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Role Du Pharmacien A Lhopital De Jour De La Fragilite
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Book Synopsis Rôle du pharmacien à l'Hôpital de jour de la fragilité by : Elodie Magre
Download or read book Rôle du pharmacien à l'Hôpital de jour de la fragilité written by Elodie Magre and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'hôpital de jour (HdJ) de détection de la fragilité et de prévention de la dépendance permet de détecter les patients âgés fragiles et de mettre en place des mesures préventives personnalisées pour lutter contre la perte d'autonomie et retarder le processus d'entrée dans la dépendance. La revue de médication est réalisée quotidiennement à l'hôpital de jour par le pharmacien clinicien en concertation avec le gériatre. Elle permet de détecter les prescriptions potentiellement inappropriées (PPI) selon des critères explicites et implicites, puis de proposer aux médecins traitants une optimisation de la prescription selon les types de problèmes détectés. L'objectif principal de cette étude était de montrer l'impact de cette revue sur l'optimisation des prescriptions par le médecin traitant. Le taux d'acceptation des propositions a été déterminé 3 mois après avoir vu le patient en contactant les pharmaciens d'officine et les médecins traitants. 191 patients ont été inclus. 69% d'entre eux présentaient au moins une PPI (0-9). Parmi les 141 patients ayant eu au moins une proposition d'optimisation, 1 patient sur 2 avait au moins 57 % des interventions proposées acceptées trois mois après le passage à l'HdJ. Les optimisations concernaient le plus souvent l'arrêt ou le remplacement d'un médicament dont la balance bénéfice/risque est défavorable (56.5% des patients), et l'arrêt d'un médicament non indiqué (26%). Lorsque les médecins n'avaient pas modifié la prescription, cela concernait le plus souvent les médicaments de la classe cardiovasculaire (20%), neurologique (17.7%) et du système digestif (12%). Les arguments les plus fréquents étaient qu'ils ne souhaitaient pas modifier la prescription du spécialiste (15% des patients), que le médicament était bien indiqué (11%), ou que la tentative d'arrêt s'était soldée par un échec (9%). Notre étude montre que de nombreux patients avaient une prescription potentiellement inappropriée. Cependant, dans plus de la moitié des cas, les médecins généralistes acceptent les recommandations préconisées pour optimiser les prescriptions. L'hospitalisation des patients à la plateforme fragilité semble donc être un dispositif efficient pour optimiser la prescription médicamenteuse en soins primaires.
Book Synopsis Comprehensive Geriatric Assessment by : Alberto Pilotto
Download or read book Comprehensive Geriatric Assessment written by Alberto Pilotto and published by Springer. This book was released on 2017-12-29 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Book Synopsis The Poetics of Novels by : M. Axelrod
Download or read book The Poetics of Novels written by M. Axelrod and published by Springer. This book was released on 1999-09-17 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Poetics of Novels deals with the fundamentals of novel-writing and the execution of such, and though it engages specific notions of literary and cultural theory, it privileges the architectonics of the texts themselves as it crosses boundaries of both time and culture. Novels include: Austen's Northanger Abbey , Beckett's Company , Brontë's Wuthering Heights , Cervantes' Don Quixote , Flaubert's Madame Bovary , Hamsun's Hunger , Hardy's Tess of the D'Urbervilles , Lispector's Hour of the Star and Smart's By Grand Central Station I Sat Down and Wept .
Book Synopsis French Conversation and Composition by : Harry Vincent Wann
Download or read book French Conversation and Composition written by Harry Vincent Wann and published by . This book was released on 1920 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Dictionary of French and English, English and French by : John Bellows
Download or read book Dictionary of French and English, English and French written by John Bellows and published by . This book was released on 1911 with total page 708 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Architectes de la Révolution by : Aîssa Kechida
Download or read book Architectes de la Révolution written by Aîssa Kechida and published by . This book was released on 2001 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Biosocialities, Genetics and the Social Sciences by : Sahra Gibbon
Download or read book Biosocialities, Genetics and the Social Sciences written by Sahra Gibbon and published by Routledge. This book was released on 2007-07-20 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
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 Chemical Analysis by : Francis Rouessac
Download or read book Chemical Analysis written by Francis Rouessac and published by John Wiley & Sons. This book was released on 2013-05-06 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised and updated, Chemical Analysis: Second Edition is an essential introduction to a wide range of analytical techniques and instruments. Assuming little in the way of prior knowledge, this text carefully guides the reader through the more widely used and important techniques, whilst avoiding excessive technical detail. Provides a thorough introduction to a wide range of the most important and widely used instrumental techniques Maintains a careful balance between depth and breadth of coverage Includes examples, problems and their solutions Includes coverage of latest developments including supercritical fluid chromatography and capillary electrophoresis
Book Synopsis Contes Francais by : Douglas Labaree Buffum
Download or read book Contes Francais written by Douglas Labaree Buffum and published by Legare Street Press. This book was released on 2022-10-27 with total page 0 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. 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 Coercion and Aggressive Community Treatment by : Deborah L. Dennis
Download or read book Coercion and Aggressive Community Treatment written by Deborah L. Dennis and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forced hospitalization of people with mental disorders has long been a critical issue in the mental health services. Coercion and Aggressive Community Treatment is the first sustained description and analysis of what happens when `aggressive' treatment becomes `coerced' treatment. Mental health professionals poignantly discuss the tension they feel between wanting to do everything to treat desperately ill people and the need to respect the rights of these same people who want to make their own decisions, even if this means forgoing treatment.
Book Synopsis Europe 1450 to 1789 by : Jonathan Dewald
Download or read book Europe 1450 to 1789 written by Jonathan Dewald and published by . This book was released on 2004 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis 5 Language Visual Dictionary by : Dorling Kindersley Publishing, Inc
Download or read book 5 Language Visual Dictionary written by Dorling Kindersley Publishing, Inc and published by DK Publishing (Dorling Kindersley). This book was released on 2003 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: A vocabulary guide that presents color photos of everyday objects and tasks with labels in English, French, German, Spanish, and Italian, grouping words and phrases in fifteen categories, including health, food, and leisure.
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 Honor and Grace in Anthropology by : John George Peristiany
Download or read book Honor and Grace in Anthropology written by John George Peristiany and published by Cambridge University Press. This book was released on 2005-02-17 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of essays develops a line of thought in anthropology which was opened in the 1960s by the editors (and some of the same contributors) in Honor and Shame: The Values of a Mediterranean Society. The essays, half of them historical and half contemporary, deal with different aspects of honour and grace, and the strategies and transactions by which they can be obtained.
Download or read book Doing Business 2020 written by World Bank and published by World Bank Publications. This book was released on 2019-11-21 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seventeen in a series of annual reports comparing business regulation in 190 economies, Doing Business 2020 measures aspects of regulation affecting 10 areas of everyday business activity.
Book Synopsis The People of the Sierra by : Julian Pitt-Rivers
Download or read book The People of the Sierra written by Julian Pitt-Rivers and published by University of Chicago Press. This book was released on 1971 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1st ed., 1954, village was called Alcalá de la Sierra, in order to protect informants during Franco regime; identified as Grazalema in 2nd ed.
