1
|
Perennoù E. [Ethical reflection in structures, a compass in the crisis]. Soins Gerontol 2023; 28:38-42. [PMID: 37328206 DOI: 10.1016/j.sger.2023.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Morality, ethics, ethical approach are words that are often used in our daily lives as health care providers. What meaning do they have? How important are they? If ethics is an individual notion, the question arises of its application in our accompaniment.
Collapse
|
2
|
Abstract
Although several strategies have been developed to support medical students during their studies in order to prevent burnout, depression and suicide, not all of them are equally effective. Simulation is an interesting strategy: it gives students the tools to detect and intervene in signs of distress in their colleagues, and helps them break the barrier of silence in the face of psychological distress.
Collapse
Affiliation(s)
- Nathalie Nadon
- Centre hospitalier de l'université de Montréal, 1000 rue Saint-Denis, Montréal, QC H2X 0A9, Canada.
| | - Pierre Laramée
- Centre hospitalier de l'université de Montréal, 1000 rue Saint-Denis, Montréal, QC H2X 0A9, Canada
| |
Collapse
|
3
|
Talec H. [The role of the health executive with the residents in Ehpad]. Soins Gerontol 2023; 28:10-12. [PMID: 36717170 DOI: 10.1016/j.sger.2022.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The personalized quality support for residents of residential establishments for dependent elderly people, specified in the law of January 2, 2002, is implemented through various tools and regular evaluations. The health executive, as the central link in the chain, has a key role to play in carrying out these actions, which are part of a continuous quality improvement process.
Collapse
Affiliation(s)
- Hélène Talec
- Institut de formation des professionnels de santé, formation continue, Centre hospitalier universitaire, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
| |
Collapse
|
4
|
Manckoundia P, Ray P, Quipourt V, Vaillard L, Dipanda M, Larosa F, Menu D, Guepet HS, Putot A, Barben J. [Inappropriate admissions of Ehpad residents to emergency departments]. Soins Gerontol 2023; 28:42-5. [PMID: 36717177 DOI: 10.1016/j.sger.2022.12.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
After a review of inappropriate admissions of residents of residential care facilities for the dependent elderly (Ehpad) to the emergency room, we propose ways to reduce them. They include giving the coordinating physician a clinical role, organizing continuity and permanence of care in all Ehpad, signing agreements between Ehpad and hospital for direct hospitalization and collaboration with mobile teams and geriatric hotlines, generalizing the level of medical intervention in Ehpad, and deepening the training of Ehpad caregivers in geriatrics.
Collapse
|
5
|
Hong C, Legal M, Bagri H, Lau L, Dahri K. TLC-Act: A Novel Tool for Managing Drug Interactions. Can J Hosp Pharm 2022; 75:193-200. [PMID: 35847472 PMCID: PMC9245403 DOI: 10.4212/cjhp.3171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Background Clinical decision support systems (CDSS) are used by pharmacists to assist in managing drug-drug interactions (DDIs). However, previous research suggests that such systems may perform suboptimally in providing clinically relevant information in practice. Objectives The primary objective of this study was to develop a novel DDI management tool to reflect the clinical thought process that a pharmacist uses when assessing a DDI. The secondary objective was to investigate practitioners' perceptions of this tool. Methods This study was conducted in 3 phases: development of the DDI management tool, implementation of the tool in clinical practice, and collection of practitioners' opinions of the tool through an online qualitative survey (although because of circumstances related to the COVID-19 pandemic, the study population for the survey phase included only pharmacy residents). A comprehensive literature search and analysis by an expert panel provided underlying context for the DDI management tool. The tool was validated through simulation against a known list of DDIs before implementation into practice by hospital pharmacists and pharmacy residents. Participating pharmacy residents were invited to provide feedback on the tool. Survey results were analyzed using descriptive statistics. Results The novel tool that was developed in this study (called TLC-Act) consisted of components important to a pharmacist when assessing a DDI, including the duration of concomitant use of the interacting medications and patient-specific risk factors. Study participants implemented the tool in clinical practice for a total of 6 weeks. Of the 28 pharmacy residents surveyed, 15 (54%) submitted a response, of whom 11 (73%) found the TLC-Act tool to be slightly more useful for assessing a DDI than usual care with the CDSS alone. Conclusions The TLC-Act tool maps out a pharmacist's clinical thought process when assessing a DDI in practice. This novel tool may be more useful than a CDSS alone for managing DDIs, as it takes into account other important factors pertinent to the assessment of a DDI.
