L'intérêt des méthodes non-médicamenteuses dans la gestion systématique de la douleur chez le nouveau-né prématuré

L'intérêt des méthodes non-médicamenteuses dans la gestion systématique de la douleur chez le nouveau-né prématuré PDF Author: Camille Ehret (sage-femme).)
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Longtemps considérés insensibles et exemptés d'une mémoire de la douleur, les nouveau-nés à terme ou prématurés subissaient des procédures invasives sans thérapeutique antalgique. Actuellement toutes les procédures ne sont pas encore accompagnées d'une analgésie alors que la prise en charge de la douleur est un droit fondamental humain. Se pose alors la question de l'efficacité des moyens non-médicamenteux seuls ou en association lors des actes douloureux et de l'importance de leur usage systématique. Une revue de la littérature a été réalisée à partir des bases de données Pubmed et la Cochrane Library en ciblant le nouveau-né prématuré où la littérature est plus floride. L'étude des différents moyens non-médicamenteux existants a permis d'identifier les plus efficaces d'entre eux, à savoir le glucose/ le saccharose, la succion non-nutritive et le Kangaroo Mother Care. D'autres moyens existent mais semblent avoir une efficacité plus limitée, notamment s'ils sont utilisés seuls comme le peau-à-peau, le repli facilité, le massage et le soutien postural. Le toucher, l'emmaillotage, l'allaitement au sein et l'acupuncture/ l'acupressure utilisés isolément, semblent être moins efficaces. L'administration de lait maternel ainsi que la musicothérapie requièrent des études complémentaires. Les méthodes de faible efficacité ne sont surtout pas à exclure dans la mesure où l'association des différentes méthodes entre elles potentialise l'effet antalgique afin d'optimiser la prise en charge de la douleur du nouveau-né. Les méthodes non-médicamenteuses sont nombreuses et faciles à mettre en place. Les études réalisées sur la population des nouveau-nés prématurés ont permis de démontrer l'efficacité et la sécurité de ces méthodes qui devraient être systématiquement utilisées en pratique en maternité et en néonatologie.

Pain in Infants, Children, and Adolescents

Pain in Infants, Children, and Adolescents PDF Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924

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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Sickle Cell Pain

Sickle Cell Pain PDF Author: Samir K. Ballas
Publisher: Lippincott Williams & Wilkins
ISBN: 1496331834
Category : Medical
Languages : en
Pages : 1004

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Book Description
Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences.

Clinical Management of Patients with Viral Haemorrhagic Fever

Clinical Management of Patients with Viral Haemorrhagic Fever PDF 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".

Health System Performance Comparison: an Agenda for Policy, Information and Research

Health System Performance Comparison: an Agenda for Policy, Information and Research PDF Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418

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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

Microbial Biofilms

Microbial Biofilms PDF Author: Mahmoud Ghannoum
Publisher: John Wiley & Sons
ISBN: 1683673336
Category : Science
Languages : en
Pages : 608

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Book Description
An examination of the research and translational application to prevent and treat biofilm-associated diseases In the decade since the first edition of Microbial Biofilms was published, the interest in this field has expanded, spurring breakthrough research that has advanced the treatment of biofilm-associated diseases. This second edition takes the reader on an exciting, extensive review of bacterial and fungal biofilms, ranging from basic molecular interactions to innovative therapies, with particular emphasis on the division of labor in biofilms, new approaches to combat the threat of microbial biofilms, and how biofilms evade the host defense. Chapters written by established investigators cover recent findings, and contributions from investigators new to the field provide unique and fresh insights. Specifically, Microbial Biofilms provides state-of-the-art research in the field of bacterial and fungal biofilms detailed descriptions of the in vitro and in vivo models available to evaluate microbial biofilms future areas of research and their translational and clinical applications Microbial Biofilms is a useful reference for researchers and clinicians. It will also provide insight in the dynamic field of microbial biofilms for graduate and postgraduate students.

Practical Healthcare Epidemiology

Practical Healthcare Epidemiology PDF Author: Ebbing Lautenbach
Publisher: Cambridge University Press
ISBN: 1107153166
Category : Medical
Languages : en
Pages : 455

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Book Description
A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.

Primary Pediatric Care

Primary Pediatric Care PDF Author: Robert A. Hoekelman
Publisher: Mosby Incorporated
ISBN: 9780323008297
Category : Medical
Languages : en
Pages : 1936

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Book Description
-- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.

Color Atlas of Equine Pathology

Color Atlas of Equine Pathology PDF Author: Claus D. Buergelt
Publisher: John Wiley & Sons
ISBN: 0470962844
Category : Medical
Languages : en
Pages : 565

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Book Description
Color Atlas of Equine Pathology offers a practical guide to identifying equine diseases, presenting a single resource with more than 1000 images showing predominantly gross pathology. Organized by body systems, the book allows for picture matching during or after an equine necropsy. In this user-friendly atlas, each chapter takes a common format, presenting the disease process as well as congenital, degenerative, inflammatory, and neoplastic sequences, with text boxes offering quick reference to key information. The book begins with an introductory chapter summarizing the principles of the equine field necropsy, and subsequent organ-based chapters depict gross features of disease, focusing on macroscopic digital images supplemented by histology and immunohistochemistry when necessary. Some clinical information for correlation with pathology is included. Color Atlas of Equine Pathology is an essential resource for diagnostic veterinary pathologists and pathology residents, as well as for equine practitioners performing necropsies in the field.

Recurrent Polyserositis

Recurrent Polyserositis PDF Author: Marcel Eliakim
Publisher: Elsevier-North-Holland Biomedical Press
ISBN:
Category : Medical
Languages : en
Pages : 248

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Book Description