RESUMO
In the wake of an experimental project, external mobile geriatric teams have been working in nursing homes in order to train the nursing teams in caring for geriatric pathologies. The mobile teams also give diagnostic and therapeutic recommendations in order to direct where necessary these dependent elderly people, often with multiple pathologies, towards geriatric care.
Assuntos
Enfermagem Geriátrica/organização & administração , Instituição de Longa Permanência para Idosos/organização & administração , Unidades Móveis de Saúde/organização & administração , Casas de Saúde/organização & administração , Equipe de Enfermagem/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/enfermagem , Comorbidade , Comportamento Cooperativo , Idoso Fragilizado , França , Avaliação Geriátrica , Hospitalização , Humanos , Comunicação Interdisciplinar , Avaliação de Programas e Projetos de SaúdeRESUMO
For patients at the end of life, caregivers must sometimes make choices between prolonging life and quality of life. There are several tools to assist in the decision-making process and the implementation, notably with regard to the limiting of active treatment. The issues to consider include limiting or stopping treatment, Leonetti's law with advance directives and the fight against unreasonable obstinacy and, more recently, the "mandate for future protection". The patient must always remain the focus and be allowed to express their wishes, if they want to, directly or with the help of a third party.