Palliative Cares in France

By Olivier, C. et Lejot,AL

Valence- Drôme

The Largest town in the department (drôme)

64 749 citizens in 2019

landscapes close to Valence

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IRFSS AuRA- Valence

365 nursing students

Close to the

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Process

in order to be a nurse

25 weeks : training session

based on primary caring

1st year

2d year

3rd year

cancerology and palliative care courses have been follow during the 3r year.

Promotion and prevention health systeme and caregiving

management (how to support and supervise students and new colleagues)

Pathologies ( inflammatory/infection, obstructive, emergency and degenerative process)

Ethical courses

15 weeks: training session

palliative care courses: 5th semester/ 6

4 kind of intersphips:

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Let's go to the palliative care system introduction in France

"Have you ever been faced to palliative care? Where?"

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What would you think of being able to choose your own end of life?

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SFPAP

End of life: What we can do?

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Richardson, A. Fine vita: quando prendersi cura è un privilegio

"tutto deve essere fatto quando non c'è più niente da fare"

community support

health networks

"

Relieve total pain

Goals in palliative care in France

Dr Schwarzenberg (cancerologist) 1923-2003

He talked about euthanasia for the 1st time in 1977. He started the debates on the right to die with dignity.

He was involved to legislate the on the subject.

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Cicely Saunders (nurse then doctor in UK) 1918-2005.

After 2eWW, she was very closed to the patient with cancer and she realised pain is not only physiologic. She introduced the 1st morphine sirup (1967)

Patient:

Peaceful days

Decrease the pain and discomfort symptoms

With students: TTT, sedation, alternative medicine

To say goodbye to loved ones

To find inner peace

Legislation:

- Leonetty (2005)

- Leonetti-Clayes (2016)

https://solidarites-sante.gouv.fr/soins-et-maladies/prises-en-charge-specialisees/les-soins-palliatifs-et-la-fin-de-vie/les-droits-en-faveur-des-personnes-malades-et-des-personnes-en-fin-de-vie/article/comprendre-la-loi-claeys-leonetti-de-2016

Ethics (reflexion, risk benefit balance...)

Parlons fin de vie

State of play in France (2019)

Increase in requests

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Networks in France- palliative support

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Palliative care mobil team

Collaboration and coordination network

I

E in Italia, com'è ?

Let us know......

Exhanges time

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THANK YOU!

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Biblio-photo

EAPC Blog (European association for palliative care). Cicely saunders-celebrating a century

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