Impact De La Creation Dun Centre Psychiatrique Daccueil Et De Crise Aux Urgences Generales Du Chru De Tours Sur La Prise En Charge Globale Des Patients

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Impact de la création d'un centre psychiatrique d'accueil et de crise aux urgences générales du CHRU de Tours sur la prise en charge globale des patients

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Author : Thibaud Houstin
Publisher :
ISBN 13 :
Total Pages : 210 pages
Book Rating : 4.:/5 (16 download)

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Book Synopsis Impact de la création d'un centre psychiatrique d'accueil et de crise aux urgences générales du CHRU de Tours sur la prise en charge globale des patients by : Thibaud Houstin

Download or read book Impact de la création d'un centre psychiatrique d'accueil et de crise aux urgences générales du CHRU de Tours sur la prise en charge globale des patients written by Thibaud Houstin and published by . This book was released on 2018 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La demande de soins d'urgence, y compris psychiatriques, croit en permanence ces dernières décennies. Les professionnels de la santé mentale sont confrontés non seulement aux décompensations psychiatriques aiguës, mais aussi à de multiples situations de crise nécessitant un abord relationnel et une temporalisation qui permettent leur accompagnement, de leur éclosion à leur processus de résolution. Ainsi, divers dispositifs d'urgence proches ont émergé, dont les Centres d'Accueil et de Crise. Ce fut notamment le cas aux urgences générales du CHRU de Tours lors de l'ouverture d'un service dédié d'urgences psychiatriques / CAC en décembre 2014. L'objectif de notre travail était d'évaluer l'impact de la création de cette unité spécialisée sur la prise en charge globale des patients. Méthodes : Après un travail de revue de littérature, nous avons réalisé une étude rétrospective, transversale, observationnelle, mono centrique, comparant deux périodes avant (groupe 2014) et après (groupe 2016) l'ouverture du service urgences psychiatriques / CAC au sein des urgences médicales du CHRU de Tours. Tous les patients pris en charge aux urgences psychiatriques (sans et avec hébergement de crise) durant les premiers trimestres de 2014 (n = 810) et 2016 (n = 984) ont été inclus dans l'étude. Les données cliniques et socio démographiques de ces deux populations (âge, sexe, statut marital, statut professionnel, mode de vie et diagnostics), les éléments de leur prise en charge aux urgences (isolement, contentions, entretiens familiaux, fugues et/ou sorties sans avis médical), et leur devenir (hospitalisations en secteur psychiatrique, admissions en soins sans consentement, durée d'hospitalisation, et réadmissions dans les six mois) ont été comparés. Résultats : Les deux groupes sont comparables d'un point de vue socio démographique. Notre étude montre des proportions d'hospitalisations comparables entre 2014 et 2016, et une tendance à la diminution des taux d'admissions en soins sans consentement (8,3 % versus 6,7 %), mais ceci sans signification statistique (p = 0,208). Nous retrouvons une réduction significative de l'utilisation des contentions mécaniques (p = 0,045), une augmentation significative du nombre d'entretiens familiaux (p

Urgences et travail de crise en psychiatrie

Author : Philippe Konsbruck
Publisher :
ISBN 13 :
Total Pages : 234 pages
Book Rating : 4.:/5 (758 download)

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Book Synopsis Urgences et travail de crise en psychiatrie by : Philippe Konsbruck

Download or read book Urgences et travail de crise en psychiatrie written by Philippe Konsbruck and published by . This book was released on 2010 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'augmentation des demandes de soins en urgence concerne pratiquement toutes les disciplines médico-chirurgicales et plus spécialement la psychiatrie. Ce phénomène est avant tout visible dans les services d’urgence des hôpitaux généraux. Devant ce constat et dans un contexte global de fermeture de lits d’hospitalisation, des alternatives ont été développées, parmi lesquelles, les centres d’accueil et de crise (CAC). Méthode : Au moyen d’une revue de la littérature nous nous proposons de détailler l’évolution de l’approche française face aux urgences en psychiatrie, puis nous développerons les notions de crise et de travail de crise en psychiatrie. Les apports d’un CAC seront détaillés à l’aide des résultats d’une étude lilloise. Résultats : L’intérêt porté aux situations d’urgence en psychiatrie est un phénomène assez récent. La meilleure connaissance de ces situations a amené à les classer en deux catégories : la psychiatrie en urgence (30%) et l’urgence psychiatrique (70%). Cette deuxième catégorie représente les urgences médico-psycho-sociales évoluant souvent dans un contexte relationnel et qui ne trouvent pas leur place à l’hôpital psychiatrique. Le développement du travail de crise et l’ouverture des centres d’accueil et de crise ont contribué à améliorer l’accueil, l’accès aux soins, la prévention et de préciser la demande de soins psychothérapeutiques dans le domaine de l’urgence psychiatrique. L’étude lilloise portant sur l’accueil des urgences psychiatriques au CHRU de Lille de 2000 à 2004, démontre que l’ouverture d’un CAC contribue à une diminution significative du nombre total d’hospitalisations et plus spécialement des hospitalisations sous contrainte.

