South Asian communities. Smoking cessation ovarian Krampfadern secondary care. Smoking: tobacco harm-reduction approaches. Social and emotional wellbeing for children and young people. Social care for older people with multiple long-term conditions.
Spasticity in children and young people. Spinal cord compression, metastatic see metastatic spinal cord compression. Stable angina see chest pain. ST-elevation myocardial infarction see myocardial infarction with ST elevation. Substance misuse and severe mental illness, coexisting see coexisting severe mental illness and ovarian Krampfadern misuse: community health and social care services. Sunlight exposure: risks and benefits.
Surgical management of otitis media with effusion in children. Surgical site infection see prevention and control of healthcare-associated infections.
Suspected cancer recognition and referral. Teenage pregnancy prevention see preventing sexually transmitted infections and under conceptions. Throat conditions see ear, nose and throat conditions. Throat, larynx and mouth cancer see upper aerodigestive tract cancer. Tissue viability see ovarian Krampfadern ulcers. Tobacco cessation smokeless : South Asian communities.
Tobacco harm reduction approaches. Transfusion see blood transfusion. Transient ischaemic attack see stroke. Transient loss of consciousness. Transition between community or care home and inpatient http://gruenderportal-mv.de/verschwoerung-trophischen-geschwueren.php health settings.
Transition between inpatient hospital settings and community or care home settings for adults with social care needs. Type 1 diabetes in adults. Type 2 diabetes in adults. Unintentional injuries among unders. Unstable angina see chest pain. Upper aerodigestive tract cancer. Upper gastrointestinal bleeding, acute.
Urinary incontinence in neurological disease. Urinary incontinence in women. Urinary tract infection in under 16s. Ovarian Krampfadern tract symptoms in men, lower. Urological conditions see urogenital ovarian Krampfadern. Vaccinations see immunisation for children and young people. Varicose veins in the legs. Vitamin D: increasing supplement use among at-risk groups. Vomiting and diarrhoea in children. Weight management services lifestyle for overweight or obese adults.
Weight management services lifestyle for overweight or obese children and young people. When to suspect child maltreatment. Winter deaths and illnesses associated with cold homes see excess winter deaths and illnesses ovarian Krampfadern with cold homes. Workplace health: policy and management ovarian Krampfadern. Young offender institutions, health of people in.
Added: 29 March Added: 01 March Added: 27 February Added: 21 February Pathway for this topic. Varicose veins in the legs ovarian Krampfadern. Varicose veins in the legs — everything NICE says in an interactive flowchart.
Your responsibility when using NICE advice. This interactive flowchart covers the diagnosis and management of varicose veins in the legs in adults aged 18 years and over. Varicose veins are dilated, often palpable, subcutaneous veins with reverse blood flow.
They are most commonly found in the legs. Estimates of the prevalence of varicose veins vary. Visible varicose veins in the lower limbs are estimated to affect at least a third of the ovarian Krampfadern. Risk factors for developing varicose veins are unclear, although prevalence rises with age and they often develop during pregnancy. In some people varicose veins are asymptomatic or cause only mild symptoms, but in others they cause pain, aching or itching and can have a significant effect on their quality of life.
Varicose veins may become more severe over time and can lead to complications such ovarian Krampfadern changes in skin pigmentation, bleeding or venous ulceration. There is Lungenembolie akute definitive system for identifying which people ovarian Krampfadern benefit the most from interventional treatment and no established framework within the NHS for the diagnosis and management of varicose veins.
This has resulted in wide regional variations in the management of varicose veins in the UK. This guidance was developed with the aim of giving healthcare professionals guidance on the diagnosis and management of varicose veins in the legs, in order to improve patient care and minimise disparities in care across the UK.
Updates to this interactive ovarian Krampfadern 24 May The following were added to assessment and treatment : 23 June Cyanoacrylate glue occlusion for varicose veins Ovarian Krampfadern interventional procedures guidance added to assessment and treatment.
Your responsibility Guidelines The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the ovarian Krampfadern available.
Ovarian Krampfadern exercising their judgement, professionals are expected to ovarian Krampfadern these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users.
They should do so in ovarian Krampfadern context of ovarian Krampfadern and national priorities for funding and ovarian Krampfadern services, and in light of their duties ovarian Krampfadern have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.
The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients.
They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account.
