Download or read book Evaluation de la pertinence des admissions en urgence des personnes g es de plus de 80 ans dans huit CHU fran ais written by Emilie Menand and published by . This book was released on 2013 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le recours des personnes âgées aux urgences est en constante augmentation. L'objectif est d'évaluer le taux de pertinence des admissions en urgence des personnes âgées, les facteurs de risques associés. La pertinence a été évaluée par l'Appropriateness Evaluation Protocol. Cette étude épidémiologique, prospective a été conduite dans huit CHU français sur deux périodes de quatre semaines en 2010. Tous les patients, âgés de 80 ans et plus, admis dans un service hospitalier après un passage au SAU, ont été inclus. Sur 1577 admissions incluses, le taux de non-pertinence des admissions s'élève à 7,7% (121 admissions). En analyse multivariée, l'existence de pathologies cardiaques, l'origine institutionnelle, la sévérité clinique diminuent significativement la non-pertinence des admissions. Un diagnostic principal syndromique apparaît comme un facteur de risque de non pertinence. Les admissions non pertinentes en urgence des personnes âgées sont peu fréquentes dans cette étude.
Download or read book Pertinence des admissions des personnes g es de 80 ans et plus aux urgences du CHU de Nantes written by Aurélie Begaudeau and published by . This book was released on 2011 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectifs : Evaluer la pertinence des admissions des personnes âgées de 80 ans et plus aux urgences et étudier les caractéristiques de ces admissions. Méthode : Etude prospective, descriptive, uni centrique, d’une cohorte de 685 patients admis aux urgences du CHU de Nantes sur 2 périodes de 15 jours en 2010. Détermination du taux d’admission non pertinente à l’aide d’un questionnaire inspiré de la grille Appropriateness Evaluation Protocol (AEPf) puis analyse statistique comparative entre les admissions jugées pertinentes et non pertinentes. Résultats : 81% des admissions ont été jugées pertinentes selon la grille AEPf et ce taux est similaire aux données de la littérature. La population étudiée est à prédominance féminine (65%) et vit principalement à domicile (68%). 51% des patients sont adressés par un médecin, sans que cela n’influence la pertinence de l’admission. Par contre, la régulation médicale par le Centre 15 avant l’admission apparait être un facteur de pertinence. Conclusion : Les plus de 80 ans semblent donc avoir un usage plutôt adapté des Urgences du CHU de Nantes. Une meilleure connaissance de la symptomatologie complexe de la personne âgée et des filières de soins existantes permettrait d’optimiser leur prise en charge et de limiter leurs passages inappropriés aux urgences.
Download or read book Pertinence et caract ristiques des admissions aux urgences des personnes ag es written by Bertrand Burel and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis plusieurs années en France, l'évolution démographique entraine une augmentation du nombre d'admissions aux urgences des personnes âgées. La gestion des flux de patients, devenue prioritaire devant le nombre de lits limité des Centres Hospitaliers, impose de limiter au maximum le nombre d'hospitalisations non pertinentes qui sont délétères chez ce type de patient. Les hospitalisations non pertinentes qui sont un phénomène connu mais peu étudié en France, influencé par de nombreuses variables dont l'organisation locorégionale des soins. L'objectif principal de cette étude était d'évaluer la pertinence à l'aide de la grille AEPf (version française de l'Appropriateness Evaluation Protocol) et d'étudier les caractéristiques des admissions aux urgences des personnes âgées institutionnalisées, en Allier. Les 219 patients inclus dans l'étude ont été adressés aux services d'accueil des urgences (SAU) des Centres Hospitaliers de Montluçon, Vichy et Moulins du 15 juin au 19 juillet 2015. La population de l'étude était composée de 68% de femmes et la moyenne d'âge était de 87 ans et demi. Les motifs médicaux représentaient 53% et les motifs traumatologiques 29% des motifs d'admission au SAU. Le taux d'admissions non pertinentes aux SAU a été évalué à 9%, ce qui correspond aux données de la littérature récente. La régulation médicale semblerait améliorer le taux de pertinence des admissions aux urgences (92%) et le taux de pertinence des admissions des patients provenant des institutions du territoire de santé de Montluçon semblerait moins élevé (83%), mais ces résultats ne sont pas significatifs. La grille AEPf ne semble pas être l'outil optimal pour l'évaluation de la pertinence des admissions aux SAU des patients institutionnalisés en Allier étant donné les dossiers litigeux (13%) et le motif traumatologique absent de la grille. Ces résultats invitent à réaliser une étude épidémiologique de plus grande ampleur à l'aide d'une grille élaborée avec les médecins gériatres à fin d'analyser précisément les différents facteurs bio-psycho-sociaux et organisationnels intervenant dans les problématiques du parcours de soins des patients institutionnalisés, qui reste perfectible.