Accueil des urgences psychiatriques à l'accueil médico-chirurgical adulte d'un hôpital général

Author : Isabelle Lambrecht
Publisher :
ISBN 13 :
Total Pages : 214 pages
Book Rating : 4.:/5 (49 download)

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Book Synopsis Accueil des urgences psychiatriques à l'accueil médico-chirurgical adulte d'un hôpital général by : Isabelle Lambrecht

Download or read book Accueil des urgences psychiatriques à l'accueil médico-chirurgical adulte d'un hôpital général written by Isabelle Lambrecht and published by . This book was released on 1991 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les urgences médicales et psychiatriques diffèrent totalement quant à leurs définition et mode de réponse. L'une, vitale ou simplement ressentie, aboutit à un diagnostic et un traitement immédiat, l'autre s'apparente souvent à une situation de crise ci nécessite une attention particulière avec temps, disponibilité et compétence. Pourtant elles se présentent toutes deux à l'hôpital général et il faut y répondre. Une enquête réalisée pendant deux mois au C.H.G. du Havre a permis d'étudier la fréquentation psychiatrique du service des urgences ( en l'absence de psychiatre sur place ) : il existe entre 14 et 19 % d'admissions pour motif psychiatrique, le plus souvent chez des gens jeunes pour tentative de suicide: 80 % d'entre eux sont hospitalisés en médecine, avec de nombreuses récidives â la sortie. La crise constitue un phénomène en extension, que les patients préfèrent exprimer dans un lieu neutre. Cependant, l'accueil médicochirurgical n'est pas adapté pour eux et les médecins somaticiens non formés à cette pathologie, d'où une mauvaise prise en charge. Par ailleurs, lorsqu'il est isolé, l'accueil des urgences psychiatriques ne permet pas une sécurité organique. Ce sont deux services complémentaires. A certains endroits, des solutions ont été trouvées pour assurer une permanence d'accueil de qualité dans un site banalisé, avec possibilité de soins immédiats, tant psychiatriques qu'organiques. Elles vont de la garde de psychiatrie dans le service des urgences médicochirurgicales à l'unité d'accueil psychiatrique au sein de l'hôpital général, en passant par le centre d'accueil et de crise. Compte tenu des diverses structures hospitalières existant au Havre, sous la dépendance d'une administration unique, une unité de psychiatrie de liaison permettrait de résoudre les problèmes locaux.

A propos d'un projet de création d'une structure psychiatrique d'accueil et d'orientation avec lits de 72 heures à proximité du service d'accueil urgences d'un hôpital général

Download A propos d'un projet de création d'une structure psychiatrique d'accueil et d'orientation avec lits de 72 heures à proximité du service d'accueil urgences d'un hôpital général PDF Online Free

Author : Alain Chevallier (praticien hospitalier).)
Publisher :
ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.:/5 (17 download)

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Book Synopsis A propos d'un projet de création d'une structure psychiatrique d'accueil et d'orientation avec lits de 72 heures à proximité du service d'accueil urgences d'un hôpital général by : Alain Chevallier (praticien hospitalier).)

Download or read book A propos d'un projet de création d'une structure psychiatrique d'accueil et d'orientation avec lits de 72 heures à proximité du service d'accueil urgences d'un hôpital général written by Alain Chevallier (praticien hospitalier).) and published by . This book was released on 2005 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Altering Frontiers

Author : Corinne Grenier
Publisher : John Wiley & Sons
ISBN 13 : 1786307073
Total Pages : 72 pages
Book Rating : 4.7/5 (863 download)

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Book Synopsis Altering Frontiers by : Corinne Grenier

Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.

