Intérêt d'un logiciel d'évaluation gérontologique standardisée dans la pratique quotidienne du médecin généraliste

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ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (49 download)

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Book Synopsis Intérêt d'un logiciel d'évaluation gérontologique standardisée dans la pratique quotidienne du médecin généraliste by : David Bouaziz

Download or read book Intérêt d'un logiciel d'évaluation gérontologique standardisée dans la pratique quotidienne du médecin généraliste written by David Bouaziz and published by . This book was released on 2003 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: On assiste, depuis quelques années, à un vieillissement démographique de la population française. Or, pour faire face à ce véritable papy-boom, l'organisation de stratégies préventives s'impose. De nombreuses innovations dans la prise en charge des personnes âgées sont en cours. Le problème majeur qui se pose est la prise en compte de ce que l'on appelle la fragilité. La fragilité est un état instable au cours duquel un facteur mineur, comme une pathologie bénigne ou un stress exogène, peut engendrer un état morbide incapacitant. Parmi les stratégies préventives visant à démasquer précocement les différents facteurs de la fragilité, l'utilisation d'un logiciel d'évaluation gérontologique standardisée est probablement la solution la plus appropriée pour un médecin généraliste. En plus d'une aide au diagnostic positif, différentiel, étiologique, ce logiciel est un véritable outil multidementionnel permettant une évaluation globale de la personne âgée en un minimum de temps à partir d'échelles reconnues sur le plan international. Les propositions peuvent être élaborées plus facilement, un suivi peut être plus rapidement mis en place avec des réévaluations successives aisément comparables. Son caractèe ludique et sa facilité d'utilisation font qu'il est utilisable par tous et pour tous : le langage EGS devient commun, facilitant les actes de coordination et de suivi. En bref, nous sommes convaincus que l'EGS devient un des outils de base de la pratique gérontologique moderne. Eu égard à ces conclusions, est-ce que ce type d'outil logiciel ne devrait pas être "sponsorisé" par la sécurité sociale ? De la même façon que le médecin généraliste a dû, légalement, s'informatiser et a bénéficié de facilités, ne devrait-on pas inciter à l'acquisition de ce type de logiciel par le biais du fonds d'aide à la qualité des soins de ville (loi de décembre 1998) ?

Interprofessional Capability Framework

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Publisher :
ISBN 13 : 9780646551241
Total Pages : 16 pages
Book Rating : 4.5/5 (512 download)

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Book Synopsis Interprofessional Capability Framework by : HIpE

Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Alternative Food Networks

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Publisher : Routledge
ISBN 13 : 113664122X
Total Pages : 352 pages
Book Rating : 4.1/5 (366 download)

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Book Synopsis Alternative Food Networks by : David Goodman

Download or read book Alternative Food Networks written by David Goodman and published by Routledge. This book was released on 2012-02-20 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Farmers’ markets, veggie boxes, local foods, organic products and Fair Trade goods – how have these once novel, "alternative" foods, and the people and networks supporting them, become increasingly familiar features of everyday consumption? Are the visions of "alternative worlds" built on ethics of sustainability, social justice, animal welfare and the aesthetic values of local food cultures and traditional crafts still credible now that these foods crowd supermarket shelves and other "mainstream" shopping outlets? This timely book provides a critical review of the growth of alternative food networks and their struggle to defend their ethical and aesthetic values against the standardizing pressures of the corporate mainstream with its "placeless and nameless" global supply networks. It explores how these alternative movements are "making a difference" and their possible role as fears of global climate change and food insecurity intensify. It assesses the different experiences of these networks in three major arenas of food activism and politics: Britain and Western Europe, the United States, and the global Fair Trade economy. This comparative perspective runs throughout the book to fully explore the progressive erosion of the interface between alternative and mainstream food provisioning. As the era of "cheap food" draws to a close, analysis of the limitations of market-based social change and the future of alternative food economies and localist food politics place this book at the cutting-edge of the field. The book is thoroughly informed by contemporary social theory and interdisciplinary social scientific scholarship, formulates an integrative social practice framework to understand alternative food production-consumption, and offers a unique geographical reach in its case studies.

