Prix de conférence à la mémoire de Helene Hudson : L’adoption d’une approche « en amont » dans les soins aux patients mourant du cancer : les mérites d’une approche palliative
Abstract
Les progrès au niveau de la technologie et des pharmacothérapies font en sorte que les patients atteints de cancers malins vivent plus longtemps qu’auparavant. Cependant, la plupart d’entre eux sont loin d’atteindre l’espérance de vie de la population générale. L’adoption d’une « approche palliative » est une innovation qui pourrait promouvoir à la fois une meilleure planification de fin de vie et la fourniture de soins de meilleure qualité en fin de vie. Pourtant, dans une bonne partie du monde occidental, cette orientation en amont est rare. La tendance à dispenser des soins palliatifs tard dans la trajectoire de la maladie a entraîné de nombreuses difficultés au niveau des soins prodigués aux personnes atteintes d’un cancer avancé. Cet article décrit une initiative de recherche infirmière—l’iPANEL (Initiative pour une approche palliative en soins infirmiers : données probantes et leadership)—dont l’objectif est de générer des données probantes qui faciliteront l’intégration d’une approche palliative dans les soins aux personnes atteintes de conditions chroniques réduisant l’espérance de vie. Les infirmières en oncologie ont un rôle important à jouer dans la facilitation d’une approche palliative, puisqu’elles peuvent transformer les façons dont les patients atteints de cancer sont traités dans notre système de santé.
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