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Book Description
L'objectif de cette étude était de déterminer si, au cours d'une hospitalisation non programmée en court séjour gériatrique, il y avait ou non une modification quantitative et/ou qualitative des prescriptions existantes. Cette étude a été réalisée chez 494 patients. Pour chacun d'entre eux, nous avons rempli un tableau indiquant : les médicaments habituellement prescrits aux patients avant leur séjour hospitaliers ; Les médicaments sortis à leur sortie et donc les motifs de modification s'il y en avait. Les médicaments étaient répertoriés en fonction de leur classe thérapeutique. Notre étude a révélé une faible variation quantitative des prescriptions : 5,8 médicaments par patient à l'admission, contre 5,7 à la sortie. En revanche, sur le plan qualitatif, 68 % des médicaments antalgiques ont été modifiés, 42% en Hépato-gastro-entérologie, 40 % en neuro-psychiatrie, 34 % des médicaments du système métabolisme- nutrition-endocrinologie et 32 % des médicaments du système cardio-vasculaire. Parmi les motifs de modification les plus fréquents, on retrouvait les motifs " Nouvelle Pathologie Diagnostiquée " (32 %), " Absence Actuelle d'Indication " (26,6%) ; et " Optimisation Thérapeutique "(17.1%). Les motifs liés à la iatrogénie constatée ou potentielle étaient moindres : Respectivement 6,3% et 3,5%. Ils étaient principalement en rapport avec les médicaments à visée cardio-vasculaires et neuro-psychiatriques. Ils occupaient respectivement 69 et 29 % de la iatrogénie constatée. Les conclusions de notre étude corroborent les travaux antérieurs concernant la surconsommation médicamenteuse chez les sujets âgés. Si les causes de cette sur-consommation sont multiples, les conséquences le sont autant et peuvent parfois être très graves. Aussi, les prescripteurs ne doivent pas hésiter à" dé-prescrire " ou à modifier les prescriptions de prise en charge thérapeutique.
Book Description
L'objectif de cette étude était de déterminer si, au cours d'une hospitalisation non programmée en court séjour gériatrique, il y avait ou non une modification quantitative et/ou qualitative des prescriptions existantes. Cette étude a été réalisée chez 494 patients. Pour chacun d'entre eux, nous avons rempli un tableau indiquant : les médicaments habituellement prescrits aux patients avant leur séjour hospitaliers ; Les médicaments sortis à leur sortie et donc les motifs de modification s'il y en avait. Les médicaments étaient répertoriés en fonction de leur classe thérapeutique. Notre étude a révélé une faible variation quantitative des prescriptions : 5,8 médicaments par patient à l'admission, contre 5,7 à la sortie. En revanche, sur le plan qualitatif, 68 % des médicaments antalgiques ont été modifiés, 42% en Hépato-gastro-entérologie, 40 % en neuro-psychiatrie, 34 % des médicaments du système métabolisme- nutrition-endocrinologie et 32 % des médicaments du système cardio-vasculaire. Parmi les motifs de modification les plus fréquents, on retrouvait les motifs " Nouvelle Pathologie Diagnostiquée " (32 %), " Absence Actuelle d'Indication " (26,6%) ; et " Optimisation Thérapeutique "(17.1%). Les motifs liés à la iatrogénie constatée ou potentielle étaient moindres : Respectivement 6,3% et 3,5%. Ils étaient principalement en rapport avec les médicaments à visée cardio-vasculaires et neuro-psychiatriques. Ils occupaient respectivement 69 et 29 % de la iatrogénie constatée. Les conclusions de notre étude corroborent les travaux antérieurs concernant la surconsommation médicamenteuse chez les sujets âgés. Si les causes de cette sur-consommation sont multiples, les conséquences le sont autant et peuvent parfois être très graves. Aussi, les prescripteurs ne doivent pas hésiter à" dé-prescrire " ou à modifier les prescriptions de prise en charge thérapeutique.
Author: Stéphanie Rohlfing-Dijoux Publisher: Nomos Verlagsgesellschaft ISBN: 9783848754922 Category : Advance directives (Medical care) Languages : en Pages : 0
Book Description
Présentation de l'éditeur : "The interactions between law and culture in addressing the legal problems at the end of a life are currently being discussed in many countries. The discourse on this issue should be multidisciplinary, taking into account its legal, medical, ethical, philosophical and anthropological aspects. The concepts designed to manage the legal problems that occur when a life comes to an end are closely linked to the culture of each country. For this reason, countries with different cultural backgrounds have been selected for this comparative end-of-life study. In France, Germany and Italy, which have a continental legal system, the United Kingdom, which has a common law system, and India, the various religions and cultures exert an important influence on the modernisation of the legislation in this respect. The book deals with recent legislative changes and developments in the countries surveyed."