Environmental Justice

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Publisher : Routledge
ISBN 13 : 0429639163
Total Pages : 413 pages
Book Rating : 4.4/5 (296 download)

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Book Synopsis Environmental Justice by : Brendan Coolsaet

Download or read book Environmental Justice written by Brendan Coolsaet and published by Routledge. This book was released on 2020-06-15 with total page 413 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental Justice: Key Issues is the first textbook to offer a comprehensive and accessible overview of environmental justice, one of the most dynamic fields in environmental politics scholarship. The rapidly growing body of research in this area has brought about a proliferation of approaches; as such, the breadth and depth of the field can sometimes be a barrier for aspiring environmental justice students and scholars. This book therefore is unique for its accessible style and innovative approach to exploring environmental justice. Written by leading international experts from a variety of professional, geographic, ethnic, and disciplinary backgrounds, its chapters combine authoritative commentary with real-life cases. Organised into four parts—approaches, issues, actors and future directions—the chapters help the reader to understand the foundations of the field, including the principal concepts, debates, and historical milestones. This volume also features sections with learning outcomes, follow-up questions, references for further reading and vivid photographs to make it a useful teaching and learning tool. Environmental Justice: Key Issues is the ideal toolkit for junior researchers, graduate students, upper-level undergraduates, and anyone in need of a comprehensive introductory textbook on environmental justice.

Uncivil City

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Publisher : Sage Publications Pvt. Limited
ISBN 13 : 9789353289430
Total Pages : 300 pages
Book Rating : 4.2/5 (894 download)

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Book Synopsis Uncivil City by : Amita Baviskar

Download or read book Uncivil City written by Amita Baviskar and published by Sage Publications Pvt. Limited. This book was released on 2020-04-10 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book looks at two decades of environmental politics in Delhi and argues that 'bourgeois environmentalists' who claim to speak for nature and society have perversely worsened the quality of life for most citizens.

First Garden of the Republic

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Publisher :
ISBN 13 : 9788123021294
Total Pages : 0 pages
Book Rating : 4.0/5 (212 download)

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Book Synopsis First Garden of the Republic by : Amita Baviskar

Download or read book First Garden of the Republic written by Amita Baviskar and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Housing and Politics in Urban India

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Publisher : Cambridge University Press
ISBN 13 : 1108633811
Total Pages : 249 pages
Book Rating : 4.1/5 (86 download)

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Book Synopsis Housing and Politics in Urban India by : Swetha Rao Dhananka

Download or read book Housing and Politics in Urban India written by Swetha Rao Dhananka and published by Cambridge University Press. This book was released on 2020-12-03 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing adequate housing in an increasingly urbanised world is a major challenge of current times. This book puts together a compelling story based on fine-grained analysis of housing processes, as lived by slum-dwellers and their voice-bearers. It situates the lived experience of claiming adequate housing within informal transactions and negotiations of patronage networks vis-à-vis the formal institutional opportunities and closures of Indian democracy. In doing so, this research extends an innovative array of conceptual and methodological tools to grasp the context in which housing claims succeed and fail. This book contributes by responding to critical areas of social movement scholarship and by displaying community engagements and tactical strategies to bring about transformative change to claim adequate housing and resist co-opting forces for socially sustainable housing futures.

Progress

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Publisher : John Wiley & Sons
ISBN 13 : 074569103X
Total Pages : 111 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Progress by : Peter Wagner

Download or read book Progress written by Peter Wagner and published by John Wiley & Sons. This book was released on 2016-01-08 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: The idea of progress guided human expectations and actions for over two centuries. From the Enlightenment onwards, it was widely believed that the condition of humankind could be radically improved. History had embarked on an unstoppable forward trajectory, realizing the promise of freedom and reason. The scientific revolution, the industrial revolution, and the French Revolution, in some views also the socialist revolution, were milestones on this march of progress. But since the late twentieth century the idea of progress has largely disappeared from public debate. Sometimes it has been explicitly declared dead. The wide horizon of future possibilities has closed. The best we can hope for, some say, is to avoid regress. What happened to progress? Why did we stop believing in it, if indeed we did? This book offers answers to these questions. It reviews both the conceptual history of progress and the social and political experiences with progress over the past two centuries, and it comes to a surprising conclusion: The idea of progress was misconceived from its beginnings, and the failure of progress in practice was a result of this flawed conception. The experiences of the past half century, in turn, has allowed us to rethink progress in a more adequate way. Rather than the end of progress, they may herald the beginning of a new, reconstructed idea of progress.

Power and Care

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Publisher : MIT Press
ISBN 13 : 0262351676
Total Pages : 221 pages
Book Rating : 4.2/5 (623 download)

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Book Synopsis Power and Care by : Tania Singer

