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Parcours de soins des patients dans un contexte d'urgence palliative à domicile à Nice

Parcours de soins des patients dans un contexte d'urgence palliative à domicile à Nice PDF Author: Noémie Jarrige
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Introduction : but de l’étude : évaluer s’il est possible d’améliorer le parcours de soins des patients dans un contexte d’urgence palliative à domicile à Nice. Matériel et méthode : il s’agit d'un travail comprenant deux parties. Une étude quantitative, descriptive, transversale, unicentrique, rétrospective pour réaliser un état des lieux de la prise en charge des patients dans un contexte d’urgence palliative à domicile à Nice. Suivie d’un travail quantitatif, descriptif sous forme d’analyse par questionnaire pour faire évaluer par des professionnels de santé la pertinence des propositions d’amélioration de la prise en charge des patients dans un contexte d’urgence palliative à domicile retrouvées dans la littérature. Résultats : nos résultats sont similaires à ceux d’autres études et les patients en situations d’urgence palliative à domicile ont un profil commun. Les patients pour lesquels un appel au service d’urgence est sollicité sont des patients âgés, atteints de maladies chroniques, particulièrement carcinologiques. La pathologie aiguë entrainant l’appel est majoritairement une décompensation respiratoire. La personne appelante est la famille ou un proche dans la majorité des cas et un établissement d'hébergement pour personnes âgées dépendantes (EHPAD) dans un quart des cas. Le questionnement de professionnels de la région aura mis en avant trois leviers d’amélioration : mettre en place un numéro direct accessible 24h/24h aux professionnels pour avis téléphonique rapide par un médecin de soins palliatifs ; développer l'utilisation des prescriptions anticipées personnalisées à domicile ; faciliter la coordination logistique en urgence pour la mise en place des thérapeutiques palliatives à domicile ou en EHPAD, qui n’auraient pas été anticipées. Conclusion : de ce constat et suite à un travail réflexif autour du parcours de soins des patients dans un contexte palliatif à domicile. Il semble intéressant de réunir les acteurs de soins concernés pour discuter des projets en cours sur le territoire et au niveau national. Ensemble avec une approche pluridisciplinaire, on pourrait définir une organisation commune permettant d’améliorer le parcours de soins des patients dans un contexte palliatif à domicile à Nice.

Parcours de soins des patients dans un contexte d'urgence palliative à domicile à Nice

Parcours de soins des patients dans un contexte d'urgence palliative à domicile à Nice PDF Author: Noémie Jarrige
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Introduction : but de l’étude : évaluer s’il est possible d’améliorer le parcours de soins des patients dans un contexte d’urgence palliative à domicile à Nice. Matériel et méthode : il s’agit d'un travail comprenant deux parties. Une étude quantitative, descriptive, transversale, unicentrique, rétrospective pour réaliser un état des lieux de la prise en charge des patients dans un contexte d’urgence palliative à domicile à Nice. Suivie d’un travail quantitatif, descriptif sous forme d’analyse par questionnaire pour faire évaluer par des professionnels de santé la pertinence des propositions d’amélioration de la prise en charge des patients dans un contexte d’urgence palliative à domicile retrouvées dans la littérature. Résultats : nos résultats sont similaires à ceux d’autres études et les patients en situations d’urgence palliative à domicile ont un profil commun. Les patients pour lesquels un appel au service d’urgence est sollicité sont des patients âgés, atteints de maladies chroniques, particulièrement carcinologiques. La pathologie aiguë entrainant l’appel est majoritairement une décompensation respiratoire. La personne appelante est la famille ou un proche dans la majorité des cas et un établissement d'hébergement pour personnes âgées dépendantes (EHPAD) dans un quart des cas. Le questionnement de professionnels de la région aura mis en avant trois leviers d’amélioration : mettre en place un numéro direct accessible 24h/24h aux professionnels pour avis téléphonique rapide par un médecin de soins palliatifs ; développer l'utilisation des prescriptions anticipées personnalisées à domicile ; faciliter la coordination logistique en urgence pour la mise en place des thérapeutiques palliatives à domicile ou en EHPAD, qui n’auraient pas été anticipées. Conclusion : de ce constat et suite à un travail réflexif autour du parcours de soins des patients dans un contexte palliatif à domicile. Il semble intéressant de réunir les acteurs de soins concernés pour discuter des projets en cours sur le territoire et au niveau national. Ensemble avec une approche pluridisciplinaire, on pourrait définir une organisation commune permettant d’améliorer le parcours de soins des patients dans un contexte palliatif à domicile à Nice.

Comprehensive Geriatric Assessment

Comprehensive Geriatric Assessment PDF Author: Alberto Pilotto
Publisher: Springer
ISBN: 3319625039
Category : Medical
Languages : en
Pages : 182

Book Description
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.

