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Book La consultation d annonce en oncologie et h  matologie p  diatrique

Download or read book La consultation d annonce en oncologie et h matologie p diatrique written by Leslie Andry and published by . This book was released on 2018 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chaque année en France, environ 2600 nouveaux cas de cancer sont diagnostiqués chez les enfants et les adolescents. L'annonce du diagnostic de cancer est un évènement traumatique et angoissant, provoquant un bouleversement médico-psycho-social majeur, concernant à la fois l'enfant ou l'adolescent lui-même mais également ses parents. C'est dans ce contexte que la mesure 40 du 1er plan cancer garantissant l'accès à un dispositif d'annonce ainsi que les recommandations d'organisation des soins en cancérologie pédiatrique, ont vu le jour en 2003 et 2004. L'objectif de notre étude était d'évaluer l'adéquation entre le contenu du dispositif d'annonce mis en œuvre dans le service d'hématologie et oncologie pédiatrique du CHU d'Amiens avec les recommandations fixées par l'Institut National du Cancer (INCa), à travers des témoignages d'enfants et adolescents suivis dans le service mais également de leurs parents et des médecins, et de recueillir leur ressenti. Étude monocentrique rétrospective, avec questionnaires élaborés autour des items développés par l'INCa dans son plan d'annonce du diagnostic de cancer et remis aux enfants, adolescents et parents suivis au CHU d'Amiens de janvier 2013 à juin 2018. Parmi les 109 questionnaires, 72% nous avaient été retournés. Les enfants, adolescents et parents avaient eu accès à une consultation d'annonce dans 95% des cas, réalisée dans la totalité des cas par un médecin spécialisé en cancérologie pédiatrique. Globalement, ils se déclaraient tous satisfaits des modalités d'annonce et du contenu des informations. Cependant, un grand nombre d'entre eux estimaient ne pas avoir posé l'ensemble de leurs questions, principalement car elles étaient apparues secondairement, probablement en rapport avec le mécanisme de sidération induit par le choc de l'annonce d'où l'importance du temps d'accompagnement soignant prévu par l'INCa. Les soins de supports avaient été proposés à 98% des parents mais leur recours était variable, essentiellement représenté par la prise en charge psycho-sociale. Concernant le lien avec la médecine de ville, les parents comme les praticiens du service souhaitaient impliquer d'avantage les médecins généralistes dans la prise en charge de ces enfants malades. Le dispositif d'annonce du cancer a pour objectif d'atténuer l'effet traumatique et les répercutions médico-psycho-sociales de cette annonce. La particularité de la pédiatrie, prenant en charge les enfants et adolescents de 0 à 18 ans, doit adapter les informations à leur âge et leur stade de développement, en tenant compte de la place des parents. Cependant, au-delà de l'annonce de la maladie, les explications fournies de manière continues aux enfants, aux adolescents et à leurs parents aux différentes étapes de la maladie contribuent à l'alliance thérapeutique et renforcent leurs capacités de résilience.

Book Communication at the End of Life

Download or read book Communication at the End of Life written by Jon F. Nussbaum and published by Lifespan Communication. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multi-contextual approach serves to integrate current findings, expand our theoretical understanding of the end of life, prioritize the significance of competent communication for scholars and practitioners, and provide a solid foundation upon which to build pragmatic interventions to assist individuals at the end of life as well as those who care for and grieve for those who are dying.

Book Improvising Medicine

    Book Details:
  • Author : Julie Livingston
  • Publisher : Duke University Press
  • Release : 2012-08-29
  • ISBN : 0822353423
  • Pages : 247 pages

Download or read book Improvising Medicine written by Julie Livingston and published by Duke University Press. This book was released on 2012-08-29 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focused on Botswana's only dedicated oncology ward, Improvising Medicine renders the experiences of patients, their relatives, and clinical staff during a cancer epidemic.

Book Global Burden of Disease and Risk Factors

Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.

Book Death Foretold

    Book Details:
  • Author : Nicholas A. Christakis
  • Publisher : University of Chicago Press
  • Release : 2001-04
  • ISBN : 9780226104713
  • Pages : 354 pages

