{"title":"Le premier hôpital de jour français de soins intégratifs en oncologie au Groupe Hospitalier Saint-Vincent de Strasbourg. Mode de fonctionnement et résultats thérapeutiques préliminaires","authors":"Jean-Lionel Bagot , Laure Martini-Hubrecht , Patricia Feidt , Anne-Céline Milanov , Céline Grabherr , Maelle Sacadura , Marion Serpeault , Francine Hoffmann , Céline Mazur , Caroline Wendling","doi":"10.1016/j.revhom.2021.10.005","DOIUrl":"10.1016/j.revhom.2021.10.005","url":null,"abstract":"<div><h3>Contexte</h3><p>les soins intégratifs sont l’association aux traitements conventionnels, de thérapies complémentaires de qualité et validées, utilisées en soins de support. Plus de la moitié des patients y font appel pendant les traitements du cancer. Pour faciliter l’accès à ce type de soins aux patients de perfomance status OMS 2 ou 3, nous avons créé un hôpital de jour de soins intégratifs, il y a près de deux ans. Comment fonctionne cette unité de soin originale ? Quels sont ses premiers résultats ?</p></div><div><h3>Méthode</h3><p>un questionnaire pour chaque pratique a été adressé à l’équipe soignante (deux médecins, quatre infirmières, une psychologue, une diététicienne, une esthéticienne) et analysé.</p></div><div><h3>Résultats</h3><p>quatorze questionnaires ont été étudiés (certains soignants pratiquants plusieurs techniques) : entretien infirmier d’évaluation, consultation médicale de coordination, homéopathie, acupuncture, auriculothérapie, micronutrition, diététique, aromathérapie, réflexologie, psycho-oncologie, soins sociaux-esthétiques, méditation de pleine conscience, hypnose, réalité virtuelle et repas thérapeutique. Tous les soignants ont une expérience en cancérologie et sont diplômés dans leurs spécialités spécifiques. Les retours thérapeutiques des soignants comme des patients sont très positifs. Les bénéfices obtenus sur les symptômes et la qualité de vie sont en concordance avec les résultats des différentes études existantes. Les indications principales sont la fatigue, les douleurs (notamment neuropathiques), les troubles digestifs et anxiodépressifs.</p></div><div><h3>Conclusion</h3><p>Les questionnaires d’évaluation des patients sont très positifs et encouragent la poursuite et le développement de ce type de prise en charge. Une charte de soin encadre l’activité du soignant intégratif et nous prémunit de toute dérive. Une étude qualitative devrait être réalisée pour évaluer notre pratique.</p></div><div><h3>Context</h3><p>Integrative care is the association with conventional treatments, of quality and evidence based complementary therapies, used in supportive care. More than half the patients use this approach during cancer treatment. To facilitate access to this type of care for patients whose WHO performance status is 2 or 3, an integrative care outpatient hospital was set up almost two years ago. How does this innovative unit function and what are its preliminary results?</p></div><div><h3>Method</h3><p>A questionnaire for each complementary practice was sent to the different members of the healthcare team (two doctors, four nurses, a psychologist, a dietitian, a beautician) and analysed.</p></div><div><h3>Results</h3><p>Fourteen questionnaires were studied (some caregivers practicing several techniques): assessment nursing interview, coordinating medical consultation, homeopathy, acupuncture, auriculotherapy, micro nutrition, dietetics, aromatherapy, reflexology, psycho-oncological interview, social-aesthet","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages 231-241"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124384014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The first French Outpatient hospital for integrative oncology care at the Saint-Vincent Hospital Group in Strasbourg. Organisation and preliminary therapeutic results","authors":"Jean-Lionel Bagot (coordinating physician, homeopath, acupuncturist) , Laure Martini-Hubrecht (coordinating physician, acupuncturist, auriculotherapist, homeopath) , Patricia Feidt (coordinating nurse, hypnotherapist) , Anne-Céline Milanov (psychologist) , Céline Grabherr (coordinating nurse, hypnotherapist) , Maelle Sacadura (dietician) , Marion Serpeault (reflexologist nurse) , Francine Hoffmann (aromatherapist nurse) , Céline Mazur (socio-aesthetician) , Caroline Wendling (nurse manager)","doi":"10.1016/j.revhom.2021.10.006","DOIUrl":"10.1016/j.revhom.2021.10.006","url":null,"abstract":"<div><h3>Context</h3><p><span><span>Integrative care is the association with conventional </span>treatments of quality and evidence based complementary therapies used in supportive care. More than half the patients use this approach during cancer treatment. To facilitate access to this type of care, for patients whose WHO performance status is 2-3 and/or presenting a grade symptom 3, an integrative care </span>outpatient hospital was set up almost two years ago. How does this innovative unit function and what are its preliminary results?</p></div><div><h3>Method</h3><p>A questionnaire for each complementary practice was sent to the different members of the healthcare team (two doctors, four nurses, a psychologist, a dietitian, a beautician) and analysed.</p></div><div><h3>Results</h3><p><span>Fourteen questionnaires were studied (some caregivers practicing several techniques): assessment nursing interview, coordinating medical consultation, homeopathy, acupuncture<span>, auriculotherapy, micro nutrition, dietetics, aromatherapy<span>, reflexology, psycho-oncological interview, social-aesthetics, mindfulness, hypnosis, virtual reality and therapeutic meal. All caregivers have experience in oncology and have the relevant diplomas in their particular technique. The feedback from both caregivers and patients is very positive. The benefits obtained in regard to symptoms and </span></span></span>quality of life are convincing and in line with the results of the various existing studies. The main indications are fatigue, pain (especially neuropathic pain), digestive and anxiety- depressive disorders.