Integrating a palliative approach into the healthcare provided by the French-African pediatric oncology group's pilot units : insights from a 3-year training program

Article indépendant

EDAN, C. | YAO, A. J. J. | HESSISSEN, L. | MOREIRA, C. | VIALLARD, M. L. | POULAIN, Philippe | CALMANTI, S. | THINLOT, C. | AUBIER, F. | DOUCOT, M. S. | GAGNEPAIN-LACHETEAU, A. | PATTE, C.

Working alongside local stakeholders, members of the French-African Pediatric Oncology Group developed a 3-year program to train pediatric oncology teams from 15 French-speaking countries in Africa in using analgesics and providing palliative care. This program was rolled out in three phases: initial training, in situ assessment, and advanced training in selected topics. To access this program, multidisciplinary teams had to come up with a project to improve their existing palliative care and pain management practices, and commit themselves to implementing it. All the teams invited agreed to take part in the program, which explicitly broached a subject that is often avoided in oncology teaching. The first phase was rolled out in 2017, with 65 trainees from 19 units attending one of three sessions held in Dakar, Senegal, Abidjan, Côte d'Ivoire, and Rabat, Morocco. The subsequent assessment revealed that only half the teams had started to implement their projects. The advanced training phase was therefore adjusted accordingly. A collective training session held in Marseille was attended by 15 trainees from seven teams whose projects were already underway, while in situ mentoring was provided for six other teams, through French-African twinnings in four cases. The length and openness of the program meant that we were able to identify and share the units' diverse realities, and fine-tune their projects accordingly, as well as plan ways of continuing the training both locally and collectively.

http://dx.doi.org/10.1016/j.arcped.2020.12.002

Voir la revue «ARCHIVES DE PEDIATRIE, 28»

Autres numéros de la revue «ARCHIVES DE PEDIATRIE»

Consulter en ligne

Suggestions

Du même auteur

Integrating a palliative approach into the he...

Article indépendant | EDAN, C. | ARCHIVES DE PEDIATRIE | n°2 | vol.28

Working alongside local stakeholders, members of the French-African Pediatric Oncology Group developed a 3-year program to train pediatric oncology teams from 15 French-speaking countries in Africa in using analgesics and providin...

Polyhandicap et accès aux soins : le modèle i...

Article indépendant | ALLAIRE, C. | Motricité cérébrale | n°2 | vol.44

Afin d’améliorer la prise en soins d’enfants en situation de polyhandicap, ce projet a proposé d’appliquer le modèle interventionnel des soins palliatifs pédiatriques aux enfants dont le pronostic vital ne semble pas engagé. Un en...

Nationwide study of continuous deep sedation ...

Article indépendant | RIDLEY, A. | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | n°4 | vol.65

Context: Palliative sedation practices evolved in France when the Claeys-Leonetti law passed in 2016 authorized patient-requested continuous deep sedation (CDS) until death. Its implementation in the pediatric setting is less freq...

De la même série

Parents' participation in collegial meetings ...

Article indépendant | BOIZE, Philippe | ARCHIVES DE PEDIATRIE | n°2 | vol.31

AIM: The role of parents in decision-making concerning their child's end-of-life care is not clearly defined. Their participation is encouraged by ethical reflection, in particular by the CCNE (French National Ethics Advisory Comm...

Integrating a palliative approach into the he...

Article indépendant | EDAN, C. | ARCHIVES DE PEDIATRIE | n°2 | vol.28

Working alongside local stakeholders, members of the French-African Pediatric Oncology Group developed a 3-year program to train pediatric oncology teams from 15 French-speaking countries in Africa in using analgesics and providin...

Parler de la vie et de la mort en néonatologi...

Article indépendant | PENNAFORTE, T. | ARCHIVES DE PEDIATRIE | n°2 | vol.24

Les progrès technologiques et l'amélioration des connaissances cliniques ont repoussé les limites de la médecine. Il en résulte la survie de nombreux nouveau-nés qui seraient auparavant décédés. Le potentiel de survie s'accompagne...

Soins palliatifs au décours d'une réanimation...

Article indépendant | KUHN, P. | ARCHIVES DE PEDIATRIE | n°2 | vol.24

La promulgation en 2005 de la loi relative à la fin de vie des malades, dite loi Leonetti, s'est accompagnée de changements de pratiques dans les processus de limitation et de retrait des thérapeutiques actives en réanimation néon...

Démarche palliative chez le nouveau-né attein...

Article indépendant | VIALLARD, Marcel-Louis | ARCHIVES DE PEDIATRIE | n°2 | vol.24

La démarche palliative est progressivement apparue comme un choix envisageable en périnatalogie, comme il l'était déjà auparavant chez l'enfant et l'adulte. La promulgation en 2005 de la loi "Leonetti", qui a fait de l'approche pa...

Chargement des enrichissements...