Author: Paolo Falaschi Publisher: Springer Nature ISBN: 3030481263 Category : Anesthesiology Languages : en Pages : 355
Book Description
This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
Author: Mahmoud Ghannoum Publisher: John Wiley & Sons ISBN: 1683673336 Category : Science Languages : en Pages : 608
Book Description
An examination of the research and translational application to prevent and treat biofilm-associated diseases In the decade since the first edition of Microbial Biofilms was published, the interest in this field has expanded, spurring breakthrough research that has advanced the treatment of biofilm-associated diseases. This second edition takes the reader on an exciting, extensive review of bacterial and fungal biofilms, ranging from basic molecular interactions to innovative therapies, with particular emphasis on the division of labor in biofilms, new approaches to combat the threat of microbial biofilms, and how biofilms evade the host defense. Chapters written by established investigators cover recent findings, and contributions from investigators new to the field provide unique and fresh insights. Specifically, Microbial Biofilms provides state-of-the-art research in the field of bacterial and fungal biofilms detailed descriptions of the in vitro and in vivo models available to evaluate microbial biofilms future areas of research and their translational and clinical applications Microbial Biofilms is a useful reference for researchers and clinicians. It will also provide insight in the dynamic field of microbial biofilms for graduate and postgraduate students.
Author: Ebbing Lautenbach Publisher: Cambridge University Press ISBN: 1107153166 Category : Medical Languages : en Pages : 455
Book Description
A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.
Author: Christian Pozzi Publisher: Springer Nature ISBN: 3030357317 Category : Medical Languages : en Pages : 169
Book Description
This book focuses on evidence-based occupational therapy in the care of older adults in different clinical settings, from home to acute hospital, from intensive care unit to rehabilitation centers and nursing homes. Occupational therapy has progressively developed as a new discipline aiming to improve the daily life of individuals of different ages, from children to older adults. The book first reviews the interaction between occupational therapy and geriatrics and then discusses in depth how occupational therapy interventions are applied in the community, in the acute hospital and in the nursing home. It highlights the key role of occupational therapy in the management of frail patients, including critically ill older patients and persons with dementia, and describes in detail how to maintain occupational therapy interventions across different settings to avoid the fragmentation of care. The ageing population requires new innovative approaches to improve the quality of life, and as such this book provides clinicians with handy, key information on how to implement occupational therapy in the daily clinical care of older adults based on the current scientific evidence.
Author: Alain Berthoz Publisher: Odile Jacob ISBN: 2738147453 Category : Science Languages : en Pages : 194
Book Description
“Simplexity, as I understand it, is the range of solutions living organisms have found, despite the complexity of natural processes, to enable the brain to prepare an action and plan for the consequences of it. These solutions are simplifying principles that enable the processing of information or situations, by taking into account past experience and anticipating the future. They are neither caricatures, shortcuts, or summaries. They are new ways of asking questions, sometimes at the cost of occasional detours, in order to achieve faster, more elegant, more effective actions.” A. B. As Alain Berthoz demonstrates in this profoundly original book, simplicity is never easy; it requires suppressing, selecting, connecting, thinking, in order to then act in the best way possible. And what if we, in turn, are inspired by the living world to process the complexity that surrounds us? Alain Berthoz is professor at the Collège de France where he is co-director of the Laboratoire de physiologie de la perception et de l’action. [Laboratory for the physiology of perception and action]. He is a member of the French Academy of Sciences, and is the author of Le Sens du mouvement [The Brain's Sense of Movement] and La Décision [Emotion and Reason].
Author: David I. Kertzer Publisher: Univ of California Press ISBN: 9780520084667 Category : Social Science Languages : en Pages : 428
Book Description
Thanks to improved food, medicine, and living conditions, the average age of the population is increasing throughout the modern industrialized world. Yet, despite the recent upsurge of scholarly interest in the lives of older people and the blossoming of historical demography, little historical demographic attention has been paid to the lives of the elderly. A landmark volume, Aging in the Past marks the emergence of the historical demographic study of aging. Following a masterly explication of the new field by Peter Laslett, leading scholars in family history and historical demography offer new research results and fresh analyses that greatly increase our understanding of aging, historically and across cultures. Focusing primarily on post-Industrial Europe and the United States, they explore a range of issues under the broad topics of living arrangements, widowhood, and retirement and mortality. This important work provides a much-needed historical perspective on and suggests possible alternative solutions to the problems of the aged. Thanks to improved food, medicine, and living conditions, the average age of the population is increasing throughout the modern industrialized world. Yet, despite the recent upsurge of scholarly interest in the lives of older people and the blossoming of historical demography, little historical demographic attention has been paid to the lives of the elderly. A landmark volume, Aging in the Past marks the emergence of the historical demographic study of aging. Following a masterly explication of the new field by Peter Laslett, leading scholars in family history and historical demography offer new research results and fresh analyses that greatly increase our understanding of aging, historically and across cultures. Focusing primarily on post-Industrial Europe and the United States, they explore a range of issues under the broad topics of living arrangements, widowhood, and retirement and mortality. This important work provides a much-needed historical perspective on and suggests possible alternative solutions to the problems of the aged.
Author: Bérengère Lefebvre
Author: Bérengère Lefebvre
Author: Stéphanie Rohlfing-Dijoux
Author: Paolo Falaschi
Author: Mahmoud Ghannoum
Author: Ebbing Lautenbach
Author: Christian Pozzi
Author: Alain Berthoz
Author: David I. Kertzer
Author: American Society of Health System Pharmacists
Author: Keith W. Kaye