</p></div><div><h3>Conclusion</h3><p>This day of care is greatly appreciated by patients and caregivers alike. The assessment questionnaires are very positive. A care charter governs the activity of the integrative caregiver and helps to prevent any possible deviation. A qualitative study is about to be carried out to assess our practice.</p></div>","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages e70-e80"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124454451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cessation d’activité, les obligations du médecin","authors":"","doi":"10.1016/j.revhom.2021.10.011","DOIUrl":"10.1016/j.revhom.2021.10.011","url":null,"abstract":"","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages 260-261"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126534504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr Pascale Laville (Directeur médical du Centre de santé Saint-Jacques)
{"title":"Clap de fin","authors":"Dr Pascale Laville (Directeur médical du Centre de santé Saint-Jacques)","doi":"10.1016/j.revhom.2021.10.001","DOIUrl":"10.1016/j.revhom.2021.10.001","url":null,"abstract":"","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages 254-255"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126190196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systématisation de la consultation homéopathique et du recueil des effets médicamenteux appliquée à une population d’agents de la Régie autonome des transports parisiens (RATP)","authors":"Jean-Paul Billot (Médecin gériatre homéopathe)","doi":"10.1016/j.revhom.2021.10.023","DOIUrl":"10.1016/j.revhom.2021.10.023","url":null,"abstract":"<div><p>Cet essai concerne une série de 1022 patients du métro parisien suivis par homéopathie au cours de plusieurs décennies. Il cherche à définir dans quelle mesure les études observationnelles peuvent être utilisées pour évaluer l’impact médico-social, la validité théorique et les effets de la thérapeutique homéopathique, discipline originale, à cheval sur l’empirisme et l’expérimental, point de rencontre entre la maladie étiquetée et celle vécue par le malade. Pour ce faire, toutes les informations notées concernant chaque patient et tous les effets survenus après chaque prescription doivent être systématiquement recherchés et classés. Cette somme vise à être intégrée dans une banque de données et devra être à la disposition des chercheurs. On tente ici de situer la position de l’homéopathie en médecine et d’analyser l’intérêt et les limites des études observationnelles. Puis, on définit la méthode employée au sein du service médical de la RATP. Ensuite, on classe les consultants selon leur origine géographique, leur sexe, leur âge, leurs consultations dans le temps et leur fonction dans l’entreprise. Enfin, on quantifie les consultations : nombre, sex-ratio, par années, par consultant et par motifs et types de pathologie selon la classification CIST 2.</p></div><div><p>This study concerns a series of 1022 patients from the Paris metro treated by homeopathy over several decades. It attempts to define the extent to which observational studies can be used to evaluate the medical-social impact, the theoretical validity and the effects of homeopathic therapy, an original discipline, straddling the empirical and the experimental, a meeting point between the labelled illness and the illness as it is experienced by the patient. To do this, all the information noted about each patient and all the effects occurring after each prescription must be systematically collected and classified. This then needs to be integrated into a databank and must be made available to researchers. The aim here is to determine the position of homeopathy in medicine and analyse the benefit and limits of observational studies. The method used within the RATP medical service will then be defined. Next, the patients are classified according to their geographical origin, gender, age, their consultations over time and their role in the company. Finally, the consultations are quantified: number, sex ratio, by year, by patient and by motive and type of pathology according to the CIST 2 classification.</p></div>","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages 201-214"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133551990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"About a schizophrenic-type delirium: A homeopathic approach","authors":"Dr Daniel Wiedemann (Médecin homéopathe)","doi":"10.1016/j.revhom.2021.10.003","DOIUrl":"10.1016/j.revhom.2021.10.003","url":null,"abstract":"<div><p>Through a clinical case of schizophrenia, we will specify the type of hallucinations corresponding to <em>Alumina</em><span>, thus enabling us to propose 4 index additions to the “Hallucinations” sections of the homeopathic repertories. Alumina has been the main and the most effective homeopathic medicine prescribed, in combination with neuroleptics. The beneficial collaboration of the psychiatrist and the homeopathic doctor led to the complete cure of a young schizophrenic man with a follow-up of more than 20 years.</span></p></div>","PeriodicalId":39101,"journal":{"name":"Revue d''Homeopathie","volume":"12 4","pages":"Pages e67-e69"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114536295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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