Collapse
|
6
|
Vasquez Riart S. [Freedom in the protected sector and COVID-19]. Soins Gerontol 2021; 26:16-19. [PMID: 34083009 DOI: 10.1016/j.sger.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
It is difficult on a daily basis to reconcile security and freedom, particularly the freedom to come and go of residents in accommodation facilities for dependent elderly people, and more specifically in the protected sector. With the COVID-19 epidemic, everyone experienced the effects of the lack of freedom. This echoed what residents may experience on a daily basis in institutions, where their freedom is often abused. If the effects of confinement are beginning to be studied in the general population, what about the repercussions on residents already weakened by the disease? How did they experience it? The deprivation of freedom acts on our emotions, on our psyche, in different ways. We will certainly have to learn from this period, notably on the importance of feeling free even in an institution.
Collapse
|
7
|
Reynaud-Lévy O, Herdt E, Arnoux F, Meyer S, Durel G. [COVID pandemic in accommodation facilities for dependent elderly]. Soins Gerontol 2020; 25:23-26. [PMID: 33276901 DOI: 10.1016/j.sger.2020.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
During the coronavirus outbreak, accommodation facilities for dependent elderly (Ehpad) had to adapt quickly to an unknown and dangerous situation for residents, putting all the resources of these places to the test. Caregivers faced clinical and organizational emergencies with the coordinating doctors and nurse, going through different individual and collective phases. The directors, who are legally responsible for Ehpad, had to make room for the "we", anticipate, apprehend and evaluate the crisis but also deal with paradoxical recommendations.
Collapse
Affiliation(s)
- Odile Reynaud-Lévy
- Établissement d'hébergement pour personnes âgées dépendante (Ehpad) La Soubeyrane, 10 avenue du Docteur-Emmanuel-Agostini, 13260 Cassis, France.
| | - Estelle Herdt
- Ehpad du Crou de Bane, Banon et Forcalquier, route de Forcalquier, 04150 Banon, France
| | - Florence Arnoux
- Centre hospitalier et Ehpad Le Cigalou et Le Rayon de soleil, Quartier Le Pareyraou, 13600 La Ciotat, France; Ehpad La Soubeyrane, 13022 Cassis, France
| | - Stephan Meyer
- Ehpad Nieul, Panazol et Couzeix, 1 lotissement du Parc, 87150 Nieul, France
| | - Gaël Durel
- Ehpad Docmael, 2 rue du Clos-des-Michel, 35190 Saint-Domineuc, France
| |
Collapse
|
8
|
Hinz L, Sigal RJ, Paolucci EO, McLaughlin K. Factors Influencing Inpatient Insulin Management of Adults With Type 1 and Type 2 Diabetes by Residents and Medical Students. Can J Diabetes 2020; 45:167-173.e1. [PMID: 33039327 DOI: 10.1016/j.jcjd.2020.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 07/15/2020] [Accepted: 07/15/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The day-to-day management of diabetes is often the responsibility of resident physicians in teaching hospitals, yet studies have consistently shown that learners lack confidence and knowledge of inpatient insulin titration. We sought to elucidate factors that influence inpatient management of diabetes by medical learners. We predicted that there would be conscious and unconscious variables at play, and we sought to determine the process by which learners arrived at insulin titration decisions. METHODS We administered a survey using a hypothetical case based on script concordance testing in 88 medical students and residents at the University of Calgary. We used multilevel, mixed-effects linear regression and random-effects meta-analysis to compare clerks' and residents' insulin prescribing, confidence in prescribing decisions and concordance with endocrinologists. RESULTS Residents had higher confidence than clerks, yet were less concordant with the insulin decisions of staff endocrinologists. Both residents and clerks prescribed more insulin when the reported blood glucose was higher, or the patient had positive ketones and prescribed less insulin when the patient had hypoglycemic unawareness. Residents prescribed a higher dose of insulin when the charge nurse reported the result compared with a student nurse, but this variable did not significantly impact prescribing by clerks. CONCLUSIONS We propose a model in which learner factors (knowledge, confidence, experience), patient variables and perceived expectations influence insulin titration decisions via analytical and heuristic processes. We propose that educational interventions designed to improve inpatient glycemic control must, therefore, address both knowledge and systems factors.
