Prise de décision médicale par les personnes âgées fragiles hospitalisées
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Avec le vieillissement de la population, de plus en plus de personnes �g�es survivent � des maladies aigu�s et chroniques et vivent plus longtemps, mais elles ont parfois besoin de soins hospitaliers. Les h�pitaux sont-ils adapt�s aux personnes �g�es souffrant de nombreuses affections et comorbidit�s ? Cet ouvrage d�crit comment les patients �g�s fragiles se sentent parfois comme un fardeau pour le syst�me de sant� et comment les professionnels de sant� expliquent qu'ils essaient souvent d'�viter de s'occuper des personnes �g�es par manque de temps et de comp�tences appropri�es. Dans le m�me temps, les professionnels de sant� expriment leur frustration et leur culpabilit� de ne pas pouvoir fournir des soins de qualit�. Les m�decins, en particulier, se sentent pris au pi�ge entre les besoins des patients et les syst�mes de r�mun�ration qui r�compensent la production de soins de sant� limit�s dans le temps (nombre d'examens, d'op�rations, facilit� d'acc�s, etc.) - et non une approche holistique et chronophage de toutes les maladies et de tous les m�dicaments, y compris la communication avec les patients et les soignants. Les soins de sant� s'av�rent mal adapt�s pour r�pondre aux besoins complexes de ces patients. Enfin, une suggestion de mod�le visant � am�liorer les soins prodigu�s aux patients �g�s fragiles est pr�sent�e.
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