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Les Facteurs Determinant Lhospitalisation Aux Urgences Par Les Medecins Generalistes Nicois Des Patients En Fin De Vie A Domicile
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Book Synopsis L'anticipation des situations d'urgence en fin de vie à domicile by : Klervi Guinemer
Download or read book L'anticipation des situations d'urgence en fin de vie à domicile written by Klervi Guinemer and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'accompagnement des patients en fin de vie au domicile est essentiel pour 70 % des français, selon un sondage de l'IFOP de 2017. La proportion d'hospitalisation double au cours du dernier mois de vie. 44 % des patients décédés en hospitalisation pour soins palliatifs étaient passés par un service d'urgence. Concrètement, comment les soignants (équipe médicale et paramédicale) anticipent-ils les situations d'urgence en fin de vie ? L'objectif de notre étude était de recueillir leurs pratiques sur l'anticipation de ces situations de soins. Une étude qualitative à travers des entretiens semi-dirigés a été réalisée en ambulatoire auprès de deux populations, en Bretagne et en Rhône-Alpes : médecins généralistes d'une part et infirmier.ère.s, aides-soignant.e.s et kinésithérapeutes d'autre part. L'urgence en fin de vie a été définie comme complexe, paradoxale et imprévisible. Les paramédicaux l'ont décrite comme un dépassement de leurs compétences. La mort a pu être évoquée par les médecins comme une urgence. Dans la population paramédicale, les déterminants de l'anticipation étaient liés aux aidants, au patient, au médecin, aux autres soignants ainsi qu'à la situation elle-même. Dans la population médicale, les déterminants étaient médicaux et psychosociaux (intrinsèques et extrinsèques). La place des aidants, les représentations de la fin de vie et le souhait du patient influençaient l'anticipation de tous et toutes les professionnel.le.s. L'interprofessionnalité ressortait comme un pilier des moyens de l'anticipation des situations d'urgence en fin de vie. L'apprentissage par l'expérience et par le partage d'expérience est un point fort de notre étude. A partir de nos résultats, nous avons défini l'urgence en fin de vie comme plurifactorielle : biologique, psychologique et social (de proximité et société). Nous l'avons intégrée dans notre modèle de théorisation basée sur la définition de l'anticipation (A.Villate) comme la rencontre de la prévision, prédiction et prévention. Une application de ce modèle devrait permettre d'améliorer la pratique.
Book Synopsis Facteurs précipitant l'hospitalisation des patients en fin de vie, dans le cadre de la permanence des soins, assurée par SOS médecins Lorient by : Nabil Bouhlal
Download or read book Facteurs précipitant l'hospitalisation des patients en fin de vie, dans le cadre de la permanence des soins, assurée par SOS médecins Lorient written by Nabil Bouhlal and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sujet : Aujourd'hui, alors que 85 % des Français souhaiteraient passer leurs derniers instants de vie au domicile, seuls 26 % décèdent chez eux. Pourquoi la fin de vie à domicile n'est-elle encore qu'un songe pour la majorité des patients. Objectifs et méthodes : Étude épidémiologique observationnelle transversale, qui s'intéresse aux facteurs associés à l'hospitalisation des patients en fin de vie, aux difficultés rencontrées lors de cette prise en charge et aux modalités de l'hospitalisation. Cette étude est complétée par des médecins libéraux de SOS, sur l'agglomération Lorientaise, dans le cadre de la permanence des soins durant l'année 2021. Résultats : L'analyse porte sur 145 patients en fin de vie. Le premier facteur associé à l'hospitalisation de ces patients est l'épuisement familial, avant les difficultés du médecin à gérer certains symptômes, comme la dyspnée ou les vomissements. Les principaux facteurs, paraissant favoriser le maintien à domicile, sont la volonté exprimée du patient concernant son lieu de fin de vie, la structure d'hébergement, l'âge, les aides et la présence de parents au domicile (p
