{"id":4462,"date":"2014-05-15T11:12:59","date_gmt":"2014-05-15T09:12:59","guid":{"rendered":"http:\/\/chu-poitiers.ovh\/?p=4462"},"modified":"2015-09-16T14:48:26","modified_gmt":"2015-09-16T12:48:26","slug":"questions-a-laure-percheron-vendeuvre-medecin-en-soins-palliatifs","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/questions-a-laure-percheron-vendeuvre-medecin-en-soins-palliatifs\/","title":{"rendered":"Questions \u00e0… Laure Percheron-Vendeuvre, m\u00e9decin en soins palliatifs"},"content":{"rendered":"

Vous avez entam\u00e9 votre carri\u00e8re dans le service de soins palliatifs du CHU de Poitiers, o\u00f9 vous exercez depuis bient\u00f4t trois ans. Quel est votre parcours ?<\/strong>
\nJ’ai commenc\u00e9 mon cursus universitaire \u00e0 Paris avant de rejoindre le Poitou-Charentes pour mon internat de m\u00e9decine g\u00e9n\u00e9rale. J’ai compl\u00e9t\u00e9 ma formation avec un dipl\u00f4me interuniversitaire soins de support en canc\u00e9rologie et un dipl\u00f4me d’\u00e9tudes sp\u00e9cialis\u00e9es compl\u00e9mentaire (DESC) m\u00e9decine de la douleur – m\u00e9decine palliative.
\nAu cours de ce dernier, j’ai effectu\u00e9 deux stages de six mois au CHU de Poitiers, au centre r\u00e9gional d’\u00e9tude et de traitement de la douleur et dans le service de soins palliatifs. J’ai fait le choix de rester dans ce dernier service pour deux ann\u00e9es d’assistanat et j’y suis praticien hospitalier depuis novembre dernier.<\/p>\n

Pourquoi avoir fait le choix des soins palliatifs ?<\/strong>
\nJ’\u00e9tais attir\u00e9e par la m\u00e9decine g\u00e9n\u00e9rale, mais \u00e9galement par le travail en CHU car j’aime travailler en \u00e9quipe et l’activit\u00e9 de recherche. J’ai d\u00e9couvert les soins palliatifs au cours de mon dernier stage d’externat en hospitalisation de jour \u00e0 l’Institut Curie \u00e0 Paris. Cette sp\u00e9cialit\u00e9 repr\u00e9sentait pour moi un bon compromis, j’y ai trouv\u00e9 de nombreux points communs avec la m\u00e9decine g\u00e9n\u00e9rale : une prise en charge globale du patient, beaucoup de disponibilit\u00e9 et d’\u00e9coute. Cette dimension humaine est importante pour moi, car nous avons en face de nous des patients atteints d’une maladie grave et potentiellement incurable. Notre objectif n’est pas n\u00e9cessairement de les gu\u00e9rir, mais de les soulager des sympt\u00f4mes physiques et moraux qui viennent se greffer sur leur maladie.<\/p>\n

En quoi consiste aujourd’hui votre activit\u00e9 ?<\/strong>
\nNous sommes trois m\u00e9decins dans le service, et nous tournons tous les trois-quatre mois sur trois activit\u00e9s diff\u00e9rentes. Cela nous permet d’assurer une prise en charge sur la dur\u00e9e, \u00e0 la fois des patients et de leurs proches, mais aussi des soignants. Nous intervenons dans l’unit\u00e9 de soins palliatifs, compos\u00e9e de dix lits, o\u00f9 nous prenons en charge des patients pr\u00e9sentant des sympt\u00f4mes r\u00e9fractaires, avec souvent de lourdes probl\u00e9matiques \u00e9thiques, difficiles \u00e0 g\u00e9rer dans des services non sp\u00e9cialis\u00e9s. Ensuite, au sein de l’\u00e9quipe mobile, nous nous d\u00e9pla\u00e7ons dans les services \u00e0 la demande des soignants pour \u00e9valuer les patients et proposer des modifications de traitement si n\u00e9cessaire. Enfin nous assurons des consultations au p\u00f4le r\u00e9gional de canc\u00e9rologie o\u00f9 nous recevons les patients pris en charge \u00e0 domicile pr\u00e9sentant des sympt\u00f4mes ou des questionnements particuliers.<\/p>\n

Comment g\u00e9rez-vous les questions d’\u00e9thique soulev\u00e9es par le suivi de patients en fin de vie ?<\/strong>
\nNous sommes r\u00e9guli\u00e8rement amen\u00e9s \u00e0 r\u00e9fl\u00e9chir sur des prises en charge difficiles, sur des probl\u00e9matiques li\u00e9es \u00e0 l’autonomie ou la limitation de soins. Il est vrai que notre formation initiale nous pr\u00e9pare assez peu cela, et j’ai d\u00e9cid\u00e9 de pr\u00e9parer l’an prochain un master \u00e9thique m\u00e9dicale et bio\u00e9thique \u00e0 Paris.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vous avez entam\u00e9 votre carri\u00e8re dans le service de soins palliatifs du CHU de Poitiers, o\u00f9 vous exercez depuis bient\u00f4t trois ans. Quel est votre\u2026","protected":false},"author":1,"featured_media":4463,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[34,1],"tags":[],"class_list":["post-4462","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-soins-palliatifs","category-uncategorized"],"acf":[],"yoast_head":"\nQuestions \u00e0... 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