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Evaluation De La Connaissance Et De Lutilisation Des Echelles De Douleur Au Service Daccueil Des Urgences Chirurgicales Adultes De Clermont Ferrand
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Book Synopsis Evaluation de la connaissance et de l'utilisation des échelles de douleur au service d'accueil des urgences chirurgicales adultes de Clermont-Ferrand by : Fabienne Vaysse
Download or read book Evaluation de la connaissance et de l'utilisation des échelles de douleur au service d'accueil des urgences chirurgicales adultes de Clermont-Ferrand written by Fabienne Vaysse and published by . This book was released on 2003 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Enquête de pratique sur l'évaluation et la prise en charge de la douleur aigüe nociceptive chez l'adulte non communicant (coma exclus) en service d'accueil des urgences publiques dans le Languedoc-Roussillon by : Emilie Sanche
Download or read book Enquête de pratique sur l'évaluation et la prise en charge de la douleur aigüe nociceptive chez l'adulte non communicant (coma exclus) en service d'accueil des urgences publiques dans le Languedoc-Roussillon written by Emilie Sanche and published by . This book was released on 2013 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'évaluation et la prise en charge de la douleur aigüe nociceptive de l'adulte non communicant semble difficile et insuffisanle. L'objectif était de montrer l'état actuel des pratiques des urgentistes à ce sujet chez les adultes non communicants dans les urgences publiques du Languedoc-Roussillon. Matériels el Méthodes : Une étudde d'enquête de pratique. descriptive, a été conduite de novembre 2012 a février 2013. Un questionnaire anonymisé a été envoyé dans chaque service pour distribution aux médecins urgentistes thésés exerçant dans les Services d'Accueil des Urgences publiques du Languedoc-Roussillon. Les questions portaient sur l'évaluation, la prise en charge et sur la formation reçue sur la douleur aigüe de l'adulte non communicant. Les données ont été traitées par une méthode adaptée aux sondages (intervalle de confiance de 90%). Résultats: 111 questionnaires ont été reçus et analysés sur un total de 225 (taux de participation de 49%). 84% des urgentistes évaluaient la douleur mais seuls 49% utilisaient une échelle d'hétéro-évaluation. 30% des médecins utilisaient la morphine en premier ou deuxième lieu et 21 % avaient des limites à l' ulilisation de la morphine. Ces limites avaient tendance à être plus importantes en CHU (37,04% [21,26-52,82]) qu'en CHG ( 13.10% [4.15·22.04]). Conclusion : La douleur aigüe nociceptive de l'adulte non communicant aux urgences est sous évaluée du fait d'une probable sous-utilisation des échelles d'hétéro-évaluation. La morphine est peu utilisée en première ou deuxième intention, avec des freins retrouvés principalement au CHU. Ces résultats soulignent les progrès à entreprendre dans ce domaine.
Book Synopsis Evaluation de la prise en charge de la douleur chez l'adulte dans un service d'accueil des urgences by : Oscar Banini
Download or read book Evaluation de la prise en charge de la douleur chez l'adulte dans un service d'accueil des urgences written by Oscar Banini and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis COMPARAISON DE TROIS ECHELLES D'EVALUATION DE LA DOULEUR DANS UN SERVICE D'URGENCE by : LAURENT.. POUCHARD
Download or read book COMPARAISON DE TROIS ECHELLES D'EVALUATION DE LA DOULEUR DANS UN SERVICE D'URGENCE written by LAURENT.. POUCHARD and published by . This book was released on 1995 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Evaluation de la douleur dans un service d'urgence chez l'adulte by : Gae͏̈lle Mus-Pitelet
Download or read book Evaluation de la douleur dans un service d'urgence chez l'adulte written by Gae͏̈lle Mus-Pitelet and published by . This book was released on 2004 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Prise en charge précoce de la douleur au sein des urgences du CHU de Reims dès l'IOA by : Marina Thiefin
Download or read book Prise en charge précoce de la douleur au sein des urgences du CHU de Reims dès l'IOA written by Marina Thiefin and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction La douleur aiguë étant la principale plainte lors des consultations au Service d'Accueil des Urgences, elle représente un enjeu de santé publique concernant sa prise en charge précoce. Cette étude a pour but d'évaluer la mise en place d'un protocole permettant une administration précoce d'antalgique(s) dès l'IOA aux urgences de CHU de Reims. Méthode C'est une étude observationnelle, rétrospective et monocentrique conduite au service d'accueil des urgences de Reims. Il s'agit d'une évaluation des pratiques dont les critères de jugements sont : proportion de patient bénéficiant d'une antalgie précoce, délai de mise en place d'un antalgique, proportion