Book Synopsis Fin de vie aux urgences by : Nicolas Harcaut
Download or read book Fin de vie aux urgences written by Nicolas Harcaut and published by . This book was released on 2010 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les prises en charges des fins de vies sont devenues quotidiennes dans les services d'urgences, amenant les médecins urgentistes à faire des choix décisifs en terme de limitations et d'arrêt des thérapeutiques actives. Ces situations suscitent de vives critiques envers les soins prodigués en amont des urgences et amènent à s'interroger sur les modifications de la perception de la mort dans notre société. MATERIEL - METHODE : notre étude, rétrospective, monocentrique, réalisée sur 8 mois, vise à faire l'état des lieux des situations amenant des patients en fin de vie aux irgences et des caractéristiques de leur prise en charge en s'appuyant sur l'expérience d'un centre, les données étant recueillies dans les dossiers médicaux de tous les patients décédés au SU. Par ailleurs nous avons réalisé l'analyse des témoignages des médecins généralistes concernés. Les sous-populations "patients ayant fait l'objet de LATA" et "patients en fin de vie" étaient étudiées en détails. RESULTATS : 125 décès ont été enregistrés au SU, soit 20 % de la mortalité hospitalière. Ils concernent des patients le plus souvent âgés, polypathologiques, dépendants et la plupart de ces décès a lieu dans l'unité d'hospitalisation de courte durée, après 40 heures d'hospitalisation en moyenne, et fait suite à une décision de LATA. Une grande partie de décisions de LATA (N = 76) est prise sans la consultation préalable de la famille et/ou du médecin traitant. Les patients en fin de vie (N = 58) sont le plus souvent adressés par des médecins qui ne les connaissent pas mais l'analyse du témoignage de leurs médecins traitants montre que ceux-ci auraient, dans la plupart des cas, adressé aussi leur patient au SU, leur lieu de vie étant inadapté pour gérer une fin de vie, ou sous la pression des infirmières ou de la famille des patients. Il n'y avait jamais de dossier médical ou de prescriptions anticipées à la disposition du médecin intervenant. CONCLUSION : il est indispensable d'améliorer la prise en charge des fins de vie, aux urgences en s'appuyant par exemple sur des protocoles mais sans se substituer aux soins palliatifs, et en amont des urgences en donnant aux médecins généralistes les moyens de gérer ces situations, notamment par la participation d'autres intervenants, dont les gériatres, et en favorisant la communication entre les médecins libéraux et entre ville et hôpital.
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.
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.
Book Synopsis Health Workforce Policies in OECD Countries by : OECD
Download or read book Health Workforce Policies in OECD Countries written by OECD and published by Org. for Economic Cooperation & Development. This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foreword and Acknowledgments -- Executive summary -- Key findings -- Analytical framework of health labour markets -- Trends in health labour markets and policy priorities to address workforce issues -- Education and training for doctors and nurses: What's happening with numerus clausus policies? -- Trends and policies affecting the international migration of doctors and nurses to OECD countries -- Geographic imbalances in the distribution of doctors and health care services in OECD countries -- Skills use and skills mismatch in the health sector: What do we know and what can be done
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.
