Download or read book tat des lieux de la prise en charge de la fin de vie dans le groupement hospitalier L H pital Nord Ouest en 2019 written by Élodie Sirisakd and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le nombre de décès est en constante augmentation et les situations de fin de vie de plus en plus complexes. Il est donc important de prendre connaissance de la prise en charge de la fin de vie dans nos hôpitaux. L'objectif de notre étude est donc d'en réaliser un état des lieux. Nous avons réalisé une étude épidémiologique, descriptive et rétrospective sur la population décédée dans le groupement hospitalier L'Hôpital Nord-Ouest, sur 8 semaines, durant l'année 2019. Cent soixante-quatre patients ont été inclus. Cinquante-huit pourcent des patients décédés ont bénéficié d'un passage aux urgences durant leur dernier mois de vie. Ils étaient significativement plus souvent des patients âgés de 85 ans et plus, et atteints de maladie de l'appareil circulatoire. Quatre-vingt-sept pourcent des patients provenant d'EHPAD étaient entrés par les urgences pour leur ultime séjour. L'influence significative d'un décès attendu et de l'intervention des soins palliatifs sur cette prise en charge, mais aussi la fréquence de l'anticipation de la conduite à tenir en cas d'aggravation, montrent que les médecins adaptent régulièrement leurs pratiques en situation de fin de vie. Cependant, notre étude montre aussi une marge d'amélioration importante. Une des difficultés rencontrées a été d'anticiper le parcours de soins de patients fragiles et de reconnaitre ou de tracer clairement la fin de vie. Aucune recommandation officielle n'a été retenue pour juger de la qualité de la prise en charge de la fin de vie. Chaque critère proposé est donc à nuancer. L'anticipation et la personnalisation de cette prise en charge permettent d'être au plus proche de cet objectif. Cinq axes d'amélioration ont été dégagés et concernent les sujets suivants : la reconnaissance des patients en situation de fragilité, l'élaboration de leur projet de soins, l'anticipation de leur parcours de soins, l'amélioration de la prise en charge d 'une fin de vie imminente et le développement du lien entre l'hôpital et les EHPAD.
Download or read book Le d c s l h pital written by Marc Dupont and published by Ecole des Hautes Etudes en Santé Publique. This book was released on 2012 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aujourd'hui en France, près de 70 % des décès ont lieu dans un établissement de soins ou d'hébergement médicalisé. La prise en charge des corps des défunts, l'accompagnement de l'entourage constituent une mission importante de ces établissements. Elle doit s'effectuer avec professionnalisme et dignité, dans le respect de la volonté des personnes. Tout un corpus de dispositions juridiques et de règles de bonnes pratiques a été progressivement établi, qui concerne les nombreux métiers confrontés au décès d'un patient - tant dans les établissements de santé publics et privés que dans les institutions sociales et médico-sociales. Les auteurs en proposent une présentation claire et pratique. les dix chapitres de l'ouvrage traitent chacun d'un moment ou d'un aspect particulier de la prise en charge post mortem : exposé détaillé des règles en vigueur, façons de procéder, recommandations, exemples de formulaires administratifs.
Download or read book Fran ais Interactif written by Karen Kelton and published by . This book was released on 2019-08-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook includes all 13 chapters of Français interactif. It accompanies www.laits.utexas.edu/fi, the web-based French program developed and in use at the University of Texas since 2004, and its companion site, Tex's French Grammar (2000) www.laits.utexas.edu/tex/ Français interactif is an open acess site, a free and open multimedia resources, which requires neither password nor fees. Français interactif has been funded and created by Liberal Arts Instructional Technology Services at the University of Texas, and is currently supported by COERLL, the Center for Open Educational Resources and Language Learning UT-Austin, and the U.S. Department of Education Fund for the Improvement of Post-Secondary Education (FIPSE Grant P116B070251) as an example of the open access initiative.
Download or read book PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN written by David HouŽto and published by Lulu.com. This book was released on 2014-02-26 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Download or read book Smell and Taste Disorders written by Christopher H. Hawkes and published by Cambridge University Press. This book was released on 2018-01-25 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive and unique text that details the latest research on smell and taste disorders for use by clinicians and scientists.
