Quelle est la relation entre l'évaluation interdisciplinaire et les deux outils d'observation de la douleur chez des personnes âgées incapables de communiquer verbalement en raison de déficits cognitifs?

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (9 download)

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Book Synopsis Quelle est la relation entre l'évaluation interdisciplinaire et les deux outils d'observation de la douleur chez des personnes âgées incapables de communiquer verbalement en raison de déficits cognitifs? by : Catherine Apinis

Download or read book Quelle est la relation entre l'évaluation interdisciplinaire et les deux outils d'observation de la douleur chez des personnes âgées incapables de communiquer verbalement en raison de déficits cognitifs? written by Catherine Apinis and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim of investigation: The prevalence of chronic pain in long-term care facilities (LTCF) is high and a major proportion being found among older adults unable to communicate. Although there are several validated observational assessment tools for this population, pain in older adults is often not periodically assessed. It is assessed by an interdisciplinary evaluation (IE) which leads to a more subjective assessment. The IE is a collaborative approach where a consensus about the presence of pain is obtained by a subjective agreement of different health care professionals. However, this method shows a possible risk of under-assessment of pain. The aim of this study was to examine the concordance between the results of two validated observational pain tools and an IE for older adults unable to communicate. Methods: In one Sherbrooke LTCF, a population of 59 older adults unable to communicate because of severe cognitive impairment was recruited. For all patients, pain behaviours were assessed using two validated tools, the Pain Assessment Checklist for seniors with Limited Ability to Communicate (PACSLAC) and the Pain Assessment in Advanced Dementia (PAINAD). Assessments were done simultaneously by two trained independent evaluators during a transfer bed to chair or during a mobilisation in bed. Their results were compared to the IE results about presence/absence of pain and with the estimated pain intensity on a numeric scale (0-10) filled for the same activities. Results: The correlation between PACSLAC and PAINAD was high, r= 0.79 (95%, CI: 0.65-0.86). However, we found a weak association between the PACSLAC and the IE (r= 0.37 [95%, CI: 0.09-0.55]), and no association was observed between the PAINAD and the IE (r=0:25[95%, CI: -0.03-0.46]).When the PACSLAC (considered as the reference measure) showed the presence of pain behaviors (with a cut-off score>3/60), the IE was not able to detect the presence of pain in 27% of these cases. Conclusion: These results show that IE leads to under-estimation of pain and supports the implementation of validated tools such as the PACSLAC or the PAINAD, to promote better pain management in LTCF.

L'évaluation de la douleur chez les personnes âgées de plus de 70 ans non communicantes dans un service d'urgence

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ISBN 13 :
Total Pages : 186 pages
Book Rating : 4.:/5 (95 download)

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Book Synopsis L'évaluation de la douleur chez les personnes âgées de plus de 70 ans non communicantes dans un service d'urgence by : Anaïs Roumieu

Download or read book L'évaluation de la douleur chez les personnes âgées de plus de 70 ans non communicantes dans un service d'urgence written by Anaïs Roumieu and published by . This book was released on 2015 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge de la douleur est un problème de santé public depuis plusieurs années. Lutter contre la douleur est un enjeu éthique. L'évaluation de la douleur est difficile dans le contexte de l'urgence, d'autant plus difficile que le patient est âgé, et/ou présente des troubles cognitifs. Cette étude prospective a eu pour objectif de comparer l'évaluation de la douleur par 2 échelles différentes, l'échelle numérique (EN) et une échelle d'hétéro-évaluation comportementale (ALGOPLUS®) potentiellement plus adaptée aux troubles cognitifs. Elle a été réalisée au SAU du Centre hospitalier de Lyon Sud comportant entre le 1er janvier 2014 et 31 décembre 2014 et a inclus tous les patients de plus de 70 ans consultant au SAU pour une fracture de l'extrémité supérieure du fémur ou un accident vasculaire cérébral dont l'autoévaluation de la douleur est jugée impossible. Les patients de l'étude avaient des caractéristiques similaire Le temps moyen d'évaluation de la douleur à partir de l'heure d'arrivée était de 11 ± 9 min. et le délai moyen entre l'évaluation et l'administration d'antalgiques était de 158. ± 132 min. dans toute l'étude, sans différence significative entre les deux phases. L'antalgique le plus utilisé était le paracétamol que ce soit dans la phase pré-évaluative (EN) ou la phase évaluative (ALGOPLUS®). Nous avons comparé 2 pathologies l'AVC et la FESF. Les patients avec une FESF sont plus douloureux dans la phase Algoplus : 64% avaient un ALGOPLUS® [4-5] contre 43% pour une EN [6-10] (p=0.001). Pour l'AVC, 25% des patients avaient un Algoplus [4-5] et 20% [2-3] contre 0% une EN [6-10] et 91% EN [0-3] (P

