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[Setting up supportive care in oncology: reflexions and suggestions.]
P Colombat1, S Antoun, R Aubry
1Service d'hématologie, CHU de Tours, 2, allée Gaston-Pagès, 37044 Tours cedex 09, France, Service de nutrition, institut Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif, France, Service de soins palliatifs, CHU de Besançon, 2, boulevard Fleming, 25030 Besançon, France, Hospices civils de Lyon, 3, quai Célestins, 69002 Lyon, France, Centre hospitalier de Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France, Usager, Achicourt, France, Masseur-kinésithérapeute libéral, Tours, France, Service de cancérologie douleur-soins palliatifs, centre hospitalier de Privas, 2, avenue Pasteur, 07007 Privas cedex, France, Institut Curie, 26, rue Ulm, 75005 Paris, France, Service de cancérologie soins palliatifs, centre Léon-Bérard, 28, rue Laennec, 69373 Lyon, France, Service de soins palliatifs, maison médicale Jeanne-Garnier, 106, avenue Emile-Zola, 75015 Paris, France, Service de soins palliatifs, centre hospitalier de Pontarlier, 2, faubourg Saint-Etienne, 25304 Pontarlier cedex, France, Usager, Marseille, France, Service de cancérologue, clinique Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France, Service de cancérologie-douleur, centre Alexis-Vautrin, 6, avenue Bourgogne, 54500 Vandoeuvre-lès-Nancy, France, Centre hospitalier, Coulommiers, France, CHU de Besançon, 2, boulevard Fleming, 25030 Besançon, France, Usager, Pontivy, France, Service de pédiatrie-douleur-soins palliatifs, CHU Purpan, Toulouse, France.
Abstract:
A group of 19 health professionals implicated in supportive care wanted to suggest some reflexions for organization, setting and evaluation of the supportive care in institutions and health territories. The suggested organization must be applicable to any cancer patient and the place of the care whatever the age, the stage of the disease; in the future, must be applicable to any patient with serious chronic illness. This organization must allow to optimize the accompaniment and the care of the patients and their close relations by 1) precise and regular analysis of their needs; 2) the respect of the continuity of the health care; 3) the setting of collaborative practice and transversality in the care. It is not a new medical speciality but a coordination of competences for patients and their families.
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