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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Palliative care in emergency departments: an impossible challenge?
Marie-France Couilliot1, Danièle Leboul, Florence Douguet
1Interdisciplinary Research Institute on Social Issues (IRIS), University Hospitals Paris-Seine-Saint-Denis, 74 rue Marcel Cachin, Bobigny Cedex, France. marie-france.couilliot@rmb.aphp.fr
Abstract:
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.
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