BC Guidelines are clinical practice guidelines and protocols that provide recommendations to B.C. practitioners on delivering high quality, appropriate care to patients with specific clinical conditions or diseases. These “Made in BC” clinical practice guidelines are developed by the Guidelines and Protocol Advisory Committee (GPAC), an advisory committee to the Medical Services Commission. The primary audience for BC Guidelines is BC physicians, nurse practitioners, and medical students. However, other audiences such as health educators, health authorities, allied health organizations, pharmacists, and nurses may also find them to be a useful resource.
There are several ways to find the guidelines you are looking for.
- Browse the guidelines alphabetically or by topic area.
- You can also download the entire collection of BC Guidelines (ZIP, 43MB) for future reference.
Frailty in Older Adults Guideline Now Open for External Review
BC health care professionals and relevant stakeholders are invited to participate as external reviewers for the draft version of the revised BC Guideline Frailty in Older Adults: Early Identification and Management. This guideline addresses the early identification and management of older adults with frailty or at risk of frailty. The guideline facilitates individualized assessment for frailty and provides a framework and tools to promote patient-centred strategies to manage frailty and prevent further functional decline.
The draft guideline and external review questionnaire can be accessed on the External Review of Guidelines page.
Please return the questionnaire and any other guideline comments by July 15th, 2017.
New BC Guidelines Mobile App Now Available at BCGuidelinesApp.ca
We are pleased to announce the release of our new BC Guidelines Mobile App for Android and Apple devices.
- Available for download at BCGuidelinesApp.ca
BC Guidelines has partnered with Dr. Matthew Toom, an experienced computer programmer and UBC Family Medicine Resident, to create the new BC Guidelines Mobile App. The free and redesigned mobile app works even without Internet connectivity so busy practitioners can instantly access BC Guidelines on any Apple or Android mobile device no matter where they are working.
Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management (2017)
We are pleased to announce the release of the revised guideline Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management (2017).
New and amended key recommendations include:
- Use spirometry to confirm airflow obstruction in all patients suspected of having COPD. [Amended, 2017]
- Implement pharmacologic therapy in a stepwise approach and use the lowest step that achieves optimal control based on the patient’s severity of COPD. [New, 2017]
- Develop an exacerbation action plan with the patient for pharmacologic therapies including short-acting bronchodilators, oral corticosteroids, and antibiotics. [Amended, 2017]
- Use routine follow-ups to evaluate the patient's inhaler technique and adherence regularly. Evaluating inhaler technique is particularly important in patients who are older, frail, or cognitively impaired. [New, 2017]
Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 1-3 (2017)
In collaboration with the Family Practice Oncology Network, we are also pleased to launch the revised version of the guideline Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Parts 1-3.
- Part 1: Approach to Care (2017): Key recommendations include:
- Identify patients who would benefit from palliative care early in the illness trajectory: a palliative approach addresses the need for pain and symptom management, as well as psychosocial and spiritual support of patients and their families, beginning in disease management through to survivorship or End-of-Life care.
- Encourage patients to have an advance care planning discussion with family and/or caregivers.
- Organize care coordination around key illness transitions.
- Part 2: Pain and Symptom Management (2017): Provides algorithms and strategies for the assessment and management of cancer pain and symptoms associated with advanced disease in patients, including constipation, depression, delirium, dyspnea, fatigue and weakness, nausea and vomiting, and pain management. All medication tables have been updated.
- Part 3: Grief and Bereavement (2017): Key recommendations include:
- Everyone grieves losses, but it is important to recognize especially vulnerable groups such as the elderly, children, the socially isolated, the mentally ill, the disenfranchised, and culturally diverse groups such as new immigrants and the indigenous community.
- Distinguish grief from depression and treat grief-related major depression once you are confident it is pathological.
- In the case of Prolonged Grief Disorder (complicated grief), assess and take note of any risk factors or concerns.
New Partner Guidelines
Accidental Hypothermia and Upper Gastrointestinal Cancers
We are pleased to provide links to two new partner guidelines on our Partner Guidelines page:
|Accidental Hypothermia: Evaluation, Triage and Management - BC Accidental Hypothermia Working Group||www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/bc_hypothermia_cpg.pdf|
Upper Gastrointestinal Cancers - Family Practice Oncology Network
A Guideline for the Clinical Management of Opioid Use Disorder
The British Columbia Centre on Substance Use and the Ministry of Health have released A Guideline for the Clinical Management of Opioid Use Disorder. The guideline provides evidence-based recommendations to BC physicians and nurse practitioners for the clinical management of opioid use disorder.
- Recommending buprenorphine/naloxone as the preferred first-line option for treatment of opioid use disorder; and
- Strongly recommending against offering withdrawal management (also known as 'detox') as a stand-alone treatment, unless a plan is in place to transition individuals to continued addiction treatment following completion of withdrawal management.
Until June 5, 2017, this guideline is provided for educational purposes. For clinicians wishing to prescribe buprenorphine/naloxone and/or methadone please refer to the College of Physicians and Surgeons of BC’s Methadone and Buprenorphine: Clinical Practice Guideline for Opioid Use Disorder. After June 5, 2017, this guideline will become the guideline for the province of British Columbia.
For more information on the BC Centre on Substance Use, check out the website at: www.bccsu.ca
Updated GPAC Handbook Now Available
Want to learn more about the Guidelines and Protocols Advisory Committee and the BC Guidelines development process. Check out our recently updated GPAC Handbook (2017).
Introducing the New Online External Review Page
BC Guidelines is pleased to introduce a new External Review of Guidelines page to our website. This new page allows peer reviewers to download draft guidelines and submit questionnaire feedback directly from our website. We are also happy to provide a new online questionnaire that can be submitted through your web browser. Participating as an external reviewer has never been easier!
Earn Continuing Medical Education Credits with BC Guidelines
With the launch of the College of Family Physicians of Canada's new Mainpro+ system, there are now more opportunities to earn credit for continuing medical education / continuing professional development through using and participating in the development of BC Guidelines. For more details, see Continuing Professional Development (CPD) Credits.
Recently Published BC Guidelines
- Chronic Obstructive Pulmonary Disease (COPD): Diagnosis and Management (2017)
- Palliative Care for the Patient with Incurable Cancer or Advanced Disease:
- Special Endocrine Testing (2016)