[Ethical décision making and septic shock]. / Décision éthique et choc septique.

Nurses can contribute to the decision-making process in emergency situations in cases of septic shock, particularly if the patient has not drawn up advance directives and/or nominated a health care proxy. They can undertake or facilitate the collective decision making on the legal and ethical level. The team's habitus in terms of ethical analysis and the gathering of initial data can help to ensure the patients wishes are respected.

[Organising and supporting the end of life when faced with a refusal of care]. / Penser et accompagner la fin de vie face au refus de soins.

Often ethically complex, end-of-life situations can mean nursing teams are confronted with a refusal of care. Through a representative clinical situation, a nurse describes the support provided by a multidisciplinary team, in the home, to comply with the wishes of a person at the end of life, support the family, anticipate possible difficulties and organise adapted care which respects all those concerned.

[Support of a network to favour end-of-life care at home]. / L'accompagnement d'un réseau pour favoriser la fin de vie à domicile.

At-home palliative care requires efficient collaboration between all the relevant healthcare professionals. The palliative care network helps to coordinate these teams. It supports professionals to assure the continuity of care, the implementation of living wills and the availability of the medicines necessary to relieve patients' discomfort or pain at the end of life.

[Experience of a palliative care network in an urban environment]. / Urgence à domicile: expérience d'un réseau de soins palliatifs en milieu urbain.

The NEPALE network works with patients at the end of their lives wishing to remain at home, to anticipate symptoms of discomfort to avoid the patient having to undergo an emergency transfer to hospital, notably in the case of dysphagia. The network's coordination team provides community nurses with a kit containing injectable treatments accompanied with advance prescriptions in order to avoid, if possible, an emergency hospitalisation.

[Palliative care networks, players in the 24-hour provision of care]. / Les réseaux de soins palliatifs, acteurs de la permanence des soins.

Palliative care networks ensure the coordination of patients' care in their homes and thereby contribute to the 24-hour provision of care. However, how is participation in round-the-clock care organised when the network's mobile coordination and expertise team does not perform care procedures?