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Master Thesis

Maintien des personnes âgées dépendante à domicile : étude de demandes d'HAD, discussion autour des adaptations et enjeux à venir

Abstract : With the increase in the number of dependents, the HAD seems interesting. Yet the study of transfers UHCD Pointe A Pitre to the HAD, reveals that only 25% of eligible patients are admitted. We focused on the reasons for this low proportion, opportunities for improvement and the ethical issues of the home support. We performed a retrospective observational study, single-center pre-admission records of HAD in search of non admission factors. The admission rate was 67%, 100% if one was interested in nursing homes. The cause of admission was not homelessness or helping adapted in 43% of cases. Risk factors were unsuitable home, failure to helping and removal of the treating physician. At the National level, the problem is approached in terms of seats, but also organizing a care circuit close coordination, cooperation networks and telemedicine such tools. In Guadeloupe HAD appears as a solution of choice, flexibility, linked to emergency structures. This hospitalization can be done in the family home or in nursing homes, alternatively and temporarily, allowing carers to combine support of a close and personal life. Amidst the logistics, the treating physician must learn to work as a team and build on these structures while retaining its singular place to ensure ethical and human dimension of care in the face of legitimate economic issues.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01216707
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Submitted on : Friday, October 16, 2015 - 5:25:45 PM
Last modification on : Saturday, November 23, 2019 - 9:35:28 PM
Long-term archiving on: : Monday, January 18, 2016 - 6:05:45 AM

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  • HAL Id : dumas-01216707, version 1

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Pierre-Cyprien Salducci. Maintien des personnes âgées dépendante à domicile : étude de demandes d'HAD, discussion autour des adaptations et enjeux à venir. Médecine humaine et pathologie. 2015. ⟨dumas-01216707⟩

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