Evaluation des pratiques professionnelles de l'administration des nutritions parentérales à l'hôpital des enfants PDF Download
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Author: Jeanne Thorel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Le circuit de la nutrition parentérale (NP) pédiatrique en milieu hospitalier est un processus complexe au cours duquel toutes les étapes peuvent être génératrices de risques. L'administration des mélanges de NP, étape ultime, nécessite une attention particulière. L'objectif principal de notre étude est d'évaluer dans un hôpital pédiatrique la conformité des pratiques d'administration des NP aux recommandations du rapport de l'IGAS de 2015. Nous avons réalisé une étude descriptive observationnelle et prospective sous la forme d'un audit clinique. Le recueil des critères a été réalisé à l'aide d'une grille, renseignée lors de l'observation des manipulateurs pendant la préparation et le branchement des poches. Au total, 78 administrations ont été incluses. Ces observations nous ont permis de définir des axes d'amélioration prioritaires, et ont mis en évidence la nécessité de rédiger une procédure d'administration des NP en pédiatrie validée par le CLAN. La comparaison aux recommandations de l'IGAS a permis de mettre en évidence des points forts : l'absence d'adjonction de médicaments non nutritifs dans les poches (100%), le contrôle de l'identité du patient sur la poche (100%), la traçabilité du lot de la poche administrée (100%), le branchement en binôme (82%). D'autres critères doivent être améliorés : le contrôle de la poche administrée en regard de la prescription (88%), la vérification de l'intégrité (18%), de l'aspect (1%) et de la péremption des poches (51%). La traçabilité des contrôles effectués était absente pour toutes les observations. Le suivi des températures et la gestion des alarmes des réfrigérateurs ne sont pas conformes.
Author: Jeanne Thorel
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Le circuit de la nutrition parentérale (NP) pédiatrique en milieu hospitalier est un processus complexe au cours duquel toutes les étapes peuvent être génératrices de risques. L'administration des mélanges de NP, étape ultime, nécessite une attention particulière. L'objectif principal de notre étude est d'évaluer dans un hôpital pédiatrique la conformité des pratiques d'administration des NP aux recommandations du rapport de l'IGAS de 2015. Nous avons réalisé une étude descriptive observationnelle et prospective sous la forme d'un audit clinique. Le recueil des critères a été réalisé à l'aide d'une grille, renseignée lors de l'observation des manipulateurs pendant la préparation et le branchement des poches. Au total, 78 administrations ont été incluses. Ces observations nous ont permis de définir des axes d'amélioration prioritaires, et ont mis en évidence la nécessité de rédiger une procédure d'administration des NP en pédiatrie validée par le CLAN. La comparaison aux recommandations de l'IGAS a permis de mettre en évidence des points forts : l'absence d'adjonction de médicaments non nutritifs dans les poches (100%), le contrôle de l'identité du patient sur la poche (100%), la traçabilité du lot de la poche administrée (100%), le branchement en binôme (82%). D'autres critères doivent être améliorés : le contrôle de la poche administrée en regard de la prescription (88%), la vérification de l'intégrité (18%), de l'aspect (1%) et de la péremption des poches (51%). La traçabilité des contrôles effectués était absente pour toutes les observations. Le suivi des températures et la gestion des alarmes des réfrigérateurs ne sont pas conformes.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203
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Book Description
First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Author: Nathan I. Cherny
Publisher: Oxford University Press, USA
ISBN: 0199656096
Category : Medical
Languages : en
Pages : 1281
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Book Description
Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Author: Philip A. Pizzo
Publisher: Lippincott Williams & Wilkins
ISBN: 9780683303995
Category : Medical
Languages : en
Pages : 849
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Book Description
Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.
Author: Richard Hain
Publisher: Oxford University Press
ISBN: 019882131X
Category : Medical
Languages : en
Pages : 535
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Book Description
The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.
Author: Meyer Glantz
Publisher: Amer Psychological Assn
ISBN: 9781557984128
Category :
Languages : en
Pages : 533
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Book Description
This text offers insights into the complex and disturbing questions of drug abuse by examining the range of factors that affect vulnerability, focusing specifically on factors and patterns associated with the transition from drug use to drug abuse.
Author: Laura Marcu
Publisher: CRC Press
ISBN: 1439861684
Category : Science
Languages : en
Pages : 554
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Book Description
During the past two decades, there has been an increasing appreciation of the significant value that lifetime-based techniques can add to biomedical studies and applications of fluorescence. Bringing together perspectives of different research communities, Fluorescence Lifetime Spectroscopy and Imaging: Principles and Applications in Biomedical Dia
Author: Scott Plous
Publisher: McGraw-Hill Humanities, Social Sciences & World Languages
ISBN:
Category : Family & Relationships
Languages : en
Pages : 632
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Book Description
Publisher Description
Author:
Publisher: Food & Agriculture Org
ISBN: 9789251051641
Category : Medical
Languages : en
Pages : 59
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Book Description
Jointly issued by the World Health Organization and the Food and Agriculture Organization. This publication contains the findings of an FAO/WHO expert meeting, held in Geneva in February 2004.
Author: Dr Malcolm Kendrick
Publisher: Kings Road Publishing
ISBN: 1843582368
Category : Health & Fitness
Languages : en
Pages : 337
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Book Description
Statins are widely prescribed to lower blood cholesterol levels and claim to offer unparalleled protection against heart disease. Believed to be completely safe and capable of preventing a whole series of other conditions, they are the most profitable drug in the history of medicine. In this groundbreaking book, GP Malcolm Kendrick exposes the truth behind the hype. He will change the way we think about cholesterol forever. Rubbishing the diet-heart hypothesis, in which clinical trials 'prove' that high cholesterol causes heart disease and a high-fat diet leads to heart disease, Kendrick lambastes a powerful pharmaceutical industry and unquestioning medical profession, who, he claims, perpetuate the madcap concepts of 'good' and 'bad' cholesterol and cholesterol levels to convince millions of people to unnecessarily spend billions of pounds on statins. Clearly and comprehensively debunking assumptions on what constitute a healthy lifestyle and diet, "The Great Cholesterol Con" is the accessible, indispensable and absorbing case against statins and for a more common-sense approach to heart disease and general wellbeing. No more over-hyped miracle drugs; no more garlic, red wine, anti-oxidants, fruit or vegetables; even a vegetarian diet is rejected in this controversial yet authoritative critique of how we have been mislead over how food and drugs affect our coronary health. Here, for the first time, is the invaluable guide for anyone who though there was a miracle cure for heart disease, "The Great Cholesterol Con" is a fascinating breakthrough that will set dynamite under the whole area.
