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Master Thesis

Place et implication du médecin traitant dans les prises de décisions de limitation ou arrêt du traitement

Abstract : INTRODUCTION: Decisions regarding the withdrawal of life support are an integral part of the daily life in hospital. The role and involvement of the GP in making these decisions is neither clearly defined by law nor in the medical guidelines. METHODS: Qualitative study during a semi-structured and individual clinical consultation of GP using an interpretative phenomenological analytical approach. The main assumption was to identify the involvement of the GP in the decision of discontinuing the treatment. The second assumption was to determine whether it could be an asset for the GP to have their patients’ advance directives regarding end-of-life issues. RESULTS: Ten clinical consultations were carried out. Two main topics were brought up: the link between the GP and the hospital, and the capacity linked to GPs’ skills. Only one participant had been invited to attend a symposium on the living will. Advance directives are rarely discussed during appointment with the GP. CONCLUSION: On the one hand Hospitals fail in involving GPs in withdrawal of life support and on the other hand the GPs fail in managing the issue. Improvements could be made: firstly, by developing better communication between the hospital and the GPs. Secondly, by creating awareness about advance directives among the general public and with the GP including an increase in salary. Thirdly, by offering training courses in palliative care.
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https://dumas.ccsd.cnrs.fr/dumas-03435500
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Submitted on : Thursday, November 18, 2021 - 5:32:32 PM
Last modification on : Friday, March 18, 2022 - 3:14:38 AM

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Félix Segond. Place et implication du médecin traitant dans les prises de décisions de limitation ou arrêt du traitement. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03435500⟩

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