One Health, 2nd Edition

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Publisher : CABI
ISBN 13 : 1789242576
Total Pages : 459 pages
Book Rating : 4.7/5 (892 download)

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Book Synopsis One Health, 2nd Edition by : Jakob Zinsstag

Download or read book One Health, 2nd Edition written by Jakob Zinsstag and published by CABI. This book was released on 2020-09-30 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: One Health, the concept of combined veterinary and human health, has now expanded beyond emerging infectious diseases and zoonoses to incorporate a wider suite of health issues. Retaining its interdisciplinary focus which combines theory with practice, this new edition illustrates the contribution of One Health collaborations to real-world issues such as sanitation, economics, food security and vaccination programmes. It includes more non-infectious disease issues and climate change discussion alongside revised case studies and expanded methodology chapters to draw out implications for practice. Promoting an action-based, solutions-oriented approach, One Health: The Theory and Practice of Integrated Health Approaches highlights the lessons learned for both human and animal health professionals and students.

Psychoanalysis and Projective Methods in Personality Assessment

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Publisher : Hogrefe Publishing
ISBN 13 : 9780889375574
Total Pages : 0 pages
Book Rating : 4.3/5 (755 download)

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Book Synopsis Psychoanalysis and Projective Methods in Personality Assessment by : Benoît Verdon

Download or read book Psychoanalysis and Projective Methods in Personality Assessment written by Benoît Verdon and published by Hogrefe Publishing. This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Unique synthesis from the French School of psychoanalytical projective methods This unique book synthesizes the work of leading thinkers of the French School of psychoanalytical projective methods in personality assessment. The French School is a direct successor to Rorschach's and Murray's original approaches using the Rorschach Test and the Thematic Apperception Test (TAT). Underlying this method is the idea of the coexistence of conscious and unconscious processes, of opposite instinctual pairs, and of agents that are ruled by conflicts (Freud). Transitional activity is seen as part of an intermediate space, a mediator space, and bearer of messages between the subject and the clinician (Winnicott). This book brings to life the important contributions of the French School, firstly exploring its theories and methods and then its clinical applications. Detailed case studies from different stages of life examine the psychopathology of everyday life with its severe and disabling states of suffering. Contemporary advances in research and clinical work are presented, and the groundbreaking early work of Nina Rausch de Traubenberg, Vica Shentoub, and Rosine Debray are also critically reread and discussed. Clinical tools adapted for clinicians and researchers in the appendices include a useful schema to facilitate the interpretation of the Rorschach and TAT together, a list of latent solicitations for the TAT, and the current version of the TAT Scoring Grid. This book is essential reading for clinical psychologists, psychiatrists, psychotherapists, researchers, and students interested in applying psychoanalytical theory to projective methods"--

Violent Adolescents

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Publisher : Routledge
ISBN 13 : 0429923716
Total Pages : 132 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Violent Adolescents by : Lynn Greenwood

Download or read book Violent Adolescents written by Lynn Greenwood and published by Routledge. This book was released on 2018-03-29 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume looks at the reasons behind adolescent violence, and illuminates the earlier disturbances in the life history of the adolescent, which contribute to violent behaviour. The contributors look beyond the "why" of the behaviour and offer solutions on how to handle the situation. The contributors are all experienced practitioners and draw from their extensive experience in the consulting room. The concise and thought-provoking chapters discuss such problems as suicidal and self-destructive behaviours, school-bullying, violence towards the parents and violence while in care. This book is full of insights into the common problem of adolescent violence, and it should be required reading for all concerned with the young adults of today. Part of the Forensic Psychotherapy Monograph Series.