de réévaluation de la douleur, temps de passage aux urgences. Résultats Au total, 863 patients ont été inclus (496 en 2020, 367 en 2021) sans différence significative sur les caractéristiques initiales entre les 2 années. Sur la population de patients de 2021, une augmentation significative de l'antalgie dès l'IOA (30.79% vs 8.47%) a été observée. Sur les deux périodes, on observait une antalgie précoce d'autant plus importante pour les patients présentant une douleur modérée (26.40%) à sévère (43.10%), ceux orientés vers le circuit court (38.52%) et par conséquent les patients qui présentaient une douleur d'origine traumatique (30.89%) et/ou musculosquelettique (31.67%). Concernant la réévaluation de la douleur celle-ci restait faible en 2021 (23.98%). On observait une réévaluation plus importante pour les douleurs modérées à sévères (49.66%). Au moment de la réévaluation de la douleur, l'intensité était alors très fréquemment légère (76,1%). Le délai moyen avant mise en place d'une antalgie est significativement diminué en 2021 (0.57h vs 1,45h, p=0.003) : notamment pour les patients ayant reçu une antalgie dès l'IOA (0.20h), ceux orientés vers le circuit court avec une douleur d'origine traumatique (0.32h) et/ou musculosquelettique (0.33h) et ceux présentant une douleur modérée (0.52h) à sévère (0.46h). Cependant le délai restait significativement plus long pour les douleurs abdominales (1.08h). Le temps de passage aux urgences est significativement moins long pour les patients recevant une antalgie dès l'IOA (4.21h vs 2.65h, p=0.002 en 2021). Conclusion Le traitement adapté et précoce de la douleur est un enjeu de santé publique afin de lutter contre l'oligoanalgésie ; mais est également utile afin d'augmenter l'efficience de la prise en charge aux urgences (notamment en diminuant le temps de passage). L'utilisation d'un protocole de service est un moyen d'améliorer cette prise en charge.
Book Synopsis Aging in the Past by : David I. Kertzer
Download or read book Aging in the Past written by David I. Kertzer and published by Univ of California Press. This book was released on 2024-07-26 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. Contributors: George Alter, Rudolf Andorka, Allen C. Goodman, Myron P. Gutmann, Michael R. Haines, E. A. Hammel, Tamara K. Hareven, Nancy Karweit, David I. Kertzer, Peter Laslett, Andrejs Plakans, Roger L. Ransom, Daniel Scott Smith, Richard Sutch, Peter Uhlenberg, Richard Wall, Charles Wetherell This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1995.
Book Synopsis Old Age in the Old Regime by : David Troyansky
Download or read book Old Age in the Old Regime written by David Troyansky and published by Cornell University Press. This book was released on 2019-05-15 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores a dramatic change in French attitudes toward aging and the aged in the eighteenth century from one extreme of ridicule and neglect to another of respect and care.
Book Synopsis Solidarity Without the State? by : Matthieu Leimgruber
Download or read book Solidarity Without the State? written by Matthieu Leimgruber and published by . This book was released on 2014-05-14 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Great Britain. Department of Health Publisher :The Stationery Office ISBN 13 :9780101626828 Total Pages :94 pages Book Rating :4.6/5 (268 download)
Book Synopsis The NHS Improvement Plan by : Great Britain. Department of Health
Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.
Book Synopsis A History of Childhood by : Colin Heywood
Download or read book A History of Childhood written by Colin Heywood and published by John Wiley & Sons. This book was released on 2017-12-08 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colin Heywood's classic account of childhood from the early Middle Ages to the First World War combines a long-run historical perspective with a broad geographical spread. This new, comprehensively updated edition incorporates the findings of the most recent research, and in particular revises and expands the sections on theoretical developments in the 'new social studies of childhood', on medieval conceptions of the child, on parenting and on children’s literature. Rather than merely narrating their experiences from the perspectives of adults, Heywood incorporates children’s testimonies, 'looking up' as well as 'down'. Paying careful attention to elements of continuity as well as change, he tells a story of astonishing material improvement for the lives of children in advanced societies, while showing how the business of preparing for adulthood became more and more complicated and fraught with emotional difficulties. Rich with evocative details of everyday life, and providing the most concise and readable synthesis of the literature available, Heywood's book will be indispensable to all those interested in the study of childhood.