Collapse
Affiliation(s)
- Laura Hinz
- Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
| | - Ronald J Sigal
- Department of Medicine, University of Calgary, Calgary, Alberta, Canada
| | | | - Kevin McLaughlin
- Department of Medicine, University of Calgary, Calgary, Alberta, Canada
| |
Collapse
|
9
|
Laure Boillod A, Biard N. [A place for intimacy and sexuality in nursing homes]. Soins 2018; 63:48-51. [PMID: 30551755 DOI: 10.1016/j.soin.2018.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In nursing homes, intimacy is threatened by the increased dependence and lack of support. It is nevertheless possible to preserve it, meaning it is possible to ensure a continuity of existence for the elderly person in an institution.
Collapse
Affiliation(s)
| | - Nicolas Biard
- c/o Soins, Elsevier Masson SAS, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux, France.
| |
Collapse
|
10
|
Hédont S, Le Guillou A, Letty A, Denormandie P, Sanchez S. [Non-pharmacological therapies and neuropsychological disorders in institutions]. Soins Gerontol 2018; 23:32-35. [PMID: 30449368 DOI: 10.1016/j.sger.2018.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Non-pharmacological therapies are now used in many nursing homes often with residents presenting a risk of behavioural disorders. They include music therapy, animal-assisted therapy, physical activity as well as other approaches such as light therapy or aromatherapy. It requires rigorous assessment, the permanent involvement and engagement of residents as well as the staff as part of a compassionate and participative approach.
Collapse
Affiliation(s)
- Stéfane Hédont
- Fondation du Bien Vieillir, Korian, 21-25, rue Balzac, 75008 Paris, France
| | - Adrien Le Guillou
- Pôle information médicale évaluation performance, Centre hospitalier de Troyes, 101, avenue Anatole-France, 10000 Troyes, France
| | - Aude Letty
- Fondation du Bien Vieillir, Korian, 21-25, rue Balzac, 75008 Paris, France
| | | | - Stéphane Sanchez
- Fondation du Bien Vieillir, Korian, 21-25, rue Balzac, 75008 Paris, France; Pôle information médicale évaluation performance, Centre hospitalier de Troyes, 101, avenue Anatole-France, 10000 Troyes, France.
| |
Collapse
|
11
|
Javet F. [Restraint in nursing homes, the psychologist's point of view]. Rev Infirm 2018; 67:29-30. [PMID: 30415685 DOI: 10.1016/j.revinf.2018.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
With regard to restraint, the caregiving teams are confronted on a daily basis with various issues which reveal a clash between the respect of a person's rights and dignity and the need to protect and provide a safe environment. The triangular relationship between the resident, their family and the multidisciplinary caregiving team can result in the construction of a response to this dilemma between liberty and safety.
Collapse
Affiliation(s)
- Fanny Javet
- Hôpital de jour gériatrique, Évaluation du CHU Grenoble Alpes, CS 10217, 38043 Grenoble cedex 9, France.
| |
Collapse
|
12
|
Vaquier C, Gasiglia G. [Motility disorders in the elderly]. Soins Gerontol 2018; 23:12-14. [PMID: 30522756 DOI: 10.1016/j.sger.2018.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Motility disorders are frequent, especially in the elderly. They must not be ignored and require a systematic evaluation. Constipation, which many elderly people suffer from, must not be trivialised as it can impact on quality of life. Diarrhoea, the manifestation of which is more acute, requires fast and adapted treatment.