Social Media in Industrial China

Author : Xinyuan Wang
Publisher : UCL Press
ISBN 13 : 191063462X
Total Pages : 238 pages
Book Rating : 4.9/5 (16 download)

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Book Synopsis Social Media in Industrial China by : Xinyuan Wang

Download or read book Social Media in Industrial China written by Xinyuan Wang and published by UCL Press. This book was released on 2016-09-13 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life outside the mobile phone is unbearable.’ Lily, 19, factory worker. Described as the biggest migration in human history, an estimated 250 million Chinese people have left their villages in recent decades to live and work in urban areas. Xinyuan Wang spent 15 months living among a community of these migrants in a small factory town in southeast China to track their use of social media. It was here she witnessed a second migration taking place: a movement from offline to online. As Wang argues, this is not simply a convenient analogy but represents the convergence of two phenomena as profound and consequential as each other, where the online world now provides a home for the migrant workers who feel otherwise ‘homeless’. Wang’s fascinating study explores the full range of preconceptions commonly held about Chinese people – their relationship with education, with family, with politics, with ‘home’ – and argues why, for this vast population, it is time to reassess what we think we know about contemporary China and the evolving role of social media.

Thickening Fat

Author : May Friedman
Publisher : Routledge
ISBN 13 : 0429017634
Total Pages : 264 pages
Book Rating : 4.4/5 (29 download)

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Book Synopsis Thickening Fat by : May Friedman

Download or read book Thickening Fat written by May Friedman and published by Routledge. This book was released on 2019-08-30 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

Urban Travel and Sustainable Development

Author :
Publisher :
ISBN 13 :
Total Pages : 250 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Urban Travel and Sustainable Development by :

Download or read book Urban Travel and Sustainable Development written by and published by . This book was released on 1995 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Patient Engagement

Author : Marie-Pascale Pomey
Publisher : Springer Nature
ISBN 13 : 3030141012
Total Pages : 317 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Patient Engagement by : Marie-Pascale Pomey

Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

On the Trail of the Serpent

Author : Richard Neville
Publisher : Random House
ISBN 13 : 1473574641
Total Pages : 358 pages
Book Rating : 4.4/5 (735 download)

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Book Synopsis On the Trail of the Serpent by : Richard Neville

Download or read book On the Trail of the Serpent written by Richard Neville and published by Random House. This book was released on 2020-08-06 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: ***NOW THE SUBJECT OF THE MAJOR BBC TV SERIES *** DISCOVER THE INCREDIBLE TRUE CRIME STORY OF SERIAL KILLER, CHARLES SOBHRAJ, AND THE RACE TO BRING HIM TO JUSTICE Charles Sobhraj remains one of the world's great con men, and as a serial killer, the story of his life and capture endures as legend. Born in Vietnam to a Vietnamese mother and Indian father, Sobhraj grew up with a fluid sense of identity, moving to France before being imprisoned and stripped of his multiple nationalities. Driven to floating from country to country, continent to continent, he became the consummate con artist, stealing passports, smuggling drugs and guns across Asia, busting out of prisons and robbing wealthy associates. But as his situation grew more perilous, he turned to murder, preying on Western tourists dropping out across the 1970s hippie route, leaving a trail of dead bodies and gruesome crime scenes in his wake. First published in 1979, but updated here to include new material, On the Trail of the Serpent draws its readers into the story of Sobhraj's life as told exclusively to journalists Richard Neville and Julie Clarke. Blurring the boundaries between true crime and novelisation, this remains the definitive book about Sobhraj - riveting tale of sex, drugs, adventure and murder.

Deviced!

Author : Doreen Dodgen-Magee
Publisher : Rowman & Littlefield Publishers
ISBN 13 : 9781538115848
Total Pages : 0 pages
Book Rating : 4.1/5 (158 download)

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Book Synopsis Deviced! by : Doreen Dodgen-Magee

Download or read book Deviced! written by Doreen Dodgen-Magee and published by Rowman & Littlefield Publishers. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans engage with screens for more than ten hours a day, changing our brains, our relationships, and our personal lives. Here, Dodgen-Magee illuminates the effects of device overuse, and offers wisdom gleaned from personal stories, research, and anecdotes from youth, paren...