Download or read book Death Foretold written by Nicholas A. Christakis and published by University of Chicago Press. This book was released on 2001-04 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking book explains prognosis from the perspective of doctors, examining why physicians are reluctant to predict the future, how doctors use prognosis, the symbolism it contains, and the emotional difficulties it involves. Drawing on his experiences as a doctor and sociologist, Nicholas Christakis interviewed scores of physicians and searched dozens of medical textbooks and medical school curricula for discussions of prognosis in an attempt to get to the core of this nebulous medical issue that, despite its importance, is only partially understood and rarely discussed. "Highly recommended for everyone from patients wrestling with their personal prognosis to any medical practitioner touched by this bioethical dilemma."—Library Journal, starred review "[T]he first full general discussion of prognosis ever written. . . . [A] manifesto for a form of prognosis that's equal parts prediction-an assessment of likely outcomes based on statistical averages-and prophecy, an intuition of what lies ahead."—Jeff Sharlet, Chicago Reader "[S]ophisticated, extraordinarily well supported, and compelling. . . . [Christakis] argues forcefully that the profession must take responsibility for the current widespread avoidance of prognosis and change the present culture. This prophet is one whose advice we would do well to heed."—James Tulsky, M.D., New England Journal of Medicine

Book The Private Worlds of Dying Children

Download or read book The Private Worlds of Dying Children written by Myra Bluebond-Langner and published by Princeton University Press. This book was released on 2020-05-05 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the Margaret Mead Award A classic, moving study of terminally ill children that emphasizes their agency and shows how we can relate to dying children more honestly “The death of a child,” writes Myra Bluebond-Langner, “poignantly underlines the impact of social and cultural factors on the way that we die and the way that we permit others to die.” In a moving drama constructed from her observations of leukemic children, aged three to nine, in a hospital ward, she shows how the children come to know they are dying, how and why they attempt to conceal this knowledge from their parents and the medical staff, and how these adults in turn try to conceal from the children their awareness of the child’s impending death. In contrast to many parents, doctors, nurses, and social scientists who regard the children as passive recipients of adult actions, Bluebond-Langner emphasizes the children’s role in initiating and maintaining the social order. Her sensitive and stirring portrait shows the children to be willful, purposeful individuals capable of creating their own worlds. The result suggests better ways of relating to dying children and enriches our understanding of the ritual behavior surrounding death.

Book Cancer Care for Adolescents and Young Adults

Download or read book Cancer Care for Adolescents and Young Adults written by Daniel Kelly and published by John Wiley & Sons. This book was released on 2008-04-30 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer in Adolescents and Young Adults is a practical guide to cancer care in adolescents and young adults. It considers the impact of diagnosis on individuals, and their families, as well as examining the impact on the health professionals responsible for their care. There are sections focussing on the adolescent’s experience of cancer and ongoing care needs during treatment, and on life after cancer, including rehabilitation and palliative care. • Builds on the forthcoming NICE guidelines on Supportive Cancer Care for Children & Young People, and recent Department of Health guidelines & policy initiatives • Adopts an integrated inter-professional approach • Contains evidence-based contributions from leading professionals in cancer care Cancer in Adolescents and Young Adults is an essential resource for all those involved with the provision of care and support for adolescents and young adults with cancer. About the Editors: Dr Daniel Kelly is Reader in Cancer & Palliative Care, Middlesex University, London. Dr Faith Gibson is Senior Lecturer in Children’s Nursing Research, Institute of Child Health, Great Ormond Street Hospital and King’s College London.

Book Interprofessional Capability Framework

Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Social Transformation of American Medicine

Download or read book The Social Transformation of American Medicine written by Paul Starr and published by . This book was released on 1982 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

Book Impure Science

Download or read book Impure Science written by Steven Epstein and published by Univ of California Press. This book was released on 1996 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Epstein shows the extent to which AIDS research has been a social and political phenomenon and how the AIDS movement has transformed biomedical research practices through its capacity to garner credibility by novel strategies.

Book Profession of Medicine

    Book Details:
  • Author : Eliot Freidson
  • Publisher : Addison-Wesley Educational Publishers
  • Release : 1970
  • ISBN :
  • Pages : 440 pages

Download or read book Profession of Medicine written by Eliot Freidson and published by Addison-Wesley Educational Publishers. This book was released on 1970 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Must be judged as a landmark in medical sociology."-Norman Denzin, Journal of Health and Social Behavior"Profession of Medicine is a challenging monograph; the ideas presented are stimulating and thought provoking. . . . Given the expanding domain of what illness is and the contentions of physicians about their rights as professionals, Freidson wonders aloud whether expertise is becoming a mask for privilege and power. . . . Profession of Medicine is a landmark in the sociological analysis of the professions in modern society."-Ron Miller, Sociological Quarterly"This is the first book that I know of to go to the root of the matter by laying open to view the fundamental nature of the professional claim, and the structure of professional institutions."-Everett C. Hughes, Science

Book Chaos of Disciplines

    Book Details:
  • Author : Andrew Abbott
  • Publisher : University of Chicago Press
  • Release : 2010-07-15
  • ISBN : 0226001059
  • Pages : 276 pages

