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Master Thesis

Quels soins palliatifs en néphrologie et à quel moment ?

Abstract : What palliative care in nephrology and when ? Introduction: patients with chronic renal disease are often elderly and have multiple comorbidities. The intervention of mobile palliative care teams (MPCT) offers a quality of care for these patients. We assessed when the MPCT steps in the life course of the patient with kidney disease. Method: we analyzed the interventions of the mobile palliative care team in the nephrology department Transplantation Dialysis Apheresis of the Bordeaux University Hospital in France between January 2014 and December 2016 at the Bordeaux University Hospital. The main objective of the study was to evaluate the time between the beginning of the MPCT intervention and the death. The secondary objectives were to identify the situations in which the MPCT was called, to assess co-morbidities, to identify which service initiated the request and to determine the place of death. Results: eighty-five patients hospitalized in the nephrology department were supported by the MPCT. For 7 out of 10 patients (62 out of 85 cases), the mobile palliative care team took part in the six months preceding death, of which one third were in the last week of life and half in the last month (48 out of 85) patients). The MPCT took part in the management of symptoms during the terminal phase (44 cases out of 85), to adapt the care in the event of treatment refusal (31 cases, of which half of the cases for dialysis refusal), and to help bringing a shared medical discussion. Discussion: the mobile palliative care team comes up late for patients with severe kidney disease.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, May 28, 2018 - 3:40:01 PM
Last modification on : Saturday, June 23, 2018 - 1:16:33 AM
Long-term archiving on: : Wednesday, August 29, 2018 - 2:11:50 PM


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  • HAL Id : dumas-01801624, version 1



Quang-Linh Nguyen. Quels soins palliatifs en néphrologie et à quel moment ?. Médecine humaine et pathologie. 2018. ⟨dumas-01801624⟩



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