Ressenti Des Medecins Generalistes Prenant En Charge Des Patients En Situation Palliative Avec Un Service Dhospitalisation A Domicile

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Comprehensive Cervical Cancer Control

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241547006
Total Pages : 284 pages
Book Rating : 4.2/5 (415 download)

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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.

Pain in Infants, Children, and Adolescents

Author : Neil L. Schechter
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781726443
Total Pages : 924 pages
Book Rating : 4.7/5 (264 download)

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Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter

Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Canine and Feline Geriatric Oncology

Author : Alice Villalobos
Publisher : John Wiley & Sons
ISBN 13 : 0470344075
Total Pages : 402 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis Canine and Feline Geriatric Oncology by : Alice Villalobos

Download or read book Canine and Feline Geriatric Oncology written by Alice Villalobos and published by John Wiley & Sons. This book was released on 2008-02-28 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Half the population of dogs and cats aged 10 and over will die of neoplasia. The bonds that clients have developed with their older pets are especially strong and drive the increasing demand for more proficient and highly compassionate medical treatment of companion animals diagnosed with cancer. This book offers more than just a competent clinical approach to the most common tumors in dogs and cats. This book also offers a focus on the special needs of geriatric pets and their owners. Amply illustrated with dozens of case studies representative of those regularly encountered in practice, Canine and Feline Geriatric Oncology will provide readers with the tools needed to diagnose and treat aging pets with cancer, and to help clients make the best decisions for themselves and for the animals with whom they share their lives. Canine and Feline Geriatric Oncology is a unique resource. It is a useful oncology reference for specialists, veterinarians in general practice, veterinary technicians, and clinic staff. The many "what ifs" that the practitioner inevitably faces in interactions with clients and their aging pets with cancer are presented and discussed. Special Features: * Focuses on the special needs of geriatric pets and their caregivers; * Offers direction in the diagnosis and treatment of aging pets with cancer; * Addresses many of the "what ifs" that arise in interactions with clients and aging pets with cancer; * Amply illustrated with full color throughout; * A valuable reference for practicing veterinarians, technicians, hospital staff, and professionals involved in supportive counseling for pet caregivers.

World Mortality Report 2015

Author :
Publisher :
ISBN 13 : 9789211515435
Total Pages : 99 pages
Book Rating : 4.5/5 (154 download)

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Book Synopsis World Mortality Report 2015 by :

Download or read book World Mortality Report 2015 written by and published by . This book was released on 2017 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Mortality Report 2015 is a publication that provides an overview of the estimated and projected trends in mortality at the world level, for development groups and major areas; the analysis also focuses on country and regional data for selected mortality indicators. In addition to examining the summary indicator of life expectancy at birth, the report analyzes levels and trends in mortality for key age groups in childhood and provides a snapshot of adult and "old age" mortality levels. It also examines the socio-economic determinants of child hood mortality at the aggregate level across countries, and on disparities within countries in 50 low and middle income countries (LMIC) based on Demographic and Health Surveys data.

Introduction to Animal Rights

Author : Gary Francione
Publisher : Temple University Press
ISBN 13 : 1439905126
Total Pages : 276 pages
Book Rating : 4.4/5 (399 download)

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Book Synopsis Introduction to Animal Rights by : Gary Francione

Download or read book Introduction to Animal Rights written by Gary Francione and published by Temple University Press. This book was released on 2010-07-29 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Argues that the way humans treat animals results from the contradiction between the ideas that animals have some rights, but that they are also property, and offers ways to resolve the conflict.

Cognitive Hypnotherapy

Author : Assen Alladin
Publisher : John Wiley & Sons
ISBN 13 : 0470032472
Total Pages : 324 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Cognitive Hypnotherapy by : Assen Alladin

Download or read book Cognitive Hypnotherapy written by Assen Alladin and published by John Wiley & Sons. This book was released on 2008-04-28 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive Behavioural Therapy (CBT) is now in use worldwide, while hypnosis as a technique continues to attract serious interest from the professional community. Integrating the two, the field of cognitive hypnotherapy uses the natural trance states of clients to unlock unconscious thoughts and memory patterns that can generate and sustain problems. Cognitive hypnotherapists work within the client’s model of the world, so that changes are more likely to be subconsciously accepted and become permanent. This practical guide shows how cognitive hypnotherapy can be used to treat a range of emotional disorders including depression, sleep disorders, anxiety, eating disorders and PTSD.

Cancer Pain Relief

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9789241544825
Total Pages : 74 pages
Book Rating : 4.5/5 (448 download)

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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.

