A5009252040- Health, Medicine and Society
- Healthcare Systems and Practices
- Palliative Care and End-of-Life Issues
- Musculoskeletal pain and rehabilitation
- Aging, Elder Care, and Social Issues
- Death, Funerary Practices, and Mourning
- Patient Dignity and Privacy
- French Language Learning Methods
- Migration, Identity, and Health
- Grief, Bereavement, and Mental Health
- Diverse Cultural and Historical Studies
- Geriatric Care and Nursing Homes
- Pain Management and Placebo Effect
- Disaster Response and Management
- Emergency and Acute Care Studies
- Education, sociology, and vocational training
- Multiculturalism, Politics, Migration, Gender
- Clinical practice guidelines implementation
- Ethics in medical practice
- Pharmaceutical Practices and Patient Outcomes
- Cancer survivorship and care
- Pharmacovigilance and Adverse Drug Reactions
- African Studies and Ethnography
- Cystic Fibrosis Research Advances
- COVID-19 and healthcare impacts
HES-SO University of Applied Sciences and Arts Western Switzerland
2014-2024
University of Lausanne
2006-2024
Centre universitaire de médecine générale et santé publique, Lausanne
2019-2024
Haute École de Santé Vaud
2020-2021
Département de la Santé et de l'Action Sociale
2020
University Hospital of Lausanne
2009-2018
Institute of Social and Preventive Medicine
2018
Background: Polypharmacy and the use of potentially inappropriate medications are frequent safety issues among nursing home (NH) residents. Deprescribing can significantly reduce number drugs used, medication costs, mortality. This qualitative study sought to understand compare perceptions practices nurses, pharmacists, physicians regarding deprescribing in Swiss NHs, referring an implementation approach on three levels action: individual, institution, healthcare system. Methods: Two focus...
Abstract Background Lower respiratory tract infections (LRTIs) are among the most frequent and a significant contributor to inappropriate antibiotic prescription. Currently, no single diagnostic tool can reliably identify bacterial pneumonia. We thus evaluate multimodal approach based on clinical score, lung ultrasound (LUS), inflammatory biomarker, procalcitonin (PCT) guide prescription of antibiotics. LUS outperforms chest X-ray in identification pneumonia, while PCT is known be elevated...
Individuals must change the way they perform activities in response to chronic pain. In literature, three activity patterns are commonly described: avoidance, pacing, and persistence. Many studies have explored these patterns. However, little research has delved into factors that lead people adopt a particular behaviour. This study aimed explore relationship with musculoskeletal pain highlight underlying their practices.
In Switzerland, where assisted suicide but not euthanasia is permitted, the authors sought to understand how physicians integrate palliative sedation in their practice and they reflect on existential suffering death hastening. They interviewed 31 from different care settings. Five major attitudes emerged. Among specialized physicians, convinced, cautious doubtful were evident. Within unspecialized settings, was more likely be considered as hastening: clinicians either avoid it with an...
Abstract Objective: Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares attitudes French-speaking physicians practicing in Quebec Swiss environments, where different are place regarding physician-assisted suicide. Method: Data were drawn from two prior studies, one by Blondeau colleagues another Beauverd coworkers, employing same two-by-two experimental design with length prognosis type suffering as independent...
Palliative sedation is a last resort medical act aimed at relieving intolerable suffering induced by intractable symptoms in patients the end-of-life. This generally accepted as being medically indicated under certain circumstances. A controversy remains literature to its ethical validity. There vagueness regarding legitimacy of palliative cases non-physical refractory symptoms, especially "existential suffering." pilot study aims measure influence two independent variables (short/long...
Résumé Sur la base de données ethnographiques rendant compte d’échanges quotidiens entre une équipe mobile soins palliatifs et différents services « première ligne » d’un hôpital, cet article considère les relations d’intermédicalité ces cultures médicales divergentes. Dans un premier temps, obstacles qui émergent lors tentatives d’intégration du nouveau modèle proposé par seront discutés. En effet, celui-ci introduit conception nouvelle trajectoire maladie incurable traduisant des valeurs...
A new subfield of oncology has emerged in the last twenty years to raise awareness and address specific needs elderly cancer patients, a population that was long neglected oncology. We sought understand individual experiences, as well moral social implications considering patients "treatable". Following an anthropological critical interpretative approach focusing on practical symbolic effects chemotherapy rapidly evolving medical field, we conducted 20 semi-structured interviews observations...