Download or read book Cinema and History written by Marc Ferro and published by Wayne State University Press. This book was released on 1988 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ferro discusses how film reveals the conscious values of its creators, the dominant ideology of the society in which the film was created, and also unconscious or subverted meanings and values.
Book Synopsis History of Old Age by : Georges Minois
Download or read book History of Old Age written by Georges Minois and published by University of Chicago Press. This book was released on 1989-11-28 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: History of Old Age is the first major study of the ways in which old age has been perceived in western culture throughout history. Georges Minois paints a vast fresco, starting with the first old man to relate his own story—an Egyptian scribe some 4500 years ago—and ending with the deaths of Elizabeth I and Henry IV in the sixteenth century. Tracing the changing conceptions of the nature, value, and burden of the old, Minois argues that western history during this period is marked by great fluctuation in the social and political role of the aged. Minois shows how, in ancient Greece, the cult of youth and beauty on the one hand, and the reverence for the figure of the Homeric sage, on the other, created an ambivalent attitude toward the aged. This ambiguity appears again in the contrast between the active role that older citizens played in Roman politics and their depiction in satirical literature of the period. Christian literature in the Middle Ages also played a large part in defining society's perception of the old, both in the image of the revered holy sage and in the total condemnation of the aged sinner. Drawing on literary texts throughout, Minois considers the interrelation of literary, religious, medical, and political factors in determining the social fate of the elderly and their relationship to society. This book will be of great interest to social and cultural historians, as well as to general readers interested in the subject of the aged in society today.
Book Synopsis Shadowrun Seattle 2072 by : CATALYST GAME LABS
Download or read book Shadowrun Seattle 2072 written by CATALYST GAME LABS and published by Catalyst Game Labs. This book was released on 2009-11-01 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health for all Children by : David M B Hall
Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.
Book Synopsis The Long History of Old Age by : Pat Thane
Download or read book The Long History of Old Age written by Pat Thane and published by . This book was released on 2005 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is an absorbing and startlingly original illustrated study of one of the great - and most neglected - themes in all history: the ways in which society has perceived old people throughout the ages. From increased life expectancy and 'grey gap years' to dwindling pensions, the pros and cons of aging is a constant theme, yet much of the debate continues to be based on assumptions and misconceptions about the past. Is it true, for instance, that people were considered 'old' at fifty? How far have our ideas about the average life-span in previous centuries been distorted by infant mortality? Were the old respected and cared for? Did sexuality survive into old age? Here, for the first time, a group of leading historians address these and allied questions, writing vividly about a topic of great contemporary resonance that has for too long been surrounded by taboo. The visual evidence is a vital part of the story, and here the book is equally original. Drawing upon the rich legacy of art through two millennia, with works by a wide range of artists including Whistler, Rembrandt, Rego and Freud, this enthralling human story presents a picture that is sometimes compassionate, sometimes horrifying, but overall unexpectedly reassuring.
Book Synopsis The Men Who Killed Me by : Anne-Marie
Download or read book The Men Who Killed Me written by Anne-Marie and published by D & M Publishers. This book was released on 2012-03-23 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 100 days of genocide that ravaged Rwanda in 1994, one million people were killed and as many as 500,000 women and girls were raped. No one was spared. Grandmothers were raped in front of their grandchildren; young girls witnessed their families being massacred before being taken as sex slaves. Nearly all the women who survived were victims of sexual violence or were profoundly affected by it. An astounding 70 percent are HIV-positive. In Rwanda’s social and cultural climate, survivors who speak out face discrimination and isolation. The Men Who Killed Me features testimonials from 17 Rwandan survivors. Through their narratives and Samer Muscati’s powerful portraits of them, these 16 women and one man bear witness not only to the crimes they and their countrymen endured, but to the incredible courage that has allowed them to survive and flourish.
