Palliative care in emergency departments: an impossible challenge?

被引：4
|
作者：
Couilliot, Marie-France [1 ]
Leboul, Daniele [2 ,3 ]
Douguet, Florence [4 ]
机构：
[1] Univ Hosp Paris Seine St Denis, Interdisciplinary Res Inst Social Issues IRIS, F-93017 Bobigny, France
[2] Med Home Jeanne Garnier, Paris, France
[3] European Univ Brittany, JE Eth Professionalism & Hlth, Brest, France
[4] European Univ Brittany, Lorient, France
来源：
EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2012年 / 19卷 / 06期
关键词：
emergency department; end of life; palliative care; qualitative study; DEATH;
D O I：
10.1097/MEJ.0b013e32834f3686
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The aim of this study was to investigate the care practices surrounding end-of-life patients and the scope for providing palliative care in two emergency department short-stay units. Two qualitative methods of investigation were used: direct ethnographic-type observation and semi-directed group interviews. The results highlight the fact that end-of-life situations inflect the practices of care and give rise to adjustments in the organization of work. These practices operate in two registers: that of supporting the family and that of attention to the patient's comfort. We propose a typology of end-of-life patients. In conclusion, the practices, termed 'palliative care' by the caregivers, are addressed to terminally ill patients expected to die shortly. This issue should be debated within emergency departments. European Journal of Emergency Medicine 19:405-407 (C) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
引用
收藏
页码：405 / 407
页数：3
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