Publications by authors named "Marine Sahut d'Izarn"

End of life is a common situation in emergency medicine. However, the training of nursing staff seems to be lacking in this area. We studied the impact of dedicated training on the management of end-of-life patients admitted to the adult emergency department of the Ambroise-Paré University Hospital.

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Supported by numerous scientific publications showing its clinical benefits, early palliative care has become a gold standard in oncology since 2017, recommended for patients with advanced cancer by the major societies of oncology. Nevertheless, palliative care team integration is still too late in France and the intervention of palliative care teams in oncology is still often limited to the management of patients and their relatives at the end of life. First, we will look at the main obstacles: the lack of staff in palliative care teams and the complex functioning of palliative care identified beds; also, the difficulties of communication with the patient and his relatives for the introduction of palliative care.

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Context: Relatives of patients receiving palliative care are at risk for psychological and physical distress, and their perception of quality of care can influence patients' quality of life.

Objectives: The purpose of this study was to develop and validate the QUALI-PALLI-FAM questionnaire (QUAlity of PALLIative car from FAMilies' perspective) to measure families' perception of and satisfaction with palliative care.

Methods: An exploratory factor analysis was conducted, and we evaluated the questionnaire's internal consistency using Cronbach's alpha, its stability across various strata, and the correlation between the QUALI-PALLI-FAM (factors, total score, and global satisfaction) and the total score of the FAMCARE (FAMily satisfaction with CARE) questionnaire.

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Epidemiological data relating to cancer and the ageing of the population highlight the need for oncology, geriatrics and palliative care to work more closely together. Geriatric and palliative care assessments in oncology are complex procedures and result in the modification of the oncological therapeutic choices. They have a significant impact on the methods of treatment of the patients concerned.

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Article Synopsis
  • Dyspnea is a common and significant symptom that greatly impacts the quality of life for terminally ill patients, with a recorded incidence of 13,282 episodes during 2,608 hospital stays in a palliative care setting.
  • Dyspnea appears more frequently in patients with cancer, especially those with pulmonary metastasis, and its occurrence varies widely based on the type of primary cancer, with rates ranging from 24% to 60%.
  • There's a notable percentage of cancer patients who experience dyspnea exclusively in the last days of their life, highlighting the need for careful assessment and treatment strategies that differentiate between terminal and earlier episodes of dyspnea.
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