Sante Publique. 2021 March-April;33(2):191-198. doi: 10.3917/spub.212.0191.ABSTRACTDuring the past 15 years, in France, like in many European countries, the attention paid to patients at the end of their lives has continued to grow. But in the meantime, only a few researchers have managed to collect reliable data on End-of-Life Care and to implement scientific studies describing the reality of these situations. This difficulty is due in particular to the lack of a recognized and operational definition of the end of life.Our objective is to explore the possibility of achieving consensus around a definition based on the isolated elements in the literature.A…
Origen: Recherche sur la fin de vie, la nécessité d’un consensus : premiers résultats – PubMed

Sante Publique. 2021 March-April;33(2):185-190. doi: 10.3917/spub.212.0185.ABSTRACTOBJECTIVE: The department of Mayotte is lagging far behind in terms of access to palliative care. We present the methodological approach for assessing the palliative care needs of the population, which led us to make a proposal for a care offer adapted to the local context.METHOD: The main principles of a public health methodology for health needs assessment were followed. The researchers carried out an overall analysis of the situation based on several axes: bibliographical research, collection of quantitative data, qualitative study, interviews with local experts and institutional decision-makers. A summary report of the results…
Origen: Quelle démarche méthodologique afin d’aboutir à une offre pertinente de soins palliatifs à Mayotte ? – PubMed

Sante Publique. 2021 March-April;33(2):169-175. doi: 10.3917/spub.212.0169.ABSTRACTINTRODUCTION: The 2015-2018 French national palliative care program aimed to reduce territorial disparities of access to palliative care (PC) by increasing the number of beds in dedicated PC units and beds in hospital wards facing end-of-life situations, aiming to reach a minimum average density of 1 bed per 100,000 inhabitants in PC units.OBJECTIVE: To draw a 2017 inventory of all PC beds and to verify the reduction of territorial inequalities.RESULTS: In 2017, France had on average 2.6 beds in PC units and 7.8 PC beds in hospital wards per 100,000 inhabitants. Strong territorial disparities remained: 27 counties still did not have…
Origen: Ressources en soins palliatifs en France : disparités territoriales en 2017 – PubMed

BMJ Case Rep. 2021 Sep 21;14(9):e244172. doi: 10.1136/bcr-2021-244172.ABSTRACTIn this case report, radiation therapy was performed for bilateral hydronephrosis developed during multiple bone metastases of breast cancer and ileus due to peritoneal dissemination. The patient’s preirradiation creatinine level was 8.2 mg/dL, which decreased by the fourth day after starting irradiation therapy. Creatinine level ultimately decreased to 0.6 mg/dL. Pain due to lumbar spine metastasis alleviated and ileus was resolved, allowing the patient to live at home for approximately 5 weeks. The effect of radiotherapy for bilateral hydronephrosis and gastrointestinal obstruction was rapid and good. Palliative radiation treatment can be used for…
Origen: Palliative radiation treatment used for multiple purposes in a single irradiation field – PubMed

N C Med J. 2021 Sep-Oct;82(5):334-335. doi: 10.18043/ncm.82.5.334.NO ABSTRACTPMID:34544770 | DOI:10.18043/ncm.82.5.334
Origen: Sidebar: Hospice Shines During the Pandemic, Revealing Expanded Possibilities – PubMed