Download or read book L affluence des personnes g es aux urgences est elle en lien avec la difficult d acc s aux soins primaires en ambulatoire written by Maxime Wahbi and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge des personnes âgées aux urgences est un enjeu majeur de santé publique. La population française est vieillissante, et parallèlement, le nombre de médecins généralistes en regard des besoins de la population décroit depuis plusieurs années. Existe-il un lien entre la difficulté d'accès aux soins primaires en ambulatoire et l'affluence des personnes âgées aux urgences ? Il s'agit d'une étude rétrospective concernant les patients âgés de 75 ans et plus admis dans le service d'accueil des urgences du Centre Hospitalier Lyon Sud au cours de l'année 2019. Un recueil de données a été réalisé au cours de 6 périodes d'une semaine afin d'évaluer l'impact d'évènements épidémiques, climatiques et scolaires sur l'affluence des personnes âgées. Dans un second temps, la pertinence des admissions a été évaluée à l'aide de l'outil Appropriateness Evaluation Protocol (AEPf) Le nombre hebdomadaire moyen de passages de personnes âgées de 75 ans et plus est globalement stable au cours de l'année et représente 20% du nombre total d'admissions aux urgences. Les personnes âgées sont adressées après un avis médical dans 23% des cas, par un professionnel de santé dans 59% des cas. Seulement 18% se présentent spontanément. Aucune variation significative des modalités d'admissions en fonction des évènements épidémiques, climatiques et scolaires n'a été constatée. La pertinence de l'admission des personnes âgées est de 73.5% lorsque l'admission est précédée d'un avis médical ou d'un professionnel de santé contre 49.4% lors d'une admission spontanée. Cette pertinence de l'admission a un impact sur le devenir des patients à l'issue de leur passage aux urgences. En effet, lorsque le passage est pertinent, il est suivi d'une hospitalisation dans 70,7% des cas. Contrairement à l'hypothèse de départ, cette étude a montré que l'affluence des personnes âgées aux urgences n'était pas impactée par la difficulté d'accès aux soins primaires en fonction des évènements épidémiques, climatiques et scolaires. Il ressort de cette étude un intérêt réel de réguler les admissions aux urgences afin qu'elles soient limitées aux admissions pertinentes à la fois pour diminuer le nombre d'admissions dans les services d'urgences mais aussi pour limiter les effets iatrogènes d'un passage aux urgences sur les personnes âgées. Plusieurs améliorations ont été proposées et mises en place par les autorités de santé ces dernières années.
Download or read book Collection of Essays by Legal Advisers of States Legal Advisers of International Organizations and Practitioners in the Field of International Law written by United Nations. Office of Legal Affairs and published by United Nations Publications. This book was released on 1999 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world has changed radically since 1989, when the General Assembly declared the period from 1990 to 1999 as the United Nations Decade of International Law. During that time, the international community claimed some major achievements as reflected by the adoption of conventions and treaties. This publication presents a collection of essays from legal advisers of States and international organizations, all of whom are among those committed to promoting respect for international law. Their contribution provides a practical perspective on international law, viewed from the standpoint of those involved in its formation, application and administration.
Download or read book Computers and Games for Mental Health and Well Being written by Yasser Khazaal and published by Frontiers Media SA. This book was released on 2018-07-12 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?
Download or read book Evolution of Awareness written by Kia Marlene and published by . This book was released on 2022-03-08 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evolution of Awareness, the debut poetry collection from Kia Marlene, is a book about a spiritual journey towards enlightenment. The collection consists of 6 chapters, titled "The Egg," "The Caterpillar," "Intermission (heartbreak&love)," "The Cocoon," "The Butterfly," and a chapter titled "Knock Knock." Through numerous poems this book outlines various thoughts, questions and eventual answers concerning our collective greater purpose in life, self love, consciousness, and personhood. The author intends for this book to help broaden the reader's general perception, view of their environment, awareness, and sense of self.
