Description des patients douloureux chroniques aux urgences et satisfaction de leur prise en charge

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Description des patients douloureux chroniques aux urgences et satisfaction de leur prise en charge by : Jean-Baptiste Robledo

Download or read book Description des patients douloureux chroniques aux urgences et satisfaction de leur prise en charge written by Jean-Baptiste Robledo and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : si la douleur aiguë aux urgences est aujourd'hui bien décrite, il n'en va pas de même pour la douleur chronique. Celle-ci concerne jusqu'à 40% des patients aux urgences. L'objectif principal était de comparer le niveau de satisfaction des douloureux chroniques et des non douloureux chroniques aux urgences. Matériel et méthode : dans cette étude observationnelle, prospective, monocentrique, réalisée du 2 au 12 janvier 2018 aux urgences du CHU de Bordeaux, tous les patients majeurs admis aux urgences du lundi au vendredi en journée recevaient un questionnaire pour déterminer s'ils étaient porteur d'une douleur chronique, leur niveau de satisfaction et l'intensité de leur douleur. Résultats : deux cent quarante trois patients ont été analysés. 32,9% (80 patients) déclaraient être porteur d'une douleur chronique. 10,2% (25 patients) consultaient pour une exacerbation de leur douleur chronique. 87% des patients étaient satisfaits à très satisfaits de leur prise en charge aux urgences, sans différence significative entre les douloureux chroniques et les autres. Il n'existait pas de différence d'évolution de la douleur dans ces deux groupes de patients entre l'entrée et la sortie des urgences. Discussion : un grand nombre de patients aux urgences présentent une douleur chronique. Ces patients ont davantage recours aux urgences mais seul un tiers d'entre eux consultent pour une exacerbation de leur douleur habituelle. Les douloureux chroniques semblent se montrer aussi satisfaits que les autres de leur prise en charge au urgences. Conclusion : aux urgences, la douleur chronique est fréquente et ne semble pas avoir d'influence sur la satisfaction des patients.

Prise en charge des patients aux urgences et mesure de leur satisfaction

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ISBN 13 :
Total Pages : 4 pages
Book Rating : 4.:/5 (491 download)

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Book Synopsis Prise en charge des patients aux urgences et mesure de leur satisfaction by : Mariko Sumiya

Download or read book Prise en charge des patients aux urgences et mesure de leur satisfaction written by Mariko Sumiya and published by . This book was released on 2002 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mesure de la douleur aux urgences

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ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.:/5 (49 download)

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Book Synopsis Mesure de la douleur aux urgences by : Sabine Plaesu

Download or read book Mesure de la douleur aux urgences written by Sabine Plaesu and published by . This book was released on 2001 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: La douleur est un motif de consultation fréquent dans les services d'urgences médico-chirurgicales. Toutefois la qualité de sa prise en charge est insuffisante...

Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences

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ISBN 13 :
Total Pages : 104 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences by : Valentin Lozach

Download or read book Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences written by Valentin Lozach and published by . This book was released on 2019 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: La satisfaction est un critère décisif dans le fonctionnement de l'institution de santé. Autant pour l'accréditation mais également pour estimer la qualité d'un service. Les patients chroniques sont des patients habitués des services d'urgence. Ils sont également habitués à vivre avec leur maladie. L'intérêt de ce travail est de savoir si les patients chroniques aident les médecins urgentistes dans leur propre prise en charge aux urgences. Nous avons réalisé une étude qualitative avec analyse catégorielle. Le référentiel CanMEDs a été utilisé pour les catégories. Les patients ont été recrutés jusqu'à saturation des données dans le service d'urgence de l'hôpital Pasteur 2. Treize patients ont été analysés dont 7 femmes et 6 hommes. Deux analyses catégorielles ont été réalisées. Une analyse médicale et une analyse par une patiente partenaire. Les résultats montrent qu'aucun patient ne se porte expert de sa propre prise en charge aux urgences. Les patients chroniques interrogés se centrent sur des dimensions plus triviales telles qu'une information donnée, le confort aux urgences ou l'attente. En conclusion, il est intéressant de noter qu'aucun patient dans l'étude ne prend en charge sa propre consultation comme on pourrait le voir dans les pays anglo-saxons. La notion de patient partenaire en expansion en France devrait permettre une meilleure position d'expert des patients pour leur propre prise en charge.