Collapse
Affiliation(s)
- Caroline Vaquier
- Service de Médecine Gériatrique, Pôle 4, Hôpitaux Universitaires Paris Île-de-France-Ouest site Ambroise-Paré, AP-HP, 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France.
| | - Guylaine Gasiglia
- Service de Médecine Gériatrique, Pôle 4, Hôpitaux Universitaires Paris Île-de-France-Ouest site Ambroise-Paré, AP-HP, 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France
| |
Collapse
|
13
|
Bouisson J. [Caregivers in geriatrics: burnout and loss of meaning]. Soins Gerontol 2018; 23:12-15. [PMID: 29724327 DOI: 10.1016/j.sger.2018.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The burnout of caregivers in geriatrics reveals a serious loss of meaning: that of 'ageing', of the status and the function of old age in the process and orientation of life. Faced with this challenge, the key is to find meaning in one's work. In geriatrics in particular, caregivers play a valuable role of 'conveyor'.
Collapse
Affiliation(s)
- Jean Bouisson
- Université de Bordeaux, Inserm, Bordeaux Population Health Research Center, team Psychoepidemiology of aging and chronic diseases, UMR 1219, Université de Bordeaux, case 11, 146 rue Léo-Saignat, 33076 Bordeaux cedex, France; Association « Vivre Avec - Solidarités intergénérationnelles », LABB, 279 Cours de la Somme, 33000 Bordeaux, France.
| |
Collapse
|
14
|
Chanut C. [Life project of residents and institutional approach in nursing homes]. Soins Gerontol 2018; 23:17-22. [PMID: 29335136 DOI: 10.1016/j.sger.2017.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The life project in a nursing home involves all the players concerned: first of all, the resident, then the caregivers, the families and the institution. This unifying tool, organised around the elderly, helps to develop collective competencies, favours the integration of new residents and reassures families. This article presents a nursing home's experience of setting up a life project.
Collapse
|
15
|
Elkouby L, Moulias S. [Delirium in a nursing home: a survey of general practitioners]. Soins Gerontol 2017; 22:35-38. [PMID: 29132662 DOI: 10.1016/j.sger.2017.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Delirium is all the more frequent and serious when it occurs in a nursing home. A study was carried out to assess the current practices of general practitioners in the management of delirium in a nursing home in order to identify the issues involved and to suggest areas for improvement. The doctors identified three main difficulties: the management of behavioural disorders, the conditions of practice of a private practitioner in a healthcare institution and the relations with the different caregivers of the nursing home.
Collapse
Affiliation(s)
- Léa Elkouby
- Hôpital Ambroise-Paré (AP-HP), 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France
| | - Sophie Moulias
- Hôpital Ambroise-Paré (AP-HP), 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France.
| |
Collapse
|
16
|
Sanchez S, Le Guillou A, Messaoudi Y, Letty A, Denormandie P. [Assessment of the use of music therapy with nursing home residents]. Soins Gerontol 2017; 22:16-20. [PMID: 28687128 DOI: 10.1016/j.sger.2017.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
A study analysed, on the one hand, the efficacy of the use of music therapy with residents and, on the other, the feasibility of the implementation of such a technique in nursing homes and in follow-up and rehabilitation units. In this context, music therapy seems to be an effective alternative to traditional approaches.
Collapse
Affiliation(s)
- Stéphane Sanchez
- Pôle Imep (Information médicale, évaluation, performance), Hôpitaux champagne sud, 101 avenue Anatole France, 10000 Troyes, France.
| | - Adrien Le Guillou
- Pôle Imep (Information médicale, évaluation, performance), Hôpitaux champagne sud, 101 avenue Anatole France, 10000 Troyes, France
| | - Yasmine Messaoudi
- Institut bien vieillir Korian, 21, 23, 25 rue Balzac, 75008 Paris, France
| | - Aude Letty
- Institut bien vieillir Korian, 21, 23, 25 rue Balzac, 75008 Paris, France
| | | |
Collapse
|
17
|
Ben Makhad M, Faucheux-Bourdon C, Guibe A, Tortevois A, Morel C, Loirat C, Bonnain A. [Improving the quality of life of residents]. Rev Infirm 2017; 66:25-26. [PMID: 28048988 DOI: 10.1016/j.revinf.2016.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The socially interactive therapeutic robot Paro is presented in the form of a soft toy. It can benefit patients suffering from Alzheimer's as well as nurses.