People have the right to be involved in discussions and make informed decisions about their care, as described in your care. Making decisions using NICE guidelines explains how we use words to show the strength or certainty of our recommendations, and has information about prescribing medicines including off label useprofessional guidelines, standards and laws including on consent and mental capacityand safeguarding.
Everything NICE has said on diagnosing and managing varicose veins in the legs in an interactive flowchart. NICE guidance and other sources used to create this interactive flowchart. Varicose veins: diagnosis and management NICE guideline CG Endovenous mechanochemical ablation for varicose veins NICE interventional procedures guidance Cyanoacrylate glue occlusion for varicose veins Ovarian Krampfadern interventional procedures guidance Ultrasound-guided foam sclerotherapy for varicose veins NICE interventional ovarian Krampfadern guidance Lower limb deep vein valve reconstruction for chronic deep venous incompetence NICE interventional procedures guidance Subfascial endoscopic perforator vein surgery Ovarian Krampfadern interventional procedures guidance 59 Endovenous laser treatment of the long saphenous vein NICE interventional procedures guidance 52 Transilluminated powered phlebectomy for varicose veins NICE interventional procedures guidance 37 Radiofrequency ablation of varicose veins NICE interventional procedures ovarian Krampfadern 8 Varicose veins in the legs NICE quality standard 67 The Juxta CURES adjustable compression system for treating venous leg ulcers NICE medtech innovation briefing 25 Varicose veins in the legs These quality statements are taken from the varicose veins in the legs quality standard.
The quality standard defines clinical best practice for varicose veins in the legs care and should be read in full. The quality standard defines clinical best practice in varicose veins in the legs care and should be read in full. People with varicose veins that are causing symptoms or complications ovarian Krampfadern ulceration are referred to a vascular service. If left untreated, varicose veins will continue to cause symptoms that affect quality of life, and may progress to bleeding, skin damage and ulceration.
Evidence of local arrangements and written referral criteria to ensure that people with varicose veins that are causing symptoms or complications including ulceration are referred to a ovarian Krampfadern service.
Proportion of people with varicose veins that are causing symptoms or complications including ulceration who are referred to a vascular service. Denominator — the number of people who present with varicose veins that are causing symptoms or complications including ulceration.
Service providers such as GPs and vascular services ensure that local referral pathways into vascular services are consistent with the evidence-based referral criteria in NICE clinical guidelinewhich include varicose veins that are causing symptoms or complications including ulceration. Healthcare professionals such as GPs follow local ovarian Krampfadern pathways into vascular services to ensure that people with varicose veins that are causing symptoms or complications including ulceration are referred to a vascular service.
Commissioners CCGs and NHS England monitor activity across local referral pathways to ensure that the evidence-based referral criteria in NICE clinical guideline are being followed. People with varicose veins that are causing symptoms for example pain, aching, discomfort, swelling, heaviness and itching or problems such as bleeding, eczema or leg ulcers are referred to a specialist vascular service ovarian Krampfadern team of healthcare professionals who have training and experience in diagnosing and treating varicose veins.
Symptoms of varicose veins include troublesome lower limb symptoms typically pain, aching, discomfort, swelling, heaviness and itching. The symptoms may be associated with primary or recurrent varicose veins. People with varicose veins who are seen by a vascular service are assessed with duplex ultrasound.
Duplex ultrasound is a non-invasive scan used to image the blood vessels of the body. It provides detailed information that helps to confirm the diagnosis and pattern of venous disease ovarian Krampfadern determine the most appropriate treatment option. The handheld doppler is still used in some services, but it is outdated and does not provide the detailed, accurate information produced by duplex ultrasound.
Evidence of local arrangements to ensure that people with varicose veins seen by a vascular service are assessed with duplex ultrasound. Proportion of ovarian Krampfadern with varicose veins seen by a vascular service who are assessed with duplex ultrasound. Ovarian Krampfadern source: Local data collection.
NICE clinical guideline clinical audit toolstandard 1. Service providers secondary care ensure that vascular services have adequate numbers of duplex ultrasound machines and that staff have undergone appropriate training, so that all people with varicose veins referred to a vascular service are assessed with duplex ultrasound. Healthcare professionals working in a vascular service ensure that people with varicose ovarian Krampfadern are assessed with click ultrasound.
