Search results for "Gériatrie"
showing 4 items of 4 documents
Prolongation du séjour hospitalier dans un service de gériatrie aiguë : identification et analyse des causes
2016
International audience; In France, the population of very old frail patients, who require appropriate high-quality care, is increasing. Given the current economic climate, the mean duration of hospitalization (MDH) needs to be optimized. This prospective study analyzed the causes of prolonged hospitalization in an acute geriatric care unit. Over 6 months, all patients admitted to the target acute geriatric care unit were included and distributed into two groups according to a threshold stay of 14 days: long MDH group (LMDHG) and short MDH group (SMDHG). These two groups were compared. 757 patients were included. The LMDHG comprised 442 with a mean age of 86.7 years, of whom 67.65% were wome…
Gériatrie : carrefour des souffrances
2021
Le travail des soignants en milieu gériatrique est particulièrement difficile. Ils sont en effet amenés à intervenir auprès de patients vulnérables et de plus en plus dépendants, afin de réaliser des actes techniques et de traitement de la maladie (le cure), mais aussi des soins de nature relationnelle (le care). Ce faisant, ils sont confrontés en permanence à la maladie et à la mort. Cette situation n'est évidemment pas neutre du point de vue psychologique, le travail en gériatrie étant à l'origine d'une importante souffrance au travail. Pourtant, cette souffrance ne se voit pas au premier abord, avant tout parce que les soignants en gériatrie ont élaboré des stratégies de défense dans le …
Knowledge-based modelling applied to synucleinopathies
2015
International audience; The adoption of telemedicine technologies has enabled collaborative programs involving a variety of links among distributed medical structures and health officials and professionals. The use for telemedicine for transmission of medical data and the possibility for several distant physicians to share their knowledge on given medical cases provides clear benefits, but also raises several unsolved conceptual and technical challenges. The seamless exchange and access of medical information between medical structures, health professionals, and patients is a prerequisite for the harmonious development of this new medical practice. This paper proposes a new approach of sema…
Hypofractionnated radiotherapy for elderly patients with prostate cancer
2018
Radiation therapy technique and schedules could be adapted to patient's age because of a natural history of prostate cancer perceived as different, taking into account the comorbidities of patients but also a particular tolerance of elderly subjects. Thus, in localized prostate cancer, evaluation of associated diseases is essential before considering a treatment that will be of interest only if the life expectancy is greater than 10 years. When a curative approach is decided, radiotherapy holds a place of choice. Due to the recent results of randomized studies evaluating moderate hypofractionnated radiotherapy, showing a carcinological equivalence compared to a standard fractionation, this …