World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

Author : World Health Organization
Publisher :
ISBN 13 : 9789241548120
Total Pages : 166 pages
Book Rating : 4.5/5 (481 download)

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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.

Ahfs Drug Information 2020

Author : American Society of Health System Pharmacists
Publisher :
ISBN 13 : 9781585286119
Total Pages : 840 pages
Book Rating : 4.2/5 (861 download)

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Book Synopsis Ahfs Drug Information 2020 by : American Society of Health System Pharmacists

Download or read book Ahfs Drug Information 2020 written by American Society of Health System Pharmacists and published by . This book was released on 2020 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acupuncture in Practice

Author : Hugh MacPherson (Ph. D.)
Publisher :
ISBN 13 : 9780443050497
Total Pages : 482 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Acupuncture in Practice by : Hugh MacPherson (Ph. D.)

Download or read book Acupuncture in Practice written by Hugh MacPherson (Ph. D.) and published by . This book was released on 1997 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.

Cervical Cancer Screening in Developing Countries

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241545720
Total Pages : 90 pages
Book Rating : 4.2/5 (415 download)

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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.

The NHS Improvement Plan

Author : Great Britain. Department of Health
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.

Health for all Children

Author : David M B Hall
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.

La maison d'accompagnement, une nouvelle offre de soins palliatifs pertinente ?

Author : Tsiry Razafindrabe
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (145 download)

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Book Synopsis La maison d'accompagnement, une nouvelle offre de soins palliatifs pertinente ? by : Tsiry Razafindrabe

Download or read book La maison d'accompagnement, une nouvelle offre de soins palliatifs pertinente ? written by Tsiry Razafindrabe and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La prise en charge de la fin de vie à domicile rencontre plusieurs difficultés parmi lesquelles l'épuisement de l'entourage du patient. Ce dernier représente une part non négligeable des causes d'hospitalisation. La maison d'accompagnement peut être une alternative pour accueillir les patients en fin de vie faute d'entourage sans indication à être hospitalisé. Elle fait actuellement l'objet du dernier projet de loi sur la fin de vie. Cependant, instaurer un nouveau dispositif serait voué à l'échec sans l'adhésion des professionnels de santé de terrain. Nous avons donc recueilli le ressenti des médecins généralistes sur le concept de maison d'accompagnement. Méthode : Une étude qualitative a été réalisée par focus group et entretien semi dirigée auprès des médecins généralistes de la CPTS Haute Corrèze Ventadour. Résultats : Les bienfaits de la maison d'accompagnement consistaient en l'apport d'un cadre humain par la prise en charge par l'intervention des bénévoles et une diminution de la médicalisation du soin. Elle pouvait être un support pour un accompagnement psychologique, des séjours de répit et offrir une éducation à la fin de vie. Elle constituait un recours de proximité. Elle s'adressait aux patients en soins palliatifs plutôt au long cours. Accueillir des patients en phase terminale était une possibilité dans la mesure où la maison restait en lien avec les structures extérieures en cas de besoin. Cependant, le manque de ressources humaines permettant un bon maillage territorial, la prépondérance du bénévolat dans son fonctionnement, le manque de culture palliative sur le terrain remettait en cause sa faisabilité. Discussion : Instaurer des maisons d'accompagnement sur le territoire est difficile à imaginer à court terme. Cependant, des améliorations sur l'offre existante sont à considérer notamment le renforcement de l'HAD et de l'EMSP sur la continuité des soins et la possibilité d'accompagnement psychologique.

Cancer Control

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241547111
Total Pages : 57 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Cancer Control by : World Health Organization

Download or read book Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2007 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2005, 7.6 million people died of cancer. More than 70% of those deaths occured in low and middle income countries. WHO has developed a series of six modules that provides practical advice for programme managers and policy-makers on how to advocate, plan and implement effective cancer control programmes, particularly in low and middle income countries.The WHO guide is a response to the World Health Assembly resolution on cancer prevention and control (WHA58.22), adopted in May 2005, which calls on Member States to intensify action against cancer by developing and reinforcing cancer control programmes.

Soins palliatifs à domicile : quelles ressources pour les médecins généralistes ?

