Search

Since 2009, the law has reinforced the role of the general practitioner in coordinating care in France. Various structures, such as coordination support systems and specific regional systems, have been set up to improve the efficiency of care pathways. Primary care teams and specialized care teams organize care around patients. Multi-professional health centers and health centers facilitate local collaboration between professionals., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Telecare is a telehealth practice open to medical auxiliaries and pharmacists. In semi-structured interviews, nurses shared their experiences. The results show that new skills are being mobilized to meet the needs of diabetic patients. However, there are still obstacles to be overcome, such as a lack of digital skills and organizational and technical difficulties, which need to be taken into account if we are to continue deploying this practice., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Enhanced Rehabilitation after Surgery (ERAS) is a paradigm involving a new organization of surgical care pathways. Its main objective is to maximize the rehabilitation of people undergoing surgery. It is a multimodal approach based on evidence-based data and high-level recommendations, combined with daily assessment of the quality of the patient's surgical pathway using clinical indicators grouped around some twenty recommendations. This implementation requires the involvement of all professionals involved in the care process. The ERAS nurse coordinator is one of them., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

The nurse coordinator works within a healthcare network to ensure the continuity and quality of the care provided to patients. They act as the interface between medical, paramedical and social care. In some departments, they coordinate the surgical prehabilitation and enhanced rehabilitation program, which aims to optimize the physical, nutritional and psychological state of each patient prior to major surgery. Knowing how to guide patients and their families, advise them and re-explain the medical prescription for discharge sheds light on their situation and reassures them, while enabling them to plan their discharge., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

The incidence of chronic heart failure continues to rise in Western countries, justifying the implementation of an optimized multidisciplinary organization based on medical and nursing convergence. Around the main heart failure, assistance and transplantation unit at Toulouse University Hospital, several structures have been put in place to better manage heart failure patients and improve their care pathway., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

The creation of Parkinson's expert centers (PEC) led to the emergence of new nurses, known as coordination nurses. And in 2018, the emergence of advanced practice nursing led to the creation of a new category of professionals, advanced practice nurses (APN). Nurses coordinators and APN play a major role in meeting the public health challenges posed by Parkinson's disease. They are the guarantors of the implementation of a personalized care pathway, the aim of which is to offer patients an optimized quality of life. They forge an indispensable link between the city's healthcare services and the PEC, collaborating with the many healthcare professionals who work with people suffering from Parkinson's disease., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Chronic pain affects a large number of French people, and has a considerable impact on their quality of life. Spinal cord stimulation is a technique for managing and reducing this pain, which is often resistant to (poorly tolerated) medication. Between the consultation with the specialist and the operation, a specific procedure is imperative: the pre-implantation assessment. Numerous appointments and tests are required to verify the patient's eligibility. The pain resource nurse plays a key role in supporting the patient through this process: she is the guiding light in the care process., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Living with chronic, daily pain generates a variety of reactions for every individual. To provide the best possible support for sufferers, management strategies have diversified, becoming multimodal and encompassing pharmacological, non-pharmacological, psychological, physiotherapeutic and educational therapies. It is within this framework that therapeutic patient education, hypnoanalgesia and self-hypnosis have been deployed., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Following on from two experimental legislative measures successively introduced by social security funding laws and repealed before they had even got off the ground, the draft law on improving access to care, known as the Rist law, will authorise primary prescribing and direct access to advanced practice nurses. Future implementing legislation will require political consultation between all the parties involved, and promises to lead to lively and exciting debates., (Copyright © 2023. Published by Elsevier Masson SAS.)

Since 2020, a promising new treatment has been offered to elderly patients with acute myeloid leukemia. However, adverse events complicate their treatment, which is performed on an outpatient basis. The advanced practice nurse could provide assistance in the follow-up of these elderly and polypathological patients, who require regular clinical and biological monitoring, adaptation of their therapies and the establishment of city-hospital coordination likely to guarantee their maintenance at home., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Remote professional practices or telehealth have been adopted by most healthcare professions around the world. Telehealth is now part of the means available to health professionals to strengthen the quality of pathways. Telehealth is not a substitute for face-to-face exercise but complements it. The relevance of a use of telehealth is the responsibility of the health professional. In this article, we specify the place of telehealth in the professional practice of an advanced practice nurse, whether in private practice or salaried by a care institution., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Present throughout the country, nurses are a considerable asset in a context of medical desertification. It is therefore important to rethink the healthcare system by questioning the central place of doctors in the care pathway and by opening the way for direct access to other professionals, such as advanced practice nurses (APN). The year 2023 saw a change in this direction, with the passage of the Rist bill on improving access to care. This bill opens direct access to APNs working in coordinated practice structures and announces the implementation of an experiment in six departments on direct access to APNs working in territorial professional health communities., (Copyright © 2023. Published by Elsevier Masson SAS.)

