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Master Thesis

Limitation et arrêt des traitements en urgence au domicile par équipe d’urgence pré-hospitalière et réseau de soins palliatifs, le vécu des proches

Abstract : Background: while medicine in France is more and more oriented towards ambulatory care, and knowing that patients declare preferring ending their life at home, prehospital teams often have to face end of life situations at home. However, the physician is limited by inadequate equipment and territorial resources. A possible solution has been proposed through the collaboration between French regional prehospital emergency units and a palliative care network. At home, for terminally ill patients, they discuss withdrawal of life sustaining treatments through a collective decision. In this situation, we wonder what is the perception of their relatives. Method: qualitative study with semi directive interviews made with the relatives and analysed via a phenomenological model. Results: 8 interviews were conducted. The analysis of these interviews highlights the isolation of the relatives and their discomfort when acute symptoms appear. They deplore the lack of anticipation and the absence of their GP. They thank the participants for their humanness and seem to forget the technical part of care. They declare being satisfied having supported this decision of ending life sustaining treatment. Discussion: no efficient solution has been found yet for end of life situations at home in France. This collaboration between different participants could be a lasting one and maintaining fragile patients at home could be facilitated, conforming to the French law. It will rely on a better and earlier formation of these participants. Besides, while GP seem to be absent in end of life care, their implication could benefit the patients by a better anticipation of this kind of situation.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02504083
Contributor : Université Paris Descartes - Scd <>
Submitted on : Tuesday, February 9, 2021 - 4:16:48 PM
Last modification on : Saturday, February 13, 2021 - 3:18:45 AM

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  • HAL Id : dumas-02504083, version 1

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Édouard Blomme. Limitation et arrêt des traitements en urgence au domicile par équipe d’urgence pré-hospitalière et réseau de soins palliatifs, le vécu des proches. Médecine humaine et pathologie. 2019. ⟨dumas-02504083⟩

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