Author : Carol-Anne Boudy
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (974 download)

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Book Synopsis Soins palliatifs à domicile : quelles ressources pour les médecins généralistes ? by : Carol-Anne Boudy

Download or read book Soins palliatifs à domicile : quelles ressources pour les médecins généralistes ? written by Carol-Anne Boudy and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : selon un sondage de l'observatoire national de la fin de vie, 71% des français souhaitent mourir à domicile, or seulement 25,5% d'entre eux y décèdent effectivement. Si les difficultés inhérentes à la pratique des SP en ambulatoire sont bien décrites, peu d'études mettent en valeur les ressources effectivement utilisées par les médecins généralistes de terrain. Nous avons dans cherché à mettre en évidence les ressources réellement utilisées par les médecins généralistes dans la prise en charge à domicile des patients en soins palliatifs. Matériel et méthode : pour répondre à cette question, nous avons choisi de réaliser une thèse de type qualitative, par entretiens semi-dirigés à l'aide d'un guide d'entretien. La population cible était les médecins généralistes installés en libéral dans les Alpes-Maritimes, recrutés selon un échantillonnage raisonné. Résultats : inclusion de 21 médecins généralistes d'âges et modes d'exercice différents. Les ressources mises en évidence par notre travail ont été classées en deux grandes catégories selon qu'elles étaient internes ou externe au médecin. Les ressources internes sont : l'histoire personnelle du médecin, la formation (initiale, continue et de terrain), la relation médecin-malade et l'organisation du temps de travail. Les ressources externes sont : les personnes ressources, les structures de soutien, la loi Leonetti, les modes de rémunération et les hospitalisations. A partir de ces résultats, nous avons établi un guide pratique à l'usage des médecins généralistes des Alpes-Maritimes, afin de les aider dans leur pratique des soins palliatifs à domicile. Conclusion : notre travail a permis de mettre en évidence des ressources externes et internes utilisées par les médecins généralistes mais les ressources internes semblent avoir plus d'impact sur leur vécu de la prise en charge de patients en soins palliatifs. Les différences importantes de ressenti et de vécu des soins palliatifs parmi les médecins de notre étude malgré leur accès aux mêmes structures de soutien peuvent être en partie expliquées par des disparités individuelles de sensibilité au syndrome d'épuisement professionnel soignant, ainsi que par l'auto-efficacité.

Prescriptions anticipées dans la prise en charge d'une dyspnée survenant chez un patient en situation palliative à domicile

Author : Élise Terrier-Pelletier
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (145 download)

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Book Synopsis Prescriptions anticipées dans la prise en charge d'une dyspnée survenant chez un patient en situation palliative à domicile by : Élise Terrier-Pelletier

Download or read book Prescriptions anticipées dans la prise en charge d'une dyspnée survenant chez un patient en situation palliative à domicile written by Élise Terrier-Pelletier and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Les prescriptions anticipées sont recommandées en soins palliatifs afin d'apporter un traitement adapté et rapide pour un symptôme gênant susceptible d'apparaitre ou de s'aggraver. Elles semblent cependant être peu utilisées dans la dyspnée. Méthode : Au travers d'un questionnaire adressé d'une part à des médecins généralistes et d'autre part à des infirmiers libéraux du Nord-Pas-de-Calais, nous nous sommes intéressés aux éléments freinant ou favorisant ces prescriptions anticipées et ceci spécifiquement dans la prise en charge de la dyspnée à domicile. Résultats : 90 médecins et 86 infirmiers ont répondu à notre étude. La grande majorité a déjà eu une expérience de prescriptions anticipées, notamment pour la douleur (91% des médecins et 83% des infirmiers), l'anxiété et la constipation. Expérience plus faible pour la dyspnée (42% des médecins et 26% des infirmiers). 56.7% des médecins et 100% des infirmiers évoquent la possibilité d'un refus de ces prescriptions, principalement en cas de mauvaise compréhension de la famille, manque de temps ou par crainte d'une détresse respiratoire secondaire à l'administration de morphine. La connaissance entre les intervenants (médecin et infirmier), l'information au patient et sa famille et un avis spécialisé en soins palliatifs sont, au contraire, des éléments favorisant voire indispensables. L'initiation du traitement est considérée comme faisant partie des compétences infirmières pour 87% des médecins et 91% des infirmiers mais un peu plus de 60% de ceux-ci estiment que le médecin doit être prévenu avant le début du traitement. Conclusion : La prise en charge de la dyspnée se heurte aux limites des prescriptions anticipées : cadre légal mal défini, évaluation difficile du symptôme, responsabilités professionnelles engagées sont autant d'obstacles à leur mise en oeuvre. La réalisation d'un projet de soin personnalisé et accessible à tout professionnel en capacité d'intervenir en urgence peut être une solution intermédiaire intéressante.