Extract
[...] To continue the dynamic of improving home care for the elderly, information and training of professionals on the ground are essential. The IPA seems to have a key role in mobilizing its expertise in favor of health actors. The Expertise of the Advanced Practice Nurse at the Service of Home Care Professionals We identify in the current context of the French healthcare system, 'IPA' as a key player in the development of innovative care solutions for the elderly.a multifaceted inequality of access to care: under-resourced territories, a lack of expert caregivers, with waiting times always getting longer and recommendations for good practices that cannot be followed» (SNC p.11). [...]
[...] https://doi.org/10.3917/regar.057.0115 - Mengal, Y., Lecocq, D., & Pirson, M. (2015). How to develop advanced nursing practice in complex healthcare systems? Public Health, S1(HS), 105-110. https://doi.org/10.3917/spub.150.0105 - Peloquin, J., Robichaud-Ekstran, S., & Pepin, J. (2007). The perception of quality of life of women suffering from primary pulmonary hypertension stage III or IV and receiving a prostacycline treatment. Research In Nursing Care, N° 51-63. https://doi.org/10.3917/rsi.088.0051 - Poret, A., & Dupuy Goodrich, L. (2023). [...]
[...] Hamric and Hanson's Advanced Practice Nursing : An Integrative Approach. https://lib.ugent.be/en/catalog/rug01:002932178 - Trimaille, H., Mathieu-Nicot, F., Cornet, C., Tannou, T., Godard-Marceau, A., Cretin, É., Koeberle, S., & Aubry, R. (2020). Trajectoires de personnes âgées hospitalisées de façon non pertinente. Gérontologie et Société / n° 163(3), 47-62. [...]
[...] In the elderly, fragility is a syndrome 'simple marker of a high risk of evolving towards a loss of functional independence [ . ] and it is associated with an increased mortality. In addition, it is associated with an increased risk of hospitalizations in elderly patients with multiple pathologies» (Ibid., 2019). Thus, for elderly people with heart failure, their ' the prognosis is [ . ] the more severe the older they are. After 80 years, nearly one in four patients dies within three months of a heart failure episode and 40% die within a year » (Hanon p.23). [...]
[...] « Heart failure is a pathology with significant morbidity and mortality, [ . ] requiring iterative hospitalizations of multiple causes » (Broussier et al p.294). Heart failure is therefore a serious pathology that has a significant impact on the French healthcare system. In fact, the numerous hospitalizations induced by this pathology, coupled with its severity, represent a non-negligible cost making this condition a major public health issue. We deplorea high rate of rehospitalization with 45.1% of patients rehospitalized within the year» (Broussier et al p.295) Quality of life is a conceptmultidimensional, [which] appeals to subjectivity and [which] varies over time» (Peloquin, Robichaud-Ekstran & Pepin p.5). [...]