The Industrial Enterprise and Its Environment

Author : Sergio Conti
Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Industrial Enterprise and Its Environment by : Sergio Conti

Download or read book The Industrial Enterprise and Its Environment written by Sergio Conti and published by . This book was released on 1995 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The volume has three main objectives: to illustrate the trends of theoretical analysis in contemporary industrial geography; to establish the strategic central role of company spatial behaviour through the understanding of new theories developed in the framework of managerial sciences and theoretically and conceptually advanced in industrial geography; to reconceptualise in terms of complex systems theory the dynamic of industrial enterprise.

Unpacking IKEA

Author : Pauline Garvey
Publisher : Routledge
ISBN 13 : 1317642961
Total Pages : 182 pages
Book Rating : 4.3/5 (176 download)

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Book Synopsis Unpacking IKEA by : Pauline Garvey

Download or read book Unpacking IKEA written by Pauline Garvey and published by Routledge. This book was released on 2017-11-23 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book represents the first anthropological ethnography of Ikea consumption and goes to the heart of understanding the unique and at times frantic popularity of this one iconic transnational store. Based on a year of participant observation in Stockholm’s Kungens Kurva store – the largest in the world - this book places the retailer squarely within the realm of the home-building efforts of individuals in Stockholm and to a lesser degree in Dublin. Ikea, the world’s largest retailer and one of its most interesting, is the focus of intense popular fascination internationally, yet is rarely subject to in-depth anthropological inquiry. In Unpacking Ikea, Garvey explores why Ikea is never ‘just a store’ for its customers, and questions why it is described in terms of a cultural package, as everyday and classless. Using in-depth interviews with householders over several years, this ethnographic study follows the furniture from the Ikea store outwards to probe what people actually take home with them.

Social Health Insurance

Author : Charles Normand
Publisher :
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Social Health Insurance by : Charles Normand

Download or read book Social Health Insurance written by Charles Normand and published by . This book was released on 1994 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Social Media in an English Village

Author : Daniel Miller
Publisher : UCL Press
ISBN 13 : 1910634433
Total Pages : 222 pages
Book Rating : 4.9/5 (16 download)

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Book Synopsis Social Media in an English Village by : Daniel Miller

Download or read book Social Media in an English Village written by Daniel Miller and published by UCL Press. This book was released on 2016-02-29 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Daniel Miller spent 18 months undertaking an ethnographic study with the residents of an English village, tracking their use of the different social media platforms. Following his study, he argues that a focus on platforms such as Facebook, Twitter and Instagram does little to explain what we post on social media. Instead, the key to understanding how people in an English village use social media is to appreciate just how ‘English’ their usage has become. He introduces the ‘Goldilocks Strategy’: how villagers use social media to calibrate precise levels of interaction ensuring that each relationship is neither too cold nor too hot, but ‘just right’.

Psychoanalysis and Projective Methods in Personality Assessment

Author : Benoît Verdon
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"--

The Bukavu Series

Author : Aymar Nyenyezi
Publisher : Presses universitaires de Louvain
ISBN 13 : 2390610048
Total Pages : 146 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis The Bukavu Series by : Aymar Nyenyezi

Download or read book The Bukavu Series written by Aymar Nyenyezi and published by Presses universitaires de Louvain. This book was released on 2020-11-10 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: They are qualified, experienced, motivated, academically accomplished. They work tirelessly, collecting invaluable data in the field under conditions that are always challenging, and at times dangerous. And yet, their voices are unheard, and their names go unacknowledged in published research. Such is the lot of far too many research assistants from the Global South – people upon whose work an entire industry of knowledge production has been built. They are shut out of discussions on project design and left in the dark about the modalities of research funding. Later, the results of their research are published in journals to which they often have no access. Much of this is due to a certain omertà surrounding power imbalances, as well as research assistants' working conditions, financial difficulties, psychological traumas, and vulnerabilities. It also stems from the persistence of colonial mentalities in the research world – within universities, governments, foundations, aid institutions, and NGO’s. The Bukavu Series is a vibrant blog series about the experiences of research assistants in the Global South. Driven primarily by these silent voices, the series yields a mosaic depiction of fieldwork that mixes humor, realism, and incisive critique. This book offers a unique entry point into a critical debate, leading us toward concrete reforms, and setting us on the course toward a decolonisation of research.