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Master Thesis

Prise en charge préventive de la douleur induite par les actes diagnostiques et thérapeutiques : étude observationnelle des pratiques dans les services d’urgences des Pyrénées Atlantiques et des Landes

Abstract : Background :The pain control, at the heart of studies for several years, brings to reflect about the painful consequences of our acts of care, diagnostic or therapeutic, and about the way to warn them. Objective: observe what is, in practice, the preventive coverage of the care-related pain in the Departments of Emergencies of the Pyrénées Atlantiques and Landes: does it Exist? In what form? Is it effective? Materials and Method: it is a descriptive multi-centric investigation, realized with a questionnaire intended for one or several observing referents by center. 15 venipunctures, 15 care of wound and 15 fixed assets will be observed in each department, to describe the preventive coverage of the pain which they lead. Results: 9 centers participated, that is 405 painful gestures observed. The information about the pain was made in 57 % of the cases, methods of diversions before the gesture were used in 37 % of the cases, the attention of the patient diverted during the gesture in 46% of the cases and an antalgic drug was administred in 38 % of the cases. In 18 % of the cases, the patient considers however that the gesture ached. Conclusion: in spite of the importance given to the care-related pain, it remains that a number of gestures remain painful for the patients. The implementation of protocols would allow to automate this approach and to standardize the practices on the various centers. For that purpose, a multidisciplinary work associating the patients with the nursing is essential, with followed trainings and regular revaluations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01415046
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, December 12, 2016 - 5:41:55 PM
Last modification on : Wednesday, August 23, 2017 - 4:32:02 PM
Long-term archiving on: : Tuesday, March 28, 2017 - 12:45:49 AM

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Marie-Laure Goynaud. Prise en charge préventive de la douleur induite par les actes diagnostiques et thérapeutiques : étude observationnelle des pratiques dans les services d’urgences des Pyrénées Atlantiques et des Landes. Médecine humaine et pathologie. 2016. ⟨dumas-01415046⟩

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