Download or read book Power and Care written by Tania Singer and published by MIT Press. This book was released on 2019-05-07 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading thinkers from a range of disciplines discuss the compatibility of power and care, in conversation with the Dalai Lama. For more than thirty years, the Dalai Lama has been in dialogue with thinkers from a range of disciplines, helping to support pathways for knowledge to increase human wellbeing and compassion. These conversations, which began as private meetings, are now part of the Mind & Life Institute and Mind & Life Europe. This book documents a recent Mind & Life Institute dialogue with the Dalai Lama and others on two fundamental forces: power and care—power over and care for others in human societies. The notion of power is essentially neutral; power can be used to benefit others or to harm them, to build or to destroy. Care, on the other hand, is not a neutral force; it aims at increasing the wellbeing of others. Power and care are not incompatible: power, imbued with care, can achieve more than a powerless motivation to care; power, without the intention to benefit others, can be ruthless. The contributors—who include such celebrated figures as Frans B. M. de Waal, Olafur Eliasson, Sarah Blaffer Hrdy, and Jody Williams—discuss topics including the interaction of power and care among our closest relatives, the chimpanzees; the effect of meditation and mental training practices on the brain; the role of religion in promoting peace and compassion; and the new field of Caring Economics. Contributors Paul Collier, Brother Thierry-Marie Courau, Frans B. M. de Waal, Olafur Eliasson, Scilla Elworthy, Alexandra M. Freund, Tenzin Gyatso (His Holiness the Dalai Lama), Markus Heinrichs, Sarah Blaffer Hrdy, Frédéric Laloux, Alaa Murabit, Matthieu Ricard, Johan Rockström, Richard Schwartz, Tania Singer, Dennis J. Snower, Rabbi Awraham Soetendorp, Theo Sowa, Pauline Tangiora, Jody Williams

Evaluation gériatrique standardisée au cabinet de médecine générale

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Publisher :
ISBN 13 :
Total Pages : 96 pages
Book Rating : 4.:/5 (877 download)

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Book Synopsis Evaluation gériatrique standardisée au cabinet de médecine générale by : Céline Le Bihan

Download or read book Evaluation gériatrique standardisée au cabinet de médecine générale written by Céline Le Bihan and published by . This book was released on 2014 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les patients âgés représentent une part importante de l'activité des généralistes. La prise en charge de ces patients est complexe pour de multiples raisons. La méthode d'évaluation gériatrique standardisée (EGS), utilisée par les gériatres, a prouvé ses bénéfices en termes de morbimortalité mais est peu adaptée à l'exercice de médecine, générale. Nous avons construit une grille d'évaluation rapide de quatre grands syndromes gériatriques (démence, chutes, dénutrition, fragilité), la grille Gérontoquick. L'objectif de ce travail était d'en évaluer à la fois l'intérêt en consultation à travers la mesure de son temps de passation et le nombre de pathologies méconnues du praticien mises à jour, mais aussi son acceptabilité auprès de généralistes installés. La population cible des patients était la patientèle de 7 praticiens installés dans l'Ain. Le dépistage par le Gérontoquick était proposé aux patients de plus de 75 ans, quel que soit le contexte de consultation (cabinet, domicile, maison de retraite), à l'occasion d'une visite systématique, en dehors de toute pathologie aigüe. La période d'inclusion s'étendait du 6/12/2012 au 4/09/2013. La mesure du temps de passation ne prenait en compte que le temps nécessaire à la réalisation de la grille à l'exclusion des autres temps de la consultation. Nous avons retenu comme pathologie méconnue, une pathologie découverte lors de la consultation et absente du dossier médical du médecin traitant. Pour l'évaluation de l'acceptabilité, la population cible était l'ensemble des généralistes installés dans l'Ain. 250 praticiens ont été tirés et sort et ont reçu un courrier comprenant le Gérontoquick ainsi d'un questionnaire d'évaluation. La période d'inclusion s'étendait du 1er avril 2013 au 15 juin 2013. 40 patients ont été évalués avec le Gérontoquick. L'âge moyen était de 83.3 ans. Le temps moyen de passation était de 13 minutes. Pour 67.5% des patients, le Gérontoquick a permis de mettre à jour au moins une pathologie méconnue. Pour 42.5% des patients il y a eu un changement de prise en charge immédiatetnent au décours. 81 questionnaires ont été reçus, soit un taux de participation de 36.8%. 91% des participants estimaient que le mise en évidence de pathologies par le Gérontoquick pouvait déboucher sur un changement de prise en charge. 85.4% des participants auraient aimé tester le Gérontoquick. Le principal obstacle potentiel relevé était le manque de temps. L'utilisation en consultation d'un outil systématique de dépistage permet de mettre à jour des pathologies méconnues, peut entraîner une modification de prise en charge et laisse surtout place à des plaintes auxquelles la forme parfois routinière des consultations laisse peu de place. Sa forme aves des tests fonctionnels et des mesures clinico biologiques, peut permettre de s'affranchir de la subjectivité inhérente à la relation médecin patient. Nous avons montré le potentiel d'utilisation d'une démarche préventive en gériatrie dans la pratique de médecine générale. Mais bien sûr, il ne s'agit pas là d'un travail permettant une validation scientifique de l'outil. Il s'agit d'une ouverture sur d'autres travaux et projets sur ce vaste sujet