[Territorial gradation, multi-professionality and IPA: new levers for monitoring Parkinson's patients]. / Gradation territoriale, pluriprofessionnalité et IPA : nouveaux leviers pour suivre les patients parkinsoniens.

The rapid increase in the number of Parkinson's patients in the population is raising questions about the organization of expert resources. The creation of advanced practice nurses is likely to have an impact on this public health issue, as is the implementation of multi-level care gradation and the prospects for paramedical development.

[Delirium superimposed on dementia : Early detection and treatment]. / Delir bei Demenz : Früherkennung und Behandlung ­ ein narrativer Review.

BACKGROUND: Delirium superimposed on dementia (DSD) is a widespread but often undetected problem. Additional delirium significantly reduces the quality of life in patients with dementia. Awareness of this condition must be increased among professionals to recognize its development at an early stage, distinguish it from dementia and treat it accordingly. OBJECTIVE: This review describes the current state of diagnostic, preventive, and therapeutic methods in dealing with DSD. MATERIAL AND METHODS: A comprehensive literature search was conducted in the PubMed database using the terms "dementia", "delirium", "delirium superimposed on dementia" and "DSD". An additional literature search was performed via Google Scholar. RESULTS: The diagnostic techniques for detecting DSD are currently limited to delirium-only diagnostic tools, such as the confusion assessment method. A multiprofessional screening of high-risk patients on a regular basis is essential for the early detection and prevention of this disease. An interdisciplinary approach is also required for treatment. Pharmacological therapy is indicated when nonpharmacological measures are insufficient or to treat delirium-inducing causes. The focus lies on the mental and physical care of the patient and on the elimination of risk factors for developing DSD. CONCLUSION: DSD is a serious syndrome, however, there is still no gold standard for diagnosis and treatment. Multicomponent nonpharmacological intervention programs have been shown to reduce the incidence of delirium. Their benefit in DSD must be verified in large multicenter studies.

[From home care to coordinated primary care teams]. / Des soins au domicile aux équipes de soins primaires coordonnées.

For the past fifteen years, numerous official texts have tended to reconfigure local care, particularly the activities of private health professionals who intervene in this field. They aim to promote multi-professional and coordinated organizations, in order to better manage patient care in a territorial and global approach to health.

["The right of nurses to prescribe vaccinations should be extended to other vaccines."] / « Le droit de prescription des infirmiers en matière de vaccination devrait être étendu à d'autres vaccins ¼.

The year 2021 was marked by the opening of the prescription right to nurses in the framework of the vaccination against COVID-19. Vaccination is an important public health tool that seeks on a collective level a protective effect of vaccinated individuals and contributes to reducing the circulation of the infectious agent within the population. Patrick Chamboredon, President of the National Order of Nurses, discusses the skills of nurses in the service of vaccination.

[Multi-professional Institutional Music Therapy Project]. / Un projet pluriprofessionnel de musicothérapie en Ehpad.

The depletion of memory capacity is a specificity of population within activity and adapted care centres. It would seem, however, that learning abilities can be retained when song is used as mediator. In a multi-professional team, work was developed over eight weeks within an active music therapy group. Given the results, it appears that this hypothesis has been validated.