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Master Thesis

L’apport des équipes mobiles de soins palliatifs intervenant en établissements d’hébergement pour personnes âgées dépendantes auprès des médecins généralistes, des résidents, de leur famille et des équipes soignantes : étude qualitative par entretien semi-directif

Abstract : Background: The first results of the French study “End of life in nursing homes” show that in Aquitaine, 82% of nursing homes have signed an agreement with palliative care mobile team (PCMT), only 22% of regular solicitations are recorded. The intervention of PCMTs remains inadequate with few requests initiated by general practitioner who is nevertheless main actor in the management and single prescriber. The main objective of this study was to define the contributions of PCMTs to physician involved in nursing homes. Method: Qualitative study with semi-structured interviews with 10 GPs practicing in Gironde who treated a patient in conjunction with a PCMT in nursing homes. The interview grid respected the anonymity of participants. The results were analyzed with the help of the QRS Nvivo10® software. Results: The PCMT optimizes end of life management of patients in an ethic of care, welfare and dignity. Thanks to its technical and care management in the whole, the PCMT strengthens the coordination of different actors and promotes a strong teamwork with a membership to the end of life process and harmonization of views. It strengthens the path of the end of life of different actors and alleviates the suffering of caregivers. The general practitioner remains at the heart of the management of the patient with a split and collegial decision, bringing serenity. The PCMT promotes better management of families often in great difficulty. Conclusion: The multidisciplinary care in palliative care is a strength for the treating physician, teams, family and patient care by optimizing the conditions of caring and home deaths corresponding to the wishes of patients. It should, however, improve the anticipation of these interventions to provide optimization taking care of end of life patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01164504
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, June 17, 2015 - 10:21:23 AM
Last modification on : Wednesday, August 23, 2017 - 4:30:16 PM
Long-term archiving on: : Tuesday, September 15, 2015 - 5:40:43 PM

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Stéphanie Chane-Won-In. L’apport des équipes mobiles de soins palliatifs intervenant en établissements d’hébergement pour personnes âgées dépendantes auprès des médecins généralistes, des résidents, de leur famille et des équipes soignantes : étude qualitative par entretien semi-directif. Médecine humaine et pathologie. 2015. ⟨dumas-01164504⟩

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