Collapse
Affiliation(s)
- Mina Ben Makhad
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Cindy Faucheux-Bourdon
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Amandine Guibe
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Anastasia Tortevois
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Christine Morel
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Cathy Loirat
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France
| | - Agnès Bonnain
- Centre hospitalier du Mans, pôle de gériatrie, 194 avenue Rubillard, 72037 Le Mans, France.
| |
Collapse
|
18
|
Sanchez S, Cohen N, Bertin-Hugault F, Sanchez MA, Dramé M, Denormandie P. [Internal and external assessment of nursing home residents' satisfaction]. Soins Gerontol 2016; 21:34-7. [PMID: 27449308 DOI: 10.1016/j.sger.2016.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Quality improvement procedures and measuring the satisfaction of nursing home residents is a major priority. A study assessed the differences between the results of a survey conducted by internal staff and of one carried out by an external service provider to evaluate the satisfaction of the residents of a nursing home.
Collapse
Affiliation(s)
- Stéphane Sanchez
- Pôle Information médicale évaluation recherche (IMER), Hospices civils de Lyon, 3 quai des Célestins, 69002 Lyon, France.
| | - Nadia Cohen
- Institut du Bien Vieillir Korian, 32 rue Guersant, 75017 Paris, France
| | | | - Marc Antoine Sanchez
- centre d'épidémiologie et de santé, publique des armées, 408 rue Jean-Queillau, 13014 Marseille, France
| | - Moustapha Dramé
- Université de Reims Champagne-Ardenne, Faculté de médecine, EA 3797, 51 rue Cognacq-Jay, 51095 Reims, France; CHU de Reims, Hôpital Robert-Debré, Pôle Recherche Innovation, avenue du général Koenig, 51090 Reims, France
| | | |
Collapse
|
19
|
Hermabessière S, Lavallart B, Laffon de Mazières C, Vellas B, Rolland Y. [Reinforced accommodation units and the management of patients with dementia]. Soins Gerontol 2016; 21:38-43. [PMID: 27449309 DOI: 10.1016/j.sger.2016.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Dementia is frequently associated with behavioural disorders that can be difficult to manage. In regards to these symptoms, psychoactive drugs are not very effective and have many potential side effects. In order to take care of patients with such severe disorders, specific units called "reinforced hosting units" ("UHR; Unités d'Hébergement Renforcées" in French) have been developed within long term care units. Specifically trained teams take care of these patients in specially designed settings. A French national inquiry has studied the development, the characteristics and the activity of these units in 2013 and 2012.
Collapse
Affiliation(s)
- Sophie Hermabessière
- Gérontopôle, CHU de Toulouse, Hôpital Garonne, 224 avenue de Casselardit, TSA 40031, 31059 Toulouse cedex 9, France.
| | - Benoît Lavallart
- Pilotage du plan Alzheimer, 11 place des cinq martyrs du lycée Buffon, pièce 5024, 75014 Paris, France
| | - Clarisse Laffon de Mazières
- Gérontopôle, CHU de Toulouse, Hôpital Garonne, 224 avenue de Casselardit, TSA 40031, 31059 Toulouse cedex 9, France
| | - Bruno Vellas
- Gérontopôle, CHU de Toulouse, Hôpital Purpan-Casselardit et Garonne, 170 et 224 avenue de Casselardit, TSA 40031, 31059 Toulouse Cedex 9, France
| | - Yves Rolland
- Gérontopôle, CHU de Toulouse, Hôpital Purpan-Casselardit et Garonne, 170 et 224 avenue de Casselardit, TSA 40031, 31059 Toulouse Cedex 9, France
| |
Collapse
|