The NHS Improvement Plan

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Publisher : The Stationery Office
ISBN 13 : 9780101626828
Total Pages : 94 pages
Book Rating : 4.6/5 (268 download)

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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.

Cattle, Priests, and Progress in Medicine

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Publisher : U of Minnesota Press
ISBN 13 : 0816658676
Total Pages : 294 pages
Book Rating : 4.8/5 (166 download)

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Book Synopsis Cattle, Priests, and Progress in Medicine by : Calvin W. Schwabe

Download or read book Cattle, Priests, and Progress in Medicine written by Calvin W. Schwabe and published by U of Minnesota Press. This book was released on 1978-05-26 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cattle, Priests, and Progress in Medicine was first published in 1978. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions. The author shows that over the centuries many of the most significant breakthroughs in improving humans health have been closely associated with observations and experiments on animals other than man. Because human medical progress has been so dependent on veterinary studies, he urges that schools of veterinary medicine assume a much greater role in the training of persons for research in human medicine. To illuminate the historical link between animals and man in medical progress, Professor Schwabe recounts highlights in the history of medicine from ancient times onward. He describes the early history of man in terms of animal cultures, focusing on the prehistoric Nile Valley, and points to similarities in medical knowledge between present-day "cattle" societies in Northeastern Africa and the ancient people of the Nile. He discusses the comparative healers of ancient Egypt, the comparative foundations of Greek medicine, the Arabic contribution, Sicily and the beginnings of modern medicine, and subsequent developments through the Renaissance .Bringing the history down to modern times, Professor Schwabe emphasizes the role of veterinary medicine in medical research. He outlines specific reforms in the curricula of schools and colleges of veterinary medicine which would provide for the education of medical investigators.

Laboratory Disease

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Publisher : Johns Hopkins University Press
ISBN 13 : 9780801893131
Total Pages : 0 pages
Book Rating : 4.8/5 (931 download)

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Book Synopsis Laboratory Disease by : Christoph Gradmann

Download or read book Laboratory Disease written by Christoph Gradmann and published by Johns Hopkins University Press. This book was released on 2009-09-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the nineteenth century, the new field of medical bacteriology identified microorganisms and explained how they spread disease. This book interweaves the history of this discipline and the biography of one of its founders, Nobel Prize–winning German physician Robert Koch (1843–1910). Koch contributed to modern medicine by inventing or improving fundamental techniques such as bacterial staining, solid culture media, mass pure cultures, and the use of animal models. His discoveries, which dominated medical science at the turn of the last century, are epitomized in a set of rules named after him. "Koch's Postulates" are still invoked today in attempts to prove the causal involvement of pathogens in infectious diseases. In a double history, Christoph Gradmann narrates the development of a discipline and the biography of a scientist. Drawing on Koch's extensive laboratory notes, Gradmann details how Koch developed his scientific method and discovered the bacterial causes of anthrax, tuberculosis, and cholera. Koch tried to bring this knowledge to clinical medicine by developing medicines that would specifically target the bacterial pathogens he identified. And Koch’s passion for personal travel developed into a career signature, as he became a pioneer in the study of tropical diseases. A fascinating look into Koch's personality and his experimental work in medical bacteriology, Laboratory Disease reveals both the biographical and the historical roots of our modern understanding of infectious diseases.

The Quick And The Dead

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Publisher : BRILL
ISBN 13 : 9004123911
Total Pages : 260 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis The Quick And The Dead by : Andrew Andrew Hunt Gordon

Download or read book The Quick And The Dead written by Andrew Andrew Hunt Gordon and published by BRILL. This book was released on 2004 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: A cross-disciplinary approach suggesting that the origin of ancient Egyptian medicine began with the domestication of cattle in Africa and the attempt to control disease. With the sacrifice of these animals, the Egyptians began to understand anatomy and physiology, which they then applied to humans.

Health for all Children

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Publisher : OUP Oxford
ISBN 13 : 0191015628
Total Pages : 423 pages
Book Rating : 4.1/5 (91 download)

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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.

