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Lits Integres De Soins Palliatifs Et Soins De Suite Et Readaptation
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Book Synopsis Lits intégrés de soins palliatifs et soins de suite et réadaptation by : Marion Mascherin
Download or read book Lits intégrés de soins palliatifs et soins de suite et réadaptation written by Marion Mascherin and published by . This book was released on 2008 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'hôpital public connaît actuellement une période de crise économique, avec des contraintes financières importantes. Dans ce contexte se développe fortement la médecine palliative, comme c'est le cas au Centre hospitalier de Saint Nicolas de Port en Meurthe-et-Moselle, qui accueille des lits identifiés de soins palliatifs en soins de suite et de réadaptation. Répondant à une volonté croissante tant de la part du corps médical que des instances sanitaires, son activité de prise en charge palliative est en croissant développement depuis quelques années, mais cela ne va pas sans les répercussions budgétaires importantes que ce type d'activité implique, notamment pour le budget de la pharmacie. La première partie de cette thèse présente ainsi les lits identifiés de soins palliatifs en soins de suite et de réadaptation, leur organisation et leur fonctionnement. Le statut de "lits identifiés" est à présent bien défini et réglementé, et permet une reconnaissance de la pratique des soins palliatifs et justement une valorisation financière pour cette activité. Mais le financement des hôpitaux est, depuis le plan Hôpital 2007, en pleine réforme avec un nouveau système de financement des hôpitaux qu'est la tarification à l'activité. Cette réforme va être progressivement appliquée au service de soins de suite et de réadaptation, et dans ce cadre sont actuellement réalisées des études ministérielles visant à évaluer les besoins globaux de prise en charge palliative en soins de suite et réadaptation.La seconde partie de cette thèse a ainsi voulu participer à l'évaluation plus précise des implications budgétaires, ceci au niveau du coût médicamenteux, au sein du service de soins de suite et de réadaptation du Centre hospitalier de Saint Nicolas de Port. L'étude a été réalisée sur des échantillons représentatifs de plus de 30 patients, sur une période étalée de 2005 à 2007. On en conclut que la prise en charge médicamenteuse pour un patient en soins palliatifs, à profil de dépendance identique, est plus onéreuse que celle d'un patient en soins de suite et réadaptation classique, à hauteur de plus du double. Durant les derniers jours de vie du patient, le coût médicamenteux d'un patient en soins palliatifs diminue légèrement, mais sans se rapprocher de celui d'un patient en soins de suite et réadaptation.
Book Synopsis Lits identifiés de soins palliatifs en unité de soins de suite et de réadaptation au Centre hospitalier de Saint-Nicolas de Port by : Sabine Menai
Download or read book Lits identifiés de soins palliatifs en unité de soins de suite et de réadaptation au Centre hospitalier de Saint-Nicolas de Port written by Sabine Menai and published by . This book was released on 2004 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Comité régional de soins palliatifs de la Capitale-Nationale Publisher : ISBN 13 :9782896160976 Total Pages :0 pages Book Rating :4.1/5 (69 download)
Book Synopsis Pour un réseau régional intégré en soins palliatifs by : Comité régional de soins palliatifs de la Capitale-Nationale
Download or read book Pour un réseau régional intégré en soins palliatifs written by Comité régional de soins palliatifs de la Capitale-Nationale and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les recommandations proposées dans ce document s'inspirent directement de la philosophie et des orientations de la Politique en soins palliatifs de fin de vie publiée par le ministère de la Santé et des Services sociaux en 2004 et des données probantes en matière de soins palliatifs à domicile. [...] Pour les besoins de son rapport, le comité de travail a choisi de s'appuyer sur la Politique en soins palliatifs de fin de vie du Ministère (publiée en 2004), et particulièrement sur les principes d'équité dans l'accès aux soins palliatifs (accès sans égard à la maladie, à l'âge, au statut social ni au pronostic de fin de vie), de qualité des services et de continuité des services entre les lieux [...] L'OFFRE DE SERVICE ET L'ORGANISATION DES SOINS PALLIATIFS À DOMICILE Les points forts dans la région de la Capitale-Nationale • Par l'entremise du programme Soutien à domicile (SAD) des quatre CSSS, l'accès aux services infirmiers, psychosociaux, de nutrition, de réadaptation et 8 MAINTIEN À DOMICILE DE LA CLIENTÈLE EN SOINS PALLIATIFS d'aide à domicile est assuré à l'ensemble de la clientèle en s [...] Le modèle de réseau intégré de services repose notamment sur : • des services de première ligne à domicile complets et efficients; • un centre de jour en soins palliatifs; • une équipe régionale de consultation de deuxième ligne; 10 MAINTIEN À DOMICILE DE LA CLIENTÈLE EN SOINS PALLIATIFS • l'accès à des lits de répit, d'évaluation et de stabilisation dans la communauté; • la mise en place de servi [...] Ces défis sont principalement : • la conciliation de la Politique en soins palliatifs de fin de vie avec la Politique de soutien à domicile; • une collaboration constante avec les partenaires régionaux et les autres établissements; • le manque de ressources pour répondre à la multiplicité des besoins de la population; • la conclusion d'ententes de services avec les partenaires communautaires et le.
