ABSTRACT
30% more strokes are expected by 2030. To face this incoming huge public health challenge, large-scale projects for primary, secondary and tertiary prevention of neurovascular risk have to be developed. French new advanced nursing practices will be most promising if they are based on the timeliness of pathology follow-up but also on leadership in training, research and innovation in the care pathway for stroke victims.
Subject(s)
Advanced Practice Nursing , Stroke , France , Humans , Stroke/nursingABSTRACT
The concept of advanced practice nursing and the way it has been adapted to the French context are still poorly understood. It is however rooted in a long history and is based on well-established international notions. After a phase of structuring, advanced practice nurses are now being deployed across the country, with their missions, their association and their own union. Two years after the first graduations, challenges remain but the future is promising.
Subject(s)
Advanced Practice Nursing , France , HumansABSTRACT
The "Leonetti" law introduced the need for a collegial procedure to approach the decision to limit or stop treatment. Collegiality is not easy in daily professional practice. There are cultural and institutional obstacles, specific to caregivers. Interdisciplinary meetings can be put in place in order to support the lead doctor and to ensure the decisions taken are the best for the patient's particular situation.
Subject(s)
Cooperative Behavior , Palliative Care , Patient Care Team , Right to Die , Withholding Treatment , France , Humans , Palliative Care/legislation & jurisprudence , Right to Die/legislation & jurisprudence , Withholding Treatment/legislation & jurisprudenceABSTRACT
The mobile palliative care and support team nurse works in different departments within the hospital. The clinical situation of a patient enables the team to identify in what ways she is declining and thereby participate in the care management in order to favour the patient's return home.