Frontiers in Comparative Medicine

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Publisher :
ISBN 13 : 9780816668373
Total Pages : 104 pages
Book Rating : 4.6/5 (683 download)

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Book Synopsis Frontiers in Comparative Medicine by : W. I. B. Beveridge

Download or read book Frontiers in Comparative Medicine written by W. I. B. Beveridge and published by . This book was released on 1972-10-25 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Frontiers in Comparative Medicine was first published in 1972.In this initial volume of the series to be based on the Wesley W. Spink Lectures on Comparative Medicine, Dr. Beveridge, the noted British scientist, discusses the contributions to human medicine resulting from studies of disease in animals. The book serves as an excellent introduction to this important aspect of science, suitable for general readers as well as for those studying or working in the medical, biological, or social sciences.Dr. Beveridge examines the methodology of comparative science and tells of the remarkable series of key discoveries of disease agents which have emerged from research on animals. He explains the reasons for the success of animal studies in connection with human disease and makes a strong case for more research on naturally occurring animal models.The author describes current comparative studies in cancer, cardiovascular diseases, neuropathology, immunopathology, congenial defects, metal health, reproduction, and population regulation. He shows that in each of these subjects results that have far-reaching implications for human welfare and medicine are being obtained. In the final section he assembles the available evidence about the origin of human influenza pandemics. He points to a conclusion that they probably result from a hybridization of human and animal strains of the disease agent and that the usual place where this occurs appears to be the plains of Central Asia. He emphasizes the need for an international investigation of the problem of influenza, in the hope of preventing these pandemics.

The Oxford Handbook of the History of Medicine

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Publisher : Oxford University Press, USA
ISBN 13 : 0199546495
Total Pages : 691 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis The Oxford Handbook of the History of Medicine by : Mark Jackson

Download or read book The Oxford Handbook of the History of Medicine written by Mark Jackson and published by Oxford University Press, USA. This book was released on 2011-08-25 with total page 691 pages. Available in PDF, EPUB and Kindle. Book excerpt: In three sections, the Oxford Handbook of the History of Medicine celebrates the richness and variety of medical history around the world. It explore medical developments and trends in writing history according to period, place, and theme.

Veterinary Medicine and Human Health

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (489 download)

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Book Synopsis Veterinary Medicine and Human Health by : Calvin W.. Schwabe

Download or read book Veterinary Medicine and Human Health written by Calvin W.. Schwabe and published by . This book was released on 1969 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The First Ten Years of the World Health Organization

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Publisher :
ISBN 13 :
Total Pages : 588 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The First Ten Years of the World Health Organization by : World Health Organization

Download or read book The First Ten Years of the World Health Organization written by World Health Organization and published by . This book was released on 1958 with total page 588 pages. Available in PDF, EPUB and Kindle. Book excerpt: Weltgesundheitsorganisation die ersten 10 Jahre.

Experimenting with Humans and Animals

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Publisher : JHU Press
ISBN 13 : 9780801871979
Total Pages : 198 pages
Book Rating : 4.8/5 (719 download)

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Book Synopsis Experimenting with Humans and Animals by : Anita Guerrini

Download or read book Experimenting with Humans and Animals written by Anita Guerrini and published by JHU Press. This book was released on 2003-07-02 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ethical questions about the use of animals and humans in research remain among the most vexing within both the scientific community and society at large. These often rancorous arguments have gone on, however, with little awareness of their historical antecedents. Experimentation on animals and particularly humans is often assumed to be a uniquely modern phenomenon, but the ideas and attitudes that encourage the biological and medical sciences to experiment on living creatures date from the earliest expression of Western thought. Here, Anita Guerrini looks at the history of these practices from vivisection in ancient Alexandria to present-day battles over animal rights and medical research employing human subjects. Guerrini discusses key historical episodes, including the discovery of blood circulation, the development of smallpox and polio vaccines, and recent AIDS research. She also explores the rise of the antivivisection movement in Victorian England, the modern animal rights movement, and current debates over gene therapy.--From publisher description.

Sébastien Roch

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Publisher : Dedalus European Classics
ISBN 13 :
Total Pages : 274 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Sébastien Roch by : Octave Mirbeau

Download or read book Sébastien Roch written by Octave Mirbeau and published by Dedalus European Classics. This book was released on 2000 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a classic portrait of a boy''s psychological, sexual and political coming of age in provincial France, set against the background of the Belle Epoque'