Author :Agence de la santé et des services sociaux de la Capitale-Nationale (Québec). Direction régionale des affaires médicales, universitaire et hospitalières Publisher : ISBN 13 :9782896160952 Total Pages :133 pages Book Rating :4.1/5 (69 download)
Book Synopsis Évaluation des Besoins en Lits de Soins Palliatifs et Leur Répartition Dans la Région de la Capitale-Nationale by : Agence de la santé et des services sociaux de la Capitale-Nationale (Québec). Direction régionale des affaires médicales, universitaire et hospitalières
Download or read book Évaluation des Besoins en Lits de Soins Palliatifs et Leur Répartition Dans la Région de la Capitale-Nationale written by Agence de la santé et des services sociaux de la Capitale-Nationale (Québec). Direction régionale des affaires médicales, universitaire et hospitalières and published by . This book was released on 2008 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Palliative Medicine by : Doreen Oneschuk
Download or read book Palliative Medicine written by Doreen Oneschuk and published by Oxford University Press. This book was released on 2012-03-15 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Palliative care is now an integral part of the undergraduate medical curriculum. Medical education across the board is adopting a case-based approach. This book uses a series of cases to illustrate critical points in palliative medicine. The case-studies have been carefully chosen to reflect real life clinical practice. The contributors illustrate, through the case studies, the desired skills, attitudes, and knowledge required in this field of medicine. Since publication of the second edition, many approaches to palliative care have been further refined and developed. Ongoing research has led to the improved use of existing medications, and the development of several new treatments. More is known about the psychosocial existential distress experienced by patients and their families resulting in an improved understanding by health care providers of how best to approach and assist those affected by advanced illness, and more is known about methadone and other medications with emerging uses. The third edition of this highly popular book continues to offer a panoramic view of palliative care. It introduces a number of new topics including Neurological Disorders, The Last Days, and Palliative Sedation.
Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas
Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Book Synopsis Comprehensive Cervical Cancer Control by : World Health Organization
Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Emergency Psychiatric Care by : H. L. P. Resnik
Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Education in Palliative Care by : Bee Wee
Download or read book Education in Palliative Care written by Bee Wee and published by Oxford University Press. This book was released on 2007-02-22 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Education is key to developing a strong base for the future of palliative care, and this book provides a wide-ranging, global view of palliative care education. It offers theoretical and practical insights, along with specific suggestions for developing knowledge and skills for teaching.
Book Synopsis Cancer Pain Relief by : World Health Organization
Download or read book Cancer Pain Relief written by World Health Organization and published by World Health Organization. This book was released on 1996 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.
Book Synopsis World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses by : World Health Organization
Download or read book World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses written by World Health Organization and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Book Synopsis ENT Emergencies by : John L. Dornhoffer
Download or read book ENT Emergencies written by John L. Dornhoffer and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The head and neck, as an anatomical cross roads of multiple functions critical to human well being, including respiration, digestion, sensation, communication, and aesthetics, presents disorders that acutely threaten these vital systems. As with any emergency situation, information devoted to the priorities of management: airway, breathing, circulation, and disability are presented for otolaryngic emergencies that may manifest at each of these levels in the form of acute airway obstruction, epistaxis, and the gamut of traumatic, infectious, and inflammatory disorders that affect special sensation, neurologic function, and cosmesis. Discussed in this issue is the use of modalities such as endoscopy, optics, and radiologic imaging as a means to earlier diagnosis, detailed anatomic assessment, and minimally invasive surgery used in the emergency setting. This text strives to keep practitioners at the forefront in the management of ENT emergencies. Experts in otolaryngology describe those conditions that require urgent evaluation and treatment but are also relatively common. Where evidence-based medicine is lacking, comprehensive reviews of the controversies are presented along with logical treatment algorithms based on clinical expertise. This issue of Otolaryngologic Clinics should be highly relevant to the otolaryngologist as well as the general practitioner and emergency physician.
Author :London Issued to the Subscribers by Publisher :Legare Street Press ISBN 13 :9781015140356 Total Pages :164 pages Book Rating :4.1/5 (43 download)
Book Synopsis Cheshire Parish Registers.; V.3 by : London Issued to the Subscribers by
Download or read book Cheshire Parish Registers.; V.3 written by London Issued to the Subscribers by and published by Legare Street Press. This book was released on 2021-09-10 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
Book Synopsis Cervical Cancer Screening in Developing Countries by : World Health Organization
Download or read book Cervical Cancer Screening in Developing Countries written by World Health Organization and published by World Health Organization. This book was released on 2002 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.
Author :Halcyone H. Bohen Publisher :Philadelphia : Temple University Press ISBN 13 :9780877221999 Total Pages :362 pages Book Rating :4.2/5 (219 download)
Book Synopsis Balancing Jobs and Family Life by : Halcyone H. Bohen
Download or read book Balancing Jobs and Family Life written by Halcyone H. Bohen and published by Philadelphia : Temple University Press. This book was released on 1981 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monograph on the effects of flexible hours of work on conflicting demands of parenting and employment (esp. Of married women woman workers) in the USA - based on a survey of civil servants in Washington D.C., considers sociological aspects and psychological aspects, the influence of traditional sexual division of labour, the effect on quality of working life, child care, job satisfaction, etc., and explains research methodology (incl. Data collecting and data analysis). Bibliography pp. 257 to 329 and tables.