Description de la prise en charge initiale, aux urgences, des patients hospitalisés en soins intensifs

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ISBN 13 :
Total Pages : 138 pages
Book Rating : 4.:/5 (69 download)

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Book Synopsis Description de la prise en charge initiale, aux urgences, des patients hospitalisés en soins intensifs by : Christophe Andreotti

Download or read book Description de la prise en charge initiale, aux urgences, des patients hospitalisés en soins intensifs written by Christophe Andreotti and published by . This book was released on 2010 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Depuis 2005 le parcours de soins coordonnés tourne autour du médecin traitant. Qu’en est-il du parcours des patients présentant une pathologie instable ? Le but de cette étude est de décrire la prise en charge de patients « réanimatoires » avant et pendant leur passage aux urgences. Matériel et méthode : Etude descriptive à partir de données extraites des dossiers médicaux informatisés de patients admis en secteur de soins intensifs à partir d’un service d’accueil des urgences. Résultats : Avec une moyenne d’âge de 53 ans, un sex-ratio majoritairement masculin, les 348 patients inclus présentent principalement des pathologies cardiaques et respiratoires. Bien que les symptômes évoluent en moyenne depuis plus de 4 jours, seul un quart des patients ont eu un contact médical avant leur venue aux urgences et 17% ont reçu un traitement avant les urgences. Un tiers arrivent par leurs propres moyens et en moyenne ils sont triés plus urgents que l’ensemble des consultants, surtout pour les pathologies respiratoires. Le délai moyen de prise en charge est d’environ 7 heures. Discussion : L’admission en soins intensifs concerne 1% des passages aux urgences, principalement pour des pathologies médicales. Une part importante de ces patients a effectivement des signes évoluant depuis plusieurs jours et un patient sur quatre a été évalué par un médecin et près d’un sur cinq a reçu un traitement avant les urgences. Les délais de prise en charge varient selon le mode de recours au SAU. Conclusion : Une part importante des patients de réanimation semble donc recourir aux soins primaires. Leur impact reste à étudier par des travaux complémentaires.

Perception de la prise en charge de la douleur du sujet âgé par les médecins et infirmiers aux urgences en Basse-Normandie

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ISBN 13 :
Total Pages : 77 pages
Book Rating : 4.:/5 (124 download)

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Book Synopsis Perception de la prise en charge de la douleur du sujet âgé par les médecins et infirmiers aux urgences en Basse-Normandie by : farah Charif

Download or read book Perception de la prise en charge de la douleur du sujet âgé par les médecins et infirmiers aux urgences en Basse-Normandie written by farah Charif and published by . This book was released on 2020 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: La douleur du sujet âgé aux urgences est une question très fréquemment rencontrées dans les services d'urgences. Le personnel soignant de ces services est amené à y être confronté de plus en plus souvent au vu du vieillissement de la population. Les infirmiers et les médecins sont les acteurs de la prise en charge des patients âgés douloureux aux urgences. Leurs perceptions de la problématique ont été recueillies dans une étude qualitative réalisée au moyen d'entretiens semi-dirigés. Les résultats montrent que généralement l'évaluation de la douleur se fait subjectivement au moyen de l'observation du patient, et de la discussion avec celui-ci ou avec son entourage. Les échelles standardisées d'évaluation de la douleur sont peu utilisées. La douleur aiguë fait l'objet d'une attention particulière chez les médecins et infirmiers des urgences et la place des douleurs chroniques est réduite. Le sujet âgé, est perçu comme un patient, qui nécessite un temps de prise en charge important et qui minimisant sa douleur. La contrainte de temps et le flux continu d'entrées aux urgences semblent être un frein à sa bonne évaluation, sa bonne prise en charge et sa bonne réévaluation. L'absence de suivi des patients est une particularité des services d'urgences. Elle laisse pour les médecins et les infirmiers des urgences des questions en suspens, notamment concernant l'efficacité des thérapeutiques mises en place aux urgences et les effets secondaires à long terme. Ces résultats semblent expliquer les difficultés rencontrées aux urgences par les médecins et les infirmiers. Il serait bon de les étudier point par point afin d'améliorer la prise en charge des sujets âgés aux urgences.

Community Management of Opioid Overdose

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ISBN 13 : 9789241548816
Total Pages : 0 pages
Book Rating : 4.5/5 (488 download)

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Book Synopsis Community Management of Opioid Overdose by : World Health Organization

Download or read book Community Management of Opioid Overdose written by World Health Organization and published by . This book was released on 2015-09-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 69000 people die each year from opioid overdose. Opioid overdose is easily reversed with the opioid antidote naloxone and with basic life support. Such care is generally only available in medical settings, however. These guidelines recommend that people who are likely to witness an opioid overdose, including people who use opioids, and their family and friends should be given access to naloxone and training in its use so that they can respond to opioid overdose in an emergency if a medical response is not available. Naloxone can be injected or administered intra-nasally and has minimal effects in people who have not used opioids. While naloxone administered by bystanders is a potentially life-saving emergency interim response to opioid overdose, it should not be seen as a replacement for comprehensive medical care.