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.
Download or read book The Founders of Child Neurology written by Stephen Ashwal and published by Norman Publishing. This book was released on 1990 with total page 960 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 The Politics of Housing in Post Colonial Africa written by Kirsten Rüther and published by Walter de Gruyter GmbH & Co KG. This book was released on 2020-06-08 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Housing matters, no matter when or where. This volume of collected essays on housing in colonial and postcolonial Africa seeks to elaborate the how and the why. Housing is much more than a living everyday practice. It unfolds in its disparate dimensions of time, space and agency. Context dependent, it acquires diverse, often ambivalent, meanings. Housing can be a promise, an unfulfilled dream, a tool of self- and class-assertion, a negotiation process, or a means to achieve other ends. Our focus lies in analyzing housing in its multifacetedness, be it a lens to offer insights into complex processes that shape societies; be it a tool of empire to exercise control over private relations of inhabitants; or be it a means to create good, obedient and productive citizens. Contributions to this volume range from the field of history, to architecture and urban planning, African Studies, linguistics, and literature. The individual case studies home in on specific aspects and dimensions of housing and seek to bring them into dialogue with each other. By doing so, the volume aims to add to the vibrant academic debate on studying urban practices and their significance for current social change.
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 Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Weevils in the Wheat written by Charles L. Perdue and published by University of Virginia Press. This book was released on 1992 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: For Henry Adams at the turn of the twentieth century, as for his successors in the twenty-first, the relation of mind to a world remade by technology and geopolitical conflict largely determined the destiny of civil life. Henry Adams and the Need to Know presents fourteen essays that articulate Adams' ongoing preoccupation with knowledge, stressing his eclecticism and his need to clarify the role of critical intelligence in public life. Adams' work appeals to a wide spectrum of historical and literary inquiry and claims a place in multiple scholarly contexts. The topics covered in this volume range from international politics (of Adams' age and ours) to portraiture, from orientalism and travel literature to the disintegration of the human mind. Here, leading scholars explore often-overlooked details of Adams' relationships with people and ideas. They reopen settled topics and reframe truisms. Each essay affirms, in one way or another, that to study Adams is to discover his continuing and astonishing relevance.
Download or read book Interculturalism at the crossroads written by Mansouri, Fethi and published by UNESCO Publishing. This book was released on 2017-05-08 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book History of Pediatrics 1850 1950 written by Norman Kretchmer and published by . This book was released on 1991 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Liberte written by Gretchen V. Angelo and published by Orange Grove Texts Plus. This book was released on 2009-09-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Liberte is a French language textbook for first-year college students. Please note that an instructor guide is included as a downloadable attachment.
Download or read book Death Emotion and Childhood in Premodern Europe written by Katie Barclay and published by Palgrave Macmillan. This book was released on 2017-02-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book draws on original material and approaches from the developing fields of the history of emotions and childhood studies and brings together scholars from history, literature and cultural studies, to reappraise how the early modern world reacted to the deaths of children. Child death was the great equaliser of the early modern period, affecting people of all ages and conditions. It is well recognised that the deaths of children struck at the heart of early modern families, yet less known is the variety of ways that not only parents, but siblings, communities and even nations, responded to childhood death. The contributors to this volume ask what emotional responses to child death tell us about childhood and the place of children in society. Placing children and their voices at the heart of this investigation, they track how emotional norms, values, and practices shifted across the fifteenth to nineteenth centuries through different religious, legal and national traditions. This collection demonstrates that child death was not just a family matter, but integral to how communities and societies defined themselves. Chapter 5 of this book is available open access under a CC BY 4.0 license at link.springer.com.
Download or read book The Faith of France written by Maurice Barres and published by Wildside Press LLC. This book was released on 2008-04-01 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by Marice Barres of the French Academy, "The Faith of France: Studies in Spiritual Differences and Unity" was translated by Elisabeth Marbury and features a foreword by Henry van Dyke. [Facsimile reprint from the 1918 edition.]
