[Crossed views on depressive symptomatology with suicidal expression in the elderly]

Presentation of the clinical situation of Mrs. M. The mobile psychiatric team of the Marchant hospital in Toulouse (31) is requested by the coordinating physician of an establishment for dependent elderly people for an evaluation of the mood with suicidal risk in this 92 year old patient who has recently entered the structure.

[Quality and safety in home care with the Vidaza cooperation protocol]

In a context of tense bed management in hospitals, the implementation of cooperation protocols between hospital services and home care providers has become necessary in recent years. The Albi hospital in the Tarn region has set itself the objective of developing care pathways in conjunction with the city in order to better structure the supply of care in the region and also to encourage exchanges between healthcare professionals. The "Vidaza (Azacitidine®) cooperation protocol for day hospital - home hospitalization" illustrates this approach in the field of oncology.

[Manage unscheduled care in a multidisciplinary team on the basis of cooperation protocols]

For primary care teams, cooperation protocols between health professionals can facilitate access to care, particularly in areas where there is a shortage of general practitioners. In the Ain, four protocols, including nurses, have been authorized to better manage access to certain unscheduled care. They are now authorized at the national level.

[Faced with conjugal violence, the need for a global care]

Domestic violence is a public health and societal problem that must be treated in three ways: the perpetrator, the victim and the children. The treatment of this violence is multidisciplinary. It requires the commitment of everyone in the interest of all the protagonists of the family unit. Networking is essential for health professionals, social workers, police forces and the justice system.

[A referral centre for CAT, at the heart of access to care]

An innovative structure, the referral centre for eating disorders of the Paris Psychiatry and Neurosciences Hospital Group provides initial access to care for anorexia and bulimia through a holistic and multidisciplinary assessment of the patient. The health professionals aim to accompany the patient towards the management of his disorders but also in the recognition of the latter. This is a crucial issue in compliance and acceptance of care.

[Context, issues and perspectives of nutrition in hospitals]

Undernutrition is common in hospitals, and it worsens the vital and functional prognosis of patients. The earlier it is treated, the more effective it is. The prevention, detection, treatment and monitoring of undernutrition or the risk of undernutrition are a public health priority, which directly involves all carers. Management can be improved by their daily collaboration with a transversal nutrition unit.

[The advanced practice nurse and chronic renal patients]

In the course of his life, a patient with chronic kidney disease will have to hear the announcement of a diagnosis, live with a pathology for which there is no hope of cure, undergo a multitude of tests and, finally, choose a mode of substitution (dialysis and/or transplantation). The advanced practice nurse has a role to play in bringing added value to these patients. In this function lies a constant questioning of his practices, a development of his intellectual curiosity in the service of patients.

[Disability in training: the example of a rehabilitation centre]

People with a disability can benefit from adapted training in a vocational rehabilitation centre. Several sectors of activity are accessible, including health care. The experience of the Mulhouse team highlights all the challenges of these training courses which are "not quite like any other".

[Nurse and dietitian: effective collaboration in rehabilitation]

In functional rehabilitation service, the dietician, as educator, contributes to preventing recidivism and return to independence. A hospital team demonstrates the benefits of collaboration with dietitians in coordinated care for patients with various pathologies causing functional impairment.

[The multidisciplinary and specific care of children with trisomy 21]

A centre for early medico-social action supports children aged between 0 and 6 with a disability or likely to present a developmental disorder. One such centre has put in place a specific multidisciplinary follow-up of children with trisomy 21 and their family, with the added support of a wide network of partners. Particular attention is paid to providing early guidance and support for the parents.

[Pain, from symptom to syndrome]

Acute pain is a symptom enabling us to implement a response when faced with an attack. Chronic pain is complex and multifactorial. The care of the patient by a multidisciplinary team comprises the diagnosis of the pain and the putting in place of a treatment for each of its components. This includes physical reconditioning, adaptation strategies and work on the psychological elements relating to the representation of the pain.

[The follow-up of patients with chronic pain by the private practice nurse]

The management of chronic pain in the home requires the integration of certain elements of the 'community' sector. Indeed, once back in their home environment, patients often find themselves having to cope with this pain alone. Thanks to her expertise, the community nurse can implement a coordinated, personalised and adapted follow-up of the patient with chronic pain.

[Treating the somatic complications of anorexia]

Anorexia can cause serious somatic complications, linked to undernutrition or associated pathological behaviours. The care pathway drawn up by a multi-discipline team is a real therapeutic challenge. Oral nutritional supplements, enteral nutrition and parenteral nutrition are three possible forms of nutritional assistance.

[Diagnosis and emergency treatment of stroke in children]

The sudden occurrence of a focal neurological deficit, sometimes transitory and fluctuating, must lead to a suspicion of a stroke, including in a child. The preferred examination is magnetic resonance imaging with magnetic resonance angiography in an emergency. The sequelae of stroke are common and severe. Urgent diagnosis and adapted care can help to improve morbidity-mortality. Rehabilitation starts early and must systematically screen for cognitive or language impairment. The management of a stroke in a child must be planned for in multi-disciplinary protocols established before the patient's arrival at hospital.

[Dietary management of obese patients]

As part of the complex management of obese patients, dieticians carry out a detailed analysis of their dietary behaviour. Taking into account various elements relating or not to the condition, they identify areas to work on, in particular through individual or collective therapeutic education.

[Telepsychiatry and cooperation between professionnals in a mobile team]

Telepsychiatry in a mobile team uses advanced technology for the benefit of healthcare. It requires a high level of cooperation between the different players. In a nursing home, ilt provides patients with access to psyhiatric care despite the distance or the difficulties involved in travelling to an appointment.

[Principles and challenges of mobilisation in intensive care]

The harmful consequences of bed rest and inactivity in patients in intensive care have been widely described. The point at which these patients should be mobilised and the methods used however still remain unclear. It is nevertheless important that the mobilisation is implemented early and often, adapted to the condition of the patient and overseen by a cross-disciplinary team.

[A family-caregiver partnership for the provision of leisure activities for patients]

In the part-time medicopsychological/therapy centre (CMP / CATTP), the creation of the association Living with Psychological Handicap invites families and volunteers to lead recreational activities. Beyond the care provided by the health care team, the patient finds a place suited to rehabilitation.