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A first empirical evidence on the difficulties of observance of morphine in cancer patients invited a multidisciplinary team to initiate an innovative quality approach. It shows the lack of transcript of a comprehensive care causing a problem for monitoring actions undertaken for the relief of pain. In addition, two exploratory studies targeting the expectations and needs of the Patient Therapeutic Education (E.T.P) receiving strong opioids.
The E.T.P, public health priority, provides a framework for action and improving care. In oncology, the involvement of the patient in pain relief and management of opioids represents an axis of intervention more appropriate. Yet, it is not found in literature. In our department, we conduct an experimental therapeutic education program type "caratif" and a nurse consultation FTE receiving opioids on the model of nursing "care" of J. Watson (humanist emphasis promoting interpersonal teaching-learning mobilizing the patient experience). The ETP folder and its tools have been continuously validated with patients. The heart of the educational process is in the patient's complex path neat oncology and relies on interaction and creativity between patient and caregivers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic Patient Education (E.T.P)of type "caratif | Experimental | Patients in arm E.T.P benefit of the nursing consultation E.T.P, |
|
| standard care | Active Comparator | patients receiving standard care of cancer pain. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| therapeutic education of type "caratif | Other | study the effects of a therapeutic education program type "caratif", based on a communication pedagogy, with the patient receiving opioid therapy in medical oncology |
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessment | Using a digital scale | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment adherence morphine | Digital Scale / self-administered questionnaire of adherence of Girerd et al [78] | 21 days |
| Strategies Adjustment disease | Scale MAC (Mental Adjustment to Cancer Scale) French Version: Cayrou et al, 2001 [82] |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Florence DUFFAUD | Contact | 04.91.38.57.08 | fduffaud@mail.ap-hm.fr | |
| Jeanne-Francette FUTO | Contact | 04 91 38 45 47 | jeanne.futo@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Urielle DESALBRES | Assistance Publique Hôpitaux de Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hôpitaux de Marseille Hôpital de la Timone | Recruiting | Marseille | 13354 | France |
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| Standard care | Other | patients receiving standard care of cancer pain. |
|
| 21 days |
| Anxiety | Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) [83] | 21 days |
| Depression | Scale HADS (Hospital anxiety and depression seale, French version: Sigmund and Snaith) [83] | 21 days |
| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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