ABSTRACT
Seeking to reinforce personalised support for cancer patients, a mobile palliative care team has developed an innovative care facility. The Approche intégrative oncologique (Aion) offers comprehensive and alternative medical care to support patients in an active dimension of the disease. Illustration of these principles with follow-up of a patient called Mr. M.
Subject(s)
Cancer Care Facilities , Neoplasms/therapy , Palliative Care/organization & administration , France , Humans , Patient-Centered Care/organization & administrationABSTRACT
The hospital is the last refuge for sick homeless people when their illness makes life on the street impossible. The teams often consider these patients as different, difficult and not easy to place in a specific type of care. In palliative care, fewer questions are raised as the patients are hospitalised for their terminal phase. The difficulties often lie in diagnosing the disease and recognising its seriousness and the patient's social situation.
Subject(s)
Ill-Housed Persons , Palliative Care , Terminally Ill , France , HumansABSTRACT
Progress leads to increase life duration at the metastatic stage but metastatic disease is most often lethal. Decision-making is necessary for an increasing period of care, beyond evidence-based medicine, dealing with complexity and uncertain benefit/risk ratio. This requires to inform the patient realistically, to discuss prognostication, to develop anticipated written preferences. These changes mean to pass from a medicine based on informed consent to medicine based on respect of the patient wishes even if it can be complex to determine. A new multidisciplinarity is needed, centered on the meaning of the care, the proportionality of the care, the anticipated patient trajectory. The ASCO has published recommendations on early palliative care. The timing and the quality of the discussion between palliative care specialists and oncologists is crucial. We propose 10 steps to organize a multidisciplinary onco-palliative meeting, as it appears the key for the organization of care in non-curable disease.
Subject(s)
Consensus Development Conferences as Topic , Medical Oncology , Neoplasms/therapy , Palliative Care , Communication , Decision Making , Family , France , Humans , Informed Consent , Patient Care Team/organization & administration , Patient Preference , Prognosis , Risk Assessment , Terminal Care , Truth DisclosureABSTRACT
The concept of minimally invasive preparation protocols has resulted in reduced loss of critical tooth structures and maintenance of optimal strength, form, and aesthetics. While various treatment options have been described for single-tooth replacement, fiber-reinforced composite (FRC) fixed partial dentures (FPDs) provide a viable treatment alternative with proven mechanical properties, aesthetics, and function. This article presents several clinical scenarios in which minimally invasive adhesive FRC FPDs are provided to deliver enhanced predictability, strength, and durability.