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Palliative Cares in France

By Olivier, C. et Lejot,AL

12/05/2022
Erasmus mobility-Genova

Valence- Drôme

The Largest town in the department (drôme)

64 749 citizens in 2019

Cosmopolitan city
Nammed "Porte du midi" (" cancello di mezzogiorno")

landscapes close to Valence


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IRFSS AuRA- Valence

365 nursing students

80 assistant nurse students

Close to the

  • CHV (10min)
  • university (2min)
  • city center (5min)


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Process

in order to be a nurse

25 weeks : training session


15 weeks : (2) interships

based on primary caring

1st year

2d year

3rd year

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


20 weeks: training session

20 weeks: (2) internships

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


25 weeks : (3) interships

palliative care courses: 5th semester/ 6

4 kind of intersphips:

geriatric, psychiatric, short term cares, community care


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

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

_
"Ti è mai capitato di dover affrontare cure palliative? Dove?"


link: www.wooclap.com/MQLKXQ


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

_
Cosa pensereste di poter scegliere il vostro fine vita?

Link: padlet.com/annelaurelejot/370vg567x9to6a28


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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


- LUSP (bed in SP unit)
- LISP (Bed in general units)


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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


SFPA

Ministère des solidarités et de la santé
And all theother reference


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