[Recommendations for the implementation of multi-professional staffs (MPS) in care services].

The context and constraints of modern medicine (hospital beds and caregivers' reductions, ambulatory shift, new therapeutic approaches, integration of supportive care…) combined with new societal and Health system changes (ageing population, chronic diseases, new requirements of the patients…) redefine the orientations of care and question professional practices. The participative approach (PA) as a model of team organization proposes solutions involving the skills of the various interacting caregivers and experimental knowledge and consideration of patient needs. The multi-professional staff (MPS) is a collaborative tool of this participative approach that federates a team around a health or care project personalized from the crosschecked eyes of care professionals and from a shared decision-making process.

[The decision to withdraw specific treatments in oncology].

Shared medical decision-making is a complex process, especially with regard to the withdrawal of specific treatments in oncology. On the one hand, patients, particularly vulnerable due to their advanced disease, and their family, apprehend this withdrawal. On the other hand, oncologists have more and more treatment options available to them thanks to the medical advances made over recent years.

[The palliative care day hospital mobile team].

The mobile continuous care and support team works with patients receiving palliative care. The palliative care day hospital, a new place of life, offers space and time to respond to the needs of the patient and his/her family in an approach which blends technical aspects and support.