"Save My Kid"

Author: Amanda M. Gengler
Publisher: NYU Press
ISBN: 1479834327
Category : Social Science
Languages : en
Pages : 255

Book Description
A frank analysis of the medical and emotional inequalities that pervade the healthcare process for critically ill children Families who have a child with a life-threatening illness face a daunting road ahead of them, one that not only upends their everyday lives, but also strikes at the very heart of parenthood. In “Save My Kid,” Amanda M. Gengler traces the emotional difficulties these families navigate as they confront a fundamentally unequal healthcare system in the United States. Gengler reveals the unrecognized, everyday inequalities tangled up in the process of seeking medical care, showing how different families manage their children’s critical illnesses. She also uncovers the role that emotional goals—deeply rooted in the culture of illness and medicine—play in medical decision-making, healthcare interactions, and the end of children’s lives. A deeply compassionate read, “Save My Kid” is an inside look at inequality in healthcare among those with the most at stake.

The Longevity Economy

The Longevity Economy PDF Author: Joseph F. Coughlin
Publisher: PublicAffairs
ISBN: 1610396650
Category : Business & Economics
Languages : en
Pages : 330

Book Description
Oldness: a social construct at odds with reality that constrains how we live after middle age and stifles business thinking on how to best serve a group of consumers, workers, and innovators that is growing larger and wealthier with every passing day. Over the past two decades, Joseph F. Coughlin has been busting myths about aging with groundbreaking multidisciplinary research into what older people actually want -- not what conventional wisdom suggests they need. In The Longevity Economy, Coughlin provides the framing and insight business leaders need to serve the growing older market: a vast, diverse group of consumers representing every possible level of health and wealth, worth about $8 trillion in the United States alone and climbing. Coughlin provides deep insight into a population that consistently defies expectations: people who, through their continued personal and professional ambition, desire for experience, and quest for self-actualization, are building a striking, unheralded vision of longer life that very few in business fully understand. His focus on women -- they outnumber men, control household spending and finances, and are leading the charge toward tomorrow's creative new narrative of later life -- is especially illuminating. Coughlin pinpoints the gap between myth and reality and then shows businesses how to bridge it. As the demographics of global aging transform and accelerate, it is now critical to build a new understanding of the shifting physiological, cognitive, social, family, and psychological realities of the longevity economy.

Comprehensive Cervical Cancer Control

Comprehensive Cervical Cancer Control PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284

Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Twice Dead

Twice Dead PDF Author: Margaret M. Lock
Publisher: Univ of California Press
ISBN: 9780520228146
Category : Social Science
Languages : en
Pages : 452

Book Description
Medical knowledge and technology have been sufficiently advanced for surgeons to perform thousands of transplants each year. This text traces the discourse since 1970 that contributed to the locating of a new criterion of death in the brain.

Culture Change in Long-term Care

Culture Change in Long-term Care PDF Author: Judah L. Ronch
Publisher: Routledge
ISBN: 0789021102
Category : Medical
Languages : en
Pages : 468

Book Description
This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.

Evolution of Awareness

Evolution of Awareness PDF Author: Kia Marlene
Publisher:
ISBN:
Category : Poetry
Languages : en
Pages : 444

Book Description
Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.

Coping with Life Crises

Coping with Life Crises PDF Author: Rudolf Moos
Publisher: Springer
ISBN: 1468470213
Category : Psychology
Languages : en
Pages : 419

Book Description
This book examines new developments in the area of human competence and coping behavior. It sets forth a conceptual framework that considers the interplay between environmental contexts and personal resources and their impact on how indi viduals cope with life transitions and crises. The selections cover the tasks confronted in varied life crises and describe the coping strategies employed in managing them. The material identifies the long-term effects of such life events as divorce and bereave ment as well as the way in which these stressors can promote personal growth and maturity. The book contains a broad selec tion of recent literature on coping and adaptation, integrative commentaries that provide the background for each of the areas as well as conceptual linkages among them, and an introductory overview that presents a general perspective on human compe tence and coping. Illustrative case examples are included. The first part of the book is organized chronologically ac cording to developmental life transitions confronted by many people-from the childhood years through adolescence, career choice and parenthood, divorce and remarriage, middle age and retirement, and death and bereavement. The second part covers unusual life crises and other hazards that typically involve ex treme stress such as man-made and natural disasters and terrorism. The book highlights effective coping behavior among healthy individuals rather than psychological breakdown and psychiatric symptoms. The emphasis is on successful adaptation, the ability to cope with life transitions and crises, and the process by which such ix x PREFACf. ".

Empathy

Empathy PDF Author: Jean Decety
Publisher: MIT Press
ISBN: 0262016613
Category : Psychology
Languages : en
Pages : 335

Book Description
Recent work on empathy theory, research, and applications, by scholars from disciplines ranging from neuroscience to psychoanalysis. There are many reasons for scholars to investigate empathy. Empathy plays a crucial role in human social interaction at all stages of life; it is thought to help motivate positive social behavior, inhibit aggression, and provide the affective and motivational bases for moral development; it is a necessary component of psychotherapy and patient-physician interactions. This volume covers a wide range of topics in empathy theory, research, and applications, helping to integrate perspectives as varied as anthropology and neuroscience. The contributors discuss the evolution of empathy within the mammalian brain and the development of empathy in infants and children; the relationships among empathy, social behavior, compassion, and altruism; the neural underpinnings of empathy; cognitive versus emotional empathy in clinical practice; and the cost of empathy. Taken together, the contributions significantly broaden the interdisciplinary scope of empathy studies, reporting on current knowledge of the evolutionary, social, developmental, cognitive, and neurobiological aspects of empathy and linking this capacity to human communication, including in clinical practice and medical education.