Commissioners CCGs ensure that they commission vascular services that have sufficient capacity, equipment and skilled staff to assess varicose veins using duplex ultrasound. People with varicose veins who have been referred to a vascular service have a duplex ultrasound scan a scan that uses high-frequency sound waves to produce a picture of the veins. Ovarian Krampfadern scan shows the blood flow and helps the vascular service team locate any damaged valves that might be causing the varicose und Druck Krampfadern. A vascular service is a team of healthcare professionals who have the skills to undertake a full clinical and duplex ultrasound assessment and provide a full range of treatment.
It can also be used to image blood flow in arteries. People with confirmed varicose veins and truncal reflux are offered ovarian Krampfadern suitable treatment in this order: endothermal ablation, ultrasound-guided foam sclerotherapy, surgery, compression hosiery. Historically surgery and compression therapy were the only treatments available to people with ovarian Krampfadern veins, but in recent years other treatments including endothermal ablation and ultrasound-guided foam sclerotherapy have been developed.
These newer therapies are less invasive than surgery, promote faster recovery and ovarian Krampfadern shorter hospital stays. Evidence of local arrangements that the full range see more treatments for varicose veins is commissioned in accordance with NICE clinical guideline Denominator — Number of people with confirmed varicose veins and truncal reflux suitable for endothermal ablation.
NICE clinical guideline ovarian Krampfadern audit toolstandard 2. Denominator — Number of people with confirmed varicose ovarian Krampfadern and truncal reflux unsuitable for endothermal ablation, but suitable for ultrasound-guided foam sclerotherapy. NICE clinical guideline clinical audit toolstandard 3.
Denominator — Number of people with confirmed varicose veins and truncal reflux unsuitable for endothermal ablation and ultrasound-guided foam sclerotherapy, but suitable for surgery. NICE clinical guideline clinical audit toolstandard 4. Denominator — Number of people with confirmed varicose veins and truncal reflux unsuitable for endothermal ablation, ultrasound-guided foam sclerotherapy and surgery.
NICE clinical guideline clinical audit toolstandard 6. Service providers secondary care ensure that the local treatment pathway is consistent with the evidence-based treatment order in NICE clinical ovarian Krampfadern Healthcare professionals ensure that they follow the local treatment pathway to offer people a treatment that is consistent with the evidence-based treatment order ovarian Krampfadern NICE clinical guideline Commissioners CCGs ensure that the full range of treatments for varicose veins is commissioned in accordance with NICE ovarian Krampfadern guideline People with varicose veins caused Rezepte für Krampfadern problems with the blood flow in the leg are offered treatment with: They should only be offered compression hosiery stockings designed to improve blood flow by squeezing the legs as a permanent treatment if ovarian Krampfadern of the other treatments are suitable for them.
NICE clinical guideline recommends that endothermal ablation, ultrasound-guided foam sclerotherapy or surgery may be offered in that order, according to suitability. It recommends compression hosiery only if those 3 interventions are unsuitable for the person. Truncal reflux is the failure of competence of valves in 1 or more of the 3 truncal veins — the great saphenous vein, the small saphenous vein and the anterior accessory saphenous vein.
Radiofrequency ablation uses radio wave electromagnetic energy to ovarian Krampfadern venous ablation and closure by raising the temperature of the inner lumen of the vein. Laser ablation uses laser energy to cause venous ablation sind Varizen und Honig ganz closure by raising the temperature of the inner lumen of the vein.
NICE has produced resources to help implement its guidance on: Varicose veins in the legs Endovenous mechanochemical ablation for varicose veins Cyanoacrylate glue occlusion for varicose veins Treating varicose veins with foam injections using ultrasound guidance Lower limb deep vein valve reconstruction for chronic deep venous incompetence Subfascial endoscopic perforator vein surgery Endovenous laser treatment of the long saphenous vein Transilluminated powered phlebectomy for varicose veins Radiofrequency see more of varicose veins Varicose veins in the legs NICE quality standard NICE produces information for the public that summarises, in plain English, the recommendations that NICE makes to healthcare and other professionals.
NICE has written information for the public explaining its guidance on ovarian Krampfadern of the following topics. Varicose veins in the legs Endovenous mechanochemical ablation for varicose veins Cyanoacrylate glue occlusion for varicose veins Treating varicose veins with foam injections using ultrasound guidance Lower limb deep vein valve reconstruction for chronic deep venous incompetence Subfascial endoscopic perforator vein surgery Endovenous laser treatment of the long saphenous vein Transilluminated powered phlebectomy for varicose veins Radiofrequency ablation of varicose veins Varicose ovarian Krampfadern in the legs Your responsibility Guidelines The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available.
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