Geriatric Emergency Medicine

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Publisher : Springer
ISBN 13 : 331919318X
Total Pages : 398 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Geriatric Emergency Medicine by : Christian Nickel

Download or read book Geriatric Emergency Medicine written by Christian Nickel and published by Springer. This book was released on 2017-12-11 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.

Chronic Pain Epidemiology

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Publisher : Oxford University Press, USA
ISBN 13 : 0199235767
Total Pages : 377 pages
Book Rating : 4.1/5 (992 download)

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Book Synopsis Chronic Pain Epidemiology by : Peter Croft

Download or read book Chronic Pain Epidemiology written by Peter Croft and published by Oxford University Press, USA. This book was released on 2010-09-30 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an invaluable framework and basis for thinking about chronic pain and the potential for its prevention in public health terms.

Oxford Textbook of Palliative Medicine

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Publisher : Oxford University Press, USA
ISBN 13 : 0199656096
Total Pages : 1281 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Oxford Textbook of Palliative Medicine by : Nathan I. Cherny

Download or read book Oxford Textbook of Palliative Medicine written by Nathan I. Cherny and published by Oxford University Press, USA. This book was released on 2015 with total page 1281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.

Philosophy manual: a South-South perspective

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Publisher : UNESCO Publishing
ISBN 13 : 9231010069
Total Pages : 236 pages
Book Rating : 4.2/5 (31 download)

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Book Synopsis Philosophy manual: a South-South perspective by : Chanthalangsy, Phinith

Download or read book Philosophy manual: a South-South perspective written by Chanthalangsy, Phinith and published by UNESCO Publishing. This book was released on 2014-12-31 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health System Performance Comparison: an Agenda for Policy, Information and Research

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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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.

Your Mindful Compass

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Publisher :
ISBN 13 : 9780615928791
Total Pages : 318 pages
Book Rating : 4.9/5 (287 download)

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Book Synopsis Your Mindful Compass by : Andrea Maloney Schara

Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Innovate Bristol

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Publisher :
ISBN 13 : 9781949677072
Total Pages : pages
Book Rating : 4.6/5 (77 download)

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Book Synopsis Innovate Bristol by : Sven Boermeester

Download or read book Innovate Bristol written by Sven Boermeester and published by . This book was released on 2019-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Innovate Bristol highlights and celebrates those companies and individuals that are actively working at building a better tomorrow for all. Innovation Ecosystems thrive through the involvement and support of companies and individuals from all industries, which is why the Innovate series not only focuses on the innovators but also those people whom the Innovation Ecosystem, would not be able to thrive without.

Oxford Textbook of Palliative Care for Children

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Publisher : Oxford University Press
ISBN 13 : 019882131X
Total Pages : 535 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Oxford Textbook of Palliative Care for Children by : Richard Hain

Download or read book Oxford Textbook of Palliative Care for Children written by Richard Hain and published by Oxford University Press. This book was released on 2021-03-24 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.

Economic Fallacies

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Publisher : Simon Publications
ISBN 13 : 9781931541022
Total Pages : 0 pages
Book Rating : 4.5/5 (41 download)

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Book Synopsis Economic Fallacies by : Frederic Bastiat

Download or read book Economic Fallacies written by Frederic Bastiat and published by Simon Publications. This book was released on 2001-08-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, written by the celebrated nineteenth century French economist propagating free trade, reads as it was written yesterday.

Global Report on Trafficking in Persons 2016

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Publisher : United Nations Office on Drugs and Crime
ISBN 13 : 9789211303391
Total Pages : 433 pages
Book Rating : 4.3/5 (33 download)

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Book Synopsis Global Report on Trafficking in Persons 2016 by : United Nations Office on Drugs and Crime

Download or read book Global Report on Trafficking in Persons 2016 written by United Nations Office on Drugs and Crime and published by United Nations Office on Drugs and Crime. This book was released on 2017-01-03 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Report covers and provides an overview of patterns and flows of trafficking in persons at the global, regional and national levels, based on trafficking cases detected mainly between 2012 and 2014.