A5090019471- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Patient-Provider Communication in Healthcare
- Family Support in Illness
- Family and Patient Care in Intensive Care Units
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Pain Mechanisms and Treatments
- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Pain Management and Opioid Use
- Pharmacological Effects and Toxicity Studies
- Health, Medicine and Society
- Psychedelics and Drug Studies
- Potassium and Related Disorders
- Pain Management and Treatment
- Multiple and Secondary Primary Cancers
- Migration, Health and Trauma
- Immune Cell Function and Interaction
- Psychosomatic Disorders and Their Treatments
- Transcranial Magnetic Stimulation Studies
- Treatment of Major Depression
- Cannabis and Cannabinoid Research
- Pharmacogenetics and Drug Metabolism
Centre Hospitalier Universitaire de Nantes
2016-2024
Nantes Université
2022-2024
Sciences, Philosophie, Histoire
2024
Université de Tours
2023-2024
Inserm
2023-2024
Centre Hospitalier Universitaire de Tours
2023-2024
Centre National des Soins Palliatifs et de la Fin de Vie
2018-2024
Hôpital Laennec
2021
IMT Atlantique
2016
There is considerable variation in the way that palliative medicine taught allaround globe. No comprehensive study has yet been conducted on content of this teaching, particularly regarding clerkships and theoretical teaching (lectures, group teaching) France. This would facilitate standardisation care training throughout country. The main objective to provide a description practical offered during medical school clinical yearsstudies We an online specially designed survey 34 schools France,...
Abstract Context In addition to curative care, supportive care is beneficial in managing the anxiety symptoms common patients sterile hematology unit. We hypothesize that personal massage can help patient, particularly this isolated setting where physical contact extremely limited. The main objective of study was show could be reduced after a touch-massage® performed by nurse trained therapy. Methods A single-center, randomized, unblinded controlled unit French university hospital, validated...
Abstract Background Pain is a common symptom in palliative care cancer patients and often insufficiently relieved. In recent years, transcranial direct-current stimulation (tDCS) of the motor cortex has been shown to be effective treat chronic pain, essentially neuropathic pain. We propose test efficacy tDCS experiencing pain setting. Method/design This article describes protocol bicentre, randomized, parallel-arm, sham-controlled clinical trial evaluating treatment with refractory Seventy...
Abstract Objectives Psychological consequences of grief among relatives are insufficiently known. We reported incidence prolonged deceased patients with cancer. Methods Prospective cohort study 611 531 cancer hospitalized for more than 72 hours and who died in 26 palliative care units was conducted. The primary outcome 6 months after patient death, measured the Inventory Complicated Grief (ICG > 25, range 0–76, a higher score indicates severe symptoms) score. Secondary outcomes death were...
Abstract Considering the preferences in Shared Decision Making (SDM) of patients with Digestive Cancer (DC) is crucial to ensure quality care. To date, there limited information on SDM DC. The objectives this study were describe digestive cancer patients’ preference for involvement therapeutic decision-making and identify variables associated these preferences. An observational prospective a French university center has been conducted. Patients completed two questionnaires qualify quantify...
Abstract Background Long‐term use of opioids does not result in significant clinical improvement and has shown more adverse than beneficial effects chronic pain conditions. When cause benefits for the patient, it may be necessary to initiate a process deprescribing. Aim To explore perceptions French physicians regarding opioid deprescribing patients experiencing non‐cancer generate an understanding barriers levers process. Methods We conducted multicentric observational study with...
The use of methadone for cancer pain management is gaining wider acceptance. However, switching to treatment can still pose challenges. Consequently, there ongoing development its in low doses combination with other opioids, despite a lack clinical evidence regarding efficacy and safety.
Caregivers are essential in the care of a patient with digestive cancer. Considering their experience and needs is crucial.To explore caregivers patients cancer to compare perspectives caregivers.A mixed-methods study cross-sectional prospective comprehensive qualitative dimension was performed medical oncology unit French tertiary hospital. Dyads made caregiver were recruited. The Caregiver Reaction Assessment (CRA) Supportive Care Needs Survey for Partners (SCNS-PC) questionnaires...
Abstract Background Grieving relatives can suffer from numerous consequences like anxiety, depression, post-traumatic stress disorder (PTSD) symptoms, and prolonged grief. This study aims to assess the psychological of grieving after patients’ death in French palliative care units their needs for support. Methods is a prospective observational multicenter mixed study. Relatives adult patients with neoplasia expected be hospitalized more than 72 h unit end-of-life issues will included within...
The French government voted a new law in February 2016 called the Claeys-Leonetti Law, which established right to deep and continuous sedation, confirmed ban on euthanasia ruled out physician-assisted suicide. aim of this work was gather opinion patients sedation legalisation medical assistance dying explore determinants associated with favourable unfavourable opinions. This national prospective multicentre study between 2020. 331 incurable cancer suffering from locally advanced or...
12098 Background: France is currently in the midst of societal discussions concerning new legislation on active assistance dying. Continuous Deep Sedation Until Death (CDSUD) considered by some a “French exception” since 2016, but 8 years later, findings suggest that this procedure not really clear to all, including patients, their relatives and healthcare providers (HCP). The primary objective original research document psychological adjustment patients’ HCPs cancer context. Methods:...
Early palliative care (EPC) leads to an improvement in quality of life and unexpected survival benefit compared with oncological for patients metastatic lung cancer. The Palliative Integrated Care (EPIC) is aimed at examining whether EPC can improve overall upper gastrointestinal
Introduction Polypharmacy in patients with advanced cancer represents a major public health problem, leading to risk of iatrogenesis, decrease quality life and increase healthcare costs. In the field geriatrics, policies have been developed address polypharmacy through use deprescribing tools. Recently, palliative care initiatives introduced, yet these not fully considered specificities this population, particularly their perceptions. It is therefore important better understand patients’...
Abstract Background Prolonged grief is a chronic and debilitating condition that affects millions of persons worldwide. The aim this study was to use qualitative approach better understand how relatives with prolonged disorder perceive what does or not help them whether they were able make recommendations. Methods Participants all deceased patients admitted 26 palliative care units involved in the FamiLife study; included if diagnosed symptoms (i.e., Inventory Complicated Grief (ICG)...
12102 Background: In 2010, Temel et al. reported that early palliative care (PC) (EPC) led to significant improvements in quality of life and, surprisingly, on overall survival (OS) over standard oncologic (SOC) for patients (pts) with metastatic lung cancer. The American Society Clinical Oncology then recommended “combined oncology and PC earlier the course illness any patient cancer”. median OS unselected pts upper gastrointestinal cancers (mUGIC) does not exceed 11 m. Whether EPC benefits...
Objectives Proton pump inhibitors (PPIs) are among the most commonly prescribed medications. The aim of this study was to assess appropriateness prescribing PPIs in palliative care unit on admission and during hospitalisation determine applicability deprescribing recommendations. Methods A monocentric observational conducted over a 6-month period 2020 university unit. Data indication, starting date, dose posology were collected at discharge from medical record by contacting prescriber....
Limited descriptive data are available on continuous and deep sedation maintained until death (CDSUD) at the patient's request in palliative care units. This study aimed to describe such practices context of refractory suffering or after a stop life-sustaining treatment, evaluating duration dosage sedative treatments used.