Dernières nouvelles sur la médecine familiale

le 21 septembre 2017

Voir la mention de Dre Francine Lemire dans Santé Inc

Santé Inc.
Les postes de résidents au Québec : L’attribution manque de transparence 

La Presse
L’opposition critique vivement l’entente sur la rémunération des omnipraticiens 
Embauche de préposés dans les CHSLD pour donner deux bains hebdomadaires 

Le Journal de Montréal
Le manque d’ambulances aurait entraîné la mort de deux personnes sur la Rive-Sud de Québec 

Ici Radio-Canada
Les médecins désertent les CHSLD 
Comment choisir le bon mode de contraception pour les femmes 

Globe and Mail
Opinion: Proposed federal tax changes highlight problems in trying to keep the first Canadian health care funding arrangement 

Global News
Contrary to previous thought, study finds anxiety medication aren’t a risk to the fetus

CTV News
WHO warns of global shortage of effective antibiotics 

Toronto Star
Study finds people with schizophrenia die at higher rate than general population 

Vancouver Sun
British Columbia's health minister provides insight on upcoming issues 

Montreal Gazette
Quebec government increases funding for long-term care facilities, with goal of improving residents' hygiene

The Chronicle Herald
Number of Nova Scotians without a family physician is rising, but still below national average 

The Coast
Some physicians offer qualified support of federal government's proposed tax changes 

Medical Post
Palliative care needs to be integrated more fully into cancer care: report

TORONTO | Palliative care is commonly confused with end-of-life care and this misunderstanding leads some healthcare providers to shy away from offering palliative care to patients soon after a cancer diagnosis.

As a result, patients who could benefit from palliative care are not being identified, assessed and referred early enough to allow appropriate care to be delivered, according to a new report from the Canadian Partnership Against Cancer.

“We must redefine palliative care. This type of physical, psychosocial and spiritual support should not be so closely associated with end-of-life care, and should be incorporated soon after a cancer diagnosis,” says Dr. Deborah Dudgeon, senior scientific leader, person-centred perspective, at the Partnership.

“The World Health Organization defines palliative care as ‘relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems.’ We need to start following this definition in our approach to cancer treatment,” says Dr. Dudgeon.

“There is a misperception that palliative care means end-of-life care,” adds Dr. Camilla Zimmermann, head of the Palliative Care Division at Princess Margaret Cancer Centre in Toronto.

“Healthcare providers fear that offering this type of care early could reduce hope for a positive outcome, and that discussing ‘palliation’ during cancer treatment could cause anxiety and distress to patients and their families.

“We must work to end this stigma so that all healthcare workers, as well as patients and their families, see palliative care as part of a full cancer care program,” says Dr. Zimmerman.

Evidence suggests that earlier integration of palliative care has the potential to improve treatment outcomes and prolong survival, according to Palliative and End-of-Life Care: A Cancer System Performance Report, which includes insights from Canadians with cancer and their caregivers about experiences with palliative care

The report refers to recent research suggesting that starting palliative care earlier in routine care and treatment planning, and providing such care in the community if the patient wishes, can:

  • Reduce unplanned emergency department visits.
  • Reduce the number of avoidable hospital admissions and shorten hospital stays.
  • Reduce avoidable physical and emotional distress for patients and their families.
  • Increase the opportunity for patients with terminal cancer to die fully supported at home, when desired.

“As a cancer survivor and caregiver for someone with the disease, I have witnessed the benefits of palliative care and how it helps people physically, emotionally and spiritually,” says Penelope Hedges, a family caregiver.

“I would like to see our health system start to incorporate it earlier in the cancer journey and take steps to remove the stigma around the words ‘palliative care.’ It is not about making people comfortable before they die. It should be considered a normal aspect of cancer treatment.”


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