Download or read book Murder Manslaughter and Infanticide written by Great Britain: Law Commission and published by The Stationery Office. This book was released on 2006-11-29 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Law Commission consultation paper 'A new homicide act for England and Wales?' was published as LCCP 177 (ISBN 0117302643) in April 2006.
Download or read book Critical Care Nursing written by Linda Diann Urden and published by Saunders. This book was released on 2010 with total page 1242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.
Download or read book Iheoma My Dear written by Gloria Ernest Samuel and published by . This book was released on 2016 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Disciplined Minds written by Jeff Schmidt and published by Rowman & Littlefield. This book was released on 2000 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book about the world of professional work, Jeff Schmidt demonstrates that the workplace is inherently political and is a battleground for the very identity of the individual, as is graduate school where professionals are trained.
Download or read book Interprofessional Teamwork for Health and Social Care written by Scott Reeves and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: PROMOTING PARTNERSHIP FOR HEALTH This book forms part of a series entitled Promoting Partnership for Health publishedin association with the UK Centre for the Advancement of Interprofessional Education (CAIPE). The series explores partnership for health from policy, practice and educational perspectives. Whilst strongly advocating the imperative driving collaboration in healthcare, it adopts a pragmatic approach. Far from accepting established ideas and approaches, the series alerts readers to the pitfalls and ways to avoid them. DESCRIPTION Interprofessional Teamwork for Health and Social Care is an invaluable guide for clinicians, academics, managers and policymakers who need to understand, implement and evaluate interprofessional teamwork. It will give them a fuller understanding of how teams function, of the issues relating to the evaluation of teamwork, and of approaches to creating and implementing interventions (e.g. team training, quality improvement initiatives) within health and social care settings. It will also raise awareness of the wide range of theories that can inform interprofessional teamwork. The book is divided into nine chapters. The first 'sets the scene' by outlining some common issues which underpin interprofessional teamwork, while the second discusses current teamwork developments around the globe. Chapter 3 explores a range of team concepts, and Chapter 4 offers a new framework for understanding interprofessional teamwork. The next three chapters discuss how a range of range of social science theories, interventions and evaluation approaches can be employed to advance this field. Chapter 8 presents a synthesis of research into teams the authors have undertaken in Canada, South Africa and the UK, while the final chapter draws together key threads and offers ideas for future of teamwork. The book also provides a range of resources for designing, implementing and evaluating interprofessional teamwork activities.
Download or read book Terror in Quebec written by Gustav Morf and published by Toronto, Clarke, Irwin [1970]. This book was released on 1970 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Battered Child in Canada written by Mary Van Stolk and published by . This book was released on 1972 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Embolization written by Pascal Chabrot and published by Springer Science & Business Media. This book was released on 2013-08-20 with total page 446 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current textbooks for specialists are too detailed. This book will be a handy pocket guide for trainee vascular radiologists, and will serve as an aide-memoire for senior vascular radiologists. Each procedure will be shown in its entirety. Rather than being a library purchase, this book will be a handy and accessible guide for quick reference aimed at clinical interventional radiologists in multidisciplinary staff rooms and angiography suites.
Download or read book Trauma Team Dynamics written by Lawrence M. Gillman and published by Springer. This book was released on 2015-11-02 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book exploring the unique dynamics created by a multidisciplinary trauma team and how crisis management strategies can improve teamwork and communication and, potentially, improve patient resuscitation outcomes. Crisis resource management (CRM) is integral to the way that we manage ourselves, team members, and patients during emergency situations. It is essentially the ability to translate knowledge of what needs to be done into effective actions during a crisis situation. Building on the revolutionary American College of Surgeons Advanced Trauma Life Support (ATLS®) course, Trauma Team Dynamics illustrates the integration of the principles of CRM to team dynamics throughout the resuscitation –from the scene, through pre-hospital care and transport, to the trauma bay, and finally to definitive care and beyond. The editors and contributors are international experts in trauma, critical care, emergency medicine, nursing, respiratory therapy, and pre-hospital care and include NASA- and United States military-affiliated experts. Trauma Team Dynamics is intended for use as both a day-to-day clinical resource and a reference text, and includes self-assessment questions as well as guidance on CRM curriculum design and implementation.
Download or read book Assassination Terrorism written by David C. Rapoport and published by Canadian Broadcasting Corporation (CBC Audio). This book was released on 1971 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on a series of radio talks broadcast by the Canadian Broadcasting Corporation.
