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Master Thesis

Optimiser la prise en charge médicamenteuse dans le parcours du résident en EHPAD : leviers et stratégies

Abstract : France now has 67.12 million citizens, 26% of whom are over 60 years of age, which represents 17 million people, compared to only 17% in 1980. This aging population will raise a number of issues, like that of the loss of autonomy of the elderly. If the government encourages seniors to stay in their homes as long as possible, some will be forced by a loss of autonomy, to enter institutions adapted to their dependence. The goal is to bring these people as late as possible into medical residence, the age of institutionalization will therefore be increased and the number of chronic diseases too. The care of these people will be carried out most of the time by placement in EHPAD (Establishment of Accommodation for the Elderly Dependent), which will allow the person to receive the necessary treatments and care in addition to having a place of life. As a result, faced with a dependent and polymedic elderly population that continues to grow from year to year, a real problem of patient management and the smooth running of the drug circuit in nursing homes arises today. Thus the approach of securing the drug in EHPAD brings into play multiple actors and multiple stages. This is to seize the opportunity to improve every step of this circuit as much as possible. In this drafting, the party was taken to address 4 levers of improvement possible to the decrease of iatrogeny in EHPAD: - Risk management a priori by the software INTERDIAG and by the establishment of Committees Return Experiences (CREX) - The optimization of the City-Hospital link thanks to the PAACO-Globule tool - Securing the medical management of the dose preparation to be administered (DPA) - The relevance of prescriptions through the establishment of appropriate standards.
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Master Thesis
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Submitted on : Monday, September 30, 2019 - 5:54:19 PM
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Margot Galindo. Optimiser la prise en charge médicamenteuse dans le parcours du résident en EHPAD : leviers et stratégies. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02301880⟩

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