The specialized nurse in MS is a new profession practiced in MS clinics and outpatients specialized coordination structures. She is part of a specialized multi-professional team. The nurse must master a broad knowledge of the disease and the treatments. Have skills in therapeutic education, communication and coordination. She has a detailed knowledge of the resources of the care offer. The MS nurse thus participates in the assessment of the patient's needs for the implementation of a personalized care plan combining response to medical, paramedical, psychological and social needs., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Transgender people should be patients like any other. However, many testimonies describe how difficult, even painful, access to care is for them. Some health care providers react with incomprehension, rejection and discrimination, which can be perceived as violence towards transgender patients. A change in health policies and the implementation of training are fundamental to ending these inequalities in care., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

The Medical Network for Nutrition against Obesity (Emno) breaks new ground in the treatment of obesity through a project within the legal framework of the so-called "Article 51". The medical and educational support it provides rests on four pillars: a continuum of care via a territorial network, multi-professional cooperation in e-healthcare, the partner-patient and the expert patient. Thanks to its Nuvee online platform for therapeutic patient education, Emno takes advantage of the current digital developments, in the spirit of rigorous medical as well as economic logic., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

The current care pathway for COVID-19 patients was set up at the Centre Hospitalier de Luxembourg following the experiences of the first wave. The role of the nurse in this pathway is fundamental: she coordinates care and the multidisciplinary team as well as the families, in addition to monitoring and treating the patients. Her tool is clinical reasoning, which is the guarantee of care adapted to the needs and expectations of the patients., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

People of all ages leave their own country to migrate to France. Isolated foreign minors are received and assisted by France Terre d'Asile an association promoting human rights and providing support to people in need of protection. This article looks back on the experience of two young minors., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Children of migrants develop and grow up with two languages, that of their family and that learnt at school, and within the two corresponding worlds. This transcultural situation entails a degree of vulnerability, and these children need to learn to reconcile the two worlds. In the setting of care, these different worlds and languages should be taken into account for what they are. This is an ethical requirement, and also a pragmatic approach, contributing to the efficacy of the care of these children. In this article we analyse the factors to take into account for all to provide adequate care for children of migrants, and we explore the modes of referral to specialised transcultural consultations if necessary., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

In the Île-de-France region, the medico-social sector is implementing a project to develop digital tools in institutions. With the support of the regional health agency, this project will lead to the selection of publishers by the end of 2019 who will offer the institutions business tools tailored to their needs, secure and interoperable to be part of the e-track programme., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

The shift in our healthcare system towards organisational models based on patient care management is one of the structural changes that have taken place in recent years. Digital technology represents a major lever to support this transformation, which has high stakes for improving the quality and efficiency of patient care. Positive regulation of the associated ethical issues can be achieved through the principle of a human guarantee of digital technology and artificial intelligence in health care, which is currently being recognised in the framework of the revision of the bioethics law., (Copyright © 2020. Published by Elsevier Masson SAS.)

In the often long and difficult care pathway of patients with cancer, the oncology care network has an important role to play. Of all the coordination programmes, it is the one which enables the patient's medical and psychosocial situation to be constantly evaluated throughout their illness., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

By integrating artificial intelligence (AI) to their practice, healthcare professions will evolve towards more efficient patient management and better quality of care. These changes require new competencies to which all professionals must be trained. A methodology to quantify the impact of AI on healthcare occupations can be used to support and anticipate these changes., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Stroke often causes psychological trauma as a result of dealing with serious, life-threatening disease. While each patient reacts differently, conversion disorders such as sideration are commonly observed. These can be managed by resilient psychological rehabilitation therapy with the various caregivers., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Chronic kidney failure is one of the pathologies identified by the French national health authority as requiring a priority care pathway. The patient undergoes a succession of life-changing events. The announcement of the need for renal replacement therapy (kidney transplantation, peritoneal dialysis or haemodialysis) marks the beginning of a life in which the patient must come to terms with the disease and its treatment. Supporting the patient through all these stages is essential and therapeutic education is crucial., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

The period after cancer treatments have finished requires personalised services and support, based on the theoretical and clinical concept of recovery. The recovery phase comprises several dimensions: it is not because a patient is in remission or declared medically cured that he or she has recovered., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Therapeutic education is an essential element of the care pathway in the case of chronic pain. It enables patients to acquire skills and to mobilise their resources to help them cope better with this pain. Nursing teams have a tool at their disposal to help them meet patients' needs., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

To respond to the complexity of the management of patients with chronic pain, an adapted and structured biopsychosocial approach is necessary. Created and managed by committed caregivers, regulated and financed by decision-making bodies, chronic pain assessment and treatment centres form part of the patient care pathway., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Chronic pain has a significant impact on a patient's personal, professional and social life. Effective short- or medium-term resources exist, but patients nevertheless face a daily struggle to resist, to gain a little autonomy, to get out of bed, to suffer less. Support from family and friends, as well as trusting relationships forged with health professionals, are an essential resource. Testimony., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

The complexity of the preparation of patients for bariatric surgery, combined with the requirement for the lifelong follow-up of all patients having undergone such a procedure, show the need for the coordination of the patient pathway by a specific healthcare professional: the bariatric nurse coordinator. A pilot experiment carried out in two integrated obesity centres provides perspectives for the care, research, training and certification of nurses involved in these programmes., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

Weight loss surgery requires multidisciplinary preparation and support. The risks of a failure in the follow-up and complications are significant. Consequently, caregivers and patients must follow a more clearly defined pathway which involves both and takes account of their expectations., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

The function of the pivot nurse was created when the Cancer Plans were first introduced to improve patient management and has constantly developed since then. It is an essential role for the coordination of care and the different players involved along the patient's care pathway., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

A patient was hospitalised for two years for initial and follow-up care after a serious workplace accident. After a stay in intensive care and hospitalisation for reconstructive surgery, the care continued in a rehabilitation unit. In this specific environment, the commitment, dynamics and creativity of the caregivers helped to establish a climate of compassionate care in which the patient was able to learn how to live again., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

The ageing of the population and increase in progressive chronic pathologies constitute a major challenge for society. In parallel, the array of care systems and the partitioning between the different players pose organisational and conceptual difficulties. In the face of this, a palliative care network can seize the opportunity to develop its missions to improve the care pathway for patients and make it easier for them to remain at home., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)