The factors for assessing the utilization rate of a palliative care service are various and complex. Several authors have described different methods to address this problem. McNamara colleagues proposed criteria determine "minimal," "mid-range," "maximal" population estimates. In order evaluate our intrahospital consult team (PCT), it appeared necessary better describe define who dies in institution, Swiss university hospital. goal pilot study was what percentage patients died hospital over...
Cet article est issu d’une recherche interdisciplinaire en pharmacie et sciences sociales sur la polymédication déprescription maison de retraite menée Suisse romande. Si les facteurs psycho-sociaux sont souvent mobilisés pour expliquer difficile (réduction encadrée consommation médicaments réduire ses effets délétères identifiés), propos des usagers interviewés mettent lumière structurels du fonctionnement établissements comprendre le phénomène sa persistence. Perdant leur autonomie...
Fingolimod is an oral multiple sclerosis drug that considered a specialty due to its high cost and safety issues. The Patient Support Program (F-PSP) pharmacy service developed ensure the responsible use of fingolimod by promoting patient medication adherence. This study aims explore satisfaction, experiences perceptions regarding F-PSP among patients currently involved in this program or recently withdrawn.A qualitative was conducted via individual, face-to-face semistructured interviews...
Résumé L’accompagnement des mourants proposé par les soins palliatifs se fonde sur l’autonomie du patient impliquant un discours ouvert autour de la mort qui approche. Afin déployer leur offre à l’hôpital, professionnels souhaitent formaliser l’entrée dans phase palliative manière ce qu’elle soit mieux anticipée et coordonnée, mais aussi plus explicite pour le patient. Ce « passage » soulève enjeux importants, notamment au niveau collaboration interprofessionnelle entre une équipe mobile...
Durant les cinq dernières décennies, nos systèmes de santé se sont dotés d’organes pharmacovigilance chargés surveiller la survenue d’effets indésirables médicaments, requérir des modifications leur mode d’utilisation, et ainsi d’améliorer sécurité. Dans foulée, transfusion produits sanguins, vaccins, appareils médicaux, etc., ont justifié mise sur pied d’organisations similaires. Cet article revisite construction le fonctionnement ces structures à travers crises qui jalonné développement...
À partir d’entretiens et d’observations réalisés dans une pharmacie de garde Suisse romande, cette étude explore les relations que pharmaciens d’officine entretiennent avec usagers. Dans un contexte démocratisation des savoirs relatifs à la santé, l’enquête effectuée montre relation se reconfigure, selon nature du problème au profit d’une plus grande autonomie En effet, certaines situations, usagers peuvent exprimer le désir passer compétence pharmacien. Mais, d’autres circonstances, bien...
To analyse the factors influencing configuration of accident trajectories from de perspective patients and assess role rehabilitation in managing pain functional limitations autonomously.
À partir d’un séminaire destiné aux étudiants en médecine intitulé Soignants face à la mort et de nos propres travaux ethnographie hospitalière dans le champ psychiatrie liaison un hôpital général, nous discutons statut des émotions les soins. Interrogés sur fin vie par groupes d’étudiants, soignants décrivent souvent comme dangereuses l’importance s’en prémunir primordiale. ce constat d’une certaine ambivalence décrite étudiants, revenons place littérature biomédicale sciences sociales. Les...
Résumé Le cours de soins palliatifs huit heures destiné aux étudiants 4 e année médecine a été complètement revu. Il intègre nouvelles méthodes pédagogiques telles que l’apprentissage par problème, en petits groupes et voie informatique (e-learning) . Les objectifs d’apprentissage recherchés visent à élargir voire modifier les attitudes adopter face des patients fin vie. Un cadre d’évaluation, sur la base d’un questionnaire, développé pour évaluer domaines suivants : a) le vécu l’étudiant...
Résumé L’accompagnement spirituel : entre dispositif de prise en charge et absence discours – Dans nos sociétés fortement médicalisées, les soins palliatifs proposent un accompagnement plus humain la personne fin vie grâce à l’élaboration d’un basé sur besoins du patient. L’une des composantes cette humanisante, l’accompagnement spirituel, paraît particulièrement innovante dans mesure où elle s’intègre champ médical laïc. premier temps, il est question cet article rapport au religieux...
Purpose of research: The objective this article is to investigate, from the perspective patients, disruptions biographical trajectories induced by chronic low back pain and impact of a multidisciplinary rehabilitation program on their reconstruction.Based an interdisciplinary qualitative research, we investigated experience 20 participants with following a three-week at hospital. Semi-directive interviews were conducted before after inclusion in program.Although affecting each...