Search PubMed⌕ Search

Biomedical subjects

Annick Anchisi

Publications and source records attributed to Annick Anchisi.

5 recordsLinked to original sources
PubMed2006

[Accepting chemotherapy at the age of 70 and over: between autonomy and ageing].

This study is based on the interview of 21 subjects, aged 70 years and over, attending an oncology centre. At the end of their treatment, we have explored the processes of patient's choice, including goals, resources and constraints. The main variables influencing the acceptance of chemotherapy are full awareness of one's clinical condition, irrespective of whether a cure is possible or not, self perceived state of health, and lastly life expectancy. Age itself initially does not appear to be a limiting factor. Every effort should be made to tailor communication to individual needs, not least because of a link between learned and perceived treatment adverse effects. We found that symptoms, especially fatigue, hamper routine activities, leading to social withdrawal. Gradually the manifestations of the disease itself and of its treatment, combined with age, reveal both personal vulnerability and the role of support networks.

Aged↗
PubMed2004

[Management and quality: in search of nursing].

Quality management involves everyone in the hospital to a different degree. The head-nurses are key elements for the realization of these programs. Throughout this discussion regarding management, this article explores the links between quality management and nursing. The interviews conducted show that management has over-invested in quality. Therefore it will respond to problems concerning work organization and will also allow a professional acknowledgement. The analysis confirms that the quality values come before that of a pragmatic conception of health care based on a disjunctive viewpoint, both linear and timeless. Furthermore, because nursing is not considered as a discipline, quality healthcare remains undefined. The recommendations focus on the manager's role and particularity on the definition of the principal problems of different services.

Attitude of Health Personnel↗
PubMed2003

[Elderly patients suffering from dementia in nursing homes: a daily challenge for nurses].

In partnership with the EMS of French-speaking Valais, Switzerland, this study has brought to light certain characteristics in the care of elderly patients suffering from dementia. The interviews were conducted between two professional groups: 19 certified nurses' aides (CNA) and 19 registered nurses (RN). The medical facilities were investigated on the basis of psycho-sociological representations, time, professional security, interactions, the types of services offered, and work satisfaction. The CNAs confuse the depictions of aging and dementia, which corresponds to the belief of the general public. The RNs identify with a professional ideal which, as a consequence, fails to differentiate between the individuals who have been treated. These accounts give a reliable perspective for the two professions, but also serve as a screen for the diversity of situations involving elderly patients suffering from dementia. Concerning the time needed for the supplementary workload, the CNAs and RNs favor its efficiency, and the time needed is justified by the end results. The nurses' aides go about their work essentially on the basis of the tasks and services required by the institution, which is largely inspired by the hospital model. Confronted by the unconventional behavior of the residents suffering from dementia, the risk of assault results in deliberations for CNAs, whereas the unpredictability of the situations is fundamental for RNs. The lack of security measures is equally due to the shortcomings of the medical profession regarding dementia and the specific types of care required. These interactions, while regarded as essential by both CNAs and RNs, are not considered therapeutic, despite the fact that communication is a primary function! Both groups share the types of care offered. Ils limitations are chiefly in the area of satisfaction regarding psychological needs. This health-care project is better able to answer the needs of institutionalized patients rather than in providing individual attention. CNAs and RNs are said to be satisfied by their work with patients suffering from dementia with regards to its utility and professional ideal. In conclusion, the particulars of health care are first of all relative to the context (structure, make-up of personnel, type of residents), relying to a lesser degree on the kind of training obtained by the health care professionals.

Adult↗