Download or read book Chaos of Disciplines written by Andrew Abbott and published by University of Chicago Press. This book was released on 2010-07-15 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this vital new study, Andrew Abbott presents a fresh and daring analysis of the evolution and development of the social sciences. Chaos of Disciplines reconsiders how knowledge actually changes and advances. Challenging the accepted belief that social sciences are in a perpetual state of progress, Abbott contends that disciplines instead cycle around an inevitable pattern of core principles. New schools of thought, then, are less a reaction to an established order than they are a reinvention of fundamental concepts. Chaos of Disciplines uses fractals to explain the patterns of disciplines, and then applies them to key debates that surround the social sciences. Abbott argues that knowledge in different disciplines is organized by common oppositions that function at any level of theoretical or methodological scale. Opposing perspectives of thought and method, then, in fields ranging from history, sociology, and literature, are to the contrary, radically similar; much like fractals, they are each mutual reflections of their own distinctions.

Book A Critical Dictionary of Sociology

Download or read book A Critical Dictionary of Sociology written by Raymond Boudon and published by Routledge. This book was released on 2002-09-10 with total page 517 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unlike most other sociology or social science dictionaries, in this translation of the Critical Dictionary of Sociology, taken from the second French edition of the Dictionary and edited by the English sociologist Peter Hamilton, the critical value of this distinctive work is at last made available for a wider audience. Each entry grapples directly with an issue, whether theoretical, epistemological, philosophical, political or empirical, and provides a strong statement of what the authors think about it. The discussions are considered but argumentative. By reaffirming that a non-marxist style of critique is still possible, Boudon and Bourricaud have presented a distinctive approach to the key issues which confront the societies of the Twentieth and Twenty-First centuries. For some this work will be a textbook, for others an indispensable sourcebook of sociological concepts, and for most a way of opening our eyes to new dimensions in our understanding of the great ideas and theories of sociology.

Book Cheshire Parish Registers   V 3

    Book Details:
  • Author : London Issued to the Subscribers by
  • Publisher : Legare Street Press
  • Release : 2021-09-10
  • ISBN : 9781015140356
  • Pages : 164 pages

Download or read book Cheshire Parish Registers V 3 written by London Issued to the Subscribers by and published by Legare Street Press. This book was released on 2021-09-10 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Book Ahfs Drug Information 2020

    Book Details:
  • Author : American Society of Health System Pharmacists
  • Publisher :
  • Release : 2020
  • ISBN : 9781585286119
  • Pages : 840 pages

Download or read book Ahfs Drug Information 2020 written by American Society of Health System Pharmacists and published by . This book was released on 2020 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Bloody Easy 3

    Book Details:
  • Author : Jeannie L. Callum
  • Publisher :
  • Release : 2011-04
  • ISBN : 9780986917608
  • Pages : 153 pages

Download or read book Bloody Easy 3 written by Jeannie L. Callum and published by . This book was released on 2011-04 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book A Primer on Property Tax

Download or read book A Primer on Property Tax written by William J. McCluskey and published by John Wiley & Sons. This book was released on 2012-10-04 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The chapters in this book explore in detail the choices regarding both the structure and administration of the property tax, drawing on the extensive knowledge the authors have acquired in studying property taxes around the world. The chapters provide a wide-ranging treatment of the design choices and administrative tasks, both in terms of the breadth of design options and administrative tasks covered and the depth of the discussion. The authors describe the range of design choices, discuss the associated issues and the advantages and disadvantages for each, and present the criteria to help choose among the options.’ From the book’s Foreword by David L. Sjoquist, Professor of Economics and Dan E. Sweat Scholar Chair in Educational and Community Policy, Georgia State University Property taxation is a key element in providing a solid foundation and a stable funding source for basic public services. Developing and implementing a property tax system is a complex task. This complexity is compounded by the diversity of legal, cultural and historical contexts of policymakers and tax administrators. The World Development Report (1999-2000), Entering the 21st Century puts fiscal decentralization at the top of the development agenda. This makes local taxation - and especially the property tax option - of critical importance to both tax and land policy, as well as the broader development agenda. A Primer on Property Tax: Administration and Policy provides the reader with an analysis of issues surrounding property tax, including economics, law, public finance, decentralisation, valuation, GIS and property tax reform. A key strength of the book lies in the vast international experience of the authors and the book will provide for the first time material which is topical, cutting-edge and highly relevant to many of the disciplines involved in property taxation. The authors examine the criteria applied to evaluate the strengths and weaknesses of property tax, discuss the main valuation methods and the economic principles underpinning them and review the legal and administrative aspects of property tax worldwide.