title: [How are palliative care needs estimated in short-stay establishments? Apropos of an experience in Côte d'Or].
abstract: The evaluation of needs and means concerning the care of patients in palliative treatment is among the problems seen as priority by the High Committee for Public Health. We have thus tried to characterise, in a specific health sector, the patients receiving palliative care in short-stay establishments in order to evaluate their care needs. We carried out an exhaustive descriptive survey among all public and private short-stay establishments in the Côte d'Or region. Of the 2116 patients in the hospital on the day of the survey, roughly 30% were considered as eligible for palliative care (patients suffering from serious, chronic and progressive illnesses). The average age of these patients is 63.9 years (standard deviation 19.7). They mainly suffer from tumours (50%), circulatory pathologies (15%), mental illness (7%), or neurological illnesses (6%). Among the patients that may need palliative care, 38% say they feel pain despite treatment with pain-killers among 25.3% of them. The personnel providing care is insufficiently trained in palliative care or in pain, as only a maximum of 18% of nurses and 5% of doctors in short-stay establishments have been trained in these areas.
authors.affiliation: Faculté de médecine de Dijon, département de Santé publique.
authors.forename: C
authors.initials: C
authors.lastname: Bouté
authors.forename: I
authors.initials: I
authors.lastname: Millot
authors.forename: P
authors.initials: P
authors.lastname: Ferré
authors.forename: E
authors.initials: E
authors.lastname: Devilliers
authors.forename: C
authors.initials: C
authors.lastname: Piegay
authors.forename: B
authors.initials: B
authors.lastname: Lemery
authors.forename: C
authors.initials: C
authors.lastname: Cyvoct
authors.forename: I
authors.initials: I
authors.lastname: Simon
authors.forename: A
authors.initials: A
authors.lastname: Gisselmann
mesh_terms: D000367:Age Factors; D000700:Analgesics / Q000627:therapeutic use; D002908:Chronic Disease; D005260:Female; D005602:France / Q000453:epidemiology; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D009422:Nervous System Diseases / Q000453:epidemiology; D009726:Nurses / Q000706:statistics & numerical data; D010148:Intractable Pain / Q000453:epidemiology; D010166:Palliative Care / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data; D014652:Vascular Diseases / Q000453:epidemiology
chemical_list: D000700:Analgesics
vernacular_title: Comment estimer les besoins en soins palliatifs dans les établissements de court séjour? A propos d'une expérience en Côte d'Or.