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Master Thesis

Anticipation du parcours de soins et respect des volontés des patients en soins palliatifs : intérêt de la rédaction d’une Fiche Urgence Pallia en Normandie, une analyse rétrospective multicentrique

Abstract : Background: The possibility to stay at home for palliative care patients is one of the major challenges of the 2015-2018 National Palliative Care Plan. 80% of French people say they want to die at home. The French Society of Support and Palliative Care created in 2016 a document collecting the wishes of patients, called the "Urgence Pallia" document (FUP), intended for all care actors intervening with the patient. The objective of our study was to assess the capacity of the FUP to anticipate the place of death and to avoid hospitalizations in patients wishing to stay at home. Methods: This is a retrospective multicenter study of FUPs collected in Normandy. The patient's general practitioners were contacted in order to collect their care pathways. Results: The study was carried out on 114 FUPs. Patients who expressed a wish for death at home in FUP died significantly more at home than those who did not wish to die at home. Patients who had expressed a refusal of hospitalization were hospitalized significantly less than those who wished to be hospitalized in case of aggravation. The univariate analyzes did not make it possible to identify, among the fields of FUP, variables influencing better compliance with patient expectations. Conclusion: Our study suggests that FUPs can be an interesting tool for anticipating the patient care path and respecting their expectations regarding their place of death and their wishes regarding hospitalizations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03167042
Contributor : Ufr Santé Unicaen <>
Submitted on : Thursday, March 11, 2021 - 4:51:34 PM
Last modification on : Tuesday, April 13, 2021 - 3:29:17 AM

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  • HAL Id : dumas-03167042, version 1

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Clémence Pinot. Anticipation du parcours de soins et respect des volontés des patients en soins palliatifs : intérêt de la rédaction d’une Fiche Urgence Pallia en Normandie, une analyse rétrospective multicentrique. Médecine humaine et pathologie. 2020. ⟨dumas-03167042⟩

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