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Master Thesis

Les médecins généralistes de l'Isère et la PCA de morphine à domicile chez le patient douloureux et atteint de cancer en soins palliatifs‎ : évaluation d'intérêt et de connaissances

Abstract : The oral morphine is the treatment of first intention to the patients affected by cancer in palliative care presenting intensity of pain moderated to strong. When this route of administration is no more possible or indicated, the administration by PCA (Patient Controlled Analgesia) is recommended, all the more at home, as recently explained in recommendations. In my investigation, realized with the general practitioners of Isère, I bring to light that the knowledge of the general practitioners on pain care, in particular in cancer, improve but remain perfectible. The general practitioners are interested in the acquisition of proficiencies on the prescription of the PCA of morphine, their level of knowledge being very weak. The training in palliative care is a factor of considerable improvement of the knowledge on the pain care and on the PCA. It is to be developed at the same time, in the initial training, within the framework of the Diploma of Studies Specialized General Practice, and in the in-house medical training. The cost, as well as the improvment in quality of life, of the administration of the morphine by PCA is to be compared with the use of the others alternative therapeutics. Their acting delay of is also short but their use of is simpler.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00623110
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Submitted on : Tuesday, September 13, 2011 - 3:37:30 PM
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Caroline Pedussaut. Les médecins généralistes de l'Isère et la PCA de morphine à domicile chez le patient douloureux et atteint de cancer en soins palliatifs‎ : évaluation d'intérêt et de connaissances. Médecine humaine et pathologie. 2010. ⟨dumas-00623110⟩

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