{"id":9000,"date":"2015-09-09T17:13:27","date_gmt":"2015-09-09T15:13:27","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=9000"},"modified":"2015-09-16T14:09:16","modified_gmt":"2015-09-16T12:09:16","slug":"cardio-geriatrie-une-vision-globale-de-la-personne-agee","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/cardio-geriatrie-une-vision-globale-de-la-personne-agee\/","title":{"rendered":"Cardio-g\u00e9riatrie : une vision globale de la personne \u00e2g\u00e9e"},"content":{"rendered":"<p><strong>Avec le recul, quel regard portez-vous sur cette organisation ?<\/strong><br \/>\nJoseph Allal \u2013 Nous \u00e9tions face \u00e0 un d\u00e9fi : trouver une solution au goulet d\u2019\u00e9tranglement qui s\u2019annon\u00e7ait du fait que de nombreuses personnes \u00e2g\u00e9es pr\u00e9sentent des signes d\u2019insuffisance cardiaque, que nos interventions sont de plus en plus techniques et que ces patients sont touch\u00e9s par des affections multiples qui impliquent une prise en charge globale. Aujourd\u2019hui cela fonctionne, la mise en commun des comp\u00e9tences a produit des effets positifs. Nous avons constat\u00e9 notre aptitude \u00e0 rompre avec des habitudes anciennes et c\u2019est d\u2019une grande pertinence m\u00e9dicale.<\/p>\n<p>Fabienne Bellarbre \u2013 Nous savions que les personnes \u00e2g\u00e9es rencontrent souvent d\u2019autres probl\u00e8mes, en plus de leur affection cardiaque. Cette organisation qui les prend en charge dans la globalit\u00e9 se r\u00e9v\u00e8le efficace et productive. Elle est diff\u00e9rente parce que les regards sont crois\u00e9s. Par exemple, pour la prescription des m\u00e9dicaments, elle permet de s\u2019adapter au profil g\u00e9riatrique du patient.<\/p>\n<p><strong>Concr\u00e8tement, qui fait quoi ?<\/strong><br \/>\nJ. A. \u2013 L\u2019entr\u00e9e des patients s\u2019effectue par les urgences cardiologiques ou l\u2019unit\u00e9 de soins intensifs de cardiologie, sous l\u2019\u00e9gide d\u2019un m\u00e9decin cardiologue. Ceux qui ont plus de 75 ans sont ensuite admis en cardio-g\u00e9riatrie pour une dur\u00e9e d\u2019hospitalisation moyenne de dix jours avant les soins de suite et de r\u00e9adaptation. Les relations avec le p\u00f4le de g\u00e9riatrie du Pr Marc Paccalin sont constantes, et nous faisons les bilans en commun.<\/p>\n<p>F. B. \u2013 L\u2019interne de cardiologie est pr\u00e9sente au quotidien, il y a une visite conjointe par semaine avec le r\u00e9f\u00e9rent cardiologue du service le Dr Pascale Raud-Raynier et moi-m\u00eame. Nous intervenons \u00e9galement r\u00e9guli\u00e8rement pour avis en cardiologie. L\u2019\u00e9volution la plus notable \u00e0 mon sens, outre les r\u00e9unions r\u00e9guli\u00e8res en commun, c\u2019est l\u2019\u00e9change permanent de connaissances entre nos disciplines. J\u2019observe que b\u00e9n\u00e9ficier d\u2019une \u00e9quipe pluridisciplinaire m\u00e9dicale (m\u00e9decins g\u00e9riatres et leurs nombreuses sp\u00e9cificit\u00e9s \u2013 plaies, chutes, m\u00e9moire, etc. \u2013, cardiologues, psychiatres) et param\u00e9dicale (infirmi\u00e8res, aidessoignants, kin\u00e9sith\u00e9rapeutes, ergoth\u00e9rapeutes, assistantes sociales\u2026) permet un enrichissement pour chacun. Enfin, cette d\u00e9marche concert\u00e9e et coh\u00e9rente donne de bons r\u00e9sultats pour les patients.<\/p>\n<figure id=\"attachment_9001\" aria-describedby=\"caption-attachment-9001\" style=\"width: 150px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio.jpg\"><img decoding=\"async\" class=\"zoom filet wp-image-9001\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio.jpg\" alt=\"Echographie cardiaque\" width=\"150\" height=\"196\" srcset=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio.jpg 800w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio-230x300.jpg 230w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio-785x1024.jpg 785w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio-130x170.jpg 130w, https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/09\/echo_cardio-550x718.jpg 550w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-9001\" class=\"wp-caption-text\">Echographie cardiaque<\/figcaption><\/figure>\n<p><strong>Quelle sera la prochaine \u00e9tape ?<\/strong><br \/>\nJ. A. \u2013 Les travaux de recherche qui sont d\u2019une certaine mani\u00e8re \u00ab\u00e0 cheval\u00bb sur les deux disciplines existent et sont amen\u00e9s \u00e0 se d\u00e9velopper. Nous travaillons aussi sur un projet neurocardio- vasculaire qui devrait se concr\u00e9tiser d\u2019ici 2017.<\/p>\n<p>F. B. \u2013 Dans la discipline g\u00e9riatrique, la s\u00e9miologie est particuli\u00e8re et les patients tr\u00e8s h\u00e9t\u00e9rog\u00e8nes dans leur profil g\u00e9riatrique. Depuis deux ans, nous avons \u00e9volu\u00e9 dans notre approche et modifi\u00e9 certaines de nos pratiques dans le traitement des pathologies cardiaques de nos sujets \u00e2g\u00e9s. Aujourd\u2019hui, nous sommes pr\u00eats \u00e0 \u00e9tendre cette exp\u00e9riences \u00e0 d\u2019autres collaborations interdisciplinaires.<\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>Recherche<\/strong><\/p>\n<p>La cardiologie du sujet \u00e2g\u00e9 est un vaste champ de recherche pour les cardiologues, comme pour les g\u00e9riatres. \u00ab Plusieurs th\u00e8ses ont \u00e9t\u00e9 soutenues et d\u2019autres sont en cours \u00e0 Poitiers sur le sujet \u00bb, observe le Pr Allal. La recherche clinique b\u00e9n\u00e9ficie de cette synergie et une volont\u00e9 s\u2019exprime de part et d\u2019autre pour \u00e9laborer et concr\u00e9tiser d\u2019autres sujets de recherche.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Les patients \u00e2g\u00e9s b\u00e9n\u00e9ficient depuis deux ans d\u2019une prise en charge m\u00e9dicosociale par les services de cardiologie et de g\u00e9riatrie qui permet\u2026","protected":false},"author":1,"featured_media":9002,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[30,31,1],"tags":[],"class_list":["post-9000","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiologie","category-geriatrie","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cardio-g\u00e9riatrie : une vision globale de la personne \u00e2g\u00e9e - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/cardio-geriatrie-une-vision-globale-de-la-personne-agee\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cardio-g\u00e9riatrie : une vision globale de la personne \u00e2g\u00e9e - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Les patients \u00e2g\u00e9s b\u00e9n\u00e9ficient depuis deux ans d\u2019une prise en charge m\u00e9dicosociale par les services de cardiologie et de g\u00e9riatrie qui permet de mieux appr\u00e9hender les polypathologies. 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