Download or read book Geosimulation written by Itzhak Benenson and published by John Wiley & Sons. This book was released on 2004-08-20 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geosimulation is hailed as ‘the next big thing’ in geographic modelling for urban studies. This book presents readers with an overview of this new and innovative field by introducing the spatial modelling environment and describing the latest research and development using cellular automata and multi-agent systems. Extensive case studies and working code is available from an associated website which demonstrate the technicalities of geosimulation, and provide readers with the tools to carry out their own modelling and testing. The first book to treat urban geosimulation explicitly, integrating socio-economic and environmental modelling approaches Provides the reader with a sound theoretical base in the science of geosimulation as well as applied material on the construction of geosimulation models Cross-references to an author-maintained associated website with downloadable working code for readers to apply the models presented in the book Visit the Author's Website for further information on Geosimulation, Geographic Automata Systems and Geographic Automata Software http://www.geosimulationbook.com
Book Synopsis Golden Holocaust by : Robert N. Proctor
Download or read book Golden Holocaust written by Robert N. Proctor and published by Univ of California Press. This book was released on 2012-02-28 with total page 779 pages. Available in PDF, EPUB and Kindle. Book excerpt: The cigarette is the deadliest artifact in the history of human civilization. It is also one of the most beguiling, thanks to more than a century of manipulation at the hands of tobacco industry chemists. In Golden Holocaust, Robert N. Proctor draws on reams of formerly-secret industry documents to explore how the cigarette came to be the most widely-used drug on the planet, with six trillion sticks sold per year. He paints a harrowing picture of tobacco manufacturers conspiring to block the recognition of tobacco-cancer hazards, even as they ensnare legions of scientists and politicians in a web of denial. Proctor tells heretofore untold stories of fraud and subterfuge, and he makes the strongest case to date for a simple yet ambitious remedy: a ban on the manufacture and sale of cigarettes.
Book Synopsis Psychological Sense of Community by : Adrian T. Fisher
Download or read book Psychological Sense of Community written by Adrian T. Fisher and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, the authors have explored a series of different types of communities - moving from the basic idea of those based at a specific location all the way to virtual communities of the internet. A key feature of this book is the research focus that emphasizes the theory-driven analyses and the diversity of contexts in which sense of community is applied. The book will be of great interest to those concerned with understanding various forms of community and how communities can be mobilized to achieve wellbeing.
Book Synopsis Community Psychology by : Geoffrey Nelson
Download or read book Community Psychology written by Geoffrey Nelson and published by Palgrave Macmillan. This book was released on 2005-01-15 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first up-to-date text written specifically for the international market on psychology in the community. Community Psychology covers the history and foundations of the field, key concepts and values, community research, community action, and the application of psychology in various settings, integrating the values/politics and scientific/research aspects of community work. Written by experienced authors in the field, this text will be internationally invaluable.
Book Synopsis Human Resources For Health In Europe by : Dubois, Carl-Ardy
Download or read book Human Resources For Health In Europe written by Dubois, Carl-Ardy and published by McGraw-Hill Education (UK). This book was released on 2005-12-01 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book analyses how the current regulatory processes and practices related to key aspects of the management of the health professions may facilitate or inhibit the development of effective responses to challenges facing health care systems in Europe. The authors document how health care systems in Europe are confronting existing challenges in relation to the health workforce and identify the strategies that are likely to be most effective in optimizing the management of health professionals in the future.
Book Synopsis Studies in Empowerment by : Robert E Hess
Download or read book Studies in Empowerment written by Robert E Hess and published by Routledge. This book was released on 2014-04-04 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: This adaptable book offers diverse applications of the empowerment model to the promotion of mental health and the prevention of mental illness. Topics span the developmental trends of empowerment as an individual achievement, a community experience, and a professional aim in relation to social intervention strategies and tactics.
Book Synopsis Community Psychology by : Julian Rappaport
Download or read book Community Psychology written by Julian Rappaport and published by New York : Holt, Rinehart and Winston. This book was released on 1977 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Book Synopsis Oncology Nurse Navigation by : Deborah M. Christensen
Download or read book Oncology Nurse Navigation written by Deborah M. Christensen and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The oncology nurse navigator is one of the few roles in nursing in which an individual nurse is accountable for and invested in providing patient-centered care throughout an entire disease trajectory. This book provides novice nurse navigators and those developing or working in navigation programs with an overview of the role of the nurse navigator in cancer care and outlines the development of a navigation program, the skills and training needed to work as a nurse navigator, methods to evaluate outcomes, and issues related to assisting patients with specific types of cancers"--
Book Synopsis Notes on the Minor